Mhando yevanhu vakawanda anesthesia varwere vanosarudza panguva yekuvhiyiwa kwekenza yekoloni inogona kuchinja mikana yavo yekupfuura makore pasi pemugwagwa, maererano nekutsvakurudza kwakawanikwa pa 2007 American Society of Clinical Oncology Annual Meeting. Zvavakawana uye mhedziso zvakapesana nezvaya zveimwe mhando dzekenza. Chimwezve chiitiko chezvimwe zvidzidzo zvakazosvika pakugumisa kwakasiyana, izvo zvinoratidza kusava nesimba kwekugadzirisa kusarudza kwako kusarudza pane imwe yedzidzo.
Dzidziso iyi ndeyekuti kushungurudzika kwemasimba ehurumende uye kukwanisa kwayo kuchenesa masero emukenza akabudiswa panguva yekuvhiyiwa kunogona kuve iyo inokonzera kusiyana pakati pehutano hwemagetsi. Kana epidural anesthesia inoshandiswa pakuwedzera kune aneshehesia yakawanda, murwere achada mishonga shoma yeopioid yekununurwa nemarwadzo. Opioids inogona kudzivisa mafungiro emumune, iyo inogona kubvumira mamwe masero emukenza kuti ararame uye zvichida kutungamirira kudzokorora.
NezveAnesthesia Research
Vatsvakurudzi vakatarisa mashoko kubva kune varwere vechirwere chekironi 177 avo vakanga vatora chikamu mune imwe nzvimbo apo vamwe varwere vakagamuchira kusagadziriswa anesthesia (UGA) uye vamwe vakagamuchira zvipembenene-kuwedzererwa aneshehesia (ESGA) panguva yekuvhiyiwa kwekenza yekoloni. Vatsvakurudzi havana kunyatsoita chidzidzo nevanotora ivo voga; ivo vakaita kuongorora uye kuverenga zvichibva pane dhiyabhorosi kubva pane imwe dzidzo.
Mhinduro
Imwe nzira yakajeka yakabuda iyo yakatungamirira vatsvakurudzi kugumisa kuti UGA ndiyo nzira yakanakisisa kudarika ESGA yekuvhiyiwa kwekenza yekoloni.
Chaizvoizvo, nhamba-crunching yavo yakaronga kuti varwere vakagamuchira ESGA vaitowedzera kuipa munguva refu (mushure menge makore anenge mashanu) kupfuura varwere vakasarudza kuUGA. Vanofunga kuti zvinogona kunge zvichiitika nekuda kwezvinhu zvakasiyana, kusanganisira kuderedzwa kweropa kuderera kune nhengo panguva yeSGA.
Zvikanganiso
Pane zvakawanda zvisingakwanisi pano.
Chokutanga, hapana tsvakurudzo dzakawanda panyaya iyi. Pose pazvinenge zvichiitika, zvinowanzova kuchenjera kuchengetedza mutongo kusvikira zvidzidzo zvakawanda zvaitwa. Chechipiri, kuongororwa kwakaitwa pamatarenda asina kukwana. Nzira yekutora yakanga iripo chete kune vanhu 177, iyo inhamba yakanaka chaizvo.
Zvidzidzo Nezvipingamupinyi Zvisinganzwisisiki
Kuongororwa kwezvidzidzo zvakabudiswa muna 2015 zvakaona kuti epidural anesthesia yakabatanidzwa nehupenyu hwehupenyu huri nani mune zvidzidzo zvinomwe, zvinopesana nezvakadzidza muna 2007 zvakawanikwa. Rectal kanzera varwere vainyanya kubatsirwa nekushandiswa kwepidurals. Kakawanda, kuongorora kwakagumisa kuti "sangano pakati pepidural anesthesia uye kuponeswa kwekoloni uye kenza yemarara haisi pachena." Vakataura kuti hapana chezvidzidzo zvavakabatanidza zvakaratidza kuipa kwakanyanya kwepidurals pakupona.
Izvi zvinorevei kune murwere anotarisana nekuvhiyiwa? Kurukurai aneshehesia zvisarudzo pamwe neboka rako rezvehutano kuti uone kuti nei vachikurudzira mumwe kana mumwe pane zvakaitika.
Sources:
Christopherson, R. naJames, K. "Kupona Kwenguva Yakareba Kufurikidza Kuvhiya Kwekodononi: Kusiyana Kunobatanidza Nokusarudza Anesthesia." Nyaya yeCliniki Oncology 2007 ASCO Annual Meeting Proceedings (Post-Meeting Edition) 25.18S (20 Jun 2007): 17015.
F. Jeroen Vogelaar, Daan J. Lips, Frank RC van Dorsten, Valery E. Lemmens naKoop Bosscha. "Kukanganisa kwemaitiro ekushaya maitiro ekupona mumukenza wekoloni: kuongorora mabhuku." Gastroenterology Report (2015) ini: 10.1093 / gastro / gov001 Kutanga kubudiswa paIndaneti: February 16, 2015