Preoperative bvunzo dzekuvhiya kwepurasitiki

Zvemukati

• 1. Kuongororwa ropa
• 2. Weti bvunzo
• 2. Kuongorora kwemoyo
• 4. Kuongorora mifananidzo
• Ndeipi nguva yekuita bvunzo dzekurapa?

Usati waita kuvhiya kwepurasitiki, zvakakosha kuti bvunzo dze preoperative dziitwe, idzo dzinofanirwa kuratidzwa nachiremba, kuitira kudzivirira matambudziko panguva yekuita kana muchikamu chekupora, senge anemia kana hutachiona hwakakomba, semuenzaniso.

Naizvozvo, chiremba anokurudzira kuita akateedzana bvunzo kuti aone kana munhu wacho aine hutano uye kuti kuvhiya kunogoneka here. Chete mushure mekuongorora bvunzo dzese ndipo pazvinokwanisika kuzivisa munhu kana zvichikwanisika kuita kuvhiya kwepurasitiki pasina matambudziko.

Miedzo mikuru yakakumbirwa nachiremba pasati paitwa epurasitiki yekuvhiya ndeiyi:

1. Kuongororwa ropa

Kuongororwa kweropa kwakakosha kuti uzive hutano hwese hwemurwere, saka bvunzo dzinonyanya kukumbirwa usati wavhiyiwa ndewe:

• Kuverenga kweropa, umo kuongororwa kwemasero matsvuku eropa, leukocyte nemaplatelet;
• Coagulogram, iyo inoongorora kugona kwemunhu kuvhara uye nekudaro inoratidza njodzi yekubuda ropa kukuru panguva yekuita;
• Kutsanya ropa glucose, sekuchinja kweshuga yeropa kunogona kutyisidzira hupenyu, kunyanya panguva yekuvhiyiwa. Uye zvakare, kana munhu aine huwandu hwehuga hweropa zvakanyanya, njodzi yekutapukirwa inowedzera, uye panogona kunge paine hutachiona nemushonga unorwisa hutachiona, zvinonetsa kurapwa;
• Chipimo chemushonga werea ne creatinine muropa, nekuti inopa ruzivo nezve kushanda kweitsvo;
• Antibody muyero, kunyanya yakazara IgE uye yakanangana IgE ye latex, inozivisa kana munhu aine chero rudzi rwezvirwere uye kana immune system yakachengetedzwa.

Kuti uite ongororo yeropa, zvinogona kudiwa kuti utsanye kweanenge maawa masere, kana maererano nekutungamirwa kwerabhoritari kana chiremba. Pamusoro pezvo, zvinokurudzirwa kuti usashandise doro kana kuputa fodya kweinenge mazuva maviri bvunzo isati yaitika, sezvo izvi zvinhu zvichikanganisa mhedzisiro.

2. Weti bvunzo

Iyo weti bvunzo inokumbirwa kuitira kuti utarise shanduko yeitsvo uye hutachiona hunogona kuitika. Nekudaro, chiremba anowanzo kumbira mhando 1 weti bvunzo, inonziwo EAS, mune macroscopic maficha, senge ruvara uye hwema, uye zvidiki zvidiki, sekuvapo kwemasero matsvuku eropa, epithelial maseru, leukocyte, makristasi uye microorganisms zvinoonekwa. . Uye zvakare, iyo pH, kuwanda uye kuvapo kwezvimwe zvinhu mumurini zvinotariswa, senge bilirubin, ketoni, glucose nemapuroteni, semuenzaniso, kugona kuzivisa nezve shanduko kwete kwete chete muitsvo, asiwo muchiropa, muenzaniso.

Pamusoro peEAS, chiremba anovhiya wepurasitiki anokurudzira zvakare kuita tsika yemurini, inova bvunzo yehutachiona inovavarira kutarisa kuvepo kwehutachiona hunokonzera hutachiona. Nekuti kana kufungidzirwa kwehutachiona, kurapwa kwakakodzera kunowanzo tangwa kudzivirira njodzi yematambudziko panguva yekuita.

2. Kuongorora kwemoyo

Chiyero chinoongorora moyo unowanzo kumbirwa usati wavhiyiwa ndiyo electrocardiogram, inozivikanwawo seECG, inoongorora mashandiro emagetsi emoyo. Kuburikidza neiyi bvunzo, chiremba wezve moyo anoongorora mutinhimira, kumhanya uye huwandu hwekurova kwemoyo, zvichiita kuti zvikwanise kuona chero zvakashata.

Iyo ECG bvunzo yekukurumidza, inotora avhareji yemaminetsi gumi, haina kukonzera marwadzo uye haidi kunyatso gadzirira.

4. Kuongorora mifananidzo

Kufungidzira bvunzo kunosiyana zvichienderana nerudzi rwekuvhiya kwepurasitiki kuti kuitwe, asi vese vane chinangwa chimwe chete, kunoongorora nzvimbo ichavhiyiwa uye kuongorora kutendeka kwenhengo.

Muchiitiko chekuwedzera zamu, kudzikisira uye mastopexy, semuenzaniso, ultrasound yemazamu nehapwa inoratidzwa, kuwedzera kune mammography kana munhu apfuura makore makumi mashanu ekuberekwa. Muchiitiko chedominoplasty uye liposuction, ultrasonography yeiyo yakazara dumbu uye dumbu remadziro inowanzo kukurudzirwa. Nezve rhinoplasty kuvhiya, semuenzaniso, chiremba anowanzo kukumbira kuita CT scan yezvitadzo.

Kuti uite bvunzo dzekufungidzira, hapana mhando yekugadzirira inowanzo kuve inodikanwa, asi zvakakosha kuteedzera zvinongedzo uye nekwatidziro kwachiremba kana nzvimbo ichaitirwa bvunzo.

Ndeipi nguva yekuita bvunzo dzekurapa?

Bvunzo dzinofanirwa kuitwa pamwe neinenge mwedzi mitatu yekuvhiya kwepurasitiki, nekuti bvunzo dzakaitwa inopfuura mwedzi mitatu dzinogona kunge dzisingamiriri mamiriro chaiwo emunhu, nekuti panogona kunge paine shanduko mumuviri.

Bvunzo dzinokumbirwa nachiremba wepurasitiki uye vanovavarira kusvika pakuziva munhu uye kuona shanduko dzinogona kuisa murwere panjodzi panguva yekuita. Naizvozvo, zvakakosha kuti bvunzo dzese dziitwe kuti dzive nechokwadi chekubudirira uye chengetedzo yekuvhiya.

Mhedzisiro yebvunzo inoongororwa nachiremba uye anesthetist uye, kana zvese zvanaka, kuvhiyiwa kunogamuchirwa uye kunoitwa pasina njodzi.