Unotya mushonga weanesthesia usati wavhiyiwa here? (General Anesthesia) Ngatikurukurei izvi!

Iwe kana mumwe munhu waunoziva akambofanira kuvhiyiwa here? Chimwe chekutya kukuru kunowanzoitwa nevanhu vazhinji panguva yakadaro ndechekuti "kuiswa pasi peanesthesia." Zvakajairika kuti utye zvishoma paunonzwa izwi rekuti "kubviswa mupfungwa." Asi chaizvoizvo inzira yekurapa yakachengeteka uye yepamusoro. Saka nhasi, ngatipindurei mibvunzo yese yaunayo nezve anesthesia iyi yakazara, kana kuti ' General Anesthesia '.

Zvichitaurwa zviri nyore, chii chinonzi anesthesia yemushonga wekurapa chirwere?

Anesthesia inowanzoitwa kana waiswa mumamiriro ezvinhu akafanana nehope huru usati wavhiyiwa. Mumamiriro ezvinhu aya, muviri wako haunzwi kurwadziwa, uye hauzoyeuki chimwe chinhu panguva yekuvhiyiwa . Zvinoita sekunge wamuka kubva muhope huru.

Izvi zvinoitwa nenyanzvi yekurarisa marwadzo. Chiremba uyu anogara padivi pako kubva panguva yaunotanga kuvhiyiwa kusvika yapera, achitarisa mafambiro ese emuviri wako ( kufema , kurova kwemoyo , nezvimwewo), achikuchengetedza wakarara zvakanaka, uye achikumutsa zvakare kana kuvhiyiwa kwapera.

Ngatinzwisisei musiyano uripo pakati pemhando dzeanesthesia.

Pamusoro pekushandisa mushonga weanesthesia, kune dzimwe nzira dzeanesthesia. Zvakakosha kuziva mutsauko pakati peizvi.

Anesthesia inoshanda sei panguva yekuvhiyiwa?

Fungidzira uri muchikamu chevanovhiya. Chii chinozoitika?

1. Kupa mushonga: Kutanga, chiremba weanorerutsa achaisa cannula (IV line), inova chubhu inoisa saline mutsinga iri muruoko rwako, uye anokupa mushonga weanorerutsa kuburikidza nawo. Dzimwe nguva unopihwawo mweya wekufema kuburikidza nemasiki. Izvi zvinokurara mukati memaminitsi mashoma.

2. Kuisa chubhu yekufema: Kana warara zvachose, chiremba achakupa mushonga wekuzorodza tsandanyama dziri pahuro pako uye kuisa chubhu nemuromo wako mupaipi yemhepo. Izvi zvinoitirwa kuti uve nechokwadi chekuti unoramba uchiwana oxygen yaunoda panguva yese yekuvhiyiwa. Hauzomboinzwi ichiiswa nekuti wakarara.

3. Kugara uchitarisa: Munguva yese yekuvhiyiwa, timu yeanesthesia ichave ichinyatsotarisa muviri wako nezve zvinotevera:

• Kufema
• Kupisa kwemuviri
• Kurova kwemoyo
• Kumanikidzwa kweropa
• Mwero weokisijeni muropa
• Mwero wemvura mumuviri

Zvichibva pazviyero izvi, vanozogadzirisa huwandu hwemishonga yaunopihwa, vanokupa imwe saline, kana kutokupa ropa kana zvichidikanwa.

4. Kumukazve:Kana kuvhiyiwa kwapera, chiremba acharega kukupa mushonga weanesthesia. Wobva waendeswa kukamuri rekurapwa. Ikoko unotanga kumuka zvishoma nezvishoma. Vanachiremba nevanamukoti vachanyatsokutarisa kuti vaone kana paine kurwadziwa kana kusanzwa zvakanaka.

Mishonga ipi inoshandiswa pakuita izvi?

Mishonga yese yemutsinga (IV) neyekufemerwa inoshandiswa pakurapa neanesthesia. Kazhinji, mhando dzese dziri mbiri dzinoshandiswa pamwe chete.

Mishonga mikuru inopinzwa nemutsinga (Mishonga yemutsinga):

• Propofol: Uyu ndiwo mushonga unonyanya kushandiswa. Unokuisa muhope huru uye unobatsira kuti urambe uri mumamiriro iwayo panguva yekuvhiyiwa.
• Ketamine: Inogona kushandiswa yoga pakuvhiyiwa kwenguva pfupi. Inoshandawo semushonga wekurwadziwa.
• Etomidate: Uyu mushonga unoshanda kwenguva pfupi. Unonyanya kushandiswa pakukonzera anesthesia.

Mishonga Inofema:

• Sevoflurane: Gasi rinopa mushonga wekurwadziwa kwemudumbu rinowanzoshandiswa. Rinoshandiswa kutanga nekuchengetedza mushonga wekurwadziwa kwemudumbu.
• Isoflurane: Iye zvino haichanyanyi kushandiswa nekuti ine hwema hwakasimba.
• Desflurane: Inoshandiswa kuchengetedza anesthesia.
• Nitrous oxide: Inonziwo "gasi rinoseka." Sezvo risina simba zvakanyanya, harishandiswi roga. Rinopihwa pamwe chete nemimwe mishonga ine simba.

Unogadzirira sei usati waita anesthesia?

Usati wavhiyiwa, chiremba ari kukuvhiya pamwe chete neanotindivadza vachataura newe. Chiremba anotindivadza achakubvunza mibvunzo iyi:

• Ndezvipi zvimwe zvirwere zvaunazvo? (zvakaita sechirwere cheshuga, BP, chirwere chemwoyo)
• Mhando dzipi dzemishonga dzaunoshandisa? (zvese zvinosanganisira mishonga inonyorerwa nachiremba, mavhitamini, mishonga yeAyurvedic)
• Une allergies here? (mishonga, mazai, soya, nezvimwewo)
• Unosvuta here? Unonwa doro here? Unoshandisa mimwe mishonga here?
• Wakambosangana nedambudziko rekuti une anesthesia here panguva yekuvhiyiwa kwakapfuura?

Pamusoro pezvo, chiremba wako achakukurudzira kuti usadye kana kunwa chimwe chinhu kunze kwechikafu nemvura kwemaawa angangoita masere usati wavhiyiwa. Izvi zvinodaro nekuti tsandanyama dzinozorora panguva yekunzwa kuneta, izvo zvinogona kukonzera kuti chikafu chiri mudumbu chako chipinde mumapapu ako. Iyi inyaya ine njodzi. Unogonawo kukumbirwa kuti urege kutora mimwe mishonga, yakaita seaspirin, inowedzera kubuda ropa, inenge vhiki imwe chete usati wavhiyiwa.

Pane migumisiro yakaipa here mushure mekunzwa kurwadziwa kwemudumbu?

Zvakajairika kunzwa hope mushure mekumuka mushure mekunzwa kuneta. Kunze kweizvozvo, unogona kusangana nematambudziko madiki akadai, asi aya anozopera mushure mechinguva.

• Kusvotwa nekurutsa
• Muromo wakaoma
• Huro inorwadza kana kuti kurira kwezwi (nekuda kwemhepo inobuda)
• Kurara
• Kudedera kwemuviri
• Kurwadziwa kwetsandanyama
• Kukwenya
• Matambudziko ekurangarira kwenguva pfupi kana kuvhiringidzika (kunyanya kune vakwegura) - Dambudziko iri (delirium) rinowanzopera zvachose mukati mevhiki.

Ndeipi njodzi dzekushandisa anesthesia?

Kumunhu ane hutano hwakanaka, mushonga weanesthesia wakachengeteka zvikuru . Zvisinei, vamwe vanhu vari panjodzi huru yekusangana nematambudziko. Ngationei kuti ndivanaani.

• Vanhu vane kufuta zvakanyanya
• Vanhu vakwegura
• Vanhu vane zvirwere zvisingaperi zvakaita seBP, chirwere cheshuga, chirwere chemwoyo, chirwere chemapapu, uye chirwere cheitsvo
• Vanhu vane Obstructive Sleep Apnea
• Vanhu vanoputa
• Vanhu vanotora mishonga inobvisa ropa rakanyanya senge aspirin
• Vanhu vane allergies kumishonga inonyaradza marwadzo

Vanhu vanonwa doro vanofanira kungwarira zvikuru. Kunwa doro zuva nezuva kunogona kuchinja mwero wemishonga inopedza simba, kuwedzera nguva yekupora mushure mekuvhiyiwa, uye kuwedzera njodzi yekutapukirwa. Saka iva akatendeseka kuna chiremba wako nezvenyaya iyi.

Kashoma , munhu mumwe chete pavanhu chiuru, anogona kuramba achiziva ari pasi peanesthesia (Anesthesia Awareness). Nekuda kwezvishandiso zvemazuva ano zvekutarisa, mikana yekuti izvi zviitike yava shoma.

Anesthesia, Anesthesia Yese, Kuvhiya, Kuvhiya, Kuvhiya, Anesthesiologist, Anesthesiologist