USA Kutumiza Kwawo Kumudzi, Canada Kutumiza Kwawo, Kunyumba kwa ku Ulaya

Anesthesia mankhwala

Ndife mankhwala ochepetsa mankhwala ophera opaleshoni, Mankhwala a antiesthesia okhudzana ndi mankhwala, Monga momwe tinalonjezera, mankhwala athu onse amadzimadzi amatsuka ndi chiyeretso osachepera 98%.


Anesthesia ufa Mafotokozedwe Onse

Muzochita zamankhwala (makamaka opaleshoni ndi mavitamini), anesthesia powder kapena anesthesia ndi mkhalidwe wa kanthawi kochepa umene umapangitsa kuti asamve kapena kumva. Zingaphatikizepo analgesia (mpumulo kapena kupewa kupweteka), kufooka (minofu yotsitsimula), amnesia (kutaya kwa kukumbukira), kapena kusadziwa. Wodwala ali ndi zotsatira za mankhwala osokoneza bongo amatchulidwa kuti amatsitsimutsa.

Anesthesia ufa amachititsa kupweteka kwa njira zamankhwala zomwe zingayambitse ululu wovuta kapena wosakhululukidwa kwa wodwala wosagwidwa. Mitundu itatu yambiri ya anesthesia ilipo:

Nthenda yaikulu ya antiesthesia ufa imatsitsa ntchito yapakatikati ya zamanjenje ndipo imabweretsa chidziwitso komanso kusowa kwathunthu.

Kusintha kumapangitsa kuti pang'onopang'ono pang'onopang'ono phokoso la mitsempha likhale lochepa, kulepheretsa nkhawa komanso kulingalira kwa nthawi yaitali popanda kuzindikiritsa.

Malo amtundu wa anesthesia wa m'deralo ndi anesthesia am'deralo, omwe amaletsa kusintha kwa mitsempha pakati pa gawo loyang'aniridwa la thupi ndi dongosolo lalikulu la mitsempha, zomwe zimayambitsa kutengeka m'magulu a thupi. Wodwala pansi pa anesthesia powder wa m'dera kapena m'dera lanu amakhalabe chidziwitso, kupatula ngati anesthesia wambiri kapena sedation ikuyendetsedwa panthawi yomweyo. Pali magulu awiri akuluakulu omwe alipo:

Kuwonongeka kwa pulogalamu kumathandiza kuti munthu asamvetsetse bwino mbali ina ya thupi, monga kugwedeza dzino kwa ntchito yamazinyo kapena kupereka mitsempha kuti asamve kupweteka kwa thupi lonse.

Central, kapena neuraxial, blockade amachititsa kuti munthu asamangidwe bwino m'chigawo chapakatikati mwa mitsempha yokhayokha, kutetezera kutuluka kuchokera kunja kwa dera. Zitsanzo zimaphatikizapo epidural anesthesia ndi anesthesia ya msana.

Pokonzekera njira zachipatala, wopereka chithandizo chamankhwala wopereka mankhwala amadzimadzi amasankha ndikuyesa mlingo wa mankhwala amodzi kapena angapo kuti akwaniritse mitundu ndi kuchuluka kwa mankhwala a anesthesia omwe ali oyenerera mtundu wa ndondomeko ndi wodwalayo. Mitundu ya mankhwala omwe amagwiritsidwa ntchito ikuphatikizapo antiesthetics, hypnotics, sedatives, mankhwala osokoneza bongo, mankhwala osokoneza bongo, ndi analgesics.

Pali zoopsa zazikulu komanso zazing'ono za anesthesia. Zitsanzo za zoopsya zazikulu zimaphatikizapo imfa, matenda a mtima ndi mapiritsi am'mapapo pomwe zoopsa zing'onozing'ono zimatha kuphatikizapo kusuta ndi kusanza ndi kuwerenga. Mwinamwake zovuta zikuchitika zikufanana ndi zoopsa zenizeni za zifukwa zosiyanasiyana zokhudzana ndi thanzi la wodwala, zovuta za opaleshoni zomwe zikuchitidwa ndi mtundu wa mankhwala osokoneza bongo omwe amagwiritsidwa ntchito. Pazifukwazi, thanzi la munthu musanachite opaleshoni (stratified ndi ASA thupi lachikhalidwe dongosolo) limapangitsa kuti pakhale vuto. Odwala nthawi zambiri amatha mphindi zingapo zakumwa mankhwala amadzimadzi atatha ndipo amakhalanso ndi mphamvu mkati mwa maola angapo. Chinthu chimodzi chokha ndicho chitsimikizo chomwe chimatchedwa kusagwiritsidwa ntchito kwa nthawi yaitali, zomwe zimadziwika ndi kusokonezeka kwa milungu kapena miyezi yokhazikika, yomwe imakhala yowonjezereka mwa iwo opaleshoni ya mtima ndi okalamba.


Kodi mitundu ya anesthesia ndi yotani?

  • Anesthésia ya m'deralo imagwedeza mbali yaying'ono ya thupi kuti ikhale yaying'ono. Mwachitsanzo, mukhoza kupeza mankhwala mwachindunji kumalo opaleshoni kuti muthetse ululu. Mukhoza kukhala maso pamene mukuchita.
  • Mankhwala am'derali amachititsa kuti thupi lanu likhale lopweteka kwambiri. Mukhozanso kupeza mankhwala kuti akuthandizeni kupuma kapena kugona. Mitundu ya anesthesia powder m'deralo ikuphatikizapo:
  • Mitsempha ya mitsempha. Izi ndi phokoso la mankhwala osokoneza bongo kuteteza kupweteka kuzungulira mitsempha kapena gulu la mitsempha. Mizere imagwiritsidwa ntchito popanga njira, manja, mapazi, miyendo, kapena nkhope.
  • Nthendayi yamphongo ndi yapansi yamphongo. Ichi ndi phokoso la mankhwala osokoneza bongo pafupi ndi msana wamtsempha ndi mitsempha yomwe imagwirizanitsa nayo. Amachepetsa ululu kuchokera m'dera lonse la thupi, monga mimba, m'chiuno, kapena miyendo.
  • Mankhwalawa amachititsa ubongo wanu ndi thupi lanu lonse. Mukhoza kupeza anesthetics kudzera mu mitsempha (intravenously, kapena IV), ndipo mumatha kupuma m'maganizo ena. Ndi nthendayi yambiri ya anesthesia, simukudziwa ndipo simumva ululu pa opaleshoni.

Kodi mungatani kuti muchepetse mavuto anu?

Chinthu chofunika kwambiri chomwe mungachite kuti chitetezo cha anesthesia ndi zotsatira zake ndikutsimikizira kuti dokotala wodwala matenda am'thupi amathandizidwa mu chisamaliro chanu. Dokotala wa zachipatala ndi dokotala yemwe amadziwika kwambiri ndi kupweteka kwa magazi m'thupi, kupweteka kwa ululu komanso mankhwala osamalidwa bwino.

Musanachite opaleshoni yanu, kambiranani ndi dokotala wodziwa zachipatala kuti mukambirane mbiri yanu yachipatala, zizoloŵezi zaumoyo ndi moyo wanu. Mfundoyi idzawathandiza dokotala wamankhwala kudziwa momwe mungachitire ndi anesthesia powder ndikuchitapo kanthu kuti muchepetse chiopsezo chanu. Msonkhanowu ndi nthawi yabwino kuti mufunse mafunso ndikuphunzira zomwe muyenera kuyembekezera.

Kupeza zinthu zoyenera kuchokera kwa wogula bwino kumatanthauza zambiri, kukuthandizani kukhala wabwino, kukhazikika ndi ntchito-zogulitsa.


Kuwonetsa zotsatira zonse za 1