Ukuqhuba umsebenzi kwicandelo elincinane lomzimba, kunye nokuququzelela abasebenzi abanobuchule, i-anesthesia yomgudu isetyenziswa ngokuqhelekileyo. Le ndlela ye-anesthesia isekelwe ekuthintela ukusasazwa kweempembelelo kwinqanaba leengcambu zentliziyo, ngoko le nkqubo iyahambelana kuphela nala malelo angenelelo owenziwa ngaphantsi kwe-diaphragm.
Ukulungiswa kwe-anesthesia yomgogodla
Esi siganeko sineentlobo ezimbini:
- i-subarachnoid;
- ngophawu.
Ngokuxhomekeke kwindlela kunye nesayithi yejoyi, iyeza elifanelekileyo likhethiwe. Kwiindawo ezininzi ze-anesthetics zendawo, ezi zilandelayo zikhethwa:
- Tetracaine;
- Procaine;
- Bupivacaine;
- Lidocaine.
Njengomthetho, amayeza athatywayo ahlinzeka ngokufanelekileyo, kodwa akusiyo i-anesthesia ende kakhulu. Ukuphucula iipropati zabo kunye nokwandisa ubude bezenzo, i-adjuvants - iFentanyl ne-Adrenaline-isetyenziswa.
Iziphumo kunye neengxaki emva kwe-anesthesia yomgca
Iziganeko ezimbi eziphambili ekuphenduleni komzimba ukuba zitshatywe:
- i-atrophy ye-muscular total;
- ukuphosa okuphambili kwixinzelelo legazi;
- bradycardia ;
- intlungu ebuhlungu;
- isicefe
- neuropathy;
- i-post-puncture syndrome;
- i-spinal, epidural hematoma;
- ukuphazamiseka kwemiva engapheliyo.
Kwiimeko ezinqabileyo, kukho i-allergies, amacala afanayo ahambelana nokukhethwa okungafanelekanga kwesisombululo se-anesthesia.
Intloko emva kokuba i-anesthesia yomgudu ibhekwe njengento eqhelekileyo kwaye enye yeendlela eziqhelekileyo. Esi sibonakaliso sinyamalala kancane emva kweeyure ezingama-4 ukuya kwe-5 emva kwe-injection.
Ukuchasaniswa kwintsholongwane ye-anesthesia
Kukho izizathu ezihambelana nezizathu zokuba kungani le ndlela ingavumeleki.
Iqela lokuqala liquka oku kulandelayo:
- coagulopathy;
- ukusuleleka kwi-dermis kwindawo ye-injection;
- uxinzelelo olusandayo;
- ukulahla kwesigulane;
- ukuthatha i-antiticoagulants kwiiyure ezili-12 ezedlulileyo;
- ukwanda kwentliziyo.
Ukuchasana ngokumalunga:
- iimpazamo ekuphuhlisweni kwikholamu yomgcini;
- ukungazinzi ngokomzwelo nangokwengqondo;
- isifo senhliziyo kunye ne-ejection ehleliweyo;
- ukusetyenziswa kokungafani kunye ne-heparin;
- ukunyanzeliswa kweentambo;
- ukugula ngengqondo;
- i-hypovolemia;
- umngcipheko wokuphuma kwamanzi;
- i-vagotonia;
- isifo sobuthathaka kwesodi yesono;
- ukusuleleka kwinqanaba le-injection;
- AV-Blockade;
- imeko ye syncopal;
- isifo soxinzelelo, ingxaki yomntwana.