I-anesthesia ehlanganisiwe ye-spinal(CSE) inqubo esetshenziswa ezinhlelweni zemitholampilo ukuhlinzeka iziguli ezinensthesia epidural, ukuthulisa izinzwa, kanye ne-analgesia. Kuhlanganisa nezinzuzo ze-anesthesia yomgogodla kanye namasu okubulala izinzwa. Ukuhlinzwa kwe-CSE kubandakanya ukusetshenziswa kwekhithi ehlanganisiwe ye-spinal spinal, okubandakanya izakhi ezahlukahlukene ezifana nenkomba ye-lorisichatha, inaliti ye-epidural, I-catheter ye-epidural, futhiIsihlungi se-EPIDUral.
Ikhithi ehlanganisiwe ye-spinal spinal yenzelwe ngokucophelela ukuqinisekisa ukuphepha, ukusebenza kahle nokusebenziseka kalula ngesikhathi senqubo. I-lor (ukulahleka kokumelana) isirinji yenkomba iyingxenye ebalulekile yekhithi. Kuyasiza isazi sokubulala izinzwa ngokunembile isikhala esidabukisayo. Lapho i-plunger yesirinji idonswa emuva, umoya udonswa emgqonyeni. Njengoba inaliti ingena esikhaleni esidangatha, ukuxabana kwePlanger Lokhu kulahlekelwa ukumelana kukhombisa ukuthi inaliti isesimweni esifanele.
Inaliti ephilayo iyinaliti engenalutho, eyenziwe ngodongeni elinamanzi asetshenziselwa ukungena ekujuleni okufiselekayo ngesikhathi sokuhlinzwa kwe-CSE. Yenzelwe ukunciphisa ukungakhululeki kwesiguli futhi kuqinisekiswe ukubekwa okunembile kwe-catheter ye-epidural. I-HUB yenaliti ixhunyiwe kwisirinji ye-lor ye-Lor ye-Lor, evumela udokotela wezibulala izinzwa ukuba aqaphe ukumelana ngesikhathi sokufakwa kwenaliti.
Uma ususendaweni ephilayo, i-cathter ephilayo idluliswa ngenaliti futhi ithuthuke endaweni oyifunayo. I-catheter iyishubhu eguquguqukayo enikezela ngobunono benhlamvu yasendaweni noma i-analgesic esikhaleni esidabukisayo. Kubanjelwa endaweni nge-tepi ukuvikela ukuguquka ngengozi. Ngokuya ngezidingo zesiguli, i-catheter ingasetshenziselwa ukumnika okuqhubekayo noma ekuphathweni kwe-bolus kwe-olmittent.
Ukuqinisekisa ukuphathwa kwezidakamizwa ezisezingeni eliphakeme, isihlungi se-epidural siyingxenye ebalulekile ye-CSE Suite. Isihlungi sisiza ukususa noma yiziphi izinhlayiya noma ama-microorganisms angaba khona emshadweni noma e-catheter, ngaleyo ndlela anciphise ingozi yokutheleleka kanye nezinkinga. Yenzelwe ukuvumela ukuhamba okubushelelezi kwemithi ngenkathi kuvimbela noma yikuphi ukungcola ukuthi kungafinyeleli emzimbeni wesiguli.
Izinzuzo zendlela ehlanganisiwe ye-spinal-posidural ziningi. Ivumela ukusungulwa okuthembekile futhi okusheshayo kwe-anesthesia ngenxa yethamo lokuqala lomgogodla. Lokhu kuyazuzisa kakhulu ezimweni lapho kudingeka khona ukukhululeka kobuhlungu noma ukungenelela. Ngaphezu kwalokho, ama-catheters e-epidural ahlinzeka nge-analgesia eqhubekayo, okwenza babefanelekile ngezinqubo ezinde.
I-anesthesia ehlanganisiwe ye-spinal-epidural ibuye inikeze ukuguquguquka kwe-dosing. Ivumela umuthi ukuthi ukhishwe nge-tast, okusho ukuthi udokotela obulala izinzwa angaguqula umthamo osuselwa ezidingweni nezimpendulo zesiguli. Le ndlela eqondene nomuntu uqobo isiza ukufeza ukulawulwa kobuhlungu obuhle ngenkathi kunciphisa imiphumela emibi engaba khona.
Ngaphezu kwalokho, i-CSE ihlotshaniswa nengozi ephansi yezinkinga ezinhle ngokuqhathaniswa ne-anesthesia ejwayelekile. Kungase kungcono okokugcina umsebenzi wamaphaphu, gwema izinkinga ezithile ezihlobene nomoya, futhi uvikele isidingo se-endotracheal intwawa. Iziguli ezibhekene ne-CSE zivame ukuzwa ubuhlungu obuncane be-postoperative kanye nezikhathi zokutakula ezimfushane, ezibavumela ukuba babuyele emisebenzini ejwayelekile ngokushesha okukhulu.
Ekuphetheni, i-anesthesia ehlanganisiwe ne-epidural iyindlela ebalulekile yokuhlinzeka ngobuhlakani, ukuthuthela kwezinkanyezi, kanye ne-analgesia ezigulini ngesikhathi senqubo yezokwelapha. I-Spinal Spinal Spidural Kit ye-Spinal Epidural kanye nezakhi zayo, njenge-Lor Inkomba Isirinji, inaliti ye-lor ye-lor, i-catheter ye-epidural, kanye nesihlungi esibucayi ekuqinisekiseni ukuphepha, ukusebenza kahle nempumelelo yenqubo. Ngezinzuzo zayo kanye nezinhlelo zokusebenza, i-CSE isibe yingxenye ebalulekile yokuzijwayeza kwanamuhla kwe-anesthesia, ukuhlinzeka iziguli ngokuphathwa kwezinhlungu okungcono nokulungiswa okusheshayo.
Isikhathi Sokuthumela: Oct-25-2023