Zvaunotarisira Kare, Nguva, uye Pashure Pokuvhiya
Nguva inoshandiswa iyo izwi rinoshandiswa kurondedzera zvikamu zvitatu zvakasiyana zvakasiyana-siyana zvekuvhiya chero kupi zvako, kunosanganisira chirongwa chekugadzirira, chirongwa chekugadzirisa, uye chirwere chinotevera.
Kuvhiyiwa kwega kwega kunoputsika muzvikamu izvi kuparadzanisa mabasa uye kuziva kuti ndiani ane mutoro wekutarisira uye nekupa imwe nhanho yekutarisira.
Nekuchengetedza kunyatsoteerera kumitemo uye neketani yakajeka yemirairo, mapoka ezvechipatara anogona kukwanisa kusingagumi, kunyatsotarisirwa kubva panguva apo chirwere chinorayirwa kusvika panguva apo munhu akazorora zvakare.
Preoperative Phase
Chikamu chekutanga, chinonzi chirongwa chekugadzirira , chinotanga nechisarudzo chekuvhiyiwa uye chinoguma apo murwere akaiswa muvhiya. Chikamu ichi chinogona kunge chiri pfupi kwazvo, sezviitiko zvekurwadziwa kwakanyanya, kana kuti zvinoda nguva yakareba yekugadzirira panguva iyo munhu angazofanira kutsanya, kurasikirwa nehutachiwana, kupinda muongororwa, kana kumirira kuwanikwa kwechirongwa chekugadziriswa .
Chimwe chezvinangwa zvegadziriro yekufananidzira ndeyokugadzirisa kushungurudzika kunogona kubuda, zvichida sechigumisiro chemamiriro ezvinhu ekukurumidzira kana kuti kumirira kwenguva yakareba kwenguva refu. Preoperative kuzvidya mwoyo ndiyo inowanzoitwa nevarwere uye imwe inogona kusunungurwa nekuenderera mberi kwekuita nemumwe kana kuti mitezo yeboka rezvechiremba.
Asati atora, munhu iyeye anowanzova chiremba anorapa uye / kana chiremba. Kamwe kana munhu achibvumirwa kupinda muchipatara, kutarisirwa kwevarwere uye kutarisa kuchawanzogadziriswa nemuongorori mumwechete kana kuti vanoverengeka.
Intraoperative Phase
Chikamu chechipiri, chinozivikanwa sechikamu chinonzi intraoperative, chinosanganisira chirwere ichocho.
Inotanga apo murwere anenge ari mujeri mune chirongwa chokuvhiya uye anopera apo murwere akafambiswa kune post-anesthesia care unit unit (PACU).
Munguva iyi, murwere achatorwa uye anowanzopiwa mamwe maitiro eesesthesia , kunyanya anesthesia (kutadza kunyatsoziva), nzvimbo yeanesthesia (kudzivirira marwadzo paanenge amuka), kana nzvimbo yeaneshesia (yakadai sepinini kana epidural block).
Sezvo kuvhiyiwa kunotanga, zviratidzo zvinokosha zvemuurwere (kusanganisira moyo wepamwoyo, kupumha, uye ropa oxygen) zvichaongororwa zvakanyatsotariswa. Mukuwedzera kune mabasa echiremba uye anesthesiologist, dzimwe nhengo dzeboka dzichava nebasa rekubatsira chiremba, achichengetedza kuchengeteka, nekudzivirira hutachiona panguva yekuvhiyiwa.
Postoperative Phase
Chikamu chekupedzisira, chinozivikanwa sechigadziro chemashure, chinenge nguva inotevera kuvhiyiwa. Sezvo nehutano hwekutanga, nguva inogona kunge ichingopfupika, inopedza maawa mashomanana, kana kuti inoda mwedzi yekuvandudza nekudzoka zvakare.
Kana mumwe murwere akasvinuka uye akagadzirira kusiya PACU, mukoti anotevera-aneshesia anowanzoendesa mutoro wekutarisira kumubereki anononoka. (Muzvipatara zviduku, munhu mumwechete angave akapiwa basa revari vaviri.
Kutarisira Postoperative kunonyanya kufunga nezvekutarisa nekugadzirisa utano hwehutano hwemurwere uye kubatsira mukugora mushure mekuvhiya. Izvi zvinogona kusanganisira kuvhara mvura, kutarisa kuronga kana kufamba kwemafupa, kubatsira nekufamba, kugovera kudya kwakakodzera, kugadzirisa marwadzo, nekudzivirira utachiona.