Epidural anesthesia: chii icho, kana ichinge yaratidzwa uye zvinogona kuitika njodzi

Zvemukati

• Kana zvaratidzwa
• Zvinoitwa sei
• Njodzi dzinogona kuitika
• Kuchengeta mushure meanesthesia
• Misiyano pakati pepidural uye musana

Epidural anesthesia, inonziwo epidural anesthesia, rudzi rweanesthesia inovhara marwadzo enharaunda imwe chete yemuviri, kazhinji kubva muchiuno zvichidzika izvo zvinosanganisira dumbu, musana nemakumbo, asi munhu achiri kunzwa kubata uye kumanikidzwa. Rudzi urwu rweanesthesia rwunoitirwa kuitira kuti munhu agare akasvinura panguva yekuvhiyiwa, sezvo isingakanganise nhanho yekuziva, uye inowanzo shandiswa panguva dzekuvhiya dziri nyore, senge chikamu checesarean kana mukuvhiya kwevakadzi.

Kuita epidural, mushonga weanesthetic unoshandiswa kune iyo vertebral nzvimbo kuti usvike tsinga dzedunhu, uine chiito chenguva pfupi, chinodzorwa nachiremba. Izvo zvinoitwa mune chero chipatara chine nzvimbo yekuvhiya, neanesthetist.

Kana zvaratidzwa

Epidural anesthesia inogona kushandiswa pakuvhiya zvakadai se:

• Kesariya;
• Hernia kugadzirisa;
• Kazhinji kuvhiya pazamu, mudumbu kana chiropa;
• Orthopedic kuvhiya kwehudyu, mabvi kana pelvic kutyoka;
• Gynecological kuvhiya senge hysterectomy kana kuvhiya kudiki pane pelvic pasi;
• Urological kuvhiyiwa senge kubviswa kweprostate kana itsvo matombo;
• Kuvhiya kweVascular sekudimburwa kana kudzoreredzwa kwemidzi yeropa mumakumbo;
• Kuvhiya kwevana senge inguinal hernia kana ekuvhiya mazino.

Uye zvakare, iyo epidural inogona kuitwa panguva yakajairika kuberekwa mune zviitiko apo mukadzi ane maawa mazhinji ekubata kana ari kurwadziwa kukuru, achishandisa epidural analgesic kudzikamisa marwadzo. Ona kuti epidural anesthesia inoitwa sei pakuzvara.

Epidural anesthesia inoonekwa seyakachengeteka uye inosanganisirwa nenjodzi yakaderera yetachycardia, thrombosis uye mapapu, zvisinei, haifanire kushandiswa kune vanhu vane hutachiona hunoshanda kana kune iyo anesthesia inoshandiswa, kana kune vanhu vane shanduko mumuzongoza, kubuda ropa pasina chikonzero chiri pachena kana kuti ndiani arikushandisa mishonga inorwisa mabhagidhi. Uye zvakare, kuiswa kweiyo anesthesia hakukurudzirwi mune zviitiko apo chiremba asingakwanise kuwana iyo epidural nzvimbo.

Zvinoitwa sei

Epidural anesthesia inowanzo shandiswa mukuvhiya kudiki, ichinyanya kuitika panguva yekusiyiwa kana panguva yekuzvarwa, sezvo ichidzivirira marwadzo panguva yekusununguka uye isingakuvadze mwana.

Munguva yeanesthesia, murwere anoramba akagara uye akazendamira kumberi kana akarara parutivi, nemabvi ake akakotama uye achizorora akabata chirebvu chake. Ipapo, anesthetist anovhura nzvimbo pakati peguruva remuzongoza neruoko, anoshandisa mushonga wemuno kudzikisira kusagadzikana uye kuisa tsono uye chubhu yepurasitiki, inonzi catheter, inopfuura nepakati petsono.

Ne catheter yakaiswa, chiremba anopinza mushonga weanesthetic kuburikidza nehubhu uye, kunyangwe isingarwadzi, zvinoita kuti unzwe kubaya zvishoma uye zvakapfava kana tsono yaiswa, ichiteverwa nekumanikidza uye kunzwa kwekudziya kana mushonga wacho kuiswa. Kazhinji, mhedzisiro yeepidural anesthesia inotanga maminetsi gumi kusvika makumi maviri mushure mekushandisa.

Mune iyi mhando yeanesthesia, chiremba anogona kudzora huwandu hweanesthetic uye iyo nguva, uye dzimwe nguva, zvinokwanisika kusanganisa iyo epidural pamwe nemuzongoza kuti uwane kukurumidza kuita kana kuita epidural anesthesia ne sedation mairi. kukonzera kurara kunoiswa mutsinga.

Njodzi dzinogona kuitika

Njodzi dzeepidural anesthesia hadziwanzoitika, zvisinei, panogona kunge paine kudonha kweropa, kutonhora, kudedera, kusvotwa, kurutsa, fivhiri, hutachiona, kukuvara kwemitsipa padyo nenzvimbo kana kubuda kweropa.

Uye zvakare, zvakajairika kusangana nemusoro mushure meepidural anesthesia, iyo inogona kuitika nekuda kwekupararira kwecebrospinal fluid, inova furuidhi yakakomberedza tambo yemusana, inokonzerwa nekupiswa kwakaitwa netsono.

Kuchengeta mushure meanesthesia

Kana chirwere chikakanganiswa, kazhinji panenge paine chiveve chinotora maawa mashoma mhedzisiro yeanesthesia yatanga kutsakatika, saka zvakakosha kuti ureve kana kugara kusvikira kunzwa kwemakumbo ako kuchidzokera pane zvakajairwa.

Kana uchinzwa chero kurwadziwa, unofanirwa kutaurirana nachiremba nemukoti kuitira kuti ugone kurapwa nemapiritsi ekunyaradza marwadzo.

Mushure mechirwere, haufanire kutyaira kana kunwa doro, zvirinani mukati maawa makumi maviri nemana mushure meanesthesia. Tsvaga kuti ndeapi matanho makuru aunoda kuti upore nekukurumidza mushure mekuvhiyiwa.

Misiyano pakati pepidural uye musana

Epidural anesthesia yakasiyana nespinal anesthesia, nekuti inoiswa munzvimbo dzakasiyana:

• Epidural: tsono haibaye ese magemenzi, ayo ari membranes akakomberedza musana, uye mushonga wekurapa unoiswa wakakomberedza musana wechipfuva, muhuwandu hwakawanda uye kuburikidza necatheter iyo iri kumashure, uye inoshanda chete kubvisa marwadzo uye kusiya iyo nzvimbo ine chiveve, zvisinei, munhu wacho achiri kungonzwa kubata uye kumanikidzwa;
• Musana: tsono inobaya ese mamenji uye anesthetic inoiswa mukati memutsipa wepelinha, mune cerebrospinal fluid, inova iyo mvura inotenderedza musana, uye inogadzirwa kamwechete uye zvishoma muhuwandu, uye inoshanda kuita kuti dunhu rive chiveve uye rakaoma mitezo.

Iyo epidural inowanzo shandiswa mukusununguka, nekuti inobvumidza akawanda madosi kuti ashandiswe zuva rese, nepo musana uchinyanya kushandiswa kuita kuvhiya, paine chete chipimo chemushonga weanesthetic uri kuiswa.

Kana inesthesia yakadzama ichidikanwa, general anesthesia inoratidzwa. Tsvaga kuti anesthesia inoshanda sei uye njodzi dzayo.