Ndiri Pangozi Yakanyanya Here?
Iwe uri mungozi yakawedzerwa kana iwe uri kuvhiyiwa uyewo une asthma here?
Hungu, asthmatics vari pangozi yehumwe matambudziko sechikonzero chemafiro avo. Zvisinei, mungozi yako chaiwo inobva paukuru hwehma yako, huwandu hwehuwandu hwehupenzi, huwandu hwekuvhara kwemhepo, uye rudzi rweaneshesia inoshandiswa. Kana uhwu uhwu hwakanyatsochengetedzwa kupfuura iwe unogona kuvhiyiwa pasina dambudziko rakawanda.
Zvisinei, kana iwe une steroid inorwara nechirwere chepifupa kana kuti hauna kutaridzika kuora mweya ( unononoka kana unoramba uripo ), iwe uchada kuona chiremba wako wepimma vasati vambovhiyiwa. Izvo zvakapfuura zviri nani, asi vhiki inenge isati yasvika kana mishonga yako ichida kugadziriswa. Nhamo, utachiona hwako hwemhepo hahuwanzofanotaurira dambudziko rezvinetso munguva yekuvhiyiwa sezvo nhamba yevarwere vane izvo zvinoita sekutonga kwakanaka kunogona kukurira matambudziko intraoperatively.
Zvisinei, vamwe vanyori vakashamisika kana asthma ichiri nengozi yehuwandu hweanesthesia? Pfungwa yavo ndeyekushandura kunongororwa kubva pakuchirwa nekudzivirira kudzidza kwakapfuura kwakawanda kukurukurirana nezvengozi uye matambudziko hazvisi izvozvi nhasi. Kunyange zvazvo varwere vakawanda vachizoita aneshesia asina njodzi, zvichiri kukosha kukurukurirana nachiremba wako usati wambovhiyiwa uye uchifunga nezvezvakataurwa zviri pano.
Chinokosha ndechokugadzirira nekujekesa dambudziko.
Ndeapi Ngozi
Bronchospasm , zvinoshamisa kwandiri, inowanikwa pasi pe2% chete yemhosva apo aneshehesia inowanzodiwa. Izvo zvinowanzoitika panguva yekurohwa, nguva iyo anesthesiologist (chiremba anotungamirira anesthesia) anotanga anesthesia yako.
Zvisinei, zvinetso zvingave zvinogona kuparadza uye zvinokonzera kukuvara kwakanyanya kweuropi kana kufa.
Kusuruvara kwakanyanya kunokonzerwa nekutuka (kana bhuti racho richiiswa mumapapu ako kuti uwane kufema panguva yako). Izvi zvinogonawo kuguma nekuderedza oksijeni kudimbiswa
Dzimwe njodzi dzinosanganisira pneumonia uye atelectasis . Paunenge uri pasi peanesthesia uye zvinokonzerwa nemishonga unenge uine chifufu chisina kunaka chinogona kukonzera kudiwa uye kukanganisa utachiona.
Chirwere hachifungidziri kuti chiwedzere njodzi yako ye post postative pulmonary complications zvikuru. Zvisinei, kune dzimwe nzira dzisina kurongeka dzakagadziriswa nechirwere chinokonzerwa nekukanganiswa kukuru kunogona kukonzera kuwedzera kwehutachiona hwehutachiona kune dzimwe nzira dzakadai sekuwedzerwa kungozi yevanga rekuvhima rinotangazve.
Kana uri weergergic kune latex unofanirwa kuve nechokwadi chokuti chiremba wako uye vose vanobata basa vanoziva izvi. Iwe uchada kubvunza nekudzokorora neboka rako rekushanda kuti vangadzivise sei kukuisa iwe ku latex.
Ikushanyirwa Kwekugadzirira
Iwe unofanirwa kuona chiremba wako wepmma kuti uongororwe mushure mekuvhiyiwa. Chiremba wako achagadzirisa nhoroondo, kuongorora muviri, uye kuongorora mushandisi wako mushandisi wemishonga. Kana urombo hwako husinganyatsogadziriswa hunogona kudikanwa kuti chero sarudzo yekusarudzwa, isina kubuda ichitsoropodzwa.
Kana chiremba wako asingazivi nezvehutungamiri hwako hwe asthma vangada kuedza. Nepo nhepfenyuro yekudzivirira ichiyerera ichikwira yehuwandu kupfuura 80% inofanirwa zvakanaka, imwe nguva kupona kwekuyerera kuedza hakusi kwakakwana. Kana chiremba wako achifunga kuti kuedza kunofanira kuitika, spirometry inogona kurairwa. FEV1 inowanzoshandiswa kutarisa asthma iri muhofisi uye vamwe vanachiremba vanokumbira kuedzwa kwepamusoro pengozi yepamusoro pamimba, thoracic, kana chirwere chemwoyo. A FEV1 yepamusoro pe80% yezvakafanotaurwa inowanzoratidza kunaka kwehutema.
Chiremba wako dzimwe nguva anoda kuraira maitiro chaiwo emakiromiti anoenderana nechirwere chako.
Mafungiro akakwirira emimwe mishonga yemaphma inogona kutungamirira kune kuchinja kweglucose, potassium, kana magnesium inofanira kuongororwa. Apo chifukidzo x-ray chinowanzorairwa, hachiwanzobatsira kana iwe usina zviratidzo zvekukanganiswa kana utachiona.
Iwe unogonawo kutaura kutaura neanesesthesiologist yako (chiremba anokuisa iwe kurara munguva yekufamba) pamusoro pezvakagadzirirwa zvekusevenzanisa nehukuru anesthesia. Munowanzo anesthesia iwe uri kuiswa zvachose kurara apo dunhu re anesthesia harina. Iyo inobatsira zvikuru ndeyokuti nzvimbo yeAnesthesia inotadzisa njodzi inogona kuitika yezvinetso zvekuenda kune dzimwe nyika kana nzira yako yekufambisa ndege ichigadziriswa.
Kana urombo hwako husinganyatsogadziriswa zvakanaka, tarisira kurapa kwakasimba usati wavhiyiwa. Izvi zvinogona kusanganisira kupfupika kunowanikwa mumuromo steroid uye mamwe marapirwo. Ichi ndicho chimwe chezvikonzero nei zvakanakisisa kuona chiremba wako wepmma sezvichibvira zvichiita musati mavhiyiwa. Chinangwa chacho ndechokuti FEV1 yako kana kuti kupera kwepamusoro kunenge iri pane zvavanotaurira kana kuti zvakanakisisa iwe usati wavhiyiwa.
Zvimwe zvezvenhoroondo yako yezvechirwere zvinowedzera dambudziko rebronchospasm panguva yekuvhiyiwa uye rinofanira kutaurwa rinosanganisira:
- Atopy
- Eczema
- Allergic rhinitis
- Nhoroondo yemhuri yeAhma kana atopy
Recent Steroid Use
Kunyanya kunetseka (naizvozvo zvakakosha kurega anesthesiologist azive) varwere vanorwara asingagumi steroid uye avo vanoda muromo steroid mumwedzi 6 yekupedzisira. Dzimwe nguva varwere ava vachawana IV steroid panguva yekuvhiya.
Ndinofanira Kusiya Kusvuta Here?
Kunyange zvazvo mhinduro yeiyi inenge nguva dzose hongu, vamwe varwere (kana iwe une asthma kana kwete) uyo akarega kusvuta nguva pfupi vasati vavhiyiwa vanozviisa pangozi yakawanda yezvimwe zvinetso pashure pokuvhiyiwa. Kana iwe ukarega kwemavhiki maviri usati wambovhiyiwa izvi kazhinji hazvisi dambudziko. Apo kusvuta uye homa haisi kushamwaridzana kwakanaka, iva nechokwadi chokuti unotaura nachiremba wako usati warega usati wavhiyiwa.
Sources
- National Heart, Lung, uye Blood Institute. Gweta Rinoongorora Gweta 3 (EPR3): Mirayiridzo yeKutsvaga uye Kutungamirirwa kweApmma
- Li J, McPherson R. Chirwere chinoramba chichigadzirisa chinokonzera anesthesia here? Nyaya yeAnesthesiology 2014; 2 (1): 8-12