Nā ʻaoʻao ʻaoʻao o General Anesthesia: He aha ka mea e manaʻo ai

Anter

• He aha nā hopena hopena pōkole e hiki ai?
• He aha nā hopena hopena lōʻihi e hiki ai?
• He aha ka mea e hoʻonui ai i kou makaʻi no nā hopena ʻaoʻao?
• Hiki paha ke ala i ka wā o ke ʻoki?
• No ke aha e hoʻohana ʻia ai ka anesthesia laulā ma luna o nā hana ʻē aʻe?
• Ke laina lalo

I ka manawa hea e hoʻohana ʻia ai ka anesthesia ākea, a palekana ia?

Palekana loa ʻo anesthesia laula. ʻOiai inā he pilikia koʻikoʻi olakino kāu, e hoʻomanawanui paha ʻoe i ka anesthesia ākea me ka ʻole o nā pilikia koʻikoʻi.

Akā me nā lāʻau a lāʻau lapaʻau paha, ʻike paha ʻoe i kekahi mau hopena ʻaoʻao. Eia ka mea e manaʻo ai.

He aha nā hopena hopena pōkole e hiki ai?

ʻO ka hapa nui o nā hopena o ka anesthesia āpau e kū koke ma hope o kāu hana a ʻaʻole lōʻihi lōʻihi. Ke hoʻopau ʻia ke ʻoki a hoʻopau ʻia nā lāʻau anesthesia, e ala mālie ʻoe i ka lumi hana a i ka lumi hoʻōla. E huhū paha ʻoe a huikau paha.

Hoʻomaopopo paha ʻoe i kekahi o kēia mau hopena ʻaoʻao maʻamau:

• ʻO Nusea a me ka luaʻi. Kū pinepine kēia hopena ʻaoʻao ma hope koke o ke kaʻina hana, akā hoʻomau paha kekahi poʻe i ka maʻi no hoʻokahi a ʻelua paha lā. Hiki ke kōkua i nā lāʻau anti-nausea.
• Waha maloo. Maliu paha ʻoe i kou ala ʻana. Inā ʻaʻole lohi loa ʻoe, hiki i ke omo wai ʻana ke kōkua i ka mālama ʻana i kou waha maloʻo.
• Ua ʻeha ka ʻāʻī a i ʻole keō. Hoʻokomo ka paipu i kou puʻu e kōkua iā ʻoe e hanu i ka wā o ke kīʻaha hiki ke waiho iā ʻoe me kahi ʻāʻī ʻeha ma hope o ka hemo ʻana.
• ʻO Chills a me ka haʻalulu. He mea maʻamau ia no ke aniani o kou kino e hāʻule i ka wā anesthesia āpau. E hōʻoia kāu kauka a me nā kahu hānai ʻaʻole e hāʻule nui kou mahana i ka wā o ke kaha ʻana, akā e ala paha ʻoe me ka haʻalulu a me ke anuanu. E mau paha kāu mau haʻalulu no kekahi mau minuke i nā hola.
• Huikau a noʻonoʻo noʻonoʻo. Ke ala mua nei mai ka anesthesia, hoʻohoka paha ʻoe, hiamoe, a me ka noe. Noho mau kēia no kekahi mau hola wale nō, akā no kekahi poʻe - keu hoʻi nā ʻelemākule - hiki i ka huikau ke mau no nā lā a mau mau pule paha.
• ʻEha ka ʻili. ʻO nā lāʻau i hoʻohana ʻia e hoʻomaha ai i kou mauʻiʻo i ka wā o ke kahakaha hiki ke hana i ka ʻeha ma hope.
• Kāwili. Inā hoʻohana ʻia nā lāʻau narcotic (opioid) i ka wā a ma hope paha o kāu hana, ʻāʻī paha ʻoe. He hopena maʻamau kēia o kēia papa o nā lāʻau.
• Nā pilikia ʻōpū. Loaʻa paha iā ʻoe ka paʻakikī e hele i ka mimi no kahi manawa pōkole ma hope o ka anesthesia ākea.
• Puʻupuʻu. Pīhoihoi paha ʻoe ke kū mua ʻoe i luna. ʻO ka inu ʻana i ka nui o nā wai e kōkua iā ʻoe e ʻoi aku ka maikaʻi.

He aha nā hopena hopena lōʻihi e hiki ai?

ʻAʻole ʻike ka hapa nui o ka poʻe i nā hopena hopena lōʻihi.Eia nō naʻe, ʻike paha ka poʻe mākua i nā hopena i ʻoi aku ma mua o ʻelua mau lā.

Hoʻopili paha kēia:

• ʻO Delirium postoperative. Hiki paha i kekahi poʻe ke huikau, hoʻohoka, a i ʻole pilikia i ka hoʻomanaʻo ʻana i nā mea ma hope o ke kaha ʻana. Hiki i kēia disorientation ke hele mai a hele, akā hele mau ia ma hope o hoʻokahi pule.
• ʻO ka hana hope ʻole o ka naʻau Postoperative(POCD). ʻIke paha kekahi poʻe i nā pilikia hoʻomanaʻo mau a i ʻole nā ​​ʻano ʻano ʻino o ka naʻau ma hope o ke ʻoki ʻana. Akā ʻaʻole paha he hopena kēia o ka anesthesia. Me he mea lā he hopena ia o ke ʻoki ponoʻī.

ʻO kekahi poʻe ma mua o 60 mau makahiki e hoʻomohala i ka POCD.

E hoʻolālā paha ʻoe i ka POCD inā loaʻa iā ʻoe:

• ua loaʻa kahi maʻi kīnā
• maʻi maʻi puʻuwai
• maʻi lolo
• Maʻi ʻo Alzheimer
• Maʻi ʻo Parkinson

He aha ka mea e hoʻonui ai i kou makaʻi no nā hopena ʻaoʻao?

No ka hapa nui, palekana loa ka anesthesia ākea. ʻO ia ke kaʻina hana ponoʻī e hoʻoweliweli iā ʻoe. Akā ʻo ka poʻe ʻelemākule a me nā mea hana lōʻihi i ka makaʻu i nā hopena a me nā hopena maikaʻi ʻole.

Inā loaʻa iā ʻoe kekahi o nā kūlana aʻe, e ʻike pono e haʻi aku i kāu kauka no ka mea hiki i kēia mau ʻano ke hoʻopili i kou maikaʻi i ka wā a ma hope o ke kahakaha ʻana.

• moʻolelo o nā hopena maikaʻi ʻole i ka anesthesia
• ʻāpana moe
• ka hopu ʻana
• momona
• kahe koko kiʻekiʻe
• diabetes
• maʻi maʻi puʻuwai
• maʻi lolo
• maʻi maʻi ʻōpū
• lāʻau ʻākena

E hoʻomaopopo pū ʻoe i kāu kauka inā ʻoe:

• uahi
• e hoʻohana nui i ka ʻalekohola
• lawe i nā lāʻau lapaʻau hoʻoliʻiliʻi koko

Hiki paha ke ala i ka wā o ke ʻoki?

Kākaʻikahi loa, ʻike paha ka poʻe i ka mea e hana nei i ka wā o ke ʻoki. Kuhi kekahi mau loea ma kahi o 1 o kēlā me kēia 1000 mau kānaka i ʻike hou akā ʻaʻole hiki ke neʻe, kamaʻilio, a i ʻole makaʻala i kā lākou kauka. Hōʻike nā kumuwaiwai ʻē aʻe ʻoi aku ka laha, ʻoiai pinepine ʻole e like me 1 mai 15,000 a i ʻole 1 mai 23,000.

Ke hiki kēia, ʻaʻole ʻike ke kanaka i kahi ʻeha. Eia nō naʻe, hiki i ka ʻike operative ke lilo i mea kaumaha loa a hiki ke kumu i nā pilikia psychological lōʻihi, e like me ka maʻi stress post-traumatic.

Inā ʻike ʻoe i ka ʻike operative ma lalo o ka anesthesia laulā, ʻike paha ʻoe he mea maikaʻi ke kamaʻilio me kahi mea hoʻoponopono a mea aʻoaʻo paha e pili ana i kāu ʻike.

No ke aha e hoʻohana ʻia ai ka anesthesia laulā ma luna o nā hana ʻē aʻe?

Inā makemake ʻoe i ke kaha, ʻaʻole paha ʻoe makemake e ʻike i ka mea e hana nei. Kaukaʻi ʻia i ke ʻano o ke kaha ʻana, hiki ke hoʻokō i kēia i nā ʻano like ʻole.

E paipai paha kāu kauka i ka anesthesia ākea inā e hele ana kāu kaʻina hana i:

• e hoʻolōʻihi
• hopena i ke kahe o ke koko
• pili i kou hanu ʻana

ʻO ka anesthesia laulaha he koma i hoʻokomo ʻia i ka lāʻau. Hoʻokele kāu kauka i ka lāʻau lapaʻau e hoʻolilo iā ʻoe i mea noʻonoʻo ʻole i mea e neʻe ʻole ai ʻike i kahi ʻeha i ka wā o ka hana.

Hiki ke hana i nā kaʻina hana ʻē aʻe me:

• anesthetic kūloko, e like me ke kuʻi ʻana i kou lima
• hoʻomaha, e like me ke kiʻi ʻana i kahi kolone
• kahi anesthetic āpana, e like me ke kiʻi ʻana i kahi epidural e hānau ai i kahi pēpē

E hele ana kāu kauka iā ʻoe ma o kāu koho ponoʻī ke hoʻolālā ana no kāu kaʻina hana. Hiki iā lākou ke pane i kāu mau nīnau āu e pili ana i ka mea e hoʻohana ʻia ai a no ke aha.

Ke laina lalo

He mea nui iā ʻoe e kamaʻilio ākea me kāu kauka e pili ana i kāu ʻike olakino āpau. Hiki i kāu anesthesiologist ke mālama pono i kāu mālama a mālama i kāu hopena ʻaoʻao, akā inā he ʻoiaʻiʻo ʻoe.

Ke kamaʻilio pū ʻoe me kāu kauka lapaʻau a me ka anesthesiologist ma mua o ke kaʻina hana, e ʻike pono e kamaʻilio pū me lākou e pili ana i kāu mau hopohopo a me kāu mau mea i manaʻo ai. Pono ʻoe e kūkākūkā i kāu:

• ʻoi aku ka ʻike anesthesia
• nā kūlana olakino
• hoʻohana lāʻau
• hoʻohana lāʻau hoʻoleʻaleʻa

E mālama pono i nā kuhikuhi presurgery āpau - e like me ka mea āu e hiki ai a ʻaʻole hiki ke ʻai a inu pū me nā lāʻau lapaʻau āu e lawe ai. Hiki i ke kau ʻana i kēia mau ʻōlelo aʻoaʻo ke kōkua i ka hōʻemi ʻana i kekahi hopena o ka maʻi anesthesia āpau.