Kugona mankhwala kwachititsa odwala mwakayakaya: tanthauzo ndemanga

njira zambiri zachipatala alibe mankhwala ochititsa dzanzi. M'pofunika kuchotsa ululu, kupewa mantha. Inde, khalidwe anachita chamoyo (mtima palpitations, kuthamanga kwa magazi, nkhawa timadzi) akhoza kwambiri bwanji alili. Nthawi zambiri ntchito maloto zachipatala.

mitundu ya mankhwala ochititsa dzanzi

Pali njira ziwiri zoyambirira mpumulo ululu. mankhwala oletsa ululu pamalopo ntchito kuchepetsa ululu m'deralo. Pankhaniyi, munthu amaganizira. mtundu wa mankhwala oletsa ululu ali mitundu zotsatirazi. Pamwamba njira - kukonzekera ntchito kwa khungu (kapena nembanemba mucous), kumene chosakanikirana ndi kogwira. Nthawi zambiri njira imeneyi ntchito ndi mano. Komanso a gulu ndi yozizira koopsa. Kusalola ochititsa dzanzi ntchito zina opaleshoni dongosolo, zoopsa. thunthu anadzetsa minofu ndi jekeseni. mankhwala ochititsa dzanzi Regional ali subspecies zingapo: ndi epidural, mawaya, msana. Pankhaniyi, mankhwala anadzetsa ndi dera limene lili pafupi kwambiri thunthu mitsempha kapena plexus. Mwa njira otere oletsedwa kufala kwa ululu mtima. Ngati opaleshoni amachitidwa pa nthambi, n'zotheka ntchito intravascular ochititsa dzanzi. mankhwala ochititsa ndi kutumikiridwa mu zotengera nthambi magazi. General ochititsa dzanzi kumabwezera mmbuyo ntchito za chapakati mantha dongosolo. Minofu kumasuka, malingaliro akawinduka. Izo zikhoza kukhala zonse ndi inhalation kapena mtsempha jekeseni.

ndi mankhwala chovutika kugona Kodi

Sedation ndi adzapeza njira kuti mankhwala oletsa ululu waukulu. Nkofunika kuti munthuyo amadziwa, bongo wake zimasungika. Kuti abatizidwe mu kugona kuchipatala atchule wapadera mankhwala m'nsinga kapena mu minofu kuti. Amalimbikitsa wathunthu zosangalatsa, sedation ndi analgesia. Amalangiza mtundu wa mankhwala oletsa ululu kwa anthu ndi otsika pakhomo la ululu, matenda mantha, ana. Ndondomeko anachita anaesthesiologist, amene linaŵerengera mlingo amawathandiza. Komanso katswiri kumathandiza wodwala kutuluka boma. Ndi khalidwe limene mu zovuta akhoza Komanso ntchito mankhwala oletsa ululu pamalopo. Ubwino waukulu tulo ndi mankhwala ali motere. Mankhwala ogwiritsa ntchito mulibe zosakaniza chomwa mankhwalawa ndipo amayambitsa kusiya. Pakatikati kupuma imathetsa. Mu chikumbumtima wa munthu mwachilungamo msanga - mkati mphindi 5-10. Choncho, ngati mukugwiritsa ntchito mankhwala tulo, zotsatira za khalidwe oipa pafupifupi kulibeko.

Kuchuluka kwa sedation

osiyana madigiri angapo tulo ndi mankhwala. Mlingo osachepera amakhala ndi chakuti wodwala maso kudziwitsa dokotala anu. Pankhaniyi, pang'ono linaphwanya luso aluntha, kuyenda kayendedwe. Wongolerani sedation kuya - ndi mkhalidwe umene munthu atamvetsera mawu chogwirika kukondoweza. Tulo amakhala ndi kupanda kukhudzana mankhwala wodwala ndi dokotala. Kudzutsidwa ndi zotheka pa kukondoweza mwachilungamo chopweteka. Nthawi zina, mwina mavuto kupuma pamene hemodynamics anakhalabe khola.

Kodi mankhwala ntchito sedation

Mankhwala abwino kwa mankhwala kugona ayenera mukhale ndi ena mwa makhalidwe. Choyamba, ntchito. Komanso, nkhani zoterozo ayenera osachepera mavuto, ndi maganizo kuti achire mwamsanga kutha kwa utsogoleli. Kuwala sedation ikuchitika ndi "midazolam." Pamakhala kugona ukapezeka pambuyo kumayambiriro "Propofol". Sedation opangidwa komanso mwa zinthu monga okusayidi nitrous. mpweya umenewu, umene umaperekedwa kupyolera chigoba wapadera. Imawalamulira pali zosangalatsa a minofu, utatha wodwalayo. Nthawi zina, ntchito barbiturates, mbwenye nkhabe bwanji minofu mtima. Wopitiriza polojekiti hemodynamics. Choncho, ntchito yawo koletsedwa. Sodium hydroxybutyrate njira kawirikawiri akulimbikitsidwa kugwiritsa ntchito pobereka.

The ntchito mano

Mmodzi wa m'madera ambiri amagwiritsa ntchito zachipatala maloto - mano. Mosiyana ndi mankhwala ochititsa dzanzi ambiri, chimene chili chofunika pa nkhani zina, mtundu wa mankhwala oletsa ululu ndi wabwino ndipo ali m'njira zambiri. Ndi bwino kuti mu kukhalapo kwa thupi lawo siligwirizana ndi mankhwala oletsa ululu pamalopo, opaleshoni kobvuta (mu abscess, kuwonongeka nsagwada periostitis etc.). anthu ambiri kuona mantha tikamakaona mano. Medical kugona - njira yokhayo ndi sabweretsa chisoni ndi zochepa zoopsa kuti agwire mwai zonse zofunikira mu M'mimbamo m'kamwa. Komanso, njira ya mpumulo kupweteka kwambiri kwa odwala ndi khunyu, misala ndi matenda ena ya ubongo. Nkofunika kuti mano onse angathe kuchiritsidwa ku ulendo wina ndi katswiri. Monga mankhwala ochititsa dzanzi zimathandiza adokotala kugwira ntchito mwakachetechete (chifukwa wodwala akugona). Njira zina otetezeka ndi zosavuta kuti mungathe amalangiza mankhwala tulo mwana. Izi ndi zoona makamaka ngati mwanayo ali hyperactive kapena kungoti mantha madokotala ndi zida zawo.

Kugwiritsa ntchito mankhwala kugona pobereka

Dziwani kuti si akuchipatala analgesia chimodzi chokha cholakalaka amayi. Azamba amaweruza vuto lonse Tikanena za ntchito yaitali angakulangizeni kugwiritsa ntchito mankhwala tulo. muyeso Zimenezi n'zofunika ngati mkazi ululu amphamvu kwambiri, zomwe kumana asilikali ake. Ndipotu, ngati ululu amavala mkazi pobereka, Yesuyo ndondomeko linanena bungwe sawaona. Pankhaniyi, mwana anathabuka. Kubwezeretsa yochepa mphamvu wodwala kumizidwa kugona kuwala. Mankhwala amene kutumikiridwa, komanso zimakhudzanso mankhwala ochititsa. Dziwani kuti ululu sukupita kwina kwathunthu. Iwo kwangochepetsako pang'ono chabe khungu, nkhondo akupitiriza. mpheto amenewa imagwiridwa ndi mbali ziwiri. Pa thupi loyamba ndi wokonzeka kumayambiriro ochititsa dzanzi (premedication). Ntchito njira khungu ululu, ulesi. Komabe, iwo akhoza umalowa mu nsengwa. Motero, pangakhale nthawi yaitali kugona a ana akhanda. Gawo lachiwiri - kumayambiriro mankhwala mwachindunji kugona kuchipatala. Pa ntchito kawirikawiri amagwiritsidwa ntchito ndi sodium oxybutyrate (ake 20% njira). Chotero chinthu ndi otetezeka, otsika kawopsedwe, sayambitsa kuvutika kupuma mwana. Amayi ambiri kuti kuziziritsa lobadwa ntchito mankhwala ochititsa dzanzi ofanana.

Mankhwala ochititsa dzanzi pa odwala mwakayakaya

Mu aakulu mabvuto cranial ndi chofanana Angagwiritsidwenso ntchito mu mankhwala anachititsa kugona kuwatsitsimula. Komabe, mu nkhani iyi, izo zimatengera masiku angapo (1-3 kapena kuposa). limathandiza undoubted ndi ntchito ngati - kuchepetsa wa intracranial kuthamanga, mmene ubongo mpumulo. Pa sedation akatswiri kukhala machenjerero zina mankhwala. Komanso, njira imeneyi nthawi zina amagwiritsidwa ntchito mu chochitika alili kwambiri, koma akatswiri sakudziwa mmene tiyenera kuchitira izo. Komabe, ngati ndi ochititsa dzanzi aliyense, njira imeneyi ali ndi zovuta zake ndi contraindications. Reviews kuti yaitali ntchito mankhwala amenewa akhoza kukhala mavuto pa chapakati mantha dongosolo.

chingachitike ochititsa dzanzi

Chiyambi cha mankhwala aliwonse mu thupi angachititse thupi lawo siligwirizana. Ngakhale mankhwala anachititsa kugona ndemanga zabwino, koma nthawi zina Tingaone chizungulire, kunyansidwa ndi kusanza. Contraindications ntchito mtundu wa mankhwala oletsa ululu akhoza kukhala matenda aakulu, makamaka nthawi ya exacerbation. Tikumbukenso kuti zambiri mu mkhalidwe kugona ndi kusunga njira monga gastroscopy, colonoscopy. Madokotala ambiri amati munthu asanayambe mpheto kuti atenge wathunthu magazi, kuchita cardiogram, ndi chifuwa X-ray. Choncho, iwo kutsimikiza okha ndi kuopsa nkotheka, onetsetsani kuti alibe mavuto ndi kupuma ndipo mtima pa ndondomeko. Ngati inu ntchito mankhwala tulo, pambuyo opaleshoni, ndipo mwinamwake kusintha mtima ndi zovuta moyo. Ndipo kuti kuchepetsa zotsatira zoipa, choyamba muyenera kudziwitsa dokotala za chifuwa n'kotheka, mimba ananena, mankhwala.