General kutindivadza

General anesthesia kurapwa nemimwe mishonga inokuisa muhope huru kuti usanzwe kurwadziwa panguva yekuvhiyiwa. Mushure mekutambira mishonga iyi, unenge usiri kuziva zviri kuitika zvakakukomberedza.

Kazhinji, chiremba anonzi anesthesiologist anokupa iyo anesthesia. Dzimwe nguva, mukoti anozivikanwa uye akanyoreswa anesthetist anokuchengeta.

Mushonga unopihwa mutsinga yako. Iwe unogona kukumbirwa kufema mukati (inhale) yakakosha gasi kuburikidza nemask. Kana uchinge warara, chiremba anogona kuisa chubhu mumhepo (trachea) yako kuti ikubatsire kufema uye kuchengetedza mapapu ako.

Unozotariswa zvakanyanya paunenge wakarara. Ropa rako, kupomba, uye kufema zvichaongororwa. Iye wekuchengeta uyo ari kukuchengeta anogona kuchinja kuti wakarara zvakadii panguva yekuvhiyiwa.

Iwe haufambe, kunzwa chero kurwadziwa, kana kuve nechero yekurangarira maitiro nekuda kwemushonga uyu.

General anesthesia inzira yakachengeteka yekuramba wakarara uye usina kurwadziwa panguva dzekuita kunga:

• Nyanyisa kurwadziwa
• Tora nguva yakareba
• Kanganisa kugona kwako kufema
• Ita kuti unetseke
• Konzera kunyanya kunetseka

Iwe unogona zvakare kuve unokwanisa kuve nekuziva sedation kune yako maitiro. Dzimwe nguva, zvakadaro, hazvina kukwana kuti ugare wakasununguka. Vana vangangoda general anesthesia yekurapa kana mazino maitiro ekurapa chero marwadzo kana kushushikana kwavanonzwa.

General anesthesia inowanzo chengeteka kune vanhu vane hutano. Unogona kuve nenjodzi yakakwira yezvinetso neanesthesia yakawandisa kana iwe:

• Kushandisa doro zvisina kufanira kana mishonga
• Iva neutachiona kana nhoroondo yemhuri yekuve seganiki kumishonga
• Iva nemoyo, mapapu, kana itsvo matambudziko
• Chiutsi

Kumbira chiremba wako nezvezvinetso izvi:

• Rufu (zvisingawanzoitika)
• Kukuvadza kune ako tambo tambo
• Kumira kurova kwemoyo
• Utachiona hwemapapu
• Kuvhiringidzika kwepfungwa (kwenguva pfupi)
• Kurohwa
• Kushungurudzika kumeno kana rurimi
• Kumuka panguva yeanesthesia (zvisingawanzoitiki)
• Allergy kumishonga
• Malignant hyperthermia (kukwira nekukurumidza kwekushisa kwemuviri uye kukakama kwemhasuru)

Udza mupiki wako:

• Kana iwe uchigona kuve nepamuviri
• Ndeipi mishonga yauri kutora, kunyangwe madhiragi kana mishonga yawakatenga usina mushonga

Munguva yemazuva asati avhiyiwa:

• Anesthesiologist inotora yakazara nhoroondo yezvokurapa kuti uone mhando uye huwandu hweanesthesia iwe yaunoda. Izvi zvinosanganisira kubvunza iwe nezve chero kurwara, mamiriro ehutano, mishonga, uye nhoroondo yeanesthesia.
• Mazuva akati wandei pasvondo usati wavhiyiwa, unogona kubvunzwa kuti urege kutora mishonga yekuonda ropa, yakadai seaspirin, ibuprofen (Advil, Motrin), uye warfarin (Coumadin, Jantoven).
• Kumbira mupi wako kuti ndeapi madhiragi aunofanirwa kutora pazuva rekuvhiyiwa kwako.
• Rega kusvuta. Chiremba wako anogona kubatsira.

Pazuva rekuvhiyiwa kwako:

• Iwe ungangobvunzwa kuti usamwe kana kudya chero chinhu pakati pehusiku husiku pamberi pekuvhiyiwa. Izvi ndezvekutadzisa iwe kubva pakurutsa iwe uri pasi pekukanganisa kweanesthesia. Kurutsa kunogona kukonzera chikafu mudumbu kufemerwa mumapapu. Izvi zvinogona kutungamira kumatambudziko ekufema.
• Tora mishonga iyo iwe mupi wako yaakakuudza kuti utore nekamwe kadiki kemvura.
• Svika kuchipatara nenguva.

Iwe unomuka wakaneta uye une groggy mune yekudzoreredza kana yekuvhiya imba. Iwe unogona zvakare kunzwa uchirwara kusvika padumbu rako, uye uine mukanwa wakaoma, huro, kana kunzwa kutonhora kana kusagadzikana kudzamara mhedzisiro yeanesthesia yapera. Mukoti wako anoongorora izvi mhedzisiro, izvo zvichapera, asi zvinogona kutora maawa mashoma. Dzimwe nguva, kusvotwa uye kurutsa kunogona kurapwa pamwe nemimwe mishonga.

Tevedza rairo yechiremba wako apo iwe uchapora nekutarisira ronda rako rekuvhiya.

General anesthesia inowanzo chengeteka nekuda kwemidziyo yemazuva ano, mishonga, uye maitiro ekuchengetedza. Vanhu vazhinji vanopora zvakakwana uye havana matambudziko.

Kuvhiya - general anesthesia

• Anesthesia - chii chekubvunza chiremba wako - mukuru
• Anesthesia - chii chekubvunza chiremba wako - mwana

Cohen NH. Perioperative manejimendi. Mune: Miller RD, ed. Anesthesia yaMiller. 8th ed. Philadelphia, PA: Elsevier Saunders; 2015: chits. 3.

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. 20th ed. Philadelphia, PA: Elsevier; 2017: chitsiko 14.