Mharapara anesthesia - yakanaka anesthesia panguva yokuvhiyiwa

Kusvika parizvino, anesthesia yomupfupa ndeimwe yenzira dzakanakisisa dzeanesthesia, dzinoshandiswa mukushanda kune chikamu chepasi chedu. Nenheyo yaro, iyi nzira inofanana neyepidural anesthesia, asi inopesana pane imwe yacho kubva nayo.

Chii chinonzi anesthesia?

Munguva yeanesthesia, chiremba anokanganisa mishonga zvakananga mumutsara wepelinha, iyo inokubvumira kubvisa mishonga inokonzerwa nemafungiro asina kunaka. Muchiitiko ichi, murwere anonzwa kunotonhora, achibva kubva mumupfu kusvikira kumakumbo, kamwe pfupi chikamu chepasi chemuviri hachina zvachose. Nguva yechirwere ichi kusvika maawa maviri. Zvadaro kufamba uye kunzwira kunotanga kudzoka.

Usati waita basa racho, bvunza kuti ndeapi maitiro anesthesia anoshandiswa muchipatara, uye sarudza nzira yakakodzera kupfuura iwe pachako. Munguva yekushanda pamwe nekushandiswa kwepelin anesthesia, murwere ari munharaunda yekumuka. Zvisinei, kusanganiswa kweanesthesia uye anesthesia inoporesa kurwadziwa kwepasopera.

Kushanda

Mutsara anesthesia inowanzoshandiswa panguva:

1. Gynecological operations, incl. Paanobvisa chibereko
2. Orthopedic operation
3. Kana ichidzikisa kana kupwanya mutsipa wehudyu

Vanachiremba panguva yekushandiswa kwechikamu chakarongedzerwa chekuchengetedzwa kwechikafu chinowedzera kuchisarudzira chipfuva chinonzi anesthesia. Amai vari munharaunda yekumuka, iyo inobatsira zvakanakisisa mamiriro ezvinhu emukomana. Zvisinei, mune zvimwe zviitiko, vanachiremba vanoshandisa masikisi eokisijeni. Kana murwere achinzwa asinganzwisisiki, zvino rumwe ruzivo rwemaalgesics ruchibaya runoiswa, muzviitiko zvakanyanya, kuendeswa kune anesthesia yakawanda.

Method of implementation

Nzira yekutungamirirwa kwemishonga inoitwa nenzira mbiri. Murwere anogara pamucheto wefurafura yekushanda uye, achisendamira mabote ake pamabvi ake, anotamira mberi. Iwe unogona kupinda mari nekureva nhema. Murwere anoiswa kurutivi rworuboshwe, uye anoratidza kuti mabvi uye chiuno zvakakoshwa zvakakwana. Pasinei nemararamiro akasarudzwa, chiremba anoedza kusvika kusvika pakakwirira.

Contraindications

Izvo zvinopesana zvakakosha zvekuita mutsva anesthesia ndezvekuti:

1. Kunyora kuramba kwomurwere
2. Kuwedzerwa kudzvinyirira kusingaiti
3. Hypoxia ye fetus
4. Mwoyo rhythm kuvhiringidzika, kukanganisa kwemwoyo
5. Spepsys
6. Kusvibiswa kwekuvhara ropa
7. Kuora mvura kana kurasikirwa kweropa
8. Diseases of the central nervous system (CNS)
9. Kusagadzikana kwe fetus
10. Fetal death
11. Emergency
12. Kusava nemamiriro ezvinhu anodiwa
13. Allergic reactions to analgesics
14. Zvirwere Zvirwere

Kubatsira uye kusagadzikana

Mutsara anesthesia ine zvikomborero zvakakura zvinoparadzanisa zvakanyanya kune mamwe marudzi eesesthesia.

1. Kutungamira kwekurwadziwa kwepopoperative. Iyi mamiriro ezvinhu inoita kuti zvibvirire kubvisa kushandiswa kwepamusoro kwe morphine-based drug.
2. Speed. Chirwere ichi chinoshandiswa zvakananga mumutsara wepelinha, saka inonyanya kubudirira, uye chiito chinotanga nekukurumidza zvakanyanya pane epidural anesthesia.

Mukuwedzera kune zvinobatsira, zvine zvayo uye zvisingabatsiri, zvinosanganisira:

1. Kuchera kunoderera mukumanikidza. Izvo zvinoitika semugumisiro wekubatana kwemawere uye arteriolar dilatation. Muchiitiko ichi, kusimudza makumbo kunobatsira kudzorera ropa nekuyerera uye kuisa mutemo.
2. Musoro unogona kuzviratidza kwenguva yakakwana (kusvikira mazuva mana mushure mekushanda).
3. Nausea inhengo huru yakakonzerwa ne hypoxia, bradycardia uye hypotension.
4. Pain mushure. Ichi chiitiko chinogona kukonzerwa nekugadzikana kwemagetsi, kukuvadzwa kunorwadza kana kugara kwenguva refu pane imwe yakaoma yekushandisa tafura. Kazhinji marwadzo acho atova pazuva repiri.
5. Kurasikirwa nekuteerera kunowanzoitika nekuda kwekushandisa masero makuru (27 G). Icho chinetso chiri munyoro uye chinopera-pfupi, asi chinogona kuva chekunetseka kune vamwe varwere.

Mharapara anesthesia, migumisiro yaro isingakoshi, ndiyo nzira yakanakisisa yekugadzirisa maitiro. Inenge yakachengeteka, inogadzirisa zvakakwana mishonga yemimba uye inobudirira kugadzirisa marwadzo. Kusavapo kwekusava nemigumisiro pamucheche kunoita kuti zvive nyore kushandisa iyi anesthesia kunyange mumagetsi. Chirwere chinonzi anesthesia chinotora basa rinokosha mukuita mabasa mukati memuviri wepasi.