Hiki iā ʻoe ke hoʻi hou i ka ʻike i ka wā o ke ʻoki ʻana? (ʻIke Anesthesia) E kamaʻilio kākou e pili ana!

I kekahi manawa, makaʻu iki mākou ma mua o ke komo ʻana i kahi ʻoki kino, ʻo ia hoʻi, he ʻoki kino, ʻeā? ʻO kekahi o nā makaʻu nui no kekahi poʻe, "Pehea inā e hoʻi koke mai koʻu ʻike i ka wā e hoʻomaʻamaʻa ʻia ana?" ʻOiai he mea kakaikahi loa kēia, he mea nui loa ia no ʻoe a me aʻu e makaʻala i kēia. E kamaʻilio kākou e pili ana i kēia me nā kikoʻī hou aku i kēia lā.

He aha ka ʻike no ka Anesthesia?

I ka ʻōlelo maʻalahi, ʻo ka ʻIke Anesthesia ke kaʻina hana o ka nalowale loa o ka ʻike i ka wā o ke ʻoki kino, ʻo ia hoʻi, ma lalo o ka anesthesia laulā , a laila hoʻi hou ka ʻike. Akā, ʻaʻole like kēia me ke 'ala ʻana'. He ʻike ʻokoʻa iki ia. Hiki ke ʻokoʻa ka manaʻo no nā poʻe like ʻole. E noʻonoʻo e pili ana i kēia ala:

• Malia paha e like me ke lohe ʻana i nā leo o ka poʻe e kamaʻilio ana a puni ʻoe a me nā leo o nā lako i loko o ka lumi hana.
• Hiki ke like me ka ʻike ʻana i ka moeʻuhane, me he mea lā aia i loko o ka honua moeʻuhane.
• E ala koke paha ʻoe a ʻike ʻoe ʻaʻole hiki iā ʻoe ke neʻe a ʻōlelo paha. He mea weliweli paha kēia.
• I kekahi manawa, manaʻo ke kino i ke kaomi, a he kakaikahi loa, aia kahi manawa liʻiliʻi e manaʻo ai i ka ʻeha.

ʻO ka mea nui loa, ʻo kēia kūlana o ka `(Anesthesia Awareness)` e hana wale ʻia i nā ʻoki kino i hana ʻia ma lalo o `(General Anesthesia)`. ʻAʻole kēia e hana ʻia ma nā ʻano anesthesia ʻē aʻe, ʻo ia hoʻi, `(Local Anesthesia)` ka mea e hoʻomānoʻonoʻo ai i kou mau lima a me kou mau wāwae, `(IV Sedation)` ka mea e hoʻomānoʻonoʻo iki ai ʻoe i ka ʻona, a i ʻole nā ​​​​ʻano `(Twilight Sleep)`. No ka mea, ʻo `(General Anesthesia)` ʻo ia ka wā e hana koke ʻia ai nā mea i loko o kou kino, e like me ka hanu ʻana, e nā mīkini. Ma nā ʻano ʻē aʻe, loaʻa iā ʻoe kahi pae o ka ʻike, hiki iā ʻoe ke hanu iā ʻoe iho, a hiki iā ʻoe ke kamaʻilio me ka hui lapaʻau inā pono.

Pehea ka mamao e hiki ai kēia?

I kēia manawa, ke noʻonoʻo nei paha ʻoe, "Auē, hana anei kēia i nā kānaka he nui?" ʻAʻole, ʻaʻole loa. ʻO ka ʻoiaʻiʻo, he mea kakaikahi loa kēia ʻano ʻike anesthesia. He mea paʻakikī ke hāʻawi i nā helu kikoʻī. No ka mea, ʻaʻole paha e hoʻomanaʻo pono kekahi poʻe i ka mea i hana ʻia a hiki i hoʻokahi a ʻelua paha pule ma hope o ke ʻoki ʻana. Loaʻa paha i kekahi poʻe kēia ʻike koke, akā ʻaʻole paha lākou e haʻi i kā lākou mau kauka e pili ana i ia mea.

Akā, e like me kekahi mau noiʻi, ʻike ʻia kēia ʻano ʻike ma 1 a i ʻole 2 wale nō o 1,000 mau ʻoki kino (ʻoi aku ka liʻiliʻi ma mua o 0.2%) . No laila, loaʻa iā ʻoe ka manaʻo, ʻeā? He mea kākaʻikahi loa ia.

No ke aha lā kēia e hana nei? He aha nā kumu?

Ua ʻike ʻia aia ʻekolu mau kumu nui e hiki ai ke ʻike ʻia kēia ʻike anesthesia:

1. ʻAʻole lawa ka lawelawe ʻana i nā lāʻau lapaʻau:ʻO kēia ka manawa ʻaʻole hāʻawi ka anesthesiologist i ka lāʻau hoʻomaha lawa. Hana pinepine kēia i ka wā o nā ʻoki puʻuwai ulia pōpilikia, nā ʻoki cesarean , a i ʻole nā ​​ʻoki i hana koke ʻia ma hope o nā ulia koʻikoʻi. I ia mau hihia, ʻaʻole paha e nui ka manawa e nānā pono ai i ka pae o ka anesthesia, no ka mea, pono e hoʻōla ʻia ke ola o ka mea maʻi.

2. Nā koi anesthesiology like ʻole: ʻO kēia ka manawa e kuhikuhi ai ke kauka anesthesiology i ka nui maʻamau o ka lāʻau lapaʻau, akā ʻokoʻa ka nui o ka lāʻau e pono ai ke kanaka. ʻAʻole like ke kino o kēlā me kēia kanaka. ʻOi aku ka nui o kēia e hana ʻia i nā poʻe e hopohopo nui nei ( makaʻu loa ma mua o ke ʻoki ʻana), ka poʻe i loaʻa i nā maʻi hoʻohana lāʻau, a me ka poʻe i ʻike mua i ka ʻike anesthesia.

3. Hana hewa o ka mīkini anesthesia: Hiki ke hana ʻia kēia inā hana hewa nā mīkini anesthesia i loko o ka lumi hana, a inā ʻaʻole nānā pono nā limahana lapaʻau i nā lako ma mua o ke ʻoki ʻana. Eia nō naʻe, he mea kakaikahi loa kēia , no ka mea, mālama nui nā haukapila i ka mālama ʻana i kēia mau lako.

ʻO wai ka mea i pilikia nui?

ʻOiai he haʻahaʻa kēia pilikia no nā kānaka āpau, aia paha kekahi poʻe i kahi pilikia kiʻekiʻe iki o ka hoʻomohala ʻana i ka ʻike anesthesia. ʻO kēia ma muli o nā kumu e like me:

• Inā he mea puhi paka ʻoe.
• Inā he ʻoi aku ma mua o hoʻokahi mau maʻi olakino mau kou (nā maʻi olakino he nui) (e.g. maʻi diabetes, ke koko kiʻekiʻe).
• Inā he mau pilikia kou hanu ʻana (e laʻa me nā maʻi hanu e like me ka hānō, ka maʻi māmā).
• Inā loaʻa iā ʻoe kahi moʻolelo o ka maʻi hoʻohana ʻona (SUD) ma mua .

Eia kekahi, ʻoi aku paha ke kiʻekiʻe o kēia pilikia ma mua o nā mea ʻē aʻe i kekahi mau ʻoki kino kūikawā kahi i palekana ʻole ai ka hoʻohana ʻana i ka anesthesia laulā. Eia kekahi laʻana:

• ʻOki Cesarean (C-sections): Hoʻomalu pono ʻia ka pae o ka anesthesia e hōʻoia i ka palekana o ka makuahine a me ke pēpē.
• ʻO ke ʻoki puʻuwai: He mau ʻoki puʻuwai paʻakikī kēia.
• ʻO ke ʻoki kino ulia pōpilikia e mālama i ka trauma a i ʻole ke kahe koko: ʻO kēia no ka mea ʻo ka hoʻopakele ʻana i ke ola o ka mea maʻi ke kumu nui ma aneʻi.

Ke ʻeha nei ʻoe i ka wā o ka ʻike ʻana i ka anesthesia?

ʻO kēia ka nīnau a ka poʻe he nui e makaʻu nei. Akā, ʻo ka nūhou maikaʻi, he mea kakaikahi loa ka ʻeha i ka wā e ʻike ai i ka anesthesia.Eia nō naʻe, he mea nui e hoʻomanaʻo ʻaʻole hiki ʻole kēia. ʻOiai he nui ka poʻe e hoʻomanaʻo i nā mea e like me ka lohe ʻana i nā leo a puni lākou a me ka lohe ʻana i nā kamaʻilio, e hoʻomanaʻo paha kekahi i ka ʻeha ʻāʻī mai ka paipu intubation a i ʻole kahi ʻoki ʻeha mai ke ʻoki ʻana.

Hiki paha i kēia ke loaʻa nā hopena lōʻihi?

ʻAʻole nā ​​​​kānaka a pau i ʻike i ka ʻike anesthesia e ʻike i nā hopena lōʻihi. Eia nō naʻe, i nā hihia koʻikoʻi, ʻo ia hoʻi inā weliweli loa ka ʻike, hiki i kekahi poʻe ke hoʻomohala i kēia mau kūlana noʻonoʻo:

• Hopohopo
• Kaumaha
• Nā pilikia hiamoe e like me nā moeʻuhane pinepine (Nightmare disorder)
• Maʻi koʻikoʻi ma hope o ka trauma (PTSD) : He maʻi noʻonoʻo kēia e kū mai ana ma hope o kahi hanana traumatic koʻikoʻi.

Hiki i ka poʻe me kēia mau pilikia ke loaʻa i kahi manaʻo palupalu mau. ʻO ka hopena, hiki paha iā lākou ke pale aku i nā manawa lapaʻau. Hoʻonui kēia i ko lākou pilikia o ka hoʻomohala ʻana i nā pilikia olakino ʻē aʻe. Inā ua loaʻa iā ʻoe kēia ʻike, ʻo ka ʻimi ʻana i ke kōkua mai kahi psychologist a psychiatrist paha e hāʻawi iā ʻoe i ka hōʻoluʻolu nui a hoʻomaikaʻi i kou ʻano ola.

Hiki i nā kauka ke ʻike i kēia? I ka wā o ke ʻoki kino?

ʻOiai hiki i nā kauka ke haʻi inā ua hoʻomoe ʻia ʻoe, a i ʻole ua hoʻomoe ʻia , ʻaʻole hiki ke ʻike mau inā ua ʻike piha ʻoe, a i ʻole ua ʻike ʻole .

E nānā mau ana nā anesthesiologists i kāu mau hōʻailona koʻikoʻi - e like me ke koko , ka wikiwiki o ka hanu ʻana , a me ka nui o ka haumāna - e hoʻoholo i kou pae o ka hoʻomaha. Akā, ʻoi aku ka paʻakikī o ke ana ʻana i ka ʻike. No ka mea, hoʻopilikia nā lāʻau lapaʻau i hoʻohana ʻia no ka anesthesia laulā i kāu ʻōnaehana nerve autonomic (nāna e kaohi i nā mea āpau e hana nei i loko o kou kino), ʻaʻole hiki iā ʻoe ke neʻe a ʻōlelo paha. No laila, ʻaʻole maʻalahi ke ana ʻana i ka ʻike e like me ke ana ʻana i ka pae o ka anesthesia.

Eia nō naʻe, me ka ʻenehana holomua, aia nā mea hana kūikawā e hiki ke ana i ka hana uila i loko o kou lolo i ka wā o ke ʻoki ʻana a kōkua i ka loaʻa ʻana o kahi manaʻo o kou pae o ka ʻike.

ʻO ka mea mua, e lawe paha kāu kauka i kahi electroencephalogram (EEG) o kou lolo. No kēia hoʻāʻo, kau ʻia nā mea ʻike liʻiliʻi ma ka ʻili o kou poʻo.Hoʻopili ʻia kekahi mau mea. Loaʻa i kēia mau mea ʻike nā hōʻailona uila mai kou lolo. Hoʻohui ʻia kēia mau hopena (EEG) me nā ʻano nānā ʻē aʻe e hoʻoholo ai. ʻO kekahi o kēia mau ʻano:

• Ka nānā ʻana o Bispectral Index™ (BIS): Hōʻike ka noiʻi ʻo ia kekahi o nā mea hana hilinaʻi loa no ke ana ʻana i ka maikaʻi o kou hoʻomaha ʻana. Hoʻopaʻa ia i kāu mau heluhelu EEG a hāʻawi iā ʻoe i kahi helu ma waena o ka ʻole a me 100. ʻO ka haʻahaʻa o ka helu, ʻo ka hohonu o ka anesthesia . ʻO ka pahuhopu no ka anesthesia laulā ka mālama ʻana i kēia helu ma waena o 40 a me 60.
• Nānā Auditory Evoked Potentials (AEP): Hoʻopaʻa a kālailai kēia mea hana i ka hana uila i loko o kou lolo a me ka cerebral cortex . Hoʻokomo ke kauka i nā headphone i loko o kou mau pepeiao a hoʻokani i kekahi mau leo . A laila kālailai ka mea hana i ka pane a kou lolo a hāʻawi iā ʻoe i kahi helu mai ka ʻole a i hoʻokahi haneli. Maanei hoʻi, ʻo ka haʻahaʻa o ka helu, ʻo ka hohonu o ka anesthesia.
• Narcotrend®: E like me ka BIS, hoʻohana ka Narcotrend i kāu mau hopena EEG e kuhi i ka hohonu o ka anesthesia. Hoʻohālikelike ia i kāu mau hopena ma kahi pālākiō o ʻeono mau leka (A a hiki i F) a me kahi helu (ʻole a hiki i hoʻokahi haneli). Hiki i nā hopena ke ʻano mai ka "ala" a i ka "mālie uila" (ʻo ia hoʻi ka liʻiliʻi o ka hana o ka lolo).

Pehea e ʻike ai nā kauka i kēia ma hope o ke ʻoki ʻana?

ʻO ke ala maikaʻi loa e ʻike ai inā ua loaʻa iā ʻoe kahi ʻike hoʻomaopopo anesthesia, ʻo ia ke nīnau ʻana o kāu kauka iā ʻoe e pili ana i ia mea ma hope o kāu ʻoki ʻana. ʻO kahi ʻano maʻamau i hoʻohana ʻia no kēia, ʻo ia ka Brice Interview . Ke nīnau nei ia i kekahi mau nīnau pōkole e like me kēia:

• "He aha ka mea hope loa āu e hoʻomanaʻo nei ma mua o ka hoʻomaka ʻana o ke ʻoki kino?"
• "He aha ka mea mua āu e hoʻomanaʻo ai ma hope o ke ʻoki kino?"
• "Ke hoʻomanaʻo nei ʻoe i kekahi mea i ka wā o ke ʻoki kino?"
• "Ua loaʻa anei iā ʻoe kekahi mau moeʻuhane i ka wā o ke ʻoki kino?"

Hiki i nā kauka ke loaʻa kahi manaʻo ma muli o kāu mau pane i kēia mau nīnau.

Aia kekahi mea e hiki ai iā mākou ke hana e pale aku i ka ʻike anesthesia?

ʻAe, inā ʻoe e hopohopo nei e pili ana i kēia ʻIke Anesthesia, e kamaʻilio me kāu mea mālama anesthesia e pili ana i ia mea. E wehewehe lākou iā ʻoe i nā ʻanuʻu hiki iā ʻoe ke hana e hōʻemi i ka pilikia o kēia hanana. Aia kekahi mau mea hiki iā ʻoe ke hana:

• ʻO nā lāʻau lapaʻau āpau āu e lawe ai (ʻo nā mea i kuhikuhi ʻia e kāu kauka a me nā mea āu e kūʻai ai mai ka hale kūʻai lāʻau lapaʻau), nā mea hoʻohuiE haʻi i ke kauka e pili ana i nā mea hoʻopihapiha (e like me nā huaora, nā lāʻau Ayurvedic).
• E kūkākūkā i kāu mōʻaukala olakino piha (nā maʻi ma mua, nā ʻoki kino, nā maʻi allergies, a me nā mea ʻē aʻe) me kāu kauka me ka kikoʻī.
• E nīnau iā lākou e pili ana i nā nīnau a kānalua paha āu. Mai hilahila.
• ʻO ka mea nui loa: Inā ua ʻike mua ʻoe i ka ʻike anesthesia ma mua, e haʻi pono i kāu kauka.
• E hōʻalo i nā mea pilikia i ʻike ʻia ( e like me ka puhipaka) i ka hiki.

E hoʻomanaʻo, ʻaʻole ʻoe i hana hewa i ka ʻike ʻana i ka anesthesia. Hana ʻia ia i kekahi manawa, a ke noiʻi nei nā loea i nā kumu no kēia.

He aha inā loaʻa iaʻu ka ʻike no ka anesthesia?

E noʻonoʻo ua loaʻa iā ʻoe kekahi ʻike like. Ke ʻike koke ʻoe i ia mea, e haʻi i kāu kauka (mea lawelawe olakino) a i ʻole ke kahu maʻi e pili ana i ia mea. E haʻi iā lākou i nā kikoʻī āpau āu e hoʻomanaʻo ai (nā mea āu i lohe ai, nā mea āu i manaʻo ai). A laila hiki i ke kauka ke hoʻopaʻa i ka hanana i loko o kāu mau moʻolelo lapaʻau, a inā pono ʻoe e loaʻa hou i ka anesthesia i ka wā e hiki mai ana, e mālama pono a hana i nā hana e hōʻemi ai i ka pilikia o ka ʻike.

He aha ka wā e hiki mai ana o ka poʻe i ʻike i ka ʻike anesthesia?

Aia maoli nō ia i nā kūlana a me ke koʻikoʻi o nā hopena. No ka laʻana, ʻo kekahi mea e hoʻomanaʻo ana i kahi ʻāpana o kahi moʻolelo i ka wā o ke ʻoki ʻana, ʻaʻole paha e loaʻa i nā hopena ʻaoʻao pilikia. Eia nō naʻe, ʻo kekahi mea e ʻeha ana a ʻike maopopo paha i ko lākou wahi e puni ana, e ʻike paha i nā pilikia noʻonoʻo koʻikoʻi a lōʻihi hoʻi.

Eia nō naʻe, hiki i ka hapa nui o nā maʻi i ʻike i ka anesthesia ke loaʻa hou me ka palekana i ka anesthesia i ka wā e hiki mai ana. He haʻahaʻa loa ka pilikia o ka hana hou ʻana. ʻOi aku ka makaʻala o nā kauka no ka mea ua ʻike lākou e pili ana i ka ʻike ma mua.

Inā ua loaʻa iā ʻoe kekahi mea e like me kēia, e kamaʻilio ākea me kāu kauka e pili ana i kona hopena i kou ola o kēlā me kēia lā. Hiki iā lākou ke kuhikuhi iā ʻoe i kahi psychologist a psychiatrist paha , nāna e hana i nā hoʻokolohua e pono ai a hāʻawi i nā ʻōlelo aʻoaʻo a me nā lāʻau lapaʻau kūpono.

He mea weliweli loa ka manaʻo o ke ala ʻana i ka wā o ke ʻoki ʻana a ua nui nā kiʻiʻoniʻoni i hana ʻia e pili ana i ia mea. ʻOiai he mea kakaikahi ka ʻike ʻana i ka anesthesia, he mea maʻamau ka makaʻu i waena o nā mea he nui, a he mea ia i loko o ko kākou manaʻo. ʻAʻole pono e hoʻohaʻahaʻa ʻia nā hopena noʻonoʻo lōʻihi o ia mea. A, ʻaʻole hoʻi he manaʻo maikaʻi e pale aku i ka hana ʻoki ʻana āu e pono ai ma muli o kēlā makaʻu. Hoʻohana nā anesthesiologists i nā mea hana nānā holomua e pale aku i kēia mai ka hana ʻana.i hoʻohana ʻia. Eia kekahi, ke hoʻomau nei nā kānaka ʻepekema i ka noiʻi ʻana i ke kumu e hana ai kēia i kekahi poʻe a ʻaʻole i kekahi. Inā ua loaʻa iā ʻoe kēia ʻike - a i ʻole hopohopo paha e hiki mai ana iā ʻoe - e kamaʻilio me kāu anesthesiologist. Hiki paha iā lākou ke hoʻomaha i kou manaʻo.

He aha nā mea nui a mākou e makemake ai e lawe i ka home mai kēia moʻolelo?

ʻAe, eia kekahi mau mea e hoʻomanaʻo ai mai nā mea a mākou i kamaʻilio ai:

• He mea laha ʻole ka ʻike ʻana i ka anesthesia. Mai makaʻu pono ʻole iā ia.
• Ma mua o kou hana ʻoki kino ʻana , e hoʻomaopopo e kūkākūkā i kāu mōʻaukala lapaʻau piha, nā lāʻau lapaʻau āu e lawe nei, a me nā makaʻu a hopohopo paha āu e loaʻa ai me kāu anesthesiologist.
• Inā ua loaʻa iā ʻoe kēia ʻike ma mua, e haʻi mai iaʻu. Mai hūnā.
• ʻOiai ʻoe ma lalo o ka anesthesia, hoʻohana nā kauka i nā lako kūikawā e nānā i kou kūlana.
• Inā loaʻa iā ʻoe kahi ʻike e like me kēia, a he hopena noʻonoʻo kona, mai kānalua e ʻimi i ka ʻōlelo aʻoaʻo noʻonoʻo. E kōkua nui ia iā ʻoe.
• Mai hoʻopaneʻe i ka loaʻa ʻana o ka mālama olakino a i ʻole ke ʻoki kino āu e pono ai ma muli o kēia makaʻu. Hopohopo nui kāu hui lapaʻau no kou palekana.

No laila, ke lana nei koʻu manaʻo he mea pono kēia ʻike iā ʻoe. E noho olakino!

ʻAnesthesia , ʻike anesthesia, ʻoki kino, ʻoki kino, hoʻōla, hana, kauka anesthesiology