Njengoko inkqubela phambili kwezonyango iyaqhubeka ukuguqula intsimi ye-anesthesia,Idibeneyo ye-epinal epinal ye-anesthesiaiye yaba yindlela ethandwayo nefanelekileyo yokufumana iintlungu ngexesha lotyando nakwezinye iinkqubo zonyango. Le ndlela yodwa idibanisa izibonelelo ze-spinal kunye ne-encheral anesthesia ukubonelela abaguli ngolawulo lweentlungu eziphuculweyo kunye nentuthuzelo efanelekileyo. Namhlanje, siya kuthatha i-in-in-in-incokolo kwiinkqubo, iindidi zenaliti, kunye neempawu ze-spinal ye-epinal-epinal-Encinal Anesthesia ukukunceda ufunde ngakumbi malunga neTekhnoloji yoNyango
Idibeneyo ye-Spinal-Encheliti ye-Anesthesia, ibizwaCse Anesthesia, kubandakanya ukuthoba iziyobisi ngokuthe ngqo kwi-cerebrospinal fluid (CSF) ejikeleze intambo yomgogodla. Oku kuvumela ukuqatshelwa ngokukhawuleza kwesenzo kunye ne-anesthesia enzulu ngokuthelekiswa nezinye iindlela. The drugs used in CSE anesthesia are a combination of a local anesthetic (such as bupivacaine or lidocaine) and an opioid (such as fentanyl or morphine). Ngokudibanisa la mayeza, iingcali ze-anesthesiologists zinokufumana isiqabu esikhawulezayo kunye nexesha elide.
Idibeneyo ye-lumbar-E-Encial Anesthesia isetyenziswa ngokubanzi kwaye igubungela uluhlu olubanzi lweenkqubo zoqhaqho. Iqhelekile isetyenziswa kwizilwanyana ezisezantsi, i-pelvic kunye notyando olusezantsi lotyando kunye nokuhanjiswa. I-CSE Anesthesia iyingenelo ikakhulu kwii-obstetrics kuba inokunciphisa iintlungu ngexesha lokusebenza ngelixa ugcina amandla okutyhala kwinqanaba lesibini lokusebenza. Ukongeza, i-anesthesia ye-CSE isetyenziswa rhoqo kwiinkqubo zangaphandle, kunye nezigulana zifumana amaxesha amafutshane ekuvuseleleni kunye nezibhedlele ezimfutshane.
Xa kufikwa kwiindidi zeenaliti ezisetyenziswa kwi-Epinal Epinal Anesthesia, kukho iindlela ezimbini eziphambili: Iinaliti zepensile-point kunye neenaliti ezinqumlayo. Inaliti yepensile, ekwabizwa ngokuba yi-whitecre okanye i-sprotte ene-sprotte, ine-bit, inqaku elinemigca elibangela i-tissue ye-tissue encinci ngexesha lokufakelwa. Oku kunokunciphisa isimo sezinto ezinzima ezinjengentloko emva kokupheliswa kwesiguntshi. Inaliti ekhethiweyo, kwelinye icala, ineengcebiso ezibukhali, ezibukhali ezinokuthi zibhobhoze izicubu zefribrous ngokulula. Ezi zinaliti zihlala zisetyenziswa kwizigulana ezinesikhuba esinzima kuba zivumela ukufikelela ngokukuko.
Ukudityaniswa kwe-spinal kunye ne-Enchinal Anesthesia kwi-CSE Anesthesia ibonelela ngeempawu ezininzi ezahlukileyo ezinegalelo ekusebenzeni kwazo. Okokuqala, i-anesthesia ivumela idosi eyongezelelekileyo, ethetha ukuba i-arhente ye-anesthetic ingahlengahlengiswa kuyo yonke le nkqubo, inika i-anesthesiologist ilawula ngakumbi kwinqanaba le-anesthesia. Oku kuyingenelo ikakhulu ngexesha lenkqubo emide apho isigulana sinokufuna ukonyusa okanye ukunciphisa amanqanaba eziyobisi. Ukongeza, i-anesthesia ye-CSE inesithuba esikhawulezayo sesenzo kwaye inokubonelela ngoncedo lwentlungu ngokukhawuleza ngakumbi kune-Epinaral yedwa.
Ukongeza, i-anesthesia ye-CSE inesibonelelo sexesha elide lokukhumbula. Nje ukuba amayeza e-spinal axazulula, i-casheter ye-epidermuld isendaweni, ivumela ulawulo oluqhubekayo lwe-analgesics ixesha elide. Oku kunceda ekunciphiseni iintlungu zendawo, kunciphisa isidingo see-opioids zenkqubo, kwaye kuphucula ukwaneliseka ngobunono.
I-shanghai yeQela leQela leQela yingcaliUmthengisi weSixhobo soNyangokunye noMvelisi oqonda ukubaluleka kokubonelela ngezixhobo ezisemgangathweni eziphezulu ze-Spinal-Eneral Anesthesia. Ukuzibophelela kwabo ekugqwesini kwabo kubonakaliswa ziintlobo ngeentlobo abanazo, zenzelwe ukuhlangabezana neemfuno ezizodwa zabasebenzi bezempilo. Ngokuqonda iintlobo ezahlukeneyo zenaliti kunye neempawu zazo, iingcali ze-anesthesiology zinokukhetha eyona ndlela ifanelekileyo kwisigulana ngasinye, siqinisekisa ukuba uphumelele kwaye uphumelele.
Isishwankathelo, i-Spinal-Epinal-Enchinal Anesthesia sisixhobo esixabisekileyo kwicandelo le-anesthesia ukomeleza isiqabu sentlungu kunye nokuphucula ukuthuthuzela izigulana ngexesha lotyando. Izicelo zayo zigubungela uluhlu olubanzi lotyando, kubandakanya isisu esisezantsi, i-pelvic kunye notyando olusezantsi. Uhlobo lwenaliti esetyenzisiweyo, nokuba ngaba ipensile okanye ipensile okanye i-Sharp-ichaphazelekile, ixhomekeke kwiimpawu ezizodwa zesigulana. Iimpawu ze-CSE Anesthesia, ezinje nge-dosing ye-dosingment kunye ne-Pevaped Pent Pepeloped Pents, ukuphucula ukusebenza kwalo. Ngenkxaso yeenkampani ezifana neQumrhu leQela eShangshai, iingcali zempilo zinokuqhubeka nokubonelela ngezigulana ngolawulo lweentlungu eziphezulu kunye namava afanelekileyo otyando.
IXESHA LOKUQALA: I-Oct-17 ukuya kwi-1823