Sezvo kufambira mberi kwekurapa kuchiramba kuchinjisa munda weanesthesia,yakasanganiswa nemusango chirwere chegandarave hunyanzvi hwakakurumbira uye hunoshanda hwekusunungurwa pakusunungurwa panguva yekuvhiya uye mamwe maitiro ekurapa. Iyi nzira yakasarudzika inosanganisa zvakanakira zviyero zvemuzongoza uye gadziriro yechikuru uye kupa varwere nekuvandudza kurwadzisa kurwadziwa uye kunyaradza kwakakwana. Nhasi, isu tichaongorora zvakadzama pane zvekushandisa, mhando dzesango, uye hunhu hwehukama hwemapuranga-eparesthesia kuti ndikubatsire kudzidza zvakawanda nezve iyi yekuchinja kwechiremba
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Yakasanganiswa musimboti-Eptiural anesthesia, zvakare inonziCse anesthesia, inosanganisira kuuraya zvinodhaka zvakananga muEerebropinal fluid (csf) yakatenderedza tambo yemuzongoza. Izvi zvinobvumidza kukurumidza kutanga kwechiito uye zvakadzika anesthesia zvichienzaniswa nedzimwe nzira. Mishonga iyi inoshandiswa muCse anesthesia ndeye musanganiswa weanothertheti yemuno (senge bupivakenae kana lidocaine) uye opioid (yakadai (yakadai (yakadaro fentanyl kana morphine). Nekubatanidza mishonga iyi, anesthesiologists anogona kuwana nekukurumidza uye kwenguva refu zvinorwadza.
Yakasanganiswa Lumbar-Eptural Anesthesia inoshandiswa zvakanyanya uye inovhara huwandu hwakawanda hwekuvhiya maitiro. Izvo zvinowanzoshandiswa mune yakadzika mudumbu, pelvic uye yakaderera yekuvhiya yekuvhiya pamwe nekuvhurika uye kuendesa. Cse anesthesia inonyanya kubatsira mukudzikisira mumashure nekuti inogona kuregedza kurwadziwa panguva yekushanda uchiramba uchigona kusundira mukati mechikamu chechipiri chebasa. Pamusoro pezvo, CSE Anesthesia inowedzera inoshandiswa mumaitiro ekunze, nevarwere kuwana nguva dzakapfupika uye hupfupi hupombwe.
Kana zvasvika kune mhando dzevanonhes dzinoshandiswa mune zvakasanganiswa musana chirwere cheSanesthesia, pane mainini main madiki: penzura-poindi madonhwe uye madhiri ekucheka. Penzuriti-poindi madhiri, anonziwo madhiri akacheneswa kana spotte, iva nehure, tipped tip. Izvi zvinogona kuderedza zviitiko zvemanzwiro akadai semusoro mushure meDual puncture. Akasarudza tsono, kune rumwe rutivi, iva nemazano akapinza, akakwenenzverwa, anokwanisa kubaya tytue zvishoma nyore. Aya masango anowanzo shandiswa mune varwere nenzvimbo dzakaoma dzepadenga nekuti dzinobvumira kuwana kwakanyatsoshanda.
Iko kusanganiswa kwemuzongoza uye gadziriro yeresthesia muCse anesthesia inopa zvinhu zvakasiyana zvakasiyana zvinobatsira mukubudirira kwayo. Kutanga, CSE Anesthesia inobvumira kurwisa kwekuwedzera, zvichireva kuti mumiririri weanesthetic anogona kugadziridzwa mumuitiro wese, achipa anesthesiologist yakakura kutonga pamusoro peanesthesia. Izvi zvinonyanya kubatsira mukati mematanho marefu apo murwere angangoda kuwedzera kana kuderedza mishonga yezvinodhaka. Pamusoro pezvo, cse anesthesia ine kukurumidza kutanga kwekuita uye kunogona kupa kukurumidza kumuka kwekurwadziwa pane chirwere chega.
Pamusoro pezvo, cse anthesia ine mukana wekuzorora kwenguva refu kwekurwadziwa. Kamwe mishonga yemusango ichipfekwa, gadziriro yegrethel inoramba iri munzvimbo, ichibvumira kuenderera mberi kwekutonga kweAnalgesics kwenguva yakareba kwenguva yakareba. Izvi zvinobatsira kuderedza kurwadzisa kurwadziwa, kunoderedza kudiwa kweiyo opic opioids, uye inovandudza kugutsikana kwemurwere.
Shanghai Chikwata Corporation iri nyanzvizvekurapa mudziyo mutengesiUye mugadziri anoziva kukosha kwekupa michina yemhando yepamusoro yekusanganiswa musanganiswa-epidhel surgery. Kuzvipira kwavo kune ukuru kunoratidzwa mumhando dzakasiyana siyana dzavanopa, dzakagadzirirwa kuzadzisa izvo zvakasiyana zvinodikanwa zvehutano hutano. Nokunzwisisa mhando dzakasiyana dzeshiri uye hunhu hwavo, anesthesiologists anogona kusarudza sarudzo yakakodzera kune mumwe nemumwe murwere, anoona maitiro anobudirira uye akasununguka.
Mukupfupikisa, zvakasanganiswa musana-dendal anesthesia chishandiso chakakosha mumunda weanesthesia kuti azorodze ruregerero uye kuvandudza nyaradzo yemurwere panguva yekuvhiya. Zvikumbiro zvaro zvinovhara huwandu hwakawanda hwekuvhiya, kusanganisira kuderera mudumbu, pelvic uye kuderera kwekuvhiya kwekuvhiya. Mhando yedanda rakashandiswa, kungave penzura-poindi kana yakapinza-yakatorwa, zvinoenderana nehunhu hwakasarudzika hwemurwere. Zvimiro zveCse anesthesia, sekusvika pakuwedzera kurwadzisa uye kuzorora kwenguva refu kwekurwadzisa, kuwedzera kuwedzera kushanda kwayo. Netsigiro yemakambani seApple Sangano muShanghai, nyanzvi dzehutano dzinogona kuramba dzichipa varwere vane kurwadza kwekurwadziwa uye ruzivo rwekuvhiya.
Kutumira Nguva: Oct-17-2023