Rehunga epidural: pānga, contraindications, pōauautanga, arotake

I nga ra katoa, i roto i haumanu rata e he maha nui o ngā mahi. e kore e taea, kahore e tika analgesia, rehunga e te hiahiatia tika wawaotanga hāparapara, te kore mau e kia fuu taua mamae. He maha ngā momo o te rehunga. Tenei titiro tuhinga i te mea he rehunga epidural, i roto i ētahi wā, ka taea te whakamahi i te reira, ki te reira he contraindications.

He aha te mea rehunga epidural

Tenei momo o te rehunga ko tetahi o nga tikanga mo te rehunga rohe. rehunga epidural - ko te whakataki o taero tika ki te wāhi epidural o te tīwae filosilivá roto i te pū tōngāmimi. I roto i te akoranga o te rehunga he taea ki te whakatutuki i te hua e whai ake nei:

• Mate o te mamae tūtohutanga.
• Heke tata riro tūtohutanga whānui ranei.
• whakangā uaua.

Ko te tikanga o te mahi o te rehunga epidural tika ki te meka e ô i te tarukino te ringaringa dural i roto i te wāhi subarachnoid, hua i roto i te irava āraia o ponana karere.

Ko te parau tumu o te mahi o te rehunga epidural

I roto i te tangata, te tuarā me te hopearaa karere i runga i te kaki kei roto i te Rura. Kei rohe epidural te huri noa i te anga, me te rere haere te tuaiwi. Raru i roto i te ahunga o te kaki, ringa me pokohiwi whiti reira, arata'i ratou mumura ki te mamae i roto i te rohe epidural.

Drugs e whakahaeretia ana i roto i tenei rohe ai te mate o te aau mahora, ee haaparuparu i te mamae. Poraka te tuku o ponana karere, e homai he pānga taua.

A, no te te whakamahi i te epidural

Whakaaro e tenei momo o te rehunga whakamahia i roto i te pokanga i roto i ngā wāhi rerekē o te tinana, e nehenehe tatou e te mea e kia nui iti ranei te mōrea o te tono. Hei tauira, rehunga epidural te pouaka, tapatapa, waewae, me te puku, ko te iti meá atu analgesia i roto i te kaki, me te ringa. Ko te whakamahi o taua rehunga mo te upoko e taea, no te mea o te innervation o te tinana e te tikanga o te pūnaha roro pāmamae.

Kei te tino maha whakamahia rehunga epidural:

1. Ka rite ki te rongoā rohe, ki te kahore tikanga wawaotanga hāparapara, hei tauira, i roto i te mahi.
2. Ka rite ki te tānga ki te rehunga whānui, ki te taea ki te whakaiti i te maha o opioids whakamahia.
3. whakamahia pinepine rehunga epidural mō te wāhanga cesarean.
4. I roto i te wā postoperative mō te mamae.
5. Hoki te maimoatanga o te mamae hoki. I roto i tenei take, i te rohe tāuru steroids epidural me Pë.

He aha te rehunga ki hoatu hiahia ki, rehunga whānui epidural ranei, whakatau i roto i ia take i te tākuta.

Methods mō te rehunga epidural

Katoa tau i roto i te täoro o rata i reira he moni atu matatau ki te kawe i tenei momo o te rehunga. A, no te reira te mea he pai rawa o taote: rehunga whānui epidural ranei, kua whiriwhiria te muri, ki te taea. kōwhiringa nui o raau taero mo te hui ka taea ki a koe te whiriwhiri mō ia manawanui te kōwhiringa tino tika.

I tua atu ki te momo o te raau taero no te rehunga, i reira e he momo o huarahi taua rehunga:

1. Motukore. I roto i tenei take, kua patia te faataoto ki te wāhi tuaiwi tonu. I roto i tenei ara ko reira taea ki te whakatutuki i mamae te tauturu i te wā katoa o te mahi, a ko te kupu rapu tarukino iti.
2. whakahaere Periodic. whakaratohia Receipt o te tarukino te anake ka reira ko tenei hiahia akiaki.
3. Rehunga mō te tono a te manawanui. A, no te te whakamahi i tenei tikanga ko te manawanui i raro i nga ringa o te pātene. Ki te kahore he he hiahia mo te rehunga, ka ina pāwhiri koe i runga taua mea i roto i te rohe epidural mahi wahi o te tarukino.

Ko matou rata taua taka, e he mamae maitai poro, engari te pupuri i te nekeneke, ka mahue mahara te mārama.

I roto i ētahi wā, whakaaturia rehunga epidural te

Te nuinga o tākuta whakapono ko tino pai tenei tikanga o te rehunga ka mahi ratou waewae ki runga ki. āhei te reira ki a koutou te tango kore anake te mamae, me te wātea mai i te uaua nui taea, engari ano ki te whakaiti mate toto.

Ka taea e whai Tuhinga mō te rehunga epidural he pūāhua rerekē, pērā i:

1. Ko te tikanga tino haumaru mō te täkihi me te repeure tenei.
2. Kei te tono te reira ki te kōhao puku me papatoiake iti.
3. Whānui e whakamahia ana i roto i te pokanga i runga i te puku, ngā whēkau.
4. Ka taea te whakamahi i te reira i roto i mate ngakau, me te mate huka.

Otiia e kore e tenei te tikanga e i roto i taua pathologies te whakamahia tonu te epidural. faaoti mea katoa i roto i ia take takitahi.

Contraindications mō te whakamahi

He te contraindications e whai ake nei rehunga epidural: categorical me whanaunga. I roto i te kāwai tuatahi he:

• Ko te aroaro o te spondylitis tuberculous me ona pōauautanga.
• Ko te tukanga inflammatory i roto i te hoki.
• He āhua o te ru rite ki te hua o te whara.
• I roto i te aroaro o nui haere te tūtohutanga ki raau taero whakamahia.
• Māuiuitanga o te pūnaha io.
• Ki te te tino hauā te tuaiwi.
• Hono fakahohaasi te tukanga o te upoo- toto.
• He mate taumaha kōhao intraperitoneal.
• Ileus.

contraindications whanaunga nui nui, ngā enei:

• Taumaha.
• Ko te huru rawakore o te tinana.
• mate mau o te tīwae tuaiwi.
• tau o ngā tamariki.
• mate Neurological.
• Hypotonia me te tini ke atu.

Ka whakawhirinaki te kounga o te rehunga epidural kore anake i runga i te māuiuitanga ngā me te hauora o te manawanui, engari ano hoki i runga i te tarukino e hiahia ana koe ki te whakamahi i.

rehunga epidural i motu whakawhānau

A, no te reira he tohu katoa mō te wāhanga cesarean, he reira maha hei utu o rehunga whānui mā te whakamahi i te epidural. whiriwhiri i tēnei tikanga i roto i mua, kia rite titau te reira i te tahi mau whakangungu.

hanga whakahaere Drug te i te wahi motuhake i te taumata o te hope te wahi e kei te hopearaa karere i roto i te ua. whakahaere te raau e na roto i te ngongo motuhake, he pū tōngāmimi i roto i te pokanga i tetahi wa, ka taea e koe te tāpiri i rongoā.

Ka rite ki te hua o te rehunga, he mārama mahara, me te tūtohutanga i raro i te whitiki riro. Ka taea e kite te wahine, me te whakarongo i te taote, engari e kore e ite mamae.

A, no te fehangahangai ki te kōwhiringa - epidural ranei rehunga whānui mō te wāhanga whakawhānau - kia tango ki pūkete nga tohu me contraindications mō te rehunga.

Tuhinga hoki taua rehunga

Nuinga o ngā wā, whakamahia te rehunga epidural:

1. Ki te timata mahi i mua o te wa, mo te tauira, i runga i 36-37 wiki. Taua rehunga te whakakahore te uaua o nga papatoiake, a kahore he kawenga rite nui i roto i te mua i roto i te awa whanau te matenga o ngā wheako o te tamaiti.
2. takawhita Pākaha.
3. mahi Discoordination, ka nga wahi ngā o te kirimana kōpū ki rerekē kaha. rehunga epidural taea ki haaparuparu te kaha o nga contractions.
4. I roto i auroa mahi, ka kore te mea he wa roa he whakangā tonu. Tenei e taea e arahi ki kōhikohiko whanau, na te whakamahi i rehunga epidural ki te wahine ki te riro te kaha.

contraindications

I tua atu ki te whakaaturanga, i roto i te take o te wāhanga whakawhānau e hoki contraindications mo taua rehunga, ngā ratou:

• Ko te aroaro o te mumura i te pae poka.
• mate hopuhopu.
• He urupare kë ki te rongoā.
• I roto i te aroaro o te uterine nawe.
• Ki te kei te tamaiti te transversely e te tūranga matahao ranei.
• papatoiake kuiti whaea.
• tamaiti taimaha nui.
• Ki te kore e te wahine e hiahia ana tenei momo o te rehunga, e kore e taea e te tākuta te whakamahi i te reira ki tona i pai ai.

I mua i te tono i te rehunga epidural, te pānga, huapai me ngā huakore ki te kia whakaaro.

Painga o rehunga epidural mō te wāhanga whakawhānau

Ko te painga o tenei momo o te rehunga ngā:

1. Women puta noa te mahi, ko roto i te hinengaro, i reira he kahore mōrea o intubation wawata ranei.
2. No ritenga o te wahi romahā o runga rite mo te rehunga whānui, i te mea tino pai mō ngā tūroro ki huangō.
3. Ko eu pūnaha Cardiovascular, mai mahi te tarukino āta.
4. Mau te kaha ki te mahi i te kaupapa whanaunga.
5. Ki te taea te nui haere tenei rongoā wa rehunga, mai whakaurua te pū tōngāmimi te roto i te faataoto i tetahi wa.
6. I muri i te mahi kia whakahaere opioids mō te mamae.

Haunga painga, kia tuhia ai me ngā huakore o taua rehunga.

Huakore o rehunga epidural

Tetahi tikanga o te pokanga, me te rehunga, he ona drawbacks. Ko te āhuatanga o rehunga epidural ngā:

1. anesthesiologist Hapa ki te whakataki o te raau taero, ina riro te raau taero ki te oko. kia hua tenei i roto i te haehae, he hekenga koi i roto i te pēhanga toto.
2. He he he mōrearea o te werohia subarachnoid, e whanake rite ki te hua o te poraka tuaiwi katoa.
3. Hoki taua rehunga Me whai pūkenga pai, i te mea he te rehunga tino matatini tenei.
4. he whai hua anake i roto i te 15-20 meneti te tarukino, kia kore e taea te tīmata te pokanga tonu.
5. He he he mōrearea o te tanga mamae takarepa ka kore e tino kiia kūmuri io, a whakaorangia te hūhi i roto i te mahi.
6. He mea tika ki āta tīpako taero mō te rehunga i roto i te wāhanga cesarean, rite etahi kia whiti i te ewe me te meinga kore romahā me te auau ngakau fetal.
7. I muri i te pokanga taea te ua hoki te mamae, ānini.

Ki te hanga te pai rawa matau, ki te e whai koe i te wāhanga whakawhānau, rehunga epidural whānui ranei, me paunatia koe te "AtAKi" me "raruraru." Tangohia ki pūkete te contraindications ngā, me te whiriwhiri i te momo o te rehunga tino tika ana.

Fifi o te rehunga epidural

fifi rehunga epidural homai tino onge, ahakoa taua take, me te kitea. Nuinga o ngā wā hua:

1. Y 1 o 20 tūroro, e kore e te tarukino mahi i roto i, a kore te mutunga karere tino āraia, te tikanga reira e ka koretake analgesia.
2. I roto i te aroaro o te coagulopathy he fakatu'utāmaki o bruising.
3. kino kōpeka i roto i poka o te mater Rura kia arahi ki leakage o wai cerebrospinal i roto i te rohe epidural. Ko reira mahi wehe, ki te ānini i muri i te pokanga.
4. pea te horopeta nui o te mamae rongoā paitini, e ka pā hauarea.
5. He pea ngā pānga taha i te whakamahi o te raau taero whakarehu motuhake.

Mai i te katoa i runga i te reira e taea te faaoti e epidural pānga rehunga o te hauora nui homai i roto i te wā tino onge.

Reviews e pā ana ki te whakamahi o te analgesia epidural

Ko ia te tinana rerekē, Heoi, ki te aro ki etahi rehunga whānui, mo te tahi atu rehunga epidural pai. Reviews He waiwai pai ia.

pūrongo te nuinga tūroro pai analgesia kounga, wahine i roto i te wāhanga cesarean taea kite i nga mahi katoa o ngā tākuta, me te whakarongo ki te tangi o tona tamaiti i muri i tonu whanautanga. He he he faingamālie pai ki te tino whakaiti mamae i muri i te pokanga.

He tokomaha whaea mea e ki te whai koe i te pēhanga toto tiketike, te whakamahi o te rehunga epidural taea ki a koe te pupuri i ngā pūkete i roto i te whānuitanga noa, e anake he pānga pai i runga i mahi.

Otiia kahore nga arotake kino, me te kore e taea e. Ētahi tūroro ite mamae te tauturu i muri i te taua ānini nui, te mamae i roto i te hoki. He ko te hunga i roto i nei te raau noa kihai i mahi, me te pā o mutunga karere kihai i tupu.

Titiro i roto i nga arotake katoa, ka taea e koe te utu kotahi anake whakamutunga: titau tetahi momo o te rehunga huarahi mātanga mātau. Ki te ara te māmā o te rehunga ki te hamani wehikore nei, e kore e ki te tātai i te inenga o tetahi rongoā, he reira taea ki te tiki pānga e hiahiatia, i ētahi wā tino nui, me te aha ki te korero e pā ana ki te epidural.

Me kia pātai katoa te whiriwhiri-mua ki tō tākuta, na kihai koe i whai faaiteraa houhou.

O te akoranga, e te mea tino tino ki te kahore i hiahia tetahi pokanga, a na reira e kore e hiahia ana me te rehunga. Ko te hunga pera e te tahi mau taime e kore e taea te karohia te mahi i roto i te tikanga ki te whakaora tangata, me te hauora i to tatou mau o te ora. Kia tupato o koe, ka noho hauora.