Mugihe iterambere ryubuvuzi rikomeje guhindura urwego rwa anesthesia,guhuriza hamwe umugongo epidural anesthesiayahindutse tekinike izwi kandi ifatika yo kugabanya ububabare mugihe cyo kubagwa nubundi buryo bwo kuvura. Ubu buryo budasanzwe bukomatanya ibyiza bya anesthesia yumugongo nicyorezo cya epidural kugirango abarwayi bahabwe ububabare bunoze kandi bwiza. Uyu munsi, tuzareba byimbitse kubisabwa, ubwoko bwurushinge, nibiranga anesthesia ihuriweho na spinal-epidural kugirango tugufashe kumenya byinshi kubijyanye nubuhanga bwubuvuzi bwimpinduramatwara
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Anesthesia ihuriweho na spinal-epidural, nayo yitwaCSE anesthesia, ikubiyemo gutera imiti mu bwonko bwa cerebrospinal fluid (CSF) ikikije umugongo. Ibi bituma habaho ibikorwa byihuse na anesthesia yimbitse ugereranije nubundi buryo. Imiti ikoreshwa muri anesthesia ya CSE ni ihuriro rya anesthetic yaho (nka bupivacaine cyangwa lidocaine) na opioide (nka fentanyl cyangwa morphine). Muguhuza iyi miti, anesthesiologiste barashobora kugera kububabare bwihuse kandi burambye.
Anesthesia ihuriweho na lumbar-epidural ikoreshwa cyane kandi ikubiyemo uburyo butandukanye bwo kubaga. Bikunze gukoreshwa mububabare bwo munda bwo hepfo, pelvic no kubagwa hepfo kimwe no mubikorwa no kubyara. CSE anesthesia ifite akamaro kanini mubyara kuko irashobora kugabanya ububabare mugihe cyakazi mugihe ikomeza ubushobozi bwo gusunika mugice cya kabiri cyumurimo. Byongeye kandi, anesthesia ya CSE igenda ikoreshwa muburyo bwo kuvura indwara, abarwayi bafite igihe gito cyo gukira no kumara igihe gito ibitaro.
Iyo bigeze ku bwoko bwa inshinge zikoreshwa muguhuza umugongo epidural anesthesia, hari ibishushanyo bibiri byingenzi: inshinge zamakaramu ninshinge zo gukata. Urushinge rw'ikaramu, rwitwa kandi urushinge rwa Whitacre cyangwa Sprotte, rufite inama idahwitse, ifatanye itera ihahamuka rito mu gihe cyo gushiramo. Ibi birashobora kugabanya ibibazo byingutu nko kubabara umutwe nyuma yo gutobora igihe. Ku rundi ruhande, inshinge zatoranijwe, zifite inama zityaye, zinguni zishobora gutobora fibrous fibrous byoroshye. Urushinge rukunze gukoreshwa mubarwayi bafite imyanya ndangagitsina igoye kuko itanga uburyo bwiza bwo kuboneka.
Ihuriro rya anesthesia yumugongo nicyorezo muri anesthesia ya CSE itanga ibintu byinshi bidasanzwe bigira uruhare mubikorwa byayo. Ubwa mbere, anesthesia ya CSE yemerera kugabanuka kwinshi, bivuze ko umuti wa anestheque ushobora guhinduka muburyo bwose, bigatuma anesthesiologue igenzura cyane kurwego rwa anesteziya. Ibi ni ingirakamaro cyane mugihe kirekire aho umurwayi ashobora gukenera kongera cyangwa kugabanya urugero rwibiyobyabwenge. Byongeye kandi, anesthesia ya CSE ifite ibikorwa byihuse kandi irashobora gutanga ububabare bwihuse kuruta icyorezo cyonyine.
Byongeye kandi, anesthesia ya CSE ifite ibyiza byo kugabanya ububabare burigihe nyuma yo kubagwa. Imiti yumugongo imaze gushira, catheter epidural igumaho, ituma hakomeza kubaho imiti idakira mugihe kirekire. Ibi bifasha kugabanya ububabare nyuma yo kubagwa, kugabanya gukenera opioide sisitemu, no kunoza abarwayi.
Shanghai TeamStand Corporation ni umunyamwugaibikoresho byo kwa muganganuwabikoze amenya akamaro ko gutanga ibikoresho byujuje ubuziranenge kubaga umugongo-epidural kubaga anesthesia. Ubwitange bwabo bwo kuba indashyikirwa bugaragarira mu nshinge zitandukanye batanga, zagenewe guhuza ibyifuzo by’inzobere mu buzima. Mugusobanukirwa ubwoko butandukanye bwinshinge nibiranga, anesthesiologiste barashobora guhitamo uburyo bukwiye kuri buri murwayi, bigatuma inzira igenda neza kandi nziza.
Muri make, guhuza umugongo-epidural anesthesia nigikoresho cyingirakamaro mubijyanye na anesteziya kugirango byongere ububabare no kunoza ihumure ryabarwayi mugihe cyo kubagwa. Porogaramu zayo zikubiyemo ibintu byinshi byo kubaga, harimo no mu nda yo hepfo, pelvic no kubaga hepfo. Ubwoko bwa inshinge zikoreshwa, zaba ikaramu-ngingo cyangwa ityaye, biterwa nibiranga umurwayi. Ibiranga anesthesia ya CSE, nko kwiyongera kwinshi no kugabanya ububabare bumaze igihe kinini nyuma yo kubagwa, birusheho kunoza imikorere. Ku nkunga y’amasosiyete nka TeamStand Corporation muri Shanghai, inzobere mu buzima zirashobora gukomeza guha abarwayi uburyo bwiza bwo kubabara no kubaga neza.
Igihe cyo kohereza: Ukwakira-17-2023