Ina tata koe ki te whānau, ki te pokanga nui rānei, tera pea ka mataku koe ina kī mai te tākuta me whakamahi koe i te epidural. He maha ngā tāngata ka mataku ina rongo rātou i te kupu "epidural" he werohanga ki te tuara. Engari he aha rawa te epidural? He aha tāna mahi? He mea hei wehi? Kia mārama tātou ki tēnei me te ngāwari.
He aha te tikanga o te epidural?
He werohanga te epidural ki roto i te wāhi e karapoti ana i ngā io o tō tuaiwi (te wāhi epidural) . Kāore e werohanga tika ki roto i te taurakira. Ka werohangahia noa ki roto i te wāhi e karapoti ana i a ia. Ko te nuinga o te wā ka whakamahia hei whakahaere i te mamae.
Anei ētahi wā e whakamahia ai tēnei:
- Whakahaerehia te mamae nui i te wā e whānau ana .
- Whakangāwarihia te wāhi i mua i te pokanga.
- Whakaitihia te mamae i muri i te pokanga.
- Hei rongoā mō te mamae tuara mau tonu i puta mai i ngā āhuatanga pēnei i te herniated disc.
He aha ngā momo epidural?
E rua ngā momo epidural matua e whakamahia ana e ngā tākuta, kei runga i ō hiahia.
| Momo epidural | Whakaahuatanga me te whakamahinga |
|---|---|
| Te Whakamamaetanga Epidural | Ko te werohanga i tētahi rongoā whakamoe hei whakangāwari i te mamae me te kare ā-roto. Ka whakamahia hei whakangāwari i te mamae i te wā e whānau ana, e pokanga ana rānei. |
| Werohanga Steroid Epidural (ESI) | Ko te werohanga o tētahi steroid (corticosteroid) ki roto i ngā io hei whakaiti i te pupuhi me te mumura. He maha ngā wā ka hoatu hei rongoā mō te mamae mau tonu. Ka roa pea ngā pānga mō ngā wiki, mō ngā marama rānei. |
Me pēhea te mahi a tēnei?
He rerekē te mahi a te epidural i runga i te momo e hoatu ana ki a koe.
Ka āraia e te rongoā whakamoe epidural te tuku i ngā tohu mamae mai i ō io tuaiwi ki tō roro mō tētahi wā. Ko te tikanga o tēnei ka "whakawetohia" ngā io mō tētahi wā. Ko te roa o te pānga ka whakawhirinaki ki te nui o te rongoā e hoatu ana.
Ka whakaitihia te pupuhi me te pēhanga e te werohanga steroid epidural (ESI) mā te werohanga rongoā ki te taha o ngā io mumura e whakararu ana i te mamae.
Ngā huarahi rerekē mō te hoatu rongoā
E ngā tākuta, he maha ngā huarahi hei werohanga i tēnei rongoā ki roto i tō tinana.
- Werohanga kotahi: He werohanga kotahi tēnei. Koinei te tikanga o te werohanga steroid (ESI).
- Te Epidural me te catheter: He ngongo angiangi, he ngāwari te catheter. Ka whakanohoia tēnei ngongo ki te wāhi epidural, ā, ka taea te whakamahi hei hoatu rongoā i ngā wā e hiahiatia ana. He maha ngā wā ka whakamahia tēnei tikanga i te wā e whānau ana, me ngā pokanga e roa ana mō ngā hāora.
- Te Whakamamae Mamae e Whakahaeretia ana e te Tūroro (PCA): He tikanga anō tēnei mō te hoatu rongoā mamae mā te catheter. Engari ka taea e koe te tiki i te rongoā mamae mā te pēhi i te pātene i runga i tētahi taputapu iti i tō ringaringa. Mā tēnei ka hoatu he horopeta haumaru kua whakatauhia e tō tākuta, nō reira kāore he mea hei manukanuka.
- Te Whakakotahitanga o te Tuaiwi-Epidural (CSE): Ko tēnei tikanga te mea e whakamahia ana i te wā e whānau ana. E kiia ana hoki e ētahi he "epidural hīkoi". Heoi, kāore e taea e koe te hīkoi. Heoi, ka pāngia ō waewae e te kare ā-roto, nō reira ka taea e koe te neke haere i runga i te moenga me te huri i ō tūranga.
Me whakarite ahau i mua i te werohanga epidural?
Āe. Engari ka rerekē ngā mea me mahi e koe i runga i te momo epidural e whiwhi ana koe me te take mōna. Ka hoatu e tō tākuta he tohutohu mārama ki a koe mō tēnei. Tērā pea ka tonoa koe kia mahi i ēnei e whai ake nei:
- Nohopuku (kaua e kai, kaua e inu) mō ētahi haora i mua i te tikanga.
- Kati te tango i ngā rongoā e tangohia ana e koe mō tētahi wā, inā koa ngā rongoā whakaiti toto .
- Whakaritea i mua i te wā kia haria koe e tetahi ki te kāinga i muri i te tikanga.
He aha ngā mea ka tupu ina hoatu he epidural?
Ka rerekē anō hoki tēnei i runga i te momo e hoatu ana ki a koe.
Mena ka tukuna he werohanga kotahi:
Ka tonoa koe kia takoto ki runga i tō puku. Kātahi ka mea te tākuta:
1. Ka tukuna he werohanga iti hei whakangāwari i te kiri huri noa i te wāhi i werohangahia.
2. Ko te whakamātautau ira-X , he mīhini pērā i te hihi-X ora, ka whakamahia hei tirotiro kei te tika te haere o te ngira ki tōna wāhi tika.
3. Ka werohia te ngira ki roto i te wāhi epidural, ā, ka werohia te rongoā.
4. Ka tangohia te ngira, ā, ka tāpirihia he pāreti iti ki te wāhi i werohia ai.
Mena ka whakauruhia he catheter:
1. Ka whakaurua he cannula (raina IV) ki roto i te uaua i tō ringa hei hoatu i te tote ki a koe.
2. Ka tonoa koe kia takoto ki tō taha, me ō turi e anga ake ana ki tō uma, me noho rānei ki runga i tētahi tūru ka piko whakamua. Mā tēnei tūranga ka nui ake te āputa i waenganui i tō tuaiwi.
3. He ngoikore te wāhi i werohia ai.
4. Ka whakaurua te ngira epidural, ā, ka tukuna te catheter (te ngongo angiangi) mā roto ki te wāhi epidural.
5. Kātahi ka tangohia marietia te ngira, kia waiho ko te catheter anake ki roto.
6. Ka tukuna te rongoā e tika ana mā roto i taua catheter.
7. Kia mutu te hiahia mō te rongoā (i muri i ētahi hāora, i ētahi rā rānei), ka tangohia te catheter.
He aha ngā kare ā-roto kei a koe i tēnei wā?
Tērā pea ka pāngia koe e te mamae iti i te wā tuatahi ka werohia koe ki te ngira whakangote. Ina werohia te ngira epidural, tērā pea ka pāngia koe e te ngaungau, te whakangote, te werawera , te ru hiko poto rānei. Tērā pea kāore ētahi tāngata e pāngia e te mamae. Ka memeha haere tēnei mamae ina oti te werohanga. Heoi, ki te pāngia koe e te mamae koi, e kore e taea te tu atu, me kōrero tonu atu ki tō tākuta.
He aha ngā painga me ngā mōrearea o te werohanga epidural?
He tikanga tino haumaru, he tikanga whai hua hoki te epidural hei whakahaere i te mamae. I te wā e whānau ana, he ngāwari ake i ētahi atu tikanga whakamoe. He iti noa iho hoki ngā pānga taha. Mō te hunga e pāngia ana e te mamae mau tonu, ka taea e ia te karo i ngā mahi pēnei i te pokanga mēnā ka whakahaerea te mamae.
Pērā i ngā maimoatanga hauora katoa, he tūponotanga kei reira. Engari kia maumahara, he tino onge ngā raruraru nui.
Ngā tūponotanga pea:
- Te toto e puta mai ana i te wāhi i werohia ai.
- Te mate i te wāhi i werohia ai.
- Te pakaru ki te io (he tino onge).
- Te uruparenga mate pāwera ki te rongoā.
- Te turuturu o te wai huri noa i te taurakira ('Te turuturu o te wai cerebrospinal'). Ka pā mai pea te mamae o te upoko i muri mai.
Ka mamae te tuara i muri mai i te epidural?
He wehi nui tēnei mō te tini o te tangata. Kia maumahara he tino onge te mamae o te tuara e puta mai i te werohanga epidural mō te wā roa, mō te wā roa rānei .
He mea noa te mamae wā poto, te maru rānei i te wāhi i werohia ai mō ētahi rā. Ka memeha haere tēnei i roto i ngā rā e rua, e toru rānei. He maha ngā whaea e pāngia ana e te mamae o te tuara i muri i te whānautanga - ahakoa i werohia he epidural, kāore rānei . Nā te mea kei te taunga ngā wheua hope me ngā hononga i rerekē i te wā e hapu ana ki ō rātou tūranga hou.
Āhea te wā e kite ai i te tākuta
Mena ka pā mai ētahi o ngā tohu e whai ake nei i muri i te werohanga epidural, waea atu ki tō tākuta tonu atu, haere rānei ki te wāhanga ohorere o te hōhipera (ETU) e tata ana ki a koe .
| Ngā tohu hei tūpato |
|---|
| • Te kirika. |
| • Te kore e taea te whakahaere i te mimi, i te tūtae rānei (Te kore e taea te whakahaere i te mimi/Te kore e taea te whakahaere i te tūtae). |
| • Ka roa ake te ngoikore, te ngenge rānei o ngā waewae i te wā i whakaritea e te tākuta. |
| • He ānini nui e pā mai ana i te tū, i te noho rānei, ā, ka memeha haere i te takoto. |
He mea noa te mataku ina rongo koe i te kupu "spinal tap." Engari he tikanga haumaru, he tikanga whai hua hoki te epidural mō te whakahaere mamae e whakamahia whānuitia ana puta noa i te ao. Nō reira kaua e wehi ki te kōrero ki tō tākuta mō ngā pātai, ngā āwangawanga rānei kei a koe mō tēnei.
Karere Tangohia ki te Kāinga
- He tino haumaru te werohanga epidural, he mea noa hoki hei whakahaere i te mamae.
- Kāore tēnei e hoatu ki te taurakira, engari ki tētahi wāhi motuhake e karapoti ana i a ia (te wāhi epidural).
- E whakamahia ana mō te mamae whānau, te mamae pokanga, me te mamae mau tonu.
- He tino onge ngā pānga taha kino. He mea noa te mamae ngawari i te wāhi i werohia mō ētahi rā.
- He whakaaro hē pinepine te whakaaro ko te mamae o te tuara ka puta mō te wā roa mā te werohanga epidural.
- Kōrerotia marietia ki tō tākuta mō ō feaa, ō wehi rānei.
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