Idibaniso yomgogodla we-epidural anesthesia(CSE) yindlela esetyenziswa kwiinkqubo zeklinikhi ukubonelela izigulane nge-epidural anesthesia, i-anesthesia yokuthutha, kunye ne-analgesia.Idibanisa iingenelo ze-anesthesia yomgogodla kunye neendlela ze-epidural anesthesia.Utyando lwe-CSE lubandakanya ukusetyenziswa kwekhithi ye-spidural epidural edibeneyo, ebandakanya amacandelo ahlukeneyo njengesalathisi se-LOR.isirinji, inaliti ye-epidural, i-epidural catheter, kwayeisihluzo se-epidural.
Ikiti ye-spidural epidural edibeneyo yenzelwe ngokucophelela ukuqinisekisa ukhuseleko, ukusebenza kunye nokulula ukusetyenziswa ngexesha lenkqubo.I-LOR (Ukulahleka koKuchasa) isirinji yesalathisi yinxalenye ebalulekileyo yekiti.Inceda i-anesthesiologist ichonge ngokuchanekileyo indawo ye-epidural.Xa i-plunger yesirinji itsalwa ngasemva, umoya utsalelwa emgqomeni.Njengoko inaliti ingena kwindawo ye-epidural, i-plunger idibana nokuxhathisa ngenxa yoxinzelelo lwe-cerebrospinal fluid.Oku kulahlekelwa kokuchasana kubonisa ukuba inaliti ikwindawo echanekileyo.
Inaliti ye-epidural yinaliti emngxuma, ebhityileyo-ebiyelwe esetyenziselwa ukungena eluswini ukuya kubunzulu obufunwayo ngexesha lotyando lweCSE.Yenzelwe ukunciphisa ukungonwabi kwesigulana kunye nokuqinisekisa ukubekwa ngokuchanekileyo kwecatheter ye-epidural.Ihabhu yenaliti iqhagamshelwe kwisirinji yesalathisi se-LOR, evumela i-anesthesiologist ukuba ibeke iliso kuxhathiso ngexesha lokufakwa kwenaliti.
Kanye kwindawo ye-epidural, i-catheter ye-epidural idluliselwa ngenaliti kwaye iqhubele phambili kwindawo oyifunayo.I-catheter yityhubhu eguquguqukayo ehambisa i-anesthetic yendawo okanye i-analgesic kwindawo ye-epidural.Ibanjwe kwindawo ngeteyiphu ukuthintela ukutshintshwa ngengozi.Ngokuxhomekeke kwiimfuno zesigulane, i-catheter ingasetyenziselwa ukunyuswa okuqhubekayo okanye ukulawulwa kwe-bolus intermittent.
Ukuqinisekisa ulawulo lwamachiza olukumgangatho ophezulu, isihluzo se-epidural yinxalenye ebalulekileyo ye-CSE suite.Isihluzi sinceda ukususa naziphi na iintsholongwane okanye iintsholongwane ezinokuthi zibekho kwiyeza okanye kwi-catheter, ngaloo ndlela inciphisa umngcipheko wosulelo kunye neengxaki.Yenzelwe ukuvumela ukuhamba kakuhle kwamayeza ngelixa ikhusela naziphi na izinto ezingcolisayo ukuba zifike kumzimba womguli.
Iinzuzo zendlela edibeneyo ye-spinal-epidural ininzi.Ivumela ukuqala okuthembekileyo kunye nokukhawuleza kwe-anesthesia ngenxa yedosi yokuqala yomgogodla.Oku kunenzuzo ngokukhethekileyo kwiimeko apho kufuneka uncedo olukhawulezileyo lwentlungu okanye ukungenelela.Ukongezelela, ii-catheters ze-epidural zibonelela nge-analgesia eqhubekayo, ezenza zilungele iinkqubo ezithatha ixesha elide.
I-anesthesia ye-spinal-epidural edibeneyo ibonelela ngokuguquguquka kwe-dosing.Ivumela ichiza ukuba lifakwe i-titrated, oku kuthetha ukuba i-anesthesiologist inokulungelelanisa umthamo ngokusekelwe kwiimfuno kunye neempendulo zesigulana.Le ndlela yobuqu inceda ukufezekisa ulawulo olululo lwentlungu ngelixa unciphisa iziphumo ebezingalindelekanga.
Ngaphezu koko, i-CSE inxulunyaniswa nomngcipheko ophantsi weengxaki zenkqubo xa kuthelekiswa ne-anesthesia jikelele.Kungagcina ngcono ukusebenza kwemiphunga, kunqande iingxaki ezithile ezinxulumene nendlela yomoya, kwaye kuthintele imfuno ye-endotracheal intubation.Izigulane ezifumana i-CSE zihlala zifumana iintlungu ezingaphantsi kokuhlinzwa kunye namaxesha amafutshane okubuyisela, okubavumela ukuba babuyele kwimisebenzi eqhelekileyo ngokukhawuleza.
Ekugqibeleni, i-neuraxial kunye ne-epidural anesthesia edibeneyo yindlela exabisekileyo yokubonelela nge-anesthesia, i-anesthesia yokuthutha, kunye ne-analgesia kwizigulane ngexesha leenkqubo zeklinikhi.Ikiti edibeneyo ye-spinal epidural kit kunye nezixhobo zayo, ezifana ne-LOR isalathisi sesirinji, inaliti ye-epidural, i-epidural catheter, kunye ne-epidural filter, idlala indima ebalulekileyo ekuqinisekiseni ukhuseleko, ukusebenza kunye nempumelelo yenkqubo.Ngeenzuzo zayo kunye nezicelo, i-CSE ibe yinxalenye ebalulekileyo ye-anesthesia yanamhlanje, ukubonelela izigulane ngolawulo olungcono lweentlungu kunye nokubuyisela ngokukhawuleza.
Ixesha lokuposa: Oct-25-2023