I-anesthesia yomgogodla edibeneyo(CSE) yindlela esetyenziswa kwiinkqubo zonyango ukubonelela izigulane nge-epidural anesthesia, i-transport anesthesia, kunye ne-analgesia. Idibanisa iingenelo ze-spinal anesthesia kunye neendlela ze-epidural anesthesia. Utyando lwe-CSE lubandakanya ukusetyenziswa kwekhithi ye-spinal epidural edibeneyo, equka izinto ezahlukeneyo ezifana ne-LOR indicatorisirinji, inaliti ye-epidural, i-catheter ye-epiduralkunyeisihluzo se-epidural.
Isixhobo somqala esidibeneyo se-spinal epidural senziwe ngononophelo ukuqinisekisa ukhuseleko, ukusebenza kakuhle kunye nokulula kokusetyenziswa ngexesha lenkqubo. Isirinji yesalathisi se-LOR (Loss of Resistance) yinxalenye ebalulekileyo yesixhobo. Inceda i-anesthesiologist ukuba ichonge ngokuchanekileyo indawo ye-epidural. Xa i-plunger yesirinji itsalwa ngasemva, umoya utsalwa ungene kwi-barrel. Njengoko inaliti ingena kwindawo ye-epidural, i-plunger idibana nokuxhathisa ngenxa yoxinzelelo lolwelo lwe-cerebrospinal. Oku kulahlekelwa kukuxhathisa kubonisa ukuba inaliti ikwindawo echanekileyo.
Inaliti ye-epidural yinaliti engenanto, enodonga oluncinci esetyenziselwa ukungena eluswini ukuya kubunzulu obufunekayo ngexesha lotyando lwe-CSE. Yenzelwe ukunciphisa ukungonwabi kwesigulana nokuqinisekisa ukuba i-catheter ye-epidural ibekwe ngokuchanekileyo. Ihabhu yenaliti iqhagamshelwe kwisirinji ye-LOR indicator, evumela i-anesthesiologist ukuba ijonge ukumelana nayo ngexesha lokufakwa kwenaliti.
Xa sele ikwindawo ye-epidural, i-catheter ye-epidural idlula kwinaliti ize ifike kwindawo efunekayo. I-catheter yityhubhu eguquguqukayo ehambisa i-anesthetic yendawo okanye i-analgesic kwindawo ye-epidural. Ibanjwa endaweni yayo ngeteyipu ukuthintela ukutshintsha ngengozi. Ngokuxhomekeke kwiimfuno zesigulana, i-catheter ingasetyenziselwa ukumnika rhoqo okanye ukunikezelwa kwe-bolus rhoqo.
Ukuqinisekisa ukunikezelwa kwamayeza asemgangathweni ophezulu, isihluzo se-epidural siyinxalenye ebalulekileyo ye-CSE suite. Esi sihluzo sinceda ukususa naziphi na iintsholongwane okanye iintsholongwane ezinokuba zikhona kwiyeza okanye kwi-catheter, ngaloo ndlela sinciphisa umngcipheko wosulelo kunye neengxaki. Senzelwe ukuvumela ukuhamba kakuhle kwamayeza ngelixa sithintela naziphi na izinto ezingcolisayo ukuba zingafikeleli emzimbeni wesigulana.
Iingenelo zendlela edibeneyo yomgudu womqolo kunye ne-epidural zininzi. Ivumela ukuqala okuthembekileyo nokukhawulezileyo kwe-anesthesia ngenxa yedosi yokuqala yomgogodla. Oku kuluncedo ngakumbi kwiimeko apho kufuneka ukuphelisa intlungu ngokukhawuleza okanye ukungenelela. Ukongeza, ii-catheters ze-epidural zibonelela nge-analgesia eqhubekayo, ezenza zilungele iinkqubo ezithatha ixesha elide.
I-anesthesia edibeneyo yomgogodla kunye ne-epidural ikwabonelela ngokuguquguquka kwedosi. Ivumela ukuba iyeza lincitshiswe, oko kuthetha ukuba ingcali ye-anesthesia inokuyilungisa idosi ngokusekelwe kwiimfuno zesigulane kunye neempendulo zaso. Le ndlela eyenzelwe wena inceda ekufezekiseni ulawulo olufanelekileyo lweentlungu ngelixa inciphisa iziphumo ebezingalindelekanga.
Ngaphezu koko, i-CSE inxulunyaniswa nomngcipheko ophantsi weengxaki zomzimba xa kuthelekiswa ne-anesthesia jikelele. Ingagcina ngcono ukusebenza kwemiphunga, iphephe iingxaki ezithile ezinxulumene nomoya, kwaye iphephe isidingo sokufakwa kwe-endotracheal intubation. Izigulana ezenza i-CSE zihlala ziziva iintlungu ezimbalwa emva kotyando kwaye zifutshane nexesha lokuchacha, nto leyo ebavumela ukuba babuyele kwimisebenzi eqhelekileyo ngokukhawuleza.
Ukuqukumbela, i-anesthesia ye-neuraxial kunye ne-epidural edibeneyo yindlela exabisekileyo yokubonelela nge-anesthesia, i-anesthesia yokuthutha, kunye ne-analgesia kwizigulana ngexesha leenkqubo zonyango. I-combined spinal epidural kit kunye nezinto zayo, ezifana ne-LOR indicator syringe, i-epidural needle, i-epidural catheter, kunye ne-epidural filter, zidlala indima ebalulekileyo ekuqinisekiseni ukhuseleko, ukusebenza kakuhle, kunye nempumelelo yenkqubo. Ngezibonelelo kunye nokusetyenziswa kwayo, i-CSE ibe yinxalenye ebalulekileyo yendlela yanamhlanje yokubulala iintlungu, inika izigulana ulawulo olungcono lweentlungu kunye nokuphola ngokukhawuleza.
Ixesha leposi: Okthobha-25-2023