Pewani chiopsezo ndi kulimbitsa chitonthozo ndi anesthesia ya m'mimba
Ndi mankhwala ati omwe amathandiza kwambiri kuti mchiuno kapena mawondo alowe m'malo? Anthu ambiri akukonzekera kuti achite opaleshoni yowonjezerapo akudandaula za zoopsa zomwe zimayambitsidwa ndi opaleshoni yaikuluyi. Chinthu chimodzi chomwe chimakhala chodetsa nkhaŵa ndi za anesthesia zomwe zimagwiritsidwa ntchito. Anesthesia yabwino yokhala m'malo amodzi yokha isakhale yotetezeka komanso idzagwira ntchito.
Izi zikutanthauza kuti sikudzangokhala zowawa zochepa kapena zovuta zokhudzana ndi matenda a anesthesia, komanso kuti zidzakupatsani mpumulo wabwino kwambiri komanso zotsatira zabwino zowonongeka.
Kupititsa patsogolo nju ndi mawondo ndi zina mwa njira zamakono zomwe zimachitidwa opaleshoni. Chiwerengero cha njirazi chikuwonjezeka chaka ndi chaka, popeza anthu ambiri amalowa m'malo ochizira matenda a nyamakazi . Komanso, anthu ambiri akusankha kuti alowe m'malo, kuphatikizapo odwala omwe ali odwala komanso achikulire owonjezereka, kuwonjezera kuchulukitsa chiwerengero cha opaleshoni.
Njira Zotsitsimutsa Zopangira Opaleshoni Yophatikiza Nawo
Chizoloŵezi chokhalira kugwidwa ndi matenda amtunduwu ndi pakati pa anesthesia ndi aesthesia am'deralo. Mankhwala a antiesthesia amasonyeza kuti wodwala amakhala atagona mokwanira, ndipo kawirikawiri, kupuma kwake kumathandizidwa pogwiritsira ntchito makina a mpweya .
Mankhwala am'deralo omwe amagwiritsidwa ntchito pamalo ogwiritsidwa ntchito pamodzi amagwiritsidwa ntchito ndi msana kapena m'magazi anesthesia omwe amawombera m'munsi mwa kuika minofu pamtunda.
M'madera a anesthhesia am'dera, sedation imatha kuchepa, kuti wodwala apume popanda kugwiritsa ntchito makina.
Ngozi Zing'ono Zochepa Zomwe Zimakhala ndi Anesthesia Wachigawo
Kafukufuku wochuluka adayang'ana pa zoopsa zosiyanasiyana zogwirizanitsa, ndi momwe chisankho chodetsa nkhawa chimakhudzira mwayi wa mavuto omwe angakhale nawo.
Zina mwa zifukwa zomwe madokotala abwera kudzalimbikitsa aneshesia kumalo opaleshoni yowonjezereka amphatikizapo:
- Zovuta zachipatala zochepa (mavuto a mpweya, impso kulephera)
- Kuchepetsa chiwerengero cha matenda
- Kupatula magazi ochepa
Kuonjezera apo, odwala omwe ali ndi malo a antiesthesia apezeka kuti amakhala ndi chipatala chofupika, ndipo mtengo wa opaleshoni yowonjezeramo yowonjezera yakhala yochepa. Kusiyana konseku ndi kochepa, koma kumawoneka kuti ndi enieni.
Momwe Mzinda wa Anesthesia Umakhalira
Mankhwala am'derali amathandizidwa poika manjenje am'mimba pamtunda wa msana kuti asasunthike mpaka kumapazi. Mankhwalawa amathandizidwa kudzera mu singano kakang'ono - mofanana ndi momwe amayi aliri ndi matenda opatsirana pogonana pamene akubereka. Pa nthawiyi, odwala amasankha kukhala ndi madontho ochepa panthawi ya opaleshoni, malinga ndi chitonthozo chawo.
Ngati odwala ali ndi nkhawa kwambiri, angasankhe kukhala ndi deta zambiri pa opaleshoni yawo. Ngati odwala asankha kukhala ochepa kwambiri, amamva kupaleshoni, koma sangakhale ndi ululu. Pambuyo pa opaleshoni, chigawo cha anesthesia cha m'derali chimawombera pang'onopang'ono, kupangitsa kupweteka kwabwinoko, ndipo odwala amakhala ndi chizoloŵezi chocheperako pang'ono ndi zotsatira zochepa poyerekeza ndi anesthesia ambiri.
N'chifukwa Chiyani Anthu Ambiri Amagwiritsa Ntchito Aneshesia?
Ngati dera la anesthesia laderali liri ndi phindu lambiri, nchifukwa ninji wina angasankhe anesthesia wamba? Funso loyenera, koma pali zifukwa zomveka zosankha anesthesia wamba. Mwachitsanzo, zingakhale zabwino kwa munthu amene wakhala akuchitidwa opaleshoni ya msana monga lumbar fusion . Kuwonongeka kwa msana, kuphatikizapo scoliosis , kungapangitsenso kuti matenda a anesthésia akhale ovuta kwambiri. Palinso matenda aakulu, monga aortic stenosis , omwe amachititsa kuti anesthesia ambiri akhale ndi chithandizo chabwino choteteza thupi. Wodwala aliyense ayenera kukambirana ndi munthu wodwala matenda opatsirana pogonana kuti ali ndi vuto lomwe lingakhudze chisankho chimene chimapangitsa kuti azichita bwino.
Chinthu china chofunika kwambiri ndi chakuti odwala nthawi zambiri amasokonezeka ndi zomwe zimatanthauza kukhala ndi anesthesia, kapena amadera nkhawa kuti akhale ndi jekeseni woperekedwa m'dera la msana. Maphunziro angathe kuthandiza kwambiri kuti odwala amvetsetse kuti mankhwalawa amatha kuperekedwa mosamala ndi mwayi wochepa wa zotsatira zoyipa. Odwala ambiri amene amasankha anesthesia ambiri amachita zimenezo chifukwa amamvetsa njirayi bwino kusiyana ndi chigawo cha anesthesia.
Dziko Loyamba la Zowonongeka Pamodzi Anesthesia
Panopa zimakhala zovuta kudziwa manambala enieni chifukwa kugwiritsidwa ntchito kwa anesthesia kumadera kwawonjezereka kwambiri pazaka zingapo zapitazo. Chakumapeto kwa zaka za m'ma 2000, pafupifupi 75% mwazowonjezera anagwiritsidwa ntchito pansi pa anesthesia okha - pafupifupi 10 peresenti pansi pa anesthhesia wamba ndi a m'madera onse, ndipo pafupifupi 15% pansi pa aneshehesia wamba. Monga madotolo ndi zipatala adziwa phindu la madera a anesthesia ammidzi omwe amawagwirizanitsa odwala, magulu ambiri a zipatala asintha kuti athandizidwe ndi oposa 90% mwa njira zowonjezereka zowonongeka.
Zotsatira:
"Njira zamakono zamagetsi zowonongeka zimapangitsa kwambiri kuti zotsatira za chiuno ndi bondo zisinthe" Chipatala Chochita Opaleshoni Yapadera. May 1, 2013.
Mont MA, et al. "Kuteteza Matenda a Venous Thromboembolic Odwala Pogwiritsa Ntchito Makina Odzidzimutsa Akhwangwa ndi Knee Arthroplasty" J Am Acad Orthop Surgery December 2011 vol. 19 ayi. 12 768-776.