If yu de op fɔ bɔn pikin, yu go mɔs dɔn yɛri di wɔd ‘ epidural ’ bifo. Sɔntɛm na frɔm yu padi, ɔ frɔm wan fim. Bɔku pipul dɛn kin tink se na jɔs sɔntin we dɛn kin gi fɔ mek i nɔ fil pen we dɛn de bɔn pikin. Dat na tru, bɔt bɔku bɛnifit dɛn de fɔ epidural pas dat. So tide, lɛ wi put ɔl di fred ɛn dawt bɔt am fɔ rɛst ɛn tɔk bɔt am insay wan stret, stret we.
Wetin na epidural? Aw i kin wok?
Fɔ tɔk am simpul wan, epidural na wan kayn anestezi we dɛn kin yuz fɔ kɔntrol di pen. Tink bɔt di spɛshal kɔd, we na impɔtant pat pan di nervɔs sistɛm we de rɔn dɔŋ wi spayna. I gɛt wan mɛmbran fɔ protɛkt am. di sכmכl spεs we de jכs ausayd da mεmbran de na in wi kכl di ‘epidural spεs’.
Dɔktɔ, mɔ wan dɔktɔ we de anestez, kin yuz wan rili fayn nidul fɔ put wan tiub we rili tan ɛn we kin chenj, we dɛn kɔl kateta , insay di say we yu bin tɔk bɔt. Dɔn, tru da tiub de, dɛn kin put di mɛrɛsin dɛn we nid fɔ mek pɔsin nɔ fil pen smɔl smɔl na di bɔdi. Dɛn drɔgs ya kin blok di pen signal fɔ go na di bren. Dis dɔn mek wi nɔ de fil pen igen.
di tin we impɔtant pas ɔl na dat afta dɛn dɔn put di epidural nidul ɛn di kateshɔn dɔn de, dɛn kin pul di nidul ɔltogɛda. Ɔl wetin lɛf insay yu bɔdi na da tin we tan lɛk saf saf tiub de. So nɔ wɔri se dɛn go lɛf di nidul insay.
Wetin na di men yus dɛm fɔ epidural?
Apat frɔm bɔn pikin, we bɔku pipul dɛn sabi, dɛn kin yuz epidural pan bɔku ɔda tin dɛn. Lɛ wi tek wan luk pan wetin dɛn bi.
| Aw fɔ yuz am | Simpul ɛksplen |
|---|---|
| Di tɛm we dɛn de bɔn pikin | Dis na di we aw dɛn kin du am pas ɔl. Dis na wan we we de jɔs pul pen (analgesia). Dis min se yu de no, yu kin tɔk, ɛn muv yu leg smɔl, bɔt yu nɔ go fil bɔku pan di pen we yu de fil we yu de bɔn pikin. |
| Di tɛm we dɛn de du di ɔpreshɔn ɛn afta di ɔpreshɔn | Dɛn kin gi epidural fɔ mek di say nɔ gɛt bɛtɛ trɛnk igen, mɔ we dɛn de du big ɔpreshɔn pan di hip, ni, ɔ di ɔda bɛlɛ. Dɛn kin yuz am bak fɔ kɔntrol di pen afta dɛn dɔn du di ɔpreshɔn. |
| As tritmɛnt fɔ pen we nɔ de dɔn | dis mεtכd dεn kin yus bak fכ injεkt mεdikeshכn lεk stεroyd fכ krεse bak εn lεg pen we kכmכt lεk hεnia disk dεm εn spεnal stεnosis. |
di epidural de at bad bad wan we dεn put am insay?
Dis na di big tin we bɔku pipul dɛn kin fred. Na dis na wetin kin rili apin:
1. Pozishɔn : Fɔs, dɛn go aks yu fɔ sidɔm na chia ɛn ledɔm bifo ɔ tɔn to wan say na di bed ɛn briŋ yu ni dɛn to yu chɛst.
2. Klin: Neks, di dɔktɔ go klin di say na di bak fayn fayn wan usay dɛn go gi di injɛkshɔn.
3. Numbness: Dɔn, dɛn kin yuz wan smɔl nidul fɔ numb di skin. I tan lɛk se yu de numb di gam bifo dɛn pul yu tut. Dis tɛm ya, i kin tan lɛk se smɔl ant de bit yu.
4. Fɔ put di epidural insay: Afta di skin dɔn swɛt, di dɔktɔ kin put di epidural insay. Yu nɔ go fil ɛni pen dis tɛm. Bɔt yu kin fil wan strenj tin lɛk we yu de prɛs yu ɔ yu de tik. Sɔm pipul dɛn nɔ kin fil ɛnitin atɔl.
5. Fכ pul di nidul: we di kateshכn (heani tyub) dεn dכn put di nidul fayn fayn wan, dεn de pul di nidul kכmplit wan.
Di tin we impɔtant pas ɔl na dat, if yu gɛt pen we yu nɔ go ebul fɔ bia we yu de du dis, ɔ if yu fil lɛk se ilɛktrik shɔk de go dɔŋ yu leg, yu fɔ tɛl di dɔktɔ wantɛm wantɛm.
Ɛni sayd ɛfɛkt de we pɔsin kin gɛt we i de yuz epidural?
Jɔs lɛk ɛni ɔda tritmɛnt, epidural kin mek smɔl smɔl sayd ɛfɛkt dɛn . Bɔt, siriɔs sayd ɛfɛkt dɛn nɔ kin apin so ɔltɛm. Lɛ wi tek tɛm luk wetin kin apin.
| Sayd ɛfɛkt/kɔmplikɛshɔn | Wetin fɔ no |
|---|---|
| Lɔw blɔd prɛshɔn | Dis kin rili kɔmɔn. Yu kin fil lɛk se yu ed de tɔn. Bɔt na di mɛdikal tim kin kɔntrol dis, ɛn dɛn go de chɛk yu blɔd prɛshɔn ɔltɛm. |
| I nɔ kin izi fɔ yu fɔ pis | Di mɛrɛsin dɛn we de mek pɔsin fil pen kin mek di nerv dɛn we de na di blad nɔ gɛt bɛtɛ trɛnk fɔ sɔm tɛm. If nid de, dɛn kin put kateshɔn fɔ kɔrɛkt dis. |
| Trem ɛn shek shek | Dis kin apin bikɔs ɔf di chenj na di bɔdi in tɛmpracha. Natin nɔ de fɔ wɔri bɔt. |
| Di ed we de at bad bad wan | na sכm tεm (lεs dan 1%) dis kin apin if di nidul aksidεntli go insay di spεnal fכluid. Tritmɛnt de fɔ dis. |
| Infɛkshɔn, blɔd we de kɔmɔt | Dɛn tin ya bak nɔ kin apin so ɔltɛm. Tin dεm lεk di fכmeshכn fכ blכd kכlכt (hεmatoma) bikoz fכ blכd kin apin. Bɔt dɔktɔ dɛn kin rili wɔri bɔt dis. |
Spɛshal risk dɛn we gɛt fɔ du wit bɔn pikin
- Di sɛkɔn stej fɔ bɔn pikin kin lɔng smɔl.
- Di filin fɔ di trɛnk we yu nid fɔ push kin smɔl smɔl.
- di risk kin bכku sכmtεm fכ mek di perineal tearing.
Pipul dɛn de we nɔ fayn fɔ mek dɛn du epidural?
Yɛs. Sɔntɛnde, fɔ gi epidural kin gɛt prɔblɛm. Yu dɔktɔ go tɔk bɔt dis wit yu ɛn disayd fɔ du sɔntin.
- If yu gɛt alɛji to di anestetik drɔgs we yu de yuz.
- If yu gɛt prɔblɛm wit blɔd we de klɔt ɔ yu de tek mɛrɛsin we de mek yu blɔd tan.
- If infεkshכn de na di skin na di say we dεn injεkt.
- Mɛdikal kɔndishɔn dɛn lɛk dayabitis we dɛn nɔ ebul fɔ kɔntrol .
If na so i bi, yu dɔktɔ go tɛl yu fɔ yuz difrɛn mɛrɛsin fɔ mɛn yu pen we go fayn fɔ yu.
Wetin yu fɔ tek tɛm wit afta yu dɔn du epidural?
Ivin afta di ifekt dɛm we di epidural wear dɔn gɛt, yu fɔ avɔyd dɛn tin ya fɔ at le 24 awa.
- Nɔ drayv.
- Nɔ yuz ebi ebi mashin dɛn.
- Nɔ drink rɔm ɔltogɛda.
Dipen pan yu sik, yu dɔktɔ go gi yu patikyula instrɔkshɔn. I rili impɔtant fɔ fala dɛn instrɔkshɔn dɛn de di rayt we.
Mɛsej we dɛn kin kɛr go na os
- Epidural na wan we we rili yusful fɔ kɔntrol pen we dɛn nɔ kin yuz fɔ bɔn pikin nɔmɔ, bɔt fɔ ɔpreshɔn ɛn pen we nɔ de dɔn.
- Na wan spɛshal dɔktɔ we de mɛn pipul dɛn we de anestez kin du dis. Dɔn bak, di say kin stɔp bifo di injɛkshɔn, so di pen nɔ kin bɔku.
- Wetin de lɛf na yu bɔdi nɔto had nidul, bɔt na fayn, saf plastic tiub (kateta).
- Pan ɔl we smɔl smɔl sayd ɛfɛkt dɛn kin apin, siriɔs prɔblɛm dɛn nɔ kin apin so ɔltɛm.
- Di tin we impɔtant pas ɔl: Tɔk to yu dɔktɔ ɔ di dɔktɔ we de anestez ɛn tɔk tru bɔt ɛni kwɛstyɔn, wɔri, ɔ wɔri we yu gɛt bɔt yu mɛrɛsin. Dis impɔtant fɔ mek yu sef.
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