Zvinyorwa: Chii Chaicho uye Nei Chichishandiswa
Chii Chinoshandiswa?
Nharo ndeye benzodiazepine, rudzi rwechirwere chinokonzera kusununguka, kurara uye kunogona kukonzera kukanganisa kwakakwana kana kukwana kwepfungwa panguva yekushandiswa kwemishonga. Inowanzoshandiswa kubatsira murwere zviri nani kubvumira kurapwa. Iyo inoshandiswawo mukurapa kwakanyanya kune varwere vari pane ventiliti uye vangave vasingaregi mhepo yekufema zvakanaka.
Nei Kutaura Kwazvo Kunoshandiswa
Nhauriro inowanzoshandiswa pakuita sedation panguva dzisingatariswi anesthesia , asi dzinoda murwere kuti arambe akadzikama uye akasununguka, akafanana nekolonoscopy. Mitsara inogona kushandiswa zvakare mushure mekuvhiyiwa kwekuita sedation, kana kuti kubatsira kuchengeta murwere kugadzikana paanenge ari muvharidzi .
Zvinyorwa zvinogona kushandiswa pamwe chete nemishonga inorwadza kana mamwe maitiro e sedation. Kunyange zvazvo inowanzobatanidzwa neFentanyl, mishonga inorwadza yakasimba, inogonawo kusanganiswa nePropofol nemimwe mishonga.
Mafomu Ezvakanyorwa
Zvinyorwa zvinowanikwa sejojo, sevhiringiro re IV uye sechirasi inotorwa nemuromo. Inowanzopiwa kuburikidza ne IV, kuitira kuti inogona kuitika nokukurumidza, iyo sirasi inotora nguva yakareba kuti ibudirire uye zvakaoma kufanotaura kuti ichaitika rini.
Sirasi inowanzoshandiswa kune vanhu vane chirwere chekudya, kana chiri chechigarire kana kuti chichiiswa kwechinguva, uye kazhinji kune varwere vanoda kutengesa kwenguva yakareba pane kungova maminetsi mashomanana kana maawa mashoma.
Versed uye Fentanyl
Nhauriro inowanzobatanidzwa neFentanyl, kurwadziwa kwakasimba kunorasikirwa, kupa "conscious sedation". Inozivikanwawo se "twilight sleep" kana "kuongororwa anesthesia care (MAC) . " Urwu rudzi rweaneshesia harudi kuti murwere ave ventilator panguva yekufamba.
Iyo mishonga miviri, kushanda pamwe chete, inopa kupumbuka kunorwadza, kupembera, uye amnesia.
Chinangwa ndechekudzivirira kurwadziwa nekuzvidya mwoyo panguva yekugadzirisa, uye kana pane kushungurudzika kana kushungurudzika, murwere haakwanisi kuzviyeuka.
Kubatanidzwa kweVeded uye Fentanyl kunoshandiswa zvakare muI ICU, iyo inowanikwa kuburikidza ne IV. Iyo inogona kupiwa kumishonga inobereka chimiro che "coma," kuchengeta murwere asingazivi nezvezvakapoteredza. Izvi zvinogona kudikanwa kana murwere asingakwanisi kugadzikana, ari pangozi yekuzvikuvadza ivo pachavo, ari kurwisa ventilator, kana kuti ane chirwere chinokonzera marwadzo makuru (akadai sokupisa).
Migumisiro Yechipfuva Inofananidzwa
- Kutaurirana kunowanzokonzera kurasikirwa kwepfungwa munguva iyo apo mishonga iri kutarisirwa uye nguva inotevera inotevera. Ichi ndicho chikamu chepachikamu chechikamu cheVeded uye chinofanira kutarisirwa.
- Nharaunda inogona kuderera kufema, saka kuongorora kwakanyanya kunokosha kana mushonga uri kushandiswa.
- Vechidiki vashoma vanorwara vanonzwa vachishungurudzika, vasinganzwisisiki kana kuti vanovhiringidza pavanotora Versed, panzvimbo pekusununguka kwekufunganya nekuzorodzwa kunoitwa.
- Nharo dzinokonzera kugona nekutsvaga mushure mekutambira mishonga hakurudzirwi.
- Nharo dzinogona kukonzera kana kuwedzera kukonzera .
Zvinyorwa Pamba Kushandiswa
Nharo haisi yakakodzera kushandiswa kwemusha, inoshandiswa panguva yekuraira kana kuchengetwa kwepfungwa.
Nguva dzose kuongororwa kunodiwa nekushandiswa kweVeded, saka hazviwanzoshandiswa muchipatara kune dzimwe nzvimbo kunze kwekuvhiyiwa, maitiro emakamuri uye kunyanya kutarisira.
Kunyorerwa kunyevera
Nzira dzinogona kukonzera kuora mwoyo, zvinoreva kuti chido chokufema chinoderera kune vanhu vanogamuchira mishonga. Pamusana pekuguma kweizvi, varwere vanofanira kuongororwa zvakanyanya munzvimbo yekuchengetedza hutano pavanotora Versed. Nhaurirwo inogonawo kuwedzera kuporesa kuora mwoyo kwezvimwe mishonga, kusanganisira opioids.
Pamusana pokuti izvi zvinokonzera kuora mwoyo, varwere vane mamiriro ekufema zvakadai seCOPD vangave vasina kukodzera kuVeded.
Varwere vari panhotera, avo vanogona kana kuti vanga vasina chirwere chekufema, vanogona kupiwa Zvinodiwa kuvabvumira kushivirira kuva nefema yekufema panzvimbo.
Nzira dzinogona kuderedza kushanda kweropa uye dzinofanira kushandiswa nekuchenjerera apo murwere ane dambudziko rekudzivirira kweropa, zvisinei nokuti kunokonzerwa nekutyisidzika, sepsis kana kuti hutano huri hwemamiriro ehurumende kumurwere.
Nzira dzinofanira kushandiswa nekuchenjerera mukuyamwisa uye vakadzi vane pamuviri. Nhaurwa yakaratidzwa kuti iyambuke chigadziro chinoputika, zvinoreva kuti mucheche achagamuchira imwe yemishonga kana ichipiwa mukadzi ane pamuviri.
Nharaunda inowedzerwa zvishoma nezvishoma kune varwere vane dambudziko rekushanda uye vanogona kuva nemigumisiro yakareba kune ivavo. Desi rezasi uye / kana nguva refu yekudzoka inogona kudiwa.
Zvinyorwa Zvitsvene
Kusiyana nemishonga yakawanda, mazamu akaenzana anofanirwa kuve akavakirwa pamigumisiro yemishonga, panzvimbo pekurema kwemurwere. Chirwere chinofanirwa kuchinjwa zvichienderana nemugumisiro wechirwere chekutanga, zvinoreva kuti murwere anofanira kupiwa zvishoma kana zvishoma zvechirwere zvichienderana nekubudirira kwayo.
Kukwanisa kwemurwere kubvumira kunwa doro kunowanzopa ruzivo rwekutsungirira kwavo kune Versed. Vanhu vari "vasina kuonda" uye vanodhakwa nyore nyore vangada mushonga muduku kudarika mumwe munhu anogona "kubata doro ravo."
Shoko Rinobva Kwazvo Zvakanaka
Zvinyorwa ndezvechirongwa chakakosha chekuita sedation panguva yekugadzirisa, asi inofanira kushandiswa munzvimbo yakakodzera: nevashandi vakarovedzwa varipo uye magetsi ekushandisa mukuchengetedza. Iyi mishonga inogona kukonzera kuderera mukufema uye kukanganisa kurasikirwa, naizvozvo zvinokosha kuti unyanzvi akadzidziswa aripo kuti atarise zvinokonzerwa nemurwere.
Sources:
Versed Monograph. RxMed Pharmaceutical. Yakasvika muna July 2009. http://www.rxmed.com/b.main/b2.pharmaceutical/b2.1.monographs/CPS-%20Monographs/CPS-%20(General%20Monographs-%20V)/VERSED.html