Ọkpụkpọ akwara epidural anesthesia(CSE) bụ usoro eji eme usoro ụlọọgwụ iji nye ndị ọrịa anesthesia epidural, anesthesia njem, na analgesia.Ọ na-ejikọta uru dị n'ịkụnwụ azụ azụ na usoro ọgwụgwọ epidural.Ịwa ahụ CSE gụnyere iji ngwongwo epidural spinal jikọtara ọnụ, nke gụnyere ihe dị iche iche dị ka ihe ngosi LORsirinji, agịga epidural, epidural catheter, naepidural filter.
A na-eji nlezianya hazie ngwa ngwa epidural spinal iji hụ na nchekwa, ịdị irè na ịdị mfe iji n'oge usoro ahụ.Ihe sirinji na-egosi LOR (Loss of Resistance) bụ akụkụ dị mkpa nke ngwa ahụ.Ọ na-enyere onye na-ahụ maka anesthesiologist aka ịmata oghere epidural nke ọma.Mgbe eweghachitere ihe nkedo sirinji ahụ, a na-adọta ikuku n'ime gbọmgbọm ahụ.Ka agịga na-abanye na oghere epidural, plunger na-ezute nguzogide n'ihi nrụgide nke mmiri mmiri cerebrospinal.Ọnwụ nke nguzogide a na-egosi na agịga ahụ nọ n'ọnọdụ ziri ezi.
agịga epidural bụ oghere oghere, nke nwere mgbidi dị mkpa nke a na-eji banye n'ime akpụkpọ ahụ ruo omimi nke achọrọ n'oge ịwa ahụ CSE.Emebere ya iji belata ahụ erughị ala nke onye ọrịa wee hụ na edobe ya nke ọma nke catheter epidural.Ejikọrọ oghere agịga ahụ na sirinji ihe ngosi LOR, na-enye onye na-ahụ maka anesthesiologist aka inyocha nguzogide n'oge ntinye agịga.
N'otu oge na oghere epidural, a na-agafe catheter epidural site na agịga wee gaa n'ebe a chọrọ.Ihe kateeta bụ tube na-agbanwe agbanwe nke na-ebunye ọgwụ anestetiiki mpaghara ma ọ bụ analgesic n'ime oghere epidural.A na-ejide ya na teepu iji gbochie mgbanwe mberede.Dabere na mkpa onye ọrịa, enwere ike iji catheter maka infusion na-aga n'ihu ma ọ bụ nchịkwa bolus na-adịte aka.
Iji hụ na nchịkwa ọgwụ dị elu, ihe nzacha epidural bụ akụkụ dị mkpa nke ụlọ CSE.Ihe nzacha na-enyere aka wepụ ihe ọ bụla irighiri ihe ma ọ bụ microorganisms nwere ike dị na ọgwụ ma ọ bụ catheter, si otú ahụ belata ihe ize ndụ nke ibute ọrịa na nsogbu.Emebere ya iji mee ka ọgwụ na-aga nke ọma ma na-egbochi mmetọ ọ bụla ịbanye n'ahụ onye ọrịa.
Uru nke usoro ọgwụgwọ spinal-epidural jikọtara ọnụ dị ọtụtụ.Ọ na-enye ohere nke a pụrụ ịdabere na ya na ngwa ngwa mmalite nke nkụnwụ n'ihi usoro ọkpụkpụ azụ nke mbụ.Nke a bara uru karịsịa n'ọnọdụ ebe a chọrọ enyemaka mgbu ma ọ bụ enyemaka ozugbo.Na mgbakwunye, catheters epidural na-enye analgesia na-adịgide adịgide, na-eme ka ọ dị mma maka usoro ogologo oge.
Ngwakọta ọkpụkpụ azụ-epidural anesthesia na-enyekwa mgbanwe mgbanwe dose.Ọ na-enye ohere ka a na-edepụta ọgwụ ahụ, nke pụtara na onye anesthesiologist nwere ike ịhazigharị dose ahụ dabere na mkpa na nzaghachi nke onye ọrịa.Ụzọ a ahaziri onwe ya na-enyere aka nweta njikwa mgbu kachasị mma ma na-ebelata mmetụta ndị nwere ike ime.
Ọzọkwa, CSE na-ejikọta ya na obere ihe ize ndụ nke nsogbu sistemu ma e jiri ya tụnyere mgbakasị izugbe.Ọ nwere ike ichekwa ọrụ ngụgụ nke ọma, zere ụfọdụ nsogbu ndị metụtara ụzọ ikuku, ma zere mkpa nke intubation endotracheal.Ndị ọrịa na-anata CSE na-enwekarị mgbu mgbu na-aga nke ọma na oge mgbake dị mkpụmkpụ, na-enye ha ohere ịlaghachi n'ọrụ nkịtị ngwa ngwa.
N'ikpeazụ, nchikota neuraxial na epidural anesthesia bụ usoro bara uru maka ịnye ọgwụ nrịanrịa, na-ebuga anesthesia, na analgesia nye ndị ọrịa n'oge usoro ọgwụgwọ.Ngwakọta nke spinal epidural kit na ihe mejupụtara ya, dị ka syringe egosi LOR, agịga epidural, catheter epidural, na epidural filter, na-arụ ọrụ dị oke mkpa n'ịhụ na nchekwa, ịdị irè, na ịga nke ọma nke usoro ahụ.Site na uru ya na ngwa ya, CSE aghọwo akụkụ dị mkpa nke usoro ọgwụgwọ nke oge a, na-enye ndị ọrịa nlekọta mgbu ka mma na mgbake ngwa ngwa.
Oge nzipu: Ọktoba 25-2023