Ki te mea kei te hapu koe, kua rongo pea koe i te kupu ' epidural ' i mua. Tērā pea nā tētahi hoa, nā tētahi kiriata rānei. He tokomaha e whakaaro ana he mea noa iho tēnei e hoatu ana hei whakamama i te mamae i te wā e whānau ana. He pono tēnā, engari he maha atu ngā painga o te epidural i tērā. Nō reira, i tēnei rā, me whakamutu te wehi me te ruarua mōna, ka kōrero mōna i roto i te huarahi tika, mārama.
He aha te epidural? He aha tana mahi?
Ki te kī māmā noa, he momo rongoā whakamoe te epidural e whakamahia ana hei whakahaere i te mamae. Whakaarohia te taurakira, he wāhanga nui o te pūnaha io e rere ana i raro i tō tātou tuaiwi. He kiriuhi kei roto hei tiaki i a ia. Ko te wāhi iti i waho o taua kiriuhi ko te mea e kiia nei e tātou ko te 'wāhi epidural'.
Ka whakamahia e te tākuta, inā koa te tohunga whakamoe, he ngira tino angiangi hei whakauru i tētahi ngongo angiangi, ngāwari hoki, e kiia nei ko te catheter , ki roto i te wāhi i kōrerotia e koe. Kātahi, mā roto i taua ngongo, ka tukuna mārire ngā rongoā whakamamae mamae e tika ana ki roto i te tinana. Ka ārai ēnei rongoā i ngā tohu mamae kia kore ai e haere ki te roro. Nō reira, kāore tātou e rongo i te mamae.
Ko te mea nui rawa atu, i muri i te werohanga o te ngira epidural me te whakanoho i te catheter , ka tangohia katoatia te ngira. Ko te mea anake e toe ana i roto i tō tinana ko taua ngongo angiangi, ngohengohe. Nō reira kaua e manukanuka kei mahue te ngira ki roto.
He aha ngā whakamahinga matua o te epidural?
Haunga te whānautanga, e mōhiotia ana e te tini tāngata, ka whakamahia ngā epidural i roto i ētahi atu āhuatanga. Me titiro tātou he aha ēnei.
| Whakamahinga | He whakamārama māmā |
|---|---|
| I te Whānautanga | Koinei te tikanga tino noa. He tikanga tēnei e whakaora ana i te mamae anake (whakamamae mamae). Ko te tikanga tēnei kei te mōhio koe, ka taea e koe te kōrero, ā, ka nekehia ō waewae, engari kāore koe e tino rongo i te mamae o te whānautanga. |
| I te wā o te pokanga me muri i te pokanga | Ka hoatu he epidural hei whakangāwari i te wāhi, inā koa i te wā o te pokanga nui i te hope, te turi, te puku o raro rānei. Ka taea hoki te whakamahi hei whakahaere i te mamae i muri i te pokanga. |
| Hei rongoā mō te mamae mau tonu | Ka whakamahia hoki tēnei tikanga hei werohanga i ngā rongoā pēnei i ngā steroids hei whakaora i te mamae mau tonu o te tuara me te waewae e puta mai ana i ngā āhuatanga pēnei i te herniated discs me te spinal stenosis. |
He tino mamae te epidural ina werohia?
Koinei te wehi nui rawa atu o te tini tāngata. Anei ngā mea e tupu ana:
1. Tūnga : Tuatahi, ka tonoa koe kia noho ki runga i tētahi tūru ka piko whakamua, ka tahuri rānei ki tētahi taha o te moenga ka whakatata mai ō turi ki tō uma.
2. Te horoi: Muri iho, ka horoia rawatia e te tākuta te wāhi o te tuara ka werohia.
3. Te ngoikore: Kātahi ka whakamahia he ngira iti hei whakangāwari i te kiri. He rite ki te whakangāwari i ngā kapia i mua i te tangohanga o te niho. I tēnei wā, e ahua ana kei te ngau tetahi pōpokorua iti i a koe.
4. Te whakauru i te epidural: Kia mārō te kiri, ka whakaurua e te tākuta te epidural. Kāore koe e rongo i te mamae i tēnei wā. Heoi, tera pea ka rongo koe i tētahi kare ā-roto rerekē, pērā i te pēhanga, te kare ā-roto rānei. Tērā pea kāore ētahi tāngata e rongo i tētahi mea.
5. Te tango i te ngira: Kia tika te tūnga o te catheter (te ngongo heani), ka tangohia katoatia te ngira.
Ko te mea nui, ki te pāngia koe e te mamae e kore e taea te tohe i tēnei wā, ki te rongo rānei koe i te rite o te ru hiko e pā ana ki tō waewae, me kōrero tonu atu koe ki te tākuta.
He pānga taha anō kei te pā mai o te epidural?
Pērā i ngā maimoatanga hauora katoa, ka pā mai pea he pānga taha iti i te epidural. Heoi, he tino onge ngā pānga taha kino. Me titiro tātou ki ngā mea ka pā mai.
| Ngā pānga taha/ngā raruraru | Ngā mea hei mōhio |
|---|---|
| Te toto toto iti | He mea noa tēnei. Tērā pea ka pōuri koe. Engari ka taea tēnei te whakahaere e te tīma hauora, mā rātou e tirotiro i tō toto toto i ia wā. |
| Te uaua ki te mimi | Ka taea e ngā rongoā mamae te whakangāwari i ngā io o te pūkahukahu mō te wā poto. Mēnā e tika ana, ka taea te whakauru i tētahi catheter hei whakatika i tēnei. |
| Ngā wiri me ngā wiri | Ka puta pea tēnei nā ngā panonitanga o te pāmahana o te tinana. Kāore he mea hei manukanuka. |
| Te ānini nui | He tino onge (iti iho i te 1%) tēnei ka puta mēnā ka uru pōhēhē te ngira ki roto i te wai o te tuaiwi. He rongoā kei reira mō tēnei. |
| Ngā mate urutā, te toto | He tino onge hoki ēnei. Tērā pea ka puta ngā mea pēnei i te hanganga o te toto totoka (hematoma) nā te toto. Engari he nui te āwangawanga o ngā tākuta mō tēnei. |
Ngā mōrearea motuhake e pā ana ki te whānautanga
- Tērā pea ka roa ake te wāhanga tuarua o te whānautanga.
- Tērā pea ka iti ake te kaha e hiahiatia ana hei pana.
- Tērā pea he paku piki ake te mōrearea o te haehae o te perineum .
He tāngata kei reira kāore e tika ana mō te werohanga epidural?
Āe. I ētahi wā, he mōrearea te hoatutanga o te epidural. Mā tō tākuta tēnei e kōrero ki a koe, ā, ka whakatau.
- Mena he mate pāwera koe ki ngā rongoā whakangote e whakamahia ana e koe.
- 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?
Ahakoa kua mutu ngā pānga o te whakamahinga o te epidural, me karo tonu koe i ēnei mea mō te 24 haora neke atu rānei.
- Āta karohia te taraiwa.
- Kaua e whakahaere i ngā mīhini taumaha.
- Āta karohia te inu waipiro.
I runga i tō āhua, 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 tino whai hua te epidural mō te whakahaere mamae, ehara i te mea mō te whānautanga anake, engari mō te pokanga me te mamae mau tonu hoki.
- Ka mahia tēnei e te tohunga whakamoe. Ka whakangāwarihia hoki te wāhi i mua i te werohanga, kia iti ai te mamae.
- Ehara i te ngira mārō te mea e toe ana i roto i tō tinana, engari he ngongo kirihou angiangi, ngohengohe (he catheter).
- Ahakoa he iti noa ngā pānga taha, he tino onge ngā raruraru nui.
- Ko te mea nui: Kia tuwhera, kia pono hoki ki tō tākuta , ki tō tohunga whakamoe rānei , mō ngā pātai, ngā āwangawanga, ngā āwangawanga rānei e pā ana ki tō āhua hauora. He mea nui tēnei mō tō haumaru.
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