Kodi munachitapo opaleshoni? Kapena wina m'banja mwanu anayenera kuchitapo opaleshoni? Opaleshoni isanachitike, mumagonekedwa kuti musamve kupweteka kulikonse. Njira imodzi yochitira izi ndikupumira mpweya wapadera. Sevoflurane ndi mpweya wofunikira kwambiri wamankhwala womwe umagwiritsidwa ntchito pochepetsa ululu panthawi ya opaleshoni ndi njira zina zamankhwala. Tiyeni tikambirane za izi m'njira yosavuta lero.
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Mwachidule, kodi Sevoflurane ndi chiyani?
Sevoflurane ndi mpweya wopanda mtundu, wonunkhira bwino womwe mumapuma. Ntchito yake yayikulu ndikukupangitsani kukhala osazindikira chilichonse, kutanthauza tulo tatikulu, panthawi ya opaleshoni. Izi zimatchedwa mankhwala oletsa ululu . Mukakhala mu mkhalidwe uwu, simumva kupweteka kulikonse, ndipo simukumbukira chilichonse chokhudza opaleshoniyo.
Mankhwalawa amaperekedwa pamalo olamulidwa bwino, monga m'chipinda chochitira opaleshoni kuchipatala, ndi dokotala wogonetsa ndi gulu lake, omwe ali ndi chidziwitso chapadera pankhaniyi. Choncho amaperekedwa mosamala kwambiri, ndikuyang'aniridwa nthawi zonse za vuto lanu.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa:
Musanapatsidwe mankhwala oletsa ululu otchedwa Sevoflurane anesthesia, dokotala wa opaleshoni adzakufunsani za mbiri yanu ya thanzi. Pakadali pano, ndikofunikira kwambiri kutiuza za matenda anu onse osabisa chilichonse . Onetsetsani kuti mwatiuza za izi makamaka.
- Kusamvana ndi mankhwala oletsa ululu: Ngati inu kapena wina m'banja mwanu mudakumanapo ndi vuto lalikulu la kusamvana ndi mankhwala oletsa ululu, makamaka Malignant Hyperthermia (kuwonjezeka koopsa kwa kutentha kwa thupi komwe kumachitika chifukwa cha mankhwala oletsa ululu).
- Matenda a impso kapena chiwindi: Ngati muli ndi matenda aliwonse a impso kapena chiwindi.
- Matenda a mitsempha ndi minofu: Ngati muli ndi matenda okhudzana ndi mitsempha ndi minofu, monga Duchenne muscular dystrophy.
- Kugwidwa ndi khunyu: Ngati muli ndi vuto monga khunyu kapena khunyu.
- Ziwengo zina: Tiuzeni za ziwengo zilizonse zomwe muli nazo pa mankhwala ena, chakudya, kapena utoto, osati Sevoflurane yokha.
- Mimba ndi kuyamwitsa: Muyeneranso kudziwitsa dokotala wanu ngati muli ndi pakati, mukufuna kutenga pakati, kapena ngati mukuyamwitsa.
Kutengera ndi zomwe mwapereka, dokotalayo adzatha kusankha njira yotetezeka komanso yoyenera kwambiri yoperekera mankhwala oletsa ululu.
Kodi pangakhale mavuto ndi mankhwala ena?
Inde, ndithudi. Mankhwala ena amatha kusokonezana ndi Sevoflurane ndikuyambitsa zotsatira zosafunikira. Chifukwa chake, uzani dokotala wanu za mankhwala onse omwe mukumwa. Izi zikuphatikizapo mankhwala olembedwa ndi dokotala, mankhwala ogulitsidwa kunja kwa chipatala, mankhwala azitsamba, ndi mavitamini (zowonjezera zakudya).
Samalani kwambiri ndi zinthu monga:
- Mowa ndi mankhwala osokoneza bongo.
- Mankhwala osokoneza bongo.
- Mankhwala ena a matenda amisala (monga MAOIs ).
- Wort wa St. John , mankhwala ochokera ku zitsamba.
- Mankhwala oletsa minofu ndi mankhwala omwe amagwiritsidwa ntchito kupumula minofu panthawi ya opaleshoni.
- Mankhwala monga Isoniazid (INH), omwe amaperekedwa pa chifuwa chachikulu.
Mukapatsa dokotala mndandanda wathunthu wa matenda, iye adzachitapo kanthu kofunikira.
Zotsatirapo zake ndi zinthu zomwe tiyenera kusamala nazo
Ngakhale kuti Sevoflurane ndi mankhwala otetezeka kwambiri, monga mankhwala ena aliwonse, pali kuthekera kwa zotsatirapo zazing'ono kapena zazikulu. Palibe chodetsa nkhawa chifukwa mudzayang'aniridwa nthawi zonse ndi gulu lachipatala m'chipinda chochitira opaleshoni komanso m'chipinda chogona pambuyo pake. Ngati pakhala vuto lililonse, adzakupatsani chithandizo chofunikira nthawi yomweyo.
Nazi zotsatirapo zomwe zingachitike komanso zomwe mungachite ngati mukuziona.
| Zotsatira zoyipa | Kufotokozera ndi choti muchite |
|---|---|
| Zizindikiro zazikulu zomwe ziyenera kufotokozedwa kwa gulu lachipatala nthawi yomweyo | |
| Ziwengo zoopsa | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo kapena lilime. |
| Kuvuta kupuma | Kupuma pang'onopang'ono, kuvutika kapena kupuma movutikira. |
| Kusintha kwa kugunda kwa mtima | Kugunda kwa mtima mofulumira kapena kosasinthasintha. |
| Zotsatirapo pa chiwindi | Zizindikiro monga chikasu cha maso kapena khungu (jaundice), mkodzo wakuda, kupweteka kumtunda kwa kumanja kwa m'mimba, ndi malungo. |
| Kutentha kwa thupi kowonjezeka | Kuwonjezeka kwambiri kwa kutentha kwa thupi popanda chifukwa. |
| Kugwidwa ndi khunyu | Kukomoka mwadzidzidzi kapena kutaya chidziwitso. |
| Zinthu zomwe nthawi zambiri sizili zazikulu, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Kusanza ndi kusanza | Vutoli ndi lofala kwambiri munthu akamaliza opaleshoni. Pali mankhwala omwe amapezeka ngati pakufunika. |
| Kunjenjemera ndi kumva kuzizira | Izi zitha kuchitika kutentha kwa thupi kukabwerera mwakale. |
| Kugona tulo | Ndi zachilendo kumva tulo kwa maola angapo mutatha kuchitidwa opaleshoni. |
| Chifuwa pang'ono | Zingachitike chifukwa cha kuvulala pang'ono pakhosi pamene mukupuma. |
| Kusakhazikika | Ana, makamaka, angaoneke osakhazikika akadzuka kuchokera ku mankhwala oletsa ululu. |
Kodi chimachitika ndi chiyani pambuyo pa opaleshoni?
Opaleshoni ikatha, mudzachira pang'onopang'ono mukangosiya kumwa Sevoflurane.
- Kugona ndi chizungulire:Ndizachilendo kuti mumve tulo komanso chizungulire kwa maola angapo mutatha kugwiritsa ntchito mankhwala oletsa ululu. Chifukwa chake, pewani kuchita zinthu zoopsa monga kuyendetsa galimoto kapena kugwiritsa ntchito makina mpaka dokotala atakuuzani kuti muchite zimenezo.
- Dzukani pang'onopang'ono: Mukadzuka pabedi kapena mutakhala pansi, chitani pang'onopang'ono. Ngati mwadzuka mwadzidzidzi, mungamve chizungulire ndikugwa.
- Osamwa mowa: Pewani kumwa mowa kwathunthu kwa masiku angapo mutatha kumwa mankhwala oletsa ululu. Kungasokoneze zotsatira za mankhwala.
Popeza mankhwalawa amaperekedwa kuchipatala, simuyenera kuda nkhawa kuti mwaphonya mlingo kapena kumwa mankhwala owonjezera. Gulu lachipatala lidzasamalira chilichonse. Ngati pachitika ngozi, adzakhala okonzeka. Sadzakulolaninso kuti mutenge mankhwalawa kunyumba.
Uthenga Wopita Nawo Kunyumba
- Sevoflurane ndi mpweya wodziwika bwino komanso wotetezeka womwe umagwiritsidwa ntchito pochepetsa ululu panthawi ya opaleshoni.
- Musanagwiritse ntchito mankhwala oletsa ululu, uzani dokotala wanu za matenda anu onse ndi mankhwala onse omwe mukumwa (kuphatikizapo mankhwala achikhalidwe).
- Ndi zachilendo kumva tulo komanso chizungulire mukatha kugwiritsa ntchito mankhwala oletsa ululu. Tsatirani malangizo a dokotala wanu.
- Ngati muwona zotsatirapo zoyipa monga chikasu cha khungu, kupuma movutikira, kapena kutentha thupi kwambiri, dziwitsani ogwira ntchito kuchipatala nthawi yomweyo.
- Zonsezi zimachitika motsogozedwa ndi dokotala, choncho musachite mantha. Nthawi zonse amakhala ndi nkhawa ndi chitetezo chanu.
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