Conscious sedation yekuvhiya
Conscious sedation mubatanidzwa wemishonga kuti ikubatsire kuzorora (sedative) uye kuvharira marwadzo (anesthetic) panguva yekurapa kana mazino maitiro. Iwe uchazogara wakamuka, asi ungatadze kutaura.
Kuziva sedation kunoita kuti iwe upore nekukurumidza uye udzokere kune zvako zvezuva nezuva zviitiko mushure mekuita kwako.
Mukoti, chiremba, kana chiremba wemazino, achakupa sedation yekuziva muchipatara kana kiriniki yevanorwara kunze. Kazhinji yenguva, haizove anesthesiologist. Mushonga uchapera nekukurumidza, saka unoshandiswa nenzira pfupi, isinganetsi.
Unogona kugashira mushonga kuburikidza nemutsinga (IV, mutsinga) kana pfuti mumhasuru. Iwe unozotanga kunzwa kukotsira uye kusununguka nekukurumidza zvakanyanya. Kana chiremba wako akakupa mushonga kuti umedze, iwe unozonzwa zvinoitika mushure memaminitsi makumi matatu kusvika makumi matanhatu.
Kufema kwako kunononoka uye yako yeropa inodonha zvishoma. Anopa hutano hwako anozokutarisa panguva yekuita kuti uve nechokwadi chekuti wakanaka. Uyu mupi achagara newe nguva dzose panguva yekuita.
Iwe haufanire kuda rubatsiro nekufema kwako. Asi iwe unogona kugamuchira imwe okisijeni kuburikidza nemask kana IV zvinwiwa kuburikidza necatheter (chubhu) kupinda mutsinga.
Unogona kukotsira, asi iwe unomuka nyore kupindura kune vanhu vari mumba. Iwe unogona kukwanisa kupindura kumashoko ekutaura. Mushure mekuziva sedation, unogona kunzwa kukotsira uye usingayeuke zvakawanda nezve maitiro ako.
Conscious sedation yakachengeteka uye inoshanda kune vanhu vanoda kuvhiyiwa kudiki kana maitiro ekuongorora mamiriro.
Mimwe bvunzo nemaitiro anogona kushandiswa sedation ndeaya:
- Chipfuva biopsy
- Dental prosthetic kana kuvandudza zvakare
- Minor bone kutyoka kugadziriswa
- Kuvhiya kwetsoka kudiki
- Kuvhiya kudiki kweganda
- Kuvhiya kwepurasitiki kana kwekuvakazve
- Maitiro ekuongorora nekurapa rimwe dumbu (yepamusoro endoscopy), colon (colonoscopy), lung (bronchoscopy), uye bladder (cystoscopy) mamiriro
Conscious sedation inowanzo chengeteka. Nekudaro, kana iwe ukapihwa zvakawandisa zvemushonga, matambudziko nekufema kwako anogona kuitika. Anopa rubatsiro anenge achitarisa kwauri panguva yese maitiro.
Vanopa nguva dzose vane michina yakakosha yekukubatsira iwe nekufema kwako, kana zvichidikanwa. Chete vamwe vanokwanisa vezvehutano vanogona kupa kuziva sedation.
Udza mupi:
- Kana iwe uri kana uchigona kuve nepamuviri
- Ndeapi mishonga yauri kutora, kunyangwe zvinodhaka, zvinowedzera, kana mahebhu awakatenga pasina mushonga
Pakati pemazuva pamberi pekuita kwako:
- Udza mupiki wako nezve allergies kana hutano mamiriro auinayo, ndeapi mishonga auri kutora, uye ndeapi anesthesia kana sedation yawaimbove nayo.
- Unogona kuve neropa kana weti bvunzo uye bvunzo yemuviri.
- Ronga kuti munhu mukuru anozvikwanisa akutakure kuenda nekudzoka kuchipatara kana kukiriniki kuti utore nzira yacho.
- Ukasvuta, edza kurega. Kusvuta kunowedzera njodzi kumatambudziko akadai sekunonoka kupora. Kumbira mupiki wako kuti abatsire kurega.
Pazuva rekuita kwako:
- Tevedzera rairo nezve nguva yekurega kudya uye kunwa.
- Usanwa doro husiku hwapfuura uye zuva remaitiro ako.
- Tora mishonga yawakaudzwa nachiremba kuti utore nekunwa mvura shoma.
- Svika kuchipatara kana kukiriniki nenguva.
Mushure mekuziva sedation, iwe unonzwa kurara uye unogona kuve nemusoro kana kunzwa kurwara kudumbu rako. Panguva yekudzoreredza, chigunwe chako chinozochekererwa kune chakakosha chishandiso (pulse oximeter) kuti utarise mazinga eoksijeni muropa rako. Kuwedzerwa kweropa rako kuchaongororwa nechikwambo chenguwe pamaminetsi gumi nemashanu ese.
Iwe unofanirwa kukwanisa kuenda kumba 1 kusvika 2 maawa mushure mekuita kwako.
Paunenge uri kumba:
- Idya chikafu chine hutano kudzoreredza simba rako.
- Iwe unofanirwa kukwanisa kudzokera kune zvako zvezuva nezuva zviitiko zvinotevera zuva.
- Dzivisa kutyaira, kushandisa michina, kunwa doro, uye kuita sarudzo dzemutemo kwemaawa makumi maviri nemana.
- Tarisa nachiremba wako usati watora chero mishonga kana mishonga yekuwedzera.
- Kana iwe wakavhiyiwa, tevedzera zvaakarairwa nachiremba wako kuti apore uye kutarisirwa kweronda.
Conscious sedation inowanzo chengeteka, uye isarudzo yematanho kana bvunzo dzekuongorora.
Anesthesia - kuziva sedation
- Anesthesia - chii chekubvunza chiremba wako - mukuru
- Anesthesia - chii chekubvunza chiremba wako - mwana
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.
Vuyk J, Sitsen E, Reekers M. Intravenous anesthetics. Mune: Miller RD, ed. Anesthesia yaMiller. 8th ed. Philadelphia, PA: Elsevier Saunders; 2015: chits.