VI. Iziphumo zokuncitshiswa kobushushu bomzimba ngaphakathi
(I) Iziphumo kwi-Cardiovascular System
(Ii) Iziphumo ekuhlaleni
Umsebenzi obuthathaka beplacele inciphisa umsebenzi wezinto ezijikelezayo, ezikhokelela kwixesha elixesha elininzi kunye nokonyusa inani elopha. Iqondo lobushushu elisezantsi likhokelela ekuphenduli kwigazi kwindawo yokuma kwegazi emithanjeni, enokubangela ngokulula i-verissis enzulu.
Iqondo lobushushu lomzimba lingaphantsi kwe-35 ° C, ezi zikhombisi zilandelayo zihlala ixesha elide kakhulu kwiimpawu ezilandelayo zihlala ixesha elide kakhulu ekunciphiseni ubushushu:
Inxalenye ye-prothrombin isebenze
Ixesha le-Prothrombin (PT)
I-Prothrombin yexesha (TT)
(Iii) Ukosuleleka kwengozi
Ubushushu obuphantsi bomzimba bunokuphazamisa ngqo umsebenzisi womzimba, ukunciphisa ukubonelelwa ngeoksijini yegazi ukuya elusululeni, kunye neprotein kunye ne-synthesis ye-glial kunye ne-glial synthesis; Kwangelo xesha, ukuqiniseka kakubi kwezicubu ze-peri-i-pericus kunye nokulibaziseka ukuphilisa okukhokelela kumgangatho owosulelekileyo weqondo losulelo enyukayo.
I-intraopetive amaqondo obushushu ngaphantsi kwe-35 ° C zanxulunyaniswa nokwanda ezintathu kusulelo lwenxeba kunye ne-20% yeSibhedlele.
Ukutsalwa ku: Zhang y. Inkathalo ye-Hypothermia ye-Phypothermia [J]. I-Xinjaiang Chinese amayeza, 2011.29 (04) .92-94
(Iv) ukulibaziseka ukuvusa
Igazi le-visceraction le-visceract lihamba nge-hypothermia
Umsebenzi weSibindi seSibindi
-Funda igazi lokuhamba kwegazi kunye ne-glomerical filling
-I-metabolism yamachiza
I-hypothermia ifaka umsebenzi we-nerve onovelwano kwaye inciphisa imveliso ye-ATCCholamine, ebuthathaka impendulo yomzimba kwindawo engaphandle, ngelixa i-anesthetics ithembisayo emzimbeni ngesantya esincinci kunye nokukhuphela.
(V) Isiphazamiso seMetabolic
Ichaphazela imetabolism yomzimba
Imeko yemithambo
-I-Acidosis, ukungahambi kakuhle kwe-electrolyte
-Ammune Dysfunction
-Ukusebenza komzimba weoksijini
-Changes kwindawo yangaphakathi
I-hypothermia inciphisa ireyithi ye-metabolic yomzimba, kwaye yonke iqondo lobushushu lomzimba olusezantsi, izinga lemetabolic lincitshisiwe nge-6%. Kwiqondo lokushisa lomzimba le-28C, inqanaba leMetabolic yi-50% yesiqhelo.
Ukutyiswa ku: Yu Dingning, li duo, ingozi ye-hypothermia kunye nonyango [j]. Unyango lwakwamanyano: Ugqirha wamazwe aphesheya: Utyando, 2004,31 (5): 258-261.
Vii.methods zokufumana ubushushu bomzimba ngexesha lotyando
Ngapha koko, umahluko phakathi kwe-Core kunye namaqondo obushushu omhlaba anzima kakhulu ukuqikelela ngaphandle kobudlelwane obunamanzi, ke kuyacetyiswa ukuba basebenzise i-cavity ye-camidy ye-camild ye-CORE xa imvume yemvume yokufumana imvume yokujonga
Viii.ill ye-hypothermiative kunye nononophelo
(I) Ungenelelo lokhathalelo lwengqondo
Utyelelo lwaphambi kwexesha (uvavanyo):
Ngokundwendwela ngokwakho, imeko yesigulana kuvavanyo lwaneleyo, yenza isifo esomeleleyo, senze isicwangciso sokuhlonga, senze amalungiselelo ashushu, kwaye sisebenzise amanye amanyathelo afudumeleyo ngosuku lokuhlinzwa
thintela i-hypothermia.
Kwangelo xesha, ngotyelelo oluthile, kwandisa isigulana somongikazi, nto leyo efanelekileyo kunxibelelwano olungcono phakathi kwababongi kunye nezigulana. Ukwamkelwa, okufanelekileyo kunxibelelwano olungcono phakathi kwabaguli kunye nabongikazi nokunciphisa inzondo yabaguli. Izigulana 'zinenzondelelo kunye nokuthoba umbundu wabo wokubanda kakhulu. Umbundu wesigulana wokubandezeleka okubandayo kuya kuhliswa.
(Ii) Iqondo lobushushu lokusingqongileyo
Ubushushu begumbi elisebenza nge-21-25 ° C. Ukugcina umswakama nge-30-60%
Ukugcina ubushushu obufanelekileyo kunye nokufuma angenise ilahleko yobushushu ukusuka kulusu kwaye yindlela esebenzayo yokuthintela i-hypothermia.
Iqondo lobushushu kunye nokufuma kwegumbi lokusebenza lilawulwa yi-Central Air conditioner, iqondo lobushushu legumbi liya kulungiswa kwi-25 ° C ngaphambi kokuqala komsebenzi, kwaye kuphela emva kokuqala kwentsebenzo kuya kulungiswa kwi-21-2 ° C. Kuqinisekisiwe ukuba isiguli asiyi kuchaphazeleka yindawo echaphazela utshintsho lobushushu bomzimba.
(Ii) ifudumeza ishushu
A. I-A. I-FALSIION ifudumeze i-37 ° C:
I-saline ye-saline okanye amanzi kwinaliti esetyenziselwa ukukhulula ulusu kunye ne-gense ibekwe kwi-thermostat kwaye ihlengahlengisiwe kwi-37 ° C. Yikhuphe kwi-thermostat ngaphambi kokusebenzisa ukunciphisa ilahleko yobushushu bomzimba.
B. UKUSETYENZISWA KOKUFUMANEKA KWE-FORMEMS ngexesha lotofelo-gazi:
Xa usenza inani elikhulu lotofelo-gazi, isixhobo sokutsala igazi esifudumeleyo siya kusetyenziswa ukuqinisekisa ukuba ulwelo olugcinwe emzimbeni wesigulana lisondele kubushushu bomzimba wesigulana.
(Iv) Sebenzisa izixhobo zokufaka
Ingubo ethambileyo isetyenziselwa ukugubungela indawo engeyorhumo, isebenzisa ubushushu obuthile kwiqondo lokushisa elingaphezulu, kwaye udlale indima yokwanda komzimba kunye nendawo ebandayo engqongileyo, isikhumba esibandayo, isikhuselo esijikelezileyo.
(V) Ixesha elincitshisiweyo lokuvezwa kwendawo yokutshintsha
I-A.Delovep i-programment yokubekwa kwendawo yokubekwa kwendawo yokubeka ixesha lokuvezwa kwendawo yotshintsho
I-B.SEFFICATION yezikhundla ezikhethekileyo zoqhaqho
I-Orthopedics: Isikhundla seProne
I-TORACIC: IXESHA LOKUGQIBELA
I-urology
I-Lithotomy → isikhundla se-PRENE: I-PERCOAD NEMILLONITHOMY (PCNL), njl.
(Vi) Ukuhamba kwamanzi
Kunqande okanye unciphise ukunyuka kwamashiti.
Gubungela i-Sterle Sheet kunye nomaleko wengxowa yeplastiki (ngokuxhomekeka ekubeni ayingcolisi kwaye ichaphazele intsimi yoqhaqho).
Thintela ukuthambisa kwilinen yesigulana kunye nelinen yebhedi enemigangatho emikhulu yamaqhina ngexesha lotyando.
Ukuhamba utyando olufuna inani elikhulu lamanzi ane-profures, njengoqhaqho lwe-Urological (i-prostate yombane, i-percutaneus utyanile ye-subrinal yomhlaza, i-Gynecological, njl. Njl.
ISISHWANKATHELO:
I-phenomenon ye-hyrathen ye-Intratopemiation itsalele ngokuthe ngcembe ingqwalaselo yabasebenzi beklinikhi ngendawo yokulawula ubusika kunye nexesha lomzimba olwenziweyo ngaphambi nasemva komzimba ongaphandle kunye nokwamkela i-hypothermiation ye-intramopetive esebenzayo kwizigulana. Ukunciphisa kunokunciphisa iingxaki ezininzi ezibangelwa yi-hypothermia, kunciphisa iintlungu zezigulana, zinciphise umhla wokulala esibhedlele, kwaye zinciphise iindleko zonyango lwezigulana, ezilungele ukubuyela kwimeko yesiqhelo.
Inqaku elidlulileyo Lingenisa: https: //www.mecanmed.com/poral-and-and-ander-apperapeative-
