Pang'ono ponena za anesthesia ...
Anesthesia yambiri masiku ano ndi epidural ndi msana. Zomwe zimachitika pazifukwazi zimakhala zofunikira kuti zisawonongeke m'munsi mwa m'chiuno. Mu epidural anesthesia mankhwalawa amalowetsedwa kupyolera mu mpweya wochepa. Izi ndizosavuta, chifukwa ngati kuli koyenera, mlingo ukhoza kuwonjezeredwa (mwachitsanzo, panthawi ya ntchito, nthawi yobereka kapena pambuyo pa opaleshoni). Mankhwala a m'mimba amatha ndi jekeseni imodzi yokha ya kupweteka. Kumvetsa ululu mu nkhaniyi kumataya pafupifupi maola asanu.
Ena amadandaula kuti pamtundu woterewu, msana umatha kuvutika. Kwa ichi simuyenera kudandaula. Kumalo kumene ndimapanga jekeseni, palibe chingwe cha msana. Mankhwalawa amalowa mu madzi omwe ali ndi "ponytail". Nthano imafalikira, koma siipweteka. Chinthu chokhacho chimene chingathe kuchitika ndi umphawi wam'nsana ndi mutu umene ukhoza kutha masiku atatu kufikira masabata awiri. Noe ndi yosavuta kuchotsa ndi zosavuta za analgesics kapena caffeine.
Ngati simukufuna kumva zomwe mukuchita, mungangopempha dokotala kuti apereke mankhwala omwe amachititsa kugona. Zikatero, mlingo wotere wa mankhwalawa ukuwerengedwa, zomwe zingakuthandizeni kugona tulo lonse. Komabe, njirayi sichikuchitika kawirikawiri ku Russia, ndi kusiyana kochokera ku Ulaya, choncho ndikofunikira kupeza kachipatala pasadakhale pamene izi zatha.
Kuchepetsa thupi
Chinthu chofunika kwambiri kwa munthu wodwala matenda a anesthesiologist ndi kuchita bwino anesthesia. Ndipotu izi ndizolepheretsa kuti ubongo uzilepheretsa. Pachifukwa ichi, thupi lanu lidzayankhira kumayesero onse akunja. Chifukwa cha kuphatikiza kwabwino mankhwala, osati ululu wokha, komanso kumasuka kwa minofu, komanso kuyang'anira ntchito zofunika za bungwe.
Ngati wodwalayo amatha kuyeza mlingoyo, wodwala angadzutse pa nthawiyi. Nthawi zina zimachitika ndipo ndizofunikira, mwachitsanzo, pamene zimasokoneza mutu wa msana kapena ubongo, kotero kuti dokotalayo athe kudziwa ngati madera ofunikira akukhudzidwa. Pambuyo pake, munthuyo amagona kachiwiri. Pamwamba, ngati kudzuka pa nthawi ya opaleshoni sikunakonzedwe, simungathe kukhala ndi moyo. Popeza kudzuka pambuyo poti anesthesia amapezeka pang'onopang'ono. Ndipo ngati katswiri wamagetsi akuzindikira izi, iye adzachitapo kanthu mwamsanga.
Kwa narcosis, mankhwala osokoneza bongo amagwiritsidwa ntchito nthawi zambiri. Muzitsamba zochepa iwo ali otetezeka. Koma zimatha kuyambitsa chisokonezo. Pofuna kupewa izi, musadye chilichonse chisanayambe kuchepa. Komanso, pamodzi ndi dokotala wa narcosis, nthawi zambiri amalankhula mankhwala kwa wodwala wake kuti athetse nkhanza.
Anthu ena amawopa kuti atatha kupweteka kwa anesthesia, nthawi ya moyo idzafupika kapena kukumbukira kukumbukira. Madokotala ndi anaesthesiologists amatsimikizira kuti izi sizingatheke. Zoonadi, kusawerengera zochitikazo pamene kale kutchedwa anesthesia kuli mavuto ndi kukumbukira.
Madokotala sangathe kupereka zotsutsana ndi anesthesia. Izi zikhoza kuchitidwa ndi munthu wodwala matenda opatsirana pogonana atatha kufufuza bwinobwino ndikuzindikiritsa matenda onse. Ndipotu, palibe zotsutsana zokhudzana ndi anesthesia. Mwinamwake sikuti mitundu yonse ya anesthesia idzagwira ntchito kwa inu, choncho adokotala adzisankhira payekha. Palinso milandu ngati mavuto ali ndi thanzi, munthu atatha kupwetekedwa m'thupi tsiku lina, nthawi zina zambiri, saloledwa kupita kunyumba ndikuchoka kuchipatala moyang'aniridwa. Izi zimachitidwa kuti achepetse chiopsezo cha zotsatira zotheka.
Ndi mtundu wanji wa aneshesia umene uli wabwino kwa inu?
Kawirikawiri odwala akufunsa funso limodzi: "Ndipo ndi chiani chomwe chimakhala chotetezeka kwambiri?". Funsoli silolondola kwenikweni. Pazochitika zonse pali zizindikiro zapadera. Kuwonjezera apo, katswiri wamagetsi amatsutsa mtundu wa nestosis, malingana ndi ntchito, maganizo ndi maganizo a thanzi la wodwalayo.
Ena amakhulupirira kuti anesthesia ya msana ndi yotetezeka kwa anthu omwe afooka chitetezo, komanso okalamba. Izi siziri zoona. Mtundu uliwonse wa anesthesia ndi wotetezeka mwa njira yake. Kotero, izo zimakhalabe kwa ife kusankha yekha kliniki ndi dokotala wabwino. Tsoka ilo, m'dziko lathu mlingo wa maphunziro a akatswiri ndi wotsika kuposa m'mabungwe a ku Ulaya. Koma zipangizo zamakono, zipangizo ndi mankhwala ndi zofanana ndi ife. Choncho, gawo lalikulu lidzawonetsedwa ndi munthu: dokotala, malingaliro a wodwalayo ndi mlingo wa ntchito.
Momwe mungasankhire dokotala wabwino kuti awonetsedwe bwino?
Mvetserani ku lingaliro la dokotala wa opaleshoni, yemwe ati achite mamoperatsiyu. Chidziwitso kwa dokotala wochita opaleshoni n'chosavuta kuchipeza kusiyana ndi katswiri wamagetsi. Kuwonjezera apo, ngati dokotalayo ndi wabwino ndipo amalemekeza mbiri yake, sangagwiritse ntchito ndi munthu wodwalayo wodwalayo.
Pitani ku maofesi apadera azachipatala. Pa iwo mudzatha kupeza zinthu zambiri zochititsa chidwi za madokotala, komanso za amene mwana wamwamuna ali ndi mbiri yabwino. Ndemanga zoterezi nthawi zina zimapindulitsa kwambiri kuposa zilembo zosiyanasiyana ndi maudindo.
Ngati njirazi zisanayankhidwe, ndiye lankhulani ndi anesthesiologist mwiniwake. Katswiri wazinthu munganene chilichonse mwachinthu chochepa kwambiri: za momwe mankhwala amodzi akufunira, momwe adzakhalire. Munthu akamakuuzani zambiri, ndiye kuti ali woyenerera kwambiri. Ngati mutapeza chinenero chofala ndi antieshesiologist - ndi zabwino ndipo zidzakupindulitsani. Kotero mudzamva bwino komanso okhulupirira kwambiri.
Anesthesia wamba
Anesthesia wamba ali ndi dzina lina - chisanu. Sichikusowa kukhalapo kwa katswiri wamagetsi ndipo amagwiritsidwa ntchito pochita zinthu zosavuta. Mwachitsanzo, mu uchembere, mazinyo ndi zina zotero. Ndizovuta kwambiri. Ndi zoona kuti anthu ena akhoza kukhala ndi vutoli. Choncho, musanatenge jekeseni, mudzafunsidwa ngati mwakhala mukuyambitsa mankhwala osokoneza bongo. Musaope. Mankhwala amasiku ano a anesthesia akumeneko amachititsa kuti anthu asamachite zimenezi mobwerezabwereza, kusiyana ndi kafeine, yemwe ali ndi zaka zambiri. Kuwonjezera pamenepo, n'zotheka kuyesa khungu kapena kupatsira magazi kuti apange ma immunoglobulins E kukonzekera mankhwala. Ndibwino kuti muchite izi ngati mukudwala matenda a chifuwa chachikulu.
Nthawi zina, kuwonjezera pa anesthesia, mumaperekedwanso sedation. Icho chidzachitidwa kale ndi wodwalayo wamankhwala. Izi sizowoneka bwino kwambiri, koma ndi maloto osavuta omwe amachititsidwa ndi zamoyo zomwe sizimasokoneza dongosolo la mitsempha, mosiyana ndi anesthesia, koma zimangowonongeka pang'ono. Izi zikutanthauza kuti munthuyo wagona, koma ngati ali wotetezedwa kapena wotchedwa, adzangomuka. Nthawi zina munthu wokhala ndi sedation sagwiritsidwa ntchito, koma amachepetsa kukhudzidwa komanso kumasuka. Chilichonse chidzapachikidwa pa vuto linalake.
Monga momwe mukuonera, palibe choopsa m'thupi. Zili bwino. Chinthu chachikulu ndi kupeza katswiri wabwino wa anesthhesiologist, yemwe ali ndi chidziwitso. Ndiyeno anesthesia iliyonse idzatha popanda zotsatira zake.