Ukuqonda i-Dinal idityaniswe nesipinali kunye ne-estinal anesthesia (CSEA)

Idibeneyo ye-Spinal kunye ne-estinal anesthesia. Isetyenziswe ngokubanzi kwi-Obstetrics, i-Orthopedic, kunye noThupheko Jikelele, ngakumbi xa isiqabu sentlungu esibonakalayo nesizinzileyo siyimfuneko. I-CSEA ibandakanya ukufakelwa komthakati we-epinal enenaliti yokuqala ye-spinal, ukubonelela nge-anesthesia ekhawulezayo kwibhloko ye-spinal ngelixa inika ithuba lokuqhubeka kwe-anestheter nge-anestheter catheter catheter catheter catheter ye-encheter.

Izibonelelo ze-spinal edityanisiweyo kunye ne-Enchinal Anesthesia

I-CSEA inikezela izibonelelo ezizodwa, ezenza ukuba kube kuguquguquka kakhulu kutep

1. I-Inset ekhawulezayo eneziphumo eziphelileyo: Inaliti yokuqala ye-spinal iqinisekisa ukukhululeka kwentlungu kwangoko, ilungele utyando olufuna ngokukhawuleza. Ngeli xesha, i-Encheter Catheter ivumela idosi eqhubekayo okanye ephindaphindiweyo, ukugcina isiqabu sentlungu kuyo yonke inkqubo ende okanye iposti.

2. Dosa eguqukayo: I-Epidional Casheter ibonelela ngokuguquka ukuze ihlengahlengise idosi njengoko kufuneka, inyamekele kwiimfuno zentlungu yezigulana kuyo yonke le nkqubo.

3. Ukuncitshiswa kwemfuneko ye-Anesthesia: CSEA inciphisa okanye isuse imfuneko ye-anesthesia jikelele, ukunciphisa umngcipheko weengxaki ezinxulumene ne-anesthesia njengoNatenata, imiba yokuphefumla, kunye namaxesha okubuyisela.

4. Isebenza kakuhle kwizigulana ezisemngciphekweni: Csea zilungele izigulana emngciphekweni omkhulu weengxaki eziphantsi kwe-anesthesia jikelele, ezinjengeemeko zokuphefumla okanye zentliziyo.

5. Intuthuzelo ephuculweyo yesigulana: I-CSEA, ulawulo lweentlungu luqhawula kwiSigaba sokuBuyiswa, sivumela i-SUMOTER, utyando oluhle kakhulu.

Izinto ezingalunganga zeIdibeneyo ye-Spinal kunye ne-estinal anesthesia

Ngaphandle kwezibonelelo zayo, i-CSEA ineentsilelo ezithile kunye nemingcipheko ekufuneka uyiqwalasele:

1. Ukulawula ubuchwephesha: Ukulawula i-CSEA kufuna oochwephesha be-Anesthesiogists ngenxa yenkqubo ebuthathaka yokufaka zombini inaliti zesigcawu kunye ne-epinalgeral ngaphandle kokulala ngokukhuselekileyo.

2. Ukunyuka komngcipheko weengxaki: Iingxaki zinokubandakanya i-hypoteren, intloko ebuhlungu, iintlungu zangasemva, okanye, kwiimeko ezinqabileyo, ukonakala kwe-nerve. Ukudibanisa ubugcisa bonyusa umngcipheko othile, njengosulelo okanye ukopha kwindawo yokuhlwayela.

3. Inokubakho ekufudukeni i-catheter: I-Epinare Metical inokuguqula okanye i-susherge, ngakumbi kwiinkqubo ezinde, ezinokuchaphazela ukungangqinelani kokunikezelwa kwe-anesthetic.

I-4. Ukulibaziseka kwe-3iset yokufumana kwakhona iimoto: Njengoko icandelo lesigcawu libonelela ngebhloko ye-Debser, izigulana zinokufumana ukubuyiselwa ekubuyiseni kwemoto.

Ibandakanya ntoni i-CSEA Kit?

Ikhithi ye-Erinal eDityanisiweyo yeSpinal Ikhithi (CSEA) yekhithi yokuqinisekisa ukhuseleko kunye nokusebenza kakuhle ekulawuleni le anesthesia. Ngokwesiqhelo, i-CSEA Kit ibandakanya ezi zinto zilandelayo:

I-1. Inaliti yeSpinal: Inaliti ye-spinal yegesi (ihlala i-25g okanye i-25g) esetyenziselwa ukuhanjiswa kokuqala kwe-anespitic fluid.

2. Inaliti ye-Epiloul: Ikhithi iquka inaliti ye-Epiloul, enjenge-Tuohy Anyle, evumela ukubekwa kwe-encheter ye-epinare ye-Enchenter kulawulo lweziyobisi oluqhubekayo.

3. I-Caheter esemthethweniEli Caheter eguquguqukayo libonelela ngejelo lokulawula i-anesthetic eyongezelelweyo ukuba iyafuneka ngexesha okanye emva kotyando.

I-4. Ii-Shorings Comations kunye neeFilits: Izirinji ekhethekileyo ezineengcebiso zecebo lokucoca i-Filter icela ukuqinisekisa ukugula kunye nethayile yeziyobisi echanekileyo, ukunciphisa umngcipheko wokungcola.

5. Izisombululo zokuLungiselela ulusu kunye nokunxiba okunamathela: Ezi qinisekisa iimeko ze-ASEptige kwindawo yokuhlwayela kwaye bancede ukukhusela i-catheter kwindawo.

I-6. Iziqholo kunye nezandiso: Ukulula kunye nokusebenza kwezinto, i-CSEA Kiks iquka amanyange kunye nokwandiswa kwetyhubhu.

Iqela leqela leqela leqela le-shanghai, njengomthengisi ophambili kunye nomenzi wezixhobo zezonyango, ibonelela ngeekhilomitha eziphezulu zeCSEA ezihlangabezana nemigangatho yamazwe. Ngokuzibophelela kukhuseleko, ukuchaneka, kunye nokuthembeka, i-CSEA ye-CSEA yenzelwe ngononophelo ukuxhasa iimfuno zababoneleli bezempilo, ukuqinisekisa ukuba ukusebenzelana nenkqubo yokuziphatha kunye nokusebenza ngempumelelo.

Ukuqukumbela

Idibeneyo ye-Spinal kunye ne-Enchinal Anesthesia (CSEA) lukhetho olukhethwayo kuhlelo oluninzi, ukulinganisa ngokukhawuleza kwentlungu kunye nentuthuzelo yexesha elide. Ngelixa inezibonelelo ezibonakalayo, kubandakanya nolawulo lweentlungu ezifihlakeleyo, ulawulo lwayo lufuna ukuchaneka nobuchule. Izixhobo ze-shanghai zeqela le-Cseya le-Cseya ibonelela ngoochwephesha bezempilo abanokuthenjwa, izixhobo ezisemgangathweni eziphezulu ezenzelwe ukhathalelo lwezigulana ezifanelekileyo, ekuqinisekiseni ukhuseleko kunye nokusebenza kakuhle ekuhanjisweni kwe-anesthesia.