Nu nih hi hmeichhiain a nunah a thil tawn duhawm leh hlu ber pakhat a ni. Mahse, chu hlimna rual chuan naute neih avanga natna lo thleng tur ngaihtuah hian tlem a hlauhthawn leh hlauhthawn hi thil pangngai tak a ni. A châng chuan, he hrehawmna hi darkar tam tak, ni tam tak pawh i tuar a ngai ṭhin. Chuvangin, tunlai he natna hi control dan lar leh tangkai ber pakhat chu epidural hi a ni. Mi tam takin hre tawh mah se, eng nge a nih, engtin nge a tih tih leh a thatna leh that lohna an hre chiang lo. Chuvangin vawiin hian i hriatthiam theih tur awlsam takin kan sawi vek ang.
A awlsam zawngin, epidural tih hi eng nge ni?
Epidural hi natna tidamtu injection bik a ni a, nau neih laia natna tihziaawmna atana pek thin a ni. Anesthesia ang mai a ni. Mahse, i taksa pum pui ni lovin, i taksa hnuai lam, i pum atanga a hnuai lam chauh a tichak lo.
He injection hi i ruhro vel hmun nalh takah pek a ni. Damdawi lam hawi chuan he hmun hi ‘Epidural Space’ an ti a. He space hi kan taksa atanga thluaka natna signal phurtu nerve lian ber berte awmna hmun a ni. Chuvangin he hmunah hian anesthetic an inject chuan thluaka natna signal te chu rei lo te chhung atan a block a, natna engmah i hre lo.
Engtin nge hetiang kalphung hi a lo awm?
Epidural hi i awmna labor room- ah pek thin a ni tlangpui. A pek hunah chuan hrehawmna tam tak i nei lovang, mahse hrehawmna engemaw chen i nei thei.
1. Position: A hmasa berin i doctor emaw anesthesiologist emaw chuan khum sir khatah mu turin a hrilh ang che, i khup chu i rilru hnaih thei ang bera dah la, i inkhuh ang maiin a awm ang. Hetiang dinhmun hian i ruhro inkar hmun chu a hmu thei ang.
2. Thianghlim leh numbing: A dawtah chuan inject tur hmun chu uluk takin silfai a, vun numb turin injection te tak te pek a ni.
3. Epidural needle dah dan: A dawtah chuan a hmaa kan sawi tawh `epidural space` ah hian uluk taka siam epidural needle dah luh a ni.
4. Damdawi pek dan: A hmun dik takah needle a awm chuan a chhungah hian tube (catheter) te tak te, flexible tak tak dahin needle chu lakchhuah a ni. Tichuan, he tube hmang hian natna tidamtu damdawi mamawh chu pump hmangin zawi zawiin i taksaah a lut ta a ni.
He damdawi hi i ei atanga minute 15 vel chhungin natna chu a reh zauh zauh tih i hria ang. I natna degree chu damdawi chi hrang hrang, a zat leh a concentration-ah a innghat ang.
A pawimawh ber chu epidural hian nikhawtlai a siam lo. I muhil thei a, i sawi thei bawk. A natna chu a la bo mai mai a ni .
Epidural hman hian eng nge a thatna leh a that lohna?
Damdawi dang ang bawkin epidural hian a thatna leh that lohna a nei a. Thutlukna siam hmain a lam leh lam hriat chian a pawimawh.
| Pros | Cons |
|---|---|
| Pain relief: A hlawkna ber chu nau neihna atanga relief tluantling tak tak i hmu thei a ni. Hei hian chawlh hahdamna leh chakna humhalh theihna a siam a ni. | Kal theih lohna: I taksa hnuai lam a hrual avangin epidural i dawn hnuah pawh i tho thei lo emaw, i kal thei lo emaw pawh a ni thei. Khumah i awm a ngai dawn a ni. |
| Mindfulness: Nau neih chhung zawngin i harh thei. Hei hian nau neih hun chu rilru fim tak nen i tawng thei ang. | Hun rei tak second stage of labor: Push lai hian i taksa ruhte chu i hre tha lo thei a, chuvangin nawr dan hriat a harsa thei bawk. Hei hian naute chu a chhuah theih nan hun rei vak lo a mamawh thei a ni. |
| Psychological relief: Natna nasa lutuk avanga lungkhamna, hlauhna leh lungkhamna te chu nasa takin a tlahniam a ni. | Thisen sang hniam: A chang chuan, epidural vangin i thisen sang a tlahniam nghal thei. Hei hian naute heart rate pawh a ti hniam deuh thei bawk. Mahse, hei hi medical staff-te'n an vil reng avangin ngaihtuahawm a awm lo. |
| Emergency C-section neih theihna tura inbuatsaihna:Emergency a awm a, naute oxygen a hmuh tlem ang chi a nih chuan cesarean section tih vat a ngai dawn a ni. Epidural pek a nih tawh avangin anesthesia pekna hun hman ngai lovin operation chu rang takin tih theih a ni. | A chang chuan a tlai lutuk: Epidural pek hmain saline (IV fluids) pek hmasak a ngai. Hetiang kalphung hian hun engemaw chen a la duh bawk. I serh chu a zau vek tawh a, i naute chu a rawn lut dawn a nih chuan epidural pek a tlai tawh mai thei. |
Tute nge epidural neih theihna tur hlauhawma awm thei?
Epidural hi a him hle nachungin mi thenkhat tan chuan a hlauhawm deuh thei. A hnuaia condition te hi i neih chuan nau i neih hmain i doctor nen i sawipui ngei tur a ni.
- Tun hmaa i hnungzang hnuai lam surgery lian tak i neih tawh chuan.
- Thisen zam natna i neih chuan .
- Thisen tithianghlimtu thenkhat i ei a nih chuan .
- I hnungzang hnuai lam natna i neih chuan.
Risk na tak tak, a thleng tlem hle
Heng chanchin i chhiar hian hlau suh. A chhan chu heng thilte hi a thleng tlem hle a ni . Chu chu maktaduai khat zinga pakhat chungah an thleng thei tihna a ni. Mahse fimkhur a pawimawh.
- Spinal cord emaw nerve root emaw chhiat avanga nerve chhiatna awm reng.
- Spinal cord vel a thisen awmkhawm (hematoma) avanga paralysis awm reng.
Epidural hnua side effect awm thei te chu engte nge ni?
I naute i neih hnuah epidural a chhe vek avangin side effect engemaw zat i nei thei bawk. Chung zinga a tam zawk chu hun eng emaw chen atan a ni.
- Injection na hmuna natna: Ni engemaw zat chhung chu injection na hmunah hian hliam leh natna engemaw zat i nei thei.
- Fever: Taksa lumna a sang deuh thei.
- Lu na na tak: Mi thenkhat chuan lu na na tak an nei thei. Hei hi lu na pangngai ang a ni lo. Chutiang chu i tawn chuan i doctor emaw nurse emaw hnenah hrilh nghal rawh .
- Zun harsa: Bladder muscle te a hrual avangin hun eng emaw chen chu zun a harsa thei. Chutiang hunah chuan zun chhuahna tur catheter dah theih a ni.
- Itching: Anesthetic damdawi thenkhat chuan vun a ti na thei.
Chûng thil tam tak chu dârkâr emaw, ni engemaw zât emaw chhûngin a bo vek a ni.
Take-Home Thuchah a ni
- Epidural hi nau neih laia natna thunun nan a tangkai hle a, a him hle bawk.
- Hei hian nau neihna hrehawm lo leh rilru fim tak pu chungin i tawng thei a ni . Naute chungah pawh nghawng lian tham a nei lo.
- Engkim ang bawkin hei hian a thatna leh a that lohna a nei a ni. Kal theih lohna leh nawr harsat hi a that lohna ber nia ngaih theih a ni.
- Epidural i duh leh duh loh i rel hmain i zawhna leh hlauh zawng zawng chu i doctor nen inhnialna awm lovin sawipui hmasa phawt ang che.
- I doctor hnenah i medical history kimchang tak i pek a pawimawh hle .
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