Kodi dokotala wogonetsa munthu amawerengera bwanji kuchuluka kwa opaleshoni komanso nthawi yogona kwa munthu aliyense?

Anesthesia ikhoza kugawidwa mozama mu anesthesia wamba ndi anesthesia wamba.Anesthesiologists adzapanga ndondomeko yoyenera kwambiri payekha payekha malinga ndi mtundu wa opaleshoni, malo opangira opaleshoni, kutalika kwa nthawi, komanso zomwe wodwalayo ali nazo, monga msinkhu, kulemera kwake, ndi zina zotero, kotero akatswiri ochita opaleshoni amapanga bwanji mlingo wa anesthesia. kwa munthu aliyense ndikutchula nthawi yogalamuka ya wodwala?

M'malo mwake, mankhwala oletsa kukomoka aliwonse ali ndi mlingo wake wovomerezeka komanso nthawi yosamalira, ndipo mlingo wovomerezeka ndi nthawi yosamalira mankhwala omwe amagwiritsidwa ntchito kwambiri zalembedwa patebulo ili pansipa.

Kuphatikiza apo, poganizira zaka za odwala osiyanasiyana, ntchito za chiwindi ndi impso, malo osiyanasiyana opangira, nthawi ndi njira, kusankha ndi kuchuluka kwa mankhwala ophatikizika omwe amayenera kusinthidwa moyenera.

Nthawi zambiri, Ogonetsa odwala adzasiya kugwiritsa ntchito mankhwala opangira opaleshoni molingana ndi maopaleshoni ndikugwiritsa ntchito zida zoyenera (mwachitsanzo, opioid antagonist nalmefene, benzodiazepine antagonist flumazenil, muscarinic antagonist neostigmine, ndi non-depolarising muscarinic specific antagonist suxoglucose, etc. kudzutsidwa kwa wodwalayo kumatheka mwamsanga pambuyo pa kutha kwa opaleshoni, kapena mkati mwa mphindi zochepa, komanso momasuka komanso motetezeka.

Tisaiwale kuti nthawi ya kudzutsidwa kwa wodwala imadalira momwe zinthu zilili.Ngati wodwalayo ali ndi vuto loyambira, nthawi yayitali ya opaleshoni, kapena kutaya magazi ambiri panthawi ya opaleshoniyo, katswiri wa opaleshoniyo adzatalikitsa nthawi yodzuka moyenerera, kapena amasamutsira wodwalayo ku chipatala cha odwala kwambiri (ICU) kuti atsitsimutsidwe pambuyo pa opaleshoni ndi kutuluka.

Katswiri wabwino wogonetsa munthu wodwala matenda ogonetsa munthu amangofunika kuphunzira zachipatala bwino, komanso amayenera kuphunzira kuganiza ndi kuthetsa mavuto omwe amakumana nawo asanayambe opaleshoni, intraoperatively and postoperatively, komanso kukhala ndi luso lopanga chiweruzo!

Mwachitsanzo, kusamalira wodwala motengera momwe wodwalayo alili pafupi ndi bedi lake ndikusanthula chomwe chidayambitsa vuto ladzidzidzi?Kodi kuthana ndi zadzidzidzi?Monga tafotokozera m'nkhani yotchuka iyi, momwe mungayendetsere mlingo wa mankhwala ochititsa dzanzi osiyanasiyana mu mankhwala ochititsa dzanzi, kusintha moyenera mlingo wa regimen kwa kusiyana kwa aliyense payekha, ndi moyenerera kulimbana ndi perioperative mwadzidzidzi ndi luso lofunika la opaleshoni opaleshoni, komanso buku lofunika kupenda mlingo. a anesthesiologists.

Potsirizira pake, nzeru ya dokotala wogonetsa za kayendetsedwe ka mankhwala ndi kugwiritsa ntchito mankhwala ochepetsetsa osavuta kwambiri kuti apatse odwala chidziwitso chomasuka kwambiri potengera chitetezo cha moyo wa wodwalayo.

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