Anesthesia ya m'dera ndi njira yopewera kupweteka kwa opaleshoni ndi njira. M'madera a anesthesia a m'derali, malo okhawo a thupi omwe amamva kupweteka amakhala ochepa, amalola wodwala kuti azichita njirayo akakhala maso kapena atakhala pansi koma akudziŵabe.
Mphepete kapena zam'madzi zimakhala zitsanzo za aneshesia. Amayikidwa pafupi ndi ngalande yamtsempha kuti atseke m'mimba kapena m'mimba.
Mankhwala a anesthesia a m'derali amasiyana ndi aesthesia ambiri, omwe amagwira ntchito thupi lonse, osati malo opaleshoni okhaokha, ndipo wodwala amagona kupyolera mu opaleshoni. Zimasiyanasiyana ndi anesthesia kumidzi kuti dera lalikulu la thupi lachepetsedwa.
Chifukwa Chake Amagwiritsa Ntchito Anesthesia Kumidzi
Phindu lina lakumwa mankhwala am'derali ndilo wodwalayo akhoza kukhala wodalirika kapena wodziwa bwino. C-gawo ndi chitsanzo cha ndondomeko yochitidwa ndi wodwala maso, ndi chigawo cha anesthesia (epidural) chomwe chimagwiritsidwa ntchito pofuna kuchepetsa ululu wa opaleshoni. Wodwala akhoza kumva zinthu pamwamba pa mimba, ndipo amatha kukambirana ndikuwona mwana wake wakhanda atangobereka kumene.
Momwe Mankhwala Ambiri Amakhalira Otentha Kwambiri
Matenda ndi mitundu ina ya anesthesia ya m'deralo amaperekedwa ndi wodwala matenda a anesthesiologist kapena namwino wodwala matenda opatsirana pogonana (CRNA). Malingana ndi kufunika, anesthesia angaperekedwe ndi singano kapena singano ingagwiritsidwe ntchito kuika mzere wodula mchere umene umatha kuperekedwa ngati mankhwala oyenera.
angagwiritsidwe ntchito poika mzere wathanzi wothandizira omwe amatha kupatsira mankhwala ochepetsa matendawa ndi mankhwala ena onse.
Anesthesia ya m'deralo imaperekedwa mwa kulumikiza malo enieni ndi mankhwala opweteka omwe amachititsa mitsempha ya thupi, kuchititsa kupweteka pansi pa malo opangira jekeseni.
Ngati mukuchita opaleshoni, dzanja lanu lopweteka mthupi lanu lingasokoneze mkono wanu wonse ndi dzanja lanu, kapena kupweteka kungakhale kochepa pa dzanja lanu.
Ziphuphu kapena matsempha a msana amaperekedwa kumbuyo kwanu. Ndi nthendayi, kathetta yowonongeka imayikidwa pamalo ndi singano ndipo imaikidwa m'malo. Mankhwala amatha kuperekedwa ngati n'kofunika kudzera mu catheter kuti asamve ululu. Mitsempha ya m'mimba imaperekedwa ndi singano kumutu wa msana, ndi mankhwala omwe amalowa mu cerebrospinal fluid. Amagwiritsa ntchito singano yabwino kuposa epidural.
Mphuno yamagazi imatha kuperekedwa m'mapiri, kumbuyo, kapena kumapazi. Posankha malo, magawo osiyanasiyana a chiwalo angakhale ochepa. Njira yothetsera vuto siimalowa m'mitsempha koma imayikidwa pafupi ndi iyo. Kachitidwe kotsitsimutsa kapena chipangizo chopangidwa ndi ultrasound chingagwiritsidwe ntchito pofufuza mitsempha yomwe ikuwongolera. Mitsempha yeniyeni yeniyeni imaphatikizapo phokoso la brachial plexus block, paravertebral block, femoral nerve block, sciatic nerve block, ndi popliteal mitsempha.
Ndondomeko
- Opaleshoni ya m'mimba komanso chiwindi, kuphatikizapo opaleshoni yamakono ndi opaleshoni ya m'mimba
- Kuchita opaleshoni yamagetsi, kuphatikizapo hysterectomy ndi Caesarean
- Njira zamatenda za mafupa ndi ziwalo
- Kuchita opaleshoni yamtundu, makamaka kupweteka kwapambuyo pambuyo pa njira pa chifuwa kapena phokoso.
- Kuchita opaleshoni yopanda ubongo kuphatikizapo prostatectomy, nephrectomy, ndi opaleshoni ya chikhodzodzo
- Opaleshoni yambiri pa mitsempha ndi mitsempha
> Chitsime:
> Chigawo cha Anesthesia kwa Kuchita Opaleshoni. American Society of Regional Anesthesia ndi Pain Medicine. https://www.asra.com/page/41/regional-anesthesia-for-surgery.