I te mea kei te haere tonu ngā whanaketanga hauora ki te huri i te ao o te rongoā whakamoe,te whakakotahitanga o te anesthesia epidural tuaiwikua rongonui, kua whai hua hoki te tikanga hei whakaora i te mamae i te wā pokanga me ētahi atu tikanga hauora. Ka whakakotahi tēnei huarahi ahurei i ngā painga o te rongoā whakamoe tuaiwi me te rongoā whakamoe epidural hei whakarato i te whakahaere mamae pai ake me te whakamarie pai ki ngā tūroro. I tēnei rā, ka tirohia e mātou ngā tono, ngā momo ngira, me ngā āhuatanga o te rongoā whakamoe tuaiwi-epidural hei āwhina i a koe ki te ako atu mō tēnei hangarau hauora hou.
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Ko te whakakotahitanga o te anesthesia tuaiwi-epidural, e kiia ana hoki ko teTe rongoā whakangote CSE, ko te werohanga tika i ngā rongoā ki roto i te wai cerebrospinal (CSF) e karapoti ana i te taurakira. Mā tēnei ka tere te mahi me te hohonu ake o te rongoā whakamoe i whakaritea ki ētahi atu tikanga. Ko ngā rongoā e whakamahia ana i roto i te rongoā whakamoe CSE he huinga o te rongoā whakamoe ā-rohe (pēnei i te bupivacaine, te lidocaine rānei) me te opioid (pēnei i te fentanyl, te morphine rānei). Mā te whakakotahi i ēnei rongoā, ka taea e ngā tākuta whakamoe te whakatutuki i te whakaora tere me te roa o te mamae.
He whānui te whakamahinga o te anesthesia lumbar-epidural, ā, he whānui ngā momo pokanga e kapi ana i tēnei. He mea noa te whakamahi i roto i ngā pokanga o raro o te puku, o te pelvis me ngā pito o raro, tae atu ki te whānautanga. He tino whai hua te anesthesia CSE i roto i ngā mahi whānau nā te mea ka taea te whakamamae i te mamae i te wā e whānau ana, me te pupuri tonu i te kaha ki te pēhi i te wāhanga tuarua o te whānautanga. Hei tāpiri, kei te piki haere te whakamahinga o te anesthesia CSE i roto i ngā tikanga o waho o te hōhipera, me te poto ake o te wā whakaora me te poto ake o te noho hōhipera o ngā tūroro.
Mō ngā momo ngira e whakamahia ana i roto i te werohanga epidural tuaiwi, e rua ngā hoahoa matua: ko ngā ngira pene-mata me ngā ngira tapahi-mata. Ko ngā ngira pene-mata, e kiia ana ko ngā ngira Whitacre, Sprotte rānei, he pito pūkoki, he whaiti, he iti ake te whara o te kiko i te wā e werohia ana. Ka taea e tēnei te whakaiti i te maha o ngā raruraru pēnei i te mamae o te upoko i muri i te werohanga dural. Ko ngā ngira kua tangohia, i tētahi atu taha, he pito koi, he koki, ka taea te wero i te kiko muka. He maha ngā wā ka whakamahia ēnei ngira ki ngā tūroro he uaua ngā wāhi epidural nā te mea ka taea te uru atu ki roto i te ngira.
Ko te whakakotahitanga o te rongoā whakamoe tuaiwi me te rongoā whakamoe epidural i roto i te rongoā whakamoe CSE he maha ngā āhuatanga ahurei e whai wāhi ana ki tōna whai huatanga. Tuatahi, ka taea e te rongoā whakamoe CSE te tāpiri i te horopeta, arā, ka taea te whakarerekē i te kaihoko rongoā whakamoe puta noa i te tukanga, ka hoatu ki te tohunga rongoā whakamoe te mana whakahaere nui ake i runga i te taumata o te rongoā whakamoe. He tino whai hua tēnei i ngā tukanga roa ake e hiahia ana te tūroro ki te whakanui ake, ki te whakaiti rānei i ngā taumata rongoā. Hei tāpiri, he tere ake te tīmatanga o te mahi a te rongoā whakamoe CSE, ā, ka taea te whakarato i te whakamamae mamae tere atu i te rongoā whakamoe anake.
Hei tāpiritanga, he painga tō te rongoā whakamoe CSE, arā, he roa te whakamamae i te mamae i muri i te pokanga. Kia memeha haere ngā rongoā tuaiwi, ka noho tonu te catheter epidural ki tōna tūranga, ā, ka taea te whakahaere tonu i ngā rongoā whakamamae mō te wā roa. Ka āwhina tēnei ki te whakaiti i te mamae i muri i te pokanga, ka whakaiti i te hiahia mō ngā opioid pūnaha, ā, ka whakapai ake i te pai o te tūroro.
He tohunga ngaio a Shanghai TeamStand Corporationkaiwhakarato taputapu hauorame te kaihanga e mōhio ana ki te hiranga o te whakarato taputapu kounga teitei mō te pokanga whakangote tuaiwi-epidural. Ko tā rātou whakapau kaha ki te hiranga e whakaatuhia ana i roto i te whānuitanga o ngā ngira e tukuna ana e rātou, i hangaia hei whakatutuki i ngā hiahia ahurei o ngā tohunga hauora. Mā te mārama ki ngā momo ngira rerekē me ō rātou āhuatanga, ka taea e ngā tohunga whakangote te whiriwhiri i te kōwhiringa tino tika mō ia tūroro, kia pai ai te tukanga, kia pai ai hoki te mahi.
Hei whakarāpopototanga, he taputapu whai hua te whakakotahitanga o te anesthesia tuaiwi-epidural i roto i te mara o te anesthesia hei whakarei ake i te whakamamae mamae me te whakapai ake i te whakamarie o te tūroro i te wā pokanga. Ka kapi katoa ōna whakamahinga i te whānuitanga o ngā pokanga, tae atu ki ngā pokanga o raro o te puku, te hope me ngā pito o raro. Ko te momo ngira e whakamahia ana, ahakoa he pene, he koi rānei, e whakawhirinaki ana ki ngā āhuatanga ahurei o te tūroro. Ko ngā āhuatanga o te anesthesia CSE, pērā i te horopeta piki haere me te whakamamae mamae roa i muri i te pokanga, ka whakarei ake i tōna whai huatanga. Me te tautoko a ngā kamupene pērā i a TeamStand Corporation i Shanghai, ka taea tonu e ngā tohunga hauora te whakarato ki ngā tūroro te whakahaere mamae tino pai me te wheako pokanga pai.
Wā tuku: Oketopa-17-2023