Kodi mukuganiza za kuchitidwa opaleshoni kuti mukonze bondo lopweteketsa koma mukudandaula za zotsatira za matenda a anesthesia? Mwinamwake mukudabwa ngati kukumbukira kukumbukira ndi chimodzi mwa zoopsa za anesthesia. Kapena, ngati kuwonetsedwa kwa anesthesia kungakulepheretseni chiwopsezo cha matenda a maganizo .
Kuchita mantha pa kulandira anesthesia ndi zotsatira zake pa thupi lanu ndi zachibadwa. Kafukufuku wochuluka afufuza mafunso awa, ndipo ziganizo zawo zidzakuthandizani kuthetsa nkhawa yanu.
Mitundu ya Anesthesia
Anesthesia-kumene mankhwala amagwiritsidwa ntchito kuti achepetse ululu-amagwiritsidwa ntchito nthawi zambiri panthawi yopaleshoni. Anesthesia ina ndi yowunikira, kumene malo amodzi ndi jekeseni, mwachitsanzo, ndi matenda ena amadzimadzi ndi omwe amadziwika kuti amawagoneka tulo tofa nato panthawi ya opaleshoni kotero kuti samamva kupweteka ndipo sadzauka mpaka opaleshoniyo itatha.
Kafufuzidwe Ponena za Kutaya Chikumbukiro ndi Anesthesia
Kodi munamvapo wina akukamba za wokondedwa wake yemwe sali wofanana pambuyo pa anesthesia? Anesthhesiya yambiri yakhala ikugwirizanitsidwa ndi kuwonongeka koyipitsitsa, koma kodi kugwirizana uku kulidi kapena mwangozi? Kodi kafukufuku amathandizira bungwe limeneli?
Yankho lalifupi? Zimatengera maphunziro omwe mumawerenga.
Kafukufuku wochuluka apeza kugwirizana, kuphatikizapo zotsatirazi:
- Kafukufuku wina anapeza kuti pangakhale chiopsezo chowonjezereka cha matenda a dementia anthu atalandira anesthesia ambiri.
- Kafukufuku wachiwiri anapeza kuti anthu omwe adalandira mankhwala a antiesthesia pa opaleshoni anali ndi chiopsezo chachikulu kwambiri chokhalira ndi matenda a dementia makamaka pakapita zaka zitatu mpaka zisanu ndi ziwiri pambuyo pa opaleshoni.
- Phunziro lachitatu la kafukufuku linanena kuti mankhwala ndi mtundu wina wa opaleshoni-sevoflurane (Ultane) panthawi ya opaleshoni ya m'mimba mwagululo-anali kugwirizana ndi kuchepa kwa kuzindikira kwa anthu omwe adapezeka kuti ali ndi vuto lozindikira bwino . Kufooka kwachidziwitso ndi chikhalidwe chomwe chimaonjezera chiopsezo cha matenda a Alzheimer, ngakhale kuti anthu ena omwe ali ndi MCI amakhalabe olimba ndipo ena amatha kubwerera ku chidziwitso chodziwika bwino.
Komabe, kafukufuku wina amatsutsana ndi zomwe apeza:
- Kafukufuku wofalitsidwa mu nyuzipepala ya Mayo Clinic Proceedings adanena kuti ataphunzira anthu 877 omwe ali ndi chifuwa chachikulu cha matenda a 'dementia' ndikuwonekeranso kuti mndandanda wa matendawa unali wotani kwa anesthesia, panalibe mgwirizano pakati pa maganizo a 'dementia' ndi anesthesia. Anapezanso kuti anthu omwe ankakhala ndi maulendo angapo sanawonetsere kuti ali ndi chiwopsezo chachikulu cha dementia.
- Magazini ya Journal of Pain Research inati ngakhale kuti kafukufuku wochepa anapeza mgwirizano pakati pa kugwiritsidwa ntchito kwa anesthesia ndi chiwopsezo chowonjezereka cha matenda a dementia, sipanakhale kafukufuku wokwanira kuti azindikire kuti awiriwo alidi ogwirizana.
- Kafukufuku wina anayerekezera mapasa omwe amapasa mapepala amodzi ndi opaleshoni ndipo wina sankachita. Ochita kafukufuku sanapeze kusiyana kwakukulu pakati pa kugwiritsidwa ntchito kwa mapasa.
- Chochititsa chidwi n'chakuti gulu lina la ofufuza linapeza kuti sikuti panalibe mgwirizano pakati pa kugwiritsidwa ntchito kwa anesthesia ndi matenda a maganizo, makamaka kuti pangakhale chiwopsezo chochepa cha chiwopsezo cha m'mimba mwa anthu omwe anali ndi matenda oopsa opaleshoni.
N'chifukwa Chiyani Anthu Ena Amasokonezeka Chifukwa Chotsata Opaleshoni?
Ngakhale kuti kafukufuku sanawonetsebe kuti pali mgwirizano wamphamvu pakati pa anesthesia ndi chitukuko cha matenda a Alzheimer ndi mitundu ina ya matenda a maganizo, si zachilendo kuti anthu asokonezeke pambuyo pa opaleshoni akamadzuka.
Nthawi zina, kusintha kumeneku kumakhudzana ndi zokometsera - kusinthika mwadzidzidzi, kukumbukira, kulingalira ndi kulingalira. Delirium mwa akulu akulu akugwirizana ndi chiopsezo chochuluka cha matenda a dementia , ndipo kudziwika kwa delirium ndikofunikira kuti athetse bwinobwino zizindikirozi.
Chimodzimodzinso, kusamvetsetsana pambuyo poyambitsa chidziwitso kungapangidwe pambuyo pochita opaleshoni ndipo kawirikawiri ndizochitika kwa nthawi yochepetsera maganizo. Matendawa nthawi zambiri amathetsa nthawi, ngakhale kuti anthu ena amafotokoza zotsatira zosatha.
Delirium ndi yosiyana ndi kusagwirizana kwa chidziwitso cha postoperative mu cholojekiticho ndizo kusintha kwakukulu, mwadzidzidzi, ndi kofunika kwambiri m'maganizo, pamene POCD imakhala kusintha kosasinthasintha pa kuzindikira.
Zoyenera kuchita?
Ngakhale kuti kafukufuku wina apeza mgwirizano pakati pa anesthesia ndi matenda a maganizo, sipanakhale kafukufuku wokwanira kuti athe kuganiza kuti izi ndi kugwirizana kwenikweni. Kotero, ngati inu kapena wokondedwa wanu ali pafupi kulowa pansi pa mpeni, puma mosavuta.
M'malo modandaula za ubale wokayikitsa pakati pa anesthesia ndi matenda a maganizo, ndi bwino kuganizira zoopsa zomwe mungathe kuzilamulira komanso zomwe kafukufuku wasonyeza mobwerezabwereza za kuopsa kwa chiwerewere, kuchita masewera olimbitsa thupi , ndi thanzi labwino kungathandize kuti ubongo wathanzi.
Zotsatira:
Alzheimer's & Dementia: magazini ya Alzheimer's Association. 2014 Mar 10 (2): 196-204. Kuwonjezeka kwa chiwopsezo cha matenda a dementia kwa anthu omwe adapezeka kale ndi anesthesia ambiri: kuwerengera kwa anthu onse.
Anesthesiology. 2 2016, Vol.124, 312-321. Ntchito Zoganizira zachipatala Pambuyo Opaleshoni M'madera Okalamba Okalamba ndi Okalamba.
Anesthesia ndi Analgesia. 2013 Aug; 117 (2): 471-8. Zotsatira za matenda oyambirira a delirium pambuyo pa anesthesia ambiri mu okalamba.
British Journal of Psychiatry Mar 2014, 204 (3) 188-193. British Journal of Psychiatry. Kuopsa kwa chifuwa cha mitsempha pambuyo pa kupweteka kwa magazi ndi opaleshoni.
Ntchito Zothandizira Anthu Okalamba. 2014; 9: 1619-1628. Kusagwiritsidwa ntchito kosagwirizana ndi chiopsezo chachikulu ndi chiopsezo cha kugwidwa maganizo kwa odwala okalamba: zidziwitso zamakono.