Anesthesia "Sevoranom": aʻo no ka hoʻohana 'ana, i ka hopena hōʻike manaʻo

"Sevoran" (ʻeleu 'Oponopono - sevoflurane) - anesthetic Agena ua pono ia ma ka lapaau no ka hana inhalation anesthesia. I ka hoike ana o keia iaoia e leie aku ka lāʻau i loko o ka loa pōkole wā o ka manawa, e hoʻokaʻawale i ke ahonui o ka ike paka i, akā, ma hope o kou hoʻopau nā mea a pau koke hoihoi hou ia.

Anesthesia "Sevoranom" ka wā lawelawe pu ma ka hōʻemi iki manaʻo pīhoihoi, a aneane kekahi 'ae hookaawale airway mucosa. Penei, he mea hiki ole i ka hoʻonāukiuki i ka ikaika secretion i loko o ka tracheobronchial laau, a hoʻoulu i ka'emi ko kahua. Ka lāʻau 'stimulates i ka mahele lāʻau-e kaukaʻi suppression o ka ÷ naehana hanu hana, a hakumakuma ke koko.

Pehea ka anesthesia? "Sevoran" i ole ia ma intracranial puʻe, 'aʻole i emi i ka pane i ke kalapona'okikene lua, ka mea, aole i pili i nā puʻupaʻa, a ake hoʻokō' ole 'aʻole i ka hoomahuahua i loko o kēia mau nā loko, a hiki ina ka hoʻomanawanui e ia ma lalo o anesthesia no ka lōʻihi manawa. Akā, pehea e ho omaulia i ka mahele lāʻau e anesthesia ua pono, a ma ka mea hookahi manawa palekana?

laʻau heluna

Anesthesia "Sevoranom" no kela a me keia hoomanawanui ua wae pākahi.

Pela, keʻoki lāʻau lapaʻau 'uao ua hanaiia ma ka mea o ka anesthesia vaporizer. Nō kāu, anesthesiologists hoʻohana kūikawā maalea, e hiki i calibrated kaʻoi loa no keia k.

Ke laʻau heluna i koho i loko o kēlā me kēia hihia pākahi. Titration mea no laila lōʻihi a ka mea, o ka makemake ai, i ka mea ia manawa e lawe i ka mooolelo o ka hoʻomanawanui ka lapaʻau mōʻaukala o kona maʻi, ke kākoʻo '-morbidities a me ka makahiki. Ma hope o hoʻopau hanai ana oia i "Sevorane" hoʻomanaʻo lawelawe i ka hoʻomanawanui, mai ka pae oia hoi o barbiturates, a me nāʻano o ka anesthetic a ua manaoia e alakai intravenously e loaa hohonu anesthesia. Ana hoʻohana no keia mea i oxygen, a nitric'okesaside a "Sevorane" pu me ka oxygen.

Anesthesia "Sevoranom" ma ka liʻiliʻi, a unahiʻole ma muaʻoki kino e leie aku ka kahua o ka hiamoe no kekahi mau minuke, a me ka mea, hele mai me nā mākua a me nā keiki a pau. Me keia anesthesia ka loa ano o ka poe ola, OAAIeOO mai ka anesthetic ana me ka hoʻohana 'ana i kekahi mau hana: nā mea maʻi kākaʻikahi ohumu o hoʻolōʻihiʻia kaumaha ma hope o ia, koke hoihoi i ka hana o ka noʻonoʻoloi, kanaka mai i haha aku i kekahi discomfort ma ke kahua o keʻoki kino a me injections.

Eia hou kekahi, "Sevoranom" anesthesia hoʻolako i ka pono nui o ka anesthesia. Ka lehulehu ua wae mai ma ka laulā, mai 0,55 a hiki i 3%, i ka lāʻau o ke kākoʻo '-lawelawe me ka nitric'okesaside.

Pehea e pana aku au i narcosis "Sevoranom"?

Inhalation anesthesia me kēia lāʻau ', e like me kekahi' ē aʻe alakaʻi mākaukau, e e lawelawe ai i ka hoomanawanui - pela ae ho'āʻo ana i ka hopena mea. Na ka papa kuhikuhiE ano - ka mea, 'o ka nele'ōpū. Nā mākua i ka manao ole i ka ai 6-8 hola muaʻoki kino, a me na keiki - no 4-5 hola. Keia rula Ua koi 'ia no ka hooko, me ka hoʻomanawanui hiki ke loaa wale i keia hihia, no ka mea, ka luaʻi kānāwai, kūpono ma ka complication e like me luaʻi, mai ke komoʻana i ka ÷ naehana hanu nenoaiu.

Ma mua o ka hoʻomanawanui, e alakai i ka hana, e pili ana i kekahi mau lā ka mea, ua pono i pili i kaʻai. Wale ma hope mamua aʻo, oe i makaukau no kaʻoki kino me "Sevoranom". Ka hoomanawanui i kekahi i ka ea paha ma luna o ka maka, ma a me ka haʻahaʻa-pele kinoea lako e kānāwai. Hoomanawanui haule hiamoe aneane koke, ma hope 1-2 minuke. Ma hope o ka moe uhane hele mai hoʻohuiʻia ka catheter a hiki i kaʻike ākea aa koko, ina he pono, e hiki intubate. I kekahi hana, e ka mea e hiki i ka wa pokole a me ka noʻonoʻo, a me ke ano o ka hoʻomanawanui nā kahu nānā, a regulates ka anesthesiologist anesthesia mahele lāʻau i ka hohonu o ka anesthesia i koi 'ia. I ka bapetizo i anesthesia hoomanawanui hele ma kekahi mau kahua o ka hoʻonaʻauao.

1. Nani loa. Ua mau i oi aku mamua o 4 minuke, a ia lŘlŘ koke ma hope, hoomaka ae la ke kanaka e pili anesthesia. Wehewehe aku ma ka mea i ka hoʻomanawanui 'aʻole i haha aku ka eha, akā, ua malamaia ka ike. Ma kēia kahua, kauka hana pōkole hana - autopsied abscess paha phlegmon.
2. Excitation. I loko o kona hoomanawanui Lele puʻe, ike paka, aʻaʻohe eha, akā,ʻaʻoheʻoki lāʻau lapaʻau 'uao i keia manawa hiki ole e pau keia la.
3. ʻoki lāʻau lapaʻau anesthesia, i ua maheleia i loko o kekahi mauʻano o ka hohonu.

• superficial;
• oluolu;
• hohonu;
• agonal ke kahua - piha lōlō o ka nui nā loko.

4. ala. Ma keia wahi hoʻomaka i ka loaa ana o nā mea a pau ke kino.

Hiʻona "Sevoran"

Anesthesia "Sevoranom" E wale nō ke hoʻohana 'ia ma ka' oihana, i ahonui hooko ana me ke akamai i loko o ia o ka moku'āina. I keia manawa e mau ia ma ka lima lako a pan a e ae i pili i nā mea e pono ai ana, e hoihoi i ka hooholo ana i ka ÷ naehana hanu'āpana a me ka resuscitation, ina i ka hana, i ka unexpected hanaia.

I ka nui o ka anesthesia ia ka hoʻohana 'ana i kēia k ua hoʻololi loa koke, hahau i ka anesthesiologist e hoʻohana wale pela calibrated vaporizers. Ma Wa Mamua o ka anesthesia i loko o ka hoomanawanui hiki e malama mahuahua ana o ka hypotension a me ka ÷ naehana hanu kaumaha kino.

Inā 'oe ke hoʻohana hoomau anesthesia, alaila, me ka mahuahua nā hoʻohui like o ka lāʻau puʻe e emi noticeably, ia mea pololei e kaukaʻi ma ka mahele lāʻau "Sevoran". Po pahi a me ka ikaika ka ho'ēmiʻana o ke koko, i e ku pono ana i ka hohonu loa o ka anesthesia.

Ike paka i hope anesthesia ka hoʻomanawanui hoike ma hope o kekahi mau minuke, akā,ʻo kēia ka noʻonoʻo 'nā mea hiki hoihoi hou ia ma hope o kekahi mau hola wale. He nui surgeons a me nā kauka niho ua manaoia kekahi o ka maikaʻi ai 'no ka anesthesia "Sevoran". ma ke noi o ka mea paahana alakai hākālia nō i ka hana ia lŘlŘ kokoke instantaneously, a koe ka hoʻomanawanui mai i ka moku'āina o anesthesia koke, ma ka hapanui o na hihia me ka hopena, eia nae i kekahi manawa ka mea, e hiki mai ana.

Nā pono o ka hoʻohana 'ana i "Sevoran"

Ua mea waiwai 'ana i kumumanaʻo i keia hoʻomanaʻo manao no ka hooponopono i kānaka i loko o ka moku'āina o anesthesia, i ka helu o ka pono:

• Rapid kaiapuni ma anesthetized (aneane koke ma hope o ka hanu mua) a me ka hoʻokēʻai ala - i oi mamua o 20 minuke ma hope o kaʻai o ka lāʻau aɃe.
• Ua aneane ole ia ma luna o nā ipu naehana'ōnaehana, naau a me ke koko.
• Ke kiʻekiʻe loa o ka controllability.
• ʻO kā mākou haahaa o naehana hanu.
• Ole-ʻawahia i ka hoʻomanawanui.
• A me kona maikaʻi anesthetic ai ka hoʻokō anesthesia ma ka dentistry ua hoʻohana ' a me ka hana i ka wa e wehe aeʻoki kino.
• Pohihihi keia hoike ana o adverse loa.
• Hana, e hana me ka mononarkoza.
• Ua mau hiʻohiʻona nō i ka hoʻohana 'ana i haʻahaʻa-pele anesthesia, i kumu no ka palena iki kahe ana o ka lāʻau, i ka piha kaawale o? Aneie haumia ea lāʻau hui.

A pau i ka pono i ho'ākāka 'ia ma luna hōʻike ana i ka lāʻau' ka loa a me ka pono i kokokeʻaʻohe waiwai, no laila ka mea, ua pinepine hoʻohana 'ia mākou i hana ia mau niho ma lalo mau anesthesia i loko o nā mākua a me nā keiki, e like me nā kaʻina hanaʻoki lāʻau lapaʻau.

ʻaoʻao 'ole a me nā contraindications

Akā, ua pono e poina mea i kekahi lāʻau 'kaʻaoʻao' ole a me nā contraindications, a me nā mea a pau i kēia mea ku pono i na ano o kēlā me kēia hoʻomanawanui. He mea hiki ole ke kilokilo pehea ike meaola hoʻomākaukau. O ka loa innocuous lapaʻauʻia hiki i kekahi kanaka i ka hopena mea, ua pili kekahi i ka anesthesia.

• Pōniuniu, drowsiness, convulsions, loa loli ma ka naʻau i loko - mau symptoms e hana ana i loko o kekahi mau lā ma hope o ka palapala noi o anesthesia.
• Naehana kāna hana, cough.
• Lele ana o ke koko,, tachycardia paha bradycardia.
• Nausea, ka luaʻi.
• Allergic reactions.
• Ole a me ka wela.

Aʻo kekahi hoʻi, e kēiaʻaoʻao 'ole i loko o pohihihi keia hihia "Sevoran" (kuhi no ka hoʻohana i haawiia e) ua contraindications, a me ka mea, e ike kēlā me kēia hoomanawanui mua ka mea, ua i anesthesia. Mawaena o na contraindications:

• Ke kūikawā pā lonoaʻili i ka waiʻona.
• Aaiaoe predisposition i malignant hyperthermia.
• Ma breastfeeding.

Nō hoʻi, a pau na mea no ka inhalation anesthesia ua? Aeiiaiaoaony e hoʻohana me ka lōʻihi mālama nui i loko o nā mea maʻi me kaʻaʻa puʻuwai insufficiency, intracranial hypertension, coronary naʻau maʻi a me ka neuromuscular pathologies. Keiki i 'ae' ia ka hoʻohana ' "Sevoran", akā, i loko o wale ka lalo mahele lāʻau, a ma lalo o ka hooponopono ana o ke kauka, a ma hope o ke ola mai ka anesthesia.

overdose

I Ina o overdose, ke hoʻomanawanui i ka symptoms e hōʻike:

• Hoʻololi i ka ha awina o ka Central ko mākou hopohopo nenoaiu.
• Hypotension.
• vascular'opi.
• Convulsions.
• Naehana hopu.

Inā he mau symptoms, oe e ike koke nōʻoe, hooponopono o ka lāʻau, e hookupaa i ka maemae hanu şarkı, a hoʻomaka kaʻimi hoʻopunipuni hoʻokomo ea me ka o oxygen, e hahai mai i ka hana o ka naau, ina oe makemake e hoʻolauna ai ', e malama ia.

AaOIeIOUIeXAOAaIN me nā ai '

Inhalation anesthesia wahi aku me ka hui me ka ai 'i mea pinepine hoʻohanaʻia surgeons iʻoki kino. Ua pili ia ai 'a lakou aloha ia na ko mākou hopohopo'ōnaehana, Muscle relaxants, Anati-mea koʻohune ai', hormones, koko huahana. Adverse hana kūleʻa i ua hōʻike '.

Special olelo ao no ka hoʻohana

"Sevoranom" hiki ole ke ia ma luna o lākou iho ma ka home. Kēia lāʻau 'ai e haawiia mai, koho i ka laʻau heluna, a kanaka hoʻoponopono i ka hoʻomanawanui kaʻano mea wale he anesthesiologist, ia mea pono i ka poe i hana i mau anesthesia.

E hoolako i na mea no ka inhalation anesthesia, o ka oi aku "Sevoran" lāʻau, e pono e hoʻohana calibrated vaporizers. Oe E hoi hōʻike aku i ka hoʻomanawanui i ka anesthesia ia i hiki ole ia no kekahi manawa, e hele ma hope o ka huila, a hana i kekahi e neʻe hana, no ka mea, o ka lehulehu o ka noonoo ana i ke hihia hoʻi.

Hiʻona o ka palapala noi "Sevoran" i loko o ka iapaau ana o ka niho o na keiki

Inā mākou e hana niho ma lalo mau anesthesia, "Sevoran" e ae e hana ai no nā mākua a me nā keiki. Eia hou, i kēia 'ano o ka anesthesia ua pinepine hoʻohana iloko o' ē aʻe ana no na keiki:

• Kaʻenaʻenaʻoki lāʻau lapaʻau 'uao i ka huʻi li nui ma ka moʻolelo o ka lua (abscess abscess).
• Kohoʻoki kino (niho pōʻalo, cysts).
• 'āwai, mau caries a me periodontitis.

Akā,ʻaʻole e mau ana nā kauka niho ma ka iapaau ana o ka niho o na keiki ka hoʻohana ana "Sevoran". Anesthesia i na keiki mua mai ia hoʻi, ua hōʻike i loko o ka kēia hihia.

• Inā he mau contraindications i ka hoʻohana 'o kūloko anesthetics.
• Inā he keiki nekontakten (haʻi negativism i ka dentist).
• Aia i ke aloha pathology o ka'emi oihana, oiai i ke keiki hiki ole maoli mahalo i ka puni aku o ka lanakila.
• Inā i manaʻo pono, e lawe mai i kekahi-ʻanuʻu hoʻopulapula o ku una ha i ka lua me ka buke nui o nā kaʻina hana.

Akā, ua pono e poina i kekahi ka lapaʻauʻia ke keiki perceives loa sensitively. I nā mākua e hai aku i ke kauka e pili ana i ke alo o ke keiki i ka ana ma lalo nei i nā contraindications no anesthesia o ia hoʻi, "Sevoran". hiki ole ia hopena e mea nui. No laila, ka mea, ua i paipai i ka hoʻohana:

• Aku aat o ka luna'āpana.
• Ma huʻi li nui o ka urinary'āpana, akepaʻa, ia maʻiʻaʻai.
• Inā he mea exudative diathesis.
• Recent maʻiʻaʻai.
• High intracranial puʻe.
• Decompensated pathology.
• Inā 'oe hiki ole hoʻohana kūloko anesthesia.

O ka holo ana, ua koi 'ia i ke keiki, e hoomakaukau ai no ka hoʻokomo' ia 'o ka anesthesia "Sevoran". Kahua niho lapaʻau ma lalo mau anesthesia ua hana ole i ka manawa o ka niho pōʻalo wale, akā, i loko o nā hihia, a me ka mea e hoomakaukau ai no kēlā me kēia kaʻina hana e pono ai:

• Kekahi, nana - e E lūlū mai ke koko, mimi, biochemistry.
• ECG.
• Panina Manaʻo pediatrician (i loko o ka palapala pono hōʻike i ka hoʻomanawanui i ole contraindications i ka hoʻohana 'ana i kēia' ano o ka anesthesia).
• Anesthesia ua lawelawe wale ma luna o ka nele'ōpū.

Currently, ua nui naʻano likeʻole o ka ai 'no ka anesthesia, akā, i loko o nā makahiki hou a me ka poe hanohano "Sevoran" American poe. He ua noʻonoʻo i ka loa e noho malie hoi a hiki i ke kino, kona pono tolerated, nā mākua a me nā keiki. He He He oluolu loaʻono i keiki Inhale a mai i haha aku i kekahi discomfort.

Ke kanawai mea koke, koke ma hope o kekahi mau ana o breaths, a ala i nā mea maʻi ma hope o 15 minuke ma hope o ka lapaʻauʻia e hānau ai. Kēia keia mea aie a hiki i ka mea i oi aku mamua o 90% ma ka malamalama ia auoiaea ia hoʻi, i loko o ka unmodified palapala. Ka hoomanawanui ana lāʻau, a ma hope o 10-15 minuke i loko o ke koko ua hou 'akomi i. He hōʻike loa koke mai i ke kino, a me nā loko ole o kona hopena,ʻaʻole e ae allergies mai i kumu.

Reviews

Loa maikai e pili ana i ka hoomakaukau pane aku ai i ka makua makahiki o ka hoʻomanawanui ole wale, akā, i na keiki, ka poe i olelo ia i ka hanu i keʻala ea, a hiamoe iho la ia, a laila, wehe aʻela lākou mau maka - a lakou i keia manawa, e moe ana ma luna o ka moe, a me ka mea ka mea e ole e hana ino. I ka mea, e like ka hana "Sevoran". Reviews makua hoi hōʻoia ana i kā lākou mau keiki i loa oluolu e tolerate anesthesia,ʻaʻoheʻaoʻao 'ole a me nā allergies ia ke kumu. He mahalo ia ia, ua lilo he nui na keiki a hiki aku pinepine kipa i ka dentist, a me nā mea a pau no ka mea, o na hana a pau i lawe mai me kaʻeha.

Kanaka makua hoʻomanawanui iki mai i kekahi lā maikaʻi e pili ana i kona kulana ma hope o kēia anesthesia. Loa importantly, e lawe mai i ka palapala hōʻoia no hoʻomalu, a laila, e e pono a pau.