Sezvo kufambira mberi mune zvehutano kuri kuramba kuchichinja nyaya yekurapa kweanesthesia,anesthesia yemusana yakasanganiswayava nzira inozivikanwa uye inoshanda yekuderedza marwadzo panguva yekuvhiyiwa nedzimwe nzira dzekurapa. Iyi nzira yakasiyana inosanganisa zvakanakira mushonga wekurwadziwa kwemusana ne epidural kuti varwere vanzwe vakasununguka uye vakasununguka. Nhasi, tichaongorora zvakadzama mashandisirwo, mhando dzetsono, uye hunhu hwe mushonga wekurwadziwa kwemusana ne epidural kuti tikubatsire kudzidza zvakawanda nezve tekinoroji iyi yekurapa inochinja-chinja.
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Anesthesia yemusana-epidural yakasanganiswa, inonziwoAnesthesia yeCSE, inosanganisira kubaya mishonga zvakananga mu cerebrospinal fluid (CSF) yakakomberedza musana. Izvi zvinoita kuti pave nekukurumidza kutanga kushanda uye kudzikamisa anesthesia zvichienzaniswa nedzimwe nzira. Mishonga inoshandiswa muCSE anesthesia musanganiswa we local anesthesia (yakadai se bupivacaine kana lidocaine) uye opioid (yakadai se fentanyl kana morphine). Nekubatanidza mishonga iyi, vanachiremba veanesthesia vanogona kuwana zororo rekurwadziwa nekukurumidza uye kwenguva refu.
Anesthesia ye lumbar-epidural inoshandiswa zvakanyanya uye inosanganisira nzira dzakasiyana-siyana dzekuvhiya. Inowanzoshandiswa mukuvhiya kwepazasi pedumbu, muchiuno nepazasi pegumbo pamwe chete nekusununguka. Anesthesia yeCSE inobatsira zvikuru mukuzvitakura nekuti inogona kuderedza marwadzo panguva yekusununguka uku ichiramba ichikwanisa kusunda panguva yechipiri yekusununguka. Pamusoro pezvo, anesthesia yeCSE iri kushandiswa zvakanyanya mukurapa kwekunze, varwere vachiwana nguva pfupi yekupora uye kugara muchipatara kwenguva pfupi.
Kana zvasvika kune mhando dzetsono dzinoshandiswa mukurapa kwemusana, kune magadzirirwo maviri makuru: tsono dzine penzura netsono dzine penzura. Tsono dzine penzura, dzinonziwo Whitacre kana kuti Sprotte, dzine muromo wakagomara, wakatetepa unokonzera kukuvara kushoma kwenyama panguva yekuiswa. Izvi zvinogona kuderedza kuwanda kwematambudziko akadai semusoro mushure mekuboorwa kwedural. Tsono dzakatorwa, kune rumwe rutivi, dzine mativi akapinza, akakombama anogona kuboora fibrous tishu zviri nyore. Tsono idzi dzinowanzo shandiswa kuvarwere vane nzvimbo dzakaoma dzeepudural nekuti dzinobvumira kupinda zviri nyore.
Kusanganiswa kweanesthesia yemusana neepidural muanesthesia yeCSE kunopa zvinhu zvakasiyana-siyana zvinobatsira kuti ishande zvakanaka. Chekutanga, anesthesia yeCSE inobvumira kuwedzerwa kwedosi, zvichireva kuti anesthetic agent inogona kugadziriswa mukati menguva yese yeanesthesia, zvichipa anesthesiologist simba guru pamusoro pehuwandu hweanesthesia. Izvi zvinobatsira zvikuru panguva yekuvhiyiwa kwenguva refu apo murwere angangoda kuwedzera kana kuderedza huwandu hwemishonga. Pamusoro pezvo, anesthesia yeCSE inotanga kushanda nekukurumidza uye inogona kupa zororo nekukurumidza kupfuura epidural chete.
Pamusoro pezvo, CSE anesthesia ine mukana wekuderedza marwadzo kwenguva refu mushure mekuvhiyiwa. Kana mishonga yemusana yapera, catheter ye epidural inoramba iripo, zvichiita kuti mishonga inonyaradza marwadzo irambe ichipiwa kwenguva yakareba. Izvi zvinobatsira kuderedza marwadzo mushure mekuvhiyiwa, kuderedza kudiwa kwemishonga ye opioid mumuviri, uye kunatsiridza kugutsikana kwemurwere.
Shanghai TeamStand Corporation inyanzvimutengesi wemidziyo yekurapauye mugadziri anoziva kukosha kwekupa michina yepamusoro-soro yekuvhiyiwa kweanesthesia yemusana neepidural. Kuzvipira kwavo pakuita zvakanaka kunoratidzwa mumhando dzakasiyana dzetsono dzavanopa, dzakagadzirirwa kusangana nezvinodiwa zvevashandi vehutano. Nekunzwisisa mhando dzakasiyana dzetsono nehunhu hwadzo, vanachiremba veanesthesia vanogona kusarudza sarudzo yakakodzera murwere wega wega, vachivimbisa kuti kuvhiyiwa kwacho kunobudirira uye kwakasununguka.
Muchidimbu, mushonga weanesthesia wemusana neepidural unoshanda zvakanyanya mukurapa marwadzo uye kuvandudza nyaradzo yemurwere panguva yekuvhiyiwa. Mashandisirwo awo anofukidza kuvhiyiwa kwakasiyana-siyana, kusanganisira kuvhiyiwa kwepazasi pedumbu, muchiuno nemumakumbo. Rudzi rwetsono inoshandiswa, ingave yakapinza kana yakapinza, zvinoenderana nehunhu hwemurwere. Hunhu hweanesthesia yeCSE, hwakadai sekuwedzerwa kwedosi uye kuzorora kwenguva refu mushure mekuvhiyiwa, hunowedzera kushanda kwayo. Nerutsigiro rwemakambani akaita seTeamStand Corporation muShanghai, nyanzvi dzehutano dzinogona kuramba dzichipa varwere kudzora marwadzo kwakaringana uye ruzivo rwakanaka rwekuvhiyiwa.
Nguva yekutumira: Gumiguru-17-2023