Chii chinonzi Conscious Sedation?
Zvemukati
- Inoziva sei sedation inokwira ichipesana neanesthesia yakajairika?
- Ndedzipi nzira dzekuziva sedation?
- Ndeapi madhiragi anoshandiswa?
- Chii chinonzwisisika sedation chinonzwa senge?
- Pane chero mhedzisiro here?
- Kudzoreka kwakaita sei?
- Yakawanda sei inoziva sedation inodhura?
- Kutora
Mhedziso
Kuziva sedation kunobatsira kudzikamisa kushushikana, kusagadzikana, uye kurwadziwa pane mamwe maitiro. Izvi zvinoitwa nemishonga uye (dzimwe nguva) yemuno anesthesia yekuzorodza.
Conscious sedation inowanzo shandiswa mukurapa mazino kune vanhu vanonzwa kunetseka kana kuvhunduka panguva dzakaomarara maitiro sekuzadza, migero yemidzi, kana kuchenesa kwemaitiro. Inowanzo shandiswa panguva yemagumo uye madiki ekuvhiya kuzorora varwere uye kudzikisira kusagadzikana.
Conscious sedation ikozvino inowanzo kutaurwa nevanoona nezvekurapa seyakaitwa sedation uye analgesia. Munguva yakapfuura, yakadaidzwa:
- kurara mazino
- kurara kwemanheru
- gasi rinofara
- kuseka gasi
- mweya unofara
Conscious sedation inozivikanwa kuti inoshanda, asi vezvekurapa vachiri kukakavadzana nezvekuchengetedza kwayo uye nekugona kwayo nekuda kwemhedzisiro yayo pakufema uye nekurova kwemoyo.
Verenga pamusoro kuti udzidze kuti inoshanda zvakadii, kuti inonzwa sei, uye kuti ingashandiswa sei.
Inoziva sei sedation inokwira ichipesana neanesthesia yakajairika?
Conscious sedation uye general anesthesia zvakasiyana munzira dzinoverengeka dzakakosha:
Conscious sedation | General kutindivadza | |
Maitiro api anoshandiswa izvi? | mienzaniso: kuchenesa mazino, mhango yekuzadza, endoscopy, colonoscopy, vasectomy, biopsy, kuvhiyiwa kwemapfupa kutsemuka, zvinyama biopsies | kuvhiya kukuru kana kukumbira panguva diki diki maitiro |
Ndichamuka here? | uchiri (kunyanya) wakamuka | unenge nguva dzose unenge usingazivi zvakakwana |
Ndichayeuka maitiro acho here? | unogona kuyeuka mamwe maitiro | haufanire kuyeuka maitiro acho |
Ndinga gamuchira sei iyo sedative / zvinodhaka? | unogona kugamuchira piritsi, kufema mweya kuburikidza nemask, kupfurwa nepasuru, kana kugamuchira sedative kuburikidza nemutsinga (IV) mutsetse muruoko rwako | izvi zvinowanzo kupihwa kuburikidza nemutsara weIV muruoko rwako |
Inokurumidza sei kuita? | zvinogona kunge zvisingaitwe nekukurumidza kunze kwekunge zvaendeswa kuburikidza neIV | inoshanda zvakanyanya nekukurumidza kupfuura kuziva sedation nekuti mishonga inopinda muropa rako ipapo ipapo |
Ndichakurumidza kupora sei? | iwe unozogona zvakare kudzora masimba ako epanyama uye epfungwa nekukasira, kuti iwe ugone kukwanisa kuenda newe kumba nekukurumidza mushure mekuziva sedation maitiro | zvinogona kutora maawa kuti upere, saka unenge uchida mumwe munhu wekuenda newe kumba |
Kune zvakare matanho matatu akasiyana ekuziva sedation:
- Minimal (kushushikana). Iwe wakasununguka asi wakanyatsoziva uye unoteerera
- Pakati nepakati. Iwe wakarara uye ungangorasikirwa nechaunoziva, asi iwe uchiri neimwe nzira yekuteerera
- Zvakadzika. Iwe uchazobatwa nehope uye unenge usingateereri.
Ndedzipi nzira dzekuziva sedation?
Nhanho dzekuziva sedation dzinogona kusiyana zvichienderana nemaitiro auri kuita.
Hezvino izvo zvaunogona kutarisira kutarisira maitiro akawandisa uchishandisa kuziva sedation:
- Iwe uchagara pachigaro kana kurara patafura. Iwe unogona kuchinja kuita hanzu yechipatara kana iwe uri kuwana colonoscopy kana endoscopy. Kune endoscopy, iwe unowanzo rara parutivi rwako.
- Iwe uchagamuchira inonyaradza kuburikidza nechimwe cheanotevera: piritsi remuromo, IV mutsetse, kana chifukidzo chemeso chinokutendera kuti ufemedze iyo sedative.
- Iwe unomirira kusvikira iyo sedative yatanga kushanda. Iwe unogona kumirira kusvika paawa usati watanga kunzwa mhedzisiro yacho. IV sedatives kazhinji inotanga kushanda mumaminetsi mashoma kana mashoma, nepo muromo unodzora unogadzika mukati maminetsi makumi matatu kusvika makumi matanhatu.
- Chiremba wako anotarisa kufema kwako uye yako yeropa. Kana kufema kwako kukanyanya kudzika, ungangoda kupfeka mask yeoksijeni kuitira kuti kufema kwako kugadzikane uye kuwedzerwa kweropa rako pamatanho akajairika.
- Chiremba wako anotanga maitiro kana sedative yatanga kushanda. Zvichienderana nemaitiro acho, unenge uri pasi pekunyaradzwa kwemaminetsi gumi nemashanu kusvika makumi matatu, kana kusvika kumaawa akati wandei kune mamwe maitiro akaomarara.
Ungangoda kukumbira sedation yekuziva kuti ugamuchire, kunyanya panguva yemazino maitiro sekuzadza, midzi migero, kana kutsiva korona. Izvo zvinodaro nekuti kazhinji, chete emuno magenge maajenti anoshandiswa mune aya kesi.
Dzimwe nzira, senge colonoscopies, dzinogona kusanganisira kuziva sedation pasina chikumbiro, asi iwe unogona kukumbira dzakasiyana nhanho dze sedation. Sedation inogona zvakare kupihwa seimwe nzira kune yakajairwa anesthesia kana njodzi yako yezvinetso kubva kune anesthesia yakanyanya.
Ndeapi madhiragi anoshandiswa?
Iyo mishonga inoshandiswa mukuziva sedation inosiyana zvichienderana nenzira yekuendesa:
- Oral. Iwe uchamedza hwendefa rine chinodhaka chakaita se diazepam (Valium) kana triazolam (Halcion).
- Intramuscular. Iwe unozowana pfuti ye benzodiazepine, senge midazolam (Vhesi), kuita mhasuru, ingangoita muruoko rwako rwekumusoro kana pachiuno chako.
- Inopinza. Iwe uchagamuchira mutsetse mune ruoko rwevine ine benzodiazepine, senge midazolam (Vhesi) kana Propofol (Diprivan).
- Kufema. Iwe uchapfeka chifukidzo kumeso kufema mu nitrous oxide.
Chii chinonzwisisika sedation chinonzwa senge?
Sedation mhedzisiro inosiyana pamunhu nemunhu. Manzwiro akajairika kukotsira uye kutandara. Kamwe iyo sedative yatanga kushanda, kusagadzikana manzwiro, kushushikana, kana kushushikana kunogonawo kupera zvishoma nezvishoma.
Iwe unogona kunzwa kurira kwekunzwa mumuviri wako wese, kunyanya mumaoko ako, makumbo, maoko, uye tsoka. Izvi zvinogona kuperekedzwa nehuremu kana husimbe izvo zvinoita kuti zvinzwe kunetseka kusimudza kana kufambisa makumbo.
Unogona kuona kuti nyika yakakukomberedza inononoka. Kufunga kwako kunonoka, uye iwe unogona kupindura kana kuita zvishoma nezvishoma kune zvinokanganisa muviri kana kutaurirana. Unogona kutanga kunyemwerera kana kuseka pasina chikonzero chiri pachena. Vanodaidza nitrous oxide kuseka gasi nekuda kwechikonzero!
Pane chero mhedzisiro here?
Mimwe mhedzisiro mhedzisiro yekuziva sedation inogona kutora kwemaawa mashoma mushure mekuita, kusanganisira:
- kutsimwaira
- kunzwa kwekuremerwa kana kweusimbe
- kurasikirwa ndangariro kweizvo zvakaitika panguva yekuita (amnesia)
- anononoka kufunga
- yakaderera BP
- musoro
- kunzwa kurwara
Kudzoreka kwakaita sei?
Kudzoreredza kubva pakuziva sedation kwakakurumidza kukurumidza.
Hezvino izvo zvaunotarisira:
- Iwe ungangoda kugara mune inoitisa kana yekushandisa kamuri kweinosvika awa, pamwe zvimwe. Chiremba wako kana chiremba wemazino anowanzo tarisa kurova kwemoyo wako, kufema, uye kuwedzerwa kweropa kudzamara vadzokera kune zvakajairwa.
- Uyai nenhengo yemhuri kana shamwari inogona kukutyaira kana kuenda newe kumba. Iwe unogona kazhinji kutyaira kamwechete dzimwe nzira dzekunyaradza, senge nitrous oxide, inopera. Zvisinei, izvi hazvisi nguva dzose kune mamwe mafomu.
- Mimwe mhedzisiro mhedzisiro inogona kugara kwekuzorora kwezuva. Izvi zvinosanganisira kukotsira, kutemwa nemusoro, kuda kurutsa, uye nehusimbe.
- Tora zuva rekurega kuenda kubasa uye dzivisa kuita kwakanyanya kwemuviri kudzamara mhedzisiro yapera. Izvi zvinonyanya kuitika kana iwe uchironga kuita chero emawoko mabasa anoda kunyatsoita kana kushandisa inorema michina.
Yakawanda sei inoziva sedation inodhura?
Conscious sedation mutengo unosiyana zvichienderana ne:
- mhando yemaitiro auri kuita
- mhando ye sedation yakasarudzwa
- mishonga yekunyaradza inoshandiswa
- unogara kwenguva yakareba zvakadii
Conscious sedation inogona kuvharwa neinishuwarenzi yako yehutano kana ichionekwa sechikamu cheyakajairika maitiro. Endoscopies uye colonoscopies zvinowanzo sanganisira sedation mumitengo yavo.
Vamwe vanachiremba vemazino vanogona kusanganisira sedation mumitengo yavo kune mamwe maitiro akaomarara, senge cosmetic mazino ebasa. Asi marongero mazhinji emazino haavhare sedation yekuziva kana isingadiwe nemitemo yekurapa.
Kana iwe ukasarudza kugadzikana panguva yemaitiro asingawanzo kuisanganisira, mutengo unogona kungovharwa zvishoma kana kusatovharwa zvachose.
Heano kuputsika kweimwe yakajairwa mitengo:
- inhalation (nitrous oxide): $ 25 kusvika $ 100, kazhinji iri pakati pe $ 70 ne $ 75
- chiedza chemuromo sedation: $ 150 kusvika $ 500, zvimwe zvimwe, zvinoenderana nezvinoshandiswa nemishonga, kunyaradza kwakadii kunodiwa, uye kupi kupi kwaunopa hutano
- IV sedation: $ 250 kusvika $ 900, dzimwe nguva zvimwe
Kutora
Conscious sedation isarudzo yakanaka kana iwe uchinzwa kunetseka nezvekurapa kana mazino maitiro.
Kazhinji haina kunyanya kudhura uye ine mashoma mhedzisiro kana matambudziko, kunyanya mukuenzanisa neanesthesia yakajairika. Zvinogona kutokukurudzira kuti uende kumisangano yakakosha yaungazobvisa nekuti unotya maitiro acho, ayo anogona kuvandudza hutano hwako muhupenyu hwako hwese.