Ko ngā rongoā epidural tētahi o ngā wheako tino uaua, tino mamae hoki ka pā ki te whaea i te wā e tata ana ia ki te whānau. Ki ētahi whaea, kāore e taea te whakamanawanui i te mamae. Nō reira, ko tētahi o ngā huarahi rongonui me te whai hua ki te whakahaere i tēnei mamae nui ko te epidural. Ahakoa kua rongo te tini o te tangata mō tēnei mea, kāore rātou i te tino mārama he aha te mea, he haumaru, ā, āhea te tango. I tēnei rā, ka kōrerohia e tātou mō tēnei mea me te mārama me te ngāwari.
He aha tonu te epidural?
He whakarāpopototanga noa iho, he werohanga rongoā te epidural ka tukuna ki te rohe o tō tuara, te wāhi huri noa i tō taurakira, e tata ana ki ngā io e kawe ana i ngā tohu mamae. Ka whakangoikore tēnei werohanga i tō tinana o raro, ka nui te whakaora i te mamae nui o te whānautanga.
Ka whakamahia e ngā tākuta tēnei tikanga i roto i ētahi āhuatanga:
- Hei whakamamae i te mamae i te wā e whānau ana: Ka whakamahia tēnei hei whakahaere i te mamae i te wā e whānau ana i te whānautanga noa me te wā e wehea ana te pēpi .
- Mō ngā pokanga: Hei whakangāwari i te wāhi e mahia ana mō ngā pokanga o te tinana o raro.
- I muri i te pokanga: Hei whakahaere i te mamae i muri i ētahi pokanga.
- Mō ētahi atu mamae: I roto i ngā āhuatanga pēnei i te sciatica, ka hoatuhia hoki me ngā rongoā steroids hei whakaiti i te mamae.
Ka whakamahia e ngā tākuta whakamoe ngā rongoā whakamoe ā-rohe pērā i te bupivacaine, te lidocaine rānei. I ētahi wā, ka honoa ēnei rongoā ki tētahi rongoā mamae pērā i te fentanyl hei whakaiti i te nui o te mamae. Ko te tikanga ka tīmata te mamae i roto i te 10 ki te 20 meneti i muri i te hoatutanga tuatahi o te epidural.
He tino haumaru tēnei? Ka pāngia te pēpi?
Āe, tino tika. He tikanga tino haumaru te epidural. He rongoā whakamoe ā-rohe, arā, ka pā noa ki te wāhi iti e werohia ana. Nō reira, kāore koe e hiamoe, e whakapairuaki rānei.
Ko tētahi o ngā mea e wehingia ana e te tini o ngā whaea, kei pā kino ki te pēpi. Inaa, ko ētahi o ngā rongoā whakamamae mamae e hoatu ana i te wā whānau ka whiti i te whenua whānau, ā, ka pā ki te pēpi. Engari kāore tēnā e tupu me te epidural.
He iti noa iho te nui o te rongoā e whakamahia ana mō te epidural ka uru ki roto i tō toto, ka tae atu ki tō pēpi. Nō reira, kāore e pā kino ki te pēpi. Kāore e pā ki ngā "kaute Apgar" a te pēpi, kāore hoki e whakanui ake i te tūponotanga kia whakaurua te pēpi ki te wāhanga tiaki nui.
Ko tētahi atu whakaaro o ētahi ko te whakanui ake i te tūponotanga o te pokanga tākihi mā te whakamahi i te epidural. He hē rawa tēnei . Ka whakamamae noa te epidural i te mamae. Ka rongo koe i te pēhanga o ngā mamae i roto i tō kōpū. Nō reira, ka taea e koe te pana i te pēpi ki waho ina tae ki te wā. Nō reira, kāore te epidural e whakanui ake i te tūponotanga o te 'tangohanga korehau' me te 'whakaputa forceps' rānei.
He tino whai hua te epidural? Kia pēhea te roa o tōna roa?
Ae, ka whakangāwari koe i te epidural mai i tō puku ki ō matimati. Engari ka mōhio koe ki te taiao e karapoti ana i a koe. Ahakoa kua kore te mamae , ka taea e koe te pēhi i te wā tika nā te mea ka rongo koe i te pēhanga o te pēpi.
Kia pēhea te roa o tēnei? Ko te whakautu māmā, kia rite ki te roa e hiahiatia ana e koe . Ka taea e koe te tiki atu i ētahi atu rongoā ('total top-up doses') mā te ngongo angiangi ('catheter') ka whakaurua ki roto i tō tuaiwi ina tīmata anō koe ki te mamae. Ka roa te whakamamae mamae tae noa ki te tangohia o te ngongo. Me taea e koe te hoki mai ki te nekehanga me te rongo i ō waewae i roto i te haora, i muri rānei i te tangohia o te ngongo.
Heoi, me mahara tātou kāore te katoa e angitu 100%. Tata ki te kotahi i roto i te tekau (`10%`) o ngā tāngata kāore pea e whiwhi i te whakamamae mamae e tumanakohia ana e rātou. I roto i ēnei āhuatanga, ka tūtohu tō tākuta i tētahi atu tikanga whakahaere mamae.
He pānga taha kei reira? (Ngā Pānga Taha)
He taputapu kaha te epidural hei whakahaere i te mamae. Heoi, pērā i ngā tikanga hauora katoa, tera pea ētahi pānga taha iti ka puta. Ko te nuinga o ēnei he rangitahi.
| Pānga taha | Whakaahuatanga |
|---|---|
| Te toto toto iti | He āhuatanga tēnei ka pā ki te tini tāngata. Tērā pea ka pōuri koe, ka whakapairuaki hoki. Kei te aro tonu ngā kaimahi hauora ki tēnei. |
| Ānini | Tērā pea ka pāngia ētahi tāngata e te mamae o te upoko i muri i te werohanga epidural. Mēnā ka whakamōhio koe i tō tākuta mō tēnei, ka taea e rātou te rongoā. |
| Te mākūkū | Tērā pea ka pāngia te kiri e te rongoā e whakamahia ana. He rangitahi hoki tēnei. |
| Te uaua ki te mimi | Kāore pea koe e rongo i te whakakī o tō pūkahukahu nā te mea he ngoikore tō tinana o raro. He tikanga te whakamahi i te catheter mō tēnei. |
| Te ngoikore o ngā waewae | Tērā pea kāore e taea e koe te hikoi mō ētahi haora kia memeha rā anō ngā pānga o te rongoā, nō reira kaua e ngana ki te whakatika. |
| Te pakaru o te io | He tino onge tēnei āhuatanga. He tino iti te tūponotanga ka puta tēnei i raro i te tirotiro a tētahi tohunga whakamoe. |
Nā, ko tēhea te wā pai rawa atu hei werohanga epidural?
He pātai tēnei e pātaihia ana e te tini tāngata. Kāore he wā motuhake e taea ai e koe te kī, "Koinei te wā pai rawa atu." Ka taea e koe te tono i ngā wā katoa e kore e taea e koe te manawanui i te mamae. Tērā pea i te tīmatanga, i waenganui, i te tata rānei ki te mutunga o te whānautanga.
Heoi, e rua ngā mea e āwangawanga ana te tohunga whakamoe i konei:
1. Kei te whānau koe?
2. Ka taea e koe te noho puku mō ētahi meneti i te wā e tukuna ana te kano ārai mate?
Kua roa rawa pea?
Whakaarohia, e 10-15 meneti te roa hei whakarite i te epidural. Kātahi ka 10-15 meneti anō hei whakamamae i te mamae. Nō reira, ki te tono koe i te epidural i te wā e whānau ana tō pēpi, tera pea kua whānau kē te pēpi i te wā e whānau ai. Nō reira, he mea whakaaro nui kia kōrero wawe atu ki tō tākuta mō tēnei mea, kaua e tatari kia kore rawa e taea te whakamanawanui i te mamae .
He wheako mamae te whānautanga. Engari nā te mea he haumaru, he whai hua hoki ngā kōwhiringa whakahaere mamae e wātea ana, kua whakaaetia whānuitia inaianei kāore e tika kia mamae ngā whaea. Ahakoa kāore koe i te whakaaro tuatahi ki te whiwhi i te epidural, ki te mea kei te whakaaro koe kāore e taea te manawanui i te mamae i te wā e whānau ana, ka taea tonu e koe te tono. Ka taea e te epidural te āwhina i a koe kia noho marino, kia kore he mamae, ā, ka hoatu he kaha ki a koe ki te arotahi ki te whānau mai o tō pēpi ki te ao.
Karere Tangohia ki te Kāinga
- He huarahi tino haumaru, he huarahi whai hua hoki ngā epidural hei whakahaere i te mamae i te wā e whānau ana.
- Ka whakaratohia tēnei e te tohunga whakamoe.
- E kore tēnei e pā kino ki te pēpi, ā, e kore hoki e whakanui ake i te mōrearea o te pokanga whānau.
- Kāore he "wā pai" mō te werohanga epidural. Kei te haere tonu o tō whānautanga me tō kōrero ki tō tākuta.
- Ina toro atu koe ki ngā wāhi rongoā i te wā e hapū ana koe, kōrero ki tō tākuta mō ngā tikanga whakahaere mamae e wātea ana, inā koa te epidural.
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