Yazi okuningi nge-anesthesia ehlanganisiwe ye-spinal

Njengoba intuthuko yezokwelapha iyaqhubeka nokuguqula insimu ye-anesthesia,i-anesthesia ehlanganisiwe ye-spinalSekuyindlela ethandwayo futhi ephumelelayo yokukhululeka kobuhlungu ngesikhathi sokuhlinzwa kanye nezinye izinqubo zezokwelapha. Le ndlela eyingqayizivele ihlanganisa izinzuzo ze-anesthesia yomgogodla kanye ne-epidural anesthesia ukuhlinzeka iziguli ngokulawulwa kobuhlungu okuthuthukisiwe kanye nenduduzo efanelekile. Namuhla, sizobheka ukunqwana kwezicelo, izinhlobo zenaliti, kanye nezimpawu ze-anesthesia ezihlanganisiwe ze-spinal-anestheral ukukusiza ufunde kabanzi mayelana nalesi sifundo sezokwelapha sezokwelapha

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I-Anesthesia ehlanganisiwe ye-spinal-epidural, ebizwa nangokuthiCse anesthesia, kufaka phakathi ukujova izidakamizwa ngqo ku-cerebrospinal fluid (CSF) ezungeze intambo yomgogodla. Lokhu kuvumela ukusungulwa okusheshayo kwesenzo nokujula kwe-anesthesia kuqhathaniswa nezinye izindlela. Izidakamizwa ezisetshenziswa ku-CSE Anesthesia ziyinhlanganisela yendawo yokubulala izinzwa (njenge-bupivacaine noma i-lidocaine) ne-opiocaine (efana ne-fentanyl noma i-morphine). Ngokuhlanganisa le mithi, ama-anesthesiologists angathola impumuzo esheshayo nehlala isikhathi eside.

I-anesthesia ehlanganisiwe ye-lumbar-epidural isetshenziswa kabanzi futhi ihlanganisa izindlela ezahlukahlukene zokuhlinzwa. Isetshenziswa kakhulu ekuhlisweni kwesisu esiphansi, i-pelvic kanye neyesiphetho esiphansi kanye nokubeletha kanye nokulethwa. I-CSE Anesthesia izuzisa ikakhulukazi kuma-obstertyr ngoba ingadambisa izinhlungu ngesikhathi sokubeletha ngenkathi igcina amandla okucindezela ngesikhathi sesigaba sesibili. Ngaphezu kwalokho, i-CSE Anesthesia iya ngokuya isetshenziswa ezinhlelweni zokuphuma, neziguli ezibhekene nezikhathi zokuthola kabusha ezifushane kanye nokuhlala esibhedlela emfushane.

Uma kukhulunywa ngezinhlobo zezinaliti ezisetshenziswa ku-anesthesia ezihlanganisiwe ze-spinal spidaural anesthesia, kunemiklamo emibili eyinhloko: izinaliti zepensela-iphuzu kanye nezinaliti zokusika. Izinaliti zepensela-iphuzu, elibizwa nangokuthi izinaliti ze-whitacre noma i-stotte, zine-blunt, ithiphu ye-tapered ebibangela usizi lwesicubu oluncane ngesikhathi sokufakwa. Lokhu kunganciphisa izehlakalo zezinkinga ezifana nobuhlungu bekhanda ngemuva kokubhoboza isikhathi eside. Ngakolunye uhlangothi, izinaliti ezikhethiwe, zinezeluleko ezibukhali, ezihlangene ezingabhoboza izicubu ze-fibrous kalula. Lezi zinaliti zivame ukusetshenziswa ezigulini ezinezikhala ezinzima ze-EPIDUral ngoba zivumela ukufinyelela okusebenzayo.

Inhlanganisela ye-anesthesia yomgogodla kanye ne-anesthesia e-CSE Anesthesia inikezela ngezinto ezimbalwa ezihlukile ezinomthelela ekusebenzeni kwayo. Okokuqala, i-Anesthesia ye-CSE ivumela i-dosing ekhuphukayo, okusho ukuthi i-anesthetic ejenti ingashintshwa kuyo yonke inqubo, inikeze uhlu lokubulala izinzwa kakhulu phezu kwezinga le-anesthesia. Lokhu kuyazuzisa kakhulu ngezinqubo ezinde lapho isiguli singadinga ukwandisa noma ukunciphisa amazinga ezidakamizwa. Ngaphezu kwalokho, i-CSE Anesthesia iqala ngokushesha ukusebenza futhi inganikeza impumuzo ebuhlungu esheshayo kune-epidural yodwa.

Ngaphezu kwalokho, i-CSE Anesthesia inenzuzo yokuthola izinhlungu isikhathi eside. Lapho imishanguzo yomgogodla igqoke, i-cathter ye-epidural ihlala isendaweni, ivumela ukuphathwa okuqhubekayo kwama-analgesics isikhathi eside. Lokhu kusiza ukunciphisa izinhlungu ze-postoperative, kunciphisa isidingo sama-opioids ahleliwe, futhi kuthuthukise ukwaneliseka kweziguli.

I-Shanghai TeamSTNNNTNTRATNTNTRATTRATESTRATIONT Corporation uchwephesheUmhlinzeki wedivayisi yezokwelaphaFuthi umenzi obona ukubaluleka kokuhlinzeka ngemishini esezingeni eliphakeme yokuhlinzwa kwe-anesthesia ehlanganisiwe. Ukuzibophezela kwabo ekusebenzeni kahle kuboniswa ezinhlobonhlobo zezinaliti abakunikezayo, zenzelwe ukufeza izidingo ezihlukile zochwepheshe bezokunakekelwa kwempilo. Ngokuqonda izinhlobo ezahlukahlukene zonazo kanye nezimpawu zazo, ama-anesthesiologists angazikhethela inketho efanelekile yesiguli ngasinye, eqinisekisa inqubo ephumelelayo nenethezekile.

Ngamafuphi, i-anesthesia ehlanganisiwe ye-spinal-epidularal iyithuluzi elibalulekile emkhakheni we-anesthesia ukuthuthukisa ukukhululeka kobuhlungu futhi uthuthukise induduzo yesiguli ngesikhathi sokuhlinzwa. Izicelo zalo zimboza ukuhlinzwa okuhlukahlukene, kufaka phakathi ukuhlinzwa okuphansi kwesisu, i-pelvic kanye nokuhlinzwa okuphansi. Uhlobo lwenaliti olusetshenzisiwe, noma ngabe ipensela-iphuzu noma i-apped-epped, kuya ngezimpawu ezihlukile zesiguli. Izici ze-CSE Anesthesia, ezinjenge-dosing ekhuphukayo kanye nokukhululeka okuhlala isikhathi eside kobuhlungu be-postoperative, kuthuthukisa ukusebenza kwayo. Ngokwesekwa kwezinkampani ezifana ne-TraepPant Corporation eShanghai, ochwepheshe bezokunakekelwa kwempilo bangaqhubeka nokuhlinzeka ngeziguli ezinokulawulwa kobuhlungu obuhle nokuhlangenwe nakho okuhle okuhlangenwe nakho okuhlangenwe nakho okuhle.