Ina tata koe ki te whānau tamariki, ina whakarite rānei mō tētahi pokanga nui, ka taea e te rongonga i tō tākuta e kōrero ana mō te "epidural" te whakaoho i te manukanuka. Ka mataku te tini o te tangata i te whakaaro ki te werohanga tata ki tō tuaiwi. Engari he aha rawa te epidural? Me pēhea te mahi, ā, he mea tika kia wehi koe? Me whakamārama ngāwari, mārama hoki ki Nirogi Lanka.
He aha te epidural, i te whakarapopototanga?
Ko te epidural he tuku rongoā ki roto i tētahi wāhi motuhake (te wāhi epidural) e karapoti ana i ngā io o tō tuaiwi. Kāore e werohia tika ki roto i tō taurakira - engari ki te rohe e karapoti ana. Ko te nuinga o te wā ka whakamahia hei whakahaere i te mamae.
E whakamahia whānuitia ana mō:
- Te whānautanga hei whakahaere i te mamae nui.
- Whakangoikore (whakamamae)mō ngā tikanga pokanga.
- Te whakahaere mamae i muri i te pokanga.
- He rongoā mō te mamae tuara mau tonu , pērā i te mamae i puta mai i te hernia o te kōpae.
He aha ngā momo epidural rerekē?
I runga i ō hiahia hauora, e rua ngā momo epidural matua e whakamahia ana e ngā tākuta.
| Momo Epidural | Whakaahuatanga me te Whakamahinga |
|---|---|
| Te Whakamamaetanga Epidural | Ko te werohanga o tētahi rongoā whakamoe hei aukati i te mamae me te kare ā-roto o te pēpi i tēnei tikanga. He mea noa tēnei hei whakahaere i te mamae i te wā e whānau ana, me ngā tikanga pokanga. |
| Werohanga Steroid Epidural (ESI) | Ko te werohanga o tētahi corticosteroid hei whakaiti i te mumura me te riri huri noa i ngā io. He maha ngā wā ka tohua mō te mamae mau tonu. Ka roa pea te whakaora mō ētahi wiki, tae noa ki ngā marama. |
Me pēhea te mahi?
Ko te mahi a te epidural ka whakawhirinaki ki te momo motuhake ka whakawhiwhia ki a koe.
Ko te mahi a te Anesthesia Epidural mā te aukati i ngā tohu mamae mai i ō io tuaiwi ki tō roro mō te wā poto. Ka taea e koe te whakaaro he "whakaweto" i ēnei io mō tētahi wā motuhake. Ko te roa o te pānga ka whakatauhia e te horopeta e tukuna ana.
Ko te mahi a te Werohanga Steroid Epidural (ESI) mā te tuku tika i te rongoā ki ngā io mumura, ka āwhina i te whakaiti i te pupuhi me te pēhanga i te pūtake o te mamae.
Ngā Tikanga Whakahaere
Tērā pea ka whakamahia e tō tīma hauora ētahi tikanga hei tuku i te rongoā:
- Werohanga kotahi: He horopeta kotahi, e whakamahia whānuitia ana mō ngā Werohanga Steroid Epidural (ESI).
- Epidural me te catheter: He ngongo angiangi, he ngāwari te catheter. Ka whakanohoia tēnei ngongo ki te wāhi epidural, kia taea ai e tō tākuta te hoatu rongoā ina hiahiatia. He maha ngā wā ka whakamahia tēnei tikanga i te wā e whānau ana, me ngā pokanga roa.
- Whakamamae mamae e whakahaerehia ana e te tūroro (PCA): Ka whakamahia hoki he catheter, engari ka hoatu he taputapu ringaringa ki a koe. Ka taea e koe te pēhi i te pātene hei hoatu i tētahi horopeta rongoā mamae ki a koe anō ina hiahiatia. Kua whakaritea tēnei hei tuku i tētahi horopeta haumaru, kua whakaaetia e te tākuta , kia noho haumaru ai koe.
- Te Whakakotahitanga o te Tuaiwi-Epidural (CSE): He maha ngā wā e whakamahia ana i te wā e whānau ana, ā, i ētahi wā ka kiia tēnei he "epidural hīkoi." Ahakoa kāore e taea e koe te hīkoi noa, tera pea ka mau tonu te rongo i roto i ō waewae hei neke i ō tūranga, hei neke haere rānei i runga i te moenga me te whakamarie.
Me whakarite koe mō te werohanga epidural?
Āe. Ko te whakaritenga e whakawhirinaki ana ki te momo epidural me ō hiahia haumanu. Ka hoatu e tō tākuta he tohutohu mārama, engari ka tonoa pea koe kia:
- Nohopuku (kāore e kai, kāore e inu) mō ētahi hāora i mua i te tikanga.
- Whakamutua te tango i ētahi rongoā mō tētahi wā, inā koa ngā rongoā whakaiti toto .
- Whakaritea kia haria koe e tetahi ki te kāinga i muri i te tikanga.
He aha ngā mea ka tupu i te wā o te tikanga?
Ka rerekē te wheako i runga i te momo epidural.
Mō te werohanga kotahi:
Ka takoto koe ki runga i tō puku. Kātahi ka mahi tō tākuta i ēnei:
1. Werohia he rongoā whakamoe ā-rohe hei whakangā i te wāhi.
2. Whakamahia te fluoroscopy — he tikanga whakaahua hihi-X ora — kia tino tika ai te whakanoho o te ngira.
3. Whakauruhia te ngira ki te wāhi epidural ka werohia te rongoā.
4. Tangohia te ngira ka taupokina te wāhi i werohia ki te takai iti, ki te pāreti rānei.
Mō te epidural me te catheter:
1. Ka whakaurua he aho IV hei tuku wai.
2. Ka tonoa koe kia takoto ki tō taha, me ō turi e anga atu ana ki tō uma, me noho rānei, ka piko whakamua. Mā tēnei tūranga ka huaki te āputa i waenganui i ō tuaiwi.
3. Ka whakangāwarihia te wāhi i werohia ai mā te rongoā whakamoe ā-rohe.
4. Ka whakaurua te ngira epidural, ā, ka mirohia te catheter (te ngongo angiangi) ki roto i te wāhi epidural.
5. Kātahi ka āta tangohia te ngira, ka waiho ko te catheter anake ki tōna tūranga.
6. Ka tukuna te rongoā mā te catheter ina hiahiatia.
7. Ka tangohia te katitere ina oti tō maimoatanga (tērā pea ka roa ngā hāora, ngā rā rānei i muri mai).
He aha tāu e rongo ai?
Tērā pea ka pāngia koe e te ngau poto ina werohia te ngira whakangote ā-rohe. I te wā e werohia ana te ngira epidural, tērā pea ka pāngia koe e te pēhanga, te ngau, te wera, te kare rānei he "hiko" mō te wā poto. Kāore rawa he mamae o ētahi tāngata. Ka memeha haere tēnei mamae ina oti te mahi. Heoi, ki te pāngia koe e te mamae koi, e te mamae kore e taea te whakamā, me whakamōhio tonu atu ki tō tākuta.
He aha ngā painga me ngā mōrearea o te werohanga epidural?
I Nirogi Lanka, e mōhio ana mātou he tikanga tino haumaru, he tikanga whai hua hoki te epidural mō te whakahaere mamae. I te wā e whānau ana, he nui ake te ngāwari o tēnei tikanga i ērā atu tikanga whakamoe. He onge noa iho ngā pānga taha. Mō ngā tūroro e pāngia ana e te mamae mau tonu, mā te whakatutuki i te whakahaere mamae whai hua mā tēnei tikanga ka āwhina i a koe ki te karo i te hiahia mō te pokanga.
Pērā i ngā tikanga hauora katoa, he iti noa ngā mōrearea. Heoi, kia maumahara he tino onge ngā raruraru nui.
Ko ngā mōrearea pea ko:
- Te toto i te wāhi i werohia ai.
- Te mate i te wāhi i werohia ai.
- Te pakaru o ngā io (he tino onge).
- Te uruparenga mate pāwera ki te rongoā.
- Te turuturu o te wai cerebrospinal (te turuturu o te CSF), ka pā mai pea te mamae o te upoko i muri mai.
Ka mamae te tuara mō te wā roa i te werohanga epidural?
He āwangawanga noa tēnei mō te tini, engari 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, ā, ka memeha haere noa iho. 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 . Ko te tikanga o tēnei nā ngā huringa ā-tinana o ō wheua hope me ō hononga i te wā e hapu ana, ā, ka hoki anō ki tōna āhua i mua i te haputanga.
Āhea te rapu awhina hauora
Ki te pāngia koe e tētahi o ngā tohu e whai ake nei i muri i te werohanga epidural, whakapā atu ki tō tākuta tonu atu, haere rānei ki te wāhanga ohorere o te hōhipera tata .
| Ngā Tohu hei Mataara |
|---|
| • Te kirika. |
| • Te ngaronga o te mana whakahaere o te pūkahukahu, o te puku rānei (te kore e taea te pupuri i te mimi, te paru rānei). |
| • Te ngoikore, te ngenge rānei o ō waewae, ā, ka roa ake i te wā i tohua e tō tākuta. |
| • He ānini nui e pā mai ana i te tū, i te noho rānei, ā, ka pai ake i te takoto. |
He mea maori te mataku mō tētahi tikanga e pā ana ki tō tuara. Heoi, he tikanga e whakamahia whānuitia ana, he tikanga haumaru, he tikanga whai hua hoki te epidural mō te whakahaere mamae puta noa i te ao. Kaua e mangere ki te kōrero tuwhera ki tō tākuta mō ngā pātai, ngā wehi rānei kei a koe. E whakapau kaha ana a Nirogi Lanka ki tō oranga.
Ngā Whakaaro Matua
- He tikanga tino haumaru, he tikanga noa hoki te epidural hei whakamamae i te mamae.
- Ka tukuna ki roto i te wāhi e karapoti ana i te taurakira (te wāhi epidural), ehara i te mea ki roto tonu i te taurakira.
- E whakamahia ana hei whakahaere i te mamae i te wā e whānau ana, ngā pokanga, me ngā mate mamae mau tonu.
- He tino onge ngā raruraru nui; he mea noa te mamae iti i te wāhi i pangia ai te kiri mō ētahi rā.
- He hē te whakaaro ko te mamae o te tuara ka puta mō te wā roa mai i ngā epidurals.
- Kōrerohia marietia ngā feaa me ngā wehi katoa ki tō kaiwhakarato hauora.
Epidural, whakamamae mamae, mamae whānau, rongoā whakamoe, aukati tuaiwi, whakahaere mamae, mamae tuara
