Epidural na wan pan di tin dɛn we nɔ kin izi ɛn we kin mek mama fil pen we i de kam fɔ bɔn pikin. Sɔm mama dɛn kin si se dɛn nɔ kin ebul fɔ bia di pen. So, wan pan di we dɛn we pipul dɛn lɛk ɛn we go wok fɔ mɛn dis bad bad pen na we dɛn de yuz epidural. Pan ɔl we bɔku pipul dɛn dɔn yɛri bɔt am, dɛn nɔ rili ɔndastand wetin i bi, if i sef, ɛn ustɛm fɔ tek am. Tide, wi go tɔk bɔt am klia wan ɛn simpul wan.
Wetin rili na epidural?
Fɔ tɔk am simpul wan, epidural na wan anestetik injɛkshɔn we dɛn kin gi na di eria na yu bak, di spes we de rawnd yu spɛshal kɔd, nia di nɛv dɛn we de kɛr di sayn dɛn we de sho se yu de fil pen. Dis injεkshכn de mek yu lכw bכdi nכm, we de gi yu bכku rεlif frכm di bad bad pen we yu de fil we yu bכn pikin.
Dɔktɔ dɛn kin yuz dis we mɔ pan bɔku tin dɛn:
- Fɔ mek yu nɔ fil pen we yu de bɔn pikin: Dɛn kin yuz dis fɔ kɔntrol di pen we yu de bɔn pikin we nɔmal ɛn bak we dɛn de du sizarian .
- Fɔ ɔpreshɔn: Fɔ mek di say we dɛn de du ɔpreshɔn we dɛn de du na di ɔda pat na di bɔdi nɔ gɛt bɛtɛ trɛnk.
- Afta dɛn dɔn du di ɔpreshɔn: Fɔ kɔntrol di pen afta sɔm ɔpreshɔn dɛn.
- Fɔ ɔda pen: Insay kɔndishɔn lɛk sciatica, dɛn kin gi am bak wit stɛroyd mɛrɛsin fɔ ridyus pen.
Di wan dɛn we de anestez kin yuz lokal anestetik lɛk bupivacaine ɔ lidocaine. Sɔntɛnde, dɛn kin put dɛn mɛrɛsin ya wit wan mɛrɛsin we de mek pɔsin fil pen lɛk fentanyl fɔ ridyus di pen. di pen rilif kin bigin fכ fil insay 10 to 20 minit afta dεn gi di fכs doz fכ epidural.
Yu tink se dis rili sef? Yu tink se i go afɛkt di pikin?
Yɛs, na fɔ tru. Epidural na wan we we rili sef . Na lokal anestetik, we min se i de afɛkt di smɔl say nɔmɔ usay dɛn gi di injɛkshɔn. So bɔku tɛm yu nɔ go fil lɛk se yu de slip ɔ yu nɔ go fil fayn.
Wan pan di tin dɛn we bɔku mama dɛn kin fred na dat i go ambɔg di pikin. Infakt, sɔm pan di pen we dɛn kin gi we dɛn de bɔn pikin kin krɔs di pikin in bɛlɛ ɛn afɛkt di pikin. Bɔt dat nɔ kin apin wit epidural.
Na smɔl smɔl mɛrɛsin nɔmɔ we dɛn kin yuz fɔ mek di epidural kin pas insay yu blɔd ɛn pas am to yu pikin. So, i nɔ de du bad to di pikin. i nכ de afekt di pikin in ``Apgar skכ dεm`` כ inkrεs di chans fכ admit di pikin na di intensiv kεriכn yunit.
Wan ɔda tin we sɔm pipul dɛn kin tink na dat, we pɔsin du epidural, dat kin mek i gɛt mɔ chans fɔ mek dɛn du sizarian. Dis na tin we nɔ rayt atɔl . Wan epidural kin jɔs mek pɔsin nɔ fil pen. yu de fil di prεshכn we di kכntrikshכn dεm na yu uterus de gi. So yu kin push di pikin kɔmɔt we di tɛm rich. fכ dat, epidural nכ de inkrεs di chans fכ fכ gεt `vaykum εkstrakshכn` כ `fכsεps dεlivεri`.
Yu tink se epidural kin rili wok? Aw lɔng i kin las?
Yɛs, di epidural go mek yu nɔ gɛt bɛtɛ trɛnk frɔm yu bɛlɛ te to yu fut finga dɛn. Bɔt yu go no ɛn no di tin dɛn we de arawnd yu. Pan ɔl we di pen nɔ de igen, yu go ebul fɔ push in tɛm bikɔs yu go fil di pikin in prɛshɔn.
Aw lɔng dis kin las? Di simpul ansa na, as lɔng as yu nid am . Yu kin gɛt mɔ mɛrɛsin (`top-up doses`) tru di tin tiub (`kateta`) we dɛn kin put insay yu spayna we yu bigin fɔ fil pen bak. Di pen rilif go las te dɛn pul di tiub. Yu fɔ ebul fɔ muv ɛn fil bak na yu leg dɛn insay wan awa ɔ so afta dɛn dɔn pul di tiub.
Bɔt wi fɔ mɛmba se nɔto ɔlman kin gɛt 100% sakrifays. Na lɛk wan pan ɔl tɛn (`10%) pipul dɛm nɔr kin gɛt di pen rilif wae dɛn kin ɛkspɛkt. If na so i bi, yu dɔktɔ go tɛl yu ɔda we fɔ mek yu nɔ fil pen.
Ɛni bad bad tin dɛn de we kin apin to am? (Sayd Ɛfɛkt dɛn)
Epidural na pawaful tin fɔ kɔntrol di pen. Bɔt jɔs lɛk ɛni ɔda mɛrɛsin, sɔm smɔl smɔl bad tin dɛn de we kin apin. Bɔku pan dɛn tin ya na fɔ shɔt tɛm nɔmɔ.
| Sayd Ifɛkt we i kin gɛt | Tɔk bɔt |
|---|---|
| Lɔw blɔd prɛshɔn | Wan sik wae kin apun to bɔrku pipul dɛm. Yu kin fil lɛk se yu ed de tɔn ɛn yu kin fil lɛk yu nɔs. Di wan dɛn we de wok na di mɛrɛsin kin pe atɛnshɔn to dis ɔltɛm. |
| Ed de at | Sɔm pipul dɛn kin gɛt ed pen afta dɛn dɔn du epidural. If yu tɛl yu dɔktɔ bɔt dis, dɛn go ebul fɔ trit am. |
| I de it | Di mɛrɛsin we dɛn kin yuz kin mek di skin wam smɔl. Dis na fɔ shɔt tɛm bak. |
| I nɔ kin izi fɔ yu fɔ pis | Yu nɔ go ebul fɔ fil se yu blad de ful-ɔp bikɔs yu bɔdi we de dɔŋ nɔ de fil fayn. Dɛn kin yuz kateshɔn fɔ dis. |
| Wiknɛs na di leg dɛn | Yu nɔ go ebul fɔ waka fɔ sɔm awa te di tin dɛn we di mɛrɛsin kin du to yu, so nɔ tray fɔ grap. |
| Nɛv dɛn we dɔn pwɛl | Dis na tin we nɔ kin apin so ɔltɛm . Di chans fɔ mek dis apin ɔnda di sɔpɔtishɔn fɔ wan ɛkspiriɛns anesteziɔlɔjis rili smɔl. |
So, wetin na di bɛst tɛm fɔ gɛt epidural?
Dis na kwɛstyɔn we bɔku pipul dɛn kin aks. Rili no patikyula tɛm nɔ de we yu go se, "Dis na di bɛst tɛm." Yu kin aks fɔ am ɛnitɛm we yu fil lɛk se yu nɔ go ebul fɔ bia di pen igen. I kin bi we di pikin bigin, midul, ɔ nia di ɛnd.
Bɔt di dɔktɔ we de anestez de wɔri bɔt tu tin dɛn ya:
1. Yu rili de na leba?
2. Yu kin stil de fɔ sɔm minit we dɛn de gi yu di vaysin?
Yu tink se i go dɔn tu let?
Tink bɔt am, i kin tek lɛk 10-15 minit fɔ pripia wan epidural. Dɔn i kin tek ɔda 10-15 minit fɔ fil di pen we yu de fil. So if yu aks fɔ epidural we yu de kam bɔn yu pikin, yu go dɔn gɛt di pikin bay di tɛm we dɛn gi yu am. So, i fayn fɔ tɔk to yu dɔktɔ bɔt am smɔl bifo tɛm, pas fɔ wet te di pen nɔ go ebul fɔ bia .
Fɔ bɔn pikin na tin we kin mek i fil pen. Bɔt bikɔs dɛn gɛt sef ɛn fayn we fɔ mɛn di pen, bɔku pipul dɛn dɔn gri naw se mama dɛn nɔ fɔ bia da pen de. Ivin if yu nɔ bin dɔn plan fɔ gɛt epidural fɔs, if yu fil se yu nɔ go ebul fɔ bia di pen we yu de bɔn pikin, yu kin stil aks fɔ wan. Epidural kin ɛp yu fɔ de kwayɛt, nɔr de fil pen, ɛn gi yu di trɛnk fɔ pe atɛnshɔn fɔ briŋ yu pikin kam na di wɔl.
Mɛsej we dɛn kin kɛr go na os
- Epidural na wan we we rili sef ɛn we go wok fɔ kɔntrol di pen we yu de bɔn pikin.
- Na wan dɔktɔ we de anestez kin gi dis.
- Dis nɔ go ambɔg di pikin ɛn i nɔ go mek dɛn gɛt sizarian sɛkshɔn.
- No "best time" nɔ de fɔ gɛt epidural. I dipen pan aw yu leba de go bifo ɛn aw yu tɔk wit yu dɔktɔ.
- We yu go na klinik dɛn we yu gɛt bɛlɛ, tɔk to yu dɔktɔ bɔt di difrɛn we dɛn fɔ mɛn di pen we yu gɛt, mɔ di epidural.
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