Khalani chete, khalani chete!
Winawake anayerekezera ntchito ya dokotala wochita opaleshoni ndi wodwalayo wamagetsi ku zochitika za apolisi oyendetsa ndege pa nkhondo, pomwe mtsogoleri mmodzi, winayo-kapoloyo. Ndipo kuchokera pa msinkhu wa kugwa kwa awiriwa, zotsatira za nkhondoyo ndi kuthawa kwathunthu kumadalira kumvetsa kwawo kwa bwenzi "kuchokera ku theka-kuyang'ana".
Mwinamwake kuyerekezera uku kuli ndi ufulu kumoyo. Chodetsa nkhaŵa, ndithudi, ndi chinthu chofunikira kwambiri pa opaleshoni iliyonse yamakono. Makamaka, ngati pali funso la opaleshoni ya apulasitiki.Pano kawirikawiri ndalamazo zimapita pamtundu wa millimeters, ndipo nkofunikira kuti osati wodwala wodekha - kuti minofu ya thupi lake imasuka kwambiri ndipo adalola dokotala-wosema "kudulira mopitirira muyeso" moyenera. Ndipo apa udindo wa "chizindikiro choyamba" ndi wa wodwalayo wamagetsi.
Khulupirirani "azinji" anu
Musakhulupirire "maamboni" awo omwe, motero, iwo ali mwamantha mwamantha pa tebulo logwira ntchito. Kuwopa ntchitoyi ndichibadwa kwa munthu aliyense. Kugonjetsa kumafunikanso ... koma ayi, osati "zamatsenga" ukolchik - choyamba, kudalira kwathunthu mu kagulu ka gulu la brigades.
Sizowopsa kuti leymology ya mawu akuti "dokotala" imabwereranso ku mizu yoyambirira ya Slavonic: "vrati" isanatanthawuze "kulankhula, kulankhula". M'chinenero chakufupi-Chibugariya mawu akuti "dokotala" akutanthauza wamatsenga, munthu wamachiritso. Ndipo "dokotala" wachi Serbo-Croatian ndi wanyanga, wamatsenga. Choncho, pokonzekera ntchitoyi, choyamba, yesetsani kudalira "azondi" anu. Koma osati mawu okha - kuona zilembo zomwe zimatsimikizira kuyenerera kwa madokotala, khulupirira ine, sizidzapweteka.
Ndipo chofunika kwambiri - ndi zipangizo zamakono. Tsoka, ngakhale lero, muzaka za zana la 21, munthu akhoza kuthamanga kuchipatala chotero cha opaleshoni ya pulasitiki, kumene kulibenso wina, wodwalayo wa nthawi zonse, palibe gulu lamakono lokonzanso. Izi ndizo zakale zopanga opaleshoni pamasewero, ngakhale zojambulajambula - anthu ogwira ntchito zotere, mwinamwake, adzatchedwa "shabashniki" wamba.
Ngati mwakonzeka kuwapatsa thanzi lanu ndi moyo wawo, vyvododin: ndinu wokonda kusokoneza mitsempha yanu, ndikukumana ndi tsoka la "Russian roulette".
Pachifukwa ichi, ogwira ntchito ku chipatala chachikulu cha opaleshoni ya pulasitiki ku Moscow "Beauty Doctor" ikhoza kukhala bata: apa pali mlingo wa zipangizo, ndi momwe amachitira odwala - omwe ambiri amawawona - popanda kuwonjezereka, pamlingo wabwino wa ku Ulaya. Vesi Vovsiakom, mawu othokoza kwambiri ku adiresi yake, katswiri wa zamagetsi odwala matenda opatsirana pogonana Igor V. Arkhipov anamva nthawi zambiri.
Lingaliro la kuperewera kwabwino
Ndi mtundu wanji wa anesthesia wosankha - wamba kapena wamba - ndi wa opaleshoni. Izi zimadalira, choyamba, pa chikhalidwe ndi zovuta za ntchito yomwe ikubwera. Mankhwala a anesthesia akugwiritsidwa ntchito mobwerezabwereza m'mphepete mwazitsulo, ndi kuchotsedwa kwa njira zopangidwira zokhazokha.
Anesthetics akhoza kuikidwa mkati mwachangu - kumiza wodwalayo pamatope ogona. Pachifukwa chimenechi, amagwiritsidwa ntchito mankhwala osokoneza bongo omwe amachititsa kuti pakhale mtendere pamtendere ndikukhalabe osayanjana pambuyo pake: mutadzuka, munthu sakhala ndi chifuwa, ali ndi maganizo abwino.
Nthawi zina, kuti mukhale ndi analgesia yambiri ya gawo lapadera la thupi, kupweteka kwamtundu wa anesthesia kumaphatikizidwa ndi malo amodzi. Ambiri amagwiritsidwa ntchito pa opaleshoni ya pulasitiki, pamene wodwala alibe mwayi wopuma mwayekha (mwachitsanzo, ndi rhinoplasty).
Mwina, palibe chifukwa chokakamiza owerenga omwe ali ndi luso lopuma, opioids.Kukwanira kunena kuti mu opaleshoni yamakono, kuphatikizapo opaleshoni ya plastiki, lingaliro la kulingalira bwino kwa anesthesia limagwiritsidwa ntchito mwakhama, pamene njira yabwino ya anesthesia imasankhidwa, kulola wodwala kumva pa nthawi ya opaleshoni osasinthasintha, ndi dokotala wa opaleshoni - kuti azichita mochuluka momwe zingathere.
Zikhulupiriro zokhudzana ndi "nkhani zoopsya"
Chabwino, pang'ono ponena za "zoopsya". M'malo mwake, zomwe muyenera kuopa, zamakono siziri zofunikira. N'kutheka kuti ambiri anamva kuti anaphylactic isokonezeka kwambiri. Zimenezi zimachititsa kuti thupi la munthu lisamayesedwe. Choncho, choyamba, malinga ndi chiwerengero, izi zimachitika kamodzi kwa 10,000 anesthesia, ndipo kachiwiri, munthu wodwala matenda am'thupi amene amavomereza zimenezi ndi zoipa.
Mfundo ndi (ndi chipatala chokongola "Dokotala Wokongola" apa, monga akunenera, kachiwiri patsogolo), kuti asanayambe kugwira ntchitoyo wodwalayo ayenera kuyesedwa bwino pa ma laboratory, pomwe zitsanzozo zimagwiritsidwa ntchito poyesa kuchepetsa thupi. Ndiwo wotetezeka okha amene amasankhidwa. Kuonjezera apo, mankhwala osakanizidwa masiku ano ali ndi otsika kwambiri. Pamodzi, zonsezi zimachepetsa chiopsezo cha anaphylactic shock.
Panthawi ya opaleshoniyo, wodwalayo sachita kaye kawiri kawiri popanda kukhala woyang'aniridwa ndi anesthesiologist-resuscitator ndi zipangizo zogwiritsira ntchito izi, zomwe zimachitika pa kusintha kwa moyo wa ogwira ntchitowo zidzachitika nthawi yomweyo.
Ndipo "swish" ya awiriwa - dokotala wa opaleshoni ya pulasitiki ndi wodwalayo wothandizira mankhwala - nthawi zonse amatsimikizira kuti "kuthawa" muzochitika zonse.