Kuderedza dambudziko uye kunatsiridza nyaradzo nemapinini anesthesia
Ndeupi anesthesia yakanakisisa kuti chiuno chako kana mabvi chigadziriswe? Vanhu vazhinji vanogadzirira kuita chirongwa chekugadziriswa pamwe chete vanonetseka pamusoro pezvinokonzera njodzi dzinobatanidza nekugadzirwa uku kukuru. Chimwe chezvinonyanya kunetseka ndechokuti anesthesia inoshandiswa. Iyo yakakodzera anesthesia yekubatanidza kubatanidza haizoiti chete yakachengeteka asi inoshandawo zvakare.
Izvi zvinoreva kuti kwete chete kuchava nemashoma emigumisiro yechirwere kana zvinetso zvinosanganiswa ne anesthesia, asi zvakare kuti ichapa hurombo hwakanaka hwekununurwa nemigumisiro yakanaka yekudzorera.
Hip uye namabvi anotsiva mamwe maitiro anowanzoitwa pakuvhiya. Nhamba yemitemo iyi iri kuwedzera gore roga rega, sezvo vanhu vakawanda uye vakawanda vanoenda kujojo yekugadzirisa kurapwa kweArthritis . Uyezve, vanhu vazhinji vari kusarudza kuchinja, kusanganisira vose varwere vaduku nevatori vakwegura , vachiwedzera kuwedzera kwenhamba dzekuvhiya.
Anesthetic Options for Joint Replacement Surgery
Iyo inowanzo anesthetic chisarudzo iri pakati pevanhu vazhinji anesthesia uye anest anesthesia yenguva. Jenesi anesthesia inoreva kuti murwere anonyatsotariswa (kurara), uye kazhinji, kufema kwake kunobatsirwa nekushandiswa kwemushonga werima .
Regional anesthesia inogadzirisa kushandiswa kazhinji inogadziriswa nemusana wepinini kana epidural anesthesia iyo inobata mapepa ekumucheto nekuisa unesheti yepamunharaunda kumativi ose emagunha.
Munguva yedunhu reAnesthesia, sedation inogona kukwana, zvichibvumira murwere kufema pasina rubatsiro rwemashini.
Zvishoma Nengozi Ne Regional Anesthesia
Tsvakurudzo dzinoverengeka dzakatarisa muzvipikisi zvakasiyana zvekubatanidzwa pamwe chete, uye kusarudzwa kwesarudzo kunobatsira sei mikana yezvinetso zvingangowedzera.
Zvimwe zvezvikonzero izvo vanachiremba vauya kuzokurudzira nzvimbo yeanesthesia munzvimbo yekubatanidza kushandiswa kunosanganisira:
- Zvishomanana zvinetso zvezvechiremba (zvinetso zvepummonary, zvinetso zvepvo)
- Nhamba yehutachiona hwezasi
- Kupera kweropa kurasikirwa
Mukuwedzera, varwere vaiva nenharaunda yeanesthesia vakawanikwa vaine nguva shomanana yekupora muchipatara, uye mari yekubatanidzwa kwekubatanidza kushandiswa kwave ishoma. Zvose izvi zvakasiyana-siyana zvishoma, asi zvinoita sezviri chaizvo.
Kwakaita Regional Anesthesia Inoitwa
Regional anesthesia inogadziriswa nekuisa anesthetic yepamunharaunda kumativi ose emagunha kuti asanyanya kufanana nemakumbo. Izvozvo zvinoshandiswa zvinoshandiswa kuburikidza nehomwe duku-yakafanana neyokuti vakadzi vane chirwere chepidural anesthetic panguva yekuberekwa. Panguva iyoyo, varwere vanogona kusarudza kuva nezvishoma kana zvishoma pasi pekuvhiya kwavo, zvichienderana nekunyaradzwa kwavo.
Kana varwere vari kunyanya kunetseka, vanogona kusarudza kuva nechengeti zhinji panguva yekuvhiyiwa kwavo. Kana varwere vakasarudza kuva nechepasi, vanganzwa chirongwa chekuvhiya, asi havangave nekurwadziwa. Mushure mekuvhiyiwa, nzvimbo yeAesthesia yechipatapata inowanzovhara zvishoma nezvishoma, ichibvumira utano huri nani huripo, uye varwere vane tsvina shomanana uye vashoma pamigumisiro kana vachienzaniswa neaneshehesia yakawanda.
Nei Chirongwa Chekuita Anesthesia Chishandiswa?
Kana dunhu reesesthesia rine zvikomborero zvakawanda, nei mumwe munhu angasarudza anesthesia yakawanda? Mubvunzo wakanaka, asi kune zvimwe zvikonzero zvakanaka zvokusarudza anesthesia yakawanda. Inogona, somuenzaniso, kuva akanaka kune mumwe munhu ane chirwere chakakura chekugadzirwa kwemapapiro sekunamatira kwemazimbe , izvo zvinogona kuita kuti anesthesia yepamunharaunda ive yakaoma zvikuru. Kusvibiswa kwepamuviri, kusanganisira scoliosis , kunogonawo kuita kuti anesthesia yenharaunda ive yakaoma zvikuru. Panewo maitiro ehutano hwehutano, zvakadai seaortic stenosis , izvo zvinogadzira aneshehesia zvakanyanya seanesthetic yakasarudzwa. Murwere mumwe nomumwe anofanirwa kukurukura neanesthesiologist mamiriro ezvinhu anokwanisa kuita kuti chisarudzo chine kunaka kwemaitiro avo.
Imwe nyaya inokosha ndeyekuti varwere vanowanzovhiringidzika pamusoro pezvinorehwa kuva neanesthesia yeharaunda, kana kufunganya nezvekuve nejojo inopiwa munharaunda yepamusoro. Dzidzo inogona kubatsira zvakanyanya kuitira kuti varwere vanzwisise kuti idzi anesthetics dzinogona kupiwa zvakachengeteka nemukana muduku wezvakaipa. Varwere vakawanda vanosarudza anesthesia yakawanda vanoita izvi nokuti vanonzwisisa sarudzo iyi zviri nani kudarika anesthesia yenharaunda.
Iko Ino State State Joint Replacement Anesthesia
Ikozvino zvakaoma kuziva nhamba chaiyo nokuti kushandiswa kweanesthesia munzvimbo yakave ichiwedzera zvakanyanya pamusoro pemakore akawanda apfuura. Mukupera kwema2000, chikamu che 75% chekugadziriswa kwekubatanidza kwakaitwa pasi peanesthesia chete-inenge 10 muzana pasi pekubatana pamwe chete nechekare aneshehesia, uye inenge 15% pasi peanesthesia yenyika chete. Sezvo vanachiremba uye zvipatara vakaziva nezvekubatsira kwekunharaunda yeanesthesia yekubatanidza vashanduri vashanduri, zvipatara zvakawanda zvakashandurwa kuva neanopfuura 90% yezvinyorwa zvekugadzirisa zvinogadziriswa zvakaitwa pasi peanesthesia yenyika.
Sources:
"Inharaunda yeAnesthesia inowedzera zvakakonzerwa nekugadzirwa kwechiuno nemabvi panzvimbo" Chipatara Chekuvhiyiwa Kunokosha. May 1, 2013.
Mont MA, et al. "Kuchengetedza Venous Thromboembolic Disease muvarwere Vanosangana neElectelling Hip neKnee Arthroplasty" J Am Acad Orthop Surg December 2011 vol. 19 no. 12 768-776.