Back eha ma hope o epidural anesthesia: mea e hana ai? Epidural aeie: ka pae'ōnaehana rula, o ka hopena hōʻike manaʻo

Epidural spinal blockade - kekahi papa hana ma i lapaʻauʻia ka lawelaweia ana 'ana i loko o ke kumu o ka eha. I ka hopena o ka lilo ana o ka waiʻona ma loko o ka hoʻohuli ai i nā wahi.

Ka pākōlea ai ua loaʻa ma ka i ka wā hoʻokahi hooponopono ana o kekahi mau ai '. Manaʻoi hookomoia ma ka eiiiiiaiou i ka haʻi analgesic ia me ka mea kiekie loa lehulehu i loko o ka lesion. No hoi, aia no he reflex keiki ma luna o nā pae o ka'emi ko kahua.

He aha ka spinal blockade

He aha ka epidural anesthesia, a me kekahi nāʻikepili no kona manaʻo - mau a me na mea he nui nā mea pohihihi o ka hoihoi o ka hoʻomanawanui. 'O kēia kekahi o ka loa e like me ka ano o kūloko anesthesia hoʻohana i ka' inikua hana. Paʻa i ka blockade ma luna o kekahi mau mea o ka spinalʻaha, ke kaumaha ma muli o ka 'ano o keʻoki kino. Ma obstetrics ka mea, ua hoʻohana 'ia i loko o ka lumbar'āina, e like me ka anesthesia iloko caesarean pauku a no ka eha nui ke ola i ka hana.

Mau makahiki aku nei, i ka hanaia i ka pauku cesarean ma lalo mau anesthesia wale. Ai 'hoʻohana no ka anesthesia i ka puu o kaʻaoʻao loa. Ka hopena o ka epidural no caesarean pauku emi 'aka, e like me kaʻaneʻane oleʻaoʻao' ole i loko o ka makuahine, a me ka fetus. I ka papa kuhikuhiE lanakila o kēia 'ano o ka anesthesia, i kue i mau anesthesia, mea e hoola ike paka i ka makuwahine. Naʻe, ka mea, o ke kumukuai e hoomanao ana i manawa e hiki i pili i kēiaʻano hana, ka mea, ua nolaila, koi 'ia e hoʻomaka i ka mua keia hookolokolo ana a me ka kūkā me ke kauka.

Pehea mea spinal blockade

Ike i ka epidural mea a ka mea ua heluhelu, e hiki ke hoʻoholo i ka feasibility o kona manaʻo. Ka hana pono ka palena haʻahaʻa aʻo o ka hoʻomanawanui. Ke blockade o ia hoʻi, he ka pahu kui o painkillers ma lalo o X-Ray mana, ka hoʻolako 'pololei a me ka piha maluhia o ka hoʻomauʻana manipulation. Ka awelika lāʻau hooponopono mau emi o 20 minuke. Analgesic ai ia lŘlŘ aneane koke, a mau no i ka 6 mahina.

I ka hoʻokō 'analgesia i loko o ka hihia o ka mea hoʻi pilikia Kauka E nńnń pono i ke ahonui no 1-2 hola i loko o ka haukapila i hoʻolilo' ia a laila, ke hookuu aku oia i ka hale. Inā ka aeie hoʻolako i ka i koi 'hopena, akā, kona hookoia ua pōkole-ola, ka mea i hiki i ka hou-hoike o ka medicament.

hoike

He nui nā kanaka kahaha pehea e hana i epidural a me kekahi mau nāʻikepili no kona manaʻo. Ma kekahi, keia hana ua lawe mai:

• cesarean pauku;
• maoli ka nahunahu hanau;
• hāpai keiki, pu ma hypoxia;
• 'aʻe' ana o ka fetal naau;
• loa mai i ka makuwahine;
• malposition;
• anomalies o ka hana hope.

Obstetrics Oae, hoʻomano hoʻohana i hana epidural aeie. Ma kekahi, ka mea hiki ke lawe mai.

• ma ka hana i loko o ka crotch māhele 'āina;
• ʻoki lāʻau lapaʻau 'uao i loko o ka abdominal lua;
• urologicʻoki kino;
• ʻoki kino i vascularʻoki kino;
• ana ma ami, iwi.

Kēia kaʻina hana hiki ke hoʻohana 'ia ma ka huipūʻana me ka mau anesthesia. Kēia e me ka nui loa emi i ka laʻau heluna o painkillers, i a laila, e pono i ke ahonui.

Ke kumu pono o epidural blockade

Oia ke kaʻina hana i kekahi pono, i ka nui, e like me:

• ka hoʻomanawanui Ua manao;
• Ua hōʻoiaʻiʻo kumupaʻa o ka mea'ōnaehana mānowai koko oihana;
• hiki ke hoʻohana i ka piha'ōpū;
• Ua 'aʻole i mea nāuki mai i ka ÷ naehana hanu'āpana;
• eliminates kia-operative eha.

Ma ka noi o ka anesthesia ma cesarean pauku paha i ka hana, aoleʻawahia ia ma ke kino, a he mea ole fetal hypoxia. Ina paha e hana i ka epidural, hooholo i ka hoʻomanawanuiʻana me ke kauka, e like me ka mea i loaʻa nāʻikepili a me contraindications haawiia.

Contraindications

Anesthesia me ka hooponopono ana o anesthetic i loko o ka epidural kahua, ma ka hou ana i na nāʻikepili no ka hoʻohana 'ana, he mau contraindications. no ke aha la oe i pono e nīnau aku i ke kauka, a kiʻi i ka piha ninaninau ia mea. Contraindications paha e kūloko a me ka loa. Ka hope nā mea like:

• epilepsy;
• ake maʻi;
• neurotic kāna hana.

Eia hou kekahi, ia mea nui, e lawe i ka mooolelo kūloko a me nā contraindications, i loaʻa e like me:

• i ke alo o ka hoʻoʻino keʻano o ka hanaʻana i loko o ke kula o ka eha IIeEeAIEUAA;
• deviations mai ka ulu iwi 'ole;
• idiosyncrasy eiiiiiaiou analgesic.

ua i lawe ke hana mai i loko o kāna hana o ke koko clotting i loko o ka hihia o ke ahonui a me ka kaumaha lactation (umauma-e ai ana).

No ke aha lā hoʻi kaʻeha ma hope o ke kaʻina hana

He nui nā mea maʻi i aku nei au i kaʻeha hoʻi ma hope o epidural anesthesia.

Pain ke ala mai no keʻano o ke kumu. Mua o nā mea a pau, e ike i ka hoʻomanawanui i loa kekahi 'ākeʻakeʻa a me kona poe a me kona kino ke alakai i kaʻaoʻao' ole. Inā i ka pahu kui ua lawe mai i loko o ka wahi o ka spine, me ka eha e e loa maoli kaʻina, akā, ka mea e mau loa lōʻihi. ʻO kā mākou lōʻihi like 'ole o kaʻeha mea wale nō i kekahi mau lā.

Back eha ma hope o epidural anesthesia mea ole loa ikaika, ka eha iki blunted, i ka mea i like loa me ka eha ma hopeʻike mau injections, i loko o nā māhele o ke kino. Keia ua hoonaukiuki ma ka mea e, mai ka catheter a kui kele ma ia lŘlŘ ae hookaawale no e pili nā'aʻaʻa. Over manawa, keia kaʻeha, e hele me ka hoʻohana 'ana o kekahi ka lapaʻauʻia a me nā kūlana kanaka.

Inā hoʻi eha ma hope o epidural anesthesia, a he mea ka hoʻoʻino kaʻina, ka mea e manao ana ka ka pahu kui o ka ka pahu kui paena maʻiʻaʻai i hoʻopaʻa '. Kēia AOAIAaOO mea hiki wale nō inā 'inikua limahana pono mālama' ia ke kaʻina hana no a disinfected 'inikua mau mea, e alakai i ka maʻiʻaʻai. I ka maʻiʻaʻai ia lŘlŘ hou headache, kuni, e hoola ae i ka Kal.

Pinepine ikaika lawa hoʻi eha ma hope o epidural anesthesia. He aha e hana, a pehea e hoʻoponopono i kēia pilikia, e pono e ike pono, e like me kēia i ia i ke kumu o ka mea nui aʻe '. no ke aha la oe Pono e eʻoiaʻiʻo, e ike i ke kauka no ka hookolokolo a me ka kūpono hana i loko o ka hanana o ka iki eha ia mea.

Lapaʻau hewa i ke kaʻina hana

Inā hoʻi eha ma hope o epidural anesthesia, keia i ia i ke kumu i ka pana ua'āpono nō waiho. It E e kaulana i ka 'inikua hewa i pohihihi keia. E like me ka rula, ka mea e pili ana i lawa hana o ke kauka. E noonoo i kekahi o ka waiwai o ka anesthesia i ka nahunahu hanau.

Kumu ao i ke kaʻina hana ke hana ino i na kumu o ka spinal kaula. loa paʻakikī e komo i loko o ka epidural kahua, no laila, i ke kaʻina hana i ke aloha no hoi:

• na moku ke koko;
• hernia;
• spinal kaula.

Pakahi aku la ia mea poino ke aʻalolo aʻa o ka spinal kaula.

Mai ka wahi o ka lāʻau hooponopono i na mea he nui na moku koko, ke kauka i hina ma luna o venous plexus. Ka eha ma keia hihia holo kona iho, me ka 'inikua' uao. Ua hoomahuahua ia ka pilikia o keia ano o ka hewa i loko o nā mea maʻi lawe ka lapaʻauʻia ai 'i ka hoʻoikaika' ana i ke koko pele.

No hoi i ke kaʻina hana hiki e eha hernia. I mea e pale aku i na 'ole ia mea e pono e hoʻomaka i ka piha ninaninau o ka spine mua o ka blockade.

nā aʻalolo a hāʻule pahū wale i ke poino. Ma ia i ka hihia, ai ka hopena hiki ia mea nui. Ua pau hilinaʻi nui ma luna o ka hohonu o ka puka kuikele, hele akula i loko. E like me ka hopena, oe e 'ike nāʻano likeʻole o neurological abnormalities. E like me 'oe ke ike, i ka hopena o ka' inikua hewa hiki e loa nui, no laila, ke blockade pono e lawe mai ma ka palapala hōʻoia a me ka hoao ana i ka 'Oihana.

Hoʻopau o kaʻeha ma hope o ke kaʻina hana

I hana epidural anesthesia ua hoʻohana 'ia i loko o loa hoopii, no ka hanau i ka pilikia no ka hoʻomanawanui. Inā ma hope o potsedury loa spine eha, oe e ike koke halawai me kou kauka, a mai i halihali i ka eha. Hou ka hana, e hilinaʻi ma ka kumu o ka eha. Ke kauka makemake hookolokolo, a i hoakaka ia kūpono Inc. I hookuu, ka hoʻomanawanui Ua hookuuia painkillers a me nā wikamina.

Inā, i ka hooponopono ana o ka lāʻau i ua lawe maʻiʻaʻai, ka li nui ke kānāwai. Ma keia hihia, no ka iapaau ana, e mau hou a koi i ka luna 'ia ma luna o ke kumu o ka eha. Ma ke alo o ka maʻiʻaʻai i koi 'Anati-hoʻoʻino ka lapaʻauʻia ai' a me antibiotics e kōkua hoʻopau li nui, a luku aku i ka pathogen. I Kekahi Mau lāʻau pono koho i kekahi kauka. Pakiko-lapaʻau i loko o ia mau hihia nei unacceptable.

Pus ho okumu hoʻopau maʻoki kino wale. 'Eleu komo i ke kauka e kōkua laulaha hou laha o ka maʻiʻaʻai.

E hoʻopau hoʻi eha ma hope o epidural anesthesia ua hoʻohana 'ole wale painkillers. Other pono ka ano o ka pākōlea 'uao i:

• osteopathy;
• Mākēneki.

Osteopathy kōkua hoʻihoʻi hou ka hoʻoneʻe o ka pōʻino, ua make wahi o ka spine. Naʻe, ka wā e mālama nei ia i ka hana e pono ke lawe i ka mooolelo o ka ano kanaka o ka meaola o kēlā me kēia ahonui, a me hoÿomaulia a pau na ka pilikia.

ʻume mākenēki Inc hōʻeleu i ka regenerative keʻano o ka hanaʻana lawe wahi, aʻo ka mea nui wikiwiki e ola. Pinepine, keia hana ua hoʻohana 'ia i lactation, e like me ke alo o contraindications o ka lāʻau Inc.

Duration o ka iapaau ana me ka nānā 'wale ma ka hele kauka, ma muli o ka loaʻa kekahi hōʻike, i ka lapaʻau kiʻi a me contraindications. E hou koke hoʻopau kaʻawaʻawa loa ola ka waiʻona ma ke, e hiki ke lawe i ka papa o ka manuale Inc. Kēia e e hoʻopau wale i ka eha, akā, i hoʻoikaika 'ami ka hoʻoneʻe, Muscle leo a me ka hana ana o na ligaments.

prophylaxis

Ike aha ia mea - "epiduralka e hānau ai a me ka hana" e like me ka hopena i keia ina hana, e hiki ke koho i ke ki ina hana like o ka Kāohiʻana i mea e pale aku i ka hanana o ka eha. Ma ka hooko ana mai kāohi ana complications ma hope o ke kaʻina hana hiki e nui minimized.

Kaʻawaʻawa loa hopena hiki e na kanaka me ka loa ke kaupaonaʻana, a no ke aha la oe e ho'āʻo i ka mana ia ia ma ka maʻamau huahelu mea. E koho i kekahi e pono ai keʻai, e hiki ke kipa i ka nutritionist. Mau malama mea pono ke kanaka hoʻoponopono kā lākouʻai i hāpai keiki.

He nui ka hana kūikawā kino, e hooikaika i ka nāʻiʻo, akā, e nele he kanaka hiki mai. Nolaila, he mea pono e lawe mai i ka mua ka papa kaʻi. E Pono e kanaka hoʻoponopono i ka moku'āina o ka'ōnaehana paleʻea oihana, o ka oi aku ina he mea kekahi predisposition i allergic reactions. Eia hou kekahi,ʻai ana o kekahi ka lapaʻauʻia mea e loli i ke hoʻomanawanui i ka ke ano. Prior i ka epidural anesthesia ke hoʻomanawanui, e nīnau aku i ke kauka, a hai aku la ia ia e pili ana i nā mea a pau i ka lapaʻauʻia alaila e kaili.

Hana anesthesia ke kaʻina hana no mea e pono ai wale nō i loko o ka Hooia Ho 'Oponopono i i ke kaulana maikai. Mālama '-pono e heluhelu i hōʻike manaʻo a me nā koi o ka hoa.

Ma ka postpartum au a koke ma hope oʻoki kino uaʻaʻole pono e hookiekie ae i paona, e like me keia hiki i loa eha ma ka hope. Mai kiʻi he nui loa e haawe i ka spine a hiki i ka manawa e like me ka mea,ʻaʻole na nāʻiʻo pono kiʻi ikaika.

Backʻeha ua kākaʻikahi triggered e epidural anesthesia. Pinepine keia hiki aku i na mea he nui 'ē aʻe, me ka maikai, e like me ka nele o ka professionalism o ke Kauka, ka maʻi o ka na nā loko, a overweight. Akā, ma kekahi hihia, ma ka iki nā hōʻailona e pono e kipa i kekahi kauka.

Reviews

He nui na wahine i hoihoi i ka mea ia mea - "epiduralka ma ka hanau" - a me kēia kaʻina hana e loli ai i ka ano o ka makuahine a me ke keiki pehea. He nui nā hōʻike manaʻo paipai i keia mea he pono pakele kaʻina hana, a kokokeʻaʻohe contraindications. Eia hou, a me ka pono o kona hana, aole ia i hoʻomaka ai complications a me kaʻaoʻao 'ole.

He nui nā mea maʻi e olelo aku nei ia ma hope o ia ke kaʻina hana ua hoailono aku la wale kekahi hōʻemi iki kaʻeha ma ka puncture paena, a he uuku numb. E like me ia kekahi kanaka, no kekahi mau lā, i manao ai kaʻeha ma ke kua, a he nui loa ka hewa headache. Ma ia hihia i ka hoʻomanawanui hōʻike i ka moe pololei a me ka symptomatic Inc.