He nui loa nā hōʻailona no ka spinal anesthesia, inā ʻaʻole ʻoi aku ka lōʻihi o ka hana ma mua o 180 mau minuke.

No ka mea hiki iā ia ke hoʻomaʻamaʻa i ka ʻāpana haʻahaʻa o ke kumu a me nā lālā haʻahaʻa, hoʻohana ʻia ia no ka laʻana:

• ʻokiʻoki orthopedic o nā lālā haʻahaʻa
• pilikia a i ʻole ka pauku cesarean i hoʻonohonoho ʻia
• obstetric opuu (hysterectomy, ovarian cysts, etc.)
• nā ʻoki ʻoki kino (no nā kino i ka ʻōpū o lalo, e like me ke kolonā)
• ka Cnā pāʻani urological haʻahaʻa (prostate, pūpū, ureter haʻahaʻa)

Hoʻohālikelike ʻia me ka anesthesia epidural, ʻoi aku ka maikaʻi o ka spinal anesthesia i ka hoʻokō ʻana a me ka hana wikiwiki ʻana a me ka pili ʻana me ka haʻahaʻa haʻahaʻa o nā hemahema a i ʻole ka anesthesia piha ʻole. Hoʻokumu ia i kahi anesthesia piha a ʻaʻole koʻikoʻi ka nui o ka anesthetic kūloko.

Eia nō naʻe, i ka wā epidural anesthesia, kau ʻia ka catheter hiki ke hoʻolōʻihi i ka lōʻihi o ka anesthesia (ma ka hoʻoponopono hou ʻana i ka lāʻau inā pono).

Hiki ke noho ka mea maʻi (e kau ana nā lima ma nā ʻūhā) a i ʻole e moe ana ma ko lākou ʻaoʻao, e hana ana i ka "poʻe hope".

Ma hope o ka hoʻomaʻemaʻe ʻana i ka ʻili o ke kua (me ka waiʻona iodized a i ʻole betadine), hoʻohana ka mea hoʻomaʻemaʻe i kahi anesthetic kūloko e hiamoe ai ka ʻili. A laila, hoʻokomo ʻo ia i kahi nila liʻiliʻi liʻiliʻi (0,5 mm ke anawaena) ma waena o ʻelua vertebrae lumbar, ma lalo o ka iwi kuamoʻo: ʻo kēia ka lumbar puncture. Hoʻokomo mālie ʻia ka anesthetic kūloko i loko o ka CSF, a laila moe ka mea maʻi ma ko lākou kua me ke poʻo kiʻekiʻe.

I ka wā o ka anesthesia, hoʻomau ka ʻike o ka mea maʻi, a ke nānā mau ʻia kāna mau hōʻailona koʻikoʻi (pulse, blood pressure, breathing).

Hāʻawi ka spinal anesthesia i ka anesthesia wikiwiki a piha o ke kino haʻahaʻa (ma kahi o 10 mau minuke).

Ma hope o ka anesthesia, hiki ke ʻike ʻia kekahi mau hopena ʻaoʻao, e like me ke poʻo, ka paʻa ʻana o ka mimi, nā ʻano like ʻole o nā wāwae. He pōkole kēia mau hopena a hiki ke hoʻemi ʻia ma ka lawe ʻana i nā lāʻau ʻeha.