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Kuzindikira kwa Anesthesia: Ndi Chiyani?Anesthesia awareness, yomwe imatchedwanso kuti palibe chidziwitso chosayembekezereka mwachidziwitso cha anesthesia , ndizovuta kumvetsa za opaleshoni. Kawirikawiri, anesthesia ambiri amatsimikizira kuti inu nonse mulibe chidziwitso ndi olumala pa opaleshoni. Anesthesia awareness zimachitika mukamadziwa za malo omwe mukukhalamo.
Pafupifupi odwala mmodzi kapena awiri pa anthu 1,000 ali ndi vuto lodziwitsa anesthesia, kuyambira kukumbukira mawu omwe amalankhula ndi ogwira ntchito kuti athe kuchitidwa opaleshoni koma atagona ziwalo.
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Mitundu ya Anesthesia Kuzindikira KufotokozedwaMitundu ya Kuzindikira Anesthésia
1. Kudzikweza sikugwira ntchito, kumabweretsa chidziwitso cha anesthesia
Mtundu uwu wa anesthesia kuzindikira ndizovuta kwambiri kwa odwala. Pamene mankhwalawa sagwira ntchito, kapena amaleka, wodwalayo akhoza kukhala ndi maganizo oyenera, ndipo akhoza kukhala maso, koma mankhwala omwe amachititsa kuti thupi liwonongeke panthawi ya opaleshoni imawalepheretsa kuchenjeza aliyense ku vuto lawo.
Odwala ambiri omwe amazindikira mtundu wa anesthesia kuzindikira amatha kukumbukira nthawi yayitali kukambirana pakati pa antchito kapena kumveka kwa makina a OR. Komabe, panthawi yovuta kwambiri, wodwalayo amadziwa bwino malo awo ndipo sangathe kulira kapena amasonyeza kuti ali maso. Iwo akhoza kumva ululu wonse, ndipo mwachisoni, mantha, opaleshoni popanda uphungu .
Wopereka mankhwala a anesthesia sangadziwe konse kuti pali vuto ndipo alibe chisonyezero chakuti mankhwala owonjezera amafunikira.
2. Wodwala ziwalo ndi zowonongeka sizimagwira ntchito, zomwe zimachititsa kuti anesthesia kuzindikira
Pachifukwa ichi, ngakhale munthu wodwala manjenje (mankhwala operewera thupi) kapena osagonana amakhala othandiza, ndipo wodwala onse amadziwa komanso amatha kusuntha. Wodwala angayesere kuchotsa pulogalamu yotchedwa endotracheal tube, kukhala pansi, kapena kuyesera kulankhula.
Pamene wodwala ayamba kusunthira, zimakhala zomveka bwino kwa wodwalayo kuti amuthandize kuti wodwalayo asamamvere anesthesia. Mankhwala othandizira amaperekedwa kuti azidwalitsa ndi kupweteka wodwalayo.
3. Munthu wodwala manjenje sagwira ntchito, zomwe zimayambitsa kuyenda pa nthawi yopaleshoni
Ngakhale kuti sichidziwika bwino monga chidziwitso cha anesthesia - chifukwa wodwalayo sakudziwa vutoli - akhoza kuyamba kusunthira panthawi ya opaleshoni chifukwa wodwala manjenje sagwira ntchito kapena mlingo wake watha.
Wothandizira anthuwa akugwira ntchito, kotero wodwalayo sakudziwa kayendetsedwe kake, ndipo mlingo wowonjezera wa wodwala manjenje ungaperekedwe ndi wothandizira munthu wodwalayo kuti am'wonongeze wodwalayo.
4. Mchitidwe kapena chikhalidwe chimachepa kuchepetsa anesthesia, zomwe zimapangitsa kuzindikira zambiri kuposa zoyenera
Mitundu ina ya odwala, makamaka odwala kwambiri, opaleshoni ya mtima kapena C-Section yachangu, sangathe kulekerera anesthesia wamba. Kwa odwalawo, anesthesia angawachititse kukhala osakhazikika. Pazochitikazi, mlingo wochepa wa anesthesia umagwiritsidwa ntchito pofuna kupewa kuvulaza wodwalayo.
Zotsatira za izi zachepetsedwa ndi anesthesia zikhoza kutanthauza kuti wodwalayo amadziwa za opaleshoniyo. Ngakhale kuti chiopsezo cha anesthesia chidziwika kwambiri pamene anesthesia imachepetsedwa mwachindunji motero, zimatheka ndi cholinga chopulumutsa moyo wa wodwala, ndipo ndi chiwopsezo choyesa.
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Kuzindikira kwa Anesthesia: Ndani Ali Pangozi?Ndani Ali Pangozi Chifukwa cha Kuzindikira Anesthesia?
Mitundu ina ya opaleshoni ndi zina zamankhwala zingawonjezere chiwopsezo chodziwitsidwa ndi anesthesia. Zinthu zotsatirazi zimapangitsa mwayi wokhala ndi chidziwitso pa nthawi ya opaleshoni:
- Kusokonezeka kwakukulu ndi kutayika magazi ndi / kapena kutsika kwa magazi
- Opaleshoni ya Cardiac
- Gawo la Caesarea (C-Section)
- Matenda opweteka kapena matenda omwe amaletsa kupuma
- Kugwiritsa ntchito mowa komanso kumwa mankhwala osokoneza bongo
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Mfundo Zokhudza Kuzindikira kwa AnesthesiaMfundo Zozindikira za Anesthesia
Anesthesia awareness ndizosazolowereka komanso zimakhala zovuta kwambiri.
Odwala ena akhoza kulota pamene akuchitidwa opaleshoni, ndipo akhoza kulota opaleshoni. Izi siziyenera kusokonezedwa ndi kuzindikira kwa anesthesia.
Odwala ambiri samamva kupweteka, komabe, amatha kupanikizika.
Mitundu yambiri ya anesthesia siimapangitsa wodwalayo kudziwa bwinobwino. Uku si kuzindikira kwa anesthesia. Chidziwitso cha anesthesia chimangochitika ndi anesthesia wambiri , pamene wodwala sayenera kudziŵa kwathunthu.
Ndichizoloŵezi kukhala ndi chidziwitso musanayambe ndondomekoyi komanso mutatha.
Ngati muli ndi mbiri ya mankhwala osokoneza bongo kapena mowa, onetsetsani kuti mudziwitse munthu wopereka mankhwala a anesthesia, monga momwe dothi lanu la anesthesia liyenera kusinthidwa.
Ngati mumagwiritsa ntchito mankhwala opweteka a nthenda nthawi zonse kuti mukhale ndi ululu wopweteka, dziwani munthu wopereka mankhwala a anesthesia momwe izi zingasinthe mlingo woyenera wa anesthesia.
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Kupewa Kuzindikira AnesthesiaKupewa Kuzindikira Anesthesia
Kupewa chidziwitso cha anesthesia ndi udindo wa wopereka mankhwala a anesthesia , kapena wodwalayo wamankhwala. Pofuna kuti agwire ntchitoyi, nkofunika kuti mukhale ovuta kwambiri pa zokambirana zanu zisanachitike.
Ndikofunika kuti wodwalayo amadziwe mbiri yakale yachipatala, kuphatikizapo mbiri yakale, yakale kapena yamakono, ya mankhwala osokoneza bongo (mankhwala kapena mankhwala osokoneza bongo) ndi mowa womwe mumamwa. Kuonjezera apo, mufunika kukambirana mbiri yomwe mungakhale nayo ndi vuto la matenda a mtima, mapaipi, ndi mavuto ena alionse a zachipatala.
Kuwonjezera pa kukambirana kosavuta ndi katswiri wanu wamagetsi, ngati muli ndi nkhawa za anesthesia kuzindikira, mungafune kupempha kuti pulogalamu ya bispectral (BIS) ikugwiritsidwe ntchito pa nthawi yanu.
Kuwunika kwa BIS kumagwiritsidwa ntchito kufufuza ubongo wanu. Sensulo imayikidwa pamphumi panu ndipo imapereka nambala kuntchito yanu ya ubongo. 0, malipiro otsika kwambiri, amasonyeza pang'ono ntchito iliyonse ya ubongo, pamene 100, apamwamba kwambiri, angasonyeze kuti muli maso ndipo muli maso.
Kuwunika kwa BIS kungathandize kudziwitsa katswiri wamagetsi ngati muli ochenjera kuposa momwe muyenera kukhalira, ngakhale thupi lanu likufa ndi mankhwala.
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Atatha Kudziwa AnesthesiaNgati Kudziwa kwa Anesthesia Kukukuchitikirani
Ngati muli mmodzi mwa odwala ambiri omwe akudziwa bwino anesthesia chaka chilichonse, nkofunika kuti mudziwe gulu lachipatala lomwe limapereka chisamaliro chanu mwamsanga mukatha. Ndikofunika kulembera kuzindikira kwanu pa zifukwa zingapo, makamaka, ngati mukufuna njira ina, izi zingalephereke kuti zisadzachitikenso.
Odwala omwe amazindikira ngakhale pang'ono amatha kusokonezeka ndi zomwe akumana nazo ndipo akhoza kukumana ndi zoopsa ndi zovuta. Milandu yowonjezereka ingabweretse vuto lachisokonezo cha matenda opatsirana (PTSD). Kawirikawiri mankhwalawa amalimbikitsidwa kwa odwala omwe akuvutika ndi matenda a anesthesia, ndipo amayenera kuwafunidwa mwamsanga pamene wodwalayo ali ndi mphamvu.
Zotsatira:
About BIS. Zochitika za Medical Medical. Idapezeka mu April 2010. http://www.aspectmedical.com/AboutBIS.aspx
Udziwitsidwe Wothandizira Kugwira Ntchito Pazochitika Zambiri Padziko Lonse Anesthesia Pamphlet. American Society of Anesthesiologists. Copyright 2009.