E aʻo kākou e pili ana i ke kauka kūikawā nāna e ʻike iā ʻoe ma mua o ke ʻoki ʻana - ʻo ke kauka anesthesiologist.

Ua hoʻomākaukau paha ʻoe no kahi hana ʻoki kino a i ʻole kahi hoʻokolohua nui? Ke hoʻomanaʻo nei ʻoe i ka wā, ma waho aʻe o ke kauka ʻoki kino, ua hele mai kekahi kauka kūikawā e ʻike iā ʻoe? ʻO kēlā kauka ke kauka anesthesiologist. I kēia lā, e kamaʻilio kākou e pili ana i ka mea nona kēia kauka anesthesiologist, kāna hana, a me kona koʻikoʻi i kou ʻoluʻolu a me kou palekana.

ʻO wai ke kauka Anesthesiologist?

I ka ʻōlelo maʻalahi, he kauka anesthesiologist nāna e mālama iā ʻoe ma ka anesthesia, ka hoʻokele ʻeha, a me ke keʻena mālama koʻikoʻi ma mua, i ka wā, a ma hope o ke ʻoki kino a i ʻole nā ​​​​​​kaʻina hana lapaʻau ʻeha ʻē aʻe. E noʻonoʻo i ke koʻikoʻi o ko mākou ʻaʻole e ʻeha i ka wā o ke ʻoki kino. Hana pololei kēia kauka loea i kēlā, me ka palekana.

He aha ka anesthesia?

He lāʻau lapaʻau ka anesthesia e pale ai iā ʻoe mai ka ʻeha i ka wā o ke ʻoki ʻana a i ʻole nā ​​​​kaʻina hana lapaʻau ʻē aʻe. ʻO nā lāʻau lapaʻau a nā anesthesiologists a me nā loea mālama ola kino ʻē aʻe e hoʻohana ai e hoʻōki i kēia ʻeha ua kapa ʻia ʻo anesthetics.

E nānā, hana kēia mau ʻano anesthesia ma nā ʻano like ʻole.

• Hoʻomānoʻo wale kekahi mau lāʻau anesthetic i kahi ʻāpana kikoʻī o kou kino. E noʻonoʻo e like me ka lāʻau lapaʻau āu e hāʻawi ai ma mua o ka unuhi ʻana i ka niho.
• Hoʻomoe kekahi mau lāʻau ʻē aʻe i kou lolo no kekahi manawa, a laila nalowale loa ka ʻike. Hoʻohana nui ʻia kēia i ka wā o nā ʻoki kino nui, e like me nā mea ma ke poʻo, ka umauma, a i ʻole ka ʻōpū.

Inā he mea liʻiliʻi kāu, e like me ka hoʻopiha niho, no ka laʻana, e hāʻawi ke kauka iā ʻoe i kahi anesthetic kūloko , ʻo ia hoʻi he lāʻau lapaʻau e hoʻomānoʻonoʻo wale i kēlā wahi.

He kauka nō hoʻi ke kauka anesthesiologist?

ʻAe, ʻoiaʻiʻo nō! He kauka lapaʻau ka mea anesthesiologist, e like me kāu kauka ʻoki kino a i ʻole kāu kauka ʻohana. Loaʻa iā lākou ke kauka lapaʻau (`MD - Kauka Lapaʻau` a i ʻole `DO - Kauka Lapaʻau Osteopathic`). A, ke noʻonoʻo ʻoe i kā lākou kula, kekelē kulanui, a me ka noho ʻana ma hope o ke kula lapaʻau, hoʻomaʻamaʻa lākou no 12 a 14 mau makahiki. No laila, ʻaʻole ia he hana liʻiliʻi, ʻeā?

He aha ka hana a ke kauka anesthesiologist?

E like me kāu kauka ʻohana, kuleana ke kauka anesthesiology no ka mālama ʻana i nā ʻano āpau o kou olakino. Eia kekahi laʻana, e nānā lākou i kou koko, ka maʻi diabetes mellitus, ka hānō, a me nā kūlana puʻuwai i ka wā o ke ʻoki ʻana, me ka hāʻawi pū ʻana i ka anesthesia i ʻole ʻoe e ʻeha.

Kōkua pū nā anesthesiologists i kou palekana ma ka uhi ʻana a me ka pale ʻana i kou mau ʻāpana kino i kou wā e ʻike ʻole ana, i mea e pale ai i ka hōʻino ʻia.

He mau kuleana koʻikoʻi ko nā anesthesiologists ma mua, i ka wā, a ma hope o ke ʻoki ʻana:

Ma mua o ke ʻoki kino

• E hoʻopaʻa pono i kou kūlana olakino a me nā hopena o nā hoʻāʻo.
• Ke hoʻoholo nei i ke kūpono o kou kino no ke ʻoki kino āu e kokoke ana e hana.
• Ke hoʻoholo nei i ka hoʻolālā anesthesia palekana loa iā ʻoe.

I ka wā o ke ʻoki kino

• E nānā mau ʻia kāu mau hōʻailona koʻikoʻi - e like me ka helu o ka puʻuwai, ke koko, a me ka hanu ʻana - i ka wā o ke ʻoki ʻana.
• Ke hoʻokele nei i kāu mau kūlana olakino o kēia manawa.
• Ka hāʻawi ʻana i nā wai, nā huahana koko a me nā lāʻau lapaʻau e pono ai kou kino e hana (e like me ka puʻuwai, nā māmā, nā puʻupaʻa).
• Hiki iā lākou ke hana hoʻokahi, a i ʻole me kahi hui mālama anesthesia i loaʻa i nā kahu maʻi anesthetists a i ʻole nā ​​​​​​mea hoʻomaʻamaʻa anesthetists.

Ma hope o ke ʻoki kino

• Ma hope o ke ʻoki ʻana, ʻo ʻoe ke kuleana no ka mālama ʻana i kou olakino a hiki i kou ho'ōla mālie ʻana mai nā hopena o ka anesthesia.
• ʻO ka maʻamau, ʻo ka anesthesiologist ka mea nāna e hoʻoholo i ka wā e hoʻōla piha ʻia ai ʻoe mai nā hopena o ka anesthesia a mākaukau e hoʻi i ka home a i ʻole e hoʻoneʻe ʻia i kahi keʻena ʻē aʻe ma ka haukapila.

Nā hana koʻikoʻi ʻē aʻe

Mālama pū nā anesthesiologists i ka poʻe e hana ʻia ana i nā ʻoki liʻiliʻi a i ʻole ʻaʻole pono e nalowale loa ka ʻike ('General Anesthesia'). No ka laʻana, nā mea e like me nā epidurals i hāʻawi ʻia i nā makuahine e kokoke ana e hānau i kahi pēpē e hōʻemi i ka ʻeha .

Kōkua pū lākou i ka mālama ʻana i nā maʻi ma ka Intensive Care Unit (ICU) ma hope o nā ʻoki kino nui. Hana pū lākou me ka hui hoʻokele ʻeha o ka haukapila a i ʻole ma kahi keʻena e kōkua i ka poʻe e ʻeha nui ana, inā paha mai kahi ulia a i ʻole ka ʻeha hope mau.

Aia kekahi poʻe ʻē aʻe ma ka hui anesthesia?

ʻAe, aia paha kekahi poʻe ʻē aʻe ma ka hui anesthesia ma waho aʻe o ke kauka anesthesiology. E ʻike kākou ʻo wai lākou.

• ʻO ka mea hōʻoia i kākau inoa ʻia ʻo Anesthetist (CRNA): He kahu maʻi i kākau inoa ʻia kēia i hoʻopau i kahi papahana hoʻomaʻamaʻa anesthesia kahu maʻi i hōʻoia ʻia. He mau kahu maʻi lākou (ʻaʻole nā ​​​​kauka) i loaʻa i ka hoʻomaʻamaʻa kiʻekiʻe i ka hāʻawi ʻana i ka mālama anesthesia. Hana pinepine ka CRNA ma lalo o ka nānā ʻana a kahi anesthesiologist. E like me ka mālama ʻana o kahi kahu ma kahi keʻena haukapila iā ʻoe ma lalo o ke alakaʻi a kāu kauka ʻokiʻoki a kauka ʻohana paha.
• Kōkua Anesthesiologist Hōʻoia (CAA): He mea lawelawe mālama waena kēia e hana ana e like me CRNA. Eia nō naʻe, ma kahi o ke kēkelē hānai, loaʻa iā lākou kahi ʻike ʻepekema, e like me ke kēkelē pre-med.
• Kauka Anesthesiologist: ʻO kēia ke kauka a mākou i kamaʻilio ai ma mua, nona ka hoʻomaʻamaʻa kūikawā ma ka anesthesia ma hope o ke kula lapaʻau. Loaʻa iā lākou ʻehā mau makahiki o ke aʻo ʻana i ka anesthesia laulā. Eia kekahi, hiki iā lākou ke hoʻolilo i hoʻokahi makahiki a ʻelua paha aʻo ʻana i ka hoʻomaʻamaʻa subspecialty ma nā wahi e like me Pediatrics, Cardiac, Obstetrics, Intensive Care, a i ʻole Pain Management.

He aha nā ʻoki kino a me nā kaʻina hana maʻamau e pono ai kahi anesthesiologist?

He nui nā ʻoki kino a me nā kaʻina hana lapaʻau e pono ai kekahi ʻano anesthesia a me ka ʻike loea o kahi anesthesiologist. ʻO nā ʻano anesthesia a kahi anesthesiologist e hoʻohana ai:

• Anesthesia Laulā - ʻO ke ʻano kēia o ka nalowale loa o ka ʻike.
• Hoʻomālielie - ʻO ia hoʻi ke kau ʻana iā ʻoe i loko o kahi hiamoe māmā.
• ʻO ka Anesthesia Regional - ʻO ke ʻano kēia o ka hoʻomāno ʻana i kahi ʻāpana nui o ke kino.

Inā he anesthetic kūloko wale nō kāu e pono ai no kahi mea liʻiliʻi, na ke kauka nāna e hana ia e hāʻawi iā ʻoe.

Nā ʻoki kino laulā e pono ai ka anesthesia laulā:

• ʻO ke ʻoki poʻo a i ʻole ke kua
• ʻO ke ʻoki puʻuwai
• ʻO ke ʻoki ʻana i ka māmā
• Nā kaʻina hana ʻokiʻoki i loko o kou ʻōpū

ʻO ka Anesthesia Regional - ʻo ia hoʻi, ka anesthesia spinal, ka anesthesia epidural, a i ʻole ka block anesthesia regional - hoʻohana ʻia no nā ʻoki kino maʻamau:

• ʻO ke ʻoki ʻūhā a kuli paha
• ʻO ke ʻoki lima a wāwae paha

IV Sedation - ʻO ia hoʻi ka hāʻawi ʻana iā ʻoe i ka lāʻau lapaʻau e hoʻomaha iā ʻoe a hoʻāla iā ʻoe ma nā pae like ʻole (hiki paha i kēia a ʻaʻole paha e pili i ka anesthesia kūloko) - Nā kaʻina hana maʻamau e pono ai:

• Ka nānā ʻana i loko o ka trachea (bronchoscopy)
• Ka nānā ʻana i loko o ka ʻōpū nui (Colonoscopy)
• Ka nānā ʻana i loko o ka ʻōpū mimi ('Cystoscopy')
• ʻO ke ʻoki niho
• Hoʻoponopono ʻana i ka haki iwi liʻiliʻi
• ʻO ke ʻoki ʻili liʻiliʻi
• ʻO ke ʻoki kino plastik a hana hou paha
• Ka nānā ʻana i ka ʻaoʻao o luna o ke ala ʻai (Upper endoscopy)

ʻO nā anesthesiologists kekahi ka poʻe e hāʻawi i ka epidural e kāohi i ka ʻeha i ka wā hānau keiki a me ka anesthesia no ka ʻoki cesarean (C-section) .

He aha kāu e manaʻo ai ke hele ʻoe e ʻike i kahi anesthesiologist?

E hālāwai ʻoe me kāu anesthesiologist i kekahi mau lā a i ʻole mau pule ma mua o kou ʻoki kino. I kēlā manawa, e hōʻoiaʻiʻo ʻo ia ua kūpono ʻoe no ke ʻoki kino.

Nā nīnau e nīnau aku iā ʻoe

Ke nīnau aku nei lākou iā ʻoe e pili ana i nā mea e like me:

• Pehea kou olakino holoʻokoʻa ?
• Aia kekahi mau pilikia olakino kūikawā i loaʻa mua , e like me ka maʻi puʻuwai, ka maʻi diabetes mellitus, a i ʻole ka hānō?
• ʻO nā ʻano lāʻau lapaʻau āu e lawe nei (i kauoha ʻia e ke kauka, nā lāʻau lapaʻau ma luna o ke kauka, a me nā mea hoʻohui).
• He aha kou mau maʻi ʻaleka?
• Inā paha ʻoe a i ʻole kekahi o kou ʻohana i loaʻa i kekahi mau pilikia me ka anesthesia ma mua. He mea nui loa kēia. ʻO ka mea nui, he mea nui e haʻi i kāu kauka inā ua paʻakikī ʻoe e ala aʻe mai ka anesthesia ma mua, ua noho ma kahi ventilator no ka lōʻihi ma mua o ka mea i manaʻo ʻia, ua loaʻa iā ʻoe kahi hopena e like me ke kuni i ka anesthesia, a i ʻole ua loaʻa iā ʻoe ka nausea nui a me ka luaʻi ma hope o ke ʻoki ʻana.

Nā hoʻokolohua kino i hana ʻia

E nānā lākou i kēia mau mea e pili ana iā ʻoe:

• Ala ea - ʻO ia hoʻi kou mau niho, puʻu, ʻāʻī, a me nā puka ihu.
• Puʻuwai.
• Nā māmā.
• Ka helu o ka puʻuwai ('Pulse' / 'Ka helu o ka puʻuwai').

E nānā hou lākou i kāu mau hoʻāʻo koko, X-ray, ultrasounds, a me nā hōʻike EKG (electrocardiogram) e hōʻoia i kou mākaukau maikaʻi no kāu ʻoki kino.

Ma hope o ka noʻonoʻo ʻana i kēia mau mea a pau, e hoʻoholo lākou i ka hoʻolālā anesthesia kūpono nou - inā he anesthesia laulā, anesthesia ʻāpana, anesthesia spinal, a i ʻole ka hui pū ʻana o kēia mau mea. Mai makaʻu e nīnau i kāu mau nīnau anesthesiologist. E wehewehe i kā lākou mea e ʻōlelo nei a me nā mea e manaʻo ai.

Pehea e lilo ai kekahi i anesthesiologist?

I mea e lilo ai i anesthesiologist, pono ʻoe e hoʻopiha i nā mea āpau aʻe:

• He hoʻonaʻauao mua-lapaʻau ʻehā makahiki ma ke kulanui a me ke kēkelē laepua.
• He hoʻonaʻauao kula lapaʻau ʻehā makahiki (ʻKula lapaʻau) a me ke kekelē lapaʻau (ʻMD a i ʻole DO).
• He hoʻomaʻamaʻa kūikawā ʻehā makahiki ma hope o ke kula kiʻekiʻe (`Residency`) ma kahi papahana anesthesia.
• Eia kekahi, inā makemake ʻoe, hiki iā ʻoe ke loaʻa i hoʻokahi a ʻelua paha makahiki o ke aʻo ʻana ma ke ʻano kūikawā ( ʻo ia hoʻi, ma kahi kahua kūikawā e like me ka cardiology, neurology, pediatrics, obstetrics and gynecology, mālama koʻikoʻi, a i ʻole ka hoʻokele ʻeha.

Ma hope o kēia hoʻomaʻamaʻa postgraduate, lilo ka hapa nui o nā anesthesiologists i papa i hōʻoia ʻia e ka Papa ʻAmelika o Anesthesiology (ABA) ma o ka lawe ʻana i nā hoʻokolohua kākau a me ka waha.

E like me nā ʻoihana lapaʻau ʻē aʻe a pau, pono nā anesthesiologists e hele i nā ʻaha kūkā a me nā papa ma o kā lākou ʻoihana e noho mau i nā mea hou a me nā ʻenehana i kā lākou kahua. Ke komo pū nei kekahi i ka noiʻi e ʻike i nā ala hou a maikaʻi hoʻi e hāʻawi ai i ka anesthesia.

He aha nā ʻano hana kūikawā ma ke kahua o ka anesthesiology?

ʻO kekahi o nā subspecialties ma ke kahua o ka anesthesiology:

• Ka hoʻokele ʻeha
• ʻO ka anesthesia puʻuwai
• ʻO ka anesthesia pediatric
• ʻO ka neuroanesthesia
• ʻO ka anesthesia hānau
• Mālama koʻikoʻi / mālama koʻikoʻi
• ʻO ka anesthesia kūloko / ka hoʻokele ʻeha koʻikoʻi
• Hospice a me ka mālama palliative

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai

Hiki ke lilo i mea kaumaha iki ka hana ʻana i kahi ʻoki kino a i ʻole kahi hana lapaʻau nui. Akā e hoʻomanaʻo, he ʻike kūikawā a me nā mākau ko kāu anesthesiologist e mālama iā ʻoe i ka palekana i kāu ʻoki kino. E hana lākou i kahi hoʻolālā anesthesia i hoʻolālā kūikawā ʻia nou.

Mai makaʻu e nīnau i kāu kauka anesthesiology. Aia lākou ma laila e kōkua iā ʻoe e ʻoluʻolu a hilinaʻi hoʻi e pili ana i kāu ʻoki kino. He mea nui loa kou palekana iā lākou.

No laila, i ka manawa aʻe e hana ʻia ai ʻoe a i ʻole kekahi āu i ʻike ai i kahi ʻoki kino, i kēia manawa ua ʻike ʻoe i ke kuleana o ka anesthesiologist, ʻeā? Lana koʻu manaʻo e hoʻomaha ia i kou manaʻo.

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