Ke makaʻu nei ʻoe i ka hoʻomaʻamaʻa ʻia ma mua o ke ʻoki ʻana? E ʻike kākou! (Anesthesia Laulā)

Inā ua pono ʻoe e hana i ke ʻoki kino, ua lohe paha ʻoe i ka "anesthesia" ma mua. Nui ka poʻe e makaʻu iki i kēia. He mea maʻamau ka loaʻa ʻana o nā nīnau e like me "E ala hou anei au?" a "He aha ka mea e hana ʻia inā e hoʻokomo ʻia au i ka anesthesia?" Akā he hana palekana loa ia, i hana ʻia ma lalo o ka nānā piha ʻana o nā kauka. No laila i kēia lā, e kamaʻilio kākou e pili ana i ka anesthesia laulā, a i ʻole nā ​​​​mea āpau āu e pono ai e ʻike e pili ana i ia mea.

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 i ka wā o ke ʻoki kino. ʻO ka ʻōlelo pololei, ʻaʻole kēia he hiamoe wale nō, akā he kūlana hohonu a i kāohi ʻia o ka ʻike ʻole. I loko o kēia manawa, ʻaʻole e ʻeha kou kino, a ʻaʻole ʻoe e hoʻomanaʻo i kekahi mea ʻē aʻe i ka wā o ke ʻoki kino .

Hana ʻia kēia hana e kahi anesthesiologist . He kauka ʻo ia i loaʻa ka hoʻomaʻamaʻa kūikawā i ka anesthesia , ʻo ia hoʻi, ka hoʻoulu ʻana i ka hiamoe. Mai ka manawa e hoʻomaka ai ke ʻoki a hiki i ka pau ʻana, a hiki i kou ala hou ʻana, noho kēia anesthesiologist ma kou ʻaoʻao a nānā i kāu neʻe ʻana a pau. No laila, ʻaʻohe kumu e makaʻu ai.

I kēia manawa, e nānā kākou i ka ʻokoʻa ma waena o ka anesthesia laulā a me nā ʻano hana anesthesia ʻē aʻe.

Pehea e hana ʻia ai ke kaʻina hana o ka nalowale o ka moeʻuhane?

He mea kēia e hana mālie loa ana.

1. Ke hāʻawi ʻana i ka lāʻau lapaʻau: Ke hele ʻoe i ka hale hana, e hoʻokomo ʻia kahi cannula (laina IV) i loko o kahi aa koko ma kou lima a e hāʻawi ʻia kahi lāʻau lapaʻau wai ma o ia mea. A i ʻole i kekahi manawa e kau ʻia kahi pale maka ma luna o kou maka a e hāʻawi ʻia ʻoe i kahi kinoea e hanu ai. I loko o kekahi mau minuke, e hāʻule ʻoe i kahi kūlana e like me ka hiamoe hohonu.

2. Ke hōʻoia ʻana i ka hanu ʻana : Ma hope o kou nalowale loa ʻana o ka ʻike, e hoʻokomo ke kauka anesthesiologist i kahi ʻōmole liʻiliʻi (endotracheal tube) ma kou waha i loko o kou ʻōpū makani e hōʻoia i ka loaʻa ʻana o ka nui kūpono o ka oxygen i loko o ke ʻoki kino. ʻAʻole ʻoe e manaʻo e hoʻokomo ʻia ana no ka mea e hāʻawi ʻia iā ʻoe ka lāʻau lapaʻau e hoʻomaha ai i nā ʻiʻo i loko o kou puʻu ma mua o ka hana ʻana o kēia.

3. Ke nānā mau nei: Ma loko o ke ʻoki kino, e ana mau ka hui anesthesia i nā mea aʻe i loko o kou kino:

• Ka helu hanu
• Mahana kino
• Ka helu o ka puʻuwai
• Ke koko
• Pae oxygen koko
• Nā pae wai o ke kino

4. Hoʻōla: Ke 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 hōʻoia nā kauka a me nā kahu maʻi ʻaʻole ʻoe e ʻeha a ʻike paha i kekahi ʻano ʻeha ʻē aʻe.

He aha nā lāʻau lapaʻau i hoʻohana ʻia no kēia?

ʻElua ʻano lāʻau lapaʻau nui e hoʻohana ʻia e hoʻoulu ai i ka hiamoe: nā lāʻau IV a me nā lāʻau lapaʻau i hanu ʻia.

Nā Lāʻau Lapaʻau IV

• Propofol: He lāʻau lapaʻau i hoʻohana pinepine ʻia. Hoʻokomo koke ia iā ʻoe i kahi kūlana hiamoe a kōkua iā ʻoe e noho i kēlā kūlana i ka wā o ke ʻoki ʻana.
• ʻO Etomidate: He lāʻau lapaʻau pōkole i hāʻawi ʻia e hoʻomaka i ka amnesia.
• Ketamine: Hoʻohana ʻia hoʻokahi a i ʻole me nā lāʻau ʻē aʻe no nā ʻoki pōkole.

Nā lāʻau lapaʻau hanu ʻia

• ʻO Sevoflurane: He kinoea i hoʻohana pinepine ʻia e hoʻoulu a mālama i ka anesthesia.
• Desflurane: Hoʻohana ʻia kēia no ka mālama ʻana i ka anesthesia.
• Nitrous Oxide: ʻIke ʻia hoʻi ʻo "gas ʻakaʻaka," ʻaʻole lawa kona ikaika e hoʻoulu ai i kahi hiamoe hohonu ma kāna iho, no laila hoʻohana ʻia ia me nā lāʻau ikaika ʻē aʻe.

Pehea ʻoe e hoʻomākaukau ai ma mua o ke ʻoki kino?

E kamaʻilio kāu kauka a me ke kauka anesthesiologist me ʻoe ma mua o ke ʻoki ʻana. E nīnau maoli lākou iā ʻoe e pili ana i kēia mau mea. He mea nui loa ia no kou palekana e haʻi i ka ʻoiaʻiʻo i kēia manawa a ʻaʻole e hūnā i kekahi mea.

• Nā maʻi ʻē aʻe āu i loaʻa ai (e like me ka maʻi diabetes, ke koko kiʻekiʻe, ka maʻi puʻuwai).
• ʻO nā lāʻau lapaʻau āpau āu e hoʻohana ai (me nā huaora a me nā lāʻau lapaʻau kuʻuna).
• Nā maʻi āpau āu - i nā mea e like me nā lāʻau lapaʻau, nā hua manu, ka soy, a pēlā aku.
• Inā ʻoe e puhi paka, inu waiʻona, a hoʻohana paha i nā lāʻau ʻē aʻe.
• Inā he hopena i ka anesthesia i ka wā o ke ʻoki kino mua.

Eia kekahi, e noi ʻia paha ʻoe e hoʻōki i ka lawe ʻana i kekahi mau lāʻau lapaʻau e hoʻonui ai i ke kahe koko, e like me ka aspirin, ma kahi o hoʻokahi pule ma mua o ke ʻoki ʻana. E kamaʻilio pū me kāu kauka e pili ana i kēia.

He aha nā hopena ʻaoʻao a me nā pilikia?

ʻO ka anesthesia laulā kekahi o nā mea palekana loa i ka lāʻau lapaʻau hou. Eia nō naʻe, e like me nā kaʻina hana lapaʻau āpau, aia nā hopena ʻaoʻao liʻiliʻi a me nā pilikia kakaikahi loa.

Nā hopena ʻaoʻao maʻamau no ka manawa pōkole

Nalo pinepine kēia i loko o kekahi mau hola a i ʻole hoʻokahi lā.

• Ka luaʻi a me ka luaʻi
• Waha maloʻo
• ʻEha ka ʻāʻī a i ʻole ka leo hoʻōho (ma muli o ka ʻōpū hanu)
• Hiamoe
• Haʻalulu
• ʻEha kino
• ʻĀnai
• Kekahi nalowale o ka hoʻomanaʻo (ʻoi aku hoʻi i ka poʻe ʻelemakule)

ʻO ka poʻe i loaʻa paha i ka pilikia nui

Aia kekahi poʻe i kahi pilikia kiʻekiʻe iki aʻe o nā pilikia mai ka anesthesia.

• Poʻe momona: Pono e hana ʻia ka anesthesia a me ka mālama ʻana i ka hanu ʻana me ke akahele nui i nā poʻe me ke kaumaha o ke kino.
• ʻElemakule: Hiki ke piʻi aʻe ka pilikia i kou wā ʻelemakule ma muli o ke alo o nā pilikia olakino ʻē aʻe.
• Nā kānaka me nā maʻi ʻē aʻe: ʻO ka poʻe me nā maʻi 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 mea puhi paka: ʻOi aku ke kiʻekiʻe o ka pilikia no ka mea ua hoʻopilikia ka puhi paka i ka ʻōnaehana hanu.
• ʻO ka poʻe inu nui i ka waiʻona: ʻOkoʻa paha ka pane ʻana o ka poʻe i hoʻohana ʻia i ka waiʻona i nā lāʻau hoʻomaha.
• ʻO ka poʻe i maʻi āpau i nā lāʻau anesthetic.

He mea kākaʻikahi loa, ma kahi o hoʻokahi i loko o hoʻokahi tausani kānaka, loaʻa paha iā ʻoe kekahi pae o ka ʻike (ʻike anesthesia) ma hope o ka hoʻomaʻamaʻa ʻia ʻana. ʻOiai he mea kākaʻikahi loa kēia, hiki iā ʻoe ke kamaʻilio me kāu kauka e pili ana i ia mea.