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 ya anesthesia payekha malinga ndi mtundu wa opaleshoni, malo opangira opaleshoni, kutalika kwa nthawi, komanso zifukwa za wodwalayo, monga msinkhu, kulemera kwake ndi zina zotero, kotero kuti akatswiri ochita opaleshoni amapanga bwanji mlingo wa anesthesia kwa munthu aliyense ndikutchula nthawi yogalamuka ya wodwalayo?

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, Othandizira opaleshoni adzasiya kugwiritsa ntchito mankhwala opangira opaleshoni molingana ndi ndondomeko ya opaleshoni ndikugwiritsa ntchito otsutsa oyenera (mwachitsanzo, opioid antagonist nalmefene, benzodiazepine antagonist flumazenil, muscarinic antagonist neostigmine, ndi non-depolarising muscarinic specific antagonist), kutulutsa sodium ndi zina zotero. za 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 zomwe zidapangitsa kuti wodwalayo agwe mwadzidzidzi? Kodi mungathane ndi vuto ladzidzidzi? Monga tanenera m'nkhani yotchuka iyi, momwe mungasamalire mlingo wa mankhwala ochititsa dzanzi osiyanasiyana mu mankhwala ochititsa dzanzi, mwanzeru kusintha mlingo wa regimen kwa kusiyana munthu, ndi moyenerera kulimbana ndi perioperative mwadzidzidzi ndi luso lofunika la opaleshoni yochititsa dzanzi, komanso buku lofunika kupenda mlingo wa opaleshoni opaleshoni.

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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