Nkuko iterambere ryubuvuzi rikomeje guhindura umurima wa anesthesia,yahujwe n'umugongo wa epidlaiaYabaye tekinike izwi kandi nziza yo gutabara ububabare mugihe cyo kubaga nubundi buvuzi. Ubu buryo budasanzwe buhuza ibyiza bya anesthesia yigitubango no gutanga abarwayi bafite ububabare bwo kubabaza no guhumurizwa neza. Uyu munsi, tuzareba ibyimbitse kubisabwa, ubwoko bwinshi, nibiranga anesthesia-epighesia-epighesia kugirango igufashe kumenya byinshi kuri iyi tekinoroji yubuvuzi
Yahujije igiti-epidia wo mucyaro, nanone yitwaCSE Anesthesia, bikubiyemo gutera imiti mu mazi yo mu bwami (CSF) akikije umugongo. Ibi bituma habaho ibikorwa byihuse ibikorwa na anesthesia byimbitse ugereranije nubundi buryo. Imiti ikoreshwa muri CSE Anesthesia ni ihuriro rya anesthetic yaho (nka Bupivaine cyangwa Lidocaine) na Opioid (nka ferphine). Muguhuza iyi miti, anestheologiste barashobora kugera kububabare bwihuse kandi burambye.
Anesthesia Lumbar-epide yakoreshejwe cyane kandi akubiyemo uburyo butandukanye bwo kubaga. Bikunze gukoreshwa mukubanze munda, pelvic no hepfo hejuru no mu murimo no kubyara. CSE Anesthesia ni ingirakamaro cyane mu kutabona kuko ishobora kugabanya ububabare mugihe cyo gukora mugihe ukomeje ubushobozi bwo gusunika mugihe cya kabiri cyakazi. Byongeye kandi, CSE Anesthesia akoreshwa muburyo budasanzwe, abarwayi bafite ibihe bigufi byo kuzura hamwe nibitaro bigufi.
Ku bijyanye n'ubwoko bw'inshinge zikoreshwa mu gihimba cya Epidia wo mu rwego rw'imico, hari ibishushanyo bibiri by'ingenzi: inshinge z'ikaramu no guca inshinge. Inzibacyuho-inshinge zikarangisho, nanone zitwa inshinge za whitacre cyangwa imishisha, zifite inama mbi, yakatiwe itera ihahamuka rito mugihe cyinjije. Ibi birashobora kugabanya ingaruka zibibazo nko kubabara umutwe nyuma yo gucurwa mucyaro. Urundi ruzi rwatoranijwe, kurundi ruhande, inama zikaze, zinyeganyeza zishobora gutobora ingirangingo za fibrous byoroshye. Izi nshinge zikoreshwa cyane mubarwayi bafite umwanya muto wa porotse kuko bemerera kwinjira neza.
Ihuriro rya anesthesia kandi epidia muri CSE Anesthesia ritanga ibintu byinshi byihariye bigira uruhare mubikorwa byaryo. Ubwa mbere, CSE Anesthesia yemerera kunywa kabiri, bisobanura umukozi wo mu myigaragambyo birashobora guhinduka muburyo bwose, guha anestheogue kugenzura cyane kurwego rwa anesthesi. Ibi ni ingirakamaro cyane mugihe cyo kwihariza aho umurwayi ashobora gukenera kongera cyangwa kugabanya urwego rwibiyobyabwenge. Byongeye kandi, CSE Anesthesia afite ibikorwa byihuse ibikorwa kandi birashobora gutanga ububabare bwihuse kuruta epidi yonyine.
Byongeye kandi, CSE Anesthesia afite inyungu zo gutabara igihe kirekire nyuma yo gutabara. Imiti yumugongo imaze gusohora, catherial catheter igumaho, yemerera ubuyobozi buhoraho bwa analgesgetike mugihe kirekire. Ibi bifasha kugabanya ububabare bwa posita, bigabanya ibikenewe kuri gahunda za sisitemu, kandi zikangirira kunyurwa.
Shanghai Itsinda Isosiyete ni umunyamwugaUtanga ibikoresho byubuvuziKandi uwabikoze yemera akamaro ko gutanga ibikoresho byiza byo gutanga ibikoresho bya anesthesia. Ubwitange bwabo bwo kuba indashyikirwa bugaragarira mu nshinge zitandukanye batanga, bagenewe kubahiriza abahanga mu by'ubuzima mu buzima. Mugusobanukirwa ubwoko butandukanye bwibishishwa nibiranga, anesthesiologiste birashobora guhitamo uburyo bukwiye kuri buri murwayi, bushimangira uburyo bwiza kandi bwiza.
Muri make, hamwe na anesthesia-epighesia-epigheia nigikoresho cyingenzi mukigo cya anesthesia kugirango cyongere ububabare no kunoza ihumure ryihangana mugihe cyo kubagwa. Ibisabwa byayo bikubiyemo kubaga byinshi, harimo kubaga munda, pelvic no kubara gukabije. Ubwoko bw'inshinge ikoreshwa, yaba ikaramu-point cyangwa yakajwe neza, biterwa nibiranga bidasanzwe byumurwayi. Ibiranga CSE Anesthesia, nko guhungabana kwiyongera no gutabara igihe cyo gutabara igihe kirekire, byongera imbaraga zayo. Hamwe no gushyigikira ibigo nkamajyapire yitsinda muri Shanghai, inzobere mu buzima zirashobora gukomeza gutanga abarwayi bafite ububabare bwiza hamwe nubunararibonye bwiza bwo kubaga.
Igihe cyo kohereza: Ukwakira-17-2023