Kua rite koe ki te noho hei whaea, ā, e hiahia ana koe ki te mōhio mō ngā epidural hei whakaiti i te mamae i te wā e whānau ana?

He wheako tino motuhake, he wheako ataahua hoki te tatari mō te pēpi i roto i te oranga o ia wahine. I taua wā anō, he mea noa hoki te mataku me te manukanuka mō te mamae i te wā e whānau ana. Tērā pea ka mataku ētahi ahakoa e whakaaro ana rātou ki te mamae e puta mai ana i taua wā. Heoi, i te mea kua tino matatau te pūtaiao hauora , kei reira ngā huarahi hei āwhina i a koe ki te whakahaere i taua mamae ki te whānuitanga nui, me te aro atu ki te whānautanga me te hinengaro marino me te mārama. Ko tētahi tikanga e mōhiotia whānuitia ana, e tino angitu ana hoki i roto i te tini ko te `(Epidural)` . E kīia ana tēnei e ētahi ko `(Epidural Block)`. Me kōrero taipitopito tātou mō tēnei i tēnei rā, āe?

He aha tēnei `(Epidural)`? He māmā noa iho...

He māmā noa iho, he tikanga te epidural hei whakaiti i te mamae o te whānautanga, hei āwhina i a koe kia marino, kia whakahaere hoki i a koe puta noa i te tukanga.

He tikanga tēnei mō te whakahaere i te mamae i tētahi wāhi motuhake o te tinana, arā, "Te whakahaere i te mamae ā-rohe." Arā, ka whakamamahia te mamae i te wāhi katoa i raro i ō papa – tae atu ki ngā pakitara o te tara tae atu ki ō waewae. Engari ko te mea nui, ahakoa kāore koe e mamae, kei te mōhio tonu koe ina whiwhi koe i te "Epidural", ka taea e koe te rongo i ngā mea e pā ana ki a koe, ā, ka taea e koe te whakarongo ki ngā kōrero a ngā tākuta me ngā nēhi. Ko te tikanga, ka taea e koe te pārekareka ki te wā ataahua e whānau mai ai tō pēpi ki tēnei ao me te hinengaro mārama. Koinei te tikanga matua mō te whakaora i te mamae i te wā e whānau ana.

Me pēhea te hoatutanga o tēnei `(Epidural)`? Ka taea e koe te whakamārama mai?

Inaianei kei te whakaaro pea koe, "Āe, me pēhea taku mahi i tēnei? Ka mamae? He aha te momo mea ka puta?" Kaua e manukanuka, māku e whakamārama atu ki a koe.

Ina whiwhi koe i te epidural, ka whakauruhia e te tohunga whakamoe he ngongo angiangi e kiia nei ko te catheter ki roto i tō tuara o raro, ki roto rawa i te wāhi e karapoti ana i tō taurakira e kiia nei ko te wāhi epidural. Ko te wāhi epidural he wāhi iti i waho o te kiriuhi angiangi e hipoki ana i tō taurakira.

I a koe e mahi ana i tēnei, ka tonoa koe kia noho, kia takoto rānei. Ahakoa pēhea, me pupuri tō tuara kia porotaka, kia piko whakamua hoki . Whakaarohia he ngeru me tōna tuara e piko ana. Pērā ai, ka māmā ake te whakauru i te catheter mā te tākuta.

Ka roa pea te whakauru i tēnei `(Catheter)`. Tuatahi, ka werohia he iti noa te rongoā hei whakangāwari i te wāhi. Nō reira, ka rongo pea koe i te ngau o te kiri , pērā i te ngau a te pōpokorua iti i a koe, i te wero rānei. Kātahi ka rongo pea koe i te pēhanga kaha, i te kōpiri rānei. Ka whakamahia te ngira hei ārahi i te `(Catheter)` iti ki te wāhi tika. I muri i te whakaurunga, ka tangohia te ngira. Tērā pea ka rongo koe i te `(Catheter)` i roto i tō tuara, engari kāore e mamae, kāore hoki e whakamā.

Ka noho tonu tēnei `(Epidural catheter)` ki tōna tūranga tae noa ki te mutunga o tō whānautanga . Mā roto i tēnei ka hoatuhia te rongoā mamae ina hiahiatia.

He aha te āhua o te tinana i muri i te hoatutanga o te epidural?

Tērā pea kei roto i te rongoā e hoatu ana mā te catheter epidural ngā rongoā whakamamae mamae (pērā i ngā opioids), ngā rongoā whakamoe, ngā mea e rua rānei.

Ka tīmata koe ki te rongo i ngā pānga o te rongoā i roto i te 10-20 meneti i muri i te hoatutanga. Ka rongo tonu koe i ngā nekehanga a te pēpi, te whakawhāititanga o tō puku ina kume te kōpū. Arā, ka rongo koe i te pēhanga o te pēpi e ngana ana ki te puta. Engari kua ngaro te nuinga o te mamae e kore e taea te pehi. He mea tino nui kia rongo koe i ēnei kume, nā te mea ka āwhina i a koe ina tīmata koe ki te pana i te pēpi.

I te whakanui ake, i te whakaiti rānei a te tākuta i te horopeta o te rongoā, ka ngoikore pea ō waewae, ka mahana, ka wiriwiri, ka mārō, ka taumaha rānei. Heoi, kāore i rite ki ētahi atu rongoā whakamamae mamae, ina whiwhi koe i te epidural , ka tino mōhio koe ki ngā mea e pā ana ki a koe.

He aha ngā painga o te werohanga epidural?

He maha ngā painga o te epidural. Me titiro tātou ki ngā mea matua.

• Whakaora mamae mō te wā roa: Ko te painga nui ko te taea e koe te whakaora mamae mō te roa e hiahiatia ana, arā, tae noa ki te mutunga o te whānautanga.
• Te āheinga ki te whakarerekē i te horopeta: Ka taea e ngā tākuta te whakarerekē i te horopeta o te rongoā i runga i ō hiahia me ngā wāhanga o te whānautanga. Ka taea hoki e rātou te whakamutu i te hoatu i te rongoā mō tētahi wā mēnā e tika ana.
• He mataara me te kaha pai: Nā te mea he iti te horopeta o te rongoā, ka āwhina tēnei i te whaea kia mataara tonu, kia rongo i ngā mamae ina puta mai, ā, i te wa ano ka whai kaha hei pana i te pēpi.
• Haumaru: Nā te mea ka noho te nuinga o te rongoā ki te wāhi epidural, he iti noa iho te mea e uru ana ki te toto o te whaea, o te pēpi rānei. Nō reira, he tino haumaru te epidural mō te whaea me te pēpi.
• Mēnā he pokanga C-section ohorere: Whakaarohia me pokanga C-section ohorere koe i te wā e whānau ana. Mēnā he pērā, ka taea e koe te whiwhi i tētahi rongoā whakamoe kaha ake mā te catheter epidural kua mau kē i a koe. Mā tēnei ka whakangāwari koe mai i te hope ki raro, engari ka tino mōhio koe i te wā e pokangahia ana. (Heoi, ki te mea he pokanga C-section ohorere koe me te kore he catheter epidural, me hoatu pea he rongoā whakamoe whānui ki a koe, ko te tikanga kāore koe e rongo i tetahi mea i te wā e pokangahia ana.)

"He tino āwhina te epidural ki te whakaiti i te mamae, ā, ka taea e koe te manaaki i tāu pēpi ki te ao me te hinengaro marino, mārama hoki."

He aha ngā ngoikoretanga, ngā mōrearea rānei o te epidural?

Pērā i ngā tikanga hauora katoa, kāore te epidural e kore he mōrearea. Engari he iti noa iho ēnei, he ngāwari rānei te whakahaere e ngā tākuta. Me titiro tātou ki ēnei:

• Te uaua ki te pana: I ētahi wā, ka uaua te pana i te pēpi mā te epidural . Heoi, ki te puta tēnei, ka taea e te tohunga whakamoe te whakarerekē i te horopeta o te rongoā hei whakatika i te raruraru.
• Te toto toto iti i roto i te whaea: He iti noa te pānga o tēnei ki te rere o te toto ki te pēpi. Engari ka taea hoki tēnei te whakahaere ngāwari e ngā tākuta.
• Ētahi atu mamae iti: Ka pāngia pea ētahi tāngata e te ānini, te mamae tinana, te kirika, te whakapairuaki, te ruaki rānei .
• Te uauatanga o te mimi mō te wā poto: I ētahi wā ka uaua te mimi. Mēnā ka puta tēnei, me whakauru pea he catheter mimi mō te wā poto.

Ahakoa te āhua whakamataku o ēnei mea, kia maumahara he tino iti ngā mōrearea (Whakatikatika: "ரோம஬ா ஦ாயி" i roto i te reo Tamil, whakamahia "இதமா ஦ாயி"), he tino iti , ā, kua rite te tīma hauora mō ēnei mea katoa.

Ka pāngia taku pēpi e te epidural?

Ko te mataku matua o ētahi whaea ko, "Ka pā tēnei rongoā ki te pēpi?" Inaa, he iti noa iho te nui o te rongoā e hoatu ana me te epidural ka tae ki te toto o te pēpi. He iti iho tēnei i te nui o te rongoā ka tae atu ki te pēpi mēnā ka hoatu he IV, he rongoā whakamoe whānui rānei.

He tino iti te mōrearea ki te pēpi mai i te epidural. Heoi, i ētahi wā ka puta he mamae iti. Ko te tikanga o tēnei ka puhoi te manawa o te pēpi nā te iti o te toto toto o te whaea. Heoi, ka taea hoki te whakatika ngāwari i tēnei. Ka taea te karo i tēnei mā te hoatu wai ki te whaea mā te IV, te whakarerekē i tōna tūranga, me te whakapai ake i tōna tohanga toto.

He aha ngā kare ā-roto mōku i muri i te whānautanga o te pēpi?

Tērā pea ka wiriwiri koe i muri i te whānautanga o tō pēpi. He rerekē tēnei mō ētahi tāngata, ahakoa i werohia he epidural, nō reira kaua e manukanuka.

Ka paku ngoikore, ka taumaha hoki ō waewae, ka mākūkū hoki, tae noa ki te memeha haere o ngā pānga o te rongoā. Nō reira, kāore pea koe e taea te hikoi mō ētahi haora i muri i te whānautanga o tō pēpi. Ahakoa tērā, he pai ake te tono i tētahi hei āwhina i a koe kia hikoi rā anō kia pai ai ō waewae.

Mena i whānau koe i muri i te pokanga, ka waiho pea e tō tākuta he epidural mō tētahi wā hei āwhina i te whakahaere i te mamae i muri i te pokanga.

Tērā pea ka paku mamae te wāhi epidural mō ētahi rā. He mea noa tēnei. He tino onge, ka pāngia pea ngā whaea kua pangia e te epidural e te mamae nui o te upoko i muri i te whānautanga. Mēnā ka tupu tēnei, me kōrero tonu atu koe ki tō tākuta.

Ko te mea nui hei maumahara (Karere hei tango ki te kāinga)

Hei whakamutunga, he huarahi tino pai, he huarahi haumaru hoki te epidural hei whakahaere i te mamae o te whānautanga. Ka taea e ia te āwhina i a koe ki te whakaiti i te mamae, me te manaaki i tō pēpi ki te ao me te whakamarie me te rangimārie o te hinengaro.

Ae, ehara i te mea e hiahia ana te katoa ki te epidural, ā, ko ētahi kāore e hiahia ana. Nāu anake te whakatau. Engari ki te mea kei te whakaaro koe ki tēnei, kōrero ki tō tākuta mō tēnei . Ka taea e rātou te āwhina i a koe ki te whiriwhiri i te kōwhiringa pai rawa atu māu, me te whai whakaaro ki tō āhua hauora, ki ō hiahia, me ētahi atu.

Kia maumahara, he wero, he wheako ataahua hoki te whānautanga. Kei a koe te tika ki te whakarite kia tino whakamarie taua wheako.

Ko tāku tumanako ka whai hua ēnei kōrero ki a koe. Mēnā he pātai anō āu, tēnā koa pātai mai!

` Epidural, whānau tamariki, whakamamae mamae, mamae whānau, pokanga tākihi, rongoā whakamoe, haputanga