ʻO nā mea e pono ai ʻoe e ʻike e pili ana i nā epidurals i ka wā hānau

ʻO nā Epidural kekahi o nā ʻike paʻakikī a ʻeha loa a ka makuahine e hiki ai ke hele i ka wā e kokoke ana e hānau. Manaʻo kekahi mau makuahine he mea hiki ʻole ke hoʻomanawanui i ka ʻeha. No laila, ʻo kekahi o nā ala kaulana a maikaʻi loa e hoʻokele ai i kēia ʻeha nui he epidural. ʻOiai ua lohe ka poʻe he nui e pili ana i ia mea, ʻaʻole lākou maopopo maoli i ke ʻano o ia mea, palekana anei, a i ka wā e lawe ai. I kēia lā, e kamaʻilio mākou e pili ana iā ia me ka maopopo a me ka maʻalahi.

He aha maoli ka epidural?

I ka ʻōlelo maʻalahi, he ʻōkuhi anesthetic ka epidural i hāʻawi ʻia i loko o kou kua, kahi a puni kou iwi kuamoʻo, kokoke i nā aʻalolo e lawe ana i nā hōʻailona ʻeha. Hoʻomāmā kēia ʻōkuhi i kou kino haʻahaʻa, e hāʻawi ana iā ʻoe i ka hōʻoluʻolu nui mai ka ʻeha nui o ka hānau keiki ʻana.

Hoʻohana nui nā kauka i kēia ʻano hana ma nā kūlana he nui:

• No ka hōʻoluʻolu ʻana i ka ʻeha i ka wā hānau keiki: Hoʻohana ʻia kēia e kāohi i ka ʻeha i ka wā hānau maʻamau a me ka wā o ka ʻoki cesarean .
• No nā ʻoki kino: No ka hoʻomānoʻonoʻo ʻana i ka ʻāpana no nā ʻoki kino i hana ʻia ma ke kino haʻahaʻa.
• Ma hope o ke ʻoki kino: No ka hoʻomalu ʻana i ka ʻeha ma hope o kekahi mau ʻoki kino.
• No nā ʻeha ʻē aʻe: I nā kūlana e like me ka sciatica, hāʻawi ʻia pū ʻia me nā lāʻau steroid e hōʻemi i ka ʻeha.

Hoʻohana nā anesthesiologists i nā anesthetics kūloko e like me bupivacaine a i ʻole lidocaine. I kekahi manawa, hui pū ʻia kēia mau lāʻau me kahi mea hoʻopau ʻeha e like me fentanyl e hōʻemi i ka nui o ka ʻeha. Hoʻomaka ka hōʻoluʻolu ʻeha i loko o 10 a 20 mau minuke ma hope o ka hāʻawi ʻia ʻana o ka mahele mua o kahi epidural.

He palekana maoli anei kēia? E hoʻopilikia anei ia i ka pēpē?

ʻAe, ʻoiaʻiʻo nō. He hana palekana loa ka epidural. He anesthetic kūloko ia, ʻo ia hoʻi, pili wale ia i kahi liʻiliʻi kahi i hāʻawi ʻia ai ka injection. No laila, ʻaʻole ʻoe e hiamoe a nausea paha.

ʻO kekahi o nā mea a nā makuahine e makaʻu nei, ʻo ia ka hōʻeha ʻana i ka pēpē. ʻO ka ʻoiaʻiʻo, hiki i kekahi o nā lāʻau ʻeha i hāʻawi ʻia i ka wā hānau ke hele i ka placenta a hoʻopilikia i ka pēpē. Akā, ʻaʻole ia e hana me ka epidural.

ʻO kekahi mea a kekahi poʻe e manaʻo nei, ʻo ka loaʻa ʻana o kahi epidural e hoʻonui i ka manawa kūpono o ka hana ʻoki cesarean. He hewa loa kēia . Hoʻomaha wale ka epidural i ka ʻeha. Manaʻo ʻoe i ke kaomi o nā ʻūlū i loko o kou ʻōpū. No laila hiki iā ʻoe ke hoʻokuke i ka pēpē i waho ke hiki mai ka manawa. No laila, ʻaʻole e hoʻonui ka epidural i ka manawa kūpono o ka loaʻa ʻana o kahi `vacuum extraction` a i ʻole `forceps delivery`.

Hana maoli anei ka epidural? Pehea ka lōʻihi o kona mau manawa?

ʻAe, e hoʻomāʻū ka epidural iā ʻoe mai kou piko a i kou mau manamana wāwae. Akā e ʻike pono ʻoe i kou puni. ʻOiai ua pau ka ʻeha , hiki iā ʻoe ke hoʻokuke i ka manawa kūpono no ka mea e ʻike ʻoe i ke kaomi o ka pēpē.

Pehea ka lōʻihi o kēia? ʻO ka pane maʻalahi, inā lōʻihi kou pono . Hiki iā ʻoe ke loaʻa hou aku i nā lāʻau lapaʻau (`top-up doses`) ma o ka ʻōmole lahilahi (`catheter`) i hoʻokomo ʻia i loko o kou iwi kuamoʻo ke hoʻomaka hou ʻoe e ʻeha. E mau ka hōʻoluʻolu ʻeha a hiki i ka wehe ʻia ʻana o ka ʻōmole. Pono ʻoe e hiki ke hoʻi hou i ka neʻe ʻana a me ka manaʻo ma kou mau wāwae i loko o hoʻokahi hola a i ʻole ma hope o ka wehe ʻia ʻana o ka ʻōmole.

Eia nō naʻe, pono kākou e hoʻomanaʻo ʻaʻole holomua 100% nā kānaka a pau. Ma kahi o hoʻokahi o ka ʻumi (`10%`) mau kānaka ʻaʻole paha e loaʻa ka hōʻoluʻolu ʻeha a lākou e manaʻo ai. I ia mau hihia, e kuhikuhi kāu kauka i kahi ʻano hana ʻē aʻe no ka hoʻokele ʻeha.

Aia kekahi mau hopena ʻaoʻao? (Nā hopena ʻaoʻao)

He mea hana ikaika ka epidural no ka kaohi ʻana i ka ʻeha. Eia nō naʻe, e like me nā kaʻina hana lapaʻau āpau, aia kekahi mau hopena ʻaoʻao liʻiliʻi e hiki ke loaʻa. ʻO ka hapa nui o kēia mau mea he manawa pōkole wale nō.

No laila, he aha ka manawa kūpono e loaʻa ai kahi epidural?

He nīnau kēia a ka poʻe he nui e nīnau ai. ʻAʻohe manawa kikoʻī e hiki ai iā ʻoe ke ʻōlelo, "ʻO kēia ka manawa maikaʻi loa." Hiki iā ʻoe ke noi iā ia i kēlā me kēia manawa āu e manaʻo ai ʻaʻole hiki iā ʻoe ke hoʻomanawanui hou i ka ʻeha. Hiki paha i ka hoʻomaka, waena, a kokoke paha i ka hopena o ka hānau ʻana.

Eia nō naʻe, ke hopohopo nei ka anesthesiologist e pili ana i ʻelua mau mea ma aneʻi:

1. Ke hānau maoli nei ʻoe?

2. Hiki iā ʻoe ke noho mālie no kekahi mau minuke i ka wā e hāʻawi ʻia ai ka lāʻau pale?

Ua lohi paha?

E noʻonoʻo e pili ana i ia mea, he 10-15 mau minuke ka lōʻihi e hoʻomākaukau ai i kahi epidural. A laila he 10-15 mau minuke hou aʻe e ʻike ai i ka hōʻoluʻolu o ka ʻeha. No laila, inā ʻoe e noi no kahi epidural i kou wā e hānau ai i kāu pēpē, ua loaʻa paha iā ʻoe ke pēpē i ka manawa e hāʻawi ʻia ai. No laila, he mea naʻauao ke kamaʻilio me kāu kauka e pili ana i ia mea ma mua iki, ma mua o ke kali ʻana a hiki i ka wā e hiki ʻole ai ke hoʻomanawanui i ka ʻeha .

He ʻike ʻeha ka hānau ʻana. Akā me nā koho hoʻokele ʻeha palekana a maikaʻi hoʻi i loaʻa, ua ʻae nui ʻia i kēia manawa ʻaʻole pono nā makuahine e ʻeha i kēlā ʻeha. ʻOiai inā ʻaʻole ʻoe i hoʻolālā mua e loaʻa i kahi epidural, inā manaʻo ʻoe he mea hiki ʻole ke hoʻomanawanui i ka ʻeha i ka wā hānau, hiki nō iā ʻoe ke noi no hoʻokahi. Hiki i kahi epidural ke kōkua iā ʻoe e noho mālie, ʻaʻohe ʻeha, a hāʻawi iā ʻoe i ka ikaika e kālele i ka lawe ʻana mai i kāu pēpē i ke ao nei.