Ngatidzidzei nezvemukoti anoraramisa (CRNA) anopa mushonga wekurwadziwa kwemudumbu paanenge achivhiyiwa.

Kana wakambofanira kuvhiyiwa, kana kuti mumwe munhu waunoziva akambofanira kuvhiyiwa, pamwe wakambonzwa izwi rekuti "anesthesia." Dzimwe nguva ungatya zvishoma nezve anesthesia iyi. Asi waiziva here kuti kune vanhu vakadzidziswa zvakanyanya kuti vakuchengetedze wakachengeteka uye usarwadziwe panguva yekuvhiyiwa? Nhasi tichataura nezvemumwe munhu akadaro, "Certified Registered Nurse Anesthetist" (CRNA) .

Ndiani uyu Certified Nurse Anesthetist (CRNA)?

Muchidimbu, CRNA (Certified Registered Nurse Anesthetist) mukoti ane hunyanzvi hwepamusoro akadzidziswa zvakanyanya mukupa mushonga weanesthesia nemimwe mishonga yakafanana nawo. Dzimwe nguva tinovadaidza kuti "anesthesia nurses." Vanotarisira uye vanoongorora vanhu vari kugamuchira anesthesia kana kuti vari kupora mushure mekunzwa anesthesia.

Saka chii chinonzi "anesthesia" iyi?

Fungidzira uri kuvhiyiwa kana kuti uri kuvhiyiwa. Anesthesia inzira yekurapa inokubatsira kuti usarwadziwe. Kune mhando dzakasiyana dzeanesthesia. Mimwe mishonga inopedza simba inongogumbura chikamu chemuviri wako, zvichireva kuti haunzwi chero chinhu. Mimwe mishonga inokanganisa uropi hwako uye inokuita kuti unzwe hope dzese, saka haunzwi chero chinhu panguva yekuvhiyiwa. Saka, CRNA ine kudzidziswa kwakakosha uye ruzivo rwakadzama rwekupa anesthesia iyi zvakachengeteka uye nemazvo.

Ndiani Mukoti Akanyoreswa weAdvanced Practice (APRN)?

Mukoti Akanyoreswa weAdvanced Practice (APRN) mukoti akanyoreswa akawana dhigirii reMaster's kana reDoctoral, kupfuura dhigirii rekurapa, uye akadzidziswa kuita basa rakati uye huwandu hwevarwere. Vane dzidzo yepamusoro uye chitupa chekuongorora, kuongorora, uye kugadzirisa matambudziko ehutano. Vane mvumo zvakare yekuraira bvunzo uye kunyora mishonga.

Kune mhando dzakasiyana dzeAPRNs. Semuenzaniso:

• Chiremba Ane Huremu Akanyoreswa (CRNA) - uyu watiri kutaura nezvake nhasi.
• Mukoti Akanyoreswa (CNP) - Vanopa rubatsiro rwehutano rwakakosha senge chiremba wemhuri.
• Nyanzvi yeVakoti veMishonga (CNS) - Ava vanhu vane ruzivo rwakadzama nezvechirwere chakati kana boka revarwere.
• Mukoti Akanyoreswa Mukoti (CNM) - Avo vanobatsira vanaamai vane pamuviri uye panguva yekusununguka.

CRNA yatiri kutaura nezvayo nhasi ndeyemunhu ari muchikamu chevashandi vepamusoro-soro vanonzi APRN.

Chii chinoitwa nemukoti anorara neanotindivadza (CRNA)?

Kune mabasa akati wandei anopiwa CRNA. Izvi zvinhu zvakakosha zvikuru. Ngationei kuti ndeapi.

• Kudzidziswa kwevarwere usati wapiwa mushonga weanesthesia uye mushure mekuvhiyiwa: Usati wapihwa mushonga weanesthesia pakuvhiyiwa kana kuvhiyiwa, uchaziviswa zvakakwana nezvazvo. Zvese zvichatsanangurwa, kusanganisira rudzi rweanesthesia ruchashandiswa, zvichaitika, uye zvekutarisira. Uchaudzwawo zvaunganzwa mushure mekupiwa mushonga weanesthesia uye matanho aunofanira kutora.
• Kuongorora maitiro emuviri wako kana wapiwa mushonga weanesthesia: Mushure mekunge wapihwa mushonga weanesthesia, muviri wako uchatariswa zvakanyanya kuti uone kuti uri kupindura sei. Zviratidzo zvako zvinokosha, zvakaita sekurova kwemoyo wako, BP, kufema, uye mwero weoxygen, zvichatariswa.
• Kuziva njodzi dziripo kumunhu ari kugamuchira anesthesia: Vamwe vanhu vanogona kunge vaine allergies kune mimwe mishonga inonyaradza marwadzo. Kana kuti vangangoda kutarisirwa kwakakosha panguva yekunzwa anesthesia nekuda kwezvimwe zvirwere, zvakaita seasthma kana chirwere cheshuga. CRNA ichaona njodzi dzakadaro pachine nguva, yosarudza nzira yakakodzera yekunzwa anesthesia, uye yotora matanho ekudzivirira anodiwa.
• Kupa mushonga weanesthesia wakakodzera: CRNA inonyatso chenjerera kupa mushonga weanesthesia wakakodzera, zvichienderana nehuremu hwako, kureba, zera, rudzi rwekuvhiyiwa kuri kuitwa, uye hutano hwako hwese. Izvi zvakakosha zvikuru, sezvo kushoma kunogona kukonzera marwadzo, uye kuwanda kunogona kukonzera migumisiro isingadiwe.

CRNA haishande yoga. Vanoshanda sechikamu chechikwata chine varapi vakasiyana-siyana, kusanganisira vanachiremba vekuvhiya, vanachiremba veanesthesia, vanachiremba vemazino, uye vanachiremba vetsoka, kupa rubatsiro rweanesthesia kuvarwere vemazera ese nemarudzi ese ekuvhiya. Vanotarisa mamiriro emurwere asati avhiyiwa, panguva yekuvhiyiwa, uye mushure mekuvhiyiwa.

CRNA inogona kushanda kupi?

CRNA inogona kushanda munzvimbo dzakasiyana-siyana dzekurapa, zvichireva kuti mabasa avo haangogumiri panzvimbo imwe chete. Semuenzaniso:

• Makamuri ekuvhiyira echipatara (ORs).
• Makamuri Ekupora Mushure meAnesthesia (PACU).
• Makamuri Ekukurumidzira (ERs).
• Nzvimbo dzekuvhiyiwa kwevarwere vasiri muchipatara - Idzi inzvimbo dzinogona kuvhiyiwa pasina kugara muchipatara.
• Zvikamu zveVana Vachiri Kuyaruka neVana Vachiri Kuyaruka - Ipa nzira dzekutindivadza dzakadai se epidurals kuderedza marwadzo panguva yekusununguka.
• Mahofisi echiremba - kune mamwe maongororwo madiki.
• Mahofisi echiremba wemazino - ekubviswa mazino kana kuvhiyiwa kwakaoma.

Mune dzimwe nzvimbo dzekumaruwa dzenyika dzakadai seUnited States, dzimwe nguva maCRNA ndiwo ega nyanzvi dzinopa mushonga wekurwadziwa muzvipatara. Pamusoro pezvo, maCRNA ndiwo anopa mushonga wekurwadziwa kune avo vari mumauto eAmerica. MuSri Lanka, kukosha uye kuzivikanwa kwemabasa ekurapa akadaro ari kuwedzera zuva nezuva.

Ndeupi musiyano uripo pakati peAnesthesiologist (Certified Nurse Anesthetist) neAnesthesiologist?

Uyu mubvunzo unowanzo bvunzwa nevanhu vazhinji. CRNA neanesthesia vanogona kupa anesthesia zvakachengeteka uye neunyanzvi. Zvisinei, pane musiyano mudiki mudzidzo yavo uye mutemo.

Chiremba weanotindivadza munhu ane dhigirii rezvekurapa (`Doctor of Medicine - MD` kana `Doctor of Osteopathic Medicine - DO`). Izvi zvinoreva kuti apedza dhigirii rezvekurapa rekutanga seMBBS, uye akazowana makore akati wandei ekudzidziswa kwakakosha muanesthesia.

Zvisinei, CRNA munhu akapedza zvidzidzo zvekutanga semukoti akanyoreswa, ndokuzotevera dhigirii remaster's kana doctorate rakanyanya hunyanzvi mukurapa kweanesthesia, uye akapasa bvunzo dzakakwikwidza zvikuru, dzakadai se "National Certification Examination for Nurse Anesthetists."

Chinhu chakakosha ndechekuti mukoti anoraramisa aone kupa mushonga weanesthesia sekuwedzera kwebasa remukoti . Murapi anoraramisa anoona kupa mushonga weanesthesia sechikamu chebasa rekurapa .

Zvisinei, pasinei nekuti dzidzo iyi ine chekuita nekuyamwisa kana mushonga, zvese zvinopa anesthesia nenzira imwechete, zvichienderana nemitemo yekuchengetedza yakafanana. Izvi zvinoreva kuti mishonga, zvishandiso, uye nzira dzekutarisa dzinoshandiswa zvakanyanya kufanana. Saka kunyangwe uri kupihwa anesthesia neCRNA kana anesthesiologist, haufanirwe kunetseka nezvekuchengetedzeka kwako. Vese vakadzidziswa zvakanyanya uye vane ruzivo. Mune zvimwe zviitiko, CRNA inogona kushanda pasi pekutarisirwa kweanesthesiologist, kana kuti vanogona kushanda vega.

Munhu anosvika sei pakuva chiremba weanesthesia ane certification (CRNA)?

Kuva CRNA hakusi nyore. Zvinoda kuzvipira kwakawanda, dzidzo yenguva refu, kudzidziswa kwakaoma, uye ruzivo rwakakosha. Ngatitarisei matanho iwayo uye kuti munhu anosvika sei pahunyanzvi uhwu.

1. Unofanira kunge uine dhigirii reBachelor muukoti kana rimwe basa rakafanana naro: Kutanga, unofanira kupedzisa dhigirii reBachelor muukoti kwemakore mana kubva kuyunivhesiti ine mvumo.

2. Kuve nerezenisi seRegistered Nurse (RN):Mushure mekupedza kudzidza, munofanira kunyora bvunzo inoitiswa nebhodhi revanamukoti renyika yakakodzera (semuenzaniso, muUnited States of America kana matunhu ayo) uye kuwana rezinesi rekuva mukoti akanyoreswa.

3. Gore rimwe chete, kazhinji kupfuura, reruzivo rwekushanda muchikamu chevanorwara zvakanyanya (ICU): Iri idanho rakakosha. Kazhinji, murapi wehutano anoda kuva CRNA anopedza makore maviri kusvika matatu achishanda muchikamu chevanorwara zvakanyanya. Izvi zvinodaro nekuti ari kubata nevarwere vakaomarara, vane njodzi yehupenyu. Ruzivo urwu runovabatsira kukudziridza hunyanzvi hwakakosha hwakadai sekuita sarudzo nekukurumidza, kushanda pasi pekumanikidzwa, kushandisa michina yakasiyana-siyana, uye kutarisira mishonga yakaoma.

4. Nyorera muchirongwa cheanesthesia chemukoti chakanyoreswa uye uwane dhigirii rechiremba: Mushure meruzivo rwechikamu chevarwere vanorwara zvakanyanya, nyoresa muchirongwa chakatenderwa nehurumende chinopa kudzidziswa kwakakosha muanesthesia yemukoti. Zvirongwa izvi zvino zvinowanzo svika padanho rechiremba, iro rinotora makore matatu. Izvi zvinopa ruzivo rwakadzama rwedzidziso nezveanesthesia pamwe nekudzidziswa kwakasimba kwemabasa ekurapa.

5. Mushure mekupedza kudzidza kubva muchirongwa cheanesthesia yemukoti, munofanira kupasa ``National Certification Examination for Nurse Anesthetists```: Mushure mekupasa bvunzo iyi ndipo chete pamunogona kuzivikanwa zviri pamutemo seCRNA uye kupihwa rezinesi rekupa anesthesia muri mega.

Mamwe maCRNA, mushure mekubvumidzwa kuva maCRNA, anodzidziswa zvakare ("mubatanidzwa") mune imwe nzvimbo yakasarudzika yeanesthesia, senge kugadzirisa marwadzo asingaperi, anesthesia yemwoyo, kana anesthesia yevana. Izvi zvinowanzo tora rimwe gore.

Kufanana nevamwe vese vezvekurapa, maCRNA anofanirwa kuwana dzidzo inoenderera mberi ('dzidzo inoenderera mberi') mumabasa avo ese. Izvi zvinoreva kupinda misangano, kudzidza nezvetsvagurudzo itsva, uye kutora makosi matsva kuti vagare vachiziva nezvekufambira mberi uye matekinoroji matsva mumunda wavo.

Zvinotora nguva yakareba sei kuti uve chiremba weanesthesia ane certified (CRNA)?

Sezvaunogona kufungidzira, nedzidzo yese iyi uye ruzivo, zvinotora nguva yakareba kuti uve CRNA. Zvichitaurwa zviri nyore:

• Zvinotora makore angangoita mana kuti uwane dhigirii reukoti.
• Anenge makore 1-3 echiitiko muIntensive Care Unit (ICU).
• Chirongwa cheanesthesia chemukoti (kusvika padhigirii rechiremba) chinotora makore angangoita matatu.

Kana zvese izvi zvasanganiswa, zvinowanzotora makore manomwe kusvika gumi kuti ive CRNA.

Izvi zvinoreva kuti zvinoda kuzvipira, mwoyo murefu, uye kutsunga. Zvinotora nguva yakawanda nesimba kuti CRNA ikwanise kukupa mushonga weanesthesia. Saka unogona kuva nechivimbo chakazara muruzivo rwavo nehunyanzvi hwavo.

Shoko rakakosha raunofanira kufunga nezvaro.

Kuvhiyiwa kana chero nzira yakaoma yekurapa kunogona kunetsa, kutyisa, uye kukonzera kuzvidya mwoyo. Zvakajairika, uye hapana anoda kuvhiyiwa.

Asi yeukai, mukoti wenyu ane chirwere chinotindivadza (CRNA) munhu ane ruzivo rwakasiyana uye hunyanzvi hwepamusoro hwekukuchengetedzai, musingarwadziwe, uye anogara achitarisa zviratidzo zvenyu muhupenyu hwese panguva yekuvhiyiwa.

Kana uine mibvunzo, zvinokunetsa, kana zvinokunetsa nezve anesthesia kana kuvhiyiwa, usatya kubvunza CRNA yako. Varipo kuti vakubatsire, vapindure mibvunzo yako, uye vakubatsire kunzwa wakasununguka uye uine chivimbo nezvekuvhiyiwa kwako. Kuchengetedzeka kwako uye kunyaradzwa ndizvo zvinonyanya kukosha kwavari nguva dzose.

Mukoti Mukuru weAnesthesia, CRNA, Anesthesia, Anesthesiologist, Nursing, Surgery, Advanced Nursing Training