Udokotela obulala izinzwa ulibala kanjani inani lokubulala izinzwa nesikhathi sokuphapheme kumuntu ngamunye?

I-anesthesia ingahlukaniswa ngokubanzi ibe i-anesthesia yendawo kanye ne-anesthesia yendawo. Odokotela ababulala izinzwa bazokwenza uhlelo olufanele kakhulu lokubulala izinzwa olusekelwe ohlotsheni lokuhlinza, indawo okuhlinzelwa kuyo, ubude besikhathi, kanye nezici zesiguli, njengeminyaka yobudala, isisindo nokunye, ngakho-ke odokotela ababulala izinzwa bawenza kanjani umthamo wokubulala izinzwa kumuntu ngamunye futhi bacacise isikhathi sokuphaphama kwesiguli?

Eqinisweni, isidakamizwa ngasinye esibulala izinzwa sinesilinganiso saso esituswayo kanye nesikhathi sokuwugcina kahle, futhi isilinganiso esinconyiwe kanye nesikhathi sokulondolozwa kwemithi yokubulala izinzwa evame ukusetshenziswa ibalwe kuthebula elingezansi.

Ukwengeza, uma kucatshangelwa iminyaka yeziguli ezehlukene, ukusebenza kwesibindi nezinso, izindawo zokuhlinza ezihlukene, isikhathi nezindlela, ukukhethwa kanye nomthamo wemithi yokubulala izinzwa ehambisanayo kudingeka kulungiswe ngokufanele.

Ngokuvamile, odokotela ababulala izinzwa bazoyeka izidakamizwa ze-intraoperative yesondlo ngokuvumelana nenqubo yokuhlinzwa futhi basebenzise abameleli abafanelekile (isb, umphikisi we-opioid nalmefene, umphikisi we-benzodiazepine i-flumazenil, umphikisi we-muscarinic i-neostigmine, kanye ne-non-depolarising ye-muscarinic antagonist ethize), ukukhuphuka kwe-sodium eyisisekelo, njll. yokuhlinzwa, noma phakathi nemizuzu embalwa, futhi ngendlela ekhululekile nephephile.

Kufanele kuqashelwe ukuthi isikhathi sokuvuka kwesiguli sincike esimweni. Uma isiguli sinesimo esibi esiyisisekelo, isikhathi eside sokuhlinzwa, noma ukopha okuningi phakathi nokuhlinzwa, i-anesthesiologist izokwengeza isikhathi sokuvuka ngokufanele, noma idlulisele isiguli egunjini labagula kakhulu (ICU) ukuze kuvuselelwe emva kokuhlinzwa kanye nokukhishwa.

Udokotela obulala izinzwa omuhle akadingi nje kuphela ukufunda kahle i-anaesthesiology, kodwa futhi kufanele afunde ukucabanga nokuxazulula izinkinga okuhlangatshezwane nazo ngaphambi kokuhlinzwa, ngokuhlinza nangemva kokuhlinzwa, kanye nekhono lokwahlulela!

Ngokwesibonelo, ukuphatha isiguli ngokusekelwe ezilinganisweni zombiko ongaseceleni kombhede wesiguli nokuhlaziya ukuthi yini ebangele isimo esiphuthumayo sesiguli? Indlela yokubhekana nesimo esiphuthumayo? Njengoba kushiwo kulesi sihloko esithandwayo, indlela yokulawula umthamo we-anesthetics ehlukahlukene ku-anesthesia jikelele, ukulungisa ngokunengqondo uhlelo lwemithamo yokuhluka komuntu ngamunye, futhi ukubhekana ngokufanele nezimo eziphuthumayo ze-perioperative amakhono adingekayo odokotela ababulala izinzwa, futhi futhi ireferensi ebalulekile yokuhlola izinga lama-anesthesiologists.

Okokugcina, ifilosofi yodokotela obulala izinzwa yokuphathwa kwezidakamizwa iwukusebenzisa izibulala-zinzwa ezilula ukunikeza iziguli umuzwa onethezeke kakhulu wokubulala izinzwa ngaphansi kwesisekelo sokuphepha kwempilo yesiguli.

Uma uthanda indatshana yethu, sicela uthande futhi uphinde ubhale futhi wabelane ngayo nalabo abayidingayo.

Uma uthola noma yimaphi amaphutha, sicela ukhululeke ukuwalungisa.