Anesthesia pūkaua: ano a me contraindications

Anesthesia (anesthesia) ma ka haawiʻoki lāʻau lapaʻau 'uao, e ia no elua ano:

• kūloko - ke ahonui o ka manao, anesthetized wale kekahi wahi o ke kino ma ka hana, e lawe wahi;
• huina o - ka hoʻomanawanui ua bapetizo i loko o ka hiamoe nui ka lapaʻauʻia hiamoe.

General a kūloko anesthesia ua like loaʻa kekahi wahi i loko o kēia lāʻau lapaʻau. Ke kūloko anesthetic ua kaʻawale spinal a me ka epidural anesthesia. Ma kēia hihia, ke ahonui mea ike, akā, puke i kona haʻahaʻa o ke kino, ua pau loa ia numb, a lilo aku pā lonoaʻili. Anesthesia mau anesthesia ua pinepine kapa.

I ka manaʻo o ka anesthesia

Anesthesia - mau anesthesia; ma Greek o ia hoʻi, "numbness" "numbness." Kona ano ke moe i loko o ka mea ana me ke kōkua o nā lapaʻauʻia i ka hopena ma luna o ka Central ko mākou hopohopo'ōnaehana a me ka loa aeie nā aʻalolo impulses i ka mea, e hoʻouna aku ai. E like me ka hopena o nā mea a pau kanaka reactions i ka meheu o ia, a me ka mea, ua bapetizoia ma ka ai-kapa lāʻau-ʻonou hiamoe.

Kēia moe hiki ole ke hoohalikeia me ka mea mau i kela la hiamoe i ka wa a ke kanaka hiki lākou e ala hou mai ma ka iki rustle. I ka 'inikua moe i loko o kānaka, ma ka mea, huli aku la no i kekahi manawa Aneane pau nui nenoai, i hou i ka mea'ōnaehana mānowai koko.

prenarcosis

Ma mua o ka mea mau anesthesia ka hoʻomanawanui pono undergo kuikawa aʻo - premedication. Ua aneane kanaka a pau kamaʻilioʻana i ka mahina ka iini a me ka makau o keʻoki kino. Ka hoʻonaʻauao kena ae la e ka iini, hiki i ke kūlana loli i loko o ka papa o keʻoki kino. Ke hoomanawanui i keia manawa he mea he nui adrenaline naholo kiki mai ai. Ua hiki aku i ka malfunction o ka nui nā loko - naau, puupaa, maʻiʻaʻai, akepaa, i mea fraught me complications i ka hana, a ma hope o kona paʻa.

No keia kumu, anesthesiologists manaʻo ka mea pono i ka mālie i ke kanaka ma muaʻoki kino. No keia hopena, oia hoonoho konohiki kiaha dala ano - keia ua kapaia premedication. I ana, i manaʻo ai no mua, premedication moe i ka po mua. Like no ka pilikia - mea pono ma ka pae'ōnaehana papa.

Milestones,? Ueo a me ke kahua o ka mau anesthesia

General anesthesia ua lawe mai i loko o ekolu kahua o ka hoʻonaʻauao.

• Hoʻokomo o ka anesthesia a hoʻokomo - lawe mai i ka wa me ka hoʻomanawanui i ma ka pae'ōnaehana papa. He komo 'inikua hoomakaukau, ina i ka hiamoe nui, piha hoʻomaha a me ka eha ke ola.
• Malama anesthesia - anesthetist pono pololei e huli i ka nui o ke kupono laau. Iloko o ka hana, mau mālama ma lalo o ka hooponopono a pau i ka mana o ke hoʻomanawanui: ke koko, ana, ua hoʻonānā no ka naau i kela a me ka hanu. An nui anakahi i loko o keia kulana home 'ole i ka naau, a me ka nui o ka o oxygen, a i carbon dioxide i loko o ke koko. Ke anesthesiologist ë he mähele wale o na kuʻina a pau o ka hana a me kona lōʻihi like 'ole, no laila, i ka mea hiki, ina e pono ai, hui aku a emi i ka mahele lāʻau o ka ai'.
• Hoala mai la - mai o ka anesthesia. Ke anesthesiologist o ka kiko'ī i ka ho omaulia ana o ka nui o ka ai 'no hoi me ka manao, e lawe mai i ke ahonui i ka manawa o ka hiamoe loa ka lapaʻauʻia. Ma kēia kahua, lapaʻauʻia pono e hoʻokō 'ia kona hana, a me ke kanaka hoʻomaka e lākou e ala hou mai mālie. Ka mea, nā mea a pau i nā nā loko, a nenoai. Ke anesthesiologist Aʻole i haʻalele i ka hoʻomanawanui i lōʻihi me kona hele loa i ike. hoʻomanawanui hanu E lilo he aupuni kūʻokoʻa, ke koko, a me ka lāʻau ikiʻai wale stabilize, reflexes a me Muscle leo e hele loa i ka maʻamau.

Anesthesia mau i na kapuwai o ka:

• ʻilikai anesthesia - nalo tactile pā lonoaʻili, ka mea, 'aʻole i haha aku i ka eha paepae, akā, e manaʻo o ka skeletal nāʻiʻo, a me na nā loko.
• Light anesthesia - relaxes ka skeletal nāʻiʻo, i ka hapanui nalo reflexes. Surgeons he mea he manawa kūpono o ka malamalama ili ana.
• Full anesthesia - Muscle hoʻomaha o skeletal nāʻiʻo, wahi kokoke e pau reflexes a me nā 'oihana, ma ka hou ana i ka mea'ōnaehana mānowai koko. Ka mea, i hiki i ka lawe mai ana mai o kekahi ka manaʻo pohihihi.
• ʻoi loa-hohonu anesthesia - ka mea, hiki e mai la oia i keia wahi ma waena o ke ola a me ka make. Wahi e kokoke e pau reflexes, nāʻiʻo i pono nanea wale me ka skeletal a me ka laumania Muscle.

Ano o kekahi mau anesthesia:

• Approach;
• intravenous;
• nohona ma.

ka hoʻololiʻana au ma hope o kekahi mau anesthesia

Ma hope o ka hoʻomanawanui mai o kekahi mau anesthesia no kona kulana ma ka hele kauka. Complications o mau anesthesia mea pohihihi keia. Ma hope o kēlā me kēia hana i kona mau nāʻikepili. No ka laʻana, inaʻoki kino i hana ma ka abdomen, i ka manawa hiki i inu i ka wai. Ma kekahi mau hihia, ka mea, ua ae. Controversial i keia la o ke kahe o ka hoʻomanawanui ka hoʻoneʻe ma hope oʻoki kino. Ua hoʻohana 'ia e ia i kekahi kanaka i loko o ka postoperative au mea kupono e like me ka mea i hiki ia ia ma ka moe hou. I kēia lā, ka mea, ua? Aeiiaiaoaony e kiʻi mai, e neʻe kū kaʻawale ma ka 'ano pōkole wā o ka manawa ma hope o ka hana. Ua Ua manaoio ia ia ka poʻea pau i ka kokololio ke ola.

Ma kekahi hihia, i ka hoʻomanawanui e hoʻolohe i nā koi o kou kauka, ai ole ke loaa i ke hoolohi.

Ke koho ana o anesthesia iaoia

No ka eha ana kaʻina mea kuleana anesthesiologist. He, a me ka surgeon, a me ka hoomanawanui, e hooholo i ke ano o ka anesthesia, e haawi aku ana kāu mau koho a hiki i ka kekahi hihia. Ke koho ana o ke ano o ka anesthesia ua 'ole ma na mea he nui aʻe:

• Ka buke o ka n ieaie?ʻoki kino. No ka laʻana, ana o ke kameleona, aole ia i koi mau anesthesia, akā,ʻoki kino ma ka hoʻomanawanui o na nā loko - ia mea he nui, a pono i ka hiamoe, a hooloihi ae i hiamoe ka lapaʻauʻia.
• Ke hoʻomanawanui ka kulana. Inā i ka hoʻomanawanui i loko o ka nui ano a mua mai kekahi complications oʻoki kino, i ka ninau o kūloko anesthesia hiki ole e.
• I ka hana a me ka mākaukau o ka surgeon. Anesthesiologist ike e pili ana i ka papa o ka hana, o ka oi aku i ka hihia ma ka surgeon e hana me ka mea i ka mea mua manawa.
• Akā, o ka papa, he anesthesiologist ma ka waeʻia, a ma ka wa e kaawale aku o contraindications mau koho i ke ano o ka anesthesia, i mea kokoke ia ia iho, a ma kēia pukana maikaʻi, e hilinai aku maluna o ia ia. Ina he mau paha kūloko anesthesia - loa importantly, i ka hana ua holomua.

Na Ke Kumu no ka mea hoʻomanawanui ma mua o keʻoki kino

Ma mua o ka hana mau i wahi palapala ma waena o ke ahonui a me ka anesthesiologist. Ke kauka E ninau e pili ana i ka hoolilo mua ana, a i anesthetized a me ke ahonui o kona waiho wale aku no. Ma ka hapa o ka hoʻomanawanui ia mea nui, e hai aku i ke kauka na mea a pau,ʻaʻole nalo he hookahi au mamuli, no ka mea, hiki laila pāʻani i ke kūlana o ka hana.

Mamua o kaʻoki kino, i ka hoʻomanawanui pono hoomanao i ka maʻi i ua ia e hoʻoneʻe ma ka holoʻokoʻa wā o kona olaʻana. He oi loa oiaio o ka maʻi ka maʻi. Nō hoʻi, i ka hoʻomanawanui, mai hai aku i ke kauka e pili ana i lapaʻau i ka mea, ua pio, e lawe i ka manawa. He hiki i kou kauka i noi i ka hailona hou ana i nā nīnau ma ka hou ana i na luna a pau. Kēia hōʻike mea pono ia ia ia i mea e hoʻopau ai i ka iki kuhihewa i koho i kekahi ano o ka anesthesia. Nui complications o mau anesthesia mea pohihihi keia, ina i nā hana a pau ma ka aoao o ka anesthesiologist, a me ka hapa o ka hoʻomanawanui i, ua hooko mai pololei.

hualoaʻa anesthesia

Local anesthesia i loko o ka hapanui hihia 'aʻole i koi i ka piʻiʻana o ka anesthesiologist. hiki kū kaʻawale Surgeons lawe mai i kēia 'ano o ka anesthesia. Lakou wale oki aku i ka wahi o kaʻoki kino ka lapaʻauʻia.

Me ka hualoaʻa anesthesia mea mau i ke kamepiula i ka lawa helu o ka hoʻolauna ai 'a me ka paepae o ka eha ua ikeia. Ma keia hihia, mai panic. Oe e noi aku i ke kauka e hoonui i ka waiʻona.

spinal anesthesia

I ka spinal (spinal) anesthesia ua injected 'ana i loko o ka spinal kaula. Ke hoomanawanui Kahalaopuna wale i ka ka pahu kui. Ma hope o hoʻokomo o anesthesia, ka holoʻokoʻa malalo o ke kino numb, losing a pau aloha.

ua kēiaʻano o ka anesthesia hoʻohana ana i ka hana ma luna o nā wāwae, a me ka urology gynecology.

epidural anesthesia

Ma epidural anesthesia i loko o ka wahi ma waena o ka spinal Canal, a spinal kaula catheter, ma i hiki ke lawelawe painkillers.

Epidural anesthesia ua i kekahi manawa hoʻohana no ka eha kokua i ka hana a me ka pinepine - i hana loa i loko o ke kahua o ka gynecology a me ka urology.

I mea maikaʻi, epidural paha mau anesthesia? He He loa controversial pukana i keia la. Kēlā me kēia i kā lākou mau manaʻo hoʻopiʻi kū'ē ma luna o ka mea.

ka ea paha narcosis

Ke ea paha anesthesia a inhalational mau anesthetic ua hoʻolauna i loko o ke kino ma ka hoʻomanawanui o Air. Ma keia ano o ka hiamoe anesthesia ua mālama 'ia e kekahi kūikawā kinoea i anesthesiologists iiaeaaony ma ka Approach pili i ka hoʻomanawanui i ka maka. Ua Ua hoʻohana 'ia no ka mehana pōkole-manawa hana.

Inā 'oe e hoʻohana i ke ea paha anesthesia no ka hoʻomanawanui importantly - hoʻolohe i ke kauka: hanu me ia i noi mai, hana i kana olelo, ke paneʻana i ka ninau posed ia ia. Inā ea paha anesthesia ka hoʻomanawanui mea e komo i loko o ka hiamoe oluolu, a like me oluolu, e ala hou mai ia ia mai.

phlebonarcosis

No ka intravenous anesthetic ai 'ana i ka lāʻau'-ʻonou hiamoe a me ka hoʻomaha, ua hoʻolauna 'ana i loko o ke aa koko. Kēia i mea e hiki ai ke hoʻokō i ka kokololio ia a me kona mea e like hopena.

Intravenous anesthesia hiki ke hoʻohana 'ia ma ke ākea likeʻole ma o ka hana. He mea loa, he pono ole i ka paninaʻoki kino.

General anesthesia me ka Muscle hoʻomaha multicomponent

kapaia Multicomponent i kēia 'ano o ka anesthesia no ka mea, hiehie ke ea paha, a intravenous anesthesia. Ia mea, o ka ke keʻena o ka mau anesthesia lawelawe like ai 'intravenously, a ma ke ano o ke kinoea ma ka naehana nenoaiu. Kēiaʻano o ka anesthesia e leie aku oe, e loaʻa ai i kā mākou i nā hualoaʻa.

Muscle hoʻomaha - hoʻomaha o skeletal nāʻiʻo. Kēia mea nui loa iloko o keʻoki lāʻau lapaʻau 'uao.

Multicomponent anesthesia ua pono no ka kaumaha a me ka lōʻihi-manawa hana. I kēia lā, ma lalo o anesthesia, pela ka mea hana ma luna o ka abdominal nā loko, umauma.

General anesthesia. Contraindications

Ma ka hoʻohana 'ana o kekahi mau anesthesia, loaʻa nō kekahi mau contraindications:

• naau ole;
• loa anemia;
• myocardial infarction;
• pneumonia;
• huʻi hakuʻala a me ka ake;
• asthma;
• epilepsy;
• anticoagulant lapaʻau;
• endocrine maʻi e like me thyrotoxicosis, decompensated mimikō, adrenal maʻi;
• he piha'ōpū;
• kaumaha waiʻona intoxication;
• i ka wa e kaawale aku o ka anesthesiologist, nui ai 'a me ka lako a pan.

General a kūloko anesthesia - i mea nui nā kumumea i loko o ka kēiaʻoki kino. No hana i wahi me anesthesia. Ma keia manao, ua pono hookupu i ka lapaau, no ka mea, i kela kanaka ke hoʻoneʻe i ke ola kŰia.