Isebenza njani ianesthesia ngokubanzi kwaye zeziphi iingozi

Umxholo

• Ezona ntlobo ziphambili zeanesthesia ngokubanzi
• 1. Ukubulawa kwe-inhalation
• 2. I-Anesthesia ngokusebenzisa umthambo
• I-anesthesia ithatha ixesha elingakanani
• Iingxaki ezinokwenzeka

I-anesthesia ngokubanzi isebenza ngokuthomalalisa umntu ngokunzulu, ukuze ukwazi komzimba, ubuntununtunu kunye nengqondo kuphele, ukuze uqhaqho lwenziwe ngaphandle kokuziva iintlungu okanye ukungathandeki ngexesha lenkqubo.

Inokujova ngomthambo, inefuthe elikhawulezileyo, okanye iphefumlelwe ngemaski, ifikelela kwigazi emva kokudlula kwimiphunga. Ubude bempembelelo zayo bunqunywe yi-anesthetist, owenza isigqibo ngohlobo, idosi kunye nobungakanani beyeza lonyango.

Nangona kunjalo, i-anesthesia ngokubanzi ayisoloko ilukhetho lokuqala lotyando, lugcinelwe olo tyando lukhulu kunye nexesha elininzi, olufana nesisu, i-thoracic okanye utyando lwentliziyo. Ngamanye amaxesha, ukubulawa komzimba yinxalenye kuphela yomzimba, enje ngendawo, inokubonakaliswa kwimeko yotyando lwedermatological okanye ukususwa kwamazinyo, okanye i-anesthesia yesifo, ukuhanjiswa okanye utyando lwabasetyhini, umzekelo. Funda malunga neentlobo eziphambili ze-anesthesia kunye nexesha lokuyisebenzisa.

Ezona ntlobo ziphambili zeanesthesia ngokubanzi

I-anesthesia ngokubanzi inokwenziwa ngomthambo okanye ngokuphefumla, kwaye akukho luhlobo lungcono kunolunye, kwaye ukhetho luya kuxhomekeka kumandla amayeza ohlobo lotyando, ukhetho lwe-anesthetist okanye ukufumaneka esibhedlele.

Zininzi iindidi zamayeza asetyenzisiweyo, ahlala edityaniswa, ukongeza ekunikezeleni umntu zingabikho zingqondweni, okubangela ukungakhathazeki kwintlungu, ukuphumla kwezihlunu kunye ne-amnesia, ukuze yonke into eyenzekayo ngexesha lotyando ilibaleke ngumntu.

1. Ukubulawa kwe-inhalation

Le ntlungu yenziwa ngokungenisa iigesi eziqulethe amayeza okubulala iintlungu, ngoko ke kuthatha imizuzu embalwa ukuba kusebenze, kuba amayeza kufuneka aqale adlule emiphungeni ade afike kwigazi nasemva kwengqondo.

Ukuxinana kunye nobungakanani berhasi efungelweyo kumiselwa ngugqirha wokubulala iintlungu, kuxhomekeke kwixesha lotyando, olunokusuka kwimizuzu embalwa ukuya kwiiyure ezininzi, kunye novakalelo lomntu ngamnye kunyango.

Ukunciphisa ukusebenza kwe-anesthesia, ukukhutshwa kweegesi kufuneka kuphazanyiswe, kuba umzimba ngokwemvelo uphelisa i-anesthetics, esemiphungeni nasegazini, ngesibindi okanye izintso.

• IMIZEKELO: Eminye imizekelo ye-anesthetics engafunwayo yiTiomethoxyflurane, i-Enflurane, iHalothane, i-Diethyl ether, i-Isoflurane okanye i-Nitrous oxide.

2. I-Anesthesia ngokusebenzisa umthambo

Olu hlobo lwe-anesthesia lwenziwa ngokujova iyeza lokubulala iintlungu ngokuthe ngqo emthanjeni, nto leyo ebangela ukuba i-sedation phantse kwangoko. Ubunzulu bokusilalisa buxhomekeke kuhlobo kunye nenani lamayeza afakwe kwi-anesthetist, eya kuthi ixhomekeke kubude bexesha lotyando, ubuntununtunu bomntu ngamnye, ukongeza kubudala, ubunzima, ukuphakama kunye neemeko zempilo.

• IMIZEKELO: imizekelo ye-anesthetics ye-injection iquka iTopopental, Propofol, Etomidate okanye iKetamine Ukongeza, iimpembelelo zamanye amachiza zinokusetyenziselwa ukuphucula i-anesthesia, ezinje ngokudambisa, i-opioid analgesics okanye iibhloksi zezihlunu, umzekelo.

I-anesthesia ithatha ixesha elingakanani

Ixesha le-anesthesia licwangciswe ngudokotela wokubulala iintlungu, ngokuxhomekeke kwixesha kunye nohlobo lotyando, kunye nokukhethwa kwamayeza asetyenziselwa ukuthomalalisa.

Ixesha elithathayo ukuvuka lithatha ukusuka kwimizuzu embalwa ukuya kwiiyure ezimbalwa emva kokuphela kotyando, eyahlukileyo kuleyo yayisetyenziswa ngaphambili, eyayihlala imini yonke, kuba, kule mihla, amayeza ngawangoku kwaye ayasebenza. Umzekelo, i-anesthesia eyenziwa ngugqirha wamazinyo ineqondo eliphantsi kakhulu kwaye ihlala imizuzu embalwa, ngelixa i-anesthesia efunekayo kutyando lwentliziyo inokuhlala iiyure ezili-10.

Ukuze wenze naluphi na uhlobo lwe-anesthesia, kubalulekile ukuba isiguli sijongwe, ngezixhobo zokulinganisa ukubetha kwentliziyo, uxinzelelo lwegazi kunye nokuphefumla, kuba, njengoko isisu sinokuba nzulu kakhulu, kubalulekile ukulawula ukusebenza kweempawu ezibalulekileyo .

Iingxaki ezinokwenzeka

Abanye abantu banokuba neziphumo ebezingalindelekanga ngexesha lokudambisa iintlungu okanye emva kweeyure ezimbalwa, ezinje ngokuziva ugula, ukugabha, intloko ebuhlungu kunye nokwaliwa kukusebenza kwesiyobisi.

Ezona ngxaki zinzima, ezinje ngokuphefumla, ukubanjwa kwentliziyo okanye i-sequelae ye-neurological, zinqabile, kodwa zinokwenzeka kubantu abanempilo enkenenkene kakhulu, ngenxa yokungondleki, isifo sentliziyo, semiphunga okanye sezintso, kwaye abasebenzisa amayeza amaninzi okanye iziyobisi ezingekho mthethweni, umzekelo.

Kuyinto enqabileyo ngakumbi ukuba i-anesthesia inefuthe elithile, njengokurhoxa ezingqondweni, kodwa ukuvumela umntu ukuba ahambe, okanye enye indlela ejikelezayo, xa umntu engakwazi ukuhamba, kodwa angaziva iziganeko ezimngqongileyo.