Ko anesthesiologist anoverenga sei huwandu hweanesthesia uye nguva yekumuka kumunhu wega wega?

Anesthesia inogona kukamurwa zvakanyanya kuita general anesthesia uye yemunharaunda anesthesia. Anesthesiologists achaita iyo inonyanya kukodzera yega yega anesthesia chirongwa zvichienderana nerudzi rwekuvhiyiwa, nzvimbo yekuvhiyiwa, kureba kwenguva, pamwe chete nemurwere pachake zvinhu, zvakadai sezera, uremu uye zvichingodaro, saka vanachiremba veanesthesia vanogadzira sei dosi yeanesthesia kumunhu mumwe nomumwe uye kutsanangura nguva yakamuka yemurwere?

Muchokwadi, mushonga wega wega weanesthetic une waunokurudzirwa dosage pamwe nenguva yekuchengetedza, uye inokurudzirwa dosi uye nguva yekuchengetedza yeanowanzo shandiswa anesthetic mishonga yakanyorwa mutafura pazasi.

Mukuwedzera, tichifunga nezvezera revarwere vakasiyana, chiropa neitsvo, nzvimbo dzakasiyana dzekushanda, nguva uye nzira, kusarudzwa uye kuyerwa kwemishonga inoenderana neanesthetic inoda kugadziriswa maererano.

Kazhinji, anaesthesiologists vacharega intraoperative kuchengetedza zvinodhaka maererano nekuvhiya uye kushandisa zvakakodzera antagonists (semuenzaniso, opioid antagonist nalmefene, benzodiazepine antagonist flumazenil, muscarinic antagonist neostigmine, uye asiri depolarising muscarinic chaiyo antagonist), sokening the basic antagonist suxoglue iyo inoguma sodium, etc. yekuvhiyiwa, kana mukati memaminitsi mashoma, uye nenzira yakagadzikana uye yakachengeteka.

Zvinofanira kucherechedzwa kuti nguva yekumuka kwemurwere zvinoenderana nemamiriro ezvinhu. Kana murwere ane mamiriro asina kunaka ekutanga, nguva yakareba yekushanda, kana kubuda ropa kwakawanda panguva yekushanda, anesthesiologist anowedzera nguva yekumuka zvakakodzera, kana kutamisa murwere kune intensive care unit (ICU) ye postoperative resuscitation uye extubation.

Anesthesiologist akanaka haangofanire kudzidza anaesthesiology zvakanaka, asi zvakare anofanirwa kudzidza kufunga nekugadzirisa matambudziko anosanganikwa nawo asati avhiyiwa, intraoperatively uye postoperatively, pamwe nekugona kutonga!

Somuenzaniso, kubata murwere zvichibva pamishumo yepadivi pemubhedha wemurwere uye kuongorora kuti chii chakakonzera njodzi yemurwere? Nzira yekubata nayo emergency? Sezvakataurwa munyaya ino yakakurumbira, nzira yekudzora chipimo chemishonga yakasiyana-siyana yeanesthetics muuzhinji hweanesthesia, kugadzirisa zvine musoro chirongwa chepimo chemisiyano yemunhu mumwe nomumwe, uye zvakakodzera kutarisana nenjodzi dzekukurumidzira ndiyo unyanzvi hunodiwa hweanaesthesiologists, uyewo chirevo chakakosha chekuongorora chiyero cheanaesthesiologists.

Chekupedzisira, huzivi hweanaesthesiologist hwekutarisira zvinodhaka ndeye kushandisa iyo yakapusa yekutindivadza kupa varwere ruzivo rwakanyanya kugadzikana pasi pemamiriro ekuchengetedza hupenyu hwemurwere.

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