Anesthesia ihuriweho hamwe.Ihuza ibyiza bya anesthesia yumugongo nubuhanga bwa anesthesia epidural.Kubaga CSE bikubiyemo gukoresha ibikoresho bya spinal epidural kit, birimo ibice bitandukanye nkibipimo bya LORsyringe, urushinge, epidural catheter, naicyorezo.
Ibikoresho byumugongo byahujwe byateguwe neza kugirango umutekano, imikorere kandi byoroshye gukoreshwa mugihe gikwiye.Indangantego ya LOR (Gutakaza Kurwanya) ni igice cyingenzi cyibikoresho.Ifasha anesthesiologue kumenya neza umwanya wicyorezo.Iyo plunger ya syringe ikuwe inyuma, umwuka uba winjiye muri barriel.Mugihe urushinge rwinjiye mumwanya wicyorezo, plunger ihura nuburwanya kubera umuvuduko wamazi yubwonko.Uku gutakaza kurwanywa byerekana ko urushinge ruhagaze neza.
Urushinge rwa epidural ni urushinge rufunitse, rufite urukuta ruto rukoreshwa mu kwinjira mu ruhu kugeza ubujyakuzimu bwifuzwa mu gihe cyo kubaga CSE.Yashizweho kugirango igabanye abarwayi kutoroherwa no kwemeza neza icyorezo cya catheter.Urushinge rwa urushinge rwahujwe na singe ya LOR yerekana ibimenyetso, bituma anesthesiologue akurikirana guhangana mugihe cyo kwinjiza inshinge.
Iyo mumwanya wibyorezo, catheter epidural inyuzwa murushinge kandi igana ahantu hifuzwa.Catheter numuyoboro woroshye utanga anesthetic cyangwa analgesic waho mumwanya wicyorezo.Ifashwe ahantu hamwe na kaseti kugirango hirindwe impanuka.Ukurikije ibyo umurwayi akeneye, catheter irashobora gukoreshwa mugukomeza gushiramo cyangwa ubuyobozi bwa bolus burigihe.
Kugirango habeho ubuyobozi bwiza bwibiyobyabwenge, filteri epidural nikintu cyingenzi cya suite ya CSE.Akayunguruzo gafasha gukuraho ibice byose cyangwa mikorobe zishobora kuba ziri mumiti cyangwa catheter, bityo bikagabanya ibyago byo kwandura nibibazo.Yashizweho kugirango itume imiti igenda neza mugihe irinda umwanda wose kugera mumubiri wumurwayi.
Ibyiza bya tekinike ya spinal-epidural tekinike ni myinshi.Iremera kwizerwa no kwihuta kwa anesthesia bitewe numuti wambere wumugongo.Ibi ni ingirakamaro cyane cyane mubihe bisabwa kugabanya ububabare bwihuse cyangwa gutabarwa.Byongeye kandi, epidural catheters itanga analgesie ihamye, bigatuma ikorwa muburyo burambye.
Anesthesia ihuriweho na spinal-epidural nayo itanga urugero rwiza.Yemerera imiti kwitwa titre, bivuze ko anesthesiologue ashobora guhindura igipimo ukurikije ibyo umurwayi akeneye nibisubizo.Ubu buryo bwihariye bufasha kugera kububabare bwiza mugihe hagabanijwe ingaruka mbi.
Byongeye kandi, CSE ifitanye isano ningaruka nkeya ziterwa na sisitemu ugereranije na anesthesia rusange.Irashobora kubungabunga neza imikorere yibihaha, ikirinda ingorane zimwe na zimwe zijyanye n'umuyaga, kandi ikirinda gukenera intubrasi ya endotracheal.Abarwayi bahura na CSE mubisanzwe bafite ububabare buke nyuma yo kubagwa nigihe gito cyo gukira, bigatuma bashobora gusubira mubikorwa bisanzwe vuba.
Mu gusoza, anesthesia ihuriweho na neuraxial na epidural ni tekinike yingenzi yo gutanga anesteziya, gutwara anesthesia, hamwe na analgesia kubarwayi mugihe cyubuvuzi.Ibikoresho bya spinal epidural kit hamwe nibiyigize, nka siringi ya LOR yerekana inshinge, urushinge rwibyorezo, catheter epidural, hamwe na filteri epidural, bigira uruhare runini mukurinda umutekano, gukora neza, no gutsinda muburyo bwiza.Hamwe nibyiza hamwe nibisabwa, CSE yabaye igice cyingenzi mubikorwa bya anesteziya igezweho, biha abarwayi gucunga neza ububabare no gukira vuba.
Igihe cyo kohereza: Ukwakira-25-2023