Chisokonezo ndi chachilendo atatha opaleshoni, makamaka m'maola ochepa oyamba pambuyo pa opaleshoni. Mankhwala a antiesthesia, omwe amachititsa wodwalayo kukhala osadziŵa kachitidwe kake ndipo nthawi zina kwa maola pambuyo pake, amatha kusokoneza kusiyana ndi mitundu ina ya anesthesia.
Ndi zachilendo kufunsa mafunso mobwerezabwereza, poiwala kuti funsolo linafunsidwa ndiyankhidwa, chifukwa cha mankhwala a anesthesia ndi kupweteka.
Kwa odwala ambiri, kusaiwala ndi kusokonezeka uku kumathera m'maola oyambirira ochepa pambuyo pa opaleshoni. Kwa ena, izo zikhoza kukhala tsiku.
Kwa ena, chisokonezo chimawonjezeka masiku akutsatira ndondomekoyi. Pazochitikazi, nkofunika kwambiri kuyesa kudziwa chifukwa chake, ndikukonza vutoli.
Zomwe Zimayambitsa Kusokonezeka Pambuyo Opaleshoni
Kutenga: Matenda, makamaka odwala okalamba, angayambitse chisokonezo chachikulu ndi kusokonezeka. Matendawa amtunduwu amadziwika bwino kwambiri chifukwa amachititsa odwala kuti azichita zachilendo, koma mitundu ina ya matenda angayambitse zizindikiro zofanana.
Kupweteka kosauka: Wodwala yemwe ali ndi ululu wambiri amatha kusokonezeka, izi zikhoza kukhala chifukwa cha ululu wokha, kapena mavuto omwe ululu umayambitsa, monga ubwino wosagona. Kupweteka kwabwino ndikofunikira kwa odwala awa, zomwe sizikutanthauza kuti sipadzakhala ululu koma kuchepa mu ululu.
Anesthesia: Anesthetics amadziwika bwino kuti amachititsa chisokonezo, koma izi zimachepa ngati thupi limapanga mankhwala ndi kuwachotsa m'thupi.
Mankhwala ena amachititsa chidwi kuiwala m'maola ochepa atangopaleshoni, yomwe ndi zotsatira zoyenera za anesthesia .
Kuyanjanitsa Mankhwala: Mankhwala atsopano operekedwa opaleshoni komanso nthawi yobwezera akhoza kukhala osagwirizana ndi mankhwala amene wodwalayo amatenga nthawi zonse kunyumba.
Mankhwala atsopano: Mankhwala atsopano, makamaka omwe amamva kupweteka ndi kugona, amatha kukhumudwitsa, kukhumudwitsa ndi kuwachititsa odwala kugona. Nthawi zambiri, mankhwala atsopano angakhale ndi zotsatira zosayembekezereka komanso zosayembekezereka za kusokonezeka kapena kugona.
Madzi Oxygen Low: Ngati wodwala sakupeza oxygen yokwanira, chisokonezo ndi chisokonezo chingakhale chimodzi mwa zizindikiro zoyamba. Kawirikawiri, mpweya wa okosijeni umayang'aniridwa mu maola angapo akuchitidwa opaleshoni, kotero izi zingathe kukonzedwa mofulumira ndi mpweya wothandizira. Odwala omwe ali ndi groggy pambuyo pa ndondomeko, kapena omwe ali ndi kupuma monga matenda obisala kapena matenda a m'magazi, amatha kukhala ndi vuto ndi opaleshoni pambuyo pa opaleshoni.
Mankhwala Okhala ndi Mpweya Waukulu: Pamene wodwala sakupuma komanso ayenera, angathe kuyamba kusunga mpweya wa magazi m'thupi mwake, zomwe zingayambitse chisokonezo ndi kusokonezeka. Chithandizo cha izi kawirikawiri chimakhala ndi mpweya wa okosijeni, womwe ungathandize wodwala kupuma bwino kwambiri ndi kutulutsa carbon dioxide.
Kusokonezeka mu Kugona-Kuuluka Kwambiri: Chipatala ndi malo ovuta kwambiri kuti mupeze kugona tulo. Zizindikiro zamtengo wapatali zimatengedwa usiku wonse, madokotala amaperekedwa usiku, ma labata amawombera nthawi zam'mawa - zinthu izi ndizofunikira kuti asagone.
Odwala ena amatha kusokonezeka masiku kapena usana, kapena kutaya nthawi yonse. Kwa ena, kusokonezeka kumeneku m'moyo wawo wamba kungachititse kusintha kwa umunthu, ndipo kungafunike thandizo lachipatala kuti mupeze kugona mokwanira.
Deliriamu: Deliriamu ndi nkhani yovuta kwambiri pamene wodwala ali ndi kusintha kwakukulu kuchokera kuumoyo wake waumunthu kwa chisokonezo chachikulu ndipo nthawi zina kusokonezeka. Izi zikhoza kuyambitsidwa ndi chisamaliro cha maola, monga ICU, kusowa kwa kayendedwe kwa masiku ndi usiku (odwalawa ayenera kukhala m'chipinda chokhala ndi zenera nthawi iliyonse), kapena matenda aakulu omwe amafunika kuti athandizidwe nthawi yaitali.
Wodwala ndi delirium nthawi zambiri amakhala wochenjera ndipo amayang'ana m'mawa amatha kuvulaza madzulo kapena usiku. Chithandizo chimaperekedwa malinga ndi chifukwa cha nkhaniyi.
Kusayenerera kwa Electrolyte: Kusayenerera kwa electrolyte, monga potassium, calcium, ndi electrolytes ena, kungachititse wodwala kumva kudwala ndipo izi zingachititse kuwonjezeka kwa chisokonezo.
Matenda a m'magazi: maselo ofiira a magazi amanyamula mpweya ku maselo a thupi. Wodwala amene wakhala akutuluka m'magazi, kapena sakupanga maselo ofiira a magazi, angathe kuchepetsa mpweya wa oxygen m'thupi lawo, chikhalidwe chotchedwa hypoxia. Hypoxia ingayambitse chisokonezo chachikulu pamene ubongo umafuna mpweya kuti ugwire bwino ntchito.
Kuchotsa: Chomwe chimayambitsa chisokonezo ndicho kuchotsa. Wodwala amatha kuchoka ku mankhwala omwe amamupatsa, mankhwala osokoneza bongo kapena mowa , zomwe zingayambitse zizindikiro za kuchotsa kuphatikizapo chisokonezo ndi kusokonezeka.
Dementia: Odwala omwe adachepetsa mphamvu zamaganizo asanachitike opaleshoni ali pachiopsezo chachikulu cha chisokonezo ndi chisokonezo pambuyo pochita opaleshoni. Kusokonezeka kwa chizoloŵezi chawo, kusokonezeka kwa kugona kwawo pamodzi ndi mankhwala osiyanasiyana musanayambe opaleshoni, nthawi komanso pambuyo pake akhoza kuwononga kwambiri mphamvu zawo zogwirira ntchito.
> Chitsime:
> Delirium. Medline Plus.