IV Sedation (Monitored Anesthesia Care kana MAC) yeUkuvhiya
Intravenous sedation, inozivikanwawo seinoongororwa anesthesia care (MAC) kana "kurara kwechiedza," inorudzi rweanesthesia inodzosera murwere kuburikidza neine intravenous (IV) yakaiswa mumutsipa. Zvichienderana nebasa rekuvhiya, chiyero cheanesthesia chinoshandiswa chinogona kubva pane zvishoma-zvakakwana kuti murwere atseke-kune mari yakadzika zvokuti murwere angasayeuka nzira yacho.
Aneshehesia yakadzama inowanzoshandiswa pakuita zvishoma nezvishoma nzira dzakadai sekolonoscopy.
IV sedation inogona kusanganiswa neanesthesia yeruwa kana yeruwa.
Aina Anesthesia
Kune machina mana makuru emhando yeaneshesia inoshandiswa panguva yekuvhiyiwa. Mhando idzi dzinosanganisira:
- Local Anesthesia
Nharaunda yeanesthesia injove yemishonga inobata nzvimbo duku. Izvi zvinowanzoshandiswa kubvisa mhara yeganda kana kenza yemuviri kana kutora biopsy. - Regional Anesthesia
Regional anesthesia inoshandiswa kupedza chikamu chikuru chemuviri, kazhinji pasi pechiuno. Anesthesia inogona kugoverwa kuburikidza nejisi kana catheter. Varwere vachamuka asi vasingakwanisi kunzwa nharaunda yave yakawanda. Izvi zvinowanzoshandiswa panguva yekuberekwa uye nekuvhiyiwa kwemuviri, gumbo, kana ruoko. - Kuratidzwa kweAnesthesia (IV Sedation)
Kutarisa anesthesia, kana IV sedation, inotungamirirwa kuburikidza nemuviri. Varwere vangave vakakwanisa kutaura, zvichienderana nehutano hweanesthesia inoshandiswa, kana kuti panzvimbo yekuve nehope huru. Varwere vanokwanisa kuzvifema ivo pachavo kuitira kuti intubation (kuisa tube mumhepo) haifaniri. IV sedation inoshandiswa kwekolonoscopy, mamwe maitiro ekuvhiya epurasitiki, uye iri kuwedzerwa kushandiswa kune dzimwe nzira dzakamboitwa nehuwandu hwemasimba, iyo yakagadziriswa.
- General Anesthesia
Jenesi anesthesia inoshandiswa kana kuburikidza nemasikisi pane zviso kana kuti muchero kusvikira murwere akarasikirwa. Kupisa kunodzorwa neine endotracheal tube iyo yakaiswa mukati memhepo. Jenesi anesthesia inoshandiswa kuvarwere vane chirwere chikuru, zvakadai semabvi kana kushandiswa kwechiuno kana kuvhurika kwemoyo.
Intravenous sedation yakachengeteka uye inoshanda kune avo varwere vanoda chirwere chiduku kana chirongwa chinoratidzira chirwere chekurapa (biopsy).
Kubatsirwa kweIntravenous Sedation
Kubatsirwa kwekushandisa intravenous sedation panguva yekuvhiyiwa kwepurasitiki kunosanganisira zvinotevera:
- Pane imwe yakawanda yeanesthesia inoshandiswa
- Chikamu chepamusoro chekuchengeteka
- Zvishoma nezvisungo zvekutsvaga kushandiswa kwemashure, kushambadzira, kugadzirisa urinary, kukanganiswa kwemapurmoni uye yakaipa hyperthermia (kutyisidzira upenyu asi kusanzwisisika kusinganzwisisiki kwehuwandu hwemasimba anesthetic)
- Varwere vanobva kune anesthesia nokukurumidza
- Dambudziko shomanana rekuvhara ropa uye zvichienderana nemapurmonary inowanikwa (ropa rinoputika mumakumbo uye kuenda kumapapu)
- Kudzivisa chirwere chinopera mushure mekuvhiyiwa (general anesthesia inoda kuiswa kwe endotracheal tube inogona kukonzera kukanganiswa kwehuro)
Nemhaka yokuti murwere anokwanisa kufema ari oga ne IV sedation, vose vanovhiya uye anesthesiologist vanoziva kushungurudzika kwevarwere vasati vaita uye vanogona kupindura nekuwedzera kwemaitiro emunharaunda kana yehutano hwemhuka.
Ngozi dzeIntravenous Sedation (IV Sedation)
Kudengenyeka kwakanyanya kune kukwanisa kudzivisa motokari yekufema uye kunoda kuchenjerera kwekufuridzira uye mazinga ekusimudza oksijeni.
Kana kudengenyeka kwakadzika zvakanyanya, endotracheal intubation inogona kudiwa.
Pamberi peNzira neIntravenous Sedation
Usati waita chirongwa chinonzi intravenous sedation, unofanira kurayira chiremba wako nezvoutano kana hutano iwe unogona kuva nawo. Iwe unofanirwawo kuzivisa chiremba nezvemishonga ipi yaunenge uchitora uye chero upi zvawakaitwa, kusanganisira rudzi rweaneshesia, wave uine.
Iwe uchaudzwa nezvekudiwa kwekugadzirira kuti munhu mukuru anokwanisa kukuendesa iwe uye kubva kunzvimbo yekugadzirisa. Zvakakosha kumira kusvuta vasati vasvika pakuvhiya kuti kuderedze njodzi yekurapa zvishoma nezvishoma mushure mekuita.
Kutevera kuvhiyiwa kwako, uchapiwa runyora rwemirayiridzo yekutevera pamwe nezviratidzo zvinofanira kukuraira kuti utane chiremba wako.
Mushure meNzira yeIntravenous Sedation
Kazhinji kazhinji iwe unonzwa groggy mushure mekuita kwako uye unogona kunge uine musoro uye urombo. Panguva yekugadzirisa, mukoti wako achacherechedza zviratidzo zvako zvinokosha, kusanganisira ropa , kupisa, uye oksijeni mazinga. Iwe kazhinji unowanikwa kwemaawa maviri kana maviri mushure mekugadzirira usati wange wakwanisa kudzoka kumba nemutyairi wako. Inowanzokurudzirwa kuti uve nemumwe munhu agare newe (uye iri pfungwa yakanaka) kwemaawa makumi maviri nemaviri mushure mekuvhiyiwa kwako.
Pasi Pano paInd Sedation
Intravenous sedation (IV sedation) kana kuongororwa anesthesia care (MAC) inopa nzira yakachengeteka kune aneshehesia yakawanda yekuvhiya maduku. Inogona kuisa runyararo kubva pane zvishoma (kurara zvinyoro) kusvika pakadzika (kurara zvakadzika.) Zvechokwadi, marudzi ese anesthesia ane njodzi , uye zvakakosha kutaurira chiremba wako uye anesthesiologist pamusoro pehupi hupi hwehutano hwaungave uhwo, uyewo kutarisirwa iwe pachako mushure mekuitwa uye tevera mirayiridzo yaunogamuchira. Kana iwe utsi, siya. Kurega kusvuta ndiko kunge nhamba imwechete iyo munhu wese anosvuta anogona kuita zvose zviri zviviri kuti awedzere kuchengeteka kweanesthesia uye kuporesa kubva kune imwe nzira yekuvhiya.
Sources:
Sohn, Hve-min, uye J. Rvu. Kutarisa Anesthesia Kuchengetedza mukati nekunze kweChivako Chekushandisa. Korean Journal yeAnesthesiology . 2016. 69 (4): 319-326.