Palaka Epidural - hāpai keiki

ʻO kahi poloka epidural kahi lāʻau numbing i hāʻawi ʻia e ka injection (shot) i ka hope. Hoʻomaʻamaʻa a kumu ʻole i ka nalo o ka manaʻo i ka hapa haʻahaʻa o kou kino. Hoʻoemi kēia i ka ʻeha o nā kuʻikuʻi i ka wā hānau. Hiki ke hoʻohana ʻia kahi palaka epidural e hōʻemi i ka ʻeha i ka wā o ke ʻoki ʻana ma nā ʻaoʻao haʻahaʻa. Kuhi kēia ʻatikala i nā palaka epidural i ka wā hānau.

Hāʻawi ʻia ka palaka a kī ʻia i loko o kahi ma luna o kou kua o lalo.

• E noi paha ʻoe e moe ma kou ʻaoʻao, a i ʻole noho ʻoe i luna.
• Ma kēlā a me kēia ala, e noi ʻia ʻoe e huki i kou ʻōpū i loko a huki i kou kua i waho.

E holoi kāu kauka olakino i ka wahi o kou kua a kiki i kahi lāʻau liʻiliʻi e hoʻopau i ka wahi e kau ʻia ai ke kui kele.

• Hoʻokomo ka mea hāʻawi i kahi nila i kou kua haʻahaʻa.
• Hoʻokomo ʻia ka nila i loko o kahi wahi liʻiliʻi ma waho o kāu kaula iwi.
• Hoʻokomo ʻia kahi ʻōmole palupalu liʻiliʻi (catheter) i loko o kou kua, ma hope o kou kuamoʻo.
• Wehe ʻia ka nila.

Hāʻawi ʻia ka lāʻau numbing ma o ka paipu no ka mea e pono ai.

I ka hapanui o nā hihia, e loaʻa ʻoe i kahi lāʻau haʻahaʻa no ka mea ʻoi aku ka palekana no ʻoe a me pēpē. Ke holo pono ka lāʻau (10 a 20 mau minuke), pono ʻoe e ʻoi aku ka maikaʻi. ʻIke paha ʻoe i kekahi kaomi hope a pololei paha i ka wā o ka hoʻoliʻiliʻi.

E haʻalulu paha ʻoe ma hope o kahi epidural, akā maʻamau kēia. Weliweli nā wahine he nui i ka wā hana me ka ʻole o kahi epidural.

Ua hōʻike ʻia nā noiʻi he ala palekana kahi epidural e mālama i ka ʻeha i ka wā hānau. ʻOiai he kakaikahi, aia kekahi mau pilikia.

E hāʻule paha kou kaomi koko no kekahi manawa pōkole. ʻO kēia ka mea e hoʻonā i ka puʻuwai o ka pēpē e lohi.

• I mea e hōʻalo ai i kēia, e loaʻa nā wai iā ʻoe ma o ka laina intravenous (IV) e kōkua i ka paʻa o kou kaomi koko.
• Inā hōʻike kou kaomi koko i kahi kulu, pono paha ʻoe e moe ma kou ʻaoʻao e hoʻomau i ke koko e neʻe i kou kino.
• Hāʻawi paha kāu mea hāʻawi iā ʻoe i ka lāʻau e hoʻāla i kou kaomi koko.

Hiki ke hoʻololi a hoʻololi paha i kahi palaka epidural i ka hana a me ka lawe ʻana.

• Inā ʻōlohelohe loa ʻoe mai ka palaka, hiki iā ʻoe ke paʻakikī i ka lawe ʻana i lalo i kāu pēpē ma o ka puka hānau.
• Hoʻemi a hōʻemi paha nā kuʻikahi i kahi manawa iki, akā e neʻe pū ka hana e like me ka mea e pono ai. I kekahi mau hihia, hele wikiwiki paha ia. Inā lohi kāu hana, hiki i kāu kauka ke hāʻawi iā ʻoe i ka lāʻau e wikiwiki ai kāu hana. ʻOi aku ka maikaʻi ke kali a hiki i kāu hana hana e kau ai i ka epidural.

ʻO nā hopena ʻē aʻe i loaʻa ʻole:

• Hiki paha iā ʻoe ke ʻehaʻeha ma hope o kāu epidural akā he kakaikahi kēia.
• Hiki i ka lāʻau lapaʻau ke komo i kāu wai ʻōiwi. No kekahi manawa pōkole, hiki iā ʻoe ke hoʻoluhi, a i ʻole he paʻakikī paha i ka hanu ʻana. Hiki iā ʻoe ke hopu i ka hopu. Kākaʻikahi kēia hoʻi.

Aia he 2 ʻano:

• Palaka epidural "Walking". ʻO kēia ʻano epidural e hoʻēmi i kou ʻeha, akā hiki nō iā ʻoe ke neʻe i kou mau wāwae. ʻAʻole hiki i ka hapa nui o nā wahine ke hele wāwae, akā hiki iā lākou ke neʻe i ko lākou mau wāwae.
• Paukū epidural hui pū. Hoʻohui kēia i kahi āpau a me ka palaka epidural. Hāʻawi ia i ka hōʻoluʻolu ʻeha me ka wikiwiki loa. Hoʻohana ʻia ka palaka hui ke hana nui nā wahine a makemake koke i ke kōkua.

Lawe - epidural; Hana hana - epidural

• Epidural - moʻo

ʻO Hawkins JL, ʻo Bucklin BA. Anesthesia ʻōiwi. I: Landon MB, Galan HL, Jauniaux ERM, et al, eds. Nā Kāpena Gabbe: Nā Pregnancies Maʻamau a me nā Pilikia. 8th ed. Piladelapia, PA: Elsevier; 2021: chap 16.

ʻO Nathan N, Wong CA. Spest, epidural, a me cestal anesthesia: anatomy, physiology, a me ke ʻano hana. I: Chestnut DH, Wong CA, Tsen LC, et al, eds. ʻO Chestnut's Obstetric Anesthesia: Nā Manaʻo a me ka Hoʻomeheu. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2020: chap 12.

Sharpe EE, Arendt KW. Anesthesia no nā ʻōpū. I: Gropper MA, ed. Miller Anesthesia. 9th ed. Piladelapia, PA: Elsevier; 2020: chap 62.

• Anesthesia
• Hānau keiki