E ʻike hou aʻe e pili ana i ka anesthesia epidural spinal i hui pū ʻia

I ka hoʻomau ʻana o ka holomua o ka lāʻau lapaʻau i ka hoʻololi ʻana i ke kahua o ka anesthesia,hui pū ʻia ka anesthesia epidural spinalua lilo i ʻano hana kaulana a kūpono hoʻi no ka hōʻoluʻolu ʻana i ka ʻeha i ka wā o ke ʻoki ʻana a me nā kaʻina hana lapaʻau ʻē aʻe. Hoʻohui kēia ʻano kū hoʻokahi i nā pono o ka anesthesia spinal a me ka epidural e hāʻawi i nā mea maʻi me ka hoʻonui ʻana i ka ʻeha a me ka hōʻoluʻolu maikaʻi loa. I kēia lā, e nānā hohonu mākou i nā noi, nā ʻano nila, a me nā ʻano o ka anesthesia spinal-epidural i hui pū ʻia e kōkua iā ʻoe e aʻo hou e pili ana i kēia ʻenehana lapaʻau kipi.

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ʻO ka hui pū ʻana o ka anesthesia spinal-epidural, i kapa ʻia hoʻiʻO ka anesthesia CSE, pili i ka hoʻokomo pololei ʻana i nā lāʻau lapaʻau i loko o ka wai cerebrospinal (CSF) e hoʻopuni ana i ke kaula spinal. ʻAe kēia i ka hoʻomaka wikiwiki ʻana o ka hana a me ka anesthesia hohonu i hoʻohālikelike ʻia me nā ʻano hana ʻē aʻe. ʻO nā lāʻau lapaʻau i hoʻohana ʻia i ka anesthesia CSE he hui pū ʻana o kahi anesthetic kūloko (e like me bupivacaine a i ʻole lidocaine) a me kahi opioid (e like me fentanyl a i ʻole morphine). Ma ka hui pū ʻana i kēia mau lāʻau lapaʻau, hiki i nā anesthesiologists ke hoʻokō i ka hoʻomaha ʻeha wikiwiki a lōʻihi.

Hoʻohana nui ʻia ka anesthesia lumbar-epidural i hui pū ʻia a uhi i nā ʻano hana ʻokiʻoki like ʻole. Hoʻohana pinepine ʻia ia i nā ʻokiʻoki ʻōpū haʻahaʻa, pelvic a me nā ʻaoʻao haʻahaʻa a me ka hānau ʻana. He mea maikaʻi loa ka anesthesia CSE i ka obstetrics no ka mea hiki iā ia ke hōʻoluʻolu i ka ʻeha i ka wā hānau me ka mālama ʻana i ka hiki ke paʻi i ka wā ʻelua o ka hānau ʻana. Eia kekahi, hoʻohana nui ʻia ka anesthesia CSE i nā kaʻina hana outpatient, me nā poʻe maʻi e ʻike nei i nā manawa hoʻōla pōkole a me nā noho pōkole ma ka haukapila.

I ka wā e pili ana i nā ʻano nila i hoʻohana ʻia i ka anesthesia epidural spinal i hui pū ʻia, aia ʻelua mau hoʻolālā nui: nā nila penikala a me nā nila ʻokiʻoki. ʻO nā nila penikala, i kapa ʻia hoʻi he nila Whitacre a i ʻole Sprotte, he wēlau ʻōniʻoniʻo a ʻoi aku ka liʻiliʻi e hōʻemi ai i ka ʻeha o nā ʻiʻo i ka wā e hoʻokomo ʻia ai. Hiki i kēia ke hōʻemi i ka nui o nā pilikia e like me ke poʻo ma hope o ka puncture dural. ʻO nā nila i ʻohi ʻia, ma ka ʻaoʻao ʻē aʻe, he mau wēlau ʻoi a ʻoiʻoi e hiki ai ke hou i nā ʻiʻo fibrous me ka maʻalahi. Hoʻohana pinepine ʻia kēia mau nila i nā poʻe maʻi me nā hakahaka epidural paʻakikī no ka mea e ʻae lākou i ke komo ʻana me ka maikaʻi.

ʻO ka hui pū ʻana o ka anesthesia spinal a me ka epidural i loko o ka CSE anesthesia e hāʻawi i kekahi mau hiʻohiʻona kū hoʻokahi e kōkua i kona pono. ʻO ka mea mua, ʻae ka CSE anesthesia i ka hoʻonui ʻana i ka dosing, ʻo ia hoʻi hiki ke hoʻoponopono ʻia ka mea anesthetic ma ke kaʻina hana holoʻokoʻa, e hāʻawi ana i ka anesthesiologist i ka mana nui ma luna o ka pae o ka anesthesia. He mea maikaʻi loa kēia i nā kaʻina hana lōʻihi kahi e pono ai ka mea maʻi e hoʻonui a hoʻemi paha i nā pae lāʻau. Eia kekahi, ʻoi aku ka wikiwiki o ka hana a ka CSE anesthesia a hiki ke hāʻawi i ka hōʻoluʻolu ʻeha wikiwiki ma mua o ka epidural wale nō.

Eia kekahi, loaʻa i ka anesthesia CSE ka pono o ka hoʻomaha ʻeha lōʻihi ma hope o ke kaʻina hana. Ke pau nā lāʻau lapaʻau spinal, noho mau ka catheter epidural, e ʻae ana i ka hoʻomau ʻana o ka lawelawe ʻana i nā analgesics i kahi manawa lōʻihi. Kōkua kēia i ka hoʻēmi ʻana i ka ʻeha postoperative, hoʻemi i ka pono no nā opioids systemic, a hoʻomaikaʻi i ka ʻoluʻolu o ka mea maʻi.

He ʻoihana ʻo Shanghai TeamStand Corporationmea hoʻolako hāmeʻa lapaʻaua me ka mea hana e ʻike ana i ke koʻikoʻi o ka hoʻolako ʻana i nā lako hana kiʻekiʻe no ke ʻoki ʻana i ka anesthesia spinal-epidural i hui pū ʻia. Hōʻike ʻia ko lākou kūpaʻa i ka maikaʻi loa i nā ʻano nila like ʻole a lākou e hāʻawi nei, i hoʻolālā ʻia e hoʻokō i nā pono kūikawā o nā loea mālama ola. Ma ka hoʻomaopopo ʻana i nā ʻano nila like ʻole a me ko lākou mau ʻano, hiki i nā anesthesiologists ke koho i ke koho kūpono loa no kēlā me kēia maʻi, e hōʻoiaʻiʻo ana i kahi kaʻina hana holomua a ʻoluʻolu hoʻi.

I ka hōʻuluʻulu manaʻo, he mea hana waiwai nui ka hui pū ʻana o ka anesthesia spinal-epidural i ke kahua o ka anesthesia e hoʻonui i ka hōʻoluʻolu ʻeha a hoʻomaikaʻi i ka ʻoluʻolu o ka mea maʻi i ka wā o ke ʻoki ʻana. Uhi kāna mau noi i nā ʻano ʻoki like ʻole, me nā ʻoki ʻōpū haʻahaʻa, pelvic a me nā ʻoki ʻaoʻao haʻahaʻa. ʻO ke ʻano o ka nila i hoʻohana ʻia, inā he penikala a he ʻoi paha, e pili ana i nā ʻano kūikawā o ka mea maʻi. ʻO nā hiʻohiʻona o ka anesthesia CSE, e like me ka dosing incremental a me ka hoʻomaha ʻeha postoperative lōʻihi, e hoʻonui hou i kona pono. Me ke kākoʻo o nā hui e like me TeamStand Corporation ma Shanghai, hiki i nā loea olakino ke hoʻomau i ka hāʻawi ʻana i nā mea maʻi me ka kaohi ʻeha kūpono a me kahi ʻike ʻoki maikaʻi.