Anesthesia Nui i ka wā o ka lawe ʻana

Anter

• He aha ke kumu o ka loaʻa ʻana o ka anesthesia ākea i ka wā o ka lawe ʻana?
• He aha nā pilikia o ka anesthesia laulaha i ka wā o ka lawe ʻana?
• He aha nā kaʻina hana no ka loaʻa anesthesia ākea?
• He aha nā pono o ka anesthesia i ka wā e lawe ai?
• He aha ka kuanaʻike?

Anesthesia laulā

Hoʻopuka ka anesthesia laulā i kahi nalowale o ka sensation a me ka ʻike. Pili ka anesthesia laulaha i ka hoʻohana ʻana i ʻelua (IV) a me nā lāʻau hoʻohiamoe, i kapa ʻia he anesthetics. I ka wā anesthesia ākea, ʻaʻole hiki iā ʻoe ke ʻeha a ʻaʻole pane kou kino i nā reflexes. Ua kāhea kahi kauka he anesthesiologist e nānā i kāu mau hōʻailona koʻikoʻi ke loaʻa ʻoe i lalo i ka anesthetic a lawe hou iā ʻoe mai loko mai.

Manaʻo ʻo General anesthesia e lawe i ʻelima mau mokuʻāina ʻokoʻa i ka wā o ke kahakaha ʻana.

• analgesia, a i ʻole ka hōʻoluʻolu ʻeha
• amnesia, a i ʻole ka nalo ʻana o ka hoʻomanaʻo ʻana o ka hana
• he nalowale o ka ʻike
• neʻe ʻole
• he nāwaliwali o nā pane kūʻokoʻa

Pono ka hānau keiki i kou komo ʻana, no laila he mea iki ʻole ka loaʻa ʻana o ka anesthesia laulaha i ka wā o ka lawe ʻana no ka mea ʻaʻole ʻoe e ʻike.

He aha ke kumu o ka loaʻa ʻana o ka anesthesia ākea i ka wā o ka lawe ʻana?

Hāʻawi kahi anesthetic kūpono i ka wā hānau keiki i ka ʻehaʻeha i hiki ai iā ʻoe ke komo pū i ka hānau a pākī ke pono ʻoe e hana pēlā. ʻAʻole ia e hooki i ka hana hoʻemi a hoʻolohi paha i ka hana o kāu pēpē. Eia nō naʻe, kāhea kahi pilikia i kahi anesthetic ākea i kekahi manawa.

ʻAʻohe hoʻohana nā kauka i ka anesthesia laulā i nā lawe ʻōpū. Hoʻohana lākou i ka anesthesia laulaha i nā pilikia pōpilikia a i kekahi manawa no ka hoʻouna cesarean. Nā kumu ʻē aʻe no ʻoe e loaʻa i ka anesthesia ākea i ka wā o ka lawe ʻana e hoʻopili i kēia mau mea:

• ʻAʻole holo ka anesthetic āpana.
• Aia kahi hānau hānau hānau ʻole i manaʻo ʻia.
• Hoʻopili ʻia ka poʻohiwi o kāu pēpē i ke aʻa hānau, kahi i kapa ʻia ʻo ka poʻohiwi distocia.
• Pono kāu kauka e huki i kahi māhoe ʻelua.
• Ke paʻakikī nei kāu kauka i ka lawe ʻana i kāu pēpē me ka hoʻohana ʻana i ka forceps.
• Aia kekahi pilikia kūpilikiʻi ma kahi o nā keu o ka anesthesia laulā ma mua o kāna mau pilikia.

Inā loaʻa iā ʻoe ka anesthesia laulā, he mea nui e hoʻēmi i ka hōʻike ʻana o kāu pēpē i ka anesthetic e like me ka hiki.

He aha nā pilikia o ka anesthesia laulaha i ka wā o ka lawe ʻana?

ʻO ke anesthesia laulaha ke kumu o ka nalowale o ka ʻike a hoʻomaha i nā mākala i kou ala ākea a me ka tract digestive. ʻO ka maʻamau, e hoʻokomo kāu anesthesiologist i kahi paipu endotracheal i lalo i kāu puka makani e hōʻoia i ka loaʻa ʻana o ka nui o ka oxygen a pale aku i kou mau māmā mai nā ʻōpū o ka ʻōpū a me nā wai ʻē aʻe.

He mea nui ka hoʻokēʻai ke hoʻomaka ʻoe i ka loaʻa ʻana o nā ʻelike inā pono ʻoe e hele ma lalo o ka anesthesia ākea. ʻO nā mākala e kaohi i kāu digestion e lilo i mea hoʻomaha i ka wā anesthesia ākea. Hoʻonui kēia i ka makaʻu e hiki ai iā ʻoe ke hanu i nā wai o ka ʻōpū a i ʻole nā ​​wai ʻē aʻe i loko o kou mau māmā, i kapa ʻia he aspiration. Hiki i kēia ke kumu i ka niumonia a i ʻole nā ​​mea ʻino ʻino i kou kino.

ʻO nā pilikia ʻē aʻe e pili ana i ka anesthesia ākea e:

• hiki ʻole ke waiho i kahi Tube endotracheal i lalo o ka puka makani
• ʻino me nā lāʻau anesthetic
• kaumaha hanu i ka pēpē hānau hou

E hana paha kāu anesthesiologist i kēia mau mea e hoʻohaʻahaʻa ai i kāu mau pilikia.

• hāʻawi i ka oxygen ma mua o ka anesthesia
• hāʻawi i kahi antacid e hoʻohaʻahaʻa i ka waikawa o kāu ʻōpū
• hāʻawi i nā lāʻau lapaʻau wikiwiki e hoʻomaha i kou mau mākala no ka hoʻokomo wikiwiki a maʻalahi o ka paipu hanu
• hoʻopili i ka puʻu i kou puʻu e ālai i ka esophagus a hoʻemi i ka makaʻu o ka ʻiʻini a hiki i ka manawa o ka Tube Endotracheal

Kū ka ʻike anesthesia ke ala ʻoe a i ʻole noho hapa i ke ala ʻana ma lalo o ka anesthesia ākea. Hiki i kēia ke hana ma muli o ka loaʻa mua o nā mea hoʻomaha musele, hiki iā ʻoe ke neʻe a haʻi paha i kāu kauka ua ala ʻoe. Kāhea ʻia kēia mea he "ʻike intraoperative ʻike ʻole ʻia." He kākaʻikahi wale nō ia, a ke ʻike nei i ka ʻeha i kona wā ʻoi aku ka liʻiliʻi loa. No kekahi, hoʻonāukiuki paha i nā pilikia psychological like me ka maʻi stress post-traumatic.

He aha nā kaʻina hana no ka loaʻa anesthesia ākea?

Pono ʻoe e hōʻoki i ka ʻai ke hoʻomaka ʻoe i kahi contraction. Maikaʻi kēia no nā wahine āpau e hana ana inā pono lākou i kahi anesthetic āpau.

E loaʻa iā ʻoe kahi lāʻau lapaʻau ma o ka drip IV. A laila, e loaʻa paha iā ʻoe ka nitrous oxide a me ka oxygen ma o kahi mask ea. E hoʻonoho kāu anesthesiologist i kahi Tube endotracheal i lalo i kāu puka makani e kōkua ai i ka hanu ʻana a me ka pale ʻana i ka ʻiʻini.

Ma hope o ka lawe ʻana, e pau nā lāʻau a hoʻi hou kāu anesthesiologist iā ʻoe i ka noʻonoʻo. E huhū paha ʻoe a huikau paha i ka wā mua. E ʻike paha ʻoe i nā hopena hopena e like me:

• nausea
• ka luaʻi
• he waha maloo
• e 'eha puʻu
• haʻalulu
• hiamoe

He aha nā pono o ka anesthesia i ka wā e lawe ai?

ʻOi aku ka maikaʻi o nā palaka āpana, e like me ka anesthetic spinal or epidural. Eia nō naʻe, hiki ke hoʻopili koke i ka anesthesia ākea i kahi pilikia a i ʻole inā makemake ʻoe i kahi hoʻouna cesarean me ka wikiwiki. Inā aia kahi ʻāpana o kāu pēpē i ke kahawai hānau ke pono ʻoe i ka anesthesia ākea, hiki iā ʻoe ke kiʻi me ka ʻole o ka noho a hoʻololi paha i nā kūlana.

I ka manawa ma lalo o ka anesthesia laulaha, ʻaʻole pilikia kahi ʻeha no ka mea hiamoe nui ʻoe. ʻO nā anesthetics ʻē aʻe, e like me ka epidural, i kekahi manawa hāʻawi wale i ka hapa o ka ʻeha.

No kekahi mau wahine e koi ana i ka hoʻouna cesarean a ua hoʻi i ke kīʻaha o hope a i ʻole hoʻi i nā deformities hoʻi, hiki i kahi anesthesia āpau ke lilo i koho ʻē aʻe i ka anesthesia ākea a i ʻole spinal. Hiki i kēia mau mea paʻakikī ke lawelawe ma muli o nā pilikia olakino ma mua. Inā loaʻa iā ʻoe kahi maʻi kahe o ke kahe, kahi tumo lolo, a i ʻole hoʻonui ʻia ke kaomi intracranial, ʻaʻole paha hiki iā ʻoe ke loaʻa i kahi epidural a i ʻole spinal anesthetic a pono ʻoe i ka anesthesia ākea.

He aha ka kuanaʻike?

E hoʻāʻo kāu kauka e hōʻalo i ka hoʻohana ʻana i ka anesthesia ākea i ka wā o ka hānau hānau ʻana no ka mea ʻo ke kaʻina hana e koi iā ʻoe e makaʻala a hana. Eia nō naʻe, pono paha ʻoe i ka anesthesia ākea inā loaʻa iā ʻoe kekahi mau pilikia olakino. Hoʻohana nui nā kauka i ka anesthesia laulā no ka hānau hānau ke hāʻawi ʻia kahi cesarean. ʻO ka hoʻohana ʻana i ka anesthesia laulā i ka wā o ka hānau keiki ʻana he nui aʻe kona makaʻu, akā palekana ia.