Rimwe remishonga inopiwa panguva yekuvhiya kweGeneral Anesthesia
Munhu akaoma rutivi rwomuviri (dzimwe nguva anonzi musimba anononoka) iboka remishonga inokonzera kukanganisa kwakanyanya kwemasimba kunoshandura misi miviri yomuviri isingagoni kufamba. Maererano neMedscape: Succinylcholine, kukurumidza-kutanga, kushanduka kwenguva pfupi kusaputsika kwemisumbu kunononoka, kazhinji kwave kuri mishonga yekusarudza kana mushure mutsva uchizorora.
Nei Chirema Chichishandiswa
Mune zvimwe zviitiko, vanorwara mitezo vanoshandiswa sechikamu chevanhu vazhinji anesthesia , kudzivirira kufamba panguva yekuvhiyiwa.
Kana anesthesia akangoita kuti murwere arara, vangadai vachikwanisa kufamba panguva yekufamba. Izvi zvingaguma nenyaya dzakakomba kune chiremba, uyo ari kushanda nemidziyo yakakosha zvikuru pamativi asina kunaka emuviri.
Panguva yekuvhiyiwa, kunyange musangano muduku kudukusa, sezvinoita mishonga inokanganisa, inogona kukanganisa kupora. Chimwe chinhu chakaita sechinyoro chinogona kuva chakaipa. Nokuda kwechikonzero ichi, kunyanya kune mamwe marudzi ekuvhiya, zvinonyatsodikanwa kuti murwere haambofambi panguva yekuvhiyiwa, kunze kwekufambisa kunodiwa kufema.
Zvirwere zvinokonzera mishonga zvinonyanya kushandiswa nekuda kwezvinangwa; semuyenzaniso:
- kuti aise bhuku rinofema mumhepo
- nokuda kwokuvhiyiwa mumimba
- nokuda kwekurohwa kwehuro
- kune mamwe mavhivhi mubhokisi rinobata mwoyo uye / kana mapapu
Zvirwere Zvirwere Zvine Utano Zvinoshanda
Vakawanda vanorwara mitezo vanobva pamushonga wemishonga unonzi curare. Chimiro chinowanikwa kuSouth America, chakatanga kushandiswa kuporesa mhuka munguva yekuvhima.
Pakazosvika pakati pemakore ekuma1940, curare yakanga iri kushandiswa sechinhu chinoshandiswa kune anesthesia. Kutanga kuma1950, vatsvakurudzi vakatanga kutora mishonga yekuora mitezo. Kunyange zvazvo izvi zvaibatsira pakuvhiyiwa, vazhinji vaiva nezvakanganisa zvakadai sekudzika kunonoka kana kusatarisira.
Mishonga yakaoma mitezo inosunungura maronda aya kusvika paanenge asingakwanisi kushandisa huzhinji hwemuviri wemuviri.
Mishonga yemahara, iyo inobatsira mapapu kuzadza oksijeni, haagoniwo kufamba, saka hazvibviri kutora mweya. Kamwe kamwe mishonga yechirwere inopihwa, ventilator uye bhuku rinofema rinodiwa.
Mhando iyi yemishonga inopiwa kuburikidza ne IV uye inongowanikwa muzvipatara uye munzvimbo dzokuvhiya. Varwere vanofanira kunyatsoongororwa, uye muyero unofanira kunyatsosarudzwa. Kunyangwe nekushandiswa kwakakodzera uye kuchenjerera, migumisiro inogona kuitika. Zvimwe zvinowanzova nemigumisiro zvinosanganisira kukurumidza kushaya mwoyo, kufema nokukurumidza, dutu, chirwere chepfungwa, kurwadziwa kwepfupa, uye kuwedzera kwekushisa kwemuviri.
Apo kuvhiyiwa kwapera, mishonga inopiwa kupa mhinduro yemigumisiro yemishonga yakaoma mitezo. Mienzaniso inosanganisira acetylcholinesterase inhibitors, neostigmine, uye edrophonium. Sezvakaita mishonga yakaoma mitezo, kuwedzerwa kunofanira kuva kwakakodzera kudzivisa kusava nemigumisiro yakaipa.
Ndezvipi Zvokushaya Mitezo Usingaiti?
Avo vakaoma mitezo vanoita kuti muviri urege kutama; hazvina matanho ekurwadziwa kana mupfungwa. Pasina kunyengedzwa, murwere angave akasvinura paanovhiyiwa uye asingakwanisi kufamba. Nokuda kwechikonzero ichi, kudengiswa kunopiwawo panguva yekuvhiyiwa kumisa varwere kubva pakurwadziwa kana kuyeuka zvakaitika kune kuvhiyiwa.
Iko kusanganiswa kwemishonga yekuchera uye munhu akaoma rutivi rwomuviri anoita kuti aneshesia yakawanda ibudirire kuvarwere vakawanda vanovhiya.
> Sources:
> Press, Christopher. General anesthesia. Medscape. Webhu. 2015.
> Raghavendra T. Neuromuscular kuvhara zvinodhaka: kuwanikwa uye kubudirira. Nhoroondo yeRoyal Society of Medicine . 2002; 95 (7): 363-367.