Kodi Kukhalitsa Kumakhala Chiyani?

Zamkati

• Kodi sedation yolumikizana imatha bwanji kulimbana ndi anesthesia wamba?
• Kodi ndi njira ziti zotetezera?
• Ndi mankhwala ati omwe amagwiritsidwa ntchito?
• Kodi kugona pansi kumamva bwanji?
• Kodi pali zovuta zina?
• Kodi kuchira kuli bwanji?
• Kodi ndalama zokhala sedation zimawononga ndalama zingati?
• Kutenga

Chidule

Kuzindikira sedation kumathandiza kuchepetsa nkhawa, kusapeza bwino, komanso kupweteka munthawi zina. Izi zimakwaniritsidwa ndi mankhwala ndipo (nthawi zina) ochititsa dzanzi kuti azisangalala.

Conscious sedation imagwiritsidwa ntchito kwambiri pochita mano kwa anthu omwe amakhala ndi nkhawa kapena kuchita mantha panthawi yazovuta monga kudzaza, mizu, kapena kuyeretsa. Amagwiritsidwanso ntchito nthawi zambiri pamapeto a endoscopy ndi njira zazing'ono zopangira opaleshoni kuti muchepetse odwala ndikuchepetsa zovuta.

Consation sedation tsopano amatchulidwa ndi akatswiri azachipatala monga ma sedation ndi ma analgesia. M'mbuyomu, amatchedwa:

• kugona mano
• kugona kwamadzulo
• gasi wokondwa
• kuseka gasi
• mpweya wabwino

Kudziwitsa sedation kumadziwika kuti kumakhala kothandiza, koma akatswiri azachipatala amatsutsanabe za chitetezo chake komanso mphamvu zake chifukwa chakukoka kwanu komanso kugunda kwamtima.

Pemphani kuti mudziwe momwe imagwirira ntchito, momwe imamvera, ndi momwe ingagwiritsidwire ntchito.

Kodi sedation yolumikizana imatha bwanji kulimbana ndi anesthesia wamba?

Conscious sedation ndi anesthesia ambiri amasiyana m'njira zingapo zofunika:

Palinso magawo atatu osiyana a sedation ozindikira:

• Zochepa (anxiolysis). Ndinu omasuka koma ozindikira mokwanira komanso omvera
• Wamkati. Mumagona ndipo mwina mumatha kukomoka, komabe mumamvera
• Zozama. Mudzagona ndipo simudzakhala oyankha.

Kodi ndi njira ziti zotetezera?

Masitepe a sedation ozindikira atha kusiyanasiyana kutengera ndi zomwe mwachita.

Nazi zomwe mungathe kuyembekezera pazomwe mungagwiritse ntchito sedation wodziwa:

1. Mukhala pampando kapena kugona patebulo. Mutha kusintha chovala cha kuchipatala ngati mukupeza colonoscopy kapena endoscopy. Kwa endoscopy, nthawi zambiri mumagona chammbali.
2. Mudzalandira mankhwala ogonetsa kudzera mwa awa: piritsi lamlomo, mzere wa IV, kapena chigoba cha nkhope chomwe chimakupatsani mpweya.
3. Mudzadikira mpaka mankhwalawa atayamba kugwira ntchito. Mutha kudikirira mpaka ola limodzi musanayambe kumva zovuta zake. Mankhwala a IV nthawi zambiri amayamba kugwira ntchito mumphindi zochepa kapena zochepa, pomwe mankhwala opatsirana pakamwa amatha pafupifupi mphindi 30 mpaka 60.
4. Dokotala wanu amayang'anira kupuma kwanu ndi kuthamanga kwa magazi. Ngati kupuma kwanu kumakhala kotsika kwambiri, mungafunike kuvala chovala chophimba mpweya kuti kupuma kwanu kusasunthike komanso kuthamanga kwa magazi kwanu.
5. Dokotala wanu amayamba kuchita izi mutayamba kugwira ntchitoyo. Kutengera ndondomekoyi, mudzakhala pansi kwa mphindi 15 mpaka 30, kapena mpaka maola angapo kuti mupeze zovuta zina.

Mungafunike kufunsa sedation yodziwa kuti mulandire, makamaka pamankhwala opangira mano monga kudzaza, mizu yazitsulo, kapena m'malo mwa korona. Izi ndichifukwa choti, amangogwiritsa ntchito dzanzi okhaokha pamtunduwu.

Njira zina, monga ma colonoscopies, atha kuphatikizira sedation popanda kufunsa, koma mutha kufunsa magawo osiyanasiyana a sedation. Sedation itha kuperekedwanso ngati njira ina yothetsera ululu ngati chiwopsezo chanu chazovuta zochokera ku anesthesia ndichokwera kwambiri.

Ndi mankhwala ati omwe amagwiritsidwa ntchito?

Mankhwala omwe amagwiritsidwa ntchito pozindikira mosiyanasiyana amasiyana potengera njira yoberekera:

• Pakamwa. Mudzameza piritsi lokhala ndi mankhwala monga diazepam (Valium) kapena triazolam (Halcion).
• Mitsempha. Mutha kuwombera benzodiazepine, monga midazolam (Versed), kukhala mnofu, makamaka m'manja mwanu kapena kumtunda kwanu.
• Kulowetsa m'mitsempha. Mudzalandira mzere mumtambo wamanja wokhala ndi benzodiazepine, monga midazolam (Versed) kapena Propofol (Diprivan).
• Kutulutsa mpweya. Mudzavala chovala kumaso kuti mupume mu nitrous oxide.

Kodi kugona pansi kumamva bwanji?

Zotsatira zakukhazikika zimasiyana pamunthu ndi munthu. Maganizo omwe amapezeka kwambiri ndikutopa ndi kupumula. Mankhwalawa akangoyamba kugwira ntchito, nkhawa, nkhawa, kapena nkhawa zimatha pang'onopang'ono.

Mutha kumva kumva kulira m'thupi lanu lonse, makamaka m'manja, miyendo, manja, ndi mapazi. Izi zitha kutsagana ndi kulemera kapena ulesi komwe kumakupangitsani kukhala kovuta kukweza kapena kusuntha miyendo yanu.

Mutha kupeza kuti dziko lozungulira likuchedwa. Maganizo anu amachedwa, ndipo mutha kuyankha kapena kuchitapo kanthu pang'onopang'ono pakukopa kwakuthupi kapena kucheza. Mutha kuyamba kumwetulira kapena kuseka popanda chifukwa chomveka. Amatcha mpweya woseketsa wa nitrous oxide pazifukwa!

Kodi pali zovuta zina?

Zotsatira zoyipa zodziwika za sedation zitha kukhala kwa maola ochepa pambuyo pa njirayi, kuphatikizapo:

• Kusinza
• kumva kulemera kapena ulesi
• kusaiwala zomwe zidachitika pakuchita izi (amnesia)
• kusinkhasinkha pang'onopang'ono
• kuthamanga kwa magazi
• mutu
• kumva kudwala

Kodi kuchira kuli bwanji?

Kuchira kuchokera ku sedation ozindikira ndikofulumira.

Nazi zomwe muyenera kuyembekezera:

• Mungafunike kukhala munjira yopangira opaleshoni mpaka kwa ola limodzi, mwina kupitilira apo. Dokotala wanu kapena wamankhwala nthawi zambiri amayang'anira kugunda kwa mtima wanu, kupuma kwanu, ndi kuthamanga kwa magazi mpaka atabwerera mwakale.
• Bweretsani wachibale kapena mnzanu yemwe amatha kuyendetsa galimoto kapena kupita nanu kunyumba. Mutha kuyendetsa kamodzi mitundu ina ya sedation, monga nitrous oxide, itatha. Komabe, izi sizili choncho nthawi zonse pamitundu ina.
• Zovuta zina zimatha kukhala tsiku lonse. Izi zimaphatikizapo kugona, kupweteka mutu, kunyansidwa, ndi ulesi.
• Pumulani kuntchito ndikupewa kuchita zolimbitsa thupi mpaka zovuta zitatha. Izi ndizowona makamaka ngati mukufuna kuchita ntchito zina zilizonse zomwe zimafunikira mwatsatanetsatane kapena kugwiritsa ntchito makina olemera.

Kodi ndalama zokhala sedation zimawononga ndalama zingati?

Mtengo wokhala sedcious umasiyana malinga ndi:

• mtundu wa njira zomwe mwachita
• mtundu wa sedation wosankhidwa
• mankhwala ogonetsa omwe amagwiritsidwa ntchito
• mutakhala pansi nthawi yayitali bwanji

Kukhala pansi mosamala kumatha kubisidwa ndi inshuwaransi yaumoyo wanu ngati akuwonedwa ngati gawo la zomwe zimachitika. Ma endoscopy ndi ma colonoscopy nthawi zambiri amaphatikizira kutengera ndalama zawo.

Madokotala ena amatha kukhala pansi pamitengo yawo m'njira zina zovuta, monga zodzikongoletsera mano. Koma mapulani ambiri amano samaphimba sedation ngati sakufunidwa ndi malamulo azachipatala.

Ngati mungasankhe kukhala pansi pamachitidwe omwe nthawi zambiri samaphatikizapo, ndalamazo zimangolipiridwa pang'ono kapena osaziphimba konse.

Nayi kuwonongeka kwa zina mtengo:

• inhalation (nitrous okusayidi): $ 25 mpaka $ 100, nthawi zambiri pakati pa $ 70 ndi $ 75
• kutulutsa pakamwa mopepuka: $ 150 mpaka $ 500, mwina kupitilira apo, kutengera mankhwala omwe agwiritsidwa ntchito, kuchuluka kwa mankhwala otopetsa omwe akufunikira, komanso komwe amakuthandizani
• Kutenga IV: $ 250 mpaka $ 900, nthawi zina zambiri

Kutenga

Consation sedation ndi njira yabwino ngati mumakhala ndi nkhawa ndi zamankhwala kapena mano.

Nthawi zambiri imakhala yotsika mtengo kwambiri ndipo imakhala ndi zovuta zochepa kapena zovuta, makamaka poyerekeza ndi anesthesia wamba. Zingakulimbikitseni kupita kumisonkhano yofunikira yomwe mukanakhala nayo chifukwa choopa njirayi, yomwe ingakuthandizeni kukhala ndi thanzi labwino pamoyo wanu wonse.