Epidurals hi nuin nau a pai dawn laia a tawn harsa leh hrehawm ber pakhat a ni. Nu thenkhat chuan an hrehawmna chu tuar theih lohvin an hmu thin. Chuvangin, he natna nasa tak hi enkawl dan lar leh tangkai ber pakhat chu epidural hi a ni. Mi tam takin hre tawh mah se, eng nge a nih, a him em, engtikah nge lak tur tih te chu an hrethiam lo tak zet a ni. Vawiin hian chiang tak leh awlsam takin kan sawi dawn a ni.
Epidural hi eng nge ni tak tak?
A awlsam zawngin, epidural chu i hnungzang hmun, i ruhro chhehvel hmun, natna signal kengtu nerve bulah anesthetic injection a ni. He injection hian i taksa hnuai lam a ti na a, nau neih laia natna nasa tak atanga i rilru hahdamna nasa tak a pe che a ni.
Doctor-te chuan he method hi thil engemaw zatah an hmang ber a:
- Nau neih laiin natna tihziaawmna atan: Hei hi nau neih pangngai lai bakah cesarean section neih lai pawhin natna control nan hman a ni .
- Surgery atan: Taksa hnuai lam surgery tihna hmun chu numb turin.
- Operation hnuah: Surgery thenkhat hnua natna control nan.
- Natna dang tan: Sciatica ang chi dinhmunah chuan natna tihziaawmna turin steroid damdawi nen pawh pek a ni bawk.
Anesthesiologist te hian local anesthetics bupivacaine emaw lidocaine emaw an hmang thin. A chang chuan heng damdawi te hi natna tidamtu fentanyl ang chi nen an inkawp a, natna tihziaawm nan an hmang thin. Epidural dose hmasa ber pek a nih atanga minute 10 atanga 20 chhungin natna tihziaawmna hi hriat tan a ni tlangpui.
Hei hi a him tak tak em? Naute a nghawng dawn em ni?
Ni e, a dik tak zet. Epidural hi a him hle a ni . Local anesthetic a ni a, chu chu injection pekna hmun tlemte chauh a nghawng tihna a ni. Chuvangin a tlangpuiin muthilh leh rilru hahna i nei lovang.
Nu tam takin an hlauh ber pakhat chu naute a tichhe dawn tih hi a ni. Dik tak chuan nau neih laiin natna tidamtu damdawi thenkhat pek thin hian nausen chu a paltlang thei a, naute chu a nghawng thei a ni. Mahse chutiang chu epidural hmangin a thleng lo.
Epidural atana hman damdawi tlemte chauh hi i thisenah a kal a, chuta tang chuan i naute hnenah a kal a ni. Chuvangin naute a tichhe lo. Naute ``Apgar scores`` a nghawng lo va, naute chu intensive care unit-a dah a nih theihna a tipung lo bawk.
Mi thenkhat ngaihdan dang chu epidural neih hian cesarean section neih theihna a tipung tih hi a ni. Hei hi a dik lo tak zet a ni . Epidural hian natna a tiziaawm chauh a ni. I nausen pum chhunga contractions awmte pressure chu i hre thin. Chuvangin a hun a thlen hunah naute chu i nawr chhuak thei a ni. Chuvangin epidural hian `vacuum extraction` emaw `forceps delivery` emaw neih a ngaihna a tipung lo.
Epidural hian hna a thawk tak tak em? Eng chen nge a daih?
Ni e, epidural hian i pum atanga i ke ruh thlengin a ti numb ang che. Mahse i chhehvel chu i hrethiam ang a, i hre chiang ang. Natna chu bo tawh mah se, naute nawrna i hriat dawn avangin a hun takah i nawr thei dawn a ni.
Hei hi eng chen nge a daih? A chhanna awlsam tak chu, i mamawh phawt chuan . I natna i hriat leh tan chuan i ruhro chhunga dah thin tube te tak te (`catheter`) hmangin damdawi tam zawk (`top-up doses`) i dawng thei a ni. Natna tihziaawmna chu tube lakchhuah a nih thlengin a awm ang. Tube lakchhuah hnu darkar khat vel chhungin i keah chetna leh hriatna i nei leh thei tur a ni.
Amaherawhchu, mi zawng zawng hi 100% in kan hlawhtling vek lo tih kan hriat reng a ngai. Mi sawm zinga pakhat (`10%) vel chuan an beisei angin natna tihdamna an hmu lo mai thei. Chutiang hunah chuan i doctor chuan natna tihdam dan dang a rawn rawt ang.
Side effect a awm em? (Side Effects a awm thei)
Epidural hi natna control nana hmanraw chak tak a ni. Mahse, damdawi lam thil tih dan dang ang bawkin, side effect tenau tak tak a awm thei. Chung zinga a tam zawk chu hun eng emaw chen atan a ni.
| Side Effect a awm thei | Hrilhfiahna |
|---|---|
| Thisen sang hniam | Mi tam tak chunga thleng thei dinhmun. I luak chhuak a, i luak chhuak thei bawk. Hei hi medical staff te hian an ngaihven reng a ni. |
| Lu na | Mi thenkhat chuan epidural an tih hnuah lu na an nei thei. Hemi chungchang hi i doctor hnenah i hriattir chuan an enkawl thei dawn a ni. |
| Itching a ni | Damdawi hman hian vun a ti na deuh thei. Hei pawh hi hun eng emaw chen atan a ni. |
| Zun harsatna | I taksa hnuai lam a hrual avangin i bladder a khat tih i hre thei lo mai thei. Chumi atan chuan catheter hman a ni tlangpui. |
| Ke ruh chak lohna | Damdawi nghawng a reh hma chuan darkar tlemte chhung chu i kal thei lo mai thei a, chuvangin tho tum suh. |
| Nerve tihchhiat a ni | Hei hi thil thleng tlem tak a ni. Hetiang thil hi anesthesiologist tawnhriat ngah tak enkawlna hnuaiah a thlen theihna a tlem hle. |
Chuti a nih chuan, epidural tih hun tha ber chu eng nge ni?
Hei hi mi tam takin an zawh thin a ni. "Hei hi hun tha ber a ni" tih theihna hun bik a awm tak tak lo . Natna chu tuar thei tawh lo ang maia i inhriat hunah engtik lai pawhin i dil thei a ni. Nau neih tan tirh lamah emaw, a laiah emaw, nau neih tawp hnaihah emaw pawh a ni thei.
Mahse, hetah hian anesthesiologist hian thil pahnih a ngaihtuah a:
1. Nau neihnaah i awm tak tak em?
2. Vaccine pek chhung hian minute engemaw zat i awm thei ang em?
A tlai lutuk mai thei em?
Ngaihtuah teh, epidural siam nan minute 10-15 vel a ngai a ni. Tichuan minute 10-15 vel a ngai leh a, a natna chu a reh leh ta a ni. Chuvangin i naute i hrin dawn laiin epidural i dil a nih chuan naute pek a nih hunah chuan i nei tawh mai thei. Chuvangin, a natna chu tuar theih loh thleng nghah ai chuan , i doctor hnenah tlem tal sawi hmasak a finthlak zawk .
Nau neih hi thil hrehawm tak a ni. Mahse, natna tihdamna kawng him leh tangkai tak a awm tawh avangin tunah chuan nute chuan chu hrehawmna chu an tuar a ngai lo tih chu pawm a ni ta. A tir chuan epidural tih i tum lo a nih pawhin, nau neih laiin natna chu tuar theih loh anga i hriat chuan i dil thei tho a ni. Epidural hian i rilru a hahdam thei a, natna nei lo turin a pui thei che a, i naute khawvela hruai luh tumna kawngah chakna a pe thei bawk che a ni.
Take-Home Thuchah a ni
- Epidurals hi nau neih laia natna control nan a him em em a, a tangkai hle bawk .
- Hei hi anesthesiologist-in a pe a ni.
- Hei hian naute a tichhe lovang a, cesarean section tih a ngaihna pawh a tipung dawn lo.
- Epidural tih hi "best time" a awm lo. I nau neih dan leh i doctor nena in inbiaknaah a innghat a ni.
- Naupai laiin clinic i tlawh hian i doctor nen natna tihdam dan hrang hrang awmte, a bik takin epidural chungchang sawipui thin ang che.











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