Spinal uye epidural anesthesia

Spinal uye epidural anesthesia maitiro anounza mishonga inovhiringidza zvikamu zvemuviri wako kudzivirira kurwadziwa. Ivo vanopihwa kuburikidza nepfuti mukati kana kutenderedza musana.

Chiremba anokupa iwe epidural kana musana anesthesia anonzi anesthesiologist.

Kutanga, iyo nzvimbo yemusana wako uko tsono yakaiswa inonatswa neyakagadziriswa mhinduro. Nzvimbo yacho inogona zvakare kuvezwa neinesthetic yemuno.

Iwe ungango gamuchira zvinwiwa kuburikidza nemutsinga mutsinga (IV) mutsinga. Unogona kuwana mushonga kuburikidza neIV kuti ikubatsire kuzorora.

Nezve epidural:

• Chiremba anopinza mushonga kunze kwesaga remvura yakakomberedza musana wako. Iyi inonzi iyo epidural nzvimbo.
• Mushonga unodzivirira, kana unovharidzira kunzwa mune chimwe chikamu chemuviri wako kuitira kuti unzwe kurwadziwa kana kusarwadziwa zvachose zvichienderana nemaitiro acho. Mushonga unotanga kushanda mumaminitsi gumi kusvika makumi maviri. Inoshanda mushe kwemaitiro akareba. Vakadzi vanowanzo kuve nepidural panguva yekusununguka.
• Chubhu diki (catheter) inowanzo kusiiwa munzvimbo. Unogona kugashira mumwe mushonga kuburikidza necatheter kuti ubatsire kudzora marwadzo ako panguva kana mushure mekuita kwako.

Zvemuzongoza:

• Chiremba anopinza mushonga mukati memvura inoyerera kumusana kwako. Izvi zvinowanzoitwa kamwe chete, saka haufanire kuiswa catheter.
• Mushonga unotanga kushanda ipapo ipapo.

Kupomba kwako, kumanikidza kweropa uye neokisijeni muropa rako kunoongororwa panguva yekuita. Mushure mekuita, iwe unenge uine bhandeji pakapinza tsono.

Spinal uye epidural anesthesia inoshanda mushe kune mamwe maitiro uye haidi kuti uise pombi yekufema mukati mepepepe (trachea). Vanhu kazhinji vanopora njere nekukurumidza zvakanyanya. Dzimwe nguva, ivo vanofanirwa kumirira iyo anesthetic kuti ipere kuti vagone kufamba kana kuita weti.

Spinal anesthesia inowanzo shandiswa kune genital, urinary turakiti, kana kudzikisa muviri maitiro.

Epidural anesthesia inowanzo shandiswa panguva yekusununguka uye kuendesa, uye kuvhiyiwa muchiuno nemakumbo.

Epidural uye musana anesthesia inowanzo shandiswa kana:

• Maitiro kana basa rinorwadza zvisina mushonga wekurwadziwa.
• Maitiro acho ari mudumbu, makumbo, kana tsoka.
• Muviri wako unogona kuramba uri munzvimbo yakasununguka panguva yako maitiro.
• Iwe unoda mishoma systemic mishonga uye shoma "hangover" kupfuura iwe yaungave uine kubva kune yakawandisa kutindivadza.

Spinal uye epidural anesthesia inowanzo chengeteka. Kumbira chiremba wako nezve izvi zvinogona kunetsa:

• Allergic reaction kune iyo anesthesia yakashandiswa
• Kubuda ropa kukomberedza musana wechipfuva (hematoma)
• Zvakaoma kuita weti
• Kudonha BP
• Utachiona mumuzongoza wako (meningitis kana abscess)
• Tsinga kukuvara
• Kufenda (izvi hazviwanzo)
• Musoro wakanyanya

Udza mupi wako wezvehutano:

• Kana iwe uri kana uchigona kuve nepamuviri
• Ndeapi mishonga yauri kutora, anosanganisira mishonga, zvinowedzera, kana mahebhu awakatenga pasina mushonga

Pakati pemazuva pamberi pekuita:

• Udza chiremba wako nezve chero hwekupokana kana hutano mamiriro aunayo, ndeapi mishonga auri kutora, uye ndeapi anesthesia kana sedation yawakambove nayo.
• Kana maitiro ako akarongwa, unogona kubvunzwa kuti usiye kutora aspirin, ibuprofen (Advil, Motrin), warfarin (Coumadin), uye chero vamwe vatete veropa.
• Kumbira chiremba wako kuti ndeapi mishonga yaunofanira kutora pazuva rawaita maitiro ako.
• Ronga kuti munhu mukuru anozvikwanisa akutakure kuenda nekudzoka kuchipatara kana kukiriniki.
• Ukasvuta, edza kurega. Kumbira mupiki wako kuti abatsire kurega.

Pazuva remaitiro:

• Tevedzera rairo pamusoro penguva yekurega kudya nekumwa.
• Usanwa doro husiku hwapfuura uye nezuva rekuita kwako.
• Tora mishonga yawakaudzwa nachiremba kuti utore nekunwa mvura shoma.
• Tevedzera rairo kuti unosvika rinhi kuchipatara. Iva nechokwadi chekusvika nenguva.

Mushure meimwe mhando yeanesthesia:

• Iwe unorara pamubhedha kusvikira iwe uchinzwa mumakumbo ako uye uchigona kufamba.
• Unogona kunzwa kurwara kusvika padumbu rako uye kuita dzungu. Izvi zvinokanganisa kazhinji zvinokurumidza kuenda.
• Unogona kunge wakaneta.

Mukoti anogona kukukumbira kuti uedze kuita weti. Izvi ndezvekuti uve nechokwadi chekuti tsandanyama dzako dzedundira dziri kushanda. Anesthesia inozorodza mhasuru yedundira, zvichiita kuti zvive zvakaoma kuita weti. Izvi zvinogona kutungamira kuhutachiona hwechiropa.

Vanhu vazhinji vanonzwa kusarwadziwa panguva yemusana uye epidural anesthesia uye vanowana zvizere.

Intrathecal yokutindivadza; Subarachnoid anesthesia; Epidural

• Anesthesia - chii chekubvunza chiremba wako - mukuru
• Anesthesia - chii chekubvunza chiremba wako - mwana
• Kuvhiya musana - kubuda

Hernandez A, Sherwood ER. Anesthesiology misimboti, marwadzo manejimendi, uye kuziva sedation. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Chinyorwa Chekuvhiya: Iyo Biological Hwaro hweMazuva Ano Kuvhiya Maitiro. 20th ed.Philadelphia, PA: Elsevier; 2017: chitsiko 14.

Macfarlane AJR, Brull R, Chan VWS. Musana, epidural, uye caudal anesthesia. Mune: Pardo MC, Miller RD, eds. Basics yeAnesthesia. 7th ed. Philadelphia, PA: Elsevier; 2018: chits. 17.