Uko iterambere mu buvuzi rikomeje guhindura urwego rw'imiti igabanya ububabare,ikinya cy'umugongo givanzeUbu buryo budasanzwe buhuza ibyiza byo kugabanya ububabare mu gihe cyo kubaga no mu bundi buryo bwo kuvura. Ubu buryo budasanzwe buhuza ibyiza byo kugabanya ububabare mu mugongo no mu gice cyo hasi kugira ngo abarwayi babone uburyo bwo kugabanya ububabare no kumererwa neza. Uyu munsi, turareba mu buryo bwimbitse uburyo bukoreshwa, ubwoko bw'urushinge, n'imiterere ya anesthesi ivanze yo kugabanya ububabare mu mugongo no mu gice cyo hasi kugira ngo tugufashe kumenya byinshi kuri ubu buryo bushya bw'ubuvuzi.
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Anesthesia ivanze yo mu mugongo n'iy'umwijima, yitwa kandiikinya cya CSE, bikubiyemo gutera imiti mu buryo butaziguye mu mazi yo mu bwonko (CSF) akikije uruti rw'umugongo. Ibi bituma habaho gutangira gukora vuba no gusinziriza byimbitse ugereranije n'ubundi buryo. Imiti ikoreshwa muri CSE anesthesia ni uruvange rw'imiti igabanya ububabare (nka bupivacaine cyangwa lidocaine) na opioid (nka fentanyl cyangwa morphine). Mu guhuza iyi miti, abahanga mu by'imiti bashobora kugabanya ububabare vuba kandi mu gihe kirekire.
Anesthesia ivanze n'indwara zo mu kibuno ikoreshwa cyane kandi ikubiyemo uburyo butandukanye bwo kubaga. Ikunze gukoreshwa mu kubaga mu nda yo hasi, mu kibuno no mu kibuno cyo hasi ndetse no mu gihe cyo kubyara. Anesthesia ya CSE ni ingirakamaro cyane mu kubyara kuko ishobora kugabanya ububabare mu gihe cyo kubyara ariko igakomeza kugira ubushobozi bwo gusunika mu cyiciro cya kabiri cy'ibise. Byongeye kandi, anesthesia ya CSE ikoreshwa cyane mu kuvura hanze, aho abarwayi bagira igihe gito cyo gukira no kumara igihe gito mu bitaro.
Ku bijyanye n'ubwoko bw'inshinge zikoreshwa muri anesthetize ivanze ya epidural yo mu mugongo, hari imiterere ibiri y'ingenzi: inshinge zifite icyerekezo cy'ikaramu n'inshinge zifite icyerekezo cyo gukata. Inshinge zifite icyerekezo cy'ikaramu, zitwa kandi inshinge za Whitacre cyangwa Sprotte, zifite umutwe utose kandi utose utuma ingingo zidakomereka cyane mu gihe cyo kuzishyiramo. Ibi bishobora kugabanya ingaruka mbi nko kubabara umutwe nyuma yo gutobora mu gice cy'imbere. Ku rundi ruhande, inshinge zatoraguwe zifite icyerekezo gityaye kandi gifite icyerekezo gishobora gutobora ingingo z'imitsi byoroshye. Izi nshinge zikunze gukoreshwa ku barwayi bafite icyerekezo kigoye cya epidural kuko zituma bashobora kuzigeraho neza.
Uburyo bwo gutera ikinya mu mugongo no mu gice cy’imitsi muri CSE butanga ibintu byinshi bidasanzwe bigira uruhare mu gutuma imikorere yacyo irushaho kuba myiza. Icya mbere, gutera ikinya mu buryo bwa CSE bituma habaho kongera urugero rw’imiti itera ikinya, bivuze ko umuti utera ikinya ushobora guhindurwa mu gihe cyose cy’igikorwa, bigatuma umuganga w’ikinya agenzura neza urugero rw’imiti itera ikinya. Ibi ni ingirakamaro cyane cyane mu gihe cy’ibikorwa birebire aho umurwayi ashobora gukenera kongera cyangwa kugabanya urugero rw’imiti. Byongeye kandi, gutera ikinya mu buryo bwa CSE bitangira gukora vuba kandi bishobora kugabanya ububabare vuba kurusha gutera ikinya gusa.
Byongeye kandi, ikinyabutabire cya CSE gifite akarusho ko kugabanya ububabare nyuma yo kubagwa igihe kirekire. Iyo imiti y'umugongo imaze kurangira, catheter ya epidural ikomeza gukoreshwa, bigatuma habaho imiti igabanya ububabare mu gihe kirekire. Ibi bifasha kugabanya ububabare nyuma yo kubagwa, bigabanya gukenera imiti igabanya ububabare, kandi bikongera ibyishimo by'umurwayi.
Shanghai TeamStand Corporation ni ikigo cy'umwugaumucuruzi w'ibikoresho by'ubuvuzin'umukora wemera akamaro ko gutanga ibikoresho byiza byo kubaga ikinya cy'umugongo n'ikinya cy'impeshyi. Ubwitange bwabo mu gukora neza bugaragarira mu bwoko butandukanye bw'inshinge batanga, zigenewe guhaza ibyifuzo byihariye by'abaganga. Mu gusobanukirwa amoko atandukanye y'inshinge n'imiterere yazo, abaganga b'ikinya bashobora guhitamo uburyo bukwiye buri murwayi, bigatuma ubuvuzi bugenda neza kandi bukoroha.
Muri make, ikinyabutabire givanze n'ikinyabutabire ni igikoresho cy'agaciro mu rwego rwo kugabanya ububabare no kunoza ihumure ry'umurwayi mu gihe cyo kubagwa. Imikoreshereze yacyo ikubiyemo ubwoko bwinshi bw'ububaji, harimo kubagwa mu nda yo hasi, mu kibuno no mu gice cyo hasi cy'umubiri. Ubwoko bw'urushinge rukoreshwa, rwaba ari urw'ikaramu cyangwa rufite umutwe utyaye, biterwa n'imiterere yihariye y'umurwayi. Ibiranga ikinyabutabire cya CSE, nko gutanga urugero rw'imiti no kugabanya ububabare nyuma yo kubagwa, birushaho kongera imikorere yacyo. Bitewe n'inkunga y'ibigo nka TeamStand Corporation i Shanghai, abahanga mu by'ubuzima bashobora gukomeza guha abarwayi uburyo bwiza bwo kugabanya ububabare no kubagwa neza.
Igihe cyo kohereza: Ukwakira 17-2023