Kutarisira kuvhiyiwa chirwere chinokonzera kuzvidya mwoyo. Pamusoro peizvi, kana iwe uine kuwedzera kweropa , iwe unogona kuva nezvimwe zvinetseka pamusoro pekuti ropa rako ringaita sei pasi peanesthesia yakawanda.
Ngatinyatsoongororei zvinokonzerwa nekuvhiyiwa kweropa, uye kuti sei kuva nechirwere ichi (chinonzi hypertension) chingakanganisa nguva yekuvhiyiwa kwako.
Kutarisira Kuwedzerwa Kweropa Rakawanda: Kusati Kuvhiya
Kuva nehana yepamusoro zvakanyanya kunogona kuwedzera njodzi yako yekuvhiyiwa, uye kuti ingozi yako yakawanda sei, inotaridzika kuti ingwara yako yakanyanya sei.
Nezvo, mamwe emamiriro ezvinhu chaiwo anokonzerwa nehutano hwehuropa hukuisa pangozi yekuti kana uri kuvhiyiwa unosanganisira:
- Congestive heart failure
- Zvinetso zvepoyo
- Stroke
- Kumira kurova kwemoyo
Izvozvo zvakati, kuwedzerwa kwepamusoro kweropa kazhinji hachisi chikonzero chekuendesa mberi chirwere kunze kwekuti munhu ari kuita chirongwa chikuru chekuvhiya uye kuwedzerwa kweropa kusinganyatsogadziriswa, izvo zvinoreva kuti systolic ropa rinosvika 180mmHg kana kupfuura kana diastolic yeropa ropa ine 110mmHg kana kupfuura . Muchiitiko ichi, kurerutsa chirwere kunogona kuonekwa.
Mukuwedzera pane kutevera mazano avo pamusoro penguva yekuvhiyiwa kwako, zvakakosha kutevera mirairo yako yeboka rehutano inoshandiswa nemishonga yekuenderera mberi uye iyo inofanira kumira pamberi pokuvhiya kwako.
Kune vanhu vane chirwere chisingaperi chemhepo, mumatambudziko akawanda, kuramba uchiwedzera ropa rako remishonga (inonzi antihypertensives) inowanzochengeteka. Kutaura zvazviri, kumira vamwe vavo kunogona kukonzera kugadzirisa simba, uko ropa rako rinomuka.
Pane zvinopesana, mamwe ekuderedza ropa kwemishonga (somuenzaniso, ACE inhibitors kana angiotensin receptor blockers ) anosungirirwa kwenguva yakati, sekumaawa makumi maviri nemaviri, vasati vavhiyiwa.
Pakuguma, iva nechokwadi chekujekesa nachiremba wako kunyanya kuti mishonga yaunofanira kuitei uye haafaniri kutora usati wavhiyiwa.
Kutarisira Kuwedzerwa Kweropa Rukuru: Panguva Yokuvhiya
Nguva pfupi usati wapinda muimba yekushandira, anesthesiologist yako achakubvunza mibvunzo mashomanana nezvenhoroondo yako yezvechiremba, kunze kwekuzviongorora pachepa yako. Nenzira iyo iye anoziva dambudziko rako rekutanga, ropa remishonga, uye / kana kuti kusati kwaitika kune anesthesia.
Panguva yekuvhiyiwa , anesthesiologist icharamba yakatarira uye yakaramba iri pamusoro pesimba rako reropa, pamwe nezvimwe zviratidzo zvinokosha zvakadai semwoyo wako uye kuwedzera kwekufema.
Mukureva kweropa rekuchinja kunoshandiswa panguva yekuvhiyiwa, kune zvikonzero zvingaita zvishoma.
Chimwe chikonzero nei ropa rako rinogona kumuka panguva yekuvhiyiwa rinobva pakugadzirisa hurongwa hwako hwekunzwa tsitsi panguva yekutanga kweanesthesia-chiitiko chinowanzoitika. Mukuwedzera kuwedzerwa kweropa rako rinokura panguva yekutanga kweanesthesia, moyo wako wekuwedzera uchatowedzerawo.
Kurapa kukwirira kweropa mukati mekuvhiyiwa, anesthesiologist yako inotungamirira muchero (kuburikidza nemuviri wako) antihypertensives.
Kune rumwe rutivi, kana iwe uchingorasikirwa neropa panguva yekuvhiyiwa, ropa rako rinogona kudonha. Kunyange zvazvo mvura inoshandiswa uye / kana kuwedzerwa ropa kungave iwe wose unoda kuwedzera ropa rako, kana pane kurashikirwa kukuru kweropa panguva yokuvhiyiwa (zvinopfuura 20 muzana yemuviri weropa rako), chirwere chinopisa upenyu chinonzi hypovolemic shock kukura.
Kutya kweHypovolemic kunoitika apo kurasikirwa kweropa kunoita kuti zvive zvakaoma kuti mwoyo urove zvakanaka, izvo zvinowedzera kuwanda kweropa rinowanikwa nhengo dzakawanda. Izvo zvinotyisa zvinoda kuchinja kushandura ropa kuitira kuti zvikamu zvako zviwane oxygen yavanoda kuti zviite.
Kutarisira Kuwedzerwa Kweropa Rukuru: Pashure pokuvhiya
Sezvo munhu achidzoka kubva kune anesthesia, ropa ravo rehutachiwana uye kutengesa kwemoyo zvinogona kukura zvishoma nezvishoma. Kana munhu aine zvirwere zvepamusoro zvakanyanya mushure mekuvhiyiwa (apo systolic inosvika 180mmHg kana yakakwirira), angangodaro apiwa mishonga yemishonga, panzvimbo peminwa yemuromo, kuderedza ropa.
Zvechokwadi, kana ropa redu richikwirira nekuda kwezvimwe zvinokonzera marwadzo kana kuti mvura yakawandisa inopiwa panguva yekuvhiyiwa, kuchinja kwezvinhu izvi kunofanira kuunza ropa pasi.
Paflip side, vamwe vanhu vanoona gonho muropa mukati mekuvhiyiwa. Izvi zvingave zvakakonzerwa nemishonga yakapiwa neanesthesiologist (somuenzaniso, mushonga wemarwadzo) kana kungova nemigumisiro yechirongwa chekuita.
Mukuwedzera, zvinogona kuva nengozi uye kutyisidzira hupenyu muhutano hweropa mushure mekuvhiyiwa nekuda kwehutachiona . Kuti udzivise kana kubata chirwere chinogona kuitika, chiremba wako angangodaro iwe unotora ma antibiotic musati wapedza kana mushure mekuvhiyiwa kwako.
Pakupedzisira, zvakakosha kuziva kuti kana uri muropa risingakonzerwi mishonga yemishonga, unofanira kutangazve mushure mekuvhiyiwa. Mune dzimwe nguva, dzimwe nguva, kuwedzerwa kweropa mushure mekuvhiyiwa kunongova mugumisiro wemunhu kusapfuurira mishonga yavo yenguva dzose yemishonga.
Zvechokwadi, iva nechokwadi chekujekesa kuti mishonga inotora sei neboka rako rokuvhiya.
Shoko Rinobva
Chinonyanya kukosha ndechekuti kana uchinge uchitora kana kuti kwete kudzorera chirwere chako, zvichienderana neropa rako, haisi nyaya yakasviba nechena. Ichi ndicho chikonzero zvakakosha kutevera kutungamirirwa kwetimba rako rehutano, izvo zvinosanganisira chiremba wako, chiremba wako wokutanga, uye anesthesiologist yako.
Pakupedzisira, uchiziva kuti anesthesiologist yako ichagadzirirwa kuchengetedza ropa rako richidzora panguva yekuvhiya uye kuti chiremba wako achatora nguva dzose asati apedza uye pashure pokuvhiyiwa kwako, unofanira kutarisira kuti pfungwa dzako dzive nyore.
> Sources:
> Whelton PK et al. American College of Cardiology: 2017 Nhungamiro yeHigh Blood Pressure muVakuru.
> Bisognano JD. Perioperative kutungamirirwa nehuwandu hwehutano. Aronson MD, ed. Kusvika pari zvino. Waltham, MA: UpToDate Inc.
> Kheterpal S et al. Preoperative uye intraoperative predictors yezviitiko zvinotambudza mwoyo mushure mekuita maitiro, vascular, uye urological chirurgical. Anesthesiology . 2009 Jan; 110 (1): 58-66.