IV Sedation (Kuyang'aniridwa ndi Anesthesia Care kapena MAC) kwa Opaleshoni
Intravenous sedation, yomwe imadziwikanso ngati kusamalidwa kwa anesthesia (MAC) kapena "kugona tulo," ndi mtundu wa anesthesia umene umatsitsimutsanso wodwalayo kudzera mu intraveous (IV) yomwe imayikidwa mu mitsempha. Malingana ndi opaleshoniyi, kuchuluka kwa anesthesia yogwiritsidwa ntchito kungakhale ndi ndalama zochepa zomwe zimapangitsa wodwala kugona-kuchuluka kwa ndalama kuti wodwalayo asakumbukire njirayo.
Anesthesia kwambiri imagwiritsidwa ntchito popanga njira zochepa zomwe zimawonongeka monga colonoscopy.
IV sedation ingagwirizane ndi anesthesia m'madera kapena kumidzi.
Mitundu ya Anesthesia
Pali mitundu iwiri yambiri ya anesthesia yomwe imagwiritsidwa ntchito pa opaleshoni. Mitunduyi ikuphatikizapo:
- Anesthesia wamba
Anesthesia wam'mudzi ndi jekeseni wa mankhwala omwe amajambulira dera laling'ono. Izi kawirikawiri zimagwiritsidwa ntchito kuchotsa khungu la khungu kapena khansara ya khungu kapena kutenga biopsy. - Chigawo cha Anesthesia
Mankhwala otchedwa anesthesia akugwiritsidwa ntchito kuthyola gawo lalikulu la thupi, nthawi zambiri pansi pa chiuno. Mankhwalawa amatha kuperekedwa kudzera mu jekeseni kapena catheter. Odwala adzakhala ogalamuka koma sangathe kumverera malo omwe asokonezeka. Izi zimagwiritsidwa ntchito panthawi yobereka komanso opaleshoni ya mimba, mwendo, kapena mkono. - Anesthesia (IV Sedation)
Mankhwala otchedwa anesthesia, kapena IV sedation, amaperekedwa kudzera mu mitsempha. Odwala amatha kulankhula, malingana ndi msinkhu wamagetsi omwe amagwiritsidwa ntchito, kapena m'malo ogona tulo tofa nato. Odwala amatha kupuma okha kuti misala (kuika chubu mu mphepo) sifunikira. IV sedation amagwiritsidwa ntchito pa colonoscopy, njira zina zopangira opaleshoni ya pulasitiki, ndipo ikugwiritsidwa ntchito mobwerezabwereza pofuna njira zina zomwe zakhala zikuchitidwa ndi kugwiritsira ntchito mankhwala osokoneza bongo.
- General Anesthesia
Mankhwala a anesthesia amathandizidwa kapena kupyolera mu maski pamaso kapena pamtima mpaka wodwalayo ataya chidziwitso. Kupuma kumayendetsedwa ndi chubu chotsalira chomwe chaikidwa mu mphepo. Anesthesia wambiri amagwiritsidwa ntchito kwa odwala opaleshoni yaikulu, monga mawondo kapena nsapato m'malo kapena opaleshoni ya mtima yotseguka.
Intravenous sedation ndi yotetezeka kwa odwala omwe akufunikira opaleshoni yaying'ono kapena njira yomwe imayesa matenda (biopsy).
Ubwino wa Intravenous Sedation
Phindu logwiritsa ntchito intravenous sedation pa njira yopaleshoni ya pulasitiki ndi izi:
- Pali nthenda yeniyeni yowonjezereka yoperekedwa
- Mtsinje wapamwamba
- Kuchuluka kwa chizoloŵezi cha nseru, kusanza, kugwiritsira ntchito m'mitsempha, kupweteka kwa m'mitsempha ndi matenda oopsa a hyperthermia (kuopseza moyo koma zosawerengeka zovuta zowonongeka)
- Odwala amatuluka mwachangu mofulumira
- Zovuta zochepa zowonjezera magazi ndi zotsatira za pulmonary ( mapiritsi a magazi omwe amachoka miyendo ndikupita kumapapo)
- Kupewa pakhosi pakapita opaleshoni (ambiri anesthésia amafunika kuyika malo osokoneza bongo omwe angayambitse kupweteka kwa khosi)
Chifukwa chakuti wodwalayo amatha kupuma yekha ndi IV sedation, dokotala wamkulu ndi wodwala matenda am'thupi amadziwa kuti wodwala amamva zowawa kwambiri wodwalayo asanamve ndipo akhoza kuyankha ndi kuwonjezereka kwa mankhwala am'deralo.
Ngozi za Intravenous Sedation (IV Sedation)
Kutentha kwakukulu kumatha kuyendetsa galimoto yopuma komanso kumafuna kufufuza mosamala kwa maulendo onse odzoza ndi okosijeni.
Ngati kutentha kumakhala kozama kwambiri, kutsekemera kwatsopano kungakhale kofunikira.
Ndondomeko isanayambe ndi Intravenous Sedation
Musanayambe kuchita ndi intravenous sedation, muyenera kulangiza dokotala wanu za chifuwa kapena matenda omwe mungakhale nawo. Muyeneranso kumudziwitsa dokotala za mankhwala omwe mumalandira komanso ma opaleshoni aliwonse omwe asanakhalepo, kuphatikizapo mtundu wa anesthesia, mwakhala nawo.
Mudzauzidwa kuti mukufunika kukonzekera kuti wamkulu wamkulu azikutsogolerani kupita ku malowa kuti apite. Ndikofunika kusiya kusuta fodya asanayambe opaleshoni kuti muchepetse pang'onopang'ono kuchiza.
Pambuyo pa opaleshoni yanu, mudzapatsidwa mndandanda wa malangizo omwe muyenera kutsatira komanso zizindikiro zomwe ziyenera kukuchenjezani kuti muzitane dokotala wanu.
Ndondomeko yotsatira ndi Intravenous Sedation
Kaŵirikaŵiri mumamva groggy mutangotsatira njira zanu ndipo mukhoza kukhala ndi mutu pang'ono komanso kumenyedwa. Pa nthawi yochira, namwino wanu adzayang'ana zizindikiro zanu zofunika, kuphatikizapo kuthamanga kwa magazi , kuthamanga, ndi mpweya wabwino. Nthawi zambiri mumatha kuwonetsa maola awiri kapena awiri mutatha njirayi musanabwererenso kwanu ndi dalaivala wanu. Nthawi zambiri zimalimbikitsidwa kuti wina akhale ndi iwe (ndipo lingaliro labwino) kwa maola 24 oyambirira mutatha opaleshoni yanu.
Pansi pa IV Sedation
Intravenous sedation (IV sedation) kapena kuyang'anitsitsa chisamaliro cha anesthesia (MAC) chimapereka njira zotetezeka kwa anesthesia ambiri chifukwa cha opaleshoni yaying'ono. Izi zimapangitsa kuti thupi likhale lopweteka kwambiri (kugona tulo tofa). Ndithudi, mitundu yonse ya anesthesia imakhala ndi zoopsa , ndipo ndizofunikira kulankhula ndi dokotala wanu opaleshoni ndi wodwala matenda am'thupi za matenda omwe mungakhale nawo, komanso kusamalira Pambuyo pazomwe mukutsatira ndikutsatira malangizo omwe mumalandira. Ngati mumasuta, musiye. Kusiya kusuta ndiko mwinanso chinthu chomwe munthu aliyense wosuta angathe kuchita zonse ziwiri kuti awonjezere chitetezo cha anesthesia ndi machiritso kuchokera mu njira iliyonse yopaleshoni.
Zotsatira:
Sohn, Hve-min, ndi J. Rvu. Kusamalira Anesthesia Kusamalira ndi kunja kwa Malo Opangira. Korea Journal ya Anesthesiology . 2016. 69 (4): 319-326.