Ukuze kwenziwe umsebenzi engxenyeni engezansi yomzimba, kanye nokugqugquzela umsebenzi obanzi, i-anesthesia yomgogodla ivame ukusetshenziswa. Le ndlela ye-anesthesia isekelwe ekuvimbeleni ukudluliselwa kwemisuka ezingeni lezimpande zezinzwa, ngakho-ke le nqubo iyahambisana kuphela nalawo angenelelo lokuhlinzeka okwenziwa ngaphansi kwe-diaphragm.
Amalungiselelo we-anesthesia yomgogodla
Umcimbi unezinhlobo ezimbili:
- i-subarachnoid;
- i-epidural.
Ngokuya endleleni kanye nesayithi lomjovo, imithi efanelekile iyakhethwa. Kulezi zinzwa eziningi ze-anesthetics zendawo, okulandelayo kukhethwa:
- I-Tetracaine;
- I-Procaine;
- Bupivacaine;
- Lidocaine.
Njengomthetho, imithi efakwe ohlwini ihlinzeka ngokuphumelelayo, kodwa akuyona i-anesthesia ende kakhulu. Ukuze uthuthukise izindawo zabo futhi ukwandise isikhathi sesenzo, izigulisi - i-Fentanyl ne-Adrenaline - zisetshenzisiwe.
Imiphumela kanye nezinkinga emva kwe-anesthesia yomgogodla
Izimo ezimbi eziyinhloko ekuphenduleni komzimba kumjovo:
- inani eliphelele le-muscular atrophy;
- ukudonsa okubukhali ekucindezeni kwegazi;
- i-bradycardia ;
- ubuhlungu obukhulu emuva;
- isicasuli;
- i-neuropathy;
- i-post-puncture syndrome;
- umgogodla, i-epidural hematoma;
- ukuphazamiseka okungapheli kwezinkinga ze-neurological.
Ezimweni ezingavamile, kunesifo sofuzo, amacala afanayo afana nokukhethwa okungalungile kwesisombululo se-anesthesia.
Ukwelashwa kwekhanda ngemuva kwe-anesthesia yomgogodla kubhekwa njengesenzakalo esivame njalo futhi esinye sezimo ezivamile. Lesi sibonakaliso siyanyamalala kancane kancane ngemva kwamahora angu-4-5 ngemva kokujola.
Ukuqhathaniswa kwe-anesthesia yomgogodla
Kunezizathu eziphelele nezizwakalayo ukuthi kungani le ndlela engamukeleki.
Iqembu lokuqala lihlanganisa okulandelayo:
- i-coagulopathy;
- ukutheleleka kwe-dermis endaweni ye-injection;
- ukunyuka kwengcindezi yokunyuka;
- ukulahla kwesiguli sesiguli;
- ukuthatha ama-anticoagulants emahoreni angu-12 adlule;
- ukwanda kwentando yenhliziyo.
Ukuphikisana okuhlobene:
- ukuhlukunyezwa ekuthuthukiseni ikholomu yomgogodla;
- ukungazinzi ngokomzwelo nangokwengqondo;
- isifo senhliziyo esine-ejection ehleliwe;
- ukusetshenziswa kwama-disaggregants ne-heparin;
- ukucindezelwa kwe-aorto-caval;
- ukugula ngengqondo;
- i-hypovolemia;
- ingozi yokuphuma kwangaphakathi;
- i-vagotonia;
- isifo sobuthakathaka se-sinus node;
- ukutheleleka endaweni yomjovo;
- I-AV-Blockade;
- isimo se-syncopal;
- i-syndrome yokucindezeleka, ukungalungi kwe-fetus.