Regional anesthesia ndiyo nzira yekudzivirira kurwadziwa kwekuvhiya uye nzira. Munharaunda yeAnesthesia , nzvimbo chete yemuviri inogona kunzwa kurwadziwa inowedzerwa, zvichibvumira murwere kuti ave nemafambisirwo akangomuka kana achinyengedzwa asi achiri kuziva.
Mutsara kana edipural zvigadziro mienzaniso yeanesthesia yenharaunda. Iyo inorohwa pedyo nomugero wepasipinha yekuvhara manzwiro mumuviri wepasi kana mitezo.
Regional anesthesia yakasiyana neyese anesthesia, iyo inoshanda mumuviri wose, kwete chete nzvimbo yekuvhiya, uye murwere anorara kuburikidza nekuvhiyiwa. Icho chinopesana neanesthesia munharaunda mune kuti nzvimbo yakakura yemuviri inowedzerwa.
Nei Chiitiko cheAnesthesia Chichishandiswa
Imwe rubatsiro rwemunharaunda yechipatara inoratidzika ndeye murwere anogona kuve akachengetedzwa kana kuti ave akazviziva. A C-chikamu chikamu chemuitiro wakagadzirwa nemurwere wakamuka, nechekare anesthesia (epidural) inoshandiswa kudzora marwadzo ekuvhiya. Murwere anogona kunzwa zvinhu pamusoro pemimba, uye anokwanisa kuramba achitaura uye kuona mwana wake achangoberekwa mushure mokuberekwa.
Nharaunda yeAnesthesia Inowanikwa Sei
Epidurals nedzimwe mhando dzenharaunda yeanesthesia inowanzopiwa neanesthesiologist kana mukoti anesthetist (CRNA). Zvichienderana nezvinodiwa, anesthesia inogona kupiwa netsanga kana nenyuchi inogona kushandiswa kuisa mutsara unogadziriswa mutsara umo anesthetics nemimwe mishonga inogona kutarisirwa sezvinodiwa.
inogona kushandiswa kuisa catheter inogadziriswa inoshandisa iyo anesthetics nemimwe mishonga inogona kutarisirwa muitiro wose.
Regional anesthesia inowanikwa nokujova nzvimbo dzakasiyana-siyana nemishonga inopinza inoshanda pamisungo yomuviri, zvichikonzera kupera pasi pechidziro chejojo.
Kana iwe uri kuvhiyiwa maoko, anesthesia yako inogona kuvhara ruoko rwako neruoko, kana kushaya simba kungave kwakanyanya kuruoko rwako.
Epidurals kana maruva emagunha anopiwa pamusana wako. Nechirwere chepachirwere, chimiro chepadural catheter chinoshandiswa chinogadziriswa pachigaro nenyuchi uye chichiiswa munzvimbo. Mishonga inogona kugoverwa sezvinodiwa kuburikidza ne catheter kudzivirira kurwadziwa. Miti yepamupa inopiwa nenyuchi kumutsipa wepinini, nemishonga inopinda mu cerebrospinal fluid. Inoshandisa nheyo yakanakisisa kudarika dambudziko.
A peripheral nerve block inogona kupiwa mumapfudzi-ruoko, shure, kana kumakumbo munzvimbo. Nokusarudza nzvimbo yacho, maitiro akasiyana echikwata angangoderedzwa. Izvozvo zvinogadziriswa hazviiti kupinda muhutu asi zvinoshandiswa pedyo nayo. Mushonga unoshungurudza kana chipikicha chinonzi ultrasound chinogona kushandiswa kuwana mutsara iyo inotarisirwa. Zvimwe zvinodzivirira zvirwere zvinosanganisira brachial plexus block, paravertebral block, femal nerve block, sciatic nerve block, uye popliteal nerve block.
Maitiro
- Kuvhima kwepachiviri uye chiropa chinosanganisira colon resection uye chirwere chepamu
- Kuvhiya kweGynecologic kusanganisira hysterectomy neCesarea chikamu
- Maitiro eOrthopedic mapfupa nemajoini
- Kuvhiyiwa kwechiremera, kunyanya kurwadziwa kwekutambudzika mushure mekuita maitiro pamapfupa kana mashizha.
- Kuvhiyiwa kwehuroyi kunosanganisira prostatectomy, nephrectomy, uye chirwere chekuvira
- Kuvhiyiwa kwevascular pane arteri uye mitsipa
> Kwakabva:
> Regional Anesthesia for Surgery. American Society of Regional Anesthesia uye Pain Medicine. https://www.asra.com/page/41/regional-anesthesia-for-surgery.