Pehea e hana ai ka anesthesia ākea a he aha nā pilikia

Anter

• Nā ʻano nui o ka anesthesia laulā
• 1. Anesthesia hoʻohenehene
• 2. Anesthesia ma o ka aa koko
• Pehea ka lōʻihi o ka anesthesia
• Nā pilikia i hiki

Hana ka anesthesia ākea ma ka hoʻopunipuni ʻana i kahi kanaka i hohonu, i mea e nalowale ai ka ʻike o ke kino, ka noʻonoʻo a me nā reflexes, i hiki ai ke hana i nā ʻoki me ka ʻole o ka ʻeha a me ka hōʻoluʻolu ʻole i ka wā o ke kaʻina hana.

Hiki ke ʻimi ʻia ma o ka aa, loaʻa ka hopena koke, a i ʻole inhaled ma o kahi pale maka, hiki i ke kahe o ke koko ma hope o ka hele ʻana i loko o nā māmā. Hoʻoholo ʻia ka lōʻihi o kona hopena e ka anesthetist, nāna e hoʻoholo i ke ʻano, ka mahele lāʻau a me ka nui o nā lāʻau anesthetic.

Eia nō naʻe, ʻaʻole ʻo ka anesthesia āpau ka koho mua loa no nā ʻoki ʻana, i mālama ʻia no kēlā mau hana ʻoi aku ka nui a ʻoi aku ka manawa, e like me ka ʻoki ʻana o ka ʻōpū, ʻāʻī a me ka naʻau. I nā hihia ʻē aʻe, anesthesia o kahi ʻāpana o ke kino, e like me kahi kūloko, hiki ke hōʻike ʻia i nā hihia o ka ʻoki dermatological a i ʻole ka hemo ʻana o nā niho, a i ʻole anesthesia epidural, no ka lawe ʻana a i ʻole nā ​​ʻoki kino gynecological, no ka laʻana. E aʻo e pili ana i nā ʻano nui o ka anesthesia a ke hoʻohana ʻia ia.

Nā ʻano nui o ka anesthesia laulā

Hiki ke hana i ka anesthesia laula ma o ka aa a i ʻole ka inhalation, a ʻaʻohe ʻano ʻoi aku ka maikaʻi ma mua o kekahi, a ʻo ka koho e pili i ka ikaika o ka lāʻau no ke ʻano o ke ʻoki, makemake o ka anesthetist a i ʻole loaʻa i ka haukapila.

Nui a hewahewa nā ʻano lāʻau i hoʻohana ʻia, i hoʻohui mau ʻia i, me ka hoʻohui ʻole i ka manaʻo o ke kanaka, e hōʻeha ai i ka ʻeha, ka hoʻomaha ʻana i nā mākala a me ka amnesia, no laila poina nā mea āpau i ka wā o ke ʻoki e ka mea.

1. Anesthesia hoʻohenehene

Hana ʻia kēia anesthesia e ka hanu ʻana i nā kinoea i loaʻa nā lāʻau anesthetic, no laila he mau minuke ka hopena, no ka mea, pono e hele mua ka lāʻau i loko o nā akemāmā a hiki i ke kahawai a laila ka lolo.

Hoʻoholo ʻia ka noʻonoʻo a me ka nui o ke kinoea i hoʻōla ʻia e ka mea anesthetist, kaukaʻi ʻia i ka manawa o ke ʻoki ʻana, a mai kekahi mau minuke i kekahi mau hola, a me ka ʻike o kēlā me kēia kanaka i ka lāʻau.

E ʻoki i ka hopena o ka anesthesia, pono e hoʻopau ʻia ka hoʻokuʻu ʻia ʻana o nā kinoea, ʻoiai ke hoʻopau kūlohelohe nei ke kino i nā anesthetics, aia i nā akemāmā a me nā kahe o ke koko, ma o ke akepaʻa a me nā puʻupaʻa.

• NA HUAKAI: ʻO kekahi mau laʻana o nā anesthetics inhaled ʻo Tiomethoxyflurane, Enflurane, Halothane, Diethyl ether, Isoflurane a i ʻole Nitrous oxide.

2. Anesthesia ma o ka aa koko

Hana ʻia kēia ʻano anesthesia e ka hoʻokomo ʻana i ka lāʻau anesthetic i loko o ke aa, e hoʻoiho ana i kahi sedation kokoke koke. ʻO ka hohonu o ka hoʻoluʻu e pili ana i ka ʻano a me ka nui o nā lāʻau i injected ʻia e ka mea anesthetist, a e pili nō hoʻi i ka lōʻihi o ke ʻoki ʻana, ka ʻike o kēlā me kēia kanaka, me ka makahiki, ke kaupaona, ke kiʻekiʻe a me nā kūlana olakino.

• NA HUAKAI: nā laʻana o nā anesthetics injectable me Thiopental, Propofol, Etomidate a i ʻole Ketamine. Hoʻohui ʻia, hiki ke hoʻohana ʻia nā hopena o nā lāʻau ʻē aʻe e hoʻomaikaʻi i ka anesthesia, e like me nā mea hoʻohiamoe, analgesics opioid a i ʻole nā ​​blockers muscle, no ka laʻana.

Pehea ka lōʻihi o ka anesthesia

Hoʻolālā ʻia ka lōʻihi o ka anesthesia e ka anesthetist, kaukaʻi ʻia i ka manawa a me ke ʻano o ke kaha ʻana, a me ke koho ʻana o nā lāʻau i hoʻohana ʻia no ka hoʻohiamoe.

ʻO ka manawa e ala ai e ala i kekahi mau minuke a i kekahi mau hola ma hope o ka pau ʻana o ke kaha ʻana, ʻokoʻa i nā mea i hoʻohana ʻia i ka wā i hala, i hala i ka lā holoʻokoʻa, ʻoiai, i kēia mau lā, ʻoi aku ka maikaʻi o nā lāʻau i kēia manawa a maikaʻi. ʻO kahi laʻana, ʻo ka anesthesia i hana ʻia e ka kauka niho he haʻahaʻa haʻahaʻa loa ia a hala kekahi mau minuke, ʻoiai ka anesthesia e pono ai no ka ʻoki puʻuwai hiki ke hala no 10 mau hola.

I mea e hana ai i kekahi ʻano anesthesia, he mea nui ka nānā ʻia ʻana o ka mea maʻi, me nā hāmeʻa e ana ai i ka helu o ka puʻuwai, ke koko a me ka hanu ʻana, ʻoiai, ʻoiai he hohonu ka sedation, he mea nui ka mālama ʻana i ka hana o nā hōʻailona koʻikoʻi .

Nā pilikia i hiki

Hiki i kekahi poʻe ke ʻike i nā hopena i ka wā anesthesia a i ʻole kekahi mau hola ma hope, e like me ka maʻi ʻana, ka luaʻi, ka maʻi poʻo a me nā maʻi āpau i ka mea hana o ka lāʻau.

ʻO nā pilikia ʻoi loa, e like me ka hanu ʻole, hopu ʻia i ka puʻuwai a i ʻole neurological sequelae, kākaʻikahi, akā hiki ke hana ʻia i ka poʻe me ke olakino maikaʻi ʻole, ma muli o ka maikaʻi ʻole o ka meaʻai, ka puʻuwai, ka puʻuwai a me nā maʻi puʻuwai, a hoʻohana i nā lāʻau a i ʻole nā ​​lāʻau lapaʻau.

ʻOi aku ka maʻamau o ka anesthesia i kahi hopena ʻāpana, e like me ka haʻalele ʻana i ka ʻike, akā e ʻae i ke kanaka e neʻe, a i ʻole ma kahi ʻaoʻao ʻē aʻe, ke hiki ʻole i ke kanaka ke neʻe, akā hiki ke ʻike i nā hanana a puni iā ​​ia.