Kurapa kwepasuruini kurapwa muvakuru

Marwadzo anoitika mushure mekuvhiyiwa chinhu chakakosha kunetsekana. Usati wavhiyiwa, iwe nachiremba wako munogona kunge makurukura marwadzo mangani amunotarisira uye kuti anozogadziriswa sei.

Zvinhu zvakati wandei zvinoratidza kuti une marwadzo mangani uye maitiro ekuzvibata.

• Mhando dzakasiyana dzekuvhiya uye ekucheka ekuvhiya (incision) zvinokonzeresa dzakasiyana uye huwandu hwehurombo mushure.
• Kuvhiyiwa kwenguva yakareba uye kwakanyanya, kunze kwekukonzera marwadzo akawanda, kunogona kutora zvakawanda kubva mauri. Kudzoreredza kubva kune aya mamwe mhedzisiro yekuvhiyiwa kunogona kuita kuti zviome kutarisana nemarwadzo.
• Munhu wega wega anonzwa uye anoita marwadzo zvakasiyana.

Kudzora marwadzo ako kwakakosha kuti iwe upore. Kudzora kurwadziwa kwakanaka kunodiwa kuitira kuti ukwanise kumuka wotanga kufamba famba. Izvi zvakakosha nekuti:

• Iyo inoderedza njodzi yako yekuvhara ropa mumakumbo ako kana mapapu, pamwe nehutachiona uye hutachiona hutachiona.
• Iwe uchave nekupfupika kwekugara muchipatara kuitira kuti iwe uende kumba nekukurumidza, kwaunogona kunge uchipora nekukurumidza.
• Iwe hausi mushoma kuve nekurarama kwenguva refu matambudziko ekurwadziwa.

Kune akawanda marudzi emishonga yekurwadziwa. Zvichienderana nekuvhiyiwa uye hutano hwako hwese, unogona kugamuchira mushonga mumwe kana mubatanidzwa wemishonga.

Zvidzidzo zvinoratidza kuti vanhu vanoshandisa mushonga wekurwadziwa mushure mekuvhiyiwa kudzora kurwadziwa kazhinji vanoshandisa mishoma mishonga yekurwadziwa kupfuura avo vanoedza kudzivirira mushonga wemarwadzo.

Basa rako semurwere nderekuudza vanokupa hutano paunenge uchirwadziwa uye kana iyo mishonga yauri kugamuchira inodzora marwadzo ako.

Pakarepo mushure mekuvhiyiwa, unogona kugamuchira mishonga inorwadza yakananga mutsinga dzako kuburikidza nemutsinga (IV) mutsetse. Mutsetse uyu unopfuura nepombi. Iyo pombi yakagadzirirwa kukupa imwe yakati yemushonga wekurwadziwa.

Kazhinji, iwe unogona kusundira bhatani kuti uzvipe iwe pachako marwadzo ekurwadziwa paunenge uchichida. Izvi zvinonzi murwere anodzorwa anesthesia (PCA) nekuti iwe unogadzirisa kuti imwezve mishonga yaunogamuchira. Iyo yakagadzirirwa saka haugone kuzvipa iwe yakawandisa.

Epidural pain mishonga inonunurwa kuburikidza nekapfava chubhu (catheter). Iyo chubhu inoisirwa musana wako munzvimbo diki iri kunze kwemuzongoza. Mushonga wemarwadzo unogona kupihwa iwe uchienderera kana muzvidiki zvidiki kuburikidza nehubhu.

Unogona kubuda mukuvhiyiwa necatheter iyi yatove munzvimbo. Kana chiremba (anesthesiologist) anoisa iyo catheter muzasi kwako kumashure paunenge wakarara nedivi rako mumubhedha wechipatara mushure mekuvhiyiwa kwako.

Njodzi dzeepidural block hazviwanzo asi dzinogona kusanganisira:

• Kudonha BP. Mvura inopihwa kuburikidza nemutsinga (IV) kubatsira kuchengetedza yako BP kuti igadzikane.
• Kutemwa nemusoro, dzungu, kunetseka kufema, kana kubata.

Narcotic (opioid) mushonga wemarwadzo unotorwa semapiritsi kana kupihwa sepfuti unogona kupa runyararo rwakakwana. Unogona kugamuchira mushonga uyu ipapo mushure mekuvhiyiwa. Kazhinji, iwe unogamuchira kana iwe usisiri kuda epidural kana kuenderera IV mushonga.

Nzira dzaunogamuchira mapiritsi kana kupfura dzinosanganisira:

• Pane yakajairwa purogiramu, kwausingade kuvabvunza
• Chete paunokumbira mukoti wako kwavari
• Chete pane dzimwe nguva, senge paunomuka pamubhedha kuti ufambe mukotoji kana kuenda kunorapwa

Mapiritsi mazhinji kana kupfura zvinopa zororo kwemaawa mana kana matanhatu kana kupfuura. Kana iyo mishonga isingakwanise kugadzirisa marwadzo ako zvakakwana, bvunza mupiki wako nezve:

• Kugamuchira piritsi kana kupfurwa kazhinji
• Kugamuchira dosi yakasimba
• Kuchinja kune mumwe mushonga

Panzvimbo pekushandisa marwadzo eopioid, chiremba wako anovhiya anogona kutora acetaminophen (Tylenol) kana ibuprofen (Advil kana Motrin) kudzora marwadzo. Muzviitiko zvakawanda, aya asiri-opioid painkiller anongoshanda senge ma narcotic. Ivo zvakare vanokubatsira iwe kudzivirira njodzi yekushandisa zvisirizvo uye kupindwa muropa nemaopioid.

Kununurwa kwekurwadziwa shure kwekuvhiya

• Mishonga yemarwadzo

Benzon HA, Shah RD, Benzon HT. Perioperative nonopioid infusions ye postoperative kurwadziwa manejimendi. Mune: Benzon HT, Raja SN, Liu SS, Fishman SM, Cohen SP, eds. Zvakakosha zvePain Mushonga. 4th ed. Philadelphia, PA: Elsevier; 2018: chits.

Chou R, Gordon DB, deLeon-Casasola OA, et al. Kutungamira kwekutambudzika kwepashure kwekuvhiya: kiriniki yekudzidzira nhungamiro kubva kuAmerican Pain Society, iyo American Society yeRegional Anesthesia uye Pain Medicine, uye American Society yeAnesthesiologists 'Committee yeRegional Anesthesia, Executive Committee, uye Administrative Council. J kurwadziwa. 2016; 17 (2): 131-157. PMID: 26827847 www.ncbi.nlm.nih.gov/pubmed/26827847.

Gabriel RA, Swisher MW, Sztain JF, Furnish TJ, Ilfeld BM, Yakadaro ET. Mamiriro eunyanzvi opioid-yekuregera marongero ekurwadziwa kwepashure kweanoshanda muvakuru vakuru vevhiya. Nyanzvi Opin Pharmacother. 2019; 20 (8): 949-961. PMID: 30810425 www.ncbi.nlm.nih.gov/pubmed/30810425.

Hernandez A, Sherwood ER. Anesthesiology misimboti, marwadzo manejimendi, uye kuziva sedation. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Chinyorwa Chekuvhiya: Iyo Biological Hwaro hweMazuva Ano Kuvhiya Maitiro. 20th ed. Philadelphia, PA: Elsevier; 2017: chitsiko 14.

• Mushure mekuvhiya