TURLI JARROHLIK AMALIYOTLARIDA REGIONAL ANESTEZIYA USULLARINI QO‘LLASH
Abstrakt
Bupivakain yordamida behushlik lidokainni qo'llashdan ko'ra barqaror gemodinamik parametrlarni ta'minlaydi. Jarrohlik va travma operatsiyalari paytida mintaqaviy behushlik usullaridan foydalanishga qiziqish har doim yuqori bo'lgan. Tadqiqotning maqsadi qorin bo'shlig'ining pastki qavatida jarrohlik operatsiyalari va pastki ekstremitalarda travmatologik va qon tomir operatsiyalarida mintaqaviy usullarning samaradorligini o'rganishdir. Tadqiqot materiallari va usullari. Bu tadqiqotlar Andijon shahridagi Respublika shoshilinch tibbiy yordam ilmiy markazining anesteziologiya va reanimatologiya bo‘limida olib borilgan ishlar natijalari asosida olib borildi. Tadqiqotda 2023-2024 yillarda jarrohlik, travmatologik va qon tomir kasalliklari bo‘yicha rejali va shoshilinch operatsiya qilingan 198 nafar katta yoshli bemorlarda zamonaviy lokal anesteziklar Bupivakain va Ropivikain yordamida jarrohlik davolash ma’lumotlaridan foydalanildi. Bemorlarning o'rtacha yoshi 40,5±14,0 yosh, bemorlarning o'rtacha vazni 72,9±10,7 kg, bemorlarning o'rtacha bo'yi 169,2±7,4 sm gemodinamikaga ta'siri. Natijalar: Anestetik dozani to'g'ri hisoblash bilan gemodinamik o'zgarishlar minimal edi. Ushbu jarrohlik aralashuvlarni 15 mg dozada bupivakain bilan o'murtqa behushlik ostida o'tkazish uchun ko'p vaqt bor edi. Orqa miya anesteziyasining asoratlari 4 bemorda bosh og'rig'i va 2 bemorda nerv ildizlariga kirishni o'z ichiga oladi. Epidural anesteziyaning ijobiy tomoni uzoq muddatli behushlik va operatsiyadan keyingi davrda samarali og'riqni yo'qotish imkoniyati edi. EA ning asoratlari 1-guruhdagi 3 ta holatda qisman blokirovka va mozaik anesteziyani o'z ichiga oladi. Xulosa: Anesteziya muddatini uzaytirish va operatsiyadan keyingi og'riqni yo'qotish zarur bo'lganda epidural behushlik afzalroqdir.
Mualliflar haqida
Adabiyotlar ro'yxati
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