Chii chinonzi post-spinal musoro, zviratidzo, nei zvichiitika uye maitiro ekurapa

Zvemukati

• Zviratidzo zvikuru
• Zvinokonzera post-spinal musoro
• Kurapwa kunoitwa sei

Post-musana wemusoro, inozivikanwawo seyemusana-musana anesthesia kurwadziwa nemusoro, imhando yemusoro inomuka maawa mashoma kana mazuva mushure mekutungamira kweanesthetic uye inogona kutsakatika nekukasira mukati memavhiki maviri. Mune mhando iyi yemusoro, kurwadziwa kunonyanya kunyanyisa kana munhu akamira kana akagara uye anovandudza munguva pfupi mushure mekunge munhu arara.

Kunyangwe isina kugadzikana, post-musana kutemwa kunofungidzirwa seyakaomarara nekuda kwehunyanzvi hunoshandiswa mukuita izvi, zvichinzi nevamwe vanhu vakaita rudzi urwu rweanesthesia, uye vanopfuura mushure memavhiki mashoma ekutsigirwa kurapwa, nekushandisa mishonga iyo batsira kubvisa marwadzo nekukurumidza.

Zviratidzo zvikuru

Chiratidzo chikuru chemashure-musana kutemwa nemusoro ndechekuti, kutemwa nemusoro, uko kunogona kuoneka kusvika pamazuva mashanu mushure mekutarisirwa kweanesthesia, ichiwanzoonekwa mushure memaawa makumi maviri nemana kusvika makumi mana. Musoro unowanzo bata nzvimbo yepamberi neye occipital, inoenderana neshure kwemusoro, uye inogona zvakare kuwedzera kunharaunda yechibereko nemapfudzi.

Rudzi urwu rwemusoro kazhinji runowedzera kana munhu akagara kana kumira akamira panguva yekurara uye zvinogona kuperekedzwa nezvimwe zviratidzo sekuomesa kwemutsipa, kuda kurutsa, kuwedzera kwekunzwa kwechiedza, kuoneka kwetinnitus uye kuderera kwekunzwa kugona.

Zvinokonzera post-spinal musoro

Icho chinokonzeresa kutemwa nemusoro mushure memuzongoza anesthesia hachisati chanyatsojeka, zvisinei ivo vakatsanangurwa zvinoenderana nedzidziso, chikuru ndechekuti parizvino kubaya kunoitwa panzvimbo inoitirwa anesthesia, CSF, CSF kuwedzeredza, kudzikira kwekumanikidza panzvimbo uye kusimudzira kutsauka muzvimiro zvehuropi zvine chekuita nekurwadziwa kwekunzwa, zvichikonzera kutemwa nemusoro, pamusoro pekuti kurasikirwa kweCSF kwakakura kupfuura kugadzirwa kwayo, pane kusaenzana.

Pamusoro pezvo, zvimwe zvidzidzo zvinoratidzira kuti pane zvimwe zvinhu zvingafarire kuvandudzwa kwemashure- musana wemusoro, sekushandiswa kwesero hombe, kudzokororwa kuedza kweanesthesia, zera remunhu uye murume, degree rehydration, leakage huwandu hwakawanda hweCSF panguva yekubaya uye nhumbu.

Kurapwa kunoitwa sei

Musoro mushure memuzongoza anesthesia unowanzo dzikira mushure memavhiki mashoma, zvisinei zvinokurudzirwa kuti munhu anwe zvinwiwa zvakawanda kuti abatsire kuzvisunungura nekukurumidza. Mukuwedzera, kushandiswa kwemishonga inobatsira kubvisa misoro uye zvimwe zviratidzo zvinoenderana zvinogona kukurudzirwa.

Kana hydration uye kushandiswa kwemishonga kunoratidzwa nachiremba zvisina kukwana, epidural ropa kurongedza, inozivikanwawo se chigamba cheropa. Muchiitiko ichi, 15 ml yeropa inounganidzwa kubva kumunhu uye ichibva yabaya panzvimbo pakaitiswa punchi yekutanga. Zvimwe zvidzidzo zvinoratidza kuti kuburikidza nehunyanzvi uhu zvinokwanisika kuwedzera kwechisimba kumanikidza kweepidural, zvichibatsira kurwisa musoro.