Naute i beisei a nih chuan ' epidural ' tih thumal hi i lo hre tawh ngei ang. Ṭhian aṭanga lo kal pawh a ni thei, movie aṭanga lo chhuak pawh a ni thei. Mi tam tak chuan nau neih laiin natna tihziaawmna tura pek mai mai niin an ngai. Chu chu a dik a, mahse chu aia tam epidural hian hlawkna a nei tam zawk. Chuvangin vawiinah hian hlauhna leh rinhlelhna zawng zawng chu chawlh hahdamnaah dah ila, a dik tak, dik takin sawi ila.
Epidural tih hi eng nge ni? Engtin nge a thawh?
A awlsam zawngin sawi ila, epidural hi anesthesia chi khat a ni a, natna control nan hman a ni. Kan ruhro hnuai lama kal nervous system-a thil pawimawh tak, ruhro (spinal cord) hi han ngaihtuah teh. A venhimna tur membrane a nei a. Chu membrane pawn lama hmun te tak te chu ‘epidural space’ kan tih chu a ni.
Doctor, a bîk takin anesthesiologist chuan i sawi tawh hmunah chuan tube te tak te, flexible tak, catheter tia koh chu a dah a, chu chu needle nalh tak tak hmangin a dah a ni. Tichuan, chu tube hmang chuan natna tidamtu damdawi mamawh chu zawi zawiin taksaah an lut ta a ni. Heng damdawi te hian natna signal te chu thluaka kal turin a block thin. Chumi avang chuan hrehawmna kan nei tawh lo.
A pawimawh ber chu epidural needle dah a nih hnuah leh catheter chu a hmunah a awm hnuah needle chu a chhuak vek a ni. I taksa chhunga awm chhun chu chu tube te tak te, nem tak chu a ni. Chuvangin needle chu a chhunga dah a nih tur thu ngaihtuah suh.
Epidural hmanna ber berte chu engte nge ni?
Mi tam takin an hriat lar nau neih bakah hian epidural hi thil dang engemaw zatah hman a ni. Eng nge an nih i han thlir teh ang.
| Hman dan tur | Hrilhfiahna awlsam tak |
|---|---|
| Nau neih laiin | Hei hi hmanraw hman tlanglawn ber a ni. Hei hi natna (analgesia) chauh tihziaawmna hmanrua a ni. Chumi awmzia chu i fimkhur a, i tawng thei a, i ke pawh tlem i ti che thei a, mahse nau neih natna chu i hre tam lo ang. |
| Surgery neih chhung leh a hnuah | Epidural hi a hmun chu a rilru a buai vek theih nan pek thin a ni a, a bik takin hip, khup emaw, pum hnuai lam emaw surgery lian tak neih laiin an pe thin. Surgery hnua natna control nan pawh hman theih a ni. |
| Natna rei tak enkawlna atan | Hetiang method hi herniated discs leh spinal stenosis ang chi natna avanga hnungzang leh ke natna rei tak tan steroid ang chi damdawi inject nan pawh hman a ni. |
Epidural hi a dah luh hian a na nasa em?
Hei hi mi tam takin an hlauh ber chu a ni. Hetah hian thil thleng tak tak chu a awm:
1. Position : A hmasa berin chair-ah thuin hmalam pan turin emaw, khum sir khatah hawi la, i khup chu i rilruah hruai turin an ti ang che.
2. Faina: A dawtah chuan doctor chuan a hnungzang injection pekna tur hmun chu uluk takin a tifai ang.
3. Numbness: Tichuan, needle te tak te hmangin vun chu an numb thin. Ha lakchhuah hmaa gums numbing ang mai a ni. Hetih lai hian rulhut te tak te hian a seh che ang maiin a lang.
4. Epidural inserting: Vun a hrual hnuah doctor in epidural a insert leh thin. Hetih lai hian natna engmah i hre lovang. Mahse, thil mak tak, pressure emaw, tickling sensation emaw ang chi i nei thei. Mi thenkhat chuan engmah an hre lo mai thei.
5. Needle lakchhuah dan: Catheter (heani tube) chu a awmna tur dik taka dah a nih chuan needle chu a chhuak vek a ni.
A pawimawh ber chu he thil thleng chhunga tuar theih loh khawpa natna i neih chuan, emaw, electric shock i ke atanga tla ang maia i hriat chuan doctor hnenah i hrilh nghal tur a ni.
Epidural hian side effect a nei em?
Damdawi hmanga enkawlna dang ang bawkin, epidural hian nghawng ṭha lo tenau a nei thei a ni . Mahse, side effect na tak tak a awm hi a tlem hle. Eng thil nge thleng thei tih hi han thlir ila.
| Side effect/complication awm thei | Eng nge hriat tur |
|---|---|
| Thisen sang hniam | Hei hi a awm fo tawh. I lu a buai mai thei. Mahse hei hi medical team-in an thunun thei a, anni chuan i thisen sang an enfiah fo ang. |
| Zun harsatna | Painkiller hian hun eng emaw chen chu bladder chhunga nerve te chu a ti ti na thei a ni. A tul chuan hei hi siamthat nan catheter dah theih a ni. |
| Khur leh khur | Hei hi taksa lum leh vawt inthlak danglam vang a ni thei. Ngaihtuah buai tur a ni lo. |
| Lu na na tak | A tlem hle (1% aia tlem) hian hetiang hi a thleng thei a, chu chu needle chu accident-a spinal fluid-ah a lut a nih chuan. Hemi atan hian enkawlna a awm. |
| Infection, thisen chhuah | Hengte pawh hi a tlem hle. Thisen chhuah avanga thisen zam (hematoma) siam ang chi thil a thleng thei. Mahse doctor-te chuan he thil hi an ngaihtuah hle a ni. |
Nau neihna nena inzawm hlauhawm bik
- Nau neih hun hnihna chu a rei deuh mai thei.
- Hmasawnna atana chakna mamawh hriatna chu tlem a tlem zawk mai thei.
- Perineal tearing hlauhawmna a sang deuh thei bawk.
Epidural atana tha lo an awm em?
Awle. A then phei chuan epidural pek hi a hlauhawm thei hle. I doctor chuan hei hi a sawipui ang che a, thutlukna a siam ang.
- I hman thin anesthetic damdawi allergy i neih chuan.
- Thisen zam harsatna i neih emaw, thisen tihthianghlimna damdawi i ei emaw chuan.
- Injection na hmunah vun natna a awm chuan.
- Damdawi lam dinhmun, zunthlum thunun theih loh ang chi .
Chutiang a nih chuan i doctor chuan i tana tha zawk painkiller dang a rawn rawt ang che.
Epidural i tih hnuah eng nge i fimkhur tur?
Epidural wear off-in nghawng a neih hnuah pawh darkar 24 tal heng thilte hi i pumpelh tur a ni.
- Driving kha pumpelh rawh.
- Machine rit tak tak hman loh tur.
- Zu in loh vek tur a ni.
I dinhmun a zirin i doctor chuan thupek chiang tak a pe ang che. Chu thupekte chu dik taka zawm a pawimawh hle.
Take-Home Thuchah a ni
- Epidural hi nau neihna atana hmanraw tangkai tak a ni a, nau neihna atan chauh ni lovin, operation leh natna rei tak atan pawh hman a ni.
- Hei hi specialist anesthesiologist-in a ti thin. Tin, injection hmain a hmun chu a numbed a, chuvangin a natna a tlem hle bawk.
- I taksaa la awm chu needle khauh tak a ni lo va, plastic tube (catheter) tha tak, nem tak a ni.
- Side effect tenau te pawh awm thei mahse, harsatna lian tham tak tak erawh a awm tlem hle.
- A pawimawh ber: I damdawi lam dinhmun chungchanga zawhna, ngaihtuahna, leh ngaihtuahna i neih apiang chu i doctor emaw, anesthesiologist emaw hnenah inhawng tak leh rinawm takin sawi rawh. Hei hi i himna atan a pawimawh hle.
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