Anesthesia iwi kuamoʻo a me epidural

ʻO ke anesthesia iwi kuamoʻo a me ka epidural nā kaʻina hana e hāʻawi i nā lāʻau e hōʻino i nā ʻāpana o kou kino e pale i ka ʻeha. Hāʻawi ʻia lākou ma o nā kī ʻana i loko a i ʻole ka puni o ka iwi kuamoʻo.

ʻO ke kauka nāna ʻoe e hāʻawi iā ʻoe i ke anesthesia epidural a i ʻole ka spinal anesthesia i kapa ʻia he anesthesiologist.

ʻO ka mea mua, hoʻomaʻemaʻe ʻia kahi o kou kua i kahi e hoʻokomo ʻia ai ka nila. E helu pū ʻia ka wahi me kahi anesthetic kūloko.

E loaʻa paha ʻoe i nā wai ma o kahi laina intravenous (IV) i kahi aa. Loaʻa paha iā ʻoe ka lāʻau i loko o ka IV e kōkua ai iā ʻoe e hoʻomaha.

No kahi epidural:

• Hoʻokomo ke kauka i ka lāʻau ma waho wale o ka ʻeke o ka wai e pili ana i kou iwi kuamoʻo. Kapa ʻia kēia wahi ākea.
• Hoʻomaʻamaʻa ka lāʻau, a palaka paha i ka manaʻo i kekahi ʻāpana o kou kino i mea e ʻemi ai ʻoe i ka ʻeha a i ʻole ʻeha ma muli o ke kaʻina hana. Hoʻomaka ka lāʻau ma kahi o 10 a 20 mau minuke. Hana maikaʻi ia no nā kaʻina hana lōʻihi. Loaʻa pinepine nā wahine i kahi epidural i ka wā hānau.
• Waiho liʻiliʻi ʻia kahi pahu (catheter) ma kahi. Hiki iā ʻoe ke loaʻa i nā lāʻau hou aʻe ma o ka catheter e kōkua i ke kaohi i kou ʻeha i ka wā a ma hope paha o kāu kaʻina hana.

No kahi ʻōiwi:

• Hoʻokomo ke kauka i ka lāʻau i loko o ka wai e pili ana i kou kaula iwi. Hoʻokahi wale nō hana ʻia kēia, no laila ʻaʻole pono ʻoe e kau i kahi catheter.
• Hoʻomaka ka lāʻau i ka mana koke.

Kou pulse, ke koko kiʻekiʻe a me ka pae o ka oxygen i loko o kou koko e nānā i ke kaʻina hana. Ma hope o ke kaʻina hana, e loaʻa iā ʻoe kahi kāʻei kahi i hoʻokomo ʻia ai ka nila.

Hana maikaʻi ka anesthesia Spinal a me epidural no kekahi mau kaʻina hana a ʻaʻole koi i ke kau ʻana i kahi pahu hanu i loko o ka windpipe (trachea). ʻOi aku ka wikiwiki o ka ʻike o ka poʻe. I kekahi manawa, kakali lākou no ka make ʻana o ka anesthetic i hiki iā lākou ke hele wāwae a i ʻole ka mimiki.

Hoʻohana pinepine ʻia ka anesthesia iwi kuamoʻo no ka genital, urinary tract, a i ʻole ke kaʻina o ke kino haʻahaʻa.

Hoʻohana pinepine ʻia ka anesthesia Epidural i ka wā hana a me ka lawe ʻana, a me ke kahakaha ʻana i ka pelvis a me nā wāwae.

Hoʻohana pinepine ʻia ʻo Epidural a me spinal anesthesia ke:

• He ʻeha loa ke kaʻina hana a hana paha me ka ʻole o ka lāʻau ʻeha.
• ʻO ke kaʻina hana i loko o ka ʻōpū, nā wāwae, a me nā wāwae.
• Hiki i kou kino ke noho i kahi kūlana hōʻoluʻolu i kāu kaʻina hana.
• Makemake ʻoe i nā lāʻau ʻōnaehana liʻiliʻi a ʻoi aku ka "hangover" ma mua o kāu e loaʻa ai i ka anesthesia ākea.

ʻO ka anesthesia Spinal a me epidural ka mea palekana. E noi i kāu kauka e pili ana i kēia mau pilikia kūpono.

• ʻO ka hopena āpau i ka anesthesia i hoʻohana ʻia
• Kahe ʻana a puni ke kolamu o ka iwi (hematoma)
• Huakaʻi paʻakikī
• E kulu i ke kaomi koko
• ʻO ka maʻi i kou iwikuamoʻo (meningitis a i ʻole abscess)
• Poino nerve
• ʻO ka hopu ʻana (kakaʻikahi kēia)
• ʻEha poʻo poʻo

E haʻi i kāu mea mālama ola:

• Inā ʻoe a hāpai paha
• He aha nā lāʻau āu e lawe nei, e like me nā lāʻau, nā mea hoʻopili, a i ʻole nā ​​mea kanu āu i kūʻai ai me ka ʻole o ka lāʻau

I nā lā ma mua o ke kaʻina hana:

• E haʻi i kāu kauka e pili ana i nā maʻi āpau a i ʻole nā ​​kūlana olakino i loaʻa iā ʻoe, he aha nā lāʻau āu e lawe nei, a he aha nā anesthesia a i ʻole sedation i loaʻa iā ʻoe ma mua.
• Inā hoʻolālā ʻia kāu kaʻina hana, noi ʻia ʻoe e haʻalele i ka lawe ʻana i ka aspirin, ibuprofen (Advil, Motrin), warfarin (Coumadin), a me nā mea ʻokiʻoki koko ʻē aʻe.
• E noi i kāu kauka i nā lāʻau e pono ai ʻoe e lawe i ka lā o kāu kaʻina hana.
• E hoʻonohonoho no kahi makua makua e hoʻokele iā ʻoe i ka haukapila a i ʻole ke keʻena maʻi.
• Inā puhi ʻoe, hoʻāʻo e kū. E noi i kāu mea nāna e hāʻawi i ke kōkua no ka haʻalele.

I ka lā o ke kaʻina hana:

• E hāhai i nā ʻōkuhi i ka wā e hōʻoki ai i ka ʻai a me ka inu ʻana.
• Mai inu i ka waiʻona i ka pō ma mua a me ka lā o kāu kaʻina hana.
• E lawe i nā lāʻau a kāu kauka i haʻi aku ai iā ʻoe e lawe me kahi wahi wai ʻuʻuku.
• E hāhai i nā ʻōkuhi i ka hiki ʻana i ka haukapila. E hōʻea pono i ka manawa.

Ma hope o kekahi ʻano anesthesia:

• Moe ʻoe i ka moena a hiki i kou noʻonoʻo ʻana i kou mau wāwae a hiki ke hele wāwae.
• Hiki paha iā ʻoe ke maʻi i kou ʻōpū a luʻuluʻu. E hala koke kēia mau hopena ʻaoʻao.
• Luhi paha ʻoe.

E noi paha ke kahu iā ʻoe e hoʻāʻo i ka mimi. ʻO kēia e hōʻoia i ka hana ʻana o nā mākala bladder. Hoʻomaha ʻo Anesthesia i nā mākala o ka bladder, e paʻakikī ana e mimi. Hiki i kēia ke alakaʻi i kahi maʻi maʻi maʻi.

ʻAʻole ʻeha ka hapa nui o ka poʻe i ka wā ʻōiwi a me nā anesthesia epidural a ola pono hou.

Anesthesia Intrathecal; Anesthesia Subarachnoid; Epidural

• Anesthesia - he aha e nīnau aku ai i kāu kauka - makua
• Anesthesia - he aha e nīnau aku ai i kāu kauka - keiki
• ʻOki kua - hoʻokuʻu

ʻO Hernandez A, Sherwood ER. Nā loina Anesthesiology, mālama ʻeha, a me ka sedation ʻike. I: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ʻO Sabiston Textbook of Surgery: Ke kumu kumu olaola o ka hana ʻoki ʻana o kēia ao. 20 ouk.Piladelapia, PA: Elsevier; 2017: chap 14.

ʻO Macfarlane AJR, ʻo Brull R, ʻo Chan VWS. Spest, epidural, a me ka anesthesia caudal. I: Pardo MC, Miller RD, eds. Nā kumu o Anesthesia. ʻEpekema 7 Piladelapia, PA: Elsevier; 2018: chap 17.