Ha tsoelo-pele ea bongaka e ntse e tsoela pele ho fetola lefapha la ho itebatsa,motsoako oa mokokotlo oa epidural anesthesiae fetohile mokhoa o tummeng le o sebetsang oa ho imolla bohloko nakong ea ho buuoa le mekhoa e meng ea bongaka.Mokhoa ona o ikhethang o kopanya melemo ea mokokotlo oa mokokotlo le epidural anesthesia ho fa bakuli matla a matla a ho laola bohloko le matšeliso a nepahetseng.Kajeno, re tla shebisisa ka botebo lits'ebetso, mefuta ea linalete, le litšoaneleho tsa anesthesia e kopaneng ea lesapo la mokokotlo ho u thusa ho ithuta haholoanyane ka theknoloji ena ea phetoho ea bongaka.
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E kopantsoeng le mokokotlo-epidural anesthesia, e boetse e bitsoaCSE anesthesia, e akarelletsa ho kenya lithethefatsi ka ho toba ka cerebrospinal fluid (CSF) e potolohileng lesapo la mokokotlo.Sena se lumella ho qala ts'ebetso ka potlako le anesthesia e tebileng ha e bapisoa le mekhoa e meng.Lithethefatsi tse sebelisoang ho thethefatso ea CSE ke motsoako oa moriana o thethefatsang oa lehae (joaloka bupivacaine kapa lidocaine) le opioid (joalo ka fentanyl kapa morphine).Ka ho kopanya meriana ena, li-anesthesiologists li ka finyella bohloko bo potlakileng le bo tšoarellang nako e telele.
Ho kopanya lumbar-epidural anesthesia e sebelisoa haholo 'me e akaretsa mekhoa e mengata ea ho buuoa.E sebelisoa hangata liopereisheneng tse tlase tsa mpa, pelvic le karolong e ka tlase hammoho le ho pepa le pelehi.CSE anesthesia e na le molemo ka ho khetheha ho tsa pelehi hobane e ka imolla bohloko nakong ea ho pepa ha e ntse e boloka bokhoni ba ho sututsa nakong ea mokhahlelo oa bobeli oa ho pepa.Ho feta moo, CSE anesthesia e ntse e sebelisoa haholo lits'ebetsong tsa bakuli ba kantle, bakuli ba nang le nako e khuts'oane ea ho hlaphoheloa le ho lula sepetlele nako e khuts'oane.
Ha ho tluoa tabeng ea mefuta ea linale e sebelisoang ka ho kopantsoe ha mokokotlo oa mokokotlo oa mokokotlo oa mokokotlo, ho na le mekhoa e 'meli e meholo: lisebelisoa tsa pentšele le lisebelisoa tsa ho khaola.Linale tsa lintlha tsa pencil, tse boetseng li bitsoa Whitacre kapa Sprotte, li na le ntlha e hlabang, e tepeletseng e bakang ts'oaetso e fokolang ea lisele nakong ea ho kenngoa.Sena se ka fokotsa liketsahalo tsa mathata a kang ho opa ha hlooho ka mor'a ho phunya terakeng.Ka lehlakoreng le leng, linale tse nkiloeng li na le malebela a nchocho, a nang le mahlakore a mabeli a khonang ho phunya lisele tsa fibrous habonolo.Linale tsena li atisa ho sebelisoa ho bakuli ba nang le libaka tse thata tsa epidural hobane li lumella ho fihlella ka katleho.
Ho kopana ha lesapo la mokokotlo le epidural anesthesia ho CSE anesthesia e fana ka likarolo tse 'maloa tse ikhethang tse tlatsetsang katlehong ea eona.Taba ea pele, CSE anesthesia e lumella ho eketsa tekanyetso, ho bolelang hore moriana o thethefatsang o ka fetoloa nakong eohle ea ts'ebetso, ho fa ngaka e idibatsang taolo e kholoanyane holim'a boemo ba anesthesia.Sena se molemo ka ho khetheha nakong ea ts'ebetso e telele moo mokuli a ka hlokang ho eketsa kapa ho fokotsa litekanyetso tsa lithethefatsi.Ho phaella moo, CSE anesthesia e na le ts'ebetso e potlakileng ea ketso 'me e ka fana ka phomolo ea bohloko ka potlako ho feta epidural feela.
Ho feta moo, CSE anesthesia e na le monyetla oa ho imolla bohloko ka nako e telele ka mor'a ho buuoa.Hang ha meriana ea mokokotlo e fela, catheter ea epidural e lula e le teng, e lumellang tsamaiso e tsoelang pele ea li-analgesics ka nako e telele.Sena se thusa ho fokotsa bohloko ba ka mor'a ho buuoa, ho fokotsa tlhokahalo ea li-opioid tsa tsamaiso, le ho ntlafatsa khotsofalo ea mokuli.
Shanghai TeamStand Corporation ke setsebimofani oa lisebelisoa tsa bongakale moetsi ea hlokomelang bohlokoa ba ho fana ka lisebelisoa tsa boleng bo phahameng bakeng sa opereishene e kopantsoeng ea lesapo la mokokotlo-epidural anesthesia.Boitlamo ba bona ba bokhabane bo bonahala ka mefuta e mengata ea linale tseo ba fanang ka tsona, tse etselitsoeng ho finyella litlhoko tse ikhethang tsa litsebi tsa tlhokomelo ea bophelo.Ka ho utloisisa mefuta e sa tšoaneng ea linale le litšobotsi tsa tsona, litsebi tsa li-anesthesiologists li ka khetha khetho e nepahetseng ka ho fetisisa bakeng sa mokuli e mong le e mong, ho netefatsa ts'ebetso e atlehileng le e phutholohileng.
Ka kakaretso, anesthesia ea mokokotlo-epidural e kopantsoeng ke sesebelisoa sa bohlokoa lefapheng la anesthesia ho matlafatsa phomolo ea bohloko le ho ntlafatsa matšeliso a mokuli nakong ea ho buuoa.Ts'ebeliso ea eona e akaretsa liopereishene tse ngata tse fapaneng, tse kenyelletsang opereishene e tlase ea mpa, pelvic le tse tlase.Mofuta oa nale e sebelisoang, ebang ke pentšele-ntlha kapa e nchocho, e itšetlehile ka litšobotsi tse ikhethang tsa mokuli.Likarolo tsa CSE anesthesia, joalo ka dosing e ntseng e eketseha le phomolo ea nako e telele ea kamora ho buuoa, e ntlafatsa ts'ebetso ea eona.Ka tšehetso ea lik'hamphani tse kang TeamStand Corporation e Shanghai, litsebi tsa bophelo bo botle li ka tsoela pele ho fa bakuli taolo e nepahetseng ea bohloko le phihlelo e ntle ea ho buuoa.
Nako ea poso: Oct-17-2023