No ke aha e makemake maoli ai ʻoe e kiʻi i kēlā Epidural — Ma waho o ke kōkua ʻeha

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Inā hāpai ʻoe a i hānau ʻia e kahi mea kokoke iā ʻoe e hānau, maopopo paha iā ʻoe pau loa e pili ana i nā epidurals, kahi ʻano anesthesia e hoʻohana mau ʻia i ka lumi hāʻawi. Hāʻawi pinepine ʻia lākou ma mua koke o ka hānau ʻana o ka ʻōpū (a i ʻole C-ʻāpana) a hāʻawi ʻia e ka hoʻopili ʻana i nā lāʻau i loko o kahi liʻiliʻi ma ka ʻaoʻao haʻahaʻa ma waho pono o ka iwi kuamoʻo. ʻO ka maʻamau, manaʻo ʻia nā epidurals he ala palekana a maikaʻi loa e hoʻopau ai i ka ʻeha i loaʻa i ka wā hānau. ʻOiaʻiʻo, makemake nā wahine he nui e hele no kahi hānau kūlohelohe, kahi liʻiliʻi e hoʻohana ʻia ai nā lāʻau lapaʻau, akā ʻo kahi epidural kokoke ia he mea nui ka liʻiliʻi o ka ʻeha i ka wā o ka hānau ʻana. I kēia manawa, ʻike nui mākou e pili ana i nā pono kino o ka loaʻa ʻana o kahi epidural, akā ua kaupalena ʻia ka ʻike e pili ana i kā lākou hopena noʻonoʻo.

I loko o kahi noi hou i hōʻike ʻia i ka hui makahiki o ka ʻAhahui ʻAmelika o Anesthesiologists, ua wehewehe nā kānaka noiʻi ua loaʻa iā lākou kahi kumu hou aʻe e makemake ai nā wahine e noʻonoʻo e kiʻi i kahi epidural. Ma hope o ka loiloi ʻana i nā moʻolelo hānau o nā makuahine hou ma mua o 200 i loaʻa i nā epidurals, ua ʻike nā mea noiʻi ʻaʻole i maʻalahi ke kaumaha o ka postpartum i nā wahine i loaʻa i nā epidural i kūpono i ka hoʻomaha ʻana i ka ʻeha. ʻO ke kaumaha postpartum, kahi i hōʻike ʻia e nā ʻōuli e like me ke kaumaha o ke kaumaha akā me nā pilikia i hoʻohui ʻia e pili ana i ka makuahine hou, pili i hoʻokahi o ʻewalu mau makuahine hou e like me nā Centers for Disease Control, e hoʻolilo ana ia i pilikia maoli a maʻamau. ʻO ka mea nui, ua ʻike nā mea noiʻi ʻoi aku ka maikaʻi o ka epidural, ʻoi aku ka haʻahaʻa o ka pilikia o ka postpartum depression. Nā mea kupaianaha nani.

ʻOiai he nūhou maikaʻi kēia no nā wahine e noʻonoʻo ana i nā epidural, ʻōlelo ka poʻe noiʻi ʻaʻole i loaʻa iā lākou nā pane āpau. "ʻOiai ua loaʻa iā mākou kahi hui ma waena o nā wahine i ʻike liʻiliʻi i ka ʻeha i ka wā o ka hana a me ka haʻahaʻa haʻahaʻa no ke kaumaha postpartum, ʻaʻole mākou i ʻike inā ʻo ka mālama ʻana i ka ʻeha me ka analgesia epidural e hōʻoiaʻiʻo i ka pale ʻana i ke ʻano," wahi a Grace Lim, MD, ka luna o ka anesthesiology obstetric. ma Magee Women's Hospital o ke Kulanui o Pittsburgh Medical Center a alakaʻi i ka mea noiʻi ma ke aʻo ʻana i kahi hoʻolaha paʻi. "Hiki ke hoʻomohala ʻia ke kaumaha ma hope o ka hānau ʻana mai nā mea he nui e like me nā loli hormonal, ka hoʻololi ʻana o ka naʻau i ka makuahine, ke kākoʻo kaiāulu, a me ka mōʻaukala o nā maʻi psychiatric." No laila ʻaʻole hōʻoia kahi epidural e hōʻalo ʻoe i ke kaumaha postpartum, akā aia he pilina maikaʻi ma waena o nā hānau ʻeha ʻeha a loaʻa ʻole.

ʻO ke koho ʻana i kahi ʻano hāʻawi he hoʻoholo pilikino loa ia e hoʻoholo ʻia ma waena o ka wahine a me kāna kauka (slash mid-wife). A koho ʻiʻo paha ʻoe i kahi hānau kūlohelohe no nā kumu like ʻole: hiki i nā epidurals ke hoʻolōʻihi i ka hana a hoʻonui i kou mahana, a ʻōlelo kekahi mau wahine e kōkua ke hānau kūlohelohe iā lākou i ka wā hānau. Ke hopohopo nei kekahi mau makuahine e pili ana i nā hopena ʻaoʻao epidural e like me ka hypotension (kahi hāʻule o ke kahe koko), ʻona, a me ke poʻo ʻeha koʻikoʻi ma hope o ka hānau ʻana, e like me kā mākou kaikuahine pūnaewele. Kūpono Hapai. Eia nō naʻe, kakaikahi ka hapa nui o nā pilikia a ʻaʻole pōʻino ke mālama koke ʻia.

I kēia manawa, me he mea lā e pono hou ana kahi noiʻi e hoʻomaopopo i ka hopena piha o nā epidurals ma ka hopena o ke kaumaha postpartum, akā inā ʻoe e maopopo leʻa e loaʻa ana kekahi, kēia ʻike hou maopopo he hoʻokipa.

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