Anesthesia Epidural: he aha ia, ke hōʻike ʻia a hiki paha i nā pilikia

Anter

• Ke kuhikuhi ʻia
• Pehea e hana ai
• Nā pilikia paha
• Mālama ma hope o ka anesthesia
• Nā ʻokoʻa ma waena o epidural a me ka iwi kuamoʻo

ʻO ka anesthesia Epidural, i kapa ʻia ʻo anesthesia epidural, kahi ʻano anesthesia e ālai ana i ka ʻeha o hoʻokahi wale nō ʻāpana o ke kino, ʻo ka maʻamau mai ka pūhaka i lalo e pili pū ana me ka ʻōpū, hoʻi a me nā wāwae, akā hiki ke ʻike ke kanaka i ka pā a me ke kaomi. Hana ʻia kēia ʻano anesthesia i hiki i ke kanaka ke makaʻala i ka wā o ke ʻoki, no ka mea ʻaʻole ia e hoʻopili i ka pae o ka ʻike, a hoʻohana pinepine ʻia i nā kaʻina hana maʻalahi, e like me ka ʻāpana cesarean a i ʻole nā ​​hana gynecological a i ʻole nā ​​hana nani.

No ka hoʻokō ʻana i ka epidural, hoʻopili ʻia ka lāʻau anesthetic i ka ākea vertebral e kiʻi ai i nā aʻalolo o ka ʻāina, me kahi hana manawa ʻole, kaohi ʻia e ke kauka. Hana ʻia ia i loko o nā haukapila me kahi kikowaena ʻoki, e ka mea anesthetist.

Ke kuhikuhi ʻia

Hiki ke hoʻohana ʻia ka anesthesia Epidural no nā kaʻina hana e like me:

• Caesarean;
• Hoʻoponopono ʻo Hernia;
• ʻO nā hana maʻamau ma ka umauma, ʻōpū a me ke akepaʻa;
• ʻO nā hana orthopedic o ka uha, nā kuli a me nā pelvic;
• Nā ʻoki lāʻau gynecological e like me ka hysterectomy a i ʻole ke ʻoki liʻiliʻi ma ka papakū pelvic;
• ʻOki lāʻau Urological e like me ka hemo ʻana o ka prostate a i ʻole nā ​​pōhaku hakuʻala;
• ʻO nā kīʻaha vascular e like me ka ʻoki ʻana a i ʻole revascularization o nā kīʻaha koko i nā wāwae;
• Nā hana pēpē pēpē e like me inguinal hernia a i ʻole nā ​​ʻoki orthopedic.

Hoʻohui ʻia, hiki ke hana i ka epidural i ka wā hānau maʻamau i nā hihia kahi he nui nā hola hana a ka wahine a i ʻole ʻeha ʻeha nui, e hoʻohana ana i ka analgesic epidural e hoʻomaha ai i ka ʻeha. E ʻike pehea e hana ʻia ai ka anesthesia epidural i ka wā hānau.

Manaʻo ʻia ʻo ka anesthesia epididia he palekana a pili pū ʻia me ka haʻahaʻa o ka tachycardia, thrombosis a me nā pōpilikia pulmonary, akā ʻaʻole ia e pili i ka poʻe i loaʻa i nā maʻi ʻino a i ʻole kahi e hoʻopili ʻia ai ka anesthesia, ʻaʻole hoʻi i ka poʻe i loli i ka iwi kuamoʻo, kahe ana ke kumu me ka ʻole o ke kumu a i ʻole e hoʻohana nei i nā lāʻau anticoagulant. Eia hou, ʻaʻole koi ʻia ka noi o kēia anesthesia i nā hihia kahi hiki ʻole i ke kauka ke huli i ka wahi epidural.

Pehea e hana ai

Hoʻohana pinepine ʻia ka anesthesia Epidural i nā hana liʻiliʻi, he mea maʻamau ia i ka ʻāpana cesarean a i ka wā o ka hānau maʻamau ʻana, no ka mea he ʻalo ia i ka ʻeha i ka wā hana a ʻaʻole hōʻeha i ka pēpē.

I ka wā anesthesia, noho ka mea maʻi a hilinaʻi i mua a moe paha i kona ʻaoʻao, me ke kuli ʻana o kona mau kuli a kau i kona ʻae. A laila, wehe ka mea anesthetist i nā ākea ma waena o ka vertebrae o ka iwi kuamoʻo me ka lima, e hoʻopili i kahi anesthetic kūloko e hoʻoliʻiliʻi i ka hōʻoluʻolu a hoʻokomo i ka nila a me kahi paipu plastic lahilahi, i kapa ʻia he catheter, e hele ma waena o ka nila.

Me ka catheter i hoʻokomo ʻia, inject ke kauka i ka lāʻau anesthetic ma o ka paipu a ʻoiai ʻaʻole ʻeha, hiki ke ʻike ʻia i kahi prick liʻiliʻi a akahai ke kau ʻia ka nila, a ukali ʻia e ke kaomi a me ka ʻano pumehana ke ʻano ka lāʻau. noi ʻia. ʻO ka maʻamau, hoʻomaka ka hopena o ka anesthesia epidural 10 a 20 mau minuke ma hope o ka noi.

I kēia ʻano anesthesia, hiki i ke kauka ke kaohi i ka nui o ka anesthetic a me ka lōʻihi, a i kekahi manawa, hiki ke hoʻohui i ka epidural me ka iwi kuamoʻo e loaʻa ai ka hopena wikiwiki a hana paha i ka anesthesia epidural me ka sedation i loko o lākou. hoʻokomo i ka hiamoe i ke aa.

Nā pilikia paha

Kākaʻikahi loa nā makaʻu o ka anesthesia epidural, akā naʻe, aia paha ke kulu o ke kahe koko, ka haʻalulu, ka haʻalulu, ka nausea, ka luaʻi, ke kuni, ka maʻi, nā ʻāʻī nerve kokoke i ka pūnaewele a i ʻole ke kahe koko.

Eia hou, he mea maʻamau ka ʻike ʻana i ka ʻeha poʻo ma hope o ka anesthesia epidural, i hiki ke hana ma muli o ka ninini ʻana o ka wai cerebrospinal, kahi wai e puni ana i ka iwi kuamoʻo, i hoʻokumu ʻia e ka nila.

Mālama ma hope o ka anesthesia

Ke hoʻopau ʻia ka epidural, aia ka maʻamau ka numbness e mau ana i kekahi mau hola ma mua o ka hoʻomaka ʻana o nā hopena o ka anesthesia e nalo, no laila he mea nui e wahaheʻe a noho paha a hoʻi ka sensation i kou mau wāwae i ka maʻamau.

Inā ʻeha ʻoe, pono ʻoe e launa i ke kauka a me ke kahu iā ʻoe i hiki ai ke mālama ʻia me nā painkillers.

Ma hope o ka epidural, ʻaʻole pono ʻoe e hoʻokele a inu waiʻona paha, ma ka liʻiliʻi ma waena o 24 mau hola ma hope o ka anesthesia. E ʻike he aha nā hana nui e pono ai e ola wikiwiki aʻe ma hope o ke kaha ʻana.

Nā ʻokoʻa ma waena o epidural a me ka iwi kuamoʻo

ʻOkoʻa ka anesthesia Epidural mai ka anesthesia spinal, no ka mea ua noi ʻia i nā wahi like ʻole:

• Epidural: ʻaʻole kuʻi ke kui kele i nā maninges āpau, ʻo ia nā membrane e hoʻopuni ana i ka iwi kuamoʻo, a hoʻonoho ʻia ka anesthetic a puni ka aʻa iwi kuamoʻo, i ka nui a ma o ka catheter ma ke kua, a lawelawe wale ia e hoʻopau i ka ʻeha a haʻalele. ka ʻāpana nul, eia nō naʻe, hiki i ke kanaka ke ʻike i ka hoʻopā a me ke kaomi;
• Spinal: kuʻi ka nila i nā meninges āpau a hoʻopili ʻia ka anesthetic ma loko o ka kolamu spinal, i ka wai cerebrospinal, ʻo ia ka wai e hoʻopuni ana i ka iwi kuamoʻo, a hana ʻia i ka manawa hoʻokahi a me ka liʻiliʻi o ka nui, a lawelawe i mea e maloʻo ka ʻāina.

Hoʻohana maʻamau ka epidural i ka hānau hānau, no ka mea e ʻae ʻia e hoʻohana i nā lāʻau he nui i loko o ka lā, ʻoiai ke hoʻohana ʻia ka ʻōiwi e hana i nā ʻōpala, me hoʻokahi wale nō ka lāʻau o ka lāʻau anesthetic e hoʻopili ʻia.

Ke koi ʻia ka anesthesia hohonu, hōʻike ʻia ka anesthesia ākea. E ʻike pehea e holo ai ka anesthesia ākea a me kāna mau pilikia.