Incomprehensibleʻike, o "malignant hyperthermia"

Kekahi o na kumu o ka make ma luna o ka pae'ōnaehana papa mea pohihihi keia maʻi "Malignant hyperthermia". Ke kumu o keia mai i kāna hana o ka pūnao ma Muscle'aʻaʻa, a nō ka hopena o kekahi mau anesthesia. Kona symptoms nā pokole o ka hanu, ke kuni, a me ka naau, i hiki ke alakai i ka make.

Malignant hyperthermia mea he maʻi i ua ili mai iā ia. Ia, aole ia e hoike mai ai ia ia iho, a hiki i ka manawa e like me ke kanaka, aole ia e loaa i kekahi mahele lāʻau o ka anesthesia. ʻO ka mea i ka maʻi, aole ia e hoike i na makua, ina ka mea, i anesthetized, 'aʻole i manaʻo i ka mea, i ole he lawe o ka'ōewe, a ua hala aku ai i na keiki, a hōʻike iā lākou.

Kēia maʻi 'Aʻole e hōʻike mai o ka wahi. No kona ulu pono aaiaoe predisposition a neuromuscular maʻi. Loa ikaika hoailona no na kahuna lapaau e ia i kekahi, mai na hoahanau o ka hoomanawanui, a e e hana anesthesia, make i anesthesia, no ka mea, ka mea, hoʻoneʻe 'ia paha e ka mea, ua i ka make i ka malignant hyperthermia. Inā 'oe i ka hana, e mea pono ke noi aku i nāʻohana e pili ana ina he ua i loko o kou' ohana o kanaka, ka poe mai i anesthesia, a hoi hou ai - ole paha kekahi i make iʻoki kino. Inā i na hihia a pau, oe e hoʻomaopopo i kou kauka.

A, malignant hyperthermia kānāwai i loko o nā mea maʻi me Becker muscular dystrophy, Duchenne muscular dystrophy, e like me kekahi'ē aʻe neuromuscular kāna hana.

Malignant hyperthermia ua oleʻia. Na wale aha lunakānāwai e kōkua i ka hoola i ka hoomanawanui, ka mea i anesthesia hoike na hoailona o ka maʻi, o ka lāʻau dantrolene. Ma ka US, no kekahi laʻana, aia no he pāpā ma ka hoike o ka anesthesia, inā i loko o ka haukapila no kekahi kumu ka mea, aohe dantrolene. Akā, i loko o Rusia, keia k ua i kakau, a, no laila,ʻaʻole no ke kūʻai.

No ka mea, o ka laau wale no malignant hyperthermia ma Rusia ua hookapuia, ka mea wale nō mea i koe - keia mea e pale aku i ka maʻi. Inā kou ohana mōʻaukala pili me ka intolerance e anesthesia, a i neuromuscular maʻi, ka mea pono, mai hai aku i kou kauka. Inā 'oe i ka hana, alaila, he mea na hiki wale mai ia i anesthesia hoike malignant hyperthermia. Ma oncology, he hana paha, e olelo oukou, i ka mau appendicitis, na loina ia mai.

Inā ka pae'ōnaehanaʻaina loaʻa he hoomanawanui me ka predisposition i ka maʻi, ke kauka (a me ka loa hoomanawanui hoi) oe e maopopo leʻa e lohe i ka penei kumu:

- anesthesia i loko o kēia mau hoʻomanawanui iki mai ua pololei ole e hoʻohana lapaʻauʻia e like me ka Muscle relaxant a inhalational ditilina antiseptics. Ka 'ē aʻe ai' no ka narcosis kokoke palekana ma malignant hyperthermia;

- ma mua o ka hoʻomaka o ka hooponopono i loko o ka anesthetized ahonui mai anesthesia a me ka hanu i hoʻomākaukauʻia pono e wehe 'ia evaporator (he ipu i ua piha i ka inhalation anesthetic);

- kaukini loloa nenoaiu, a ua lako pū ai i ka hoʻomanawanui hanu läÿau, e auou caiaiai ia e kekahi hou kekahi;

- mua ai pili aku i ka hoʻomanawanui anesthesia hanu i hoʻomākaukauʻia, ka mea, e ia e pili ana i ka hapalua hora, e malama aku ia ia me "palaualelo". Mau hana i mea e pono ai ma ka mea e hoʻomaʻemaʻe i ka mīkini mai ka inhalation anesthetics i e hoʻohana i ka mua hana.

Pau kēia mau anaʻana, e kōkua emi i ka pilikia no nā mea maʻi i hiki theoretically hooweliweli malignant hyperthermia. Ka iapaau ana o keia complication nui o ko anesthesia i loko o ko kakou aina, ua hiki ole.

Eia naʻe, Rusia malama ole oia i ka 'ikepili helu o nā hihia o malignant hyperthermia. Naʻe, i loko o ka United States i ka 'ikepili helu, a me ia mea loaa ole ia: ma kahi o 200 hihia no ka makahiki. Ma muli o kaʻikepili e pili ana i ka helu o ka heluna kanaka, ma Rusia ia mau hihia e e ka hola 100. Ma keia hihia, no ka United States ia dantrolenom malignant hyperthermia, a me ka nui loa ho'ēmi i kā ka make ana mai i kēia maʻi. Akā, i loko o Rusia keia k mea ole, a ina he kanaka ua hoʻomaka hoouka i anesthesia, i ka manawa o ka hoʻopakeleʻana i ka palena haʻahaʻa.