Yakasanganiswa spinal epidural anesthesia(CSE) inzira inoshandiswa mumakiriniki ekupa varwere epidural anesthesia, kutakura anesthesia, uye analgesia. Inobatanidza zvakanakira spinal anesthesia uye epidural anesthesia maitiro. Kuvhiyiwa kweCSE kunosanganisira kushandiswa kweiyo yakasanganiswa spinal epidural kit, iyo inosanganisira zvakasiyana siyana senge LOR chiratidzo.sirinji, epidural tsono, epidural catheter,uyeepidural filter.
Iyo yakasanganiswa spinal epidural kit yakanyatsogadzirwa kuti ive nechokwadi chekuchengetedza, kubudirira uye nyore kushandisa panguva yekuita. Iyo LOR (Kurasikirwa kweKuramba) chiratidzo sirinji chikamu chakakosha chekiti. Inobatsira anesthesiologist kunyatsoona nzvimbo yepidural. Kana jekiseni radhonzwa kumashure, mweya unodhonzerwa mudhiramu. Sezvo tsono ichipinda mu epidural space, plunger inosangana nekupikisa nekuda kwekumanikidzwa kwecerebrospinal fluid. Uku kurasika kwekupokana kunoratidza kuti tsono iri panzvimbo chaiyo.
Iyo epidural tsono iburi, yakatetepa-ine madziro tsono inoshandiswa kupinda mukati meganda kusvika pakadzika chaidiwa panguva yekuvhiyiwa kweCSE. Yakagadzirirwa kuderedza kusagadzikana kwevarwere uye kuve nechokwadi chekuiswa kwakaringana kweepidural catheter. Hub yetsono yakabatana kune LOR chiratidzo sirinji, ichibvumira anesthesiologist kuti atarise kuramba panguva yekuiswa tsono.
Kamwe mune epidural space, iyo epidural catheter inopfuudzwa nepakati petsono uye inoenda kunzvimbo inodiwa. Iyo catheter ichubhu inochinjika iyo inopa anesthetic yemunharaunda kana analgesic munzvimbo yepidural. Inobatwa panzvimbo ine tepi kudzivirira kushanduka netsaona. Zvichienderana nezvinodiwa nemurwere, catheter inogona kushandiswa kuenderera mberi infusion kana intermittent bolus administration.
Kuve nechokwadi chepamusoro-soro kutonga kwezvinodhaka, iyo epidural sefa chinhu chakakosha cheCSE suite. Iyo sefa inobatsira kubvisa chero zvimedu kana hutachiona hunogona kunge huri mumushonga kana catheter, nekudaro kuderedza njodzi yehutachiona uye matambudziko. Yakagadzirirwa kubvumira kufamba zvakanaka kwemishonga uku ichidzivirira chero tsvina kusvika pamuviri wemurwere.
Zvakanakira iyo yakasanganiswa spinal-epidural technique yakawanda. Inobvumira kuvimbika uye kukurumidza kutanga kweanesthesia nekuda kwekutanga kwepinal dose. Izvi zvinonyanya kubatsira mumamiriro ezvinhu apo kukurumidza kurwadziwa kana kupindira kunodiwa. Uyezve, epidural catheters inopa analgesia yakaramba iripo, zvichiita kuti ive yakakodzera kwenguva yakareba-maitiro.
Yakasanganiswa spinal-epidural anesthesia inopawo dosing flexibility. Inobvumira kuti mushonga unzi titrated, zvichireva kuti anesthesiologist anogona kugadzirisa dosi zvichienderana nezvinodiwa nemurwere uye mhinduro. Iyi nzira yemunhu inobatsira kuwana yakakwana kudzora marwadzo uku ichideredza zvingangoitika mhedzisiro.
Uyezve, CSE inosanganiswa nenjodzi yakaderera ye systemic complication kana ichienzaniswa neyakajairika anesthesia. Inogona kuchengetedza zvirinani kushanda kwemapapu, kudzivirira mamwe matambudziko ane chekuita nemhepo, uye kudzivirira kudiwa kwe endotracheal intubation. Varwere vanoenda kuCSE vanowanzonzwa kurwadziwa kwepashure kwepashure uye nguva shoma yekupora, zvichivabvumira kuti vadzokere kumabasa akajairwa nekukurumidza.
Mukupedzisa, yakasanganiswa neuraxial uye epidural anesthesia inyanzvi inokosha yekupa anesthesia, kutakura anesthesia, uye analgesia kuvarwere panguva yekiriniki maitiro. Iyo yakasanganiswa spinal epidural kit uye zvikamu zvayo, senge LOR chiratidzo sirinji, epidural tsono, epidural catheter, uye epidural filter, inoita basa rakakosha pakuchengetedza kuchengetedzwa, kubudirira, uye kubudirira kwemaitiro. Nezvayakanakira uye mashandisirwo ayo, CSE yave chikamu chakakosha chemazuva ano anesthesia kudzidzira, kupa varwere vane marwadzo ari nani uye nekukurumidza kupora.
Nguva yekutumira: Oct-25-2023