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Rigakafi da Kulawa da Ciwon Jiki-Kashi na 1

Ra'ayoyi: 0     Mawallafi: Lokacin Buga Editan Yanar Gizo: 2023-08-17 Asalin: Shafin

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Rigakafi da Kulawa da Ciwon Jiki-Kashi na 1




I. Ma'anar hypothermia:


  • Babban zafin jiki da ke ƙasa da 36 ℃ shine hypothermia


  • Babban zafin jiki shine zafin jiki a cikin jijiya na huhu, membrane tympanic, esophagus, nasopharynx, dubura da mafitsara, da dai sauransu.


  • Ciwon kai na lokaci-lokaci (Inadvertentperioperativehypothermia, IPH)

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II.Hypothermia grading:


  • A asibiti, ainihin zafin jiki na 34 ℃-36 ℃ ana kiransa gabaɗaya hypothermia mai laushi.

  • 34 ℃-30 ℃ as m hypothermia

  • 30 ℃-28 ℃ ne matsakaici hypothermia

  • <20 ℃ don zurfin hypothermia

  • <15 ℃ ultra-dep hypothermia







III.Abubuwan da ke haifar da hypothermia intraoperative


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(I) Wanda ya jawo kansa:

A. Shekaru:

Manya:  Rashin aikin thermoregulation (nau'in tsoka, ƙananan sautin tsoka, jinin fata, ƙarfin kwangilar bututu ya ragu, ƙananan aikin ajiyar zuciya).



Jarirai da ba su kai ba, jarirai masu ƙarancin nauyi:  Cibiyar thermoregulatory ba ta da haɓaka.



B. Jiki (jiki mai)

Fat shine mai hana zafi mai ƙarfi, yana iya hana asarar zafin jiki.


Duk sel mai kitse suna iya jin zafin jiki, kuma suna zafi ta hanyar sakin kuzari.Binciken Jami'ar Harvard ya gano cewa wannan tsarin dumama yana dogara ne akan furotin da ake kira coupling protein-1.Lokacin da jiki ya kamu da sanyi, adadin furotin-1 yana ninka sau biyu.


A karkashin yanayi na al'ada, marasa lafiya suna buƙatar yin azumi na kimanin sa'o'i 12 kafin tiyata.Idan lafiyar jikinsu ba ta da kyau, za su kasance masu kula da yanayin sanyi, wanda zai haifar da raunin juriya.Ƙunƙarar sanyi da aikin tiyata ke haifarwa na iya sa zafin jiki ya ragu cikin sauƙi.



C. Halin hankali


Canje-canje na tunanin mai haƙuri kamar tsoro, tashin hankali, da damuwa yana haifar da sake rarraba jini, yana shafar dawowar jini zuwa zuciya da microcirculation, kuma yana da sauƙi don haifar da hypothermia yayin aikin.



D. Mummunan rashin lafiya


Mummunan rashin lafiya, mai rauni sosai: ƙarancin ƙarfin samar da zafi.


Rashin mutuncin fata: babban rauni, raunuka masu lalacewa, ƙonewa mai tsanani.




(II) Muhalli

Yawan zafin jiki a cikin dakin aiki ana sarrafa shi a 21-25 ° C.kasa da zafin jiki.


Yanayin da aka saba da shi na dakin aiki na kwararar laminar da saurin jujjuyawar iska na cikin gida zai kara zubar da zafi na jikin majiyyaci, wanda zai iya sa yanayin zafin jikin mara lafiya ya ragu.


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(III)Rashin zafin jiki

A. Kamuwa da fata:

Yanayin zafin jiki na maganin yana da ƙasa, kuma manufar disinfection za a iya cimma kawai bayan bushewa ya bushe.Juyawa na maganin kashe kwayoyin cuta yana ɗaukar zafi mai yawa kuma yana rage zafin jiki.



B. Ruwa mai nauyi:

Yin wanka da gishiri mai yawa na al'ada ko ruwa don allura yayin aikin shima yana haifar da asarar zafin jiki, wanda shine dalilin da yasa zafin jikin majiyyaci ya ragu.



C. Babban tiyata yana ɗaukar lokaci mai tsawo, kuma lokacin bayyanar gabobin ƙirji da na ciki ya fi tsayi



D. Ma'aikatan kiwon lafiya ba su da masaniya game da adana zafi



IV.Anesthesia

Magunguna na iya canza wurin saiti na cibiyar thermoregulatory.


Gabaɗaya maganin sa barci - da yawa maganin sa barci na iya faɗaɗa tasoshin jini kai tsaye, kuma masu shakatawa na tsoka na iya hana martani ga rawar jiki.


Yanki toshe maganin sa barci - afferent zaruruwa na gefe sanyi jin an katange, sabõda haka, cibiyar kuskure yi imani da cewa katange yankin ne dumi.





V. Ruwa da ƙarin jini

Jiko babban adadin ruwa da jinin haifuwa a cikin ɗaki ɗaya ko kuma yawan adadin ruwan da ake zubarwa a zafin daki yayin aikin zai sami tasirin 'dilution sanyi' kuma yana haifar da hypothermia.



Jikowar ruwa na 1L na ruwa a cikin zafin jiki ko raka'a 1 na jinin 4C a cikin manya na iya rage ainihin zafin jiki da kusan 0.25°C.


An karbo daga: Wu Zhimin.Yau Yau.Bincike da Kula da Jiyya na Hypothermia A Lokacin Aikin Gyaran Hanta Anesthesia].Jaridar Sinanci na Ƙwararrun Ƙwararru, 2005


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