Chikomokero: ndi chiyani, pomwe kuli kofunikira komanso zoopsa

Zamkati

• Pamene kuli kofunikira
• Momwe zimachitikira komanso nthawi yayitali bwanji
• Kodi munthu amene ali mu chikomokere angamvetsere?
• Zowopsa zomwe zingayambike kukomoka

Chikomokere chomwe chimayambitsa matendawa ndi sedation yozama yomwe yachitika kuti athandize kuchira kwa wodwala yemwe ali woopsa kwambiri, monga zimatha kuchitika atagwidwa ndi sitiroko, kupwetekedwa mtima, infarction kapena matenda am'mapapo, monga chibayo chachikulu.

Mtundu woterewu umachitidwa ndi mankhwala, monga omwe amagwiritsidwa ntchito mu anesthesia wamba, chifukwa chake, munthuyo amatha kudzuka pambuyo pamaola kapena masiku, wodwalayo akuchira kapena dokotala akuwona kuti ndikofunikira. Chifukwa chake, chikomokerecho ndichosiyana ndi chikomokere choyambitsidwa ndi matenda, chifukwa sichinganenedwere ndipo sichidalira ulamuliro wa adotolo.

Nthawi zambiri, chikomokere chimachitika m'malo a ICU, chifukwa ndikofunikira kugwiritsa ntchito zida zomwe zimathandiza kupuma, komanso kuwunika kwakukulu zofunikira zonse za wodwalayo, kuti tipewe zovuta, monga kupuma, kumangidwa kwamtima kapena kuchitapo kanthu chifukwa cha mankhwala, mwachitsanzo.

Pamene kuli kofunikira

Chikomokere ndi mtundu wa tulo tofa nato tomwe timakhalapo chifukwa cha mankhwala ogonetsa, kungakhale kofunikira ngati wodwala ali ndi vuto lalikulu kapena lofooka, monga:

• Kusokonezeka mutuchifukwa cha ngozi kapena kugwa. Onani zotsatirapo zakupwetekedwa mutu kwa thupi;
• Matenda akhunyu sizikupita patsogolo ndi mankhwala;
• Matenda owopsa amtima, chifukwa cha infarction, mtima kulephera kapena arrhythmias, mwachitsanzo. Mvetsetsani zomwe zingayambitse mtima kulephera komanso momwe mungachitire;
• Kulephera kwamapapo, chifukwa cha chibayo, emphysema kapena khansa, mwachitsanzo;
• Matenda owopsa amitsempha, monga sitiroko yayikulu, meningitis kapena chotupa chaubongo. Pezani momwe chithandizo cha sitiroko chimachitikira kuti mupewe sequelae;
• Pambuyo pa opaleshoni yovuta, monga ubongo, opaleshoni ya mtima kapena pambuyo pangozi yayikulu;
• Zowawa zomwe sizikhala bwino ndi mankhwala, monga pakuwotcha kwakukulu kapena khansa yayikulu.

Pazochitikazi, chikomokere chimapangidwira kotero kuti ubongo ndi thupi zimatha kuchira, popeza thupi limapulumutsa mphamvu posakhala okangalika, ndipo munthuyo samva kupweteka kapena kusasangalala chifukwa chazovuta.

Pakakhala matenda am'mapapo, monga chibayo, sedation imathandizanso mgwirizano ndi makina opumira, kulola mpweya wabwino wa thupi lomwe lidasokonekera chifukwa cha matendawa. Dziwani zambiri zamankhwala omwe amathandizira kupumira mpweya m'thupi kupumira.

Momwe zimachitikira komanso nthawi yayitali bwanji

Kukomoka kumeneku kumayambitsidwa ndi mankhwala osokoneza bongo monga Midazolam kapena Propofol, omwe amaperekedwa mothandizidwa ndi jakisoni mumtsinje, nthawi zambiri ku ICU, ndimphamvu yomwe imatha maola, masiku kapena masabata, mpaka itasokonezedwa chifukwa chakukula kwa matenda a wodwalayo kapena kuti dokotala athe kuyesa kuwunika kwake.

Nthawi yodzuka imasinthanso kutengera kagayidwe ka mankhwala ndi thupi la munthu. Kuphatikiza apo, kuchira kwa wodwalayo kumadalira mulimonsemo, chifukwa chake, ngati munthuyo apulumuka kapena ali ndi sequelae, zimadalira mtundu wa matenda, kuuma kwake komanso thanzi la munthuyo, chifukwa cha mavuto monga zaka, zakudya , gwiritsani ntchito mankhwala ndi kuopsa kwa matenda.

Kodi munthu amene ali mu chikomokere angamvetsere?

Mukakomoka kwambiri, munthuyo samazindikira ndipo chifukwa chake samva, samasuntha ndipo samva, mwachitsanzo. Komabe, pali magawo angapo a sedation, kutengera kuchuluka kwa mankhwalawo, chifukwa chake sedation ikakhala yopepuka ndizotheka kumva, kusuntha kapena kucheza, ngati kuti mukugona.

Zowopsa zomwe zingayambike kukomoka

Monga sedation imachitidwa ndi mankhwala oletsa kupweteka, ofanana ndi omwe amagwiritsidwa ntchito mu anesthesia wamba, ndipo zovuta zina zimatha kuchitika, monga:

• Ziwengo mankhwala yogwira pophika mankhwala;
• Kuchepetsa kugunda kwa mtima;
• Kulephera kupuma.

Zovuta izi zimapewedwa poyang'anira mosalekeza zofunikira za wodwalayo ndikuwunikanso pafupipafupi ndi ICU ndi oyamwitsa. Kuphatikiza apo, thanzi la wodwala amene akusowa chikomokere nthawi zambiri amakhala okhwima, ndipo chiwopsezo chokhala pansi sichichepera chiopsezo cha matenda omwewo.

Phunzirani zambiri za momwe anesthesia imagwirira ntchito komanso kuopsa kwake.