Kua pāngia koe e te mamae nui o te upoko i muri i te tap tuaiwi, i te epidural rānei hei whānau i tāu pēpi? He tino hoha tēnei mamae o te upoko, he tino hoha ina tū koe, engari ka heke ina takoto koe, kāore? I tēnei rā kei te kōrero tātou mō tētahi maimoatanga motuhake e taunakihia ana e ngā tākuta ina kore he whakaora mai i ngā rongoā whakamamae mamae noa. Ko te tikanga maimoatanga e kiia nei ko te Epidural Blood Patch.
He aha te pākete toto epidural?
Ki te whakarāpopototanga, ko te tango i ētahi o ō ake toto ka werohia ki te wāhi huri noa i tō taurakira e kiia nei ko te 'wāhi epidural'. Inaianei pea kei te whakaaro koe, "He aha ahau ka werohia anō ai ōku ake toto?"
Koinei te take. E ai ki tā mātou i kōrero ai i mua ake nei, ina werohia te uaua hope, ina werohia rānei te uaua tuarā, ka puta he kōhao iti ki te dura mater (te kiriuhi e karapoti ana i te taurakira). Mā tēnei ka turuturu te wai utu nui o roto, e kiia nei ko te wai cerebrospinal (CSF). Ina pau te wai nei, ka pāngia koe e te mamae nui o te upoko, ā, ka uaua ki te pupuri i tō mahunga kia tika.
Nā reira, e rua ngā mahi matua a tēnei pāreti toto:
1. Ka aukati i te turuturu: Kia werohia tō toto ki te wāhi epidural, ka piri te toto ka hiri i te kōhao iti. He rite ki te tāpiri i te whitiki whakapiri. Ka aukati tēnei i te turuturu o te wai CSF.
2. Ka hoki mai te pēhanga: Ina tāpirihia he toto ki te āputa, ka hoki mai te pēhanga i ngaro i roto ki tētahi taumata, ā, ka tere te memeha o te ānini.
He tikanga whiriwhiri tēnei e mahia ana i runga i te taunakitanga a te tākuta, ā, ka taea te whiriwhiri i runga i ō hiahia.
Āhea e hiahiatia ai tēnei maimoatanga?
Mena he nui te ānini o te tuaiwi e kore e memeha mā ngā maimoatanga noa, ka tūtohu pea tō tākuta i tēnei pāreti toto. Ko te tikanga, ko te mea tuatahi hei whakamātau ko:
- Noho ki te moenga, okioki hoki i ngā wā katoa e taea ana.
- Inumia he nui te wai me ngā wai (tērā pea ka hoatu he wai IV, arā, he tote).
- Te whakamahi i ngā rongoā pēnei i ngā rongoā whakamamae mamae (NSAID).
- Inumia ngā inu kei roto te kawheine, pērā i te kawhe.
Engari, ki te kore ēnei maimoatanga e whakaora i te ānini, ki te kore rānei e taea e koe te noho ki te moenga (hei tauira, he whaea hou kua whānau he pēpi, he tangata rānei me haere wawe ki te mahi), he otinga pai te whakamahi i te pākete toto.
Ka puta te ānini o te tuaiwi i muri i ngā āhuatanga penei:
- I muri i te tango wai mai i te tuaiwi (Spinal tap / Lumbar Puncture).
- I muri i te werohanga epidural, e hoatu ana hei whakaiti i te mamae i te wā e whānau ana, i te wā pokanga rānei.
- Mena kua pakaru te kiriuhi e hipoki ana i te taurakira (dura) i te wā o te pokanga tuara, i te wā rānei o tētahi aituā.
Me pēhea te whakarite i mua i te maimoatanga?
Kaua e manukanuka, mā tō tākuta e whakamārama te tikanga, ōna painga me ōna huakore, me te āhua o tana mahi. Tērā pea ka tohutohuhia koe kia kaua e kai, e inu rānei mō te 8 hāora i mua i te tikanga. Me kī atu hoki ki tō tākuta ēnei mea e whai ake nei:
- Mena kei te tango koe i tētahi mea pēnei i te whakaiti toto (anticoagulants).
- Mena he mate huka tōu, ā, kei te whakamahi koe i te insulin.
- Mena he mate pāwera koe ki tētahi rongoā, inā koa ki ngā rongoā whakangote.
- Mena kei te hapu koe.
Me pēhea te hanga i tētahi pākete toto i te taahiraa
He tino māmā te tikanga o tēnei maimoatanga. Kia kite tātou i te mahi i ia taahiraa.
| Hipanga | He aha te mea ka tupu |
|---|---|
| 1. Tūranga | Ka tonoa koe kia tahuri ki tō taha ka takoto, ka noho rānei. Ko te mea nui kia noho puku koe i tēnei wā. |
| 2. Te horoi | Ka horoia pai te wāhi e werohia ana te ngira ki te tuara me te wāhi e tangohia ana te toto i te ringa ki te rongoā patu huakita. |
| 3. Te ngoikore | Hei whakaiti i te mamae, ka werohia he rongoā whakamoe ā-rohe ki te wāhi e werohia ana te ngira. |
| 4. Te kohi toto | Ka whakauruhia he cannula (he catheter IV) ki roto i tētahi uaua i roto i tō ringa, ā, ka tangohia he 15-20 miririta o ōu ake toto. |
| 5. Te whakauru i te ngira | Ka werohia e te tohunga whakamoe, e te tohunga hihi-X rānei tētahi ngira motuhake ki roto i te wāhi epidural i te tuara, ā, i ētahi wā ka whakamahia he ultrasound hei ārahi i te wāhi tika. |
| 6. Te whakaheke toto | Ka werohia mārire te toto i tangohia mai i te ringa ki te tuara mō te 30-60 hēkona. I tēnei wā, tera pea ka pāngia koe e te mamae iti, e te kōpiri rānei i tō tuara. Me kōrero tonu atu koe ki te tākuta mō ō kare ā-roto. |
| 7. Te Whakamutunga | Ka tangohia te ngira, ka tāpirihia he takai ki te wāhi. Koia anake. |
He aha te mea ka tupu i muri i te maimoatanga?
He tokomaha te hunga e tere te whakaora i te ānini i muri i te maimoatanga. Koinei te painga nui o tēnei maimoatanga.
I muri i te maimoatanga, ka haria koe ki te rūma whakaora hei okioki mō tētahi wā. Whai muri i tēnā, ka taea e koe te hoki ki te kāinga. Ka tohutohu te tākuta kia kaua e mahi i ngā mahi uaua, te hiki i ngā mea taumaha, me te piko mō ngā haora 24. Whai muri i tēnā, ka taea e koe te hoki ki ō mahi o ia rā.
He moemoeā tēnei māu?
I te nuinga o te wā, kāore ngā pakeke e tino whakamoea i te wā e rongoatia ana. Nā te mea me kōrero koe ki te tākuta i ō kare ā-roto ina werohia te toto ki tō tuara. Heoi, ko te wāhi i werohia anake ka whakangāwarihia kia kore ai koe e rongo i te mamae. Heoi, ki te mea he āwangawanga, he āwangawanga rānei āu mō tēnei, me kōrero ki tō tākuta. Tērā pea ka whakamoea ngā tamariki nohinohi i te wā e rongoatia ana.
Ngā painga me ngā raruraru pea o te Blood Patch
Pērā i ngā maimoatanga hauora katoa, he painga anō kei reira, engari he iti noa ngā mōrearea.
| Ngā Painga | Ngā Pānga me ngā Āhuatanga Taupatupatu |
|---|---|
| He whakaora tere, he whakaora roa hoki. Ka whakaora tonu i te mamae nui o te upoko, ā, ka roa pea mō te rua wiki. He nui ake te whai hua i te rongoā rangitahi pēnei i ngā rongoā whakamamae mamae. |
|
E ai ki ngā rangahau, e 85 o roto i te 100 tāngata (85%) te angitu o tēnei maimoatanga. Mēnā kāore e angitu te wā tuatahi, e 90% te angitu o te tāpiri toto tuarua.
Āhea ahau me waea atu ki te tākuta tonu atu?
Ki te puta he tohu o te mate i muri i tō maimoatanga, me whakapā atu koe ki tō tākuta tonu . Kia mataara ki ēnei tohu:
- Te whero, te rerekē te tae, te mamae, me te pupuhi i te wāhi i werohia.
- Kirika .
- Tino ngenge te āhua.
Ki te kite koe i tētahi mea pēnei, kaua e whakaroa. Rapua he tohutohu hauora tonu.
Karere Tangohia ki te Kāinga
- Ehara te "ānini tuaiwi" i te ānini noa. He rongoā tino whai hua te Epidural Blood Patch mō tēnei mamae, ka kino ake ina tū koe.
- I roto i tēnei, ka werohia he iti o tō ake toto ki roto i te tuaiwi. Nō reira, kāore he mea e wehi ai. E kiia ana tēnei he maimoatanga tino haumaru.
- E 85% te angitu o te maimoatanga. Engari, pērā i ngā mea katoa, he iti noa te mōrearea. Kōrerohia mā te marea ki tō tākuta mō tēnei mea, me te pātai atu i ō pātai katoa.
- Ki te kite koe i tētahi mea i muri i te maimoatanga, pērā i te kirika, te pupuhi, te whero, te pupuhi rānei i te wāhi i werohia ai , rapua tonutia he tohutohu hauora .
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