Nekuita mabasa mukati memutumbi wemuviri, pamwe nekufambisa basa rakaoma , maginhi anesthesia inowanzoshandiswa. Iyi nzira yeanesthesia inobva pakuvharidza kutapurirwa kwemafungiro kune imwe nhengo yehutano midzi, saka iyi nzira inobvumirana chete neyamurayano ihwohwo inoshandiswa pasi pechidimbu.
Kugadzirira kwepineti anesthesia
Chiitiko chacho chine marudzi maviri:
- subarachnoid;
- epidural.
Zvichienderana netsika uye nzvimbo yejojo, mishonga yakakodzera inosarudzwa. Pakati pevakawanda vemuAnesthetics yeruwa, zvinotevera zvinosarudzwa:
- Tetracaine;
- Procaine;
- Bupivacaine;
- Lidocaine.
Sezvo mutemo, mishonga yakanyorwa yakaratidza kubudirira, asi kwete anesthesia yakareba kwenguva refu. Kuvandudza zvinhu zvavo uye kuwedzera nguva yezviito, vashandi - Fentanyl neAdrenaline - vanoshandiswa.
Migumisiro uye matambudziko mushure mekutavirira anesthesia
Icho chikuru chinoratidzira chisingaiti muhutano hwemuviri kujowa:
- mwero wepelin muscular atrophy;
- donho rinopinza muropa;
- bradycardia ;
- kurwadziwa kunorwadza;
- nausea;
- neuropathy;
- post-puncture syndrome;
- musipinha, epidural hematoma;
- zvinokonzerwa neurological disorders.
Muzviitiko zvisingawanzoitiki, pane zvinokonzera, zviitiko zvakafanana zvinosanganiswa nokusakodzera kusarudzwa kwegadziriro yeanesthesia.
Musoro shure kwepasina anesthesia inonzi inowanzoitika uye imwe yemhando dzakasiyana-siyana. Ichi chiratidzo chinonyangarika zvishoma nezvishoma maawa 4-5 mushure mejojo.
Contraindications kumagunwe anesthesia
Pane zvikonzero zvakakwana uye zvikonzero nei ino nzira isingagamuchirwi.
Boka rokutanga rinosanganisira zvinotevera:
- coagulopathy;
- hutachiona hwedermis munzvimbo yejojo;
- kuwedzera kusagadzikana kwechisimba;
- kuramba kwechirwere chemurwere;
- kutora anticoagulants mumaawa gumi apfuura;
- kuwedzera kwenhamba yemwoyo.
Relative contraindications:
- anomalies mukugadzirwa kwemutsara wechipona;
- kunetseka mupfungwa uye mupfungwa;
- chirwere chepfungwa chinogadziriswa ejection;
- kushandiswa kwezvisingagumi uye heparin;
- aorto-caval compression;
- chirwere chepfungwa;
- hypovolemia;
- dambudziko rekubuda ropa mukati;
- vagotonia;
- chirwere chekushaya simba kwechivi chechi sinus;
- hutachiwana muhutachiona hwejairo;
- AV-Blockade;
- syncopal mamiriro;
- dambudziko redambudziko, malformation ye fetus.