Kuchita ndi Opaleshoni Yovomerezeka Kulimbana
Nseru ndi kusanza (Postonative) ndi vuto lalikulu kwa odwala omwe akuchira atatha opaleshoni. Oposa theka la opaleshoni onse opaleshoni amakumana ndi nseru ndi kusanza, ena atangopanga opaleshoni, ndipo ena akafika kunyumba ndipo akuchira kumeneko.
Kudzimva kusokonezedwa pambuyo pochita opaleshoni sikumveka bwino ndipo kumatha kuchepetsa kubwerera kuntchito zoyenera monga kudya ndi kumwa.
Kuwombera kumakhala kovuta kwambiri, chifukwa kungakhale kowawa kwambiri pambuyo pochita opaleshoni ndipo kungathe kuika maganizo ochulukirapo pamaganizo ena opanga opaleshoni, zomwe zimabweretsa mavuto akuluakulu monga kusokoneza ndi kutsegula , kutaya madzi m'thupi ndi zina zambiri.
Mosasamala kanthu kapena chifukwa chani msanga ndi kusanza zimayambira, kuchitapo kanthu mwamsanga kungathandize kupewa zovuta zambiri. Ndi chithandizo mwamsanga, kunyozetsa kambiri kawirikawiri kumaletsedwa kusandulika mu nthawi ya kusanza.
N'chifukwa Chiyani Kawirikawiri Zimakhala Zovuta Kupanga Opaleshoni?
Ngakhale kusuta ndi kusanza pambuyo pochita opaleshoni ndizodziwika kuti zimakhala zoopsa zowopsa kwa anesthesia , palinso zinthu zina zomwe zingathandize, monga kutaya madzi m'thupi, mankhwala operekedwa m'mimba yopanda kanthu, akuwopsa kwambiri kubwereranso ku zakudya zokhazikika, komanso kusowa kwachinyengo ndi kusanza mankhwala.
Mtundu wa anesthesia umathandizanso. Wodwala wokhala ndi mankhwala opatsirana mano kapena mankhwala ochotsera matenda ngati colonoscopy adzakhala ndi mankhwala ochepetsa kuchepa kwa anesthesia kwa nthawi yayitali kuposa opaleshoni yowonjezera yodwalayo.
Mankhwala amodzi amatanthauza kuti sangakhale ndi chipsinjo ndi kusanza pambuyo pake, ndipo nthawi zambiri sakhala ndi vuto ndi kulekerera chakudya ndi madzi mu maola atangotha njirayi.
Kwa odwala ena, kusungunuka ndi kusanza pambuyo pa opaleshoni ndi chinthu chomwe amachipeza nthawi iliyonse akakhala ndi anesthesia. Kwa odwalawa makamaka, kuteteza vutoli kuli kofunika kwambiri.
Izi zikhoza kutanthawuza kuti mankhwala akuperekedwa musanakhale ngakhale opaleshoni, kotero iwo akugwira ntchito mwangwiro pamene opaleshoniyo yatha.
Kwa odwala matenda osokoneza bongo, kumverera ndi chinthu chomwe amachiwona tsiku ndi tsiku, kapena popanda mankhwala a anesthesia. Anthu awa ali pachiopsezo chachikulu kwambiri chokhala ndi khunyu ndi / kapena kusanza pambuyo pa ndondomeko chifukwa angayambe tsikulo kukhala ndi mtima wofuna kusanza ndi kuwona kuti yayipitsidwa ndi mankhwala a anesthesia.
Malangizo 10 Poletsa Kuthetsa Nausea ndi Kuvunda Pambuyo Opaleshoni
Pewani Kutha Kwachisawawa
Njira imodzi yopezera PONV ndikuteteza kuchepa kwa madzi. Ndi dalitso la anesthesiologist, odwala ambiri amatha kumwa zakumwa zamadzimadzi mpaka maola angapo asanachitike opaleshoni popanda mavuto. Chakudya ndi zakumwa zosadziwika sizingakhale zoyenera pamaso pa opaleshoni, koma zina zotsekemera zowonjezera zimathandiza kuteteza kunyowa ndi kusanza.
Uzani Bungwe Lanu Labwino Zokhudza Nausea Yanu
Kulongosola khunyu mwamsanga mukangochitika n'kofunika, ndipo uzani timu ngati muli ndi mbiri yachisokonezo pambuyo pa opaleshoni. Namwino wanu ayenera kudziŵa nkhaniyo ngati muli m'chipatala, dokotala wanu ayenera kuuzidwa ngati mukuchira kunyumba. Mankhwala angathe kuuzidwa kuti athetse kuchepetsa chifuwa, ndipo mwachiyembekezo, muteteze kusanza ngati gulu lanu la chisamaliro likudziŵa vutoli.
Lankhulani ndi Anesthesiologist Wanu
Njira ina imafunikanso kukambirana ndi anesthesiology zokhudzana ndi chiwembu ndi kusanza pambuyo pa opaleshoni. Ngati vutoli likudziwika, wothandizira anesthesia angasankhe mankhwala a anesthesia omwe sangayambitse kusuta ndi kusanza. Angathandizenso kupereka mankhwala oletsa kupewa mankhwala monga ondansetron (Zofran), promethazine (Phenergan) kapena diphenhydramine (Benadryl). Mankhwalawa akhoza kugwiritsidwanso ntchito kamodzi kokha kamene kalipo.
Kupewa ndikofunika
Mankhwala angaperekedwe kuti asamangokhala ndi chifuwa chisanachitike. Madokotala ena opaleshoni nthawi zonse amamwa mankhwala osokoneza bongo m'mayendedwe apambuyo pochepetsa vutoli.
Ngati mwakhala mukukumana ndi nseru ndi kusanza m'mbuyomu, onetsetsani kuti gulu lanu la chisamaliro lidziwe kuti zitha kuchitidwa.
Sungani Mavuto Anu
Musadumphire mankhwala anu opweteka chifukwa mumamva chisoni ngati mungathe kuthandizira. Kupweteka kwapweteka kungathandize kuchepetsa chifuwa cha mseru ndi kusanza pambuyo pa opaleshoni. Kukhalapo kwa ululu kungapangitse mwayi wotsuka, koma odwala ambiri samapewa mankhwala awo opweteka chifukwa amamva ngati akutsutsidwa. Ngati n'kotheka, kupweteka bwino kungakhalenso chithandizo cha mseru.
Musathamangitse Zakudya Zanu
Kubwerera mofulumira ku zakudya zachizolowezi ndi njira yabwino yochepetseratu kusuta. Pambuyo pa opaleshoni, zakudyazo zimangoyambira pakamwa mpaka wodwalayo ataya mpweya. Pomwe wodwalayo atha kupititsa gasi, madzi amadzimadzi ochepa ayenera kuyesedwa pa maola angapo kuti atsimikizire kuti sangayese kusuta kapena kusanza.
Ngati madzi akumwa amavomerezedwa, madzi ena, madzi, tiyi, mkaka ndi khofi angapangidwe. Ngati izi zikulekerera, kudya zakudya zofewa monga apuloauce kapena pudding ndiko, ndikudya zakudya zonse zowonjezereka pokhapokha ngati ena adalekerera.
Njira imeneyi yopititsira patsogolo chakudya nthawi zambiri imachitika masiku angapo ngati opaleshoniyo inali yaikulu. Kupititsa patsogolo pang'onopang'ono ndikofunika kwambiri.
Kutentha Kungakhale Kofunika
Odwala ena ali ndi chidwi kwambiri ndi kutentha kwa madzi. Amatha kulekerera madzi otentha kapena chipinda chamadzi ozizira bwino, koma sangalekerere zakumwa zoziziritsa kukhosi. Chosiyana chingakhale chowonadi.
Chodabwitsa, kukwiya kwambiri kungakhalenso vuto. Kupeza malo ozizira kuti mupumule, m'malo mokhala m'chipinda chotentha kapena panja pa tsiku lotentha, mukhoza kupereka mpumulo kwa ena.
Ginger, Ginger, Ginger
Ginger ale amene amaloledwa kupita pang'onopang'ono yapezeka kuti imakhala yotonthoza m'mimba ndipo ingagwiritsidwe ntchito ngati chithandizo cha mseru. Chenjerani, zakumwa za carbonate zitha kupangitsa kuti mimba ikhale yowopsya ndipo ikhoza kuwonetsa mseru.
Ginger ambiri wasonyezedwa kuti athandize khunyu, kotero candy ya ginger ndi mitundu ina ya zakudya za ginger zingakhale zogwiritsidwa ntchito, malinga ngati ali ndi ginger weniweni monga chogwiritsira ntchito, osati kuwonetsera ginger. Anthu ena amachititsa tiyi ndi mchenga watsopano komanso amamwa madzi otentha kapena oundana kuti awathandize.
Gonjetsani Kusokoneza Mpweya
Ngati kutaya madzi m'thupi ndi vuto, kumwa ndi electrolytes mwa iwo kungathandize kubwezeretsa thupi mwamsanga kuposa zakumwa zina. Madzi nthawi zonse adzakhala ofunikira, ndipo kusankha koyamba ndizochitika zambiri, koma electrolytes nthawi zambiri amataya ndi kusanza ndi kutsekula m'mimba ndipo amafunika kuti m'malo mwake asinthe.
Pali mitundu yambiri ya zakumwa zotsitsimutsa za electrolyte, kuyambira Gatorade mpaka Pedialyte zomwe zingathandize kubwezeretsa madzi ndi ma electrolyte nthawi yomweyo.
Mawu Ochokera:
Kupewa ndi kofunika kwambiri pokhudzana ndi Post Operative Nausea ndi Vomiting (PONV) chifukwa ndi kosavuta kupewa chisautso kusiyana ndi kuchiza khungu. Ngati mwakhala mukudandaula m'mbuyomu, muuzeni othandizira anu anesthesia. Ngati mutayamba kuchipatala mutatha opaleshoni onetsetsani kuti mumamuuza namwino wanu kapena anesthesia pomwepo, chifukwa zikhoza kuipiraipira zisanafike bwino.
Pomwe mukuchiza nkhanza choonadi choipa ndi chakuti chovuta kwambiri ndikovuta kulamulira kotero musayembekezere kupempha mankhwala pamene zichitika.
Zotsatira:
Nthenda ya Postoperative ndi Vomiting. Annals of Medicine Palliative. Idapezeka mu October, 2014. http://www.amepc.org/apm/article/view/1035/1261
Kuika Choyimitsa Kulimbitsa Thupi ndi Kutupa. Namwino wa America lero. Idapezeka mu October 2014. http://www.americannursetoday.com/putting-a-stop-to-postop-nausea-and-vomiting/