Anesthesia ngesikhathi sokubeletha - izinhlobo zawo, ngebuhle nebubi

Zokubeletha - akuyona kuphela umhlangano eside elindelwe nengane, kodwa futhi babulawa ngoba ubuhlungu abaningi abakhulelwe. Njengoba embundwini ubuhlungu ukuzwela nhlobo ezahlukene, kungakho ubuhlungu ngayinye owesifazane zizohluka. Akukho muntu ongasho kusengaphambili ukuthi izinzwa liyadingeka ngawe noma cha. Kodwa usadinga ukwazi ukuthi izinzwa ngesikhathi sokubeletha - kuyindlela engcono kakhulu yokusiza owesifazane uhlala esezinhlungwini ezinzima.

Ake sibheke ukuthi kukhona izinhlobo ezahlukene izinzwa, amathuba abo kanye nobubi obuthile.

Lapho ephefumula izinzwa owesifazane ezazi. Okwamanje lapho yena uzoqala impi esilandelayo, kumelwe donsa nesifutho noma igesi. Ukuze ufake lesi isoflurane izinzwa, i-nitrous oxide, methoxyflurane, trichlorethylene, ingxube oxide oksijini nitrogen. Inzuzo enkulu le ndlela - isikhawu esincane isikhathi phakathi ukumuncwa igesi futhi isenzo ngempumelelo.

izinzwa wendawo ngesikhathi sokubeletha adingekayo analgesia ngabanye kuzo zonke izingxenye zomzimba. Ngokwesibonelo, ngesikhathi asike izidumbu zabantu noma uthunge ukuxhuma. It uyabulawa ngomjovo i izidakamizwa imithi ebulala izinzwa. Lokhu izinzwa awusho ubuhlungu ngesikhathi sokubeletha.

izinzwa Regional iyona owande kakhulu izinzwa. Kunezinhlobo ezimbili zama-ngokusungula indlela yokubulala izinzwa ezifana: epidural spinal.

izinzwa Epidural ngesikhathi sokubeletha kuhlanganisa nokukhipha izinzwa analgesic esifundeni lumbar isikhala epidural phakathi amathambo. It kunezinzuzo eziningana:

• owesifazane oqotho;
• izinzwa kwenzeka kancane kancane, ke akuphazamisi operation esitebeleni of yisimiso senhliziyo nemithambo yegazi;
• Akukona ngalesi siyingi kubangele ubuhlungu zokuphefumula;
• kungenzeka ngokunezela isidambisa-zinhlungu ngokusebenzisa ipayipi zishiywe wokubhoboza isikhala intervertebral. Ngokwesibonelo: uma izinzwa kwakwenziwa ngesikhathi sokuzalwa, kodwa inqubo yabo yemvelo akunakwenzeka ke ukusebenza (Ukubeletha) ngokusebenzisa ipayipi umthamo ezingeziwe izinzwa iqondiswa;
• isihlobo motor ikhono iqhubeka.

Noma ikuphi ukuba ngcono umsiko ngempela has nemiphumela ethile. Ayikho ngaphandle futhi izinzwa epidural. Izinkinga ngemva kungaba ezahlukene:

• ndikindiki futhi Ukwesinda imilenze. Kuyinto evamile yokusabela nokuphathwa zomuthi;
• wonke umzimba ethuthumela, kuletha uzwe ubuhlungu obukhulu. Ayikho kungenzeka ingozi;
• yokusabela kuya imithi ebulala izinzwa. Kungabangela ezihlukahlukene iziyaluyalu emzimbeni. Uma iguliswa imithi kufanele azise obulala izinzwa;
• ukwehlisa ingcindezi ukuthi izinzwa kusheshe ukususa ukwethulwa saline futhi spetspreparatov;
• umthelela ongemuhle izinzwa ku imisipha zokuphefumula, okubangela ukushoda emoyeni. Oxygen siqedwa ngokunika ngokusebenzisa imaski;
• esasikhipha analgesic embhedeni emithambo yegazi. Lokhu kungaholela nokulahlekelwa ukwazi futhi, okubaluleke kakhulu, kuya ukuphazamiseka inhliziyo;
• ikhanda kanye nobuhlungu esifundeni lumbar izinsuku ezimbalwa emva kokuzalwa;
• eziyivelakancane futhi iyingozi kakhulu yezinkinga - ukopha esikhaleni epidural, ukulimala kwenzwa ukukhubazeka of the imilenze.

Indlela esetshenziswa kakhulu izinzwa ngoba Ukubeletha - izinzwa emgogodleni. Lokhu izinzwa isingeniso esikhaleni subarachnoid phakathi amathambo. Kudinga ulwelwesi wokubhoboza ozungezayo emgogodleni. Lokhu kusho ukuthi inalidi ziyokhokhwa ijule ngokungaphezulu. zako:

• anaesthetises kahle;
• endaweni ethile emva kwemizuzu 2 kungenzeka ukuqala ukusebenza;
• likhanyise - kukhona reference iphuzu zokushutheka inaliti;
• uma isingeniso nolwazi abe isitsha esihle akakubangeli CNS.

nemibi:

• umphumela analgesic wathatha cishe 2 h. Lapho kungenzeka Ukubeletha kuyadingeka umjovo ngokuphindaphindiwe;
• ngenxa ukuqala okusheshayo isenzo kanye umuthi wezinhlungu abukhali kungase kunciphise umfutho wegazi;
• emaphilisini ekhanda ngemuva kokuhlinzwa izinsuku 2-3;
• isikhundla olungafanele ipayipi kungabangela ukuvinjelwa eside zezinyawo bese wehlise emuva noma umgogodla intambo ukuhlukumezeka.