Ke hana koke nei ʻoe i kahi ʻoki? A laila e aʻo pono kākou e pili ana i kēia Hoʻokaʻawale ASA!

Ua haʻi ʻia anei ʻoe e nā kauka e hana i kahi ʻoki nui a liʻiliʻi paha, ʻo ia hoʻi, ke ʻoki kino? I kēlā hihia, ʻo ʻoe Ma mua o ka hāʻawi ʻana iā ʻoe i ka anesthesia , a i ʻole ka lāʻau lapaʻau e hoʻopau ai i kou ʻeha i ka wā o ke ʻoki ʻana, e hana kāu kauka i kahi loiloi liʻiliʻi o kou olakino. ʻO ia ka mea a mākou e kapa nei ʻo ka hoʻokaʻawale ASA . Ke lohe ʻoe i kēia, e hopohopo iki paha ʻoe, e like me, "Auē, e hāʻawi mai ʻoe iaʻu i kahi helu?" Akā he mea ia e kōkua ai i kāu kauka e mālama iā ʻoe ma ke ala maikaʻi loa a palekana loa. No laila, e kamaʻilio hou kākou e pili ana i kēia, ʻeā?

He aha ka hoʻokaʻawale ʻana o ka ASA? No ke aha he mea nui?

I ka ʻōlelo maʻalahi, ʻo ka ASA Physical Status Classification System kahi ʻōnaehana no ka loiloi ʻana i kou olakino holoʻokoʻa ma mua o ke ʻoki ʻana e pono ai ka anesthesia. Ua hoʻomohala ʻia e ka American Society of Anesthesiologists (ASA) . E noʻonoʻo inā hoʻohana nā anesthesiologist āpau i nā pae hoʻohālikelike like e loiloi i nā maʻi, ʻaʻole anei e loaʻa i nā mea āpau ka ʻike like? ʻO ia kekahi o nā kumu o kēia ʻōnaehana.

Aia kekahi mau kumu nui no ka hoʻohana ʻana i kēia hoʻonohonoho ʻana:

• Ma mua o kāu ʻoki kino E mālama i kahi moʻolelo o kou olakino : E hāʻawi kēia iā ʻoe i kahi moʻolelo maopopo o kou kūlana olakino ma mua o ke ʻoki ʻana.
• ʻO kahi ʻano maʻamau e hiki i kēlā me kēia anesthesiologist ke hoʻohana: Ma hea ʻoe ma ka honua, ke kamaʻilio ʻoe me nā anesthesiologists e pili ana i ke kūlana olakino o ka mea maʻi, hiki iā lākou āpau ke loaʻa kahi manaʻo maʻamau ma ka haʻi ʻana iā lākou i kēia helu ASA.
• Kōkua i ka loiloi ʻana i nā pilikia o ke ʻoki kino: ʻAʻole hiki i kēia wale nō ke haʻi iā ʻoe i ka pilikia. Eia nō naʻe, i ka hui pū ʻana me nā kumu ʻē aʻe e like me kou mau makahiki, ke ʻano o ke ʻoki kino e hana ʻia nei, pehea kona nui, a me ka lōʻihi o ka manawa e lawe ai, kōkua ia i ka wānana ʻana i nā pilikia hiki ke loaʻa mai ke ʻoki kino.

He mea nui e hoʻomanaʻo: ʻAʻole kēia hoʻokaʻawale ASA he wānana no ka hopena o kāu ʻoki kino. ʻOiai hiki iā ia ke kōkua iā ʻoe e loiloi i nā pilikia o ke ʻoki kino, Hoʻoholo ka hui lapaʻau ma hope o ka noʻonoʻo ʻana i nā kumu ʻē aʻe he nui. No laila, mai hopohopo ke ʻike ʻoe i kēia helu.

ʻO wai kēia ASA?

ʻO ASA ke kū nei no ka ʻAhahui ʻAmelika o nā Anesthesiologists.ʻO ke ʻano pōkole no "American Society of Anesthetists." Ua hoʻolauna mua ʻia kēia ʻōnaehana hoʻokaʻawale i ka makahiki 1941, i ka wā i kapa mua ʻia ai ka hui ʻo American Society of Anesthetists. Ua hoʻohana ʻia e nā kauka a puni ka honua mai ia manawa mai.

Pehea i hoʻokaʻawale ʻia ai kēia ASA? He aha nā pae?

Ma kēia hoʻokaʻawale ʻana o ASA, aia ʻeono pae (a hiki i ka VI) mai nā helu Roma I (hoʻokahi) a i V (ʻelima). ʻO ASA I ke kanaka olakino loa. ʻO ASA V kekahi kanaka me kahi maʻi koʻikoʻi e hoʻoweliweli ana i ke ola. ʻO ka Pae VI no nā poʻe maʻi make lolo e lawe ʻia ana no ka hāʻawi ʻana i nā kino (nā mea hāʻawi kino).

E nānā kākou i ke ʻano maʻamau o kēlā me kēia o kēia mau māka. ʻO ʻoe Ma muli o ka haukapila kahi i hāʻawi ʻia ai ka lāʻau lapaʻau , hiki ke ʻokoʻa iki kēia mau laʻana ma muli o kā lākou ʻoihana kūikawā.

• ASA I: He kanaka olakino maikaʻi loa . ʻO ia hoʻi, ua olakino maikaʻi kekahi, me ka ʻole o kekahi maʻi koʻikoʻi a maʻi mau paha. Eia kekahi laʻana, kekahi mea ʻaʻohe maʻi a ke hana ʻia nei no kahi ʻoki liʻiliʻi ma ko lākou lima a i ʻole kahi maʻi pilikia e like me ka appendicitis.

• ASA II: He kanaka me ka maʻi ʻōnaehana palupalu . ʻO ia hoʻi, he kanaka me kahi pilikia olakino liʻiliʻi ʻaʻole e hoʻopilikia i nā hana o kēlā me kēia lā a hiki ke kaohi ʻia. Nā laʻana: Diabetes Mellitus i kaohi maikaʻi ʻia, Hypertension i kaohi maikaʻi ʻia, momona (BMI ma waena o 30-40), kahi mea puhi paka (me ka ʻole o nā pilikia nui), kahi makuahine hāpai (me ka ʻole o nā pilikia).

• ASA III: He kanaka me ka maʻi ʻōnaehana koʻikoʻi . Hiki i kēia maʻi ke loaʻa kekahi mau palena i nā hana o kēlā me kēia lā. Akā, ʻaʻole ia he mea hoʻoweliweli koke i ke ola. Nā laʻana: ka maʻi diabetes i kāohi ʻole ʻia, ke koko kiʻekiʻe i kāohi ʻole ʻia, ka hōʻeha puʻuwai i loko o nā mahina 3 i hala, ka maʻi pulmonary obstructive moderate (COPD), ka maʻi puʻupaʻa mau , a me ka dialysis.

• ASA IV: He kanaka me kahi maʻi ʻōnaehana koʻikoʻi e hoʻoweliweli mau ana i ke ola . ʻO kēia poʻe maʻamau i loko o kahi kūlana koʻikoʻi. Nā Laʻana: He kanaka i loaʻa i ka hōʻeha puʻuwai a i ʻole ka hahau ʻana i hala koke nei (ʻaʻole i ʻoi aku ma mua o 3 mahina), he kanaka me ka hana ʻino o ka valvular, ka hoʻemi ʻia ʻana o ka ejection fraction, ka sepsis koʻikoʻi, a i ʻole he kanaka me ka hāʻule ʻana o ka puʻupaʻa (ʻaʻole ma ka dialysis).

• ASA V:ʻO ka mea maʻi e make ana, ʻo ia kekahi kanaka e make paha i loko o nā hola 24 e hiki mai ana, me ka nānā ʻole inā ua hana ʻia ke ʻoki kino. Ke hana ʻia nei ke ʻoki kino e hoʻopakele i ko lākou ola, akā ʻaʻole maopopo inā e holomua. Nā Laʻana: He kūlana koke, hoʻoweliweli i ke ola e like me ka haki ʻana o ka aneurysm aortic abdominal, kahi kanaka i loaʻa i nā hōʻino he nui o nā kino i kahi ulia nui (trauma nui), a i ʻole ke kanaka i loaʻa i ke kahe koko nui o ka lolo (ke kahe koko intracranial me ka hopena nui).

• ASA VI: He mea maʻi i haʻi ʻia ua make ka lolo nona nā kino e lawe ʻia ana no nā kumu hāʻawi . Ua ʻohi ʻia ko lākou mau kino no ka hoʻoili ʻana i loko o nā maʻi ʻē aʻe.

I ka manawa hea e hoʻohana ʻia ai kēia hoʻokaʻawale ASA?

Ke loaʻa iā ʻoe kahi ʻoki kino i hoʻonohonoho ʻia, e hāʻawi ke kime lapaʻau iā ʻoe i kahi hoʻokaʻawale ASA i ka lā o ke ʻoki kino, ma mua pono o ka hāʻawi ʻia ʻana iā ʻoe i ka anesthesia. ʻO ke kumu o kēia, ʻo ia ka loaʻa ʻana o ka ʻike pololei loa a me ka hou loa e pili ana i kou olakino i kēlā manawa. No ka laʻana, inā loaʻa iā ʻoe kahi anu iki i kekahi mau lā ma mua o kāu ʻoki kino, hiki i kēlā ke hoʻopilikia i kēia loiloi. No laila ʻoi aku ka maikaʻi o ka hana ʻana i ka minuke hope loa.

ʻO wai kēia kauka anesthesiologist?

He kauka anesthesiologist i hoʻomaʻamaʻa kūikawā ʻia e hāʻawi iā ʻoe i nā lāʻau anesthetic i ʻole ʻoe e ʻeha i ka wā o ke ʻoki ʻana. Hoʻomānoino kekahi mau lāʻau anesthetic i kahi ʻāpana o kou kino (no ka laʻana, kahi inikini iwi kuamoʻo). Hoʻomoe loa nā lāʻau ʻē aʻe iā ʻoe, ʻoiai i ka wā o nā ʻoki nui a paʻakikī. E nānā ka anesthesiologist i kou puʻuwai, ke koko, a me ka hanu ʻana i loko o ke ʻoki ʻana e hōʻoia ʻaʻole ʻoe e ʻeha.

No laila, ʻo kēia hoʻokaʻawale ʻana o ASA kekahi mea e kōkua ai i kāu anesthesiologist e hoʻolālā i ka anesthesia pololei e pono ai no kāu ʻoki kino. He mea kupanaha paha ke lohe ʻana i kekahi e "mākaʻikaʻi" ana i kou kūlana olakino. Akā, he ʻōnaehana mālama moʻolelo wale nō ia i hoʻohana ʻia e hāʻawi iā ʻoe i ka lāʻau maikaʻi loa a e hoʻopilikino i nā mea āpau i kāu mau pono. ʻAʻole ia e hoʻoholo i ka pilikia o kāu ʻoki kino ma o ia iho. Nui nā kumu ʻē aʻe e komo i loko o ia mea.

No laila, he aha kā kākou e hoʻomanaʻo ai mai kēia? (Leka Lawe-Home)

ʻAe, no laila, mai nā mea a mākou i kamaʻilio ai ma kēia hoʻokaʻawale ASA, eia nā mea nui loa nāu:

• ʻO ka hoʻokaʻawale ʻana o ka ASA kahi ʻōnaehana e loiloi ai nā anesthesiologists i kou kūlana olakino ma mua o ke ʻoki ʻana. Ua hoʻolauna ʻia e ka American Society of Anesthesiologists (ASA) .
• ʻO nā pahuhopu nui o kēia, ʻo ia ka mālama ʻana i kahi moʻolelo o kou kūlana olakino, hoʻolauna i kahi ʻano hana maʻamau e hiki i nā kauka āpau ke hoʻohana, a kōkua i ka loiloi ʻana i nā pilikia o ke ʻoki kino.
• Loaʻa i kēia nā pae mai ASA I (olakino) a i ASA VI (mea hāʻawi ʻōkana make lolo).
• Mai hopohopo i kēia "māka." ʻAʻole kēia he wānana no ka hopena o kāu ʻoki ʻana, ʻaʻole hoʻi he lepili e hōʻike ana he maikaʻi ʻole kou olakino.
• Hoʻoholo nā kauka i ka pilikia ma ka hoʻohui ʻana i kēia hoʻokaʻawale ʻana me nā kumu ʻē aʻe, e like me kou makahiki a me ke ʻano o ke ʻoki ʻana.
• I ka hopena, hana ʻia kēia mau mea a pau e kōkua iā ʻoe e loaʻa ka anesthesia palekana a kūpono hoʻi a hoʻolilo i ke ʻoki i mea holomua.

No laila, inā ua hoʻonohonoho ʻia ʻoe e hana i ke ʻoki kino, a kamaʻilio nā kauka e pili ana i kou pae ASA, i kēia manawa ua ʻoi aku kou maopopo iā ia, ʻeā? Inā he mau nīnau hou aku kāu i loko o kou manaʻo, mai makaʻu e nīnau i kāu kauka a i ʻole anesthesiologist. E wehewehe lākou i nā mea āpau iā ʻoe.

ʻAnesthesia , ʻoki kino, hoʻokaʻawale ASA, loiloi olakino, ʻoki kino, haukapila, mālama ola kino