Yu go gɛt ɔpreshɔn bak jisnɔ? Dɔn lɛ wi lan ɛksaktɔli bɔt dis ASA Klasifikɛshɔn!

Dɔktɔ dɛn dɔn ɛva tɛl yu fɔ mek dɛn du big ɔ smɔl ɔpreshɔn, dat na ɔpreshɔn? If na so i bi, yu Bifo yu gi yu anestezi , ɔ di mɛrɛsin we de mek yu nɔ fil pen we yu de du ɔpreshɔn, yu dɔktɔ go du smɔl asɛsmɛnt fɔ yu wɛlbɔdi. Na dat wi kɔl di ASA klasifikeshɔn . We yu yɛri dis, yu kin fil fred smɔl, lɛk, "O, yu go gi mi skɔ?" Bɔt fɔ tru, na sɔntin we de ɛp yu dɔktɔ fɔ trit yu di bɛst, we sef. So, lɛ wi tɔk smɔl mɔ bɔt dis, nɔto so?

Wetin na di ASA klasification? Wetin mek i impɔtant?

Fɔ tɔk am simpul wan, di ASA Physical Status Classification System na wan sistɛm fɔ asɛs yu ɔl yu wɛlbɔdi bifo yu du ɔpreshɔn we nid fɔ gɛt anestezi. Na di American Society of Anesthesiologists (ASA) bin mek am . Imajin if ɔl di dɔktɔ dɛn we de anestez yuz di sem krayteria fɔ asɛs di sik pipul dɛn, yu nɔ tink se ɔlman go gɛt di sem infɔmeshɔn? Dat na wan pan di tin dɛn we dis sistɛm de du.

Bɔku men rizin dɛn de fɔ yuz dis klasification:

• Bifo dɛn du yu ɔpreshɔn Kip yu wɛl bɔdi rɛkɛd : Dis go mek yu no klia wan bɔt yu wɛlbɔdi biznɛs bifo dɛn du yu ɔpreshɔn.
• Wan kɔmɔn we we ɔlman we de mɛn pipul dɛn kin yuz: I nɔ mata usay yu de na di wɔl, we yu de tɔk to dɔktɔ dɛn we de mɛn pipul dɛn bɔt di sikman in wɛlbɔdi biznɛs, dɛn ɔl kin gɛt wan rɔf aidia bɔt am bay we dɛn tɛl dɛn dis ASA nɔmba.
• Ɛp fɔ no di prɔblɛm dɛn we kin apin we dɛn du ɔpreshɔn: Dis nɔmɔ nɔ kin ebul fɔ tɛl yu di prɔblɛm. Bɔt we dɛn put am togɛda wit ɔda tin dɛn lɛk yu ej, di kayn ɔpreshɔn we dɛn de du, aw i big, ɛn aw lɔng i go tek, i kin ɛp fɔ no di prɔblɛm dɛn we kin apin we dɛn du di ɔpreshɔn.

Impɔtant fɔ mɛmba: Dis ASA klasification nɔto prɛdikshɔn fɔ di autkam fɔ yu ɔpreshɔn. Pan ɔl we i kin ɛp yu fɔ no di prɔblɛm dɛn we kin apin we pɔsin du ɔpreshɔn, . Di mɛdikal tim kin disayd afta dɛn dɔn tink bɔt bɔku ɔda tin dɛn. So nɔ panik we yu si dis nɔmba.

Udat na dis ASA?

ASA tinap fɔ di Amɛrikan Sɔsayti fɔ Anɛstɛsiɔlɔjis dɛn.Di akɔdin tinap fɔ "American Society of Anesthetists." Dis klasification system bin rili fɔs introdyus insay 1941, we dɛn bin de kɔl di ɔganayzeshɔn di American Society of Anesthetists. Frɔm da tɛm de, dɔktɔ dɛn ɔlsay na di wɔl dɔn de yuz am.

Aw dɛn kin klas dis ASA? Wetin na di lɛvul dɛn?

Insay dis ASA klasifikeshɔn, siks lɛvul dɛn de (te to VI) frɔm Roman nɔmba dɛn I (wan) to V (fayv). ASA I na di pɔsin we gɛt wɛlbɔdi pas ɔlman. ASA V na pɔsin we gɛt siriɔs sik we de mek i day. Lεvεl VI na fכ bren-dεd pasεnshכn dεm we dεn de pul fכ כgan dכnεshכn (organ dכna).

Lɛ wi si wetin ɛni wan pan dɛn gred ya kin min. Yu Dipen pan di ɔspitul usay dɛn de gi di tritmɛnt , dɛn ɛgzampul ya kin difrɛn smɔl dipen pan dɛn spɛshal wok.

• ASA I: Na pɔsin we gɛt wɛlbɔdi ɔlsay . Dis min se pɔsin gɛt gud wɛlbɔdi, ɛn i nɔ gɛt ɛni siriɔs sik ɔ sik we nɔ de mɛn. Fɔ ɛgzampul, pɔsin we nɔ gɛt ɛni sik ɛn we dɛn de du ɔpreshɔn fɔ mek dɛn kɔt in an smɔl ɔ if i gɛt ɛnitin fɔ du wit am lɛk apɛndiks.

• ASA II: Na pɔsin we gɛt mild sistɛm sik . Dat min se, pɔsin we gɛt smɔl wɛlbɔdi prɔblɛm we nɔ de ambɔg di tin dɛn we i de du ɛvride ɛn we pɔsin kin kɔntrol. Ɛgzampul dɛn: Dayabitis Mɛlitɔs we dɛn kin kɔntrol fayn fayn wan, we dɛn kin kɔntrol fayn fayn wan Haypatɛyshɔn, fat (BMI bitwin 30-40), pɔsin we de smok (we nɔ gɛt big prɔblɛm), mama we gɛt bɛlɛ (we nɔ gɛt prɔblɛm).

• ASA III: Na pɔsin we gɛt siriɔs sik we de na di sistɛm . Dis sik kin gɛt sɔm tin wae nɔr kin ebul fɔ du ɛvride. Bɔt i nɔ kin mek pɔsin in layf de pan denja wantɛm wantɛm. Ɛgzampul dɛn: dayabitis we dɛn nɔ kin kɔntrol, ay blɔd prɛshɔn we dɛn nɔ kin kɔntrol, at atak insay di pas 3 mɔnt, mɔdaret kronik ɔbstrɔktiv pulmonari sik (COPD), krɛse sik na di kidni , ɛn dayalaysis.

• ASA IV: Na pɔsin we gɛt siriɔs sik we de ambɔg in layf ɔltɛm . Bɔrku tɛm, dɛn pipul ya kin gɛt sik wae nɔr kin izi fɔ dɛn. Ɛgzampul: Pɔsin we dɔn gɛt at atak ɔ strok i nɔ tu te yet (lɛs dan 3 mɔnt), pɔsin we gɛt siriɔs valvular dysfunction, ridyus ejection fraction, siriɔs sepsis, ɔ pɔsin we gɛt kidni failure (nɔto pan dayalaysis).

• ASA V: .Pɔsin we de day na pɔsin we go day insay di nɛks 24 awa, ilɛksɛf dɛn du am ɔpreshɔn. Dɛn de du di ɔpreshɔn fɔ sev dɛn layf, bɔt dɛn nɔ shɔ if i go wok fayn. Ɛgzampul dɛn: Wan sik we kin apin wantɛm wantɛm we kin mek pɔsin in layf de pan denja lɛk we di bɛlɛ aortic aneurysm brok, pɔsin we dɔn gɛt bɔku ɔgan dɛn we dɔn pwɛl pan big aksidɛnt (massive trauma), ɔ pɔsin we dɔn gɛt bɔku bɔku blɔd na in bren (intracranial bleed with mass effect).

• ASA VI: Na wan sikman we dɛn dɔn deklare se in bren dɔn day we dɛn de pul in ɔgan dɛn fɔ mek dɛn gi am . Dɛn kin avɛst dɛn ɔgan dɛn fɔ transplant to ɔda sik pipul dɛn.

Ustɛm dɛn kin yuz dis ASA klasifikeshɔn?

We dɛn dɔn plan fɔ du yu ɔpreshɔn, di mɛdikal tim go gi yu wan ASA klasification di de we dɛn du di ɔpreshɔn, jɔs bifo dɛn gi yu anestezi. De rizin fɔ dis na fɔ gɛt di kɔrɛkt ɛn ɔp-to-dɛt infɔmeshɔn bɔt yu wɛlbɔdi da tɛm de. Fɔ ɛgzampul, if yu gɛt smɔl kol sɔm dez bifo dɛn du yu ɔpreshɔn, dat kin afɛkt dis asɛsmɛnt. So i bɛtɛ lɛ yu du am di las minit.

Udat na dis dɔktɔ we de anestez?

Anesthesiologist na dɔktɔ we dɛn tren spɛshal fɔ gi yu anestezi mɛrɛsin fɔ mek yu nɔ fil pen we dɛn de du ɔpreshɔn. Sɔm mɛrɛsin dɛn we de mek yu nɔ fil fayn kin mek yu nɔ gɛt wan pat pan yu bɔdi nɔmɔ (fɔ ɛgzampul, wan injɛkshɔn na yu spɛnal). Ɔda mɛrɛsin dɛn kin mek yu slip kpatakpata, mɔ we dɛn de du big ɛn kɔmpleks ɔpreshɔn. Di dɔktɔ we de mɛn yu go wach yu at rit, blɔd prɛshɔn, ɛn aw yu de blo ɔl di tɛm we dɛn de du di ɔpreshɔn fɔ mek shɔ se yu nɔ fil ɛni pen.

So, dis ASA klasification na sɔntin we de ɛp yu anesteziɔ fɔ plan di ɛksaktɔl anestezi we go nid fɔ yu ɔpreshɔn. I kin saund strenj fɔ yɛri pɔrsin de "grɛd" yu wɛl bɔdi kɔndishɔn. Bɔt na jɔs wan rikodɔ-kip sistɛm we dɛn kin yuz fɔ gi yu di bɛst tritmɛnt ɛn fɔ tay ɔltin fɔ yu nid. I nɔ de sho di risk fɔ yu ɔpreshɔn bay insɛf. Bɔku ɔda tin dɛn de we kin go insay dat.

So, wetin wi fɔ mɛmba frɔm dis? (Mɛsej we dɛn kin tek go na os)

Okay, so, frɔm wetin wi dɔn tɔk bɔt na dis ASA klasifikeshɔn, dɛn tin ya na di impɔtant tin fɔ yu:

• Di ASA klasification na wan sistɛm we di wan dɛn we de anestez kin yuz fɔ asɛs yu wɛlbɔdi stet bifo dɛn du di ɔpreshɔn. Na di American Society of Anesthesiologists (ASA) bin mek am .
• Di men gol fɔ dis na fɔ kip yu wɛlbɔdi biznɛs, fɔ mek yu yuz wan kɔmɔn we we ɔl dɔktɔ dɛn kin yuz, ɛn ɛp fɔ no di prɔblɛm dɛn we kin apin we yu du ɔpreshɔn.
• dis gεt gred dεm we de kכmכt frכm ASA I (hεlth) to ASA VI (bren-dεd כgan dכna).
• Nɔ ala pan dis "grɛd." Dis nɔto fɔ tɔk bɔt wetin go apin to yu ɔpreshɔn, ɛn nɔto fɔ sho se yu wɛlbɔdi nɔ fayn.
• Dɔktɔ dɛn kin no di prɔblɛm bay we dɛn kin miks dis klasification wit ɔda tin dɛn, lɛk yu ej ɛn di kayn ɔpreshɔn we dɛn du.
• Dɔn, dɛn kin du ɔl dis fɔ ɛp yu fɔ gɛt di anestezi we sef ɛn we fit pas ɔl ɛn fɔ mek di ɔpreshɔn go bifo.

So, if dɛn dɔn arenj fɔ mek dɛn du yu ɔpreshɔn, ɛn di dɔktɔ dɛn tɔk bɔt yu ASA lɛvɛl, naw yu dɔn ɔndastand am bɛtɛ, nɔto so? If yu gɛt ɛni ɔda kwɛstyɔn na yu maynd, nɔ fred fɔ aks yu dɔktɔ ɔ dɔktɔ we de anestez. Dɛn go ɛksplen ɔltin to yu.

` Anestesia, ɔpreshɔn, ASA klasifikeshɔn, wɛlbɔdi asɛsmɛnt, ɔpreshɔn, ɔspitul, mɛdikal tritmɛnt