Kusamalira Anesthesia Care (MAC), yomwe imadziwikanso kuti conscious sedation kapena twilight sleep, ndi mtundu wa sedation umene umagwiritsidwa ntchito kudzera mu IV kuti wodwala asagone komanso azikhala chete panthawiyi. Wodwala amakhala wouma, koma groggy, ndipo amatha kutsatira malangizo ngati akufunikira.
Mtundu uwu wa sedation umagwiritsidwa ntchito pa njira zakuchipatala, monga colonoscopy, kumene wodwala akuyembekezeredwa kupita kunyumba atatha kutayika kwa anesthesia.
Mmene Kuwodzera Kumagona
Mlingo wa sedation uli ndi mtundu uwu wa anesthesia ukhoza kuyambira kuchokera ku kuwala, kumene wodwala amangomverera bwino kwambiri, kumalo olemera kwambiri pamene wodwala sakudziwa zomwe zikuchitika ndipo amangomangika ku zokopa zazikulu.
Wodwala angakhale wamanyazi ndi kugona pang'ono, kapena poyesedwa kwambiri akhoza kukhala akugona. Kawirikawiri, ndi dothi lowala, wodwalayo amatha kulankhula, kumva zinthu zowazinga, ndi kuyankha mafunso ndi kutsatira malamulo. Iwo amadziwa njirayi, koma osati mu ululu ndipo samakhala ndi nkhawa ndi zomwe zikuchitika. Pogwiritsa ntchito sedation yovuta kwambiri, wodwala akudzifera yekha koma sadziwa za malo awo ndipo kawirikawiri sakhala "maso."
Pamene wodwalayo angakhale atakhala pansi kwambiri, mtundu wa anesthesia uwu ndi wosiyana ndi anesthesia wamba chifukwa wodwalayo sali wopunduka thupi, ndipo safuna thandizo ndi kupuma.
Zizindikiro zofunika zimayang'aniridwa mosamala kuti zitsimikizire kuti zakhazikika nthawi zonse.
Mankhwala amodzi omwe amagwiritsidwa ntchito kuti apange sedation ndi Propofol, yemwenso amadziwika kuti Diprivan, yomwe imaperekedwa kudzera mwa IV ndipo imawoneka mofanana kwambiri ndi mkaka. Mankhwalawa amaperekedwa kudzera mwa IV ndipo amatha msanga (osachepera maminiti khumi kwa anthu ambiri) kotero wodwala amatha kudzuka posakhalitsa ndondomekoyo itatha.
Malingana ndi mankhwala ogwiritsidwa ntchito ndi mlingo woperekedwa, wodwala akhoza kapena sangakumbukire njirayi.
Kuwunika
Chifukwa chakuti dera la sedation limasiyanasiyana, ndondomekoyi imayang'aniridwa, ndi chithandizo cha anesthesia nthawi zonse kuti pitirizani kuyang'anitsitsa zizindikiro zofunika za wodwalayo ndikusintha kapena kuyisintha mlingo woyenera. Izi nthawi zambiri zimatanthawuza kachipangizo ka magazi ndi mawonekedwe a mpweya wa okosijeni, osachepera. Kawirikawiri, ma electrode amaikidwa pa chifuwa kuti aone mmene mtima wa wodwalayo ulili komanso EKG.
Pamene Icho Chigwiritsidwa Ntchito
Mtundu woterewu umagwiritsidwa ntchito kawirikawiri ndi njira zamakono zochitira opaleshoni ndi njira zamankhwala ndipo zingathe kuphatikizidwa ndi anesthesia kumidzi kapena m'madera kuti athe kuchepetsa ululu. Ndondomeko yomwe imawoneka mkati mwa thupi, monga bronchoscopy (airways ndi mapapo), colonoscopy (colon), ndi esophagogastroduodenoscopy kapena EGD / High GI (mmero, mmimba, m'mimba ndi gawo loyamba la matumbo aang'ono), nthawi zambiri amagwiritsa ntchito mtundu uwu wa anesthesia.
Zotsatira Zotsatira
Wodwala amakhala ndi zotsatira zochepa kusiyana ndi omwe ali ndi anesthesia wamba. Chowopsa kwambiri ndi zotsatira zowonongeka, koma odwala ena amakumana ndi nseru ndi kusanza.
Ngati mwakhala mukukumana ndi nseru kapena kusanza mutatha kuchipatala, onetsetsani kuti mumauza wopereka mankhwala a anesthesia kotero kuti mankhwala akhoza kuperekedwa kuti ateteze kuti zisadzachitikenso.