Mena kei te hapu koe, kua rongo pea koe i te 'epidural' hei whakaiti i te mamae i te wā e whānau ana. Kua rongo rānei koe i tētahi e kōrero ana mōna hei whakahaere i te mamae i muri i te mamae o te tuara, i te pokanga rānei. He maha ngā tāngata ka mataku ina rongo rātou i tēnei ingoa, nā te mea e mōhio ana rātou he werohanga tēnei e hoatu ana ki te tuaiwi. Nō reira, i tēnei rā, me kōrero tātou mō te tikanga o te epidural, āna mahi, me te haumaru rānei, i roto i tētahi huarahi tino māmā ka taea e koe te mārama.
He aha tonu te epidural?
He whakarāpopototanga noa iho, he ngongo angiangi, ngāwari ( catheter ) e whakaurua ana ki roto i tētahi wāhi iti i tō tuara, i waho noa atu i te kiriuhi angiangi e tiaki ana i tō taurakira , e kiia nei ko te wāhi epidural . Kāore e pā tika ki tō taurakira. Ka whakamahia e ngā tākuta tēnei tikanga hei tuku tika i ngā rongoā whakamamae ki ngā io e kawe ana i ngā tohu mamae ki tō roro. Ko te tikanga he iti ake te rongoā e werohia ana ki ētahi atu wāhanga o tō tinana, ā, he iti ake ngā pānga taha.
Whakaarohia te karere mamae he tereina e haere ana i roto i ngā io ki te roro. Ko tā te epidural he aukati i tētahi wāhanga o taua ara tereina mō te wā poto. Kātahi ka kore te karere mamae e haere ki te roro, engari ka rongo koe i ngā mea pēnei i te pā me te pēhanga. Koinei te mea motuhake mōna.
He aha ngā whakamahinga matua o te epidural?
E rua ngā huarahi matua e whakamahia ai te epidural: hei rongoā whakamoe me te hei whakamamae i te mamae.
| Tikanga i whakamahia | Whakaahuatanga me ngā whakamahinga |
|---|---|
| Te Whakangote Poraka Io | Ka mahia tēnei hei ārai katoa i te mamae i te wā e pokanga ana. Ka whakamahia tēnei tikanga ina koa i te wā e whānau ana, e pokanga ana i te puku, i te waewae rānei. Ahakoa kua ngaro te mamae, kei te mōhio koe. Tērā pea ka taea e koe te hikoi me te āwhina. Ka tukuna tonutia te rongoā mā roto i te catheter, nō reira kāore koe e rongo i te mamae tae noa ki te mutunga o te pokanga. |
| Ngā Werohanga Steroid Epidural | He rerekē tēnei. Ka whakamahia ngā rongoā pēnei i te steroids. Ka mahia tēnei hei whakaiti i te pupuhi me te mamae i puta mai i te io kua kopikopiko, te kōpae herniated, te spinal stenosis rānei. Ka whakamahia e te tākuta he hihi-X hei kimi i te io tonu e puta ai te mamae, ā, ka werohia ki te taha. I ētahi wā ka whakamahia hoki tēnei tikanga hei kimi i te pūtake o te mamae. |
He mamae te werohanga epidural? He aha te mea ka tupu?
Koinei te raruraru nui rawa atu o te tini tāngata. Anei ngā mea e tupu ana:
1. Tūnga: Ka tonoa koe kia noho me tō tuara e piko ana ki mua, kia tahuri rānei ki te taha me ō turi e anga ake ana ki tō uma. Mā tēnei ka nui ake te āputa i waenganui i tō tuaiwi , ā, ka māmā ake te wero i te ngira.
2. Tuatahi, whakangāwari i te kiri : I mua i te werohanga o te ngira epidural, ka werohia e te kaiwhakamoe he werohanga iti hei whakangāwari i te kiri i taua wāhi. I tēnei wā, tera pea ka rite koe ki te ngaua e te pōpokorua iti.
3. Te whakauru i te epidural: Kia mārō te kiri, ka whakaurua e te tākuta te epidural. I tēnei wā, ka rongo pea ētahi tāngata i te ngau, te wera, te mārō rānei. Engari kāore ētahi tāngata e rongo i tetahi mea.
4. Te whakauru i te catheter me te tango i te ngira: Ka whakaurua he ngongo angiangi (catheter) mā roto i te ngira, ā, ka tangohia katoatia te ngira. Ko te mea anake e toe ana i roto i tō tinana ko tēnei ngongo angiangi, ngāwari. Nō reira, kāore he mea hei manukanuka, kāore te ngira e noho tonu i roto i tō tinana.
5. Te hoatu rongoā: Kātahi ka hoatu ngā rongoā whakamamae mamae mā roto i tēnei ngongo. Ka memeha haere te mamae i roto i te 10-20 meneti.
He mea tino nui: Ki te pāngia koe e te mamae nui, e kore e taea te whakamanawanui i te wā e werohia ana te epidural, i muri rānei i te werohanga, he mea tino nui kia whakamōhio atu koe ki tō tākuta, ki tō nēhi rānei i taua wā tonu.
He pānga taha pea kei puta mai i tēnei?
Pērā i ngā maimoatanga hauora katoa, ka pā mai pea he pānga taha iti i te werohanga epidural. Heoi, he tino onge ngā raruraru nui.
| Momo pānga taha | Whakaahuatanga |
|---|---|
| Noa |
|
| Onge | |
| Ngā pānga motuhake ka puta i te wā e whānau ana |
He tokomaha te hunga e whakaaro ana ka roa te mamae o te tuara i te werohanga epidural. Heoi, kāore anō kia whakamātauhia tēnei e ngā rangahau hauora. He mea noa te mamae ngawari i te wāhi i werohia ai mō ētahi rā i muri i te werohanga.
He tāngata anō kei reira kāore e tika kia whiwhi epidural?
Ae, i ētahi wā, he mōrearea te hoatu i te epidural. Ma tō tākuta koe e kōrero mō tēnei.
- Mena he mate pāwera koe ki ngā rongoā whakangote.
- Mena he raruraru toto totoka tōu, kei te tango rānei koe i ngā rongoā whakaheke toto.
- Mena he mate kiri kei te wāhi i werohia ai.
- Ngā āhuatanga hauora pēnei i te mate huka kāore i te whakahaerehia.
I tēnei wā, ka tūtohu tō tākuta i tētahi atu rongoā mamae e tika ana mōu.
He aha ngā mea hei tūpato māu i muri i te werohanga epidural?
Me karo e koe ētahi mea kia memeha rā anō ngā pānga o te epidural, arā, 24 hāora te roa.
- Āta karohia te taraiwa.
- Āta karohia te whakahaere mīhini.
- Kaua e inu waipiro.
I runga i tō pokanga me te momo epidural i whiwhi koe, ka hoatu e tō tākuta he tohutohu motuhake ki a koe. He mea tino nui kia whai tika koe i aua tohutohu.
Karere Tangohia ki te Kāinga
- He tikanga haumaru, he tikanga whai hua hoki te epidural hei whakahaere i te mamae e whakamahia ana i te wā e whānau ana, i te wā pokanga, me ētahi atu mate mamae mau tonu.
- Kāore he ngira e werohia ana ki roto i te tinana. He ngongo angiangi, ngāwari noa iho (catheter) ka werohia.
- Ka whakangāwaritia te kiri i mua i te werohanga o te epidural, nō reira kāore koe e tino mamae. Heoi anō, tera pea ka pāngia koe e te mamae iti.
- He iti rawa te tūponotanga o ngā pānga taha kino. Heoi, ki te mea he ruarua, he pātai rānei āu mō tētahi mea, kaua e mangere ki te pātai ki tō tākuta .
- He mea tino nui mō tō haumaru te whai i ngā tohutohu a tō tākuta i muri tonu i te hoatutanga o te epidural.
Rongoā epidural, whānau tamariki, rongoā whakamamae, rongoā moe, mamae tuara, pokanga, pokanga
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