Zomzimba spinal - zomzimba ogqibeleleyo xa kusenziwa utyando

Ukuza kuthi ga ngoku, zomzimba spinal - enye ndlela zisebenzayo zomzimba kusetyenziswa ngexesha imisebenzi umntla asezantsi. Ngokutsho Umgaqo yale ndlela efanayo zomzimba ebulewe, kodwa yahlukile kuye.

Yintoni Ukubulawa

Ngexesha ngokubulawa zomzimba, ugqirha ufaka ichiza ngqo umnqonqo, ekuvumela ukuba ukuvala luvo elijongene azilawule nemizwa. Kulo mzekelo, isigulana uvakalelwa umkhuhlane ezayo evela umnqonqo ukuya emilenzeni, kamva asezantsi yinxalenye yomzimba baphelelwe ngokupheleleyo. Ixesha ichiza ukuya iiyure ezi-2. Emva koko, intshukumo kunye novakalelo sebeqala kuphila.

Ngaphambi kokuba enze uqhaqho ukubuza, olunjani zomzimba lisetyenziswa esibhedlele, uze ukhethe ukhetho kakhulu ifanelekileyo. Ngelo xesha kotyando usebenzisa zomzimba spinal, isigulana iphaphamile. Noko ke, indibanisela zomzimba jikelele kunye zomzimba nokuphelisa intlungu postoperative.

isicelo

zomzimba spinal idla ngokusetyenziswa ngexesha lo mcimbi:

1. utyando izifo, libandakanya xa kususwa isibeleko
2. utyando wamathambo
3. Immobilization okanye ukwaphuka entanyeni femoral

Oogqirha ngexesha lokubulawa yemilinganiselo Uqhaqho nalapha ngaphakatyhi ukunika bakhethe Ukubulawa spinal. Umfazi xa aza kuzala na kurhulumente uyichitha, leyo kakuhle kuchaphazela imeko jikelele umntwana. Noko ke, kwezinye iimeko, oogqirha ukusebenzisa i imaski ioksijini. Ukuba isigulane uziva ukuqaleka, ngoko elawulwa enye idosi olongezelelweyo analgesics efakwa, kwiimeko ezigabadeleyo, kugqithiselwa Ukubulawa jikelele.

Indlela yokuba ukuphunyezwa

ulawulo iziyobisi Inkqubo ngeendlela ezimbini. Isigulane uhlala phezu ngohlangothi itafile zokusebenza kunye, yokuphumla iingalo zakhe ngamadolo akhe, bekwayame phambili. Uyakwazi ukwenza igalelo kuthetha amanga. Le isigulane kubekwa kwicala lakhe lasekhohlo, kwaye inikeza begoba ubuninzi amadolo kunye esinqeni. Yiphi indlela, ugqirha izama ukufezekisa izakhi esiphezulu umva.

Izimo

Eyona Izimo eziphambili ukwenza zomzimba spinal zezi:

1. Ibhalwe ukwala ogulayo
2. BP Intracranial
3. hypoxia Palsy
4. ukubetha kwentliziyo kakubi, isifo sentliziyo
5. Spepsis
6. ukungaphumeleli Coagulation
7. Emzimbeni okanye ukopha
8. Izifo CNS (inkqubo luvo)
9. Malformations yosana olungekazalwa
10. ukufa Palsy
11. wokuphuthuma
12. Ukungabikho iimeko eziyimfuneko
13. kukwalisa analgesics
14. izifo isikhumba

Ubuhle lobubi

zomzimba spinal inenani yeenzuzo, umahluko kakhulu oko kwezinye iintlobo ntlungu.

1. UNcedo ubuhlungu postoperative. Le meko uphepha ukuqaliswa olongezelelweyo imithi esekelwe icaffeine.
2. Performance. Ichiza ilawulwa ngqo kwi umnqonqo, ngoko ke kakhulu ngempumelelo ngakumbi kwaye iqala inyathelo ngokukhawuleza kakhulu, kunokuba kunye Ukubulawa ebulewe.

Ukongeza iingenelo, iye kuneengxaki zawo, eziquka:

1. A zokucutha elibukhali. Oku kuza ngenxa stasis lwemithambo kunye arteriolar komlomo. Kulo mzekelo, ephakamisa imilenze inceda ukubuyisela ukuhamba igazi bunjani uxinzelelo lwegazi.
2. Headache wabonakalaliswa elide ngokwaneleyo (iintsuku ukuya ku-4 emva kotyando).
3. Isicaphucaphu - effect icala eziphambili okubangelwa hypoxia kunye hypotension bardikardiey.
4. Intlungu umva. Le nyaniso kuba ngenxa lungu kwempixano, umothuko priostalnoy okanye ukungakhuseleki elide kwi-hard itafile yokusebenza. Ngokuqhelekileyo iintlungu uya kude ngosuku lwesibini.
5. Ukuva ilahleko kwenzeka ubukhulu becala ngenxa usebenzisa yenaliti enkulu (27 G). Ingxaki kuba eliqhelekileyo kwaye non-sirhwebe, kodwa kunokuba kwezinye izigulane inkxalabo kakhulu.

zomzimba spinal, ifuthe ezo nto ebaluleke -A indlela enkulu zomzimba xa kusenziwa utyando. Ngoko phantse ekhuselekileyo, ngokugqibeleleyo buyasikhulula izihlunu esiswini nokuphelisa intlungu ngempumelelo. Akukho nefuthe elibi ekukhuleni kosana olungekazalwa isetyenziswa nokuba zomzimba imisebenzi yokubelekisa. zomzimba spinal kudlala indima ebalulekileyo ekuqhubeni imisebenzi emzimbeni asezantsi.