Kodi mungabwezeretsenso chikumbumtima panthawi ya opaleshoni? (Kudziwa za mankhwala oletsa ululu) Tiyeni tikambirane za izi!

Nthawi zina timachita mantha pang'ono tisanachite opaleshoni, kutanthauza opaleshoni, eti? Chimodzi mwa zinthu zomwe zimatidetsa nkhawa kwambiri kwa ena ndichakuti, "Nanga bwanji ngati mwadzidzidzi ndachira ndili pansi pa mankhwala oletsa ululu?" Ngakhale kuti izi zimachitika kawirikawiri, ndikofunikira kwambiri kuti inu ndi ine tidziwe izi. Tiyeni tikambirane za izi mwatsatanetsatane lero.

Kodi Kudziwa za Anesthesia ndi Chiyani?

Mwachidule, Anesthesia Awareness ndi njira yokhalira osadziwa kalikonse panthawi ya opaleshoni, kutanthauza kuti, pansi pa anesthesia wamba , kenako nkuchira kwakanthawi. Koma izi sizili zofanana ndi 'kudzuka'. Ndi chochitika chosiyana pang'ono. Zingamveke mosiyana kwa anthu osiyanasiyana. Taganizirani izi motere:

• Zingamveke ngati mukumva phokoso la anthu akulankhula mozungulira inu komanso phokoso la zida zomwe zili mchipinda chochitira opaleshoni.
• Zingakhale ngati kuona maloto, ngati kukhala m'dziko la maloto.
• Mungadzuke mwadzidzidzi ndipo mungadzipeze kuti simungathe kuyenda kapena kulankhula. Izi zingakhale zoopsa kwambiri.
• Nthawi zina thupi limamva kupanikizika, ndipo nthawi zambiri, pamakhala mwayi wochepa womva kupweteka.

Chofunika kwambiri ndichakuti mkhalidwe uwu wa `(Anesthesia Awareness)` umachitika kokha m'maopaleshoni omwe amachitidwa pansi pa `(General Anesthesia)`. Izi sizimachitika m'njira zina zoletsa ululu, kutanthauza, `(Local Anesthesia)` yomwe imachititsa dzanzi m'manja ndi mapazi anu, `(IV Sedation)` yomwe imakupangitsani kumva kuti mwaledzera pang'ono, kapena njira za `(Twilight Sleep)`. Chifukwa, `(General Anesthesia)` ndi pamene ngakhale zinthu zomwe zimachitika zokha m'thupi lanu, monga kupuma, zimayendetsedwa ndi makina. Mu njira zina, muli ndi chidziwitso china, mutha kupuma nokha, ndipo mutha kulankhula ndi gulu lachipatala ngati pakufunika kutero.

Kodi izi zingatheke mpaka pati?

Tsopano mwina mukuganiza kuti, "Wow, kodi izi zimachitika kwa anthu ambiri?" Ayi, ayi konse. Ndipotu, mtundu uwu wa chidziwitso cha mankhwala oletsa ululu ndi wosowa kwambiri. N'zovuta kupereka ziwerengero zenizeni. Chifukwa anthu ena sangakumbukire zomwe zinachitika mpaka sabata imodzi kapena ziwiri atachitidwa opaleshoni. Ena akhoza kukhala ndi izi nthawi yomweyo, koma sangauze madokotala awo za izi.

Koma malinga ndi kafukufuku wambiri, izi zimachitika mu opaleshoni imodzi kapena ziwiri zokha mwa maopaleshoni 1,000 (osakwana 0.2%) . Ndiye mwamvetsa lingaliro, eti? Ndizosowa kwambiri.

N’chifukwa chiyani izi zikuchitika? Kodi zifukwa zake ndi ziti?

Zapezeka kuti pali zifukwa zitatu zazikulu zomwe chidziwitso cha anesthesia chingachitike:

1. Kusapereka mankhwala okwanira:Apa ndi pamene dokotala wogonetsa munthu sapereka mankhwala okwanira ogonetsa munthu. Izi nthawi zambiri zimachitika pa opaleshoni yadzidzidzi. Mwachitsanzo, pa opaleshoni ya mtima yadzidzidzi, opaleshoni ya opaleshoni ya cesarean , kapena opaleshoni yomwe imachitika mwachangu pambuyo pa ngozi zazikulu. Pazochitika zotere, pangakhale nthawi yochepa yowunikira mosamala kuchuluka kwa mankhwala ogonetsa munthu, chifukwa moyo wa wodwalayo uyenera kupulumutsidwa.

2. Zofunikira zosiyanasiyana za mankhwala oletsa ululu: Apa ndi pamene dokotala wa mankhwala oletsa ululu amalemba kuchuluka kwa mankhwala, koma munthuyo amafunika kuchuluka kosiyana. Si thupi la aliyense lomwe ndi lofanana. Izi zimachitika kawirikawiri mwa anthu omwe ali ndi nkhawa kwambiri ( amaopa kwambiri asanachite opaleshoni), omwe ali ndi vuto la kugwiritsa ntchito mankhwala osokoneza bongo, komanso omwe adakumanapo ndi vuto la mankhwala oletsa ululu.

3. Kulephera kwa makina oletsa ululu: Izi zitha kuchitika ngati makina oletsa ululu omwe ali mchipinda chochitira opaleshoni alephera kugwira ntchito, kapena ngati ogwira ntchito zachipatala sakuyang'ana bwino zidazo asanachite opaleshoni. Komabe, izi zimachitika kawirikawiri , chifukwa zipatala zimasamala kwambiri pakusamalira zidazi.

Ndani amene ali pachiwopsezo chachikulu?

Ngakhale kuti chiopsezochi nthawi zambiri chimakhala chochepa kwa aliyense, anthu ena akhoza kukhala pachiwopsezo chachikulu chodziwa za mankhwala oletsa ululu. Izi zimachitika chifukwa cha zinthu monga:

• Ngati ndinu wosuta fodya .
• Ngati muli ndi matenda opitilira limodzi (matenda angapo) (monga matenda a shuga, kuthamanga kwa magazi).
• Ngati muli ndi mavuto opuma (monga matenda opuma monga mphumu, matenda a m'mapapo).
• Ngati munali ndi mbiri ya vuto la kugwiritsa ntchito mankhwala osokoneza bongo (SUD) kale .

Komanso, chiopsezochi chingakhale chokwera pang'ono kuposa ena mu maopaleshoni ena apadera komwe sikotetezeka kugwiritsa ntchito mankhwala oletsa ululu. Mwachitsanzo:

• Kuchitidwa opaleshoni ya opaleshoni (C-section): Mlingo wa mankhwala oletsa ululu umayendetsedwa mosamala kuti mayi ndi mwana onse akhale otetezeka.
• Opaleshoni ya mtima: Awa ndi opaleshoni yovuta.
• Opaleshoni yadzidzidzi yochizira kuvulala kapena kutaya magazi: Izi zili choncho chifukwa kupulumutsa moyo wa wodwalayo ndiye chinthu chofunika kwambiri pano.

Kodi mumamva ululu mukalandira chithandizo cha anesthesia?

Funso limene anthu ambiri amaliopa ndi ili. Koma nkhani yabwino ndi yakuti nthawi zambiri munthu amamva kupweteka akamalandira mankhwala oletsa ululu.Komabe, ndikofunikira kukumbukira kuti izi sizingatheke. Ngakhale anthu ambiri amakumbukira zinthu monga kumva mawu ozungulira iwo ndi kumva zokambirana, ena angakumbukire kupweteka kwa pakhosi kuchokera mu chubu cholowetsamo machubu kapena malo ovulala omwe adadulidwa kuchokera ku opaleshoni.

Kodi izi zingakhale ndi zotsatirapo kwa nthawi yayitali?

Si aliyense amene amazindikira za mankhwala oletsa ululu amene amakumana ndi zotsatirapo zake kwa nthawi yayitali. Komabe, pazochitika zazikulu, zomwe zikutanthauza kuti ngati chochitikacho chili choopsa kwambiri, anthu ena akhoza kukhala ndi maganizo awa:

• Nkhawa
• Kuvutika maganizo
• Mavuto ogona monga maloto oipa pafupipafupi (Nightmare disorder)
• Matenda Ovutika Maganizo Pambuyo pa Zoopsa (PTSD) : Uwu ndi matenda amisala omwe amachitika pambuyo pa chochitika choopsa kwambiri.

Anthu omwe ali ndi mavuto amenewa angakhale ndi vuto losowa chochita. Chifukwa cha zimenezi, angapewe kupita kuchipatala. Izi zimawonjezera chiopsezo chawo chokhala ndi mavuto ena azaumoyo. Ngati munakumanapo ndi izi, kufunafuna thandizo kwa katswiri wa zamaganizo kapena wamisala kungakuthandizeni kupeza mpumulo waukulu ndikukweza moyo wanu.

Kodi madokotala angazindikire izi? Pa opaleshoni?

Ngakhale madokotala angadziwe ngati mwapatsidwa mankhwala oletsa ululu, kapena ngati mwapatsidwa mankhwala oletsa ululu , nthawi zina sizingatheke kudziwa ngati muli ndi chidziwitso chokwanira kapena simukudziwa .

Akatswiri ogonetsa odwala nthawi zonse amawunika zizindikiro zanu zofunika kwambiri - monga kuthamanga kwa magazi , kuchuluka kwa mpweya wopuma , ndi kukula kwa maso - kuti adziwe kuchuluka kwa mpweya womwe mukupuma. Koma kuyeza chikumbumtima n'kovuta kwambiri. Chifukwa mankhwala omwe amagwiritsidwa ntchito pogonetsa odwala amakhudza dongosolo lanu la mitsempha (lomwe limalamulira chilichonse chomwe chimachitika m'thupi lanu), simungathe kusuntha kapena kulankhula. Chifukwa chake, sikophweka kuyeza chikumbumtima monga momwe kulili kuyeza kuchuluka kwa mankhwala ogonetsa odwala.

Komabe, ndi ukadaulo wapamwamba, pali zida zapadera zomwe zimatha kuyeza ntchito zamagetsi muubongo wanu panthawi ya opaleshoni ndikuthandizira kudziwa momwe mukumvera.

Choyamba, dokotala wanu akhoza kutenga electroencephalogram (EEG) ya ubongo wanu. Pa mayeso awa, masensa ang'onoang'ono amaikidwa pakhungu la mutu wanu.Zingapo zili ndi ma sensa. Masensa awa amalandira zizindikiro zamagetsi kuchokera ku ubongo wanu. Zotsatira izi (EEG) zimaphatikizidwa ndi njira zina zowunikira kuti apange zisankho. Zina mwa njirazi ndi izi:

• Kuwunika kwa Bispectral Index™ (BIS): Kafukufuku akusonyeza kuti iyi ndi imodzi mwa njira zodalirika kwambiri zoyezera momwe mumagonekedwa. Imalemba ma EEG readings anu ndipo imakupatsirani nambala pakati pa zero ndi 100. Chiwerengero chikachepa, ndiye kuti mankhwala ogonekedwa amakula kwambiri . Cholinga cha mankhwala ogonekedwa ndi opaleshoni ndikusunga nambala iyi pakati pa 40 ndi 60.
• Chowunikira cha Auditory Evoked Potentials (AEP): Chipangizochi chimalemba ndikuwunika momwe magetsi amagwirira ntchito mu ubongo wanu ndi mu ubongo wanu. Dokotala amaika mahedifoni m'makutu mwanu ndikusewera mawu enaake. Chipangizocho chimawunika momwe ubongo wanu umayankhira ndikukupatsani nambala kuyambira pa zero mpaka zana. Apanso, nambala yotsika, ndi momwe mankhwala oletsa ululu amachulukira.
• Narcotrend®: Monga BIS, Narcotrend imagwiritsa ntchito zotsatira za EEG yanu kuti iyerekeze kuzama kwa mankhwala oletsa ululu. Imayesa zotsatira zanu pa sikelo ya zilembo zisanu ndi chimodzi (A mpaka F) ndi nambala (zero mpaka zana). Zotsatira zake zimatha kuyambira "kudzuka" mpaka "chete yamagetsi" (kutanthauza kuti ubongo sunagwire ntchito mokwanira).

Kodi madokotala amazindikira bwanji izi atachitidwa opaleshoni?

Njira yabwino yodziwira ngati mwakhalapo ndi chidziwitso cha opaleshoni ya anesthesia ndi dokotala wanu kuti akufunseni mafunso okhudza opaleshoniyo mutachitidwa opaleshoni. Njira yodziwika bwino yomwe imagwiritsidwa ntchito pa izi ndi Brice Interview . Imafunsa mafunso afupiafupi monga awa:

• "Ndi chiyani chomwe mukukumbukira musanayambe opaleshoni?"
• "Chinthu choyamba chomwe mukukumbukira pambuyo pa opaleshoni ndi chiyani?"
• "Kodi mukukumbukira chilichonse panthawi ya opaleshoni?"
• "Kodi munalota maloto aliwonse panthawi ya opaleshoni?"

Madokotala angapeze lingaliro potengera mayankho anu a mafunso awa.

Kodi pali chilichonse chomwe tingachite kuti tipewe kudziwa za mankhwala oletsa ululu?

Inde, ngati mukuda nkhawa ndi Anesthesia Awareness iyi, onetsetsani kuti mwalankhula ndi wothandizira wanu wothandiza pa anesthesia za izi. Adzakufotokozerani zomwe mungachite kuti muchepetse chiopsezo cha izi. Palinso zinthu zomwe mungachite:

• Mankhwala onse omwe mumamwa (omwe mwapatsidwa ndi dokotala wanu komanso omwe mumagula ku pharmacy), zowonjezera zakudyaUzani dokotala za zowonjezera zilizonse (monga mavitamini, mankhwala a Ayurvedic).
• Kambiranani za mbiri yanu yonse ya matenda (matenda am'mbuyomu, opaleshoni, ziwengo, ndi zina zotero) ndi dokotala wanu mwatsatanetsatane.
• Afunseni mafunso kapena kukayikira kulikonse komwe muli nako. Musachite manyazi.
• Chofunika kwambiri: Ngati mudadziwapo kale za mankhwala oletsa ululu, onetsetsani kuti mwadziwitsa dokotala wanu.
• Pewani zinthu zomwe zimadziwika kuti zimayambitsa mavuto ( monga kusuta fodya) momwe mungathere.

Kumbukirani, kudziwa za mankhwala oletsa ululu si chinthu chomwe mwalakwitsa. Nthawi zina zimachitika, ndipo akatswiri akufufuzabe zifukwa zake.

Nanga bwanji ngati ndikudziwa za mankhwala oletsa ululu?

Tangoganizani kuti mwakumanapo ndi vuto lotere. Mukangodziwa, uzani dokotala wanu (wopereka chithandizo chamankhwala) kapena namwino za vutoli. Auzeni zonse zomwe mukukumbukira (zomwe mudamva, zomwe mudamva). Dokotalayo akhoza kulemba chochitikacho m'mabuku anu azachipatala, ndipo ngati muyenera kupatsidwanso mankhwala oletsa ululu mtsogolo, samalani kwambiri ndikuchitapo kanthu kuti muchepetse chiopsezo chodziwitsidwa.

Kodi tsogolo la anthu omwe adakumana ndi vuto la mankhwala oletsa ululu ndi lotani?

Zimatengera kwambiri momwe zinthu zilili komanso kuopsa kwa zotsatira zake. Mwachitsanzo, munthu amene amakumbukira gawo la nkhani yake panthawi ya opaleshoni sangakhale ndi zotsatirapo zoyipa zilizonse. Komabe, munthu amene akumva ululu kapena amene amadziwa bwino zomwe zikuchitika angakumane ndi mavuto aakulu amisala kwa nthawi yayitali.

Komabe, odwala ambiri omwe adadziwa za opaleshoni yoletsa ululu amatha kulandiranso opaleshoni yoletsa ululu mtsogolo. Chiwopsezo choti izi zichitikenso n'chochepa kwambiri. Madokotala amasamala kwambiri chifukwa amadziwa zomwe adakumana nazo kale.

Ngati mwakumanapo ndi vuto ngati ili, lankhulani momasuka ndi dokotala wanu za momwe likukhudzira moyo wanu watsiku ndi tsiku. Angakutumizireni kwa katswiri wa zamaganizo kapena wamisala , yemwe angachite mayeso ofunikira ndikupereka upangiri woyenera komanso chithandizo.

Lingaliro lodzuka panthawi ya opaleshoni ndi loopsa kwambiri moti pakhala mafilimu angapo opangidwa okhudza izi. Ngakhale kuti kudziwa za mankhwala oletsa ululu ndi chinthu chosowa, mantha ndi ofala pakati pa ambiri, ndipo ndi chinthu chomwe chili m'maganizo mwathu. Zotsatira za nthawi yayitali zamaganizo chifukwa cha izi siziyenera kunyalanyazidwa. Ndipo, si lingaliro labwino kupewa opaleshoni yomwe mukufuna chifukwa cha mantha amenewo. Akatswiri oletsa ululu amagwiritsa ntchito zida zapamwamba zowunikira kuti izi zisachitike.amagwiritsidwa ntchito. Komanso, asayansi akupitiliza kufufuza chifukwa chake izi zimachitikira anthu ena osati ena. Ngati mwakumanapo ndi izi - kapena mukuda nkhawa kuti zingakuchitikireni - lankhulani ndi dokotala wanu wa opaleshoni. Akhoza kukuthandizani kuti mukhale omasuka.

Kodi ndi zinthu ziti zofunika kwambiri zomwe tiyenera kutenga kuchokera m'nkhaniyi?

Chabwino, nazi zinthu zina zomwe muyenera kukumbukira kuchokera pa zomwe takambirana:

• Kudziwa za mankhwala oletsa ululu ndi chinthu chosowa kwambiri. Musachite mantha popanda chifukwa.
• Musanachite opaleshoni , onetsetsani kuti mwakambirana mbiri yanu yonse yachipatala, mankhwala omwe mukumwa, komanso mantha kapena nkhawa zilizonse zomwe mungakhale nazo ndi dokotala wanu wa opaleshoni.
• Ngati munakumanapo ndi izi kale, ndiuzeni mosakayika. Musabise.
• Mukakhala pansi pa mankhwala oletsa ululu, madokotala amagwiritsa ntchito zipangizo zapadera kuti aziyang'anira vuto lanu.
• Ngati mwakumanapo ndi vuto ngati ili, ndipo limakhudza maganizo anu, musazengereze kufunafuna upangiri kwa dokotala wa matenda amisala. Lidzakuthandizani kwambiri.
• Musazengereze kupeza chithandizo chamankhwala kapena opaleshoni yomwe mukufuna chifukwa cha mantha awa. Gulu lanu lachipatala likuda nkhawa kwambiri ndi chitetezo chanu.

Kotero, ndikukhulupirira kuti izi zikuthandizani. Khalani ndi thanzi labwino!

Kuletsa kupweteka, kudziwitsa za kupweteka, opaleshoni, opaleshoni, kuchira, opaleshoni, dokotala wa opaleshoni