Pakarepo paunosvika pakamuri yekushanda, ropa rako rinotariswa, kuti uise "chiyero chekutanga", chiyero chichashandiswa muhutano hwose kuti uone kupindura kwako kune chirwere uye nemishonga inoshandiswa neanesthesia. Zvisinei, kuongorora kwemazuva ano kwakaratidza kuti ropa rekuyeresa chiyero usati wapinda muimba yekushanda (OR) yakanyatsojeka, uye ndeyekuti ropa rinodzvinyiririrwa nachiremba wako kuti aratidze dhiyabhorosi yako.
Kudzidza, kwakaratidzwa paAnesthesiology 2015 musangano wegore negore, wakaona kuti apo kuwedzera kweropa kwakayerwa muOO, kazhinji kwaive yakakwirira kudarika ropa rinokonzerwa nezviyero zvakatorwa zuva rekuvhiyiwa, kana kunyange kuwedzerwa kweropa kuyerwa pazuva kuvhiyiwa mu "nzvimbo yakabata," vasati vapinda muOOR. Ropa kudzvinyirira kudzvinyirira rinokosha mukuvhiya. Kugadziriswa kwekodzero yakakwana yeropa kunogona kubatsira kudzivirira zvirwere nekurwadziwa kwemoyo munguva yekupedza nguva.
Kazhinji, anesthesiologist anotarisa kudzvinyirira kweropa muA. Ropa rekudzivirira kushandiswa muimba yekugadzira rakaratidzwa rakakwana kana riri mukati ma20 kubva muzana remurwere weropa rekutanga. Zvisinei, murwere wepakutanga wehutano hwemurwere unogona kunyanya kuwedzerwa semugumisiro wekuzvidya mwoyo muAO, kana kuti ungave wakanyanya kuderedzwa semugumisiro wekugadzirira kushandura.
Zvimwe zvinoshandiswa muropa zvinogona kukonzerwa nekuregererwa kwemazuva ose kuwedzerwa kwemishonga yeropa mushure mekuvhiyiwa; kurwadziwa kana kurwara kunogona kukonzera kudzvinyirira kweropa kune yakakwirira kudarika zviyero; uye mishonga inorwadza inogona kuitawo ropa rako. Varwere vari pasi peanesthesia havagoni kuwana oxygen yakawandisa sezvavari kuda uye izvi zvinogona kuita kuti kuwedzerwa kweropa kunowedzera.
Mukutsvakurudza kwevarwere vanopfuura 2 000, vatsvakurudzi vakawana kuwedzerwa kweropa rega mune varwere vazhinji apo ropa ravo rekuyeresa rakayerwa muimba yekushandisa, zvichienzaniswa nechiyero mumakiriniki vasati vambovhiyiwa kana munzvimbo inotangira kushandiswa.
Imwe yongororo yakadhindwa nemashoko kubva kune vanopfuura 250 000 varwere vakaratidza kushamwaridzana kukuru pakati pekuderedzwa kweropa neropa kupfuura kupfuvura kwekuwedzera kweropa nekufa panguva yekuvhiyiwa.Vatsvakurudzi vakapedzisa chidzidzo ichi vachiti apo kuwedzerwa kwehutano hweropa kunokosha kune utano hwemazuva mazhinji, haisi pachedu iyo yakawanda inokonzera kufa kwemashure.
Zvinodhaka zvinoshandiswa kureva anesthesia zvinogona kuchinja ropa rako, kunyanya apo iwe unotanga kurara uye zvakare zvakare paunotanga kumuka. Vamwe vanhu vanoona donho guru muropa rega mushure mokunge vawana mishonga kuti vavate kuti varare, ndicho chikonzero basa reanesthesiologist nderokutambudza kubudiriro yakabudirira. Mishonga inoshandiswa kweanesthesia inowanzova nemigumisiro yakafanana yekuderedza midziyo yako yeropa, kana kuwedzera. Izvi zvinoita kuti kuwedzerwa kweropa kunowanikwa kune dzimwe nhengo, asi iyo yose inokonzera kuderedzwa kweropa.
Anesthesiologist inonyatsocherechedza ropa rako uye zvimwe zviratidzo zvinokosha panguva yekuvhiyiwa. Anesthesiologist anoongorora ropa rako pamaminetsi mashanu oga oga panguva yaunenge uchivhiyiwa, uye mushure mekuvhiyiwa, apo iwe unopinda muimba yekugadzirisa, uye kusvikira mishonga yemishonga inopera. Kana ropa rako rega richiderera, iwe unenge uri pangozi yekurohwa kana zvimwe zvinetso, naizvozvo anesthesiologist inowedzera mishonga kuburikidza neyomukati (IV) mutsara kuti udzorere ropa rako rekuita kuti rive rakanaka. Sezvokuvhima nekugadzirisa kwemuviri wako mukati, zvinoitika kuti muviri wako unobereka zvinhu zvakadai se epinephrine iyo inokurudzira ropa rako risingapindi nemishonga.
Kunyange mumwe munhu ane kuwedzerwa kwepamusoro kweropa anogona kuona ruzivo rwokunetseka kweropa nekutyisidzika kana ropa rakawanda richirasikirwa panguva yekuvhiyiwa. Kunyange zvazvo varwere vaduku vangave vakakwanisa kubvumira kusuruvara kwepamusoro kweropa panguva yekuvhiyiwa, vanhu vakwegura havakwanisi nzira dzakawanda dzokubhadhara nadzo kuchengetedza kukwana kweropa kwakakwana kune nhengo dzinokosha apo ropa reropa richidonha. Muzviitiko zvakawanda zvekurasikirwa kweropa, kuwedzerwa kwezvigadzirwa zveropa zvinogona kudiwa kuti kudzosera ropa kuwedzere zvakakwana kuti zviwanike zvakakwana masero anokosha emuviri nhengo.
Munguva yeanesthesia, anesthesiologist ichaenzanisa zvose zvinokonzerwa nekuvhiyiwa nehutano huripo kuti urambe uine utano hwehutano hwakanaka. Anesthesiologists vanoita ruzivo rwakawanda rwekudzidzisa, saka unogona kuva nechivimbo kuti vakatarisana nemhando dzakasiyana-siyana dzekushandura kweropa dzinochinja. Pakupedzisira, rimwe chete ropa rinowanzopererwa nekuvhiyiwa rinogona kungova kukanganisa kwemakina kana kukanganisa nemunhu kuverenga makina. Ndicho chikonzero anesthesiologist asingamboiti pane chimwe chinhu chisingakoshi. Vanotarisa kufambira mberi kweropa rako sezvinonyatsooneka apo vanocherechedza mishonga yamunowana nokuda kweanesthesia.