Kuzindikira sedation pochita opaleshoni

Conscious sedation ndi mankhwala osakanikirana kuti akuthandizeni kupumula (kutonthoza) ndikuletsa kupweteka (mankhwala oletsa ululu) munthawi yamankhwala kapena mano. Mwina udikira, koma sungathe kuyankhula.

Chisamaliro chokhala ndi chidziwitso chimakuthandizani kuti mupeze msanga ndikubwerera kuzinthu zanu za tsiku ndi tsiku mukangomaliza kumene.

Namwino, dokotala, kapena dotolo wamano, akupatsirani chiyembekezo kuchipatala kuchipatala kapena kuchipatala cha odwala. Nthawi zambiri, sadzakhala wochita opaleshoni. Mankhwalawa amatha msanga, chifukwa chake amagwiritsidwa ntchito munjira zazifupi, zovuta.

Mutha kulandira mankhwalawo kudzera mumitsempha yolowa mumitsempha (IV, mu mtsempha) kapena kuwombera mu mnofu. Muyamba kumva kugona ndi kumasuka mwachangu kwambiri. Ngati dokotala akukupatsani mankhwala oti mumezeke, mudzamva zotsatirazi mukadutsa mphindi 30 mpaka 60.

Kupuma kwanu kumachedwa ndipo kuthamanga kwa magazi kwanu kumatha kutsika pang'ono. Wothandizira zaumoyo wanu adzakuwunikani panthawiyi kuti muwone ngati muli bwino. Wothandizirayo azikhala nanu nthawi zonse pochita izi.

Simuyenera kuthandizidwa ndi kupuma kwanu. Koma mutha kulandira mpweya wowonjezera kudzera pachisoti kapena madzi amtundu wa IV kudzera mu catheter (chubu) kulowa mumtsempha.

Mutha kugona, koma mudzuka mosavuta kuyankha anthu omwe ali mchipindacho. Mutha kuyankha mukamayankhulidwa. Mutatha kukhala pansi, mumatha kugona ndipo simukumbukira zambiri pazomwe mungachite.

Consation sedation ndi yotetezeka komanso yothandiza kwa anthu omwe amafunikira opaleshoni yaying'ono kapena njira yodziwira matenda.

Zina mwa zoyeserera ndi njira zomwe sedation yozindikira ingagwiritsidwe ntchito ndi izi:

• Chifuwa cha m'mawere
• Opangira mano kapena opaleshoni yokonzanso
• Kukonzanso kwakung'ono kwa mafupa
• Opaleshoni yaying'ono yamiyendo
• Kuchita opaleshoni yaying'ono ya khungu
• Opaleshoni yapulasitiki kapena yokonzanso
• Ndondomeko zodziwira ndikuchiza m'mimba (chapamwamba endoscopy), colon (colonoscopy), mapapo (bronchoscopy), ndi chikhodzodzo (cystoscopy)

Kuzindikira sedation nthawi zambiri kumakhala kotetezeka. Komabe, ngati mutapatsidwa mankhwala ochulukirapo, mavuto ndi kupuma kwanu atha kuchitika. Wopereka chithandizo adzakhala akukuyang'anirani panthawi yonseyi.

Omwe amapereka zinthu nthawi zonse amakhala ndi zida zapadera zokuthandizani kupuma kwanu, ngati kuli kofunikira. Ndi akatswiri ena azaumoyo okha omwe amatha kupereka sedation.

Uzani wopezayo:

• Ngati muli ndi pakati kapena mutha kukhala ndi pakati
• Ndi mankhwala ati omwe mukumwa, ngakhale mankhwala, zowonjezera, kapena zitsamba zomwe mwagula popanda mankhwala

M'masiku omwe musanachite izi:

• Uzani wothandizira wanu za chifuwa kapena matenda omwe muli nawo, mankhwala omwe mukumwa, komanso mankhwala ochititsa dzanzi kapena sedation omwe mudakhalapo kale.
• Mutha kuyezetsa magazi kapena mkodzo komanso kuyezetsa thupi.
• Konzani kuti munthu wamkulu wodalirika azikupititsani pagalimoto kapena kuchipatala kapena kuchipatala kuti mukatsatire.
• Ngati mumasuta, yesetsani kusiya. Kusuta kumawonjezera ngozi yamavuto monga kuchira pang'onopang'ono. Funsani omwe akukuthandizani kuti akuthandizeni kusiya.

Patsiku lanu:

• Tsatirani malangizo okhudza nthawi yosiya kudya ndi kumwa.
• Musamwe mowa usiku watha komanso tsiku lomwe mukuchita.
• Tengani mankhwala omwe dokotala adakuwuzani kuti mumwe pang'ono pokha madzi.
• Fikani kuchipatala kapena kuchipatala nthawi.

Mutatha kukhala pansi, mumakhala ndi tulo ndipo mumatha kupweteka mutu kapena kumva kudwala m'mimba mwanu. Mukachira, chala chanu chimadulidwa ku chida chapadera (pulse oximeter) kuti muwone kuchuluka kwa mpweya m'magazi anu. Kuthamanga kwanu kwa magazi kumayang'aniridwa ndi kachingwe champhongo pafupifupi mphindi 15 zilizonse.

Muyenera kupita kunyumba 1 mpaka 2 maola mutatha kuchita.

Mukakhala kunyumba:

• Idyani chakudya chopatsa thanzi kuti mubwezeretse mphamvu zanu.
• Muyenera kubwerera kuntchito zanu za tsiku ndi tsiku.
• Pewani kuyendetsa galimoto, kugwiritsa ntchito makina, kumwa mowa, ndikupanga zisankho mwalamulo kwa maola 24.
• Funsani dokotala musanamwe mankhwala kapena mankhwala azitsamba.
• Ngati munachitidwa opareshoni, tsatirani malangizo a dokotala kuti mupole ndi chisamaliro cha bala.

Consation sedation nthawi zambiri imakhala yotetezeka, ndipo ndi njira yothandizira kapena kuyezetsa matenda.

Mankhwala ochititsa dzanzi - sedation ozindikira

• Anesthesia - zomwe mungafunse dokotala - wamkulu
• Anesthesia - zomwe mungafunse dokotala - mwana

Hernandez A, Sherwood ER. Mfundo za anesthesiology, kasamalidwe ka kupweteka, komanso kutengeka. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery: Maziko Achilengedwe a Njira Zamakono Zopangira Opaleshoni. Wolemba 20th. Philadelphia, PA: Elsevier; 2017: mutu 14.

Vuyk J, Sitsen E, Reekers M. Mitsempha yolimbitsa thupi. Mu: Miller RD, Mkonzi. Anesthesia wa Miller. 8th ed. Philadelphia, PA: Elsevier Saunders; 2015: chap 30.