I-anesthesia yesithili yindlela yokuthintela intlungu yokuhlinzwa kunye neenkqubo. Kwi- anesthesia yesithili, kuphela indawo yomzimba onokuvakalelwa intlungu, ukuvumela isigulane ukuba yenze inkqubo ngenkathi ivukile okanye ihleli kodwa iyakwazi.
Iibhloko ze-spinal okanye i-edipural blocks yimizekelo ye-anesthesia yesithili. Zijojowe kufuphi nomgudu wamagogxa ukuvimba ukuvalelwa kumzimba osezantsi okanye izitho.
I-anesthesia yesithili iyahluke kwi-anesthesia jikelele, esebenza kuwo wonke umzimba, kungekhona nje indawo yokuhlinzwa, kwaye isigulane silala ngokuhlinzwa. Ihluke kwi-anesthesia yendawo ekuthi ummandla omkhulu womzimba udibene.
Kutheni kusetshenziswe i-Anesthesia yeSithili
Enye inzuzo ye-anesthetic yendawo yesithili isigulana sinokuthi sihlale siyazi kakuhle okanye siyazi kakuhle. Icandelo le-C ngumzekelo wenkqubo eyenziwa nesigulane siphapheme, kunye ne-anesthesia yesithili (epidural) esetyenziselwa ukulawula intlungu yokuhlinzwa. Isigulana sinokuziva izinto ngaphezu kwesisu, kwaye sikwazi ukuqhuba intetho kwaye sibone umntwana wakhe osana emva kokuzalwa.
I-Anesthesia yeNgingqi inikezelwa njani
I-epidurals kunye nezinye iintlobo ze-anesthesia zengingqi zibonelelwa ngokugqithisileyo okanye unesi-antiesthetist (CRNA). Ngokuxhomekeke kwisidingo, i-anesthesia inokunikezwa ngenaliti okanye inaliti ingasetyenziselwa ukufaka umgca wendlela yokucwangcisa i-anesthetics kunye neminye imithi inokulawulwa njengoko ifunekayo.
ingasetyenziselwa ukufaka umgca we-catheter line apho i-anesthetics kunye neminye imishanguzo inokulawulwa ngayo yonke inkqubo.
I-anesthesia yesithili inikezelwa ngokujoba isayithi ezithile kunye neyeza elincinci elisebenza kwimisipha yomzimba, ebangela ukuphazamiseka ngaphantsi kwesayithi yokujova.
Ukuba unesandla sokuhlinzwa, i-anesthesia yakho ingayifaka ingalo yakho kunye nesandla sakho, okanye i-numbness ingaba yinto ephantsi kwesandla sakho.
Iimpawu ze-epidurals okanye ibinzana lomgudu zinikezelwa emhlane wakho. Nge-epidural, i-catheter ene-flexible epidural ifakwe kwisimo ngenaliti kwaye ifakwe endaweni. Amayeza anokulawulwa njengoko kufunekayo ngekathetha ukuvimba intlungu. Iibhloko zengqumbo zinikwe ngenaliti kumtya wesiphango, kunye namayeza angena kwi-cerebrospinal fluid. Isebenzisa inaliti egqibeleleyo kune-epidural.
Ibloko le-nerve ye-peripher iyakunikwa kwinqanaba le-shoulder, emuva, okanye emlenzeni. Ngokukhetha isayithi, amanqanaba ahlukeneyo enyunyiweyo angabalwa. Isisombululo esisi-anesthetic asifaki kwisibindi kodwa sijojowe kufuphi nayo. Isishukumisi seentsholongwane okanye ifowuni ye-ultrasound ephathekayo ingasetyenziselwa ukufumana i-nerve ejoliswe kuyo. Iibhloko ze-nerve ezicacileyo ziquka ibhloko ye-brachial plexus, ibloko leparavertebral, ibloko le-nerve ye-femoral, ibloko le-ncitic block kunye ne-popliteal block block.
Iinkqubo
- Utyando lwezilwanyana kunye nesibindi kubandakanya ukuthengiswa kwekoloni kunye nokuhlinzwa kwesisu
- Ugqirha lwe-Gynecologic kuquka ne- hysterectomy kunye neCesarean section
- Iinkqubo ze-Orthopedic zamathambo namalungu
- Utyando lwamaTrarac, ngakumbi ukulawulwa kwintlungu emva kweenkqubo ezisesikhwameni okanye kwi-esophagus.
- Utyando olunobomi olubandakanya i-prostatectomy, i-nephrectomy, kunye nokutyunjwa kwesisu
- Utyando lwe-Vascular kwiiyriyri kunye neemvini
> Umthombo:
> I-Anesthesia yeNgingqi yokuChengela. Umbutho waseMerika we-Anesthesia weSithili kunye neMpilo yezoPhilo. https://www.asra.com/page/41/regional-anesthesia-for-surgery.