Dziwani zambiri za kuphatikiza spinal epidural anesthesia

Pamene kupita patsogolo kwachipatala kukupitilira kusintha gawo la opaleshoni,kuphatikiza msana epidural opaleshoniyakhala njira yotchuka komanso yothandiza yochepetsera ululu panthawi ya opaleshoni ndi njira zina zamankhwala. Njira yapaderayi imaphatikizapo ubwino wa anesthesia ya msana ndi epidural kuti apereke odwala kuti azitha kupweteka kwambiri komanso kutonthozedwa bwino. Lero, tiwona mozama momwe angagwiritsire ntchito, mitundu ya singano, ndi mawonekedwe a anesthesia ophatikizika a spinal-epidural anesthesia kuti akuthandizeni kuphunzira zambiri zaukadaulo wazachipatala wosinthawu.

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Kuphatikizika kwa msana-epidural anesthesia, kumatchedwansoCSE anesthesia, kumaphatikizapo kubaya mankhwala mwachindunji mu cerebrospinal fluid (CSF) yozungulira msana. Izi zimalola kuti ayambe kuchitapo kanthu mofulumira komanso anesthesia yakuya poyerekeza ndi njira zina. Mankhwala omwe amagwiritsidwa ntchito mu CSE anesthesia ndi ophatikizira mankhwala ogonetsa am'deralo (monga bupivacaine kapena lidocaine) ndi opioid (monga fentanyl kapena morphine). Mwa kuphatikiza mankhwalawa, akatswiri opha ululu amatha kupeza mpumulo wofulumira komanso wokhalitsa.

Kuphatikizika kwa lumbar-epidural anesthesia kumagwiritsidwa ntchito kwambiri ndipo kumaphatikizapo njira zambiri zopangira opaleshoni. Amagwiritsidwa ntchito popanga maopaleshoni am'munsi pamimba, m'chiuno ndi m'munsi komanso pobereka komanso pobereka. CSE anesthesia imakhala yopindulitsa makamaka pazachikazi chifukwa imatha kuthetsa ululu panthawi yobereka ndikusunga mphamvu yokankhira gawo lachiwiri la zowawa. Kuphatikiza apo, CSE anesthesia ikugwiritsidwa ntchito mochulukira popereka chithandizo chakunja, odwala omwe akuchira kwakanthawi kochepa komanso kukhala m'chipatala kwakanthawi.

Pankhani ya mitundu ya singano yomwe imagwiritsidwa ntchito pophatikizira msana wa epidural anesthesia, pali mapangidwe awiri akuluakulu: singano za pensulo ndi singano zodula. Singano zokhala ndi pensulo, zomwe zimatchedwanso Whitacre kapena Sprotte singano, zili ndi nsonga yosalala, yopindika yomwe imayambitsa kupwetekedwa mtima pang'ono pakuyika. Izi zitha kuchepetsa kuchuluka kwa zovuta monga kupweteka kwa mutu pambuyo pa kuphulika kwapawiri. Komano, singano zotoledwa zimakhala ndi nsonga zakuthwa zomwe zimatha kuboola minofu ya ulusi mosavuta. Singanozi nthawi zambiri zimagwiritsidwa ntchito kwa odwala omwe ali ndi malo ovuta a epidural chifukwa amalola kuti azitha kupeza bwino.

Kuphatikiza kwa anesthesia ya msana ndi epidural mu CSE anesthesia imapereka zinthu zingapo zapadera zomwe zimathandizira kuti zitheke. Choyamba, CSE anesthesia imalola kuwonjezereka kwa dosing, kutanthauza kuti wothandizira amatha kusinthidwa panthawi yonseyi, kupatsa dokotala wogonetsa mphamvu kwambiri pa mlingo wa anesthesia. Izi ndizopindulitsa makamaka panthawi yomwe wodwalayo angafunikire kuwonjezera kapena kuchepetsa mlingo wa mankhwala. Kuphatikiza apo, CSE anesthesia imayamba mwachangu kuchitapo kanthu ndipo imatha kupereka mpumulo wopweteka kwambiri kuposa epidural yokha.

Kuphatikiza apo, CSE anesthesia ili ndi mwayi wopumula kwanthawi yayitali pambuyo pa opaleshoni. Mankhwala a msana akatha, catheter ya epidural imakhalabe m'malo mwake, zomwe zimalola kuti ma analgesics apitirizebe kwa nthawi yaitali. Izi zimathandiza kuchepetsa kupweteka kwapambuyo pa opaleshoni, kuchepetsa kufunikira kwa opioid ya systemic, ndikuthandizira kukhutira kwa odwala.

Shanghai TeamStand Corporation ndi katswiriwoperekera zida zamankhwalandi wopanga yemwe amazindikira kufunika kopereka zida zapamwamba zophatikizira opaleshoni ya msana-epidural anesthesia. Kudzipereka kwawo kuchita bwino kumawonetsedwa ndi singano zosiyanasiyana zomwe amapereka, zomwe zimapangidwira kuti zikwaniritse zosowa zapadera za akatswiri azachipatala. Pomvetsetsa mitundu yosiyanasiyana ya singano ndi mawonekedwe ake, akatswiri opha tizilombo amatha kusankha njira yoyenera kwambiri kwa wodwala aliyense, kuonetsetsa kuti njira yabwino komanso yabwino.

Mwachidule, kuphatikiza msana-epidural anesthesia ndi chida chamtengo wapatali m'munda wa anesthesia kuti apititse patsogolo kupweteka komanso kutonthoza odwala panthawi ya opaleshoni. Ntchito zake zimakhudza maopaleshoni osiyanasiyana, kuphatikizapo maopaleshoni apansi pamimba, m'chiuno ndi m'munsi. Mtundu wa singano yomwe imagwiritsidwa ntchito, kaya ndi pensulo kapena yakuthwa-nsonga, zimadalira mawonekedwe apadera a wodwalayo. Makhalidwe a CSE anesthesia, monga kuwonjezereka kwa mlingo ndi kuchepetsa kupweteka kwa nthawi yayitali pambuyo pa opaleshoni, kumawonjezera mphamvu yake. Mothandizidwa ndi makampani monga TeamStand Corporation ku Shanghai, akatswiri azaumoyo angapitirize kupatsa odwala matenda opweteka kwambiri komanso ochita opaleshoni.