Iwe uri kufunga nezvekuvhiyiwa kugadzirisa gumbo iro rinorwadza asi unonetseka nezvemigumisiro yeanesthesia? Zvichida iwe unonetseka kana kurasika kurasikirwa ndeimwe yezvipingamupinyi zveanesthesia. Kana, kana kusvibiswa kune anesthesia kunogona kuwedzera mukana wako wekuora mwoyo .
Kunzwa kutya pamusoro pokuwana anesthesia nemigumisiro yemuviri wako ndeyezvakanaka. Tsvakurudzo dzinoverengeka dzakaongorora mibvunzo iyi, uye mhedziso yavo inotarisira kubatsira kubvisa kushushikana kwako.
Aina Anesthesia
Anesthesia-apo mushonga unoshandiswa kudzivirira marwadzo-inowanzoshandiswa panguva yekuvhiya. Vamwe anesthesia inzvimbo , uko nzvimbo yacho iyo yakazara nejojo, somuenzaniso, uye mamwe aneshesia ndiyo inowanzoita, iyo munhu anenge aine mishonga kuti aise pahope huru panguva yokuvhiya kuitira kuti varege kunzwa kurwadziwa uye havangavizve kusvikira kushanda kwapera.
Tsvakurudzo Pamusoro peKurangarira Kurasi uye Anesthesia
Wati wambonzwa mumwe munhu achitaura nezvomunhu waaida asingaiti zvakafanana mushure mokutaura anesthesia here? Jenesi anesthesia yave yakabatanidzana nguva yakareba kune yakaipa yekugunun'una kushanda , asi ikoku kubatana kwechokwadi kana kungoerekana kwaitika here? Tsvakurudzo inotsigira iyi sangano here?
Mhinduro shomanana? Icho chinobva pane chidzidzo chekutsvakurudza chaunoverenga.
Zvishoma zvidzidzo zvakawana hukama, kusanganisira zvinotevera:
- Chimwe chekudzidza chakagumisa kuti kwaive nehuwandu hwehutano hwekushaya mungozo shure kwekunge vatori vechikamu vakagamuchira anesthesia.
- Chidzidzo chechipiri chakawana kuti vanhu vakagamuchira anesthesia panguva yekuvhiya vaiva nemukana wakakura zvikuru wekudzivirira chirwere chekushaya mungozo kunyanya munguva yakatarwa makore matatu kusvika kune manomwe mushure mekuvhiyiwa.
- Chimwe chechitatu chekutsvakurudza kwakaratidza kuti imwe mishonga uye chirwere chekuvhiya-sevoflurane (Ultane) panguva yekuvhiyiwa kwepamuviri-yaibatanidzwa nekuderera kwekucherechedza kune vanhu vakange vaonekwa kuti vane kuora mwoyo kwakagadzikana. Kuora mwoyo kwakagadzikana ndechimwe chiitiko chinowedzera dambudziko rechirwere cheAlzheimer, kunyange zvazvo vamwe vanhu vane MCI vakaramba vakagadzikana uye vamwe vanodzokera kune zvakajairika kugadzirisa kushanda.
Zvisinei, imwe tsvakurudzo inopesana nezvakawanikwa:
- Kutsvakurudza kwakabudiswa muMayo Clinic Proceedings journal yakataura kuti mushure mekudzidza vanhu 877 vane demoenti uye vachiongorora kuti ndeipi yemhosva idzi dzakaiswa kune aneshehesia yakawanda, pakanga pasina kuwirirana pakati pekuita kwemwoyo neaneshesia. Vakatorawo kuti vanhu vane maitiro anesthesia kazhinji havana kuratidza dambudziko rakanyanya rekushaya mungozo.
- Journal of Pain Research yakagumisa kuti kunyange zvazvo zvidzidzo zvishomanana zvakawana kuwirirana pakati pekushandiswa kweanesthesia uye kuwedzerwa kwehutano hwekuora mwoyo kwemazuva, hakuna kumbove nekutsvakurudza kwakakwana kuti aone kuti vaviri ava vanobatana zvechokwadi kune mumwe.
- Chimwe chidzidzo chakafananidza mapatya apo rimwe rimwe rina rakaziva aneshesia uye chirwere uye imwe yakanga isina. Vatsvakurudzi havana kuwana kusiyana kwakakosha pakati pemagariro ekubata kwemajaya.
- Zvinofadza kuti rimwe boka revanotsvakurudza rakaona kuti kwete chete pakanga kusina kuwirirana pakati pekushandiswa kweanesthesia uye kuora mwoyo kwemazuva, pakanga paine kuderedzwa kwehutano hwekuora mwoyo mukati mevanhu vakange vane aneshesia mune upiyona hwekutengesa.
Nei Vamwe Vanhu Vachivhiringidzika Pashure Pokuvhiya?
Kunyange zvazvo kutsvakurudza kusati kwaratidza kuwirirana kwakasimba pakati peanesthesia uye kukura kwechirwere cheAlzheimer uye mamwe marudzi ehutano hwemangara, hazvishamisi kuti vanhu vavhiringidzike mushure mekuvhiyiwa pavanomuka.
Dzimwe nguva, kuchinja uku kungave kwakabatana nekumutsa -kushanduka kamwe kamwe mukuyeuka, kutarisa, maitiro uye mano ekufunga. Dhiriamu muvanhu vakwegura vakambobatana nehutano hukuru hwekuora mwoyo , uye kujekesa kwemuviri kunokosha pakugadzirisa kugadzirisa zviratidzo izvi.
Saizvozvowo, postoperative kugadzirisa kusaziva kunogona kukura mushure mekuvhiyiwa uye kazhinji inzvimbo yechinguva yekuderera kwekunzwisisa kwepfungwa. Izvi zvinowanzogadzirisa nenguva, kunyange zvazvo vamwe vanhu vachiratidza zvimwe zvinoguma nemigumisiro.
Dharirium yakasiyana nemashure endoperative kusagadzikana mukati mekuti delirium inowanzova yakawanda yechirwere chakakomba, kamwe kamwe, uye chakakosha mukushanda kwepfungwa, asi POCD inowanzova kuchinja kusina kunyatsooneka mukugogodza.
Chii Chingaita?
Kunyange zvazvo kumwe kutsvakurudza kwakawana kuwirirana pakati peanesthesia uye kuora mwoyo, hakuna kumbove nekuongororwa kwakakwana kwakagadzirirwa kugumisa kuti uku ndiko kuwirirana kwechokwadi. Saka, kana iwe kana mudiwa wako ava kuda kupinda pasi pemupa, fema nyore.
Panzvimbo pokufunganya pamusoro pehukama husina mubvunzo pakati peanesthesia nehutano hwemhetima, iwe uri nani pane kutarisa pamatambudziko aunogona kutora uye izvo tsvakurudzo zvakaratidzwa kakawanda pamusoro pezvipingamupinyi zvekushaya pfungwa, muviri , uye utano hwemoyo zvinogona kubatsira kuchengeta utano hwakanaka.
Sources:
Alzheimer's & Dementia: iyo magazini yeAlzheimer's Association. 2014 Mar; 10 (2): 196-204. Kuwedzera kwehutano hwekuora mwoyo kwevanhu muhupenyu hwekare kune anesthesia: rudzi rwevanhu vose-based case-control study.
Anesthesiology. 2 2016, Vol.124, 312-321. Kugadziriswa Kushanda Pashure Kokuvhiya muMiddle-Old and Elderly Danish Twins.
Anesthesia uye Analgesia. 2013 Aug; 117 (2): 471-8. Migumisiro yekutanga remrium kuongororwa mushure mokunge anesthesia yakawanda kune vakwegura.
The British Journal of Psychiatry Mar 2014, 204 (3) 188-193. British Journal of Psychiatry. Dambudziko rekuora mwoyo kwemuviri shure kwekushaya anesthesia nekuvhiya.
Mishonga yeKliniki Mukukwegura. 2014; 9: 1619-1628. Zvose zvinopesana nehutachiona uye mungozi wekuora mwoyo kwevanhu vakwegura: ikozvino kuongororwa.