Msana ochititsa dzanzi - wangwiro mankhwala ochititsa dzanzi pa opaleshoni

Pakali pano, msana ochititsa dzanzi - imodzi mwa njira zothandiza kwambiri mankhwala ochititsa dzanzi ntchito pa ntchito pa torso m'munsi. Malinga ndi mfundo zake njira zimenezi zikufanana ndi ochititsa dzanzi epidural, koma yosiyana ndi iye.

Mankhwala ochititsa dzanzi Kodi

Pa kuphedwa kwa mankhwala, dokotala amaika mankhwala mwachindunji mu chingwe msana, kuti amalola kuti ndigwire misempha udindo zikhumbo imalandira. Pankhaniyi, wodwala akumva chimfine akubwera kuchokera msana kuti miyendo, kenako m'munsi mbali ya thupi dzanzi kwathunthu. Kutalika kwa mankhwala maola 2. Ndiye, kayendedwe ndi tcheru ayamba achire.

Pamaso opaleshoni kufunsa, mtundu wa mankhwala oletsa ululu ntchito m'chipatala, ndi kusankha njira yabwino kwambiri. Pa nthawi ya opaleshoni ntchito msana mankhwala, wodwala maso. Komabe, osakaniza mankhwala oletsa ululu onse ndi ochititsa dzanzi pa relieves ululu postoperative.

ntchito

mankhwala ochititsa dzanzi msana kawirikawiri amagwiritsidwa ntchito pa chochitika:

1. Matenda opaleshoni, kuphatikiza mukamafinya chiberekero
2. maopaleshoni amafupa
3. Immobilization kapena wovulala khosi femoral

Madokotala nthawi kuphedwa kwa anakonza gawo la Kaisara ambiri kupereka mmalo mankhwala ochititsa dzanzi msana. A mkazi wobala ndi boma m'maŵa, amene akutsutsana amakhudza chikhalidwe ambiri a mwanayo. Komabe, nthawi zina, madokotala amagwiritsa ntchito ndi chigoba oxygen. Ngati wodwala akumva kusapeza, ndiye kutumikiridwa ndi mlingo zina analgesics mtsempha, mu zikafika poipa, umasamutsidwa ku ochititsa dzanzi ambiri.

Njira kukhazikitsa

Dongosolo mankhwala ndondomeko m'njira ziwiri. Wodwala akukhala m'mphepete mwa gome opaleshoni ndipo, kupumula elbows wake pa maondo ake, atatsamira patsogolo. Mukhoza kuchita athandizira zikutanthauza atagona. Wodwala aikidwa kumbali yake ya kumanzere, ndipo amapereka unakhota pazipita mawondo ndi m'chiuno. Kaya njira, dokotala akuyesera kukwaniritsa wopindidwa pazipita kumbuyo.

contraindications

The contraindications waukulu kuchita msana ochititsa dzanzi ndi:

1. Written mtima chokana
2. Intracranial oopsa
3. yoopsa hypoxia
4. Osasamba kugunda, matenda a mtima
5. Spepsis
6. Coagulation kulephera
7. Madzi m'thupi kapena magazi imfa
8. Matenda a CNS (chapakati mantha dongosolo)
9. Malformations wa mwana wosabadwayo
10. yoopsa imfa
11. modzipereka
12. Popeza zinthu zofunika
13. thupi lawo siligwirizana ndi analgesics
14. matenda a pakhungu

Ubwino ndi Kuipa

Msana mankhwala oletsa ululu ali m'njira zambiri, kwambiri kusiyanitsa kuti mitundu ina ya chithandizo ululu.

1. Chithunzi cha ululu postoperative. chochitika ichi amapewa oyamba zina medicaments zochokera morphine.
2. Magwiridwe. The mankhwala ndi kutumikiridwa mwachindunji mu chingwe msana, choncho ndi kogwira mtima kwambiri ndi zochita zambiri mofulumira akuyamba, kusiyana ndi mankhwala ochititsa dzanzi epidural.

Kuphatikiza pa madalitso, iyenera zovuta zake ndi monga:

1. A lakuthwa kuchepetsa kuthamanga. Iwo ubwera chifukwa cha stasis venous ndi arteriolar dilation. Pankhaniyi, kukweza miyendo amathandiza kuti abwezeretse magazi ndi matenda a kuthamanga magazi.
2. Mutu uoneke mokwanira yaitali (masiku 4 pambuyo opaleshoni).
3. Nseru - waukulu mbali kwenikweni chifukwa cha hypoxia ndi hypotension bardikardiey.
4. Ululu kumbuyo. Zimenezi zikhoza kukhala chifukwa cha maganizo mitsempha, zoopsa priostalnoy kapena kukhudzana yaitali kwa molimba tebulo ya opareshoni. Kawirikawiri ululu anabauka pa tsiku lachiwiri.
5. Kumva imfa kumachitika makamaka chifukwa cha ntchito singano zikuluzikulu (27 G). Vuto ndi oti amanenedwa pa chilichonse ndipo sanali durables, koma angathe kubweletsa ena odwala zolemekezeka.

Msana mankhwala, zotsatira za omwe ali ovuta N'kofunika kwambiri njira mankhwala ochititsa dzanzi pa opaleshoni ayi. Ndi pafupifupi otetezedwa, mwangwiro pansi minofu m'mimba ndi relieves ululu bwino. Palibe mavuto obwera pa mwana wosabadwayo kuti ntchito ngakhale ochititsa dzanzi pa ntchito obstetric. Msana ochititsa dzanzi ndi mbali yaikulu pogwira ntchito mu thupi m'munsi.