Ua hana ʻia anei ʻoe a i ʻole kekahi āu i ʻike ai i kahi ʻoki kino ? ʻO kekahi o nā makaʻu nui a ka poʻe he nui i ia manawa, ʻo ia ka "hoʻokomo ʻia ʻana ma lalo o ka anesthesia." He mea maʻamau ke hopohopo iki ke lohe ʻoe i ka huaʻōlelo "hoʻopau ʻia mai ka ʻike." Akā, he hana lapaʻau holomua loa ia a palekana. No laila, i kēia lā, e wehewehe kākou i kāu mau nīnau a pau e pili ana i kēia anesthesia piha, a i ʻole ' General Anesthesia '.
I ka ʻōlelo maʻalahi, he aha ka anesthesia laulā?
ʻO ka anesthesia laulā ke kau ʻia ʻoe i loko o kahi kūlana e like me ka hiamoe hohonu ma mua o ke ʻoki kino nui. Ma kēia kūlana, ʻaʻole ʻoe e ʻeha i kou kino, a ʻaʻole ʻoe e hoʻomanaʻo i kekahi mea ʻē aʻe i ka wā o ke ʻoki kino . Me he mea lā ua ala wale ʻoe mai kahi hiamoe hohonu.
Hana ʻia kēia e ke kauka anesthesiologist. Noho kēia kauka ma kou ʻaoʻao mai ka manawa e hoʻomaka ai ke ʻoki a hiki i ka pau ʻana, e nānā ana i kēlā me kēia neʻe ʻana o kou kino ( ka hanu ʻana , ka puʻuwai o ka naʻau , a pēlā aku), e hiamoe pono ana ʻoe, a e hoʻāla hou iā ʻoe ke pau ke ʻoki.
ʻO ka mea nui loa, ʻaʻole kēia he hiamoe wale nō. He kūlana hohonu kēia o ka noʻonoʻo ʻole i kāohi ʻia e ke kauka e hōʻoiaʻiʻo ana i kou palekana 100%.
E hoʻomaopopo kākou i ka ʻokoʻa ma waena o nā ʻano anesthesia.
Ma waho aʻe o ka anesthesia laulā, aia kekahi mau ʻano anesthesia ʻē aʻe. He mea nui loa ia e ʻike i ka ʻokoʻa ma waena o kēia mau mea.
| ʻAno o ka anesthesia | I ka ʻōlelo maʻalahi, | Nā Laʻana |
|---|---|---|
| Anesthesia Laulā | Ke hoʻomoe nei i ke kino holoʻokoʻa i ka hiamoe nui. Me ka ʻike ʻole a me ka hoʻomanaʻo ʻole i kekahi mea. | ʻOki puʻuwai, ʻoki lolo, ʻoki ʻōpū nui. |
| Anesthesia ʻĀpana | Manuʻa ma kahi ʻāpana nui o ke kino (e.g. ma lalo o ka pūhaka). Ua ʻike paha ka mea maʻi. | ʻOki ʻoki Cesarean (C-section), ʻoki hoʻololi ʻūhā a kuli paha. |
| Anesthesia kūloko | ʻO ka maneʻo ma kahi wahi liʻiliʻi loa. | He lāʻau lapaʻau i hoʻokomo ʻia i loko o nā ʻāʻī e wehe i ka niho, he lāʻau lapaʻau i hoʻokomo ʻia ma mua o ke humuhumu ʻana i kahi ʻeha. |
| Hoʻomaha | Ke hoʻokomo nei i ka mea maʻi i kahi kūlana māmā a hiamoe. ʻAʻole ka nalowale piha ʻana o ka ʻike. | Nā hoʻokolohua Colonoscopy, kekahi mau hoʻokolohua biopsy. |
Pehea e hana ai ka anesthesia i ka wā o ke ʻoki kino?
E noʻonoʻo ʻoe aia ʻoe i loko o ke keʻena hana. He aha ka mea e hana ʻia ma hope?
1. Ke hāʻawi ʻana i ka lāʻau lapaʻau: ʻO ka mea mua, e hoʻokomo ke kauka anesthesiologist i kahi cannula (laina IV), ʻo ia hoʻi kahi paipu e hoʻokomo i ka saline i loko o kahi aa i loko o kou lima, a hāʻawi iā ʻoe i ka lāʻau anesthetic ma o ia mea. I kekahi manawa e hāʻawi ʻia ʻoe i kahi kinoea e hanu ai ma o kahi pale maka. E hoʻohiamoe kēia iā ʻoe i loko o kekahi mau minuke.
2. Ke hoʻokomo ʻia ʻana o ka ʻōmole hanu: Ma hope o kou hiamoe loa ʻana, e hāʻawi ke kauka iā ʻoe i ka lāʻau lapaʻau e hoʻomaha ai i nā ʻiʻo i loko o kou puʻu a e hoʻokomo i kahi ʻōmole ma kou waha i loko o kou ʻōpū hanu. ʻO kēia ke hōʻoia e hoʻomau ʻoe i ka loaʻa ʻana o ka nui o ka oxygen āu e pono ai i ka wā o ke ʻoki kino. ʻAʻole ʻoe e manaʻo e hoʻokomo ʻia ana no ka mea ua hiamoe ʻoe.
3. Ke nānā mau ʻana: Ma loko o ke ʻoki kino, e nānā pono ana ke kime anesthesia i kou kino no kēia mau mea:
- Ka hanu ʻana
- Mahana kino
- Ka helu o ka puʻuwai
- Ke koko
- Pae oxygen koko
- Pae wai o ke kino
Ma muli o kēia mau ana, e hoʻoponopono lākou i ka nui o ka lāʻau lapaʻau i hāʻawi ʻia iā ʻoe, hāʻawi iā ʻoe i ka saline hou, a hāʻawi paha iā ʻoe i ke koko inā pono.
4. Hoʻāla hou ʻana:A pau ke ʻoki ʻana, e hoʻōki ke kauka i ka hāʻawi ʻana iā ʻoe i ka anesthesia. A laila e lawe ʻia ʻoe i ka lumi hoʻōla. Ma laila e hoʻomaka mālie ai ʻoe e ala. E nānā pono nā kauka a me nā kahu maʻi iā ʻoe no ka ʻeha a i ʻole ka ʻoluʻolu ʻole ʻē aʻe.
He aha nā lāʻau lapaʻau i hoʻohana ʻia no kēia?
Hoʻohana ʻia nā lāʻau lapaʻau intravenous (IV) a me nā lāʻau lapaʻau hanu no ka anesthesia laulā. ʻO ka maʻamau, hoʻohana pū ʻia nā ʻano ʻelua.
Nā lāʻau lapaʻau nui i hāʻawi ʻia ma ke ʻano intravenous (IV Drugs):
- Propofol: ʻO kēia ka lāʻau lapaʻau i hoʻohana nui ʻia. Hoʻokomo ia iā ʻoe i ka hiamoe hohonu a kōkua iā ʻoe e mālama i kēlā kūlana i ka wā o ke ʻoki ʻana.
- Ketamine: Hiki ke hoʻohana wale ʻia no nā ʻoki pōkole. Hana pū kekahi ma ke ʻano he mea hoʻomaha ʻeha.
- ʻO Etomidate: He lāʻau lapaʻau hana pōkole loa kēia. Hoʻohana nui ʻia ia e hoʻoulu i ka anesthesia.
Nā lāʻau lapaʻau hanu ʻia:
- ʻO Sevoflurane: He kinoea hoʻomaʻamaʻa maʻamau. Hoʻohana ʻia ia e hoʻomaka a mālama i ka anesthesia.
- ʻIsoflurane: ʻAʻole i hoʻohana nui ʻia i kēia manawa no ka mea he ʻala ikaika kona.
- Desflurane: Hoʻohana ʻia e mālama i ka anesthesia.
- ʻO ka nitrous oxide: Ua kapa ʻia hoʻi ʻo "gas ʻakaʻaka." ʻOiai ʻaʻole ia he ikaika loa, ʻaʻole ia e hoʻohana wale ʻia. Hāʻawi ʻia ia me ka hui pū ʻana me nā lāʻau lapaʻau ikaika ʻē aʻe.
Pehea ʻoe e hoʻomākaukau ai ma mua o ka anesthesia?
Ma mua o kou ʻoki kino ʻana, e kamaʻilio pū ke kauka nāna e hana i kāu ʻoki kino a me ke kauka anesthesiologist me ʻoe. E nīnau maoli ke kauka anesthesiologist iā ʻoe i kēia mau nīnau:
- He aha nā maʻi ʻē aʻe āu e loaʻa nei? (e like me ka maʻi diabetes, ke koko kiʻekiʻe, ka maʻi puʻuwai)
- He aha nā ʻano lāʻau lapaʻau āu e hoʻohana ai? (nā mea āpau e komo pū ana me nā lāʻau lapaʻau i kuhikuhi ʻia, nā huaora, nā lāʻau Ayurvedic)
- Loaʻa iā ʻoe kekahi mau maʻi ʻaleka? (nā lāʻau lapaʻau, nā hua manu, ka soy, a pēlā aku)
- Ke puhipaka nei ʻoe? Ke inu nei ʻoe i ka waiʻona? Ke hoʻohana nei ʻoe i nā lāʻau lapaʻau ʻē aʻe?
- Ua loaʻa anei iā ʻoe kahi hopena maikaʻi ʻole i ka anesthesia i ka wā o ke ʻoki kino ma mua?
E hōʻoia e pane pololei i kēia mau nīnau. He mea nui loa ia no kou palekana.
Eia kekahi, e aʻo aku kāu kauka iā ʻoe e pale i ka ʻai ʻana a i ʻole ka inu ʻana i kekahi mea ʻē aʻe ma mua o ka meaʻai a me ka wai no kahi o 8 mau hola ma mua o ke ʻoki ʻana. ʻO kēia no ka mea e hoʻomaha nā ʻiʻo i ka wā o ka anesthesia, hiki ke hoʻoulu i ka meaʻai i loko o kou ʻōpū e komo i loko o kou mau māmā. He kūlana weliweli kēia. Hiki ke noi ʻia ʻoe e hoʻōki i ka lawe ʻana i kekahi mau lāʻau lapaʻau, e like me ka aspirin, e hoʻonui ai i ke kahe koko, ma kahi o hoʻokahi pule ma mua o ke ʻoki ʻana.
Aia kekahi mau hopena ʻaoʻao ma hope o ka anesthesia?
He mea maʻamau ke hiamoe iki ma hope o ke ala ʻana mai ka anesthesia. Ma waho aʻe o kēlā, hiki iā ʻoe ke loaʻa nā hopena ʻaoʻao liʻiliʻi e like me kēia, akā e nalo aku kēia mau mea ma hope o kekahi manawa.
- Ka luaʻi a me ka luaʻi
- Waha maloʻo
- ʻEha ka ʻāʻī a i ʻole ka leo hoʻōho (ma muli o ke ʻōmole hanu)
- Hiamoe
- Nā haʻalulu kino
- ʻEha ʻiʻo
- ʻĀnai
- Nā pilikia hoʻomanaʻo manawa pōkole a i ʻole ka huikau (ʻoi aku hoʻi i ka poʻe ʻelemakule) - ʻO kēia kūlana (delirium) e hoʻoholo loa ʻia i loko o hoʻokahi pule.
He aha nā pilikia o ka anesthesia?
No ke kanaka olakino, palekana loa ka anesthesia laulā. Eia nō naʻe, ʻoi aku ka nui o ka pilikia o kekahi poʻe i nā pilikia. E nānā kākou ʻo wai lākou.
- Nā kānaka me ka momona
- Poʻe ʻelemakule
- ʻO nā kānaka me nā maʻi mau loa e like me ke koko kiʻekiʻe, ka maʻi diabetes, ka maʻi puʻuwai, ka maʻi māmā, a me nā maʻi puʻupaʻa
- Nā kānaka me ka Obstructive Sleep Apnea
- Nā kānaka puhi paka
- ʻO ka poʻe e lawe ana i nā lāʻau hoʻokahe koko e like me ka aspirin
- ʻO ka poʻe i maʻi āpau i nā lāʻau anesthetic
Pono ka poʻe inu waiʻona e makaʻala loa. Hiki i ka inu ʻana i ka waiʻona i kēlā me kēia lā ke hoʻololi i ka nui o ka anesthesia, hoʻolōʻihi i ka manawa hoʻōla ma hope o ke ʻoki ʻana, a hoʻonui i ka pilikia o ka maʻi. No laila e ʻoiaʻiʻo me kāu kauka e pili ana i kēia.
He mea kākaʻikahi loa, ma kahi o hoʻokahi i loko o hoʻokahi tausani kānaka, hiki i ke kanaka ke noho makaʻala i ka wā ma lalo o ka anesthesia (Anesthesia Awareness). Mahalo i nā lako nānā hou, ua emi loa ka manawa kūpono o kēia hana.
Leka Lawe-Home
- He hana lapaʻau holomua a palekana hoʻi ka anesthesia laulā i kēia mau lā. Mai makaʻu pono ʻole iā ia.
- E noho kekahi kauka anesthesiologist ma kou ʻaoʻao a mālama iā ʻoe i loko o ke ʻoki kino.
- Ma mua o ke ʻoki kino, e hōʻoia e haʻi i ke kauka i ka ʻoiaʻiʻo e pili ana i kou kūlana olakino, nā lāʻau lapaʻau āu e lawe ai, a me nā ʻano maʻamau (puhi paka/ʻona). No kou palekana ponoʻī ia.
- E hahai pono i nā ʻōlelo a kāu kauka, ʻoiai e pili ana i ka hoʻokē ʻai ma mua o ke ʻoki ʻana.
- He manawa pōkole ka hapa nui o nā hopena ʻaoʻao ma hope o ka anesthesia. Inā hoʻomau kekahi ʻeha, e ʻimi koke i ke kōkua lapaʻau.
Anesthesia, Anesthesia Laulā, ʻoki kino, Hana, ʻoki kino, Kauka Hoʻomakeʻa, Kauka Hoʻomakeʻa
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