Kuratidzwa kweAnesthesia Care (MAC), iyo inozivikanwa seyekuti sedation kana twi twi sleep, chiratidzo che sedation chinoshandiswa kuburikidza ne IV kuitira murwere akarara uye akadzikama panguva yekuita. Murwere anowanzosimuka, asi groggy, uye anokwanisa kutevera mirairo sezvaanoda.
Icho chinonzi sedation chinoshandiswa pakurapa kwepanyama, yakadai sekolonoscopy, apo murwere anotarisirwa kudzokera kumusha mushure mokunge anesthesia yapera zvachose.
Kuona Kuti Kurara Kunzwa Sei?
Nhamba ye sedation yakagadzirwa nerudzi urwu rweaneshesia inokwanisa kubva kubva pachiedza, apo murwere anongonzwa akanonoka zvikuru, kunorema sedation apo murwere asinganzwisisi zviri kuitika uye anongomutsa kukanganisa kukuru.
Murwere angave anzwa asina kuchenjera uye achingorara, kana kuti pasi pemvura inorema ingangove yakarara. Muzvizhinji, nechiedza chechigeri, murwere anokwanisa kutaura, kunzwa zvinhu zvakapoteredza, uye kupindura mibvunzo uye kutevera mirairo. Ivo vanoziva nzira, asi kwete mukurwadziwa uye kazhinji havanzwi vachinetseka pamusoro pezvinoitika. Neine sedation yakaoma, murwere ari kufema ari oga asi asingazivi kwakatipoteredza uye kazhinji haasi "kumuka."
Kunyange zvazvo murwere angave akarembera zvakanyanya, rudzi urwu rweanesthesia rwakasiyana nehuwandu hweanesthesia nokuti murwere haasi chemhemikari akaoma mitezo, uye havadi rubatsiro nekufema.
Izvo zviratidzo zvinokosha zvakanyatsoongororwa kuti zvive nechokwadi kuti dzakasimba mune zvose zvinotevera.
Imwe mishonga inowanzoshandiswa pamhando iyi ye sedation ndiyo Propofol, inozivikanwawo seDiprivan, iyo inopiwa kuburikidza ne IV uye inotaridzika zvakaenzana nemukaka. Iyi mishonga inopiwa kuburikidza ne-IV uye inopera nokukurumidza (pasi pemaminitsi gumi kuvanhu vakawanda) saka murwere anogona kukwanisa nguva pfupi mushure mokunge nzira yacho yapera.
Zvichienderana nemishonga inoshandiswa uye mishonga inopiwa, murwere angave kana kuti haayeuki nzira yacho.
Kuongorora
Nemhaka yokuti urongwa hwe sedation hunosiyana, hutano hunoongororwa, ne anesthesia unyanzvi huripo nguva dzose kuti urambe uchicherechedza zviratidzo zvinokosha zvechiremba nekuchengetedza kana kuchinja mazinga e sedation sezvinodiwa. Izvi zvinowanzoreva chirwere cheropa chekuvhara uye kuongorora kwemajeni eokisijeni kunoshandiswa, paunenge uchinge uchitaridzika. Kazhinji, magetsi anoshandiswa pachifuva chekuongorora moyo wevarwere uye EKG muitiro wose.
Apo Inoshandiswa
Izvi zvinowanzoshandiswa nekugadzira zviduku uye mazino uye zvinogona kubatanidzwa neanzvimbo yepamunharaunda kana yeruwa kunopedza marwadzo. Nzira dzinotarisa mukati memuviri, dzakadai sebronchoscopy (airways nemapapu), colonoscopy (colon), uye esophagogastroduodenoscopy kana EGD / Upper GI (throir, esophagus, mudumbu uye chikamu chokutanga chemukati mudumbu), rinowanzoshandisa rudzi urwu of anesthesia.
Migumisiro Yechiri
Murwere ane ruzivo rwekuita sedation anowanzova nemigumisiro shoma pane avo vane zvizere zvakakwana anesthesia. Nyaya inowanzovhiringidza inokonzerwa neyeusea, asi vamwe varwere vanoona kushushikana uye kurutsa.
Kana wakamboshungurudzika kana kurutsa mushure mekushaya anesthesia munguva yakapfuura, iva nechokwadi chekutaurira anesthesia wako kuitira kuti mishonga inogona kupiwa kubatsira kudzivirira kuti irege kuitika zvakare.