Tag nrho cov tam sim no siv cov tshuaj loog hauv zos nyob rau hauv kev ua lag luam nrov ntawm obstetric regional anesthesia hla placenta nkag tau, tswj hwm los ntawm ob yam uas tus kws tshuaj loog muaj kev tswj hwm (1) ntau npaum li cas thiab lub sij hawm ntawm koob tshuaj thiab (2) uterine ntshav txaus raws li nws hais txog kev loj hlob ntawm …
Yuav tshuaj loog dab tsi hla cov placenta?
Cov tshuaj uas paub tias hla cov placenta suav nrog opiates, benzodiazepines, ephedrine, tshuaj loog hauv zos, beta blockers, barbiturates, thiab propofol. Cov tshuaj uas paub tias hla cov placenta tab sis feem ntau suav tias muaj kev nyab xeeb suav nrog propofol, ketamine, thiab fentanyl.
Puas tshuaj loog hauv zos nyab xeeb thaum cev xeeb tub?
Kev tiv thaiv, kuaj mob, thiab kho hniav kho hniav kom zoo thaum cev xeeb tub. Cov tshuaj loog hauv zos nrog epinephrine (piv txwv li, bupivacaine, lidocaine, mepivacaine) tuaj yeem siv thaum cev xeeb tub.
Yuav ua li cas cov tshuaj tsis tuaj yeem hla dhau qhov placenta?
Txawm hais tias ib yam khoom yuav dhau los ntawm cov placenta ntawm leej niam thiab tus menyuam hauv plab yog nyob ntawm nws qhov loj me, cov duab, thiab nqi. Cov tshuaj tsis zoo yuav dhau mus rau qhov tseem ceeb suav nrog kab mob, heparin, sIgA, thiab IgM Feem ntau cov tshuaj tiv thaiv me me thaum IgM yog cov molecule loj.
Puas bupivacaine hla cov placenta?
Nyob rau hauv cov ntsiab lus, txoj kev tshawb no qhia tias bupivacaine hla tib neeg placenta los ntawm passive diffusiones tsis yog kev thauj mus los thiab cuam tshuam los ntawm qib ntawm niam thiab menyuam hauv plab protein sib txawv thiab muaj peev xwm ua tau. los ntawm placental accumulation.
