Anesthesia : Mhando, Njodzi, Zvikonzero uye Zvinotarisirwa

Pakuita kuvhiyiwa kukuru kupi nokupi, zvakakosha kuti murwere achengetwe ari pakoma inokonzereswa nemishonga. General anesthesia inzvimbo yeanalgesia apo murwere anorasikirwa nekuziva nekuda kwekuti chiremba anovhiya anogona kuvhiya murwere zviri nyore. Izvi zvinodikanwa kuve nechokwadi chekuti murwere anovhiyiwa kusingarwadze sezvo huropi hweanesthetized husingagamuchire chero zviratidzo zvekurwadziwa.

Ndiani anokurudzira rudzi rweanesthesia inodiwa kumurwere?

Chiremba (Anesthesiologist kana chiremba wekuvhiya) anokurudzira mhando yakanakisa yeanesthesia ingaenderane nekuvhiyiwa kwemunhu zvichienderana nehutano hwese hwemurwere pamwe nekuvhiya zvaanoda. Rudzi rwekutindivadza runoenderana nemamiriro ezvinhu omurwere uye chisarudzo chekupedzisira chekupa rudzi rwekutindivadza mumhando ipi neipi yekuvhiya chingava cheanotindivadza.

Semuenzaniso, pakuvhiyiwa kudiki, haufanire kupihwa ne general anesthesia. Muchiitiko ichi, anesthesia yemunharaunda inoshanda zvakanakisisa, umo imwe chikamu chemuviri chinoitwa chiveve. General anesthesia inokurudzirwa kune maitiro makuru ekuvhiya. Izvi zvinosanganisira kuvhiyiwa kunotora nguva yakareba, uye kune kurasikirwa kukuru kweropa.

Ndeapi marudzi eanesthesia?

Mhando mitatu mikuru yeanesthesia inowanzoshandiswa munzvimbo dzese dzehutano uye chipatara. Ngatizvitarisei:

General Anesthesia

General Anesthesia idanho apo murwere anorasikirwa nekutonga pamusoro pemafungiro avo, zvichikonzera kurasikirwa kwakakwana kwekuziva. Iyi inokonzereswa nekurapa mamiriro ekoma yakakosha kuita maoparesheni makuru asingarwadze. General anesthesia inonyanya kusanganisa magasi anofemerwa uye zvinodhaka zvinoiswa mutsinga.

Regional Anesthesia

Rudzi urwu rweanesthesia runoita chiveve chikamu chezasi chemuviri. Regional Anesthesia inoparadzaniswa zvakare kuva epidural uye spiral, uye nerve block anesthesia . Epidural anesthesia inoshandiswa kuderedza marwadzo panguva yekuvhiyiwa kwemakumbo ezasi uye kusununguka. Panguva imwecheteyo, iyo spiral anesthetic inoshandiswa pakuvhiya kwepazasi pedumbu nemakumbo.

Local Anesthesia

Local Anesthesia inonyanya kuitirwa kuita kuvhiyiwa kudiki kana nzira yekurapa isingarwadze murwere achiri akamuka. Ijekiseni renguva imwe chete rinoita chiveve chimwe chikamu chemuviri uye rinobatsira pakuita sekusona cheka, kugadzirisa bhonzo, kana kuitisa ganda. biopsy.

Sedation

Iyo inozivikanwawo se "monitored anesthesia care", ndiyo inowanzonzi nevanhu munguva yakapfuura "mambakwedza". Mishonga inopihwa, kazhinji kuburikidza neIV, kuita kuti murwere anzwe hope uye akasununguka. Kusiyana kwakasiyana kwesedation kunokwanisika, zvichienderana nerudzi rwemaitiro uye zvido zvemurwere.

Yakasanganiswa General ne Epidural Anesthesia

Iyi inyanzvi yekubatanidza iyo inokuisa iwe kurara uye inopa kudzora marwadzo, kwete chete panguva yekuitwa, asi mushure zvakare. Kuiswa kwepidural catheter inokubvumira kuti urambe uchirwadziwa mushure mekuvhiyiwa, izvo zvichakubatsira kurara uye kufamba zvakanaka mushure mekuvhiyiwa. Rudzi urwu rweanesthesia runowanzoshandiswa kune makuru emimba uye thoracic (chest) maitiro. Iyo epidural catheter inogona kusiiwa munzvimbo kwemazuva mazhinji mushure mekuvhiyiwa kwako.

Ngozi ne general anesthesia

General anesthesia inowanzochengeteka uye inopihwa zvakananga kune vanorwara. Kana munhu aine chero humwe hutano huripo huripo, saka anesthesia manejimendi inogona kuratidza kuve ine ngozi. Tarisa uone zvimwe zvingangoitika zvengozi zveanesthesia inhalation:

• Muvanhu vakuru, kutungamirirwa kweanesthesia kunogona kuunza migumisiro yakaipa.
• Migumisiro iyi inogona kusanganisira kumira kurova kwemoyo, confusion, Kurohwa, uye mabayo.
• Mashoma chaiwo mamiriro anogona kuunza njodzi yakakura kune murwere ari kuvhiyiwa neaneshesesheni anosanganisira seizures, kudhakwa, kusvuta, kusawirirana nezvinodhaka.
• Chimiro chiripo cheitsvo, mwoyo, nemapapu
• Mamiriro akafanana kuneta
• Vanhu vane kudzivisa kubatwa nehope inogonawo kuunza njodzi huru yemhedzisiro yakaipa yeanesthesia.

Isingatarisirwi intraoperative kuziva- Dambudziko guru reanesthesia inhalation

Chirwere ichi hachiwanzoitiki apo murwere anonzi anenge ari mundangariro paanenge achivhiyiwa. Kuziva kusingatarisirwi kwemukati kunotungamirira kumurwere kuwana ruzivo rwake pakati pekuvhiyiwa. Inyaya isingawanzoitiki, uye inofungidzirwa kuti 1 kubva kune 19000 varwere vari kuvhiyiwa mune general anesthesia vanogona kusvika padanho rekuziva anesthetic.

Sezvo chirwere ichi chisingawanzoitiki, saka, zvakaoma kune nyanzvi kuti dzione chikonzero chaicho chekuitika kwayo. Heano zvimwe zvinhu zvinotenderera pamamiriro ekuziva aesthetic:

• Matambudziko emwoyo nemapapu
• kusuruvara
• Kuendesa Kesarea
• Kunwa doro
• Mwero wakaderera weanesthesia
• Kuvhiyiwa kwechimbichimbi
• Kunwa mimwe mishonga chaiyo
• Chikanganiso chemaoko nachiremba anovhiya kana anesthesiologist

Ndezvipi zvinokonzerwa neanesthesia?

Mushure mekuvhiyiwa, murwere angasangana nemhedzisiro shoma, kusanganisira:

• Nausea
• Huro inorwadza
• Chizutu
• Kudzora
• Marwadzo munzvimbo inoshandiswa
• kurwadziwa nemusoro & Muscle Aches
• chirwere
• Kunetsa kuita weti
• Kudzora
• Hoarseness

Kana ukasvuta, vanachiremba vokutindivadza vanokurudzira kuti urege. Kurega kanenge vhiki imwe isati yaitwa kuvhiyiwa kwakarongwa kunokurudzirwa. Varwere vanosvuta vakawedzera njodzi yekutapukirwa nemaronda, mabayo, kufema uye matambudziko emwoyo panguva uye mushure mekuvhiyiwa. Dzimwe njodzi dzekuti anesthesia yedunhu inogona kusanganisira kutemwa nemusoro, kutapukirwa, kubuda ropa, kukuvara kwetsinga, kukundikana block uye kuita kwezvinodhaka. Njodzi idzi dzinowanzovawo dzakaderera zvikuru.

Nguva yekuona chiremba?

Kana murwere akasangana nemigumisiro yakataurwa pamusoro apa, nguva pfupi mushure mekuvhiyiwa, saka vanofanira kukurumidza kuzivisa kuna chiremba.

Kumbira kusangana kuApollo Hospitals

Zvinhu zvekutarisira pamberi uye mushure meanesthetic administration

Kana iwe uchivhiyiwa mumazuva mashoma anotevera, saka hezvino izvo zvaungatarisira pamberi uye mushure mekuvhiyiwa kweaneshesia.

Pamberi peanesthesia yekutonga maitiro

Usati wavhiyiwa, anesthesiologist wako achakubvunza mibvunzo nezve hutano hwako hwazvino, nhoroondo yehutano yako yapfuura, kana uine chero mhando yeallergies, mishonga yawakatemerwa, tsika yako yekudya, uye zviitiko zvako zvekuvhiya zvekare. Izvi zvichabatsira anesthesiologist mukuongorora rudzi rweanesthesia inogona kupihwa mumuviri wako.

Mushure mekuita anesthesia administration

Nguva pfupi mushure mekuvhiyiwa kwapera, chiremba weanesthesiologist kana chiremba anovhiya anodzosera hutungamiri hwemishonga kuti amutse murwere. Zvinotora nguva kuti murwere awane pfungwa mukamuri yekupora kana yekuvhiya. Uyezve, apo murwere paanowana kuziva, anonzwa kadzungu uye kuvhiringidzika.

Vanogona kuzosangana nezvinokonzeresa semukanwa wakaoma, kurutsa, kurwadza kwetsandanyama, kukwenya, kusvotwa, kurwadziwa nehuro, kuridza mhere, uye kurara. Uyewo, sezvo mushure memigumisiro yeanesthesia inoderedza, murwere anonzwa kurwadziwa kunokonzerwa nekucheka uye kutsemuka kunoitwa mumuviri wemurwere panguva yekuvhiyiwa.

mhedziso

Kune akati wandei general anesthetic mishonga inoshandiswa panguva yekuvhiya. Mishonga yakasiyana-siyana inoshandiswa mukugadzirwa kweanesthesia, iyo inopa migumisiro yakapararira, kusanganisira amnesia, analgesia, uye kusagadzikana.

Kana iwe uine mimwe mibvunzo nezve anesthetic maitiro, saka.

FAQs

Zvinotora nguva yakareba sei kuti anesthesia ishande?

Mhedzisiro yeanesthesia inotanga nokukurumidza, sezvo inoisa murwere muhutano hwenguva pfupi mukati memasekondi makumi matatu.

Munhu anomira kufema here paanenge ava kutindivadza?

Aiwa. Kufema kwacho kunongoora mwoyo, uye chubhu yokufema inopinzwa mumukanwa memurwere kuti ave nechokwadi chekufema zvakanaka.

Ndinogona here kusarudza rudzi rweanesthesia ichaitwa mumuviri wangu?

Kwete. Chisarudzo ichi chiri kutorwa nachiremba wokutindivadza kana kuti nachiremba wokuvhiya. Zvakare, zvinoenderana nekuvhiya kwaunenge uchiitwa.