Izinzwa Spinal - izinzwa ephelele phakathi nokuhlinzwa

Kuze kube manje, izinzwa emgogodleni - eyodwa yezindlela eziphumelela kakhulu izinzwa esetshenziswa ngesikhathi imisebenzi phezu esifubeni aphansi. Ngokusho isimiso sakhe le ndlela iyafana izinzwa epidural, kodwa uhlukile wakhe.

Kuyini Anesthesia

Phakathi ukubulawa izinzwa, udokotela ifaka umuthi ngqo umgogodla, elikuvumela ukuba ukuvimba nezinzwa obhekene amaza sezinzwa. Kulokhu, isiguli uzizwa abandayo ivela emgogodleni ukuze imilenze, kamuva ephansi ingxenye yomzimba ndikindiki ngokuphelele. Ubude izidakamizwa kumahora angu-2. Khona-ke, ukuhamba kanye nokuzwela sebeqala alulame.

Ngaphambi zokuhlinzwa ukubuza, onjani izinzwa isetshenziswa esibhedlela, bese ukhetha okukhethwa kukho ezifanele kakhulu. Ngesikhathi ukuhlinzwa usebenzisa izinzwa emgogodleni, isiguli uphapheme. Nokho, ukuhlanganiswa ukubulawa kwezinzwa okuvamile ne izinzwa aqede ubuhlungu nasezinkingeni ezilandela ngemva kokuhlinzwa.

isicelo

izinzwa Spinal livame ukusetshenziswa ngesikhathi sesehlakalo:

1. ukuhlinzwa gynecological, kuhl ngenkathi kususwa kwesibeletho
2. udokotela wamathambo
3. Immobilization noma ukwa ka entanyeni femoral

Odokotela ngesikhathi ukubulawa ka kuhlelwe Ukubeletha ngokwethukela makudle izinzwa emgogodleni. A obelethayo lisasesimweni ucabangana, okuyinto kahle kuthinta isimo jikelele ingane. Nokho, kwezinye izimo, odokotela basebenzisa futhi imaski umoya-mpilo. Uma isiguli azizwa ukungakhululeki, bese iqondiswa i umthamo ezingeziwe analgesics emthanjeni, ezimweni ezibucayi, sidluliselwe ukubulawa kwezinzwa okuvamile.

Indlela kokusebenza

Inqubo izidakamizwa ekuphathweni ngezindlela ezimbili. Isiguli ihlala onqenqemeni etafuleni yokusebenza, uhlezi izindololwane yakhe ngamadolo akhe, encike phambili. Ungenza okokufaka kusho nokuqamba amanga. Isiguli ibekwe ohlangothini sakhe sokhohlo, inikeza goba esiphezulu amadolo kanye okhalweni. Kungakhathaliseki indlela, udokotela uzama ukufeza izimisele esiphezulu emuva.

Izimo

I Izimo oluyinhloko ukuze wenze izinzwa emgogodleni yilezi:

1. Ibhalwe ukwenqaba nesineke
2. nomfutho wegazi ophezulu Intracranial
3. hypoxia fetus
4. ukushaya kwenhliziyo Irregular, isifo senhliziyo
5. Spepsis
6. ukuhluleka coagulation
7. Ukuphelelwa amanzi emzimbeni noma ukopha
8. Izifo CNS (isimiso sezinzwa)
9. Kombungu umbungu
10. ukufa fetus
11. wokuphuthuma
12. Ukungabi bikho izimo ezidingekayo
13. komzimba nezinto analgesics
14. tesikhumba

Izinzuzo Ububi

izinzwa Spinal has eziningi eziwusizo, kakhulu ukuhlukanisa kusuka kwamanye izinhlobo ukukhululeka ubuhlungu.

1. Umfanekiso oqoshiwe ubuhlungu nasezinkingeni ezilandela ngemva kokuhlinzwa. Lokhu isimo ugwema isingeniso ezingeziwe ukuthaka imithi ngendlela esekelwe morphine.
2. Ukusebenza. Umuthi iqondiswa ngqo emgogodleni, ngakho-ke kuphumelela kangcono futhi isenzo isheshe iqala, kunokuba ne izinzwa epidural.

Ngaphezu izinzuzo, it has nezihibe, futhi ezinye zazo yilezi:

1. A ebukhali ingcindezi ukunciphisa. Kuziwa ngenxa stasis emithambo yegazi futhi arteriolar Ukuvuleka komlomo. Kulokhu, ephakamisa imilenze kusiza ukubuyisela ukugeleza kwegazi futhi kujwayeleke blood pressure.
2. Ikhanda elibuhlungu kungase kubonakaliswe ngokwanele eside (kufika ku 4 izinsuku emva kokuhlinzwa).
3. Isicanucanu - main side effect kubangelwa hypoxia futhi hypotension bardikardiey.
4. Ubuhlungu emuva. Leli qiniso kungaba ngenxa umsipha kwadambisa isimo esasishubile, ukuhlukumezeka priostalnoy noma nokunwetshiwe etafuleni yokusebenza kanzima. Ngokuvamile ubuhlungu amuke ngosuku lwesibili.
5. Ukuzwa ukulahleka kwenzeka ikakhulukazi ngenxa kusetshenziswa inaliti amakhulu (27 G). Yinkinga lokhu eliphuphile futhi okungezona durables, kodwa kungaletha kwezinye iziguli ezibaluleke ngempela.

izinzwa Spinal, imiphumela yalo akuzona esibucayi -A indlela enhle kakhulu izinzwa phakathi nokuhlinzwa. Kuyinto cishe ephephile, kahle ephumula imisipha besisu futhi aqede ubuhlungu ngempumelelo. Ayikho imiphumela emibi embungwini kokuba zisetshenziswe ngisho izinzwa ngoba imisebenzi azoya. izinzwa Spinal kunendima eyinhloko ekufezeni imisebenzi emzimbeni ephansi.