Kua kōrerotia e tō tākuta ki a koe mō te epidural? He mea pea mō te whānautanga, mō te pokanga rānei, mō te mamae tuara rānei. He mea noa te māharahara me te mangere ki te werohanga tata ki tō tuaiwi. Engari he aha te mea tūturu? He haumaru? He aha tāna mahi? Kaua e manukanuka, ka kōrerohia ngāwaritia e mātou, i roto i te huarahi e mārama ai koe.
He aha te tikanga o te epidural?
Ko te epidural he werohanga o te rongoā mamae ki roto i te wāhi takoto kau i te taha o ngā io i roto i tō tuaiwi. Ka kiia tēnei wāhi ko te 'wāhi epidural'. Koinei te takenga mai o te ingoa.
Whakaarohia tō tātou tuaiwi he ngongo he maha ngā waea e rere ana i roto. Kei roto i tēnei ngongo te taurakira. Kei waho o tēnei ngongo, arā, te wāhi takoto kau i roto i te tuaiwi, e kiia ana ko te wāhi epidural. Mā te werohanga i ngā rongoā whakamamae mamae ki roto i tēnei wāhi, ka mutu mō te wā poto ngā tohu mamae e haere ana mā roto i aua io ki te roro.
Ka whakamahia e ngā tākuta ngā epidural i roto i ngā āhuatanga maha. Hei tauira:
- Whakahaerehia te mamae i te wā e whānau ana .
- I mua i te pokanga, me whakamahi he rongoā whakamoe .
- Whakamamae i te mamae i muri i te pokanga .
- Whakaorahia te mamae o te tuara i puta mai i ngā āhuatanga pēnei i te herniated disc.
- Whakahaerehia te mamae mau tonu .
E rua ngā momo matua o ngā epidural:
E rua ngā momo matua, i runga i te take e hoatu ai he epidural. Kia mārama ai tēnei, tirohia te ripanga i raro nei.
| Momo epidural | Whāinga matua | Kia pēhea te roa o te pānga? |
|---|---|---|
| Te Whakamamaetanga Epidural | Ka whakamahia te rongoā whakangote hei whakangote i tētahi wāhi mā te whakakore i te mamae me te kare ā-roto. Ko te mea nui ko te wā whānau me te pokanga. | Ko te pānga ka whakawhirinaki ki te nui o te rongoā e hoatu ana. He maha ngā haora e roa ana. |
| Werohanga Steroid Epidural (ESI) | Hei whakahaere i te mamae mau tonu me te mumura , ko te werohanga i tētahi momo steroid (corticosteroid) hei whakamahi. | He tino whai hua tēnei. Ka taea e ia te whakahaere i te mamae mō ngā wiki ki ngā marama. |
Me pēhea te mahi a tēnei? Ngā tikanga mō te hoatu i te epidural
He rerekē te mahi a te epidural i runga i te momo.
- Ka āraia ngā tohu mai i ngā io e rongo ana i te mamae ki te roro e te rongoā whakamoe epidural mō tētahi wā poto. He rite ki te whakaweto i tētahi pana. Ka whakawetohia aua io mō tētahi wā.
- Ko te werohanga steroid epidural he werohanga rongoā ki te taha o te io mumura e puta ai te mamae. Mā tēnei ka whakaitihia te pupuhi me te pēhanga ki te io, ka whakamama i te mamae.
He maha ngā tikanga e whakamahia ana e ngā tākuta hei werohanga i tēnei rongoā.
Ngā epidural kotahi-werohanga
Kotahi te werohanga o te rongoā whakamoe, te steroid rānei hei whakamahi māu. Koinei te tikanga o te werohanga steroid mō te mamae o te tuara.
Ngā werohanga epidural me te catheter
Ko te tikanga o tēnei ko te whakauru i tētahi ngongo angiangi, ngāwari (catheter) ki roto i te wāhi epidural. Mā tēnei ngongo ka taea e koe te hoatu i ētahi horopeta rongoā i te wā tika me te nui tika. He maha ngā wā ka whakamahia tēnei tikanga hei whakahaere i te mamae o ngā whaea e hapu ana, me ngā pokanga roa hoki.
Epidural me te PCA
I muri i ētahi pokanga, ka whakanohoia he catheter ki roto i tō wāhi epidural, ā, ka honoa he papu iti ki reira. Pēhia he pātene ki runga, ā, ka taea e koe te wero i a koe anō ki tētahi nui haumaru o te rongoā kua tohua e tō tākuta, i ngā wā katoa e hiahiatia ana e koe. Ka kiia tēnei ko te patient-controlled analgesia (PCA).
Te whakakotahitanga o te werohanga tuaiwi-epidural (CSE)
Ko te tikanga o tēnei ko te hoatu i te ranunga o te rongoā whakamoe me te steroid mā roto i te catheter. He maha ngā wā ka whakamahia tēnei tikanga hei whakahaere i te mamae i te wā e whānau ana. Ka kiia hoki ko te 'epidural hikoi', engari he tokomaha te hunga kāore e taea te hikoi. Heoi, ka taea tonu e rātou te neke haere nā te mea he pānga kei roto i ō rātou waewae.
Me pēhea te whakarite i mua i te werohanga epidural?
I runga i te take e whiwhi ai koe i te epidural, ka rerekē pea te whakarite e hiahiatia ana e koe. Nō reira he mea nui kia whai tika koe i ngā tohutohu a tō tākuta. I te nuinga o te wā, ka tonoa pea koe kia mahi i ngā mea penei:
- Kaua e kai me te inu i roto i ētahi haora i mua i te maimoatanga.
- Kati te tango i ētahi rongoā (ina koa ko ngā rongoā whakaiti toto) me ngā huaora mō tētahi wā poto.
- Whakaritea i mua i te wā kia haria koe e tetahi ki te kāinga i muri i te maimoatanga.
He aha ngā mea ka tupu ina hoatu he epidural?
Ina hoatu he epidural ki a koe, ka hurihia koe ki tō taha ka meinga kia takoto, ka tonoa rānei koe kia piko whakamua ka noho ki runga. Kātahi ka whai te tākuta i ēnei mahi:
1. Tuatahi, ka whakauruhia he cannula ki roto i te uaua i roto i tō ringa, pērā i te pata tote.
2. Kātahi ka werohia he iti hei whakangā i te wāhi i werohia ai te epidural.
3. Muri iho, ka werohia te ngira epidural ki roto i te wāhi epidural i tō tuara. (Mō ngā werohanga steroid mō te mamae o te tuara, ka whakamahia he kāmera motuhake (fluoroscopy), he rite ki te hihi-X, hei tiro tika ki te wāhi e haere ai te ngira.)
4. Ki te whakauruhia he catheter, ka whakauruhia he ngongo angiangi (catheter) mā roto i te ngira, ā, ka tangohia marietia te ngira. Ka noho tonu te ngongo ki roto i te tinana.
5. Kātahi ka tīmata te hoatu i te rongoā mā roto i taua ngongo.
6. Ina kore koe e hiahia ki te rongoā (tērā pea i roto i ētahi haora, i ētahi rā rānei), ka tangohia te catheter.
Tērā pea ka pāngia koe e te ngau kino ina whiwhi tuatahi koe i te rongoā whakangā. Kātahi, ina hoatu te epidural, tērā pea ka pāngia koe e te ngau kino, te whakangā, te wera rānei. Engari ki te pāngia koe e te mamae e kore e taea te tohe, me kōrero tonu atu koe ki tō tākuta.
Ka mamae te tuara i muri mai i te werohanga epidural?
He pātai tēnei e pātaihia ana e te tini me te tini, ā, he mea hoki e wehingia ana e te tini.
He tino onge te mamae o te tuara mō te wā roa nā te epidural. He whakaaro hē tēnei i ētahi wā.
He mea noa te mamae, te mākūkū rānei i te wāhi i werohia mō ētahi rā. Ka memeha rawa atu tēnei i roto i ngā rā e rua, e toru rānei.
He maha ngā whaea e mamae ana te tuara i muri i te whānautanga. Ko te take o tēnei, ko ngā wheua me ngā hononga i totoro i te wā e hapu ana kei te tīmata ki te hoki ki tō rātou tūranga noa. Ka taea tēnei te tupu ahakoa i werohia he epidural, kāore rānei. Nō reira, kāore e taea te whakapae i te epidural mō tēnei.
He tūponotanga me ngā pānga taha kei reira?
He tino haumaru ngā epidural, engari pērā i ngā tikanga hauora katoa, he iti noa iho ngā mōrearea. Heoi, he tino onge ēnei.
- Te toto e puta mai ana i te wāhi i werohia ai.
- Te mate i te wāhi i werohia ai.
- Te turuturu o te wai tuaiwi (he tino onge tēnei e tupu ana).
- Te pakaru o te io.
- Ngā pānga taha, ngā mate pāwera rānei ki ngā rongoā.
He tino iti ēnei mōrearea. Ka whai whakaaro tō tākuta ki ēnei āhuatanga katoa, ā, ka rongoatia koe i te huarahi tino haumaru.
Āhea koe me kōrero ki te tākuta?
Ki te pāngia koe e tētahi o ngā tohu i raro nei i muri i te whiwhinga o te epidural, waea atu ki tō tākuta tonu atu, haere rānei ki te wāhanga ohorere o te hōhipera tata (ETU).
| Ngā tohu whakatūpato hei tirotiro māu | |
|---|---|
| Kirika | Te pikinga o te pāmahana tinana. |
| Te mimi kore whakahaere | Te kore e taea te pupuri i te mimi, te paru rānei. |
| Te ngoikore/te ngenge o ngā waewae | Ka roa ake te ngoikore, te ngenge rānei o ngā waewae i te wā i tohua e te tākuta. |
| Te ānini nui | He mamae nui te upoko e pā mai ana i te tū, i te noho rānei, ā, ka whakamamaetia mā te takoto. |
He mea noa te mataku ina kīia atu ka werohia koe ki tō tuaiwi. Engari he huarahi haumaru, he huarahi whai hua hoki te epidural hei whakahaere i te mamae. Kōrero ki tō tākuta mō ō pātai, ō āwangawanga rānei. Māna e whakamārama ngā mea katoa ki a koe.
Karere Tangohia ki te Kāinga
- He tikanga tino haumaru, tino whai hua hoki te epidural hei whakahaere i te mamae.
- He mea noa te whakamahi mō ngā āhuatanga pēnei i te whānautanga, ngā momo pokanga, me te mamae tuara mau tonu.
- He whakaaro hē pinepine te whakaaro ko te mamae o te tuara ka puta mō te wā roa mā te werohanga epidural.
- Kaua rawa e mangere ki te kōrero ki tō tākuta mō ō wehi, ō feaa, ō pātai rānei mō te epidural .
- Ki te puta mai ngā tohu pēnei i te kirika, te ngoikore o ō waewae, te ānini nui rānei i muri i te werohanga epidural, rapua tonutia he tohutohu hauora.
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