Ua pono anei ʻoe e hana i ke ʻoki kino? A i ʻole ua pono anei kekahi o kou ʻohana e hana pēlā? A laila aia kahi hui o nā loea e hiki ke hoʻomoe loa iā ʻoe i ʻole ʻoe e ʻeha, a hoʻomānoino paha i kahi ʻāpana o kou kino, ʻeā? I kēia lā, e kamaʻilio mākou e pili ana i kahi kahua e hāʻawi ana i kēlā lawelawe koʻikoʻi, akā ʻaʻole mākou e kamaʻilio nui e pili ana i ia mea. Ma ke ʻano kūikawā, e kamaʻilio mākou e pili ana i nā "Nurse Anesthetists", ka poʻe e loaʻa ana i ka hoʻomaʻamaʻa kūikawā no kēia ma kekahi mau ʻāina.
ʻO wai ke kahu maʻi anesthetist?
I ka ʻōlelo maʻalahi, he loea lapaʻau kēia i hoʻomaʻamaʻa kūikawā ʻia e hāʻawi i ka anesthesia i nā maʻi i ʻole lākou e ʻeha i ka wā o ke ʻoki kino a i ʻole nā kaʻina hana lapaʻau ʻē aʻe. Ua kapa ʻia hoʻi lākou ʻo Certified Registered Nurse Anesthetists (CRNAs).
Ma Sri Lanka, hana nui ʻia kēia hana e nā anesthesiologists. ʻO ia hoʻi, nā kauka i aʻo i ka anesthesia no kekahi mau makahiki ma hope o ko lākou kekelē lapaʻau a loaʻa ka ʻike loea. Eia nō naʻe, ma nā ʻāina e like me ʻAmelika Hui Pū ʻIa, ʻae ʻia nā kahu maʻi i aʻo kūikawā ʻia e hana i kēia hana. Ua hōʻike ʻia nā haʻawina ua like ka palekana, ka maikaʻi a me nā hopena o nā lawelawe anesthesia i hāʻawi ʻia e nā ʻaoʻao ʻelua . No laila, ʻo ka mea nāna e hana i kēia hana, he mea nui e hoʻokō i ke kiʻekiʻe kiʻekiʻe o ke aʻo ʻana a me nā hōʻoia.
He aha maoli kēia poʻe e hana nei?
ʻOi aku ka paʻakikī o ka hana a kahi anesthesiologist ma mua o kou manaʻo. ʻAʻole wale ia e pili ana i ka "hāʻawi ʻana iā ʻoe i kahi mea hoʻomaha." ʻO kā lākou kuleana ia e mālama iā ʻoe i ka palekana a me ka ʻoluʻolu i loko o kāu ʻoki kino.
Ma mua o ke ʻoki ʻana, e hālāwai ke kauka anesthesiologist me ʻoe a nīnau iā ʻoe e pili ana i kou olakino, nā lāʻau lapaʻau ʻē aʻe āu e lawe nei, a me nā maʻi allergies āu e loaʻa ai. E wehewehe pū lākou i ke ʻano o ka anesthesia e hāʻawi ʻia iā ʻoe, kona mau pilikia, a me nā hopena ʻaoʻao.
I ka wā o ke ʻoki kino, e hoʻomau lākou i ka nānā ʻana i kāu mau hōʻailona koʻikoʻi , e like me kou helu puʻuwai, ka mahana o ke kino, ke koko, a me ka hanu ʻana . E hoʻoponopono lākou i ka nui o ka anesthesia e like me ka mea e pono ai e mālama iā ʻoe i ke kūpaʻa. Ma hope o ke ʻoki kino, e mālama lākou iā ʻoe a hiki i kou hoʻi hou ʻana i ka ʻike a hoʻomaikaʻi i kou kūlana.
Aia kekahi mau ʻano nui o ka anesthesia. ʻO ke ʻano kūpono loa e pili ana i ke ʻano o kāu ʻoki kino a me kou kūlana olakino.
| ʻAno o ka Anesthesia | He aha ka mea e hana ʻia ai? |
|---|---|
| Anesthesia Laulā | Ma kēia, e hiamoe loa ʻoe. ʻAʻole ʻoe e manaʻo a hoʻomanaʻo paha i kekahi mea i ka wā o ke ʻoki kino. No kēia, e hāʻawi ʻia ka lāʻau lapaʻau iā ʻoe ma ka hanu ʻana iā ia (ma o kahi mask) a i ʻole ma o kahi cannula i kau ʻia i loko o kahi vein (IV - Intravenous). |
| Anesthesia ʻĀpana | Ma kēia, ʻo ka ʻāpana o ke kino e ʻoki ʻia ana wale nō ka mea i hoʻomānoʻonoʻo ʻia. No ka laʻana, inā ʻoe e hana ʻia ana i ke ʻoki ma kou lima, ʻo kou lima wale nō paha ka mea i hoʻomānoʻonoʻo ʻia, a inā ʻoe e hana ʻia ana i ke ʻoki ma kou wāwae, ʻo kou kua haʻahaʻa wale nō paha ka mea i hoʻomānoʻonoʻo ʻia. ʻO ka epidural i hāʻawi ʻia i ka wā hānau keiki kekahi e hāʻule ana i loko o kēia māhele. Ua ʻike ʻoe, akā ʻaʻole ʻoe e ʻike i ka ʻeha. |
| Hoʻomaha | Hoʻokomo kēia iā ʻoe i loko o kahi hiamoe māmā a i ʻole ka hoʻomaha. Hoʻemi ia i kou makaʻu a me kou hopohopo a hoʻomaha iā ʻoe. Hoʻohana pinepine ʻia kēia ʻano hana i nā hoʻokolohua e like me Endoscopy a me Colonoscopy. Aia kekahi mau pae ma aneʻi: - Hoʻomaha mālie: E ʻoluʻolu a hiamoe ʻoe. - Hoʻomaha mālie: Hiki paha iā ʻoe ke hiamoe, akā hiki ke hoʻāla maʻalahi ʻia ʻoe inā pono. - Hoʻomaha Hohonu: E hiamoe nui ʻoe a ʻaʻohe ou hoʻomanaʻo i ka lāʻau lapaʻau. |
I ka manawa hea e pono ai nā lawelawe anesthesia?
He mea nui loa ka anesthesia e hiki ai iā mākou ke loaʻa ka mālama olakino me ka palekana a me ka ʻeha ʻole.
Aia kekahi mau kūlana nui kahi e pono ai kēia mau lawelawe.
No nā ʻoki kino a me nā hoʻokolohua lapaʻau
Mai nā ʻoki liʻiliʻi e like me nā ʻōmole pepeiao a hiki i nā ʻoki nui e like me ke pani ʻana i ka ʻūhā, he mea nui ka anesthesia no kekahi hana ʻoki. Hoʻohana ʻia nō hoʻi ia no nā mea e like me ka unuhi ʻana i nā niho a me ke ʻoki plastik. Hoʻohana ʻia nō hoʻi ka hoʻomaha ʻana e hōʻemi i ka ʻoluʻolu ʻole i ka wā o nā kaʻina hana e like me ka endoscopy a i ʻole colonoscopy.
I ka wā hānau keiki
He kōkua nui ka anesthesia kūloko i ka kaohi ʻana i ka ʻeha i ka wā hānau keiki. ʻO ka epidural ka mea i hoʻohana pinepine ʻia.Ma kēia ʻano hana, hoʻomau ʻia ka lawelawe ʻana i nā lāʻau ʻeha ma o kahi ʻōmole lahilahi loa (catheter) i hoʻokomo ʻia i loko o ke kahawai kuamoʻo. ʻAe kēia i ka makuahine e komo i ka hānau ʻana me ka ʻike a me ka ʻeha ʻole. Inā pono ka ʻoki Caesarean, hiki ke hoʻohana ʻia kēia ʻano hana no kēlā. Ma kekahi ʻano ʻē aʻe, hana ʻia ka ʻoki Caesarean me ka hoʻohana ʻana i hoʻokahi injection o nā lāʻau ʻeha i loko o ka iwi kuamoʻo (spinal anesthesia). I ka wā o kahi pilikia, ua mākaukau hoʻi kēia poʻe loea e hoʻokomo koke i ka makuahine ma lalo o ka anesthesia laulā.
Ka Hoʻokele ʻEha Mau Loa
Kōkua pū kekahi mau anesthesiologists i ka hana ʻana i nā hoʻolālā hoʻokele ʻeha no nā poʻe maʻi me ka ʻeha mau, me nā inikini, nā lāʻau lapaʻau, a me ka hoʻoikaika kino.
Leka Lawe-Home
- He kaʻina hana palekana loa ka anesthesia e kōkua iā ʻoe e hana i ke ʻoki ʻana a me nā lāʻau ʻē aʻe me ka ʻole o ka ʻeha.
- Hāʻawi ʻia kēia lawelawe e nā poʻe loea i mākaukau loa e like me Anesthesiologists a i ʻole nā Nurse Anesthetists i hoʻomaʻamaʻa kūikawā ʻia.
- E koho lākou i ke ʻano anesthesia (laulā, ʻāpana, a i ʻole ka hoʻomaha ʻana) e kūpono loa iā ʻoe, ma muli o kou kūlana olakino a me ka lāʻau e hana ʻia nei.
- Nānā pono lākou iā ʻoe ma mua, i ka wā, a ma hope o ka mālama ʻana e hōʻoia i kou palekana.
- Inā he mau makaʻu, kānalua, a nīnau paha kāu e pili ana i ka anesthesia, e ʻoluʻolu e kūkākūkā me kāu kauka a loea anesthesia paha. Ua kūpaʻa lākou i ka pane ʻana i kāu mau nīnau a pau.
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