Pamene kupita patsogolo kwa zamankhwala kukupitilira kusintha kwambiri ntchito yopereka mankhwala oletsa ululu,mankhwala oletsa ululu a msana pamodziyakhala njira yotchuka komanso yothandiza yochepetsera ululu panthawi ya opaleshoni ndi njira zina zamankhwala. Njira yapaderayi imaphatikiza ubwino wa mankhwala oletsa ululu a msana ndi epidural kuti apatse odwala mphamvu yowongolera ululu komanso chitonthozo chokwanira. Lero, tiwona mozama momwe amagwiritsidwira ntchito, mitundu ya singano, ndi mawonekedwe a mankhwala oletsa ululu a msana ndi epidural kuti akuthandizeni kudziwa zambiri za ukadaulo wamakono wamankhwalawu.
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Mankhwala oletsa ululu a msana ndi epidural, omwe amatchedwanso kutiMankhwala oletsa ululu a CSE, zimaphatikizapo kubaya mankhwala mwachindunji mu cerebrospinal fluid (CSF) yozungulira msana. Izi zimathandiza kuti munthu ayambe kugwira ntchito mwachangu komanso kuti azitha kuletsa kupweteka kwambiri poyerekeza ndi njira zina. Mankhwala omwe amagwiritsidwa ntchito mu CSE anesthesia ndi kuphatikiza kwa mankhwala oletsa kupweteka am'deralo (monga bupivacaine kapena lidocaine) ndi opioid (monga fentanyl kapena morphine). Mwa kuphatikiza mankhwalawa, akatswiri oletsa kupweteka amatha kuchepetsa ululu mwachangu komanso kwanthawi yayitali.
Mankhwala oletsa ululu a lumbar-epidural amagwiritsidwa ntchito kwambiri ndipo amakhudza njira zosiyanasiyana zochitira opaleshoni. Amagwiritsidwa ntchito kwambiri pa opaleshoni ya m'mimba, m'chiuno ndi m'chiuno komanso pobereka. Mankhwala oletsa ululu a CSE ndi othandiza kwambiri pa nthawi ya kubereka chifukwa amatha kuchepetsa ululu panthawi yobereka komanso kusunga mphamvu yokakamiza panthawi yachiwiri ya kubereka. Kuphatikiza apo, mankhwala oletsa ululu a CSE akugwiritsidwa ntchito kwambiri pazochitika zakunja kwa odwala, ndipo odwala amachira nthawi yochepa komanso amakhala nthawi yochepa kuchipatala.
Ponena za mitundu ya singano zomwe zimagwiritsidwa ntchito pochiza matenda oletsa kupweteka kwa msana, pali mapangidwe awiri akuluakulu: singano zokhala ndi pensulo ndi singano zokhala ndi pensulo. Singano zokhala ndi pensulo, zomwe zimatchedwanso singano za Whitacre kapena Sprotte, zimakhala ndi nsonga yopyapyala komanso yopapatiza yomwe imayambitsa kuvulala kochepa kwa minofu panthawi yoika. Izi zitha kuchepetsa mavuto monga mutu pambuyo pobowola m'mbali mwa khosi. Koma singano zosankhidwa zimakhala ndi nsonga zakuthwa, zopingasa zomwe zimatha kuboola minofu ya ulusi mosavuta. Singano izi nthawi zambiri zimagwiritsidwa ntchito kwa odwala omwe ali ndi malo ovuta a epidural chifukwa zimathandiza kuti munthu azitha kuzipeza mosavuta.
Kuphatikiza kwa mankhwala oletsa ululu a msana ndi epidural mu opaleshoni ya CSE kumapereka zinthu zingapo zapadera zomwe zimathandiza kuti izi zigwire bwino ntchito. Choyamba, mankhwala oletsa ululu a CSE amalola kuti pakhale mlingo wowonjezera, zomwe zikutanthauza kuti mankhwala oletsa ululu amatha kusinthidwa panthawi yonse ya opaleshoni, zomwe zimapatsa dokotala mphamvu yolamulira kuchuluka kwa mankhwala oletsa ululu. Izi ndizothandiza makamaka panthawi yayitali pomwe wodwalayo angafunike kuwonjezera kapena kuchepetsa kuchuluka kwa mankhwala. Kuphatikiza apo, mankhwala oletsa ululu a CSE amayamba kugwira ntchito mwachangu ndipo amatha kuchepetsa ululu mwachangu kuposa epidural yokha.
Kuphatikiza apo, mankhwala oletsa ululu a CSE ali ndi ubwino wochepetsa ululu kwa nthawi yayitali pambuyo pa opaleshoni. Mankhwala a msana akatha, catheter ya epidural imakhalabe m'malo mwake, zomwe zimathandiza kuti munthu apereke mankhwala ochepetsa ululu kwa nthawi yayitali. Izi zimathandiza kuchepetsa ululu pambuyo pa opaleshoni, kuchepetsa kufunikira kwa opioids, komanso kukulitsa chikhutiro cha wodwalayo.
Shanghai TeamStand Corporation ndi katswiriwogulitsa zida zachipatalandi wopanga yemwe amazindikira kufunika kopereka zida zapamwamba kwambiri za opaleshoni yophatikizana ya ululu wa msana ndi epidural. Kudzipereka kwawo kuchita bwino kwambiri kumaonekera m'mitundu yosiyanasiyana ya singano zomwe amapereka, zomwe zimapangidwa kuti zikwaniritse zosowa zapadera za akatswiri azaumoyo. Pomvetsetsa mitundu yosiyanasiyana ya singano ndi makhalidwe awo, akatswiri ogonetsa ululu amatha kusankha njira yoyenera kwambiri kwa wodwala aliyense, kuonetsetsa kuti njirayo ikuyenda bwino komanso yomasuka.
Mwachidule, mankhwala oletsa ululu ophatikizana ndi msana ndi chida chamtengo wapatali pantchito yoletsa ululu kuti achepetse ululu ndikuwonjezera chitonthozo cha wodwalayo panthawi ya opaleshoni. Ntchito zake zimaphatikizapo maopaleshoni osiyanasiyana, kuphatikizapo opaleshoni ya m'mimba, m'chiuno ndi m'munsi. Mtundu wa singano womwe umagwiritsidwa ntchito, kaya ndi pensulo kapena yolunjika, umadalira mawonekedwe apadera a wodwalayo. Makhalidwe a mankhwala oletsa ululu a CSE, monga kumwa mankhwala pang'onopang'ono komanso kuchepetsa ululu pambuyo pa opaleshoni, amawonjezera mphamvu yake. Ndi chithandizo cha makampani monga TeamStand Corporation ku Shanghai, akatswiri azaumoyo amatha kupitiliza kupatsa odwala njira yabwino kwambiri yowongolera ululu komanso kukhala ndi mwayi wabwino wochita opaleshoni.
Nthawi yotumizira: Okutobala-17-2023