Jenesi anesthesia inoguma

Anesthesia inenge yakasikwa yakagadzirirwa kugadzirisa muviri kubva pakurwadziwa uye kushungurudzika panguva yokuvhiya. Kunyange zvazvo, chaizvoizvo, aneshesia inobatsira murwere, asi nyanzvi dzinonyevera kuti narcosis yakazara nezvinetso, uye migumisiro yevanhu vakawanda anesthesia pamuviri zvakaoma kufanotaura.

Inowanzozoguma-migumisiro yevanhu vakawanda aneshesia mune vanhu vakuru

Migumisiro pashure pokunge anesthesia yakakamurwa kuva vekutanga, inoratidzwa mumaawa makumi maviri ekutanga mushure mekushanda, uye nguva dzekupedzisira, dzinoita kuti dzive dzakanzwa, mushure mekunge nguva yakareba.

Mune mabhuku ezvokurapa, zvinotevera zvinotevera zveaneshehesia mushure mekuvhiyiwa zvinoonekwa:

1. Kutsiva, kurwadziwa musoro kunoratidza kuderera kweropa, kupera simba . Mune zvimwe zviitiko, kuratidzika kwakadaro kunomuka sechiitiko chemuviri kumishonga ekurapa.
2. Kudedera, kushungurudzika kwemisimba kana kushaya simba, kurwadziwa mumisumbu uye kumashure kunoratidzwa nokuda kwechimiro chemarefu chemuviri wemurwere munguva yekushanda. Muvarume vechidiki kuitika kwezviratidzo izvi kunokonzera kushandiswa mune chirwere chinokurumidza Ditilin.
3. Muromo unorwadza usingapfuuri kwezuva hausi mungozi chete, asiwo imwe yezvinetso zveanesthesia.

Nhamba dzezvokurapa dzinotaura kuti kusuruvara kunonyanya kukosha kweanesthesia. Chero chechitatu chetatu chinoshandiswa pakunyunyuta kwechido chekurutsa, kunzwa kusagadzikana mumapancreas. Kuti uderedze kuratidzika kusingafadzi, tevera mazano echiremba-muchengeti:

1. Usagara pasi kana kuburuka pamubhedha pazuva rekutanga mushure mekuvhiyiwa.
2. Usadya mvura uye kunyanya zvokudya mukati maawa makumi maviri nemaviri.
3. Tora kufema kwakanyanyisa pamwe chete nekuderera kunonoka kwemhepo yakaunganidzwa.

Special cases

Dzimwe nguva aneshesia inowanzokonzera migumisiro yakadaro:

1. Nzira yekuvhiringidzika kunokonzerwa nekutarisira kwechiremba, postoperative edema, atherosclerosis , nezvimwewo. Muchiitiko ichi, murwere anotambura nemanzwiro ekushaya simba uye kushaya simba mumakumbo. Kuratidzwa kwakanyanya kwechirwere ichi kuora mwoyo.
2. Kuvhiringidza kweAnaphylactic kunoitika semugumisiro wekushushikana kwemurwere kune mamwe maitiro anesthetic. Pamberi pekugadziriswa kwakarongwa, zvakakosha kupfuudza miedzo uye kuedza kupindura kwemishonga inoshandiswa mune anesthesia. Zvigumisiro zvakapinda murekodhi yezvokurapa kuitira kuti kudzivirira kukanganisa kwakaipa kune chikamu chevashandi vezvehutano. Kana chirongwa chisina kuongororwa chekuvhiya chinoshandiswawo kuongorora mabhizimisi emishonga yekurapa.
3. Kuvhiringidzika kunowanzoitika kune vakwegura uye zvakanyanya kuora mwoyo varwere. Kucherechedza kwebasa racho uye kuzorora shure kushanda, kukwana kwakakwana kwemaawa mumhepo, kudya kwakanaka uye kuchengetedza mararamiro anhu hunoita kuti hurumende ichinje kugadziriswa.

Kurondedzera zvinoguma kana mushure mekunge anesthesia inogona kuitika, usakanganwa hutano husingawaniki hwekufa. Zvechokwadi, mutoro mukuru wemigumisiro yebasa iripo pamwe neboka revashandi vezvechiremba, asi murwere iye pachake anofanira kunyatsogadzirira kushandiswa kwekuvhiya kuri kuuya uye nekuteerera zvinotevera mazano avarapi mushure mekushanda.