Kodi munayamba mwapita kwa dokotala kuti akasoke mano kapena kuchotsa dzino? Asanachite opaleshoni, amakupatsa jakisoni kuti achite dzanzi pamalopo. Ndi zomwe timatcha 'Local Anesthesia'. Sizimakugonetsani tulo tofa nato, koma zimangochepetsa ululu. Tiyeni tikambirane zonse mwatsatanetsatane lero.
Kodi mankhwala ochepetsa ululu awa amagwira ntchito bwanji?
Ndi zophweka kwambiri. Tangoganizirani kuti mukamva ululu kwinakwake m'thupi lanu, chizindikiro cha ululucho chimadutsa m'mitsempha kupita ku ubongo. Ubongo ndi umene umatiuza kuti, "O, ndikupweteka." Zimene mankhwala oletsa kumva ululu awa, kapena mankhwala oletsa ululu am'deralo, amachita ndikutseka mitsempha yomwe imanyamula chizindikiro cha ululu kwakanthawi. Zili ngati kutseka msewu kwa kanthawi. Kenako chizindikiro cha ululu sichingafike ku ubongo, kotero sitimva ululuwo.
Koma izi ndi zakanthawi chabe. Mphamvu ya mankhwala ikatha, mitsempha imayambanso kugwira ntchito bwino pakatha maola angapo. Kenako mphamvu yokhudza kumva ndi kusuntha imabwezeretsedwa.
Kodi izi zikusiyana bwanji ndi mankhwala oletsa ululu?
Pali kusiyana kwakukulu pakati pa ziwirizi. Anthu ambiri amasokoneza ziwirizi. Pa
opaleshoni yayikulu, opaleshoni yomwe imatenga maola ambiri, madokotala amakugonetsani pansi pa anesthesia yonse, zomwe zikutanthauza kuti amakugonetsani tulo. Simumva chilichonse panthawiyi, ndipo mukadzuka, opaleshoniyo imakhala yatha. Koma anesthesia yakomweko ndi yosavuta kuposa pamenepo. Kuti mumvetse kusiyana kumeneku, yang'anani tebulo ili pansipa.
| Mbali | Mankhwala Oletsa Kupweteka Am'deralo | Mankhwala Oletsa Kupweteka Kwambiri |
|---|
| Kusamala | Muli ndi chidziwitso chonse. Ndi malo okhawo omwe akukukhudzani. | Udzagonedwa tulo tofa nato. Sudzakumbukira chilichonse. |
| Chitetezo ndi chiopsezo | Zotetezeka kwambiri. Chiwopsezo chake ndi chochepa kwambiri. | Pali chiopsezo chachikulu. Chiyenera kuyang'aniridwa nthawi zonse ndi dokotala waluso (Anesthesiologist). |
| Zotsatirapo zoyipa | Kusanza ndi kusanza n’kosowa kwambiri. | Kusanza, kusanza, ndi kupweteka kwa thupi kungachitike. |
| Ntchito yokonzekera | Palibe kukonzekera kwapadera komwe kumafunika. Ngakhale mutadya posachedwapa, palibe vuto. | Muyenera kupewa kudya kwa maola angapo (Kusala Kudya). |
| Mtengo | Mtengo wake ndi wotsika kwambiri. | Mtengo wake ndi wokwera kwambiri. |
N’chifukwa chiyani muyenera kusamala mukamachita opaleshoni ya anesthesia?
Pa nthawi yochita opaleshoni yoletsa kupuma, mumakhala osadziwa kalikonse, kotero kugunda kwa mtima wanu, kupuma kwanu, kuchuluka kwa mpweya, ndi kuthamanga kwa magazi nthawi zonse kumayang'aniridwa ndi katswiri. Nthawi zina mungafunike makina kuti akuthandizeni kupuma. Komanso, ngati mukusanza muli osadziwa kalikonse, zinthuzo zimatha kulowa m'mapapu anu. Timatcha kuti 'aspiration pneumonia'. Ndi vuto loopsa. Pofuna kupewa zoopsa zotere, madokotala amalimbikitsa kusala kudya kwa maola angapo musanachite opaleshoni.
Kodi ubwino wogwiritsa ntchito mankhwala oletsa ululu m'malo olumikizirana mafupa ndi wotani?
- Chiwopsezo chochepa: Izi sizili ndi zoopsa za mankhwala oletsa ululu. Ndi zotetezeka kwambiri chifukwa mumakhala odziwa bwino ntchito.
- Palibe katswiri wofunikira: Dokotala wogonetsa anthu o ...
- Zotsatirapo zochepa: Zotsatirapo nthawi zambiri zimakhala zochepa kwambiri, ndipo zimachitika kawirikawiri.
- Mukhoza kupita kunyumba mwachangu: Simukuyenera kukhala m'chipatala kwa nthawi yayitali chithandizo chitatha.
- Mtengo wotsika: Mtengo wake ndi wotsika kwambiri poyerekeza ndi mankhwala oletsa ululu.
Kodi mitundu ya mankhwala oletsa ululu am'deralo ndi iti?
Mankhwala ochepetsa ululu awa amagwiritsidwa ntchito makamaka m'njira zitatu. 1.
Kugwiritsa Ntchito Pakhungu: Izi zitha kukhala ngati mafuta odzola, ma gels kapena ma spray. Amapakidwa pa zinthu monga zilonda za mkamwa ndi ziphuphu zina pakhungu. Palinso madontho a m'maso. Izi zimagwiritsidwa ntchito kuchotsa zinthu zazing'ono m'diso. 2.
Jakisoni Wapafupi: Njira iyi imagwiritsidwa ntchito kwambiri. Mankhwalawa amabayidwa pansi pa khungu kapena mozama pang'ono. Njirayi imagwiritsidwa ntchito kusoka bala, kutenga chidutswa chaching'ono cha khungu kuti chikayesedwe (Biopsy). 3.
Mitsempha Yotsekeka: Izi zimaphatikizapo kubaya mankhwala pafupi ndi mitsempha yayikulu kapena mitsempha ingapo yomwe imanyamula zizindikiro kumalo komwe ululu umamveka. Njirayi imagwiritsidwa ntchito kuchotsa mano, kuchiza mano, komanso kuchita opaleshoni ya maso. Kuletsa kupweteka kwa msana panthawi ya opaleshoni ya cesarean ndi mtundu wa kutsekeka kwa mitsempha. Mankhwala omwe amagwiritsidwa ntchito kwambiri ndi Lignocaine ndi Bupivacaine.
Kodi kumva kumeneku kwakhala kukupitilira kwa nthawi yayitali bwanji?
Kawirikawiri, kumva kuwawa kumeneku kumatha msanga. Mwachitsanzo, mphamvu ya mankhwala omwe amagwiritsidwa ntchito kwambiri a Lignocaine imatenga pafupifupi ola limodzi. Nthawi zina, dokotala amasakaniza mankhwala ochepetsa ululu awa ndi mankhwala ena, monga adrenaline (Epinephrine/Adrenaline). Kenako kumva kuwawa kumatha kukhala nthawi yayitali.
Koma apa pali chinthu chomwe muyenera kudziwa ndipo ndichofunika kwambiri . Muyenera kusamala kwambiri ndi gawo lopweteka la thupi lanu. Tangoganizirani ngati mutachotsedwa dzino ndipo pakamwa panu pakumva kuwawa ndipo mwamwa kapu yotentha kwambiri ya khofi , pali mwayi waukulu woti mudzatentha pakamwa panu chifukwa simudzamva kutentha. Choncho samalani kwambiri ndi gawo limenelo la thupi lanu mpaka kuwawako kuthe kwathunthu.
Kodi izi zimagwiritsidwa ntchito chiyani kupatula opaleshoni?
Mankhwala oletsa ululu am'deralo amagwiritsidwa ntchito osati kungochotsa ululu, komanso kuchepetsa ululu ndi kuyabwa.
- Mabala otseguka, ululu wobwera chifukwa cha kulumidwa ndi tizilombo
- Kuchepetsa ululu woyambitsidwa ndi khansa
- Kupweteka kwa mafupa , makamaka kupweteka kwa msana
- Mankhwala oletsa ululu amaperekedwa kwa amayi oyembekezera kuti achepetse ululu.`(Epidural Anesthesia)`
- Pa nthawi ya njira zodziwira matenda monga biopsy ndi spinal tap
Kodi pali zotsatirapo zilizonse?
Ngakhale kuti mankhwala oletsa ululu am'deralo ndi otetezeka kwambiri, anthu ena amatha kukhala ndi zotsatirapo zazing'ono nthawi zina. Izi zili choncho chifukwa ngakhale kuti mankhwalawa amaperekedwa kudera lokhudzidwalo lokha, amalowa m'magazi ndikuyenda m'thupi lonse.
- Ululu kapena kuvulala pamalo omwe jakisoni amaperekedwa
- Kumva kuwawa m'dera lomwe lakhudzidwa
- Kumva kulira m'makutu
- Mutu, chizungulire, ndi kusokonezeka maganizo
- Kusintha pang'ono kwa kugunda kwa mtima ndi kuthamanga kwa magazi (izi ndi matenda osowa kwambiri)
Ngati mukukumana ndi vuto lotere, musachite mantha ndipo dziwitsani dokotala wanu nthawi yomweyo.
Uthenga Wopita Nawo Kunyumba
- Kupaka mankhwala oletsa ululu m'dera lanu ndi njira yotetezeka yochepetsera ululu mbali inayake ya thupi pamene muli ndi chikumbumtima.
- Izi ndi zotetezeka kwambiri kuposa mankhwala oletsa ululu. Pali zotsatirapo zochepa ndipo mutha kuchira mwachangu.
- Samalani kwambiri mpaka mutapezanso kumva bwino m'thupi lanu, apo ayi mungadzivulaze mwangozi.
- Ngati muli ndi nkhawa kapena zizindikiro zachilendo zokhudzana ndi izi, lankhulani ndi dokotala wanu za izi.
Kwam'deralo, Mankhwala Oletsa Kupweteka, Mankhwala Oletsa Kupweteka Kwam'deralo Chisinhala, Opaleshoni, Kusamalira Ululu, Mankhwala Oletsa Kupweteka Kwambiri
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