Ua hana ʻia anei ʻoe i kahi ʻoki kino, ʻo ia hoʻi, he ʻoki kino? A i ʻole ke hoʻolālā nei ʻoe e hana i hoʻokahi i ka wā e hiki mai ana? Inā pēlā, ʻo kekahi o kou mau makaʻu nui loa, ʻo ia paha, 'Pehea inā e ala au i ka wā o ke ʻoki kino?' Ua hoʻonui ʻia kēia makaʻu e ka ʻoiaʻiʻo e hōʻike ana kekahi mau kiʻiʻoniʻoni i nā mea e like me kēia. No laila i kēia lā, e kamaʻilio kākou e pili ana i ka hiki maoli o kēia, he aha ke ʻano o ia mea ma ke ʻano lapaʻau, a me nā mea e pono ai mākou e ʻike e pili ana i ia mea.
He aha maoli ka ʻike ʻana o ka Anesthesia?
I ka ʻōlelo maʻalahi, ʻo ia ka manawa e loaʻa hou ai kekahi pae o ka ʻike i ka wā o ke ʻoki ʻana ma lalo o ka anesthesia laulā. Akā he ʻokoʻa iki ia mai ka mea a mākou e kapa mau ai ʻo "ala ʻana." Ma mua o ka ʻike piha ʻana, ua like ia me ka loaʻa ʻana o nā manawa pōkole o ka ʻike. Hiki ke ʻokoʻa kēia ʻike mai kēlā kanaka a kēia kanaka.
Hiki i kekahi mea e kū nei i kēia kūlana i ka wā o ke ʻoki ʻana ke loaʻa i kēia mau mea:
- Ke lohe nei i nā mea e hana nei a puni ʻoe, i nā mea a nā kauka e ʻōlelo nei.
- Me he mea lā e moeʻuhane ana.
- Hoʻi koke mai ka ʻike a ʻike ihola ʻaʻole hiki iā ʻoe ke neʻe a ʻōlelo paha.
- Ke manaʻo nei i kekahi kaomi ma ke kino, a i kekahi mau hihia kakaikahi loa, ke manaʻo nei i ka ʻeha .
ʻO ka mea nui, ʻo kēia kūlana wale nō e hana ʻia i ka wā o ke ʻoki ʻana ma lalo o ka anesthesia laulā . ʻO nā ʻano anesthesia ʻē aʻe, e like me ka hoʻomānoino ʻana i kou mau lima a me kou mau wāwae, ka IV sedation, a i ʻole ka "twilight sleep," ʻaʻole. No ka mea, ʻaʻole kēlā mau ʻano hana e kāohi i nā hana aunoa o kou kino (e like me ka hanu ʻana), hiki nō iā ʻoe ke hanu iā ʻoe iho a kamaʻilio me kāu kauka inā pono ʻoe.
Pehea ka maʻamau o kēia? Pono anei kākou e makaʻu?
He mea laha ʻole kēia. No laila, ʻaʻohe pono e hopohopo nui no ia mea. Akā, he paʻakikī ke ʻōlelo pololei i ka nui o ka poʻe i loaʻa kēia. ʻO ke kumu, ʻaʻole hoʻomanaʻo kekahi poʻe i ka hana ʻana a hiki i hoʻokahi a ʻelua paha pule ma hope o ke ʻoki ʻana. Hoʻomanaʻo koke kekahi poʻe iā ia, akā, ʻaʻole lākou e haʻi aku i kā lākou mau kauka e pili ana i ia mea.
Ua ʻike ʻia e ka noiʻi ʻana aia kēia ʻano ma 1 a i ʻole 2 wale nō o 1,000 mau ʻoki kino. ʻAʻole ia ma mua o 0.2% o nā hihia . No laila hiki iā ʻoe ke ʻike i ka laha ʻole o kēia.
ʻAe, no ke aha lā kēia e hana nei? He aha nā kumu?
Hiki ke loaʻa kēia ʻano "Anesthesia Awareness" no ʻekolu mau kumu nui. E ʻike kākou i ke ʻano o ia mau mea.
| Kumu | Ua wehewehe maʻalahi ʻia |
|---|---|
| Nā lāʻau hoʻomaʻamaʻa ʻaʻole lawa | ʻO kēia ka manawa ʻaʻole hāʻawi ka anesthesiologist i ka mea maʻi i ka lāʻau lapaʻau lawa. Hana pinepine ʻia kēia i ka wā o nā ʻoki kino ulia pōpilikia. No ka laʻana, ke ʻoki puʻuwai, nā ʻoki cesarean (C-sections), a i ʻole ke ʻoki ma hope o kahi ulia koʻikoʻi. |
| Ke hoʻololi nei i nā pono o ke kino o ka mea maʻi | ʻAʻole hiki i kekahi mau maʻi ke ʻae i ka nui maʻamau o ka lāʻau hoʻomaha. He kiʻekiʻe loa kēia pilikia i ka poʻe me ka maʻi noʻonoʻo koʻikoʻi, ka poʻe i hoʻopili ʻia i nā lāʻau lapaʻau a i ʻole ka waiʻona, a me ka poʻe i loaʻa nā ʻike like ma mua. |
| Nā hewa i nā mīkini anesthesia | ʻOiai ʻaʻole ia e hana pinepine ʻia, i kekahi manawa hiki ke hana ʻia kēia inā he pilikia me nā mīkini anesthesia a inā ʻaʻole i nānā pono ʻia ma mua o ke ʻoki ʻana. |
ʻO wai ka mea i pilikia nui no kēia maʻi?
ʻOi aku ka nui o ka ʻike ʻana o kekahi poʻe i kēia ʻano (Anesthesia Awareness) ma mua o kekahi.
- No ka poʻe puhi paka
- No ka poʻe i loaʻa i nā maʻi he nui i ka manawa like
- No ka poʻe me nā pilikia hanu (e like me nā maʻi hanu)
- No ka poʻe me ka mōʻaukala o ka hoʻohana ʻana i ka lāʻau lapaʻau a i ʻole ka waiʻona (Substance Use Disorder - SUD)
Eia kekahi, hiki ke hoʻonui iki ʻia kēia pilikia i kekahi mau ʻoki kino kahi i palekana ʻole ai ke lawelawe ʻana i nā lāʻau lapaʻau anesthetic maʻamau.
- ʻOki Cesarean (nā ʻoki C)
- ʻO ke ʻoki puʻuwai
- ʻO ke ʻoki kino ulia pōpilikia ma muli o kahi ulia a i ʻole ke kahe koko nui ʻana
Ke ʻeha nei ʻoe i kēia manawa? Aia kekahi mau hopena lōʻihi?
ʻO kēia ka pilikia nui loa no nā kānaka he nui. He mea kākaʻikahi loa ka manaʻo ʻana i ka ʻeha., akā, ʻaʻole ia he mea hiki ʻole. ʻOiai ka hapa nui o ka poʻe e hoʻomanaʻo ana i ka lohe ʻana i nā leo, ua hōʻike kekahi poʻe i ka ʻeha o ka puʻu a i ʻole ka ʻeha ma kahi ʻoki ʻoki ma muli o ka paipu intubation.
ʻAʻole nā kānaka a pau e ʻike i kēia ʻike e ʻike i nā hopena lōʻihi. Eia nō naʻe, inā koʻikoʻi ka ʻike, hiki i kekahi poʻe ke ʻike i nā pilikia noʻonoʻo e like me:
- Hopohopo
- Kaumaha
- Ka maʻi moeʻuhane ʻino
- Ka maʻi hoʻoluhi ma hope o ka trauma (PTSD)
Ke kū mai kēia ʻano pilikia noʻonoʻo, makaʻu paha lākou e ʻike i nā kauka a i ʻole e hele i nā haukapila. A laila, aia kahi hiki ʻole ke mālama ʻia kā lākou mau maʻi ʻē aʻe. No laila, inā loaʻa iā ʻoe kahi ʻike like, ʻo ka hālāwai ʻana me kahi kauka noʻonoʻo a i ʻole ke kākāʻōlelo a kamaʻilio e pili ana i ia mea e lilo ia i ikaika nui i kou ola.
ʻAʻole hiki i nā kauka ke loaʻa kēia i ka wā o ke ʻoki ʻana?
He nīnau paʻakikī kēia. Hiki i nā anesthesiologists ke ʻike maopopo inā ʻoe ma lalo o ka anesthesia. Hana lākou i kēia ma ka nānā ʻana i kāu mau hōʻailona koʻikoʻi - nā mea e like me kou koko, ka wikiwiki o ka hanu ʻana, a me ka nui o kāu mau haumāna.
Eia nō naʻe, he mea paʻakikī iki ke ana inā ua ʻike ʻoe a ʻaʻole paha. No ka mea ua hoʻomānoino nā lāʻau anesthetic i kou kino a ʻaʻole hiki iā ʻoe ke ʻōlelo, ʻaʻole hiki ke nīnau iā ʻoe inā ua ʻike ʻoe ma ke ʻano maʻamau.
Akā i kēia manawa, aia nā ʻano hana hou e hiki ke kōkua me kēia. Hiki i kēia mau ʻano ke ana i ka hana uila o kou lolo i ka wā o ke ʻoki ʻana. Ma o kēia, hiki iā mākou ke kuhi i ka nui o kou ʻike.
- Electroencephalogram (EEG): Pili kēia i ka hoʻopili ʻana i nā mea ʻike liʻiliʻi i kou poʻo a me ka nānā ʻana i nā ʻano uila o kou lolo.
- Nānā Bispectral Index™ (BIS): ʻO kēia ke ʻano hilinaʻi loa i loaʻa. Lawe ia i ka ʻikepili EEG a hoʻopuka i kahi waiwai ma waena o 0 a me 100. ʻO ka haʻahaʻa o ka waiwai, ʻo ka hohonu o ka anesthesia. Hoʻāʻo pinepine nā kauka e mālama i kēia waiwai ma waena o 40 a me 60 .
- Nānā Auditory Evoked Potentials (AEP): Pili kēia i ke kau ʻana i nā headphone i loko o kou mau pepeiao a me ka hoʻokani ʻana i kekahi mau leo. A laila hoʻoholo ʻia ka hohonu o ka anesthesia ma ke ana ʻana i ke ʻano o ka pane ʻana o kou lolo i kēlā mau leo.
- Narcotrend®: He mea hana kēia e ana i ka hohonu o ka anesthesia me ka hoʻohana ʻana i ka ʻikepili ``EEG'', e like me ka monitor ``BIS''.
Aia kekahi mau mea hiki iā mākou ke hana e hōʻemi i ka manawa kūpono o kēia?
ʻAe, hiki iā ʻoe ke kōkua i ka hōʻemi ʻana i kēia pilikia. E hōʻoia e kūkākūkā i kēia mau mea me kāu anesthesiologist ma mua o ke ʻoki ʻana.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai: Nā lāʻau lapaʻau ma luna o ke kauka kūʻai, nā huaora, nā lāʻau lapaʻau kuʻuna, a me nā mea hoʻohui.
- E haʻi mai iā mākou i kou mōʻaukala olakino piha: E haʻi mai iā mākou i nā kikoʻī e pili ana i nā maʻi āu i loaʻa ai, nā maʻi ʻaleka āu i loaʻa ai, a me ka hoʻohana ʻana i nā lāʻau lapaʻau a i ʻole ka waiʻona āu. Mai hūnā i kekahi mea.
- E nīnau i kāu mau nīnau: E kūkākūkā i kou mau makaʻu a me nā kānalua e pili ana i kēia "ʻIke Anesthesia" me ke kauka anesthesiologist.
- Inā ua loaʻa iā ʻoe kēia ʻike ma mua, e ʻōlelo pono: ʻO kēia ka mea nui loa. A laila hiki i ka hui lapaʻau ke nānā pono iā ia.
ʻO ka mea nui, ʻaʻole kēia "ʻIke Anesthesia" he mea ia e hana ʻia ma muli o kekahi hewa ma kou ʻaoʻao. He mea kakaikahi loa ia.
He aha kaʻu e hana ai inā manaʻo wau ua hana ʻia kekahi mea e like me kēia iaʻu?
Inā manaʻo ʻoe ua hoʻomanaʻo ʻoe i kekahi mea i ka wā a ma hope paha o ke ʻoki kino, e haʻi koke aku i kāu kauka a kahu maʻi paha . E haʻi iā lākou i nā mea āpau āu e hoʻomanaʻo ai. A laila hiki iā lākou ke hoʻopaʻa iā ia i loko o kāu moʻolelo lapaʻau. He mea nui loa kēia no kou palekana inā loaʻa iā ʻoe kekahi ʻoki kino i ka wā e hiki mai ana.
ʻAʻohe hilahila i ke kamaʻilio ʻana e pili ana i kahi ʻike e like me kēia. He mea nui ia no kou olakino.
Leka Lawe-Home
- He mea kākaʻikahi loa ka ʻike ʻana i ka wā o ka anesthesia, a i ʻole "Anesthesia Awareness". No laila, mai makaʻu nui iā ia.
- ʻAʻole kēia he ala piha ʻana, akā, he moʻo o nā manawa pōkole o ka ʻike.
- Inā he mau makaʻu a kānalua paha kou e pili ana i kēia ma mua o ke ʻoki ʻana, e kamaʻilio ākea me ke kauka anesthesiologist .
- E hōʻoia e haʻi i kāu kauka e pili ana i kāu mōʻaukala olakino piha, nā lāʻau lapaʻau āpau āu e lawe ai, a me nā ʻike mua āu i loaʻa ai.
- Inā manaʻo ʻoe e hana ana kēia iā ʻoe, e hoʻomaopopo koke i kāu kauka. Mai kānalua e ʻimi i ke kōkua noʻonoʻo inā pono.
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