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He aha ka epidural?
ʻO ka analgesia Epidural ka hoʻomaha i ka ʻeha o ka wahine i ka wā hānau.
E hoʻomanaʻo, ʻo ka ʻaoʻao haʻahaʻa wale nō ka ʻeha.
Hoʻokomo ʻia ka huahana anesthetic ma waena o ʻelua vertebrae lumbar ma o ka catheter, kahi paipu lahilahi, i mea e hoʻihoʻi hou ai inā pono. Hoʻohana ʻia ka epidural no nā hānau hānau maoli, akā no nā ʻāpana cesarean. Inā ʻoe e koho i kahi epidural a ʻaʻole paha, ua hoʻonohonoho ʻia kahi kūkākūkā pre-anesthetic ma ka hopena o ka hāpai ʻana. ʻO ka pahuhopu ? E nānā inā loaʻa kekahi contraindication i ka hihia o ka epidural a i ʻole ka maʻi anesthesia āpau. E kauoha pū ka mea anesthesiologist i ka hoʻāʻo koko ma mua koke o ka hānau ʻana.
He pōʻino anei ka epidural?
ʻAʻole ka epidural ʻaʻole pilikia no ke keiki no ka mea, he anesthesia kūloko ia, hele liʻiliʻi ka huahana ma ka placenta. Eia naʻe, hiki i ka epidural ikaika iki ke hoʻohaʻahaʻa i ke koko o ka makuahine i hiki ke hoʻopilikia i ka puʻuwai o ka pēpē. Hiki nō hoʻi i ka makuahine e hāpai ana ke loaʻa i nā hanana pōkole ʻē aʻe: ʻūlū, ʻeha poʻo, ʻeha hope haʻahaʻa, paʻakikī i ka mimi. ʻO nā ulia pōpilikia ʻē aʻe (ʻeha neurological, haʻalulu maʻi), akā kakaʻikahi, pili ia i kekahi hana anesthetic.
ʻO ke ala o ka epidural
Hana ʻia ka epidural ma kāu noi, i ka wā hana. ʻAʻole pono e hoʻomaʻamaʻa lohi no ka mea, ʻaʻole e loaʻa ka manawa e hana ai a laila ʻaʻole pono i nā ʻokiʻoki. ʻO ia ke kumu i kau pinepine ʻia ai i ka wā o ka dilation o ka cervix ma waena o 3 a me 8 cm. Akā, pili pū i ka wikiwiki o ka hana. I ka hoʻomaʻamaʻa, hoʻomaka ka mea hoʻomaʻamaʻa ma ka nānā ʻana iā ʻoe a me ka nānā ʻana ʻaʻohe āu contraindications. E moe ana ma kou ʻaoʻao, kū a noho paha, pono ʻoe e hōʻike i kou kua iā ia. Hoʻomaʻemaʻe ia a laila hoʻomaʻemaʻe i ka ʻāpana pili. A laila ʻoi ʻo ia ma waena o ʻelua vertebrae lumbar a hoʻokomo i ka catheter i loko o ka nila, i hoʻopaʻa ʻia e kahi kāʻei. ʻAʻole ʻeha ka epidural, e like me ka mea i waiho mua ʻia e hiamoe me ka maʻi anesthesia kūloko. ʻAʻole kēia e pale i ka hopohopo i mua o ka nila 8 cm, a ʻo ia ka mea hiki ke hoʻohauʻoli i ka manawa. Hiki paha iā ʻoe ke ʻike i nā ʻili uila liʻiliʻi, paresthesias (ka hoʻohaunaele i ka manaʻo) ma kou mau wāwae a i ʻole hope pōkole ke hāʻawi ʻia iā ʻoe.
Nā hopena o kahi epidural
Aia ka epidural e hoʻopau i ka ʻeha me ka mālama ʻana i nā manaʻo. ʻOi aku ka maikaʻi a ʻoi aku ka maikaʻi o ka dosed, e ʻae i ka makuahine e ʻike i ka hānau ʻana o kāna keiki. Hana ʻia kāna hana i loko o 10 a 15 mau minuke ma hope o ka nahu ʻana a lōʻihi ma kahi o 1 a 3 mau hola. Ma muli o ka lōʻihi o ka hānau ʻana, pono paha ʻoe e hāʻawi hou i nā inikini ma o ka catheter. He mea kakaikahi, akā i kekahi manawa ʻaʻohe hopena i makemake ʻia e ka epidural. Hiki iā ia ke alakaʻi i ka maʻi anesthesia hapa: ʻaʻohe ʻāpana o ke kino a ʻo kekahi. Hiki ke hoʻopili ʻia kēia i kahi catheter i hoʻokomo maikaʻi ʻole ʻia, a i ʻole i ka nui o nā huahana. Hiki ke hoʻoponopono i kēia.
Contraindications i ka epidural
Ua ʻike ʻia he contraindications ma mua o ka hānau ʻana: nā maʻi ʻili ma ka ʻāpana lumbar, nā maʻi maʻi kō, kekahi mau pilikia neurological.
I ka wā o ka hana, hiki i nā mea hōʻaiʻē ʻē aʻe ke hōʻole i ka mea hoʻomaʻamaʻa, e like me ka puka ʻana o ke kuni, ke koko a i ʻole ka hoʻololi ʻana i ke koko.
Nā ʻano epidural hou
ʻO ka epidural ponoʻī, i kapa ʻia hoʻi ʻo PCEA (Patient Controlled Epidural Analgesia), ke ulu nei a nui aʻe. Ma kahi kokoke i ka hapalua o nā wahine i hiki ke pōmaikaʻi mai ia mea i ka makahiki 2012, e like me kahi noiʻi a (Ciane). Me kēia kaʻina hana, loaʻa iā ʻoe kahi pamu e hoʻopaʻa iā ʻoe iho i ka nui o ka huahana anesthetic ma muli o ka ʻeha. ʻO ke ʻano PCEA ka mea i hoʻemi hope loa i ka nui o ka mea hoʻomakeʻa, a kaulana loa i nā makuahine.
ʻO kekahi mea hou aʻe, akā, ʻaʻole i pālahalaha nui ʻia: epidural abulatory. Loaʻa iā ia kahi dosage ʻokoʻa, e hiki ai iā ʻoe ke mālama i ka neʻe o kou mau wāwae. No laila hiki iā ʻoe ke hoʻomau i ka neʻe ʻana a me ka hele wāwae i ka wā hana. Ua lako ʻoe me ka mākaʻikaʻi lawe lima e nānā i ka puʻuwai o ka pēpē, a hiki iā ʻoe ke kelepona i ka pale keiki i kēlā me kēia manawa.