Spinal anesthesia - hemolele anesthesia iʻoki kino

I ka lā, spinal anesthesia - kekahi o ka loa ka hoʻokō ano o ka anesthesia hoʻohana i ana ma ka lalo torso. E like me kona rula ana i keia papa hana, ua like ia epidural anesthesia, akā, i kekahi mau mea okoa ia mai ia ia.

He aha ka Anesthesia

Iloko o ka hooko ana o anesthesia, ke kauka inserts i ka lāʻau 'ana i loko o ka spinalʻula, e leie aku oe e aeie i nā aʻalolo kuleana no sensory impulses. Ma keia hihia, ke hoʻomanawanui Kahalaopuna he anu e hele mai ana, mai ka spine a hiki i nā wāwae, ma hope o ka haahaa loa o ke kino loa numb. Ka lōʻihi like 'ole o ka lāʻau i ka 2 hola. A laila, ka hele a me ka pā lonoaʻili e hoomaka ana e ola.

Mua hanaʻoki kino ninau aku, i ke ano o ka anesthesia ua hoʻohana 'ia i loko o ka haukapila, a ua koho i ke koho loa e pono. I ka manawa o keʻoki kino hoʻohana spinal anesthesia, i ka hoʻomanawanui mea ala. Eia naʻe, he huihui 'o mau anesthesia me ka anesthesia relieves postoperative eha.

palapala noi

Spinal anesthesia ua pinepine hoʻohana 'ia i loko o ka hanana:

1. Gynecologicalʻoki kino, hoʻohui pū ka wā wehe i ka uterus
2. orthopedicʻoki kino
3. Immobilization a fracture o ka femoral ai

Kauka i ka manawa o ka hooko ana o? Aaony caesarean pauku e increasingly haawi makemake i spinal anesthesia. A wahine i loko o ka hana i loko o ka Pa moku'āina, a loaʻa iā e loli ai i ka mau ana o ke keiki. Eia naʻe, ma kekahi hihia, kauka hana a me ka ka oxygen ea paha. Inā ka hoʻomanawanui Kahalaopuna discomfort, laila, lawelawe iho la no ka hou mahele lāʻau o intravenous analgesics, ma ka loa manawa, hoolilo ana i ka mau anesthesia.

Hana o ka manaʻo

Ke Kaʻina Hana lāʻau hoʻoponopono ma nāʻaoʻao. Ke hoomanawanui noho ma ka lihi o ka pae'ōnaehanaʻaina, a, e kau mai ana i kona mau kuʻekuʻe lima ma luna o kona mau kuli, e kalele ana i mua. 'Oe ke hana i ka hoʻokomo o ia hoʻi, a me ka moe ana. Ke hoomanawanui Ua kau ma konaʻaoʻao hema, a kaumaha ana i ka i kā mākou hoʻohei i nā kuli a me ka puhaka. Nānā 'ole o ka hana, ke kauka e ho'āʻo ana e kū ai i ka i kā mākou kūlou hoʻi.

Contraindications

I ka papa kuhikuhiE contraindications e hana spinal anesthesia mea:

1. Palapala hoʻomanawanui hoole ana
2. Intracranial hypertension
3. fetal hypoxia
4. Ole Kal, naau maʻi
5. Spepsis
6. Coagulation ole
7. Dehydration a me ke koko me keia poho
8. Maʻi o ka CNS (Central ko mākou hopohopo kahua)
9. Malformations o ka fetus
10. fetal make
11. urgency
12. I ka wa e kaawale aku o ka mea kupono keia
13. Allergic reactions i analgesics
14. ili nā mea palahēhē

Pono a me ka keakea

Spinal anesthesia i ka helu o ka pono, me ka nui loa differentiate ia mai nā 'ano o ka eha ke ola.

1. Kokua o postoperative eha. Kēia 'ole ke' hookaaokoa ae mai o ka hou hoike o medicaments ka nānā 'ana ma luna o Morphine.
2. Auana. Ka lāʻau 'Ua lawelawe' ana i loko o ka spinal kaula, no laila ia mea nui oi pono a me ka mea wikiwiki hana hoʻomaka, ma mua me ka epidural anesthesia.

Ma waho aʻeo ia o ka pomaikai, ka mea, i kona drawbacks, a i loaʻa:

1. A pahi puʻe ka ho'ēmiʻana. Ua hele mai ana me ka hopena o venous stasis a me ka arteriolar dilation. Ma keia hihia, e kokua i ka hoihoi koko, a normalize ke koko, ua leha aku i nā wāwae.
2. Headache hiki e hoikeia pono lōʻihi (i ka 4 lā ma hope oʻoki kino).
3. Nausea - ka papa kuhikuhiEʻaoʻao ole ke kumu ma ka hypoxia a me ka hypotension bardikardiey.
4. Pain ma ka hope. Kēia mea paha e ku pono i ka ligament hoʻopilikia, priostalnoy trauma paha hooloihiia waiū i ka paakiki pae'ōnaehanaʻaina. I hookuu i ka eha hele aku i ka lua o ka lā.
5. Lohe poho ia lŘlŘʻano nui i ka hopena o ka hoʻohana 'ana i ka nui kuikele (27 G). Complication mea bland a me ka 'ole-ʻaʻahu, akā, hiki ke lawe mai i kekahi e hoomanawanui i mea e hopohopo nei.

Spinal anesthesia, i ka hopena o ka i mea ole pilikia -A nui ala i ka anesthesia iʻoki kino. Ua kokoke mai ka malu, hemolele relaxes ka abdominal nāʻiʻo a me relieves eha ka pono. No hopena maikaʻi 'ole ma o ka fetus i hoʻohana' ia a hiki anesthesia no obstetric hana. Spinal anesthesia Radio he ki kūlana ma ka lawe mai ana i loko o ka lalo kino.