Qhov sib txawv ntawm tus txha caj qaum thiab cov tshuaj loog epidural

Spinal anesthesia thiab epidural anesthesia belongs rau spinal anesthesia, ib hom tshuaj loog hauv zos

Epidural anesthesia yog txhaj tshuaj rau hauv qhov chaw epidural (qhov chaw muaj peev xwm ntawm dura thiab ligamentum flavum), thiab cov tshuaj loog hauv zos diffused tau dhau los ntawm qhov chaw los ntawm intervertebral foramen. Nerve cag tshuaj loog. Qhov ntau npaum li cas yog 5 mus rau 10 npaug loj dua li cov tshuaj loog txha caj qaum, qhov pib qeeb qeeb (15 mus rau 20 feeb), tsis muaj kev puas tsuaj rau dura, thiab nws tsis ua rau mob taub hau tom qab tshuaj loog. Qhov chaw epidural tsis sib txuas lus nrog cov kab noj hniav cranial, thiab qib txhaj tshuaj tuaj yeem siab npaum li lub ncauj tsev menyuam nqaj qaum, tsis tas ua rau tuag taus ntawm lub neej ntawm medulla oblongata. Yog tias muab tso rau hauv catheter, kev txhaj tshuaj ntau dua tuaj yeem ua rau lub sijhawm tshuaj loog. Epidural anesthesia tuaj yeem ua rau cov leeg mob siab, ua rau cov hlab ntsha peripheral thiab myocardial kev nyuaj siab, ua rau cov ntshav siab poob qis.

Subarachnoid anesthesia (spinal anaesthesia) yog txhaj tshuaj loog hauv zos rau hauv qhov chaw subarachnoid (qhov chaw ruaj khov ntawm arachnoid thiab pia mater thiab ntim nrog cerebrospinal kua) los ntawm qhov chaw lumbar intervertebral los thaiv vim qhov kab noj hniav no txuas nrog lub ventricle, Kev nce qib ntawm cov tshuaj loog ntau dhau yuav ua rau tuag tes tuag taw ntawm lub neej ntawm medulla, ua rau lub plawv thiab ua pa nres. Thaum lub sij hawm tus txha nraub qaum, vim hais tias cov hlab ntsha sympathetic raug thaiv, nws yog feem ntau nrog cov ntshav siab, uas yuav tiv thaiv tau los ntawm ephedrine. Tsis tas li ntawd, vim hais tias lub dura yog punctured, cov kua cerebrospinal leaks, uas ua rau muaj kev poob siab, uas yooj yim ua rau mob taub hau tom qab tshuaj loog. Lub ntiajteb txawj nqus tshwj xeeb ntawm cov tshuaj ua kua thiab tus neeg mob txoj haujlwm yuav cuam tshuam rau qib ntawm cov tshuaj ua kua. Yog tias cov tshuaj tau yaj hauv cov kua cerebrospinal tso tawm, qhov tshwj xeeb lub ntiajteb txawj nqus yog siab dua li ntawm cov kua cerebrospinal. Dissolved nyob rau hauv cov dej distilled, qhov tshwj xeeb lub ntiajteb txawj nqus yog qis dua cov kua cerebrospinal. Cov kua nplaum tshwj xeeb yog siv rau cov neeg mob zaum, thiab cov kua yuav tog rau hauv cauda equina, uas muaj kev nyab xeeb thiab zoo.

Yog tias koj muaj lus nug, thov hu rau peb. Peb lub tuam txhab tuaj yeem tsim ntau yam koob txhaj tshuaj, koob tshuaj kho mob, koob txhaj tshuaj, koob tshuaj hypodermic, koob txhaj tshuaj, koob tshuaj tiv thaiv kab mob, koob txhaj tshuaj, koob txhaj tshuaj, koob tshuaj tua tsiaj, koob xaum koob, koob ovum khaws koob, koob txhaj tshuaj, thiab lwm yam Yog tias koj xav tau kev kho. koob cov khoom, thov hu rau peb. Peb tos ntsoov rau koj qhov kev nug! Qhov zoo ntawm cov khoom tsim nyob rau hauv peb lub Hoobkas yuav txaus siab rau koj!

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