Nu nih i inpeih tawh em a, nau neih laiin natna tihziaawmna turin epidural chungchang hriat i duh em?

Naute beisei hi hmeichhe tin nunah thil danglam bik leh mawi tak a ni. Chutih rual chuan nau neih laia a natna chungchangah hlauhna leh lungkhamna tlem te neih hi thil pangngai a ni bawk. Mi thenkhat chuan chutih hunlaia natna lo thleng tur ngaihtuah pawhin hlauhna an nei thei. Mahse, medical science a lo hmasawn tawh zia ngaihtuah chuan, chu natna chu nasa taka thunun theihna tur leh rilru muang leh thianghlim tak nena nau neih hmachhawn theihna tur kawng a awm. Chutiang hmanraw pakhat, mi tam tak zinga hriat hlawh leh hlawhtling tak chu `(Epidural)` tih a ni . Ṭhenkhat chuan hei hi `(Epidural Block)` an ti bawk. Vawiin hian he thu hi chipchiar takin sawi ila, a tha em?

Hei hi eng nge ni `(Epidural)`? A awlsam zawngin...

A awlsam zawngin, epidural hi nau neih natna tihziaawmna, tlem a hahdam zawkna tur leh, a kal chhung zawnga rilru hahdam leh thunun theihna tura puitu a ni.

Hei hi a takah chuan taksa hmun bik a natna control dan a ni a, ``Regional pain control.`` Chu chu i hnute hnuai lam zawng zawng – i hnute bang leh i ke thlengin – natna a reh vek tihna a ni. Mahse a pawimawh ber chu ``Epidural,`` i tih hian natna nei lo mah la, i la conscious , i chhehvela thil thlengte chu i hre thei a, doctor leh nurse-te thusawi pawh i hre thei bawk. Chumi awmzia chu i naute he khawvela a lo kal hun duhawm tak hi rilru fim tak nen i hlim thei tihna a ni. Hei hi nau neih laiin natna tihziaawmna pek dan ber a ni fo thin.

Engtin nge he `(Epidural)` hi pek a nih? Tlem i hrilhfiah thei ang em?

Tunah chuan, "Aw, engtin nge hetiang hi ka tih ang? A pawi dawn em ni? Eng ang thil nge thleng ang?" Ngaihtuah buai suh, awlsam takin ka hrilhfiah ang che.

Epidural i tih hian anesthesiologist chuan i hnungzang hnuai lam, a bik takin i ruhro vel epidural space an tih hmunah catheter an tih tube te tak te a dah lut a. Epidural space hi i ruhro khuh tu membrane te tak te pawn lama hmun te tak te a ni.

Chutianga i tih chuan thut emaw, mu emaw turin an ti ang che. Engti kawng pawhin, i hnungzang chu a round ṭha hle tur a ni a, hmalam i ben tur a ni . A hnungzang hrual (arched) ui ang maiin han ngaihtuah teh. Chutiang chuan doctor tan catheter dah a awlsam zawk ang.

He `(Catheter)` hi minute engemaw zat a insert dawn a ni. A hmasa berin damdawi tlemte an inject a, chu chu a hmun chu a ti hlim thei a ni. Chuvângin, rulhut têin a seh che ang maiin, a nih loh leh, i hliam ang maiin, tingling sensation tlem i nei thei a ni. Tichuan, pressure nasa tak emaw, squeezing sensation emaw i nei thei ang. He needle hmang hian `(Catheter)` te tak te chu hmun dik takah a hruai lut thin. A dah hnuah chuan needle chu a la chhuak leh thin. I hnungzang ah `(Catheter)` i hre mai thei, mahse a na lo va, a nuam lo bawk.

He `(Epidural catheter)` hi i nau neih a zawh hma loh chuan a hmunah a awm reng ang. Chumi hmang chuan a tul hunah natna damdawi pek a ni.

Epidural pek hnuah eng ang nge a nih?

Epidural catheter hmanga damdawi pek hian natna tidamtu (opioid ang chi), anesthesia emaw, a pahnih inzawm emaw a keng tel thei a ni.

Damdawi pek a nih atanga minute 10-20 chhungin a nghawng chu i hre tan ang. Naute chetna te, nausen pum a inzawm khawm huna i pum a tihkhauh dan te chu i la hre reng ang. Chu chu naute chhuah tumna pressure i hre dawn tihna a ni. Mahse, tuar theih loh natna chu a tam zawkah chuan a bo tawh ang. Heng contraction te hi i hriat a pawimawh hle a, a chhan chu naute i nawr tan hunah a pui dawn che a ni.

Doctor-in damdawi a tihpun emaw a tihhniam emaw chuan i ke chu a chak lo deuh a, a lum deuh a, a hrual a, a hring deuh emaw, a rit deuh emaw a ni thei. Mahse, natna tidamtu dang ṭhenkhat ang lo takin, epidural , i neih hian i chhehvêla thil thlengte chu i hre chiang a, i hre chiang hle.

Epidural tih hian eng hlawkna nge a neih?

Epidural hian hlawkna engemaw zat a nei a. A bulpui berte han thlir ila.

• Hun rei tak chhunga natna tihdam : A thatna lian ber chu i mamawh chhung zawng natna tihdamna i dawng thei a, chu chu nau neih tawp thleng tihna a ni.
• Dosage siamrem theihna: Doctor-te chuan i mamawh leh nau neih dan azirin damdawi hman dan tur an siamrem thei a ni. Tin, a tul chuan hun engemaw chen chu damdawi pek an chawlhsan thei bawk.
• Fimkhur leh chakna tha: Damdawi ei zat a tlem fo avangin hei hian nu chu a fimkhur reng theih nan a pui a, a lo thlen hunah contractions a hriat theih nan a pui a, chutih rual chuan naute nawr theihna tur chakna a nei bawk.
• Hriselna: Damdawi tam zawk hi epidural space-ah a awm avangin nu emaw naute emaw thisenah hian a lut tlem hle. Chuvangin, epidural hi a tlangpuiin nu leh naute tan pawh a him hle.
• Emergency C-section a awm chuan : Nau neih laiin emergency C-section neih a ngai ang tih han ngaihtuah teh. Chutiang a nih chuan i neih tawh epidural catheter hmangin anesthetic chak zawk tlem i nei thei ang. Hei hian i kawr atanga a hnuai lam thlengin a tichak lo vek ang che, mahse operation neih chhung hian i rilru a fim vek ang. (Amaherawhchu, epidural catheter tel lova emergency C-section i neih chuan general anesthesia pek a ngai mai thei a, chu chu operation chhungin engmah i hre lo tihna a ni.)

"Epidural hian natna tihziaawmna kawngah a pui thei hle a, i naute chu rilru muang leh thianghlim takin khawvelah i lo hmuak thei bawk."

Epidural hi a that lohna emaw, a hlauhawmna emaw a awm em?

Damdawi lam thil dang ang bawkin epidural hi a hlauhawmna nei lo a ni lo. Mahse hengte hi thil tenau emaw, doctor-te’n awlsam taka an enkawl emaw a ni fo. Eng nge an nih hi han thlir ila:

• Hrem harsa: A châng chuan, epidural hian naute nawr a ti harsa thei . Mahse, chutiang a nih chuan anesthesiologist chuan damdawi dose chu a siamrem thei a, chu chuan harsatna chu a siam tha thei a ni.
• Nua thisen sang hniam: Hei hian naute thisen kal danah nghawng tlem a nei thei. Mahse hei hi Doctor ten awlsam takin an thunun thei bawk.
• Harsatna tenau dangte: Mi ṭhenkhat chuan lu na, taksa na, khawsik, rilru hahna, emaw, luak chhuak emaw an nei thei .
• Hun eng emaw chen atana zun harsatna: A chang chuan zun a harsa thei bawk. Chutiang a nih chuan temporary urinary catheter dah a ngai mai thei.

Heng thilte hi a hlauhawm deuhin a lang thei a, mahse a hlauhawmna chu a tlem hle tih hre reng ang che (Corrected: "ரோம஬ா ஦ாயி" hi Tamil a ni a, "இதமா ஦ாயி" hmang rawh), a hniam hle , leh medical team te chu heng zawng zawng atan hian an inpeih tawh a ni.

Epidural hian ka naute hi a nghawng dawn em ni?

Nu thenkhatin an hlauh ber chu, "He damdawi hian naute a nghawng dawn em?" Dik tak chuan epidural hmanga pek damdawi tlemte chauh hian naute thisen a thleng a ni. Hei hi IV emaw general anesthesia emaw pek i nih chuan naute hnena damdawi thleng tur aiin a tlem zawk hle.

Epidural atanga naute tana hlauhawmna hi a tlem hle. Mahse, a chang chuan lungngaihna tlem a awm thei. Hei hian naute thinlung natna chu nu thisen sang vangin a tlahniam thei tihna a ni . Amaherawhchu hei pawh hi awlsam taka siamthat theih a ni. Hei hi IV hmanga nu chu tui pek a, a dinhmun thlak danglam a, a thisen kal dan tihchangtlun a nih chuan pumpelh theih a ni.

Naute ka neih hnuah engtin nge ka awm ang?

Naute i neih hnuah pawh i nghing deuh mai thei. Hei hi mi thenkhat tan chuan a danglam a, epidural an nei emaw nei lo emaw pawh nise, chuvangin lungngai suh.

I ke chu a hring deuh ang a, a rit deuh ang a, damdawi in a nghawng a reh hma loh chuan ticklish feel a nei ang . Chuvangin i naute pian hnu darkar tlemte chhung chu i kal thei lo mai thei. Chuti chung pawh chuan i ke chu a pangngai anga a hriat hma loh chuan kea kal turin mi pakhatin a puih che a tha ber.

C-section i neih chuan i doctor chuan epidural chu a hmunah hun engemaw chen a dah thei a, chu chuan operation hnua natna chu a thunun thei a ni.

Epidural site hi ni engemaw zat chhung chu a na deuh thei . Hei hi thil pangngai a ni. A tlem hle a, nu epidural nei tawhte chuan nau an pai hnuah lu na nasa tak an nei thei. Hetiang a nih chuan doctor hnenah i hrilh nghal tur a ni.

Hriat reng tur pawimawh ber (Take-Home Message) .

Chuvangin, thutawp atan chuan, epidural hi naupai natna enkawl dan tha tak leh him tak a ni. Natna tihziaawmna tur leh i naute chu thlamuanna leh rilru thlamuang taka khawvela lo hmuak turin a pui thei che a ni.

Mi zawng zawng hian epidural hi an mamawh vek lo tih chu a chiang a, mi thenkhat chuan an duh lo. I thutlukna a ni vek. Mahse, i ngaihtuah a nih chuan i doctor nen sawiho rawh . I hriselna dinhmun, i duhzawng leh thil dang ngaihtuah chungin i tana duhthlan tur tha ber thlang turin an pui thei che a ni.

Nau neih hi thil harsa tak leh thil tawn mawi tak a ni tih hre reng ang che. Chu thil tawn chu a nuam thei ang bera siam turin dikna i nei a ni.

He thu hi i tan a tangkai ngei ka beisei. Zawhna dang i neih chuan zalen takin zawt mai rawh!

` Epidural, nau neih, natna tidam, nau neih na, cesarean section, anesthesia, naupai