Kodi chophatikizika chimaphatikizidwa ndi chiyani?

Kuphatikiza epid enesthelia. Imaphatikiza zabwino za mankhwala opanduka ndi luso lapachilengedwe. Opaleshoni ya CSSE imaphatikizapo kugwiritsa ntchito zida zophatikizira za Spidaral, zomwe zimaphatikizapo zinthu zosiyanasiyana monga chizindikiritso cha Lorjakisoni, singano, Chulu Chachikulu, ndipoFyuluta yaudindo.

Kuphatikizika kophatikizika kwa spidaral kumapangidwa mosamala kuti zitsimikizire kuti chitetezo, chatha ntchito komanso kusamala kugwiritsa ntchito munthawiyi. Wor (kutayika kwa kukana) syringer ndi gawo lofunika kwambiri la zida. Zimathandizira opaleshoni yolondola imazindikira bwino malo apamwamba. Pamene wocheperapo syringe amakokedwa, mpweya umakokedwa mu mbiya. Monga singano imalowa m'malo opindika, zokumana nazo zokumana nazo chifukwa cha zovuta za madzi amchere. Kuwonongeka kumeneku kukuwonetsa kuti singano yake ndiyoyenera.

Singano yamphamvu ndi yosalala, yopyapyala yomwe imagwiritsidwa ntchito kulowa pakhungu kwa opaleshoni yomwe ikufunidwa. Imapangidwa kuti ichepetse kusasangalala kwa wodwala ndikuwonetsetsa kuloza koyenera kwa catheter. Hub ya singanoyi imalumikizidwa ndi syringe yodziwika bwino, kulola mankhwala oletsa kuwongolera kuwunikira kulembetsa ku singano.

Kamodzi m'chipinda champhamvu, mphaka zachuma zimadutsa singano kudzera pa malo omwe akufunika. Catheter ndi chubu chosinthika chomwe chimapangitsa kuti mankhwala okongoletsa a analgesic mu malo apamwamba. Imasungidwa ndi tepi kuti mupewe kusintha kwangozi. Kutengera ndi zosowa za wodwala, catheter kungagwiritsidwe ntchito kufikitsa kopitilira muyeso kapena bolus.

Kuti muwonetsetse makonzedwe apamwamba kwambiri, kazizonizi ndi gawo lofunikira la CSate. Fyuluta imathandizira kuchotsa tinthu tating'onoting'ono kapena tizilombo toyambitsa matenda kapena catheter kapena cather, potengera chiopsezo cha matenda ndi zovuta. Imapangidwa kuti ilole kuti ikhale ndi mankhwala oletsa pomwe amaletsa zodetsa nkhawa kuti zifike m'thupi la wodwala.

Ubwino wa njira yophatikizira siyikulu ya Epiil ndi ambiri. Zimalola kudalirika komanso kukhazikika kwa mankhwala chifukwa cha mankhwala oyamba. Izi ndizopindulitsa kwambiri pamikhalidwe yomwe kuperekera kwadzidzidzi kapena kulowererapo kumafunikira. Kuphatikiza apo, zombo zamphamvu zimapereka mwayi kwa analges, ndikuwapangitsa kukhala oyenera njira zotalikirana.

Kuphatikiza apo opaleshoni ya msana-epidomu imaperekanso kusinthasintha. Zimalola kuti mankhwalawa abatizidwe, kutanthauza kuti kununkhira kwapachipatala kumasintha mlingo kutengera zofunikira za wodwalayo komanso mayankho. Njira imeneyi imathandizira kukwaniritsa zowawa zowawa pochepetsa zotsatira zoyipa.

Kuphatikiza apo, Cese imalumikizidwa ndi chiopsezo chochepa cha zovuta zanthawi zonse poyerekeza ndi opaleshoni wamba. Itha kusunga mapipu a Lung, kupewa zovuta zina zapakhomo, ndipo pewani kufunika kwa endotracheal intubation. Odwala omwe amakumana nawo nthawi zambiri amakumana ndi ululu wocheperako komanso nthawi yochepa.

Pomaliza, kuphatikiza mankhwala a neuraxial ndi epidol ndi njira yofunika kwambiri yoperekera mankhwala opaleshoni, kunyamula opaleshoni, ndi analgesia kwa odwala nthawi yamankhwala. Kuphatikiza kwa msana wa spidaral thiranaral zida ndi zigawo zikuluzikulu, monga syringe yodziwika bwino, singano yamphamvu ya chipilala, ndi chofufumitsa champhamvu, chimagwira ntchito yofunika kwambiri pakuwonetsetsa. Ndi zabwino zake ndi ntchito, CSE tsopano ndi gawo lofunikira kwambiri pakuchita masewera olimbitsa thupi amakono, kupatsa odwala omwe ali ndi kayendetsedwe kopweteka komanso kuchira mwachangu.