Uri kuvhiyiwawo munguva pfupi iri kutevera here? Saka ngatidzidzei chaizvo nezveASA Classification iyi!

Wakamboudzwa here navanachiremba kuti uite oparesheni huru kana diki, kureva kuvhiyiwa? Kana zvakadaro, iwe Asati akupe mushonga wekurwadziwa , kana mushonga unonyaradza marwadzo ako panguva yekuvhiyiwa, chiremba wako achaita ongororo shoma yehutano hwako. Ndizvo zvatinodaidza kuti ASA classification . Paunonzwa izvi, unganzwa kutya zvishoma, sekuti, "Oh, uri kuda kundipa mamakisi here?" Asi chaizvoizvo chimwe chinhu chinobatsira chiremba wako kukurapa nenzira yakanakisisa uye yakachengeteka. Saka, ngatitaurei zvishoma nezveizvi, handiti?

Chii chinonzi ASA classification? Nei ichikosha?

Zvichitaurwa zviri nyore, ASA Physical Status Classification System inzira yekuongorora hutano hwako hwese usati wavhiyiwa inoda anesthesia. Yakagadzirwa neAmerican Society of Anesthesiologists (ASA) . Fungidzira dai chiremba wese weanesthesia akashandisa nzira imwechete yekuongorora varwere, munhu wese aisazowana ruzivo rwakafanana here? Ndiyo imwe yezvinangwa zvehurongwa uhwu.

Kune zvikonzero zvikuru zvekushandisa kupatsanura uku:

• Usati wavhiyiwa Chengetedza ruzivo rwehutano hwako : Izvi zvichakupa ruzivo rwakajeka rwehutano hwako usati wavhiyiwa.
• Nzira yakajairika inogona kushandiswa nenyanzvi dzese dzekurapa nekurwadziwa: Pasinei nekuti uri kupi munyika, paunotaura nenyanzvi dzekurapa nezvehutano hwemurwere, vese vanogona kunzwisisa dambudziko racho nekuvaudza nhamba iyi yeASA.
• Zvinobatsira kuongorora njodzi dzekuvhiyiwa: Izvi zvega hazvigone kukuudza njodzi yacho. Zvisinei, kana zvikabatanidzwa nezvimwe zvinhu zvakaita sezera rako, rudzi rwekuvhiyiwa kuri kuitwa, kuti kwakakura sei, uye kuti kuchatora nguva yakareba sei, zvinobatsira kufanotaura matambudziko angangoitika ekuvhiyiwa.

Zvakakosha kurangarira: Kurongwa uku kweASA hakusi kufanotaura mhedzisiro yekuvhiyiwa kwako. Kunyange zvazvo kuchigona kukubatsira kuongorora njodzi dzekuvhiyiwa, Chikwata chevanachiremba chinoita sarudzo mushure mekufunga nezvezvimwe zvinhu zvakawanda. Saka musavhunduke nenhamba iyi.

Ndiani uyu ASA?

ASA inomirira American Society of Anesthesiologists.Izwi iri rinotsanangura kuti "American Society of Anesthetists." Iyi nzira yekupatsanura vanhu yakatanga kushandiswa muna 1941, apo sangano iri raimbozivikanwa seAmerican Society of Anesthetists. Rave richishandiswa navanachiremba pasi rese kubvira ipapo.

ASA iyi inorongwa sei? Mazinga acho ndeapi?

Muchikamu ichi cheASA, kune mazinga matanhatu (kusvika kuVI) kubva panhamba dzechiRoma I (imwe) kusvika kuV (shanu). ASA I ndiye munhu ane hutano hwakanaka. ASA V munhu ane chirwere chakakomba chinotyisidzira hupenyu. Level VI ndeyevarwere vakafa nepfungwa vari kubviswa kuti vapiwe nhengo dzemuviri (vanopa nhengo dzemuviri).

Ngationei kuti rimwe nerimwe remagiredhi aya rinowanzo reva chii. Iwe Zvichienderana nechipatara chiri kupihwa kurapwa , mienzaniso iyi inogona kusiyana zvishoma zvichienderana nehunyanzvi hwavo.

• ASA I: Munhu ane hutano hwakanaka . Izvi zvinoreva kuti munhu ane hutano hwakanaka, asina chirwere chakakomba kana chirwere chisingaperi. Semuenzaniso, munhu asina chirwere uye ari kuvhiyiwa nekuda kwekukuvara kudiki paruoko rwake kana mamiriro ezvinhu ekukurumidzira akadai seappendicitis.

• ASA II: Munhu ane chirwere chisina kusimba mumuviri . Kureva kuti, munhu ane dambudziko diki rehutano risingakanganisi mabasa ezuva nezuva uye rinogona kudzorwa. Mienzaniso: Chirwere cheshuga chinodzorwa zvakanaka, BP inodzorwa zvakanaka, kufuta (BMI iri pakati pe30-40), munhu anoputa fodya (isina matambudziko makuru), amai vane pamuviri (vasina matambudziko).

• ASA III: Munhu ane chirwere chakakomba chemuviri . Chirwere ichi chingave nemiganhu mumabasa ezuva nezuva. Asi hachisi chinhu chinotyisidzira hupenyu ipapo ipapo. Mienzaniso: chirwere cheshuga chisingadzoreki, BP isingadzoreki, chirwere chemwoyo mukati memwedzi mitatu yapfuura, chirwere chemapapu chinobata mwoyo (COPD), chirwere cheitsvo chisingaperi , uye dialysis.

• ASA IV: Munhu ane chirwere chakakomba chemuviri chinogara chichityisidzira hupenyu . Vanhu ava vanowanzova mumamiriro ezvinhu akaoma. Mienzaniso: Munhu achangobva kuva nechirwere chemwoyo (chisingasviki mwedzi mitatu) kana sitiroko, munhu ane dambudziko guru rekushanda kwevalvular, kuderedzwa kwechikamu chekubuda kweropa, sepsis yakanyanya, kana munhu ane dambudziko reitsvo (asiri pa dialysis).

• ASA V:Murwere ari kufa munhu angangofa mukati memaawa makumi maviri nemana anotevera, zvisinei nekuti oparesheni yacho yaitwa here. Oparesheni iyi iri kuitwa kuti iponese hupenyu hwake, asi hazvizivikanwe kana ichabudirira. Mienzaniso: Chirwere chinouraya chisingatarisirwi chakadai sekuputika kweaortic aneurysm yemudumbu, munhu akakuvara nhengo dzakawanda mutsaona huru (kukuvara kukuru), kana munhu akarasikirwa neropa rakawanda muuropi (kubuda ropa mukati memusoro nehukuru).

• ASA VI: Murwere akaziviswa kuti akafa muuropi ane nhengo dziri kubviswa kuti dzipihwe rubatsiro . Nhengo dzake dzinotorwa kuti dzigoiswa kune vamwe varwere.

Kurongwa uku kweASA kunoshandiswa rini?

Kana wava kuvhiyiwa kwakarongwa, timu yezvekurapa ichakupa chirongwa cheASA pazuva rekuvhiyiwa, nguva pfupi usati wapihwa anesthesia. Chikonzero cheizvi ndechekuva neruzivo rwakarurama uye rwechizvino-zvino nezvehutano hwako panguva iyoyo. Semuenzaniso, kana uine dzihwa shoma mazuva mashoma usati wavhiyiwa, izvo zvinogona kukanganisa kuongororwa uku. Saka zvakanaka kuzviita paminiti yekupedzisira.

Ndiani chiremba weanotindivadza uyu?

Chiremba wevasingarwadzisi chiremba akadzidziswa zvakanyanya kukupa mishonga yekuvanza marwadzo kuti usanzwe kurwadziwa panguva yekuvhiyiwa. Mimwe mishonga yekuvanza marwadzo inongogumbura chikamu chemuviri wako (semuenzaniso, jekiseni remusana). Mimwe mishonga inokurarisa zvachose, kunyanya panguva yekuvhiyiwa kukuru, kwakaoma. Chiremba wevasingarwadzisi anoongorora kurova kwemoyo wako, BP, uye kufema panguva yekuvhiyiwa kuti ave nechokwadi chekuti haunzwi kurwadziwa.

Saka, kupatsanurwa uku kweASA chimwe chinhu chinobatsira chiremba wako weanesthesia kuronga mushonga chaiwo weanesthesia uchadiwa pakuvhiyiwa kwako. Zvinganzwika sezvisinganzwisisike kunzwa mumwe munhu "achiongorora" hutano hwako. Asi ingori nzira yekuchengetedza zvinyorwa inoshandiswa kukupa kurapwa kwakanakisa uye kugadzirisa zvese zvinoenderana nezvaunoda. Hazvisarudze njodzi yekuvhiyiwa kwako kwega. Kune zvimwe zvinhu zvakawanda zvinopinda mazviri.

Saka, chii chatinofanira kuyeuka kubva pane izvi? (Mharidzo Yekuenda Kumba)

Zvakanaka, saka, kubva pane zvatataura nezvazvo muchikamu ichi cheASA, izvi ndizvo zvinhu zvakakosha kwauri:

• Kurongwa kweASA inzira inoshandiswa nevanorapisa varwere kuongorora hutano hwako usati wavhiyiwa. Yakaunzwa neAmerican Society of Anesthesiologists (ASA) .
• Zvinangwa zvikuru zveizvi ndezvekuchengetedza ruzivo rwehutano hwako, kuunza nzira yakajairika inogona kushandiswa navanachiremba vese, uye kubatsira kuongorora njodzi dzekuvhiyiwa.
• Izvi zvine magiredhi akasiyana kubva kuASA I (ine hutano) kusvika kuASA VI (mupi wenhengo dzakafa muuropi).
• Usavhunduke ne "giredhi" iri. Uku hakusi kufanotaura kwemhedzisiro yekuvhiyiwa kwako, uye hakusi chiratidzo chekuti hutano hwako hwakaipa.
• Vanachiremba vanosarudza njodzi yacho nekubatanidza urongwa uhwu nezvimwe zvinhu, zvakaita sezera rako uye rudzi rwekuvhiyiwa kwacho.
• Pakupedzisira, zvese izvi zvinoitirwa kuti zvikubatsire kuwana mushonga weanesthesia wakachengeteka uye wakakodzera uye kuti kuvhiyiwa uku kubudirire.

Saka, kana wakarongerwa kuvhiyiwa, uye vanachiremba vachitaura nezve ASA level yako, ikozvino wava kunzwisisa zviri nani, handiti? Kana uine mimwe mibvunzo mupfungwa dzako, usatya kubvunza chiremba wako kana anesthesiologist. Vachakutsanangurira zvese.

Anesthesia , kuvhiyiwa, kupatsanurwa kweASA, kuongororwa kwehutano, kuvhiyiwa, chipatara, kurapwa