Kodi kuphatikiza spinal epidural anesthesia ndi chiyani?

Kuphatikiza msana epidural anesthesia(CSE) ndi njira yomwe imagwiritsidwa ntchito pazachipatala kuti apatse odwala epidural anesthesia, anesthesia yoyendetsa, ndi kukomoka. Zimaphatikiza ubwino wa opaleshoni ya msana ndi njira za epidural anesthesia. Opaleshoni ya CSE imaphatikizapo kugwiritsa ntchito makina ophatikizika a msana wa epidural, omwe amaphatikizapo zigawo zosiyanasiyana monga chizindikiro cha LOR.syringe, epidural singano, epidural catheter,ndiepidural fyuluta.

Chida chophatikizana cha msana cha epidural chimapangidwa mosamala kuti chitsimikizire chitetezo, chogwira ntchito komanso chosavuta kugwiritsa ntchito panthawiyi. The LOR (Kutayika Kukaniza) syringe yowonetsera ndi gawo lofunikira la zida. Imathandiza wogonetsa kuti azindikire molondola malo a epidural. Plunger ya syringe ikakokera mmbuyo, mpweya umakokera mumgolo. Pamene singano imalowa mu epidural space, plunger imakumana ndi kukana chifukwa cha kuthamanga kwa cerebrospinal fluid. Kutayika kwa kukana kumeneku kumasonyeza kuti singano ili pamalo abwino.

Singano ya epidural ndi singano yopanda pake, yopyapyala yomwe imagwiritsidwa ntchito kulowa pakhungu mpaka kuya komwe kumafunikira panthawi ya opaleshoni ya CSE. Amapangidwa kuti achepetse kukhumudwa kwa odwala ndikuwonetsetsa kuyika kolondola kwa catheter ya epidural. Chipinda cha singanocho chimalumikizidwa ndi syringe yowonetsa LOR, zomwe zimalola wogonetsa kuti aziyang'anira kukana pakuyika singano.

Kamodzi m'danga la epidural, catheter ya epidural imadutsa mu singano ndikupita kumalo omwe mukufuna. Catheter ndi chubu chosinthika chomwe chimapereka mankhwala oletsa ululu kapena ochepetsa ululu mu epidural space. Imagwiridwa ndi tepi kuti isasunthike mwangozi. Malingana ndi zosowa za wodwalayo, catheter ikhoza kugwiritsidwa ntchito kulowetsedwa kosalekeza kapena kutsogola kwapakati pa bolus.

Kuwonetsetsa kuyendetsedwa kwamankhwala kwapamwamba, fyuluta ya epidural ndi gawo lofunikira la CSE suite. Zosefera zimathandizira kuchotsa tinthu tating'onoting'ono tomwe titha kukhala mumankhwala kapena catheter, potero kuchepetsa chiopsezo cha matenda ndi zovuta. Amapangidwa kuti azilola kuti mankhwala aziyenda bwino komanso kupewa zowononga zilizonse kuti zifike m'thupi la wodwalayo.

Ubwino wa njira yophatikizira ya msana-epidural ndi yambiri. Amalola odalirika komanso mofulumira kuyamba kwa anesthesia chifukwa cha mlingo woyamba wa msana. Izi ndizopindulitsa makamaka pamene kupweteka kwachangu kapena kuthandizira kumafunika. Kuphatikiza apo, ma catheters a epidural amapereka analgesia osatha, kuwapangitsa kukhala oyenera kwa nthawi yayitali.

Kuphatikizika kwa msana-epidural anesthesia kumaperekanso kusinthasintha kwa dosing. Amalola kuti mankhwalawa akhale ndi titrated, kutanthauza kuti katswiri wa opaleshoni amatha kusintha mlingo malinga ndi zosowa ndi mayankho a wodwalayo. Njira yokhazikikayi imathandiza kukwaniritsa kuwongolera koyenera kwa ululu ndikuchepetsa zotsatira zoyipa.

Kuphatikiza apo, CSE imalumikizidwa ndi chiwopsezo chochepa cha zovuta zadongosolo poyerekeza ndi anesthesia wamba. Zitha kuteteza bwino mapapu, kupewa zovuta zina zokhudzana ndi mpweya, komanso kupewa kufunikira kwa endotracheal intubation. Odwala omwe amakumana ndi CSE nthawi zambiri amamva ululu wochepa pambuyo pa opaleshoni komanso nthawi yochepa yochira, zomwe zimawathandiza kuti abwerere kuzochitika zachizolowezi mwamsanga.

Pomaliza, kuphatikiza neuraxial ndi epidural anesthesia ndi njira yamtengo wapatali yoperekera opaleshoni, kunyamula anesthesia, ndi kupweteka kwa odwala panthawi yachipatala. Kuphatikizika kwa msana wa epidural kit ndi zigawo zake, monga syringe ya LOR chizindikiro, singano ya epidural, catheter ya epidural, ndi fyuluta ya epidural, imakhala ndi gawo lofunika kwambiri poonetsetsa chitetezo, mphamvu, ndi kupambana kwa ndondomekoyi. Ndi ubwino ndi ntchito zake, CSE yakhala mbali yofunika kwambiri ya machitidwe amakono a anesthesia, kupatsa odwala chithandizo chabwino cha ululu ndikuchira msanga.