Mankhwala ochititsa dzanzi "Sevoranom": malangizo ntchito, zotsatira ndemanga

"Sevoran" (yogwira pophika - sevoflurane) - mankhwala ochititsa wothandiza bwino ntchito mankhwala yochita inhalation ochititsa dzanzi. Mawu oyamba a njira imeneyi zimathandiza mankhwala mu kakafupi nthawi kusagwirizana chikumbumtima wodwalayo, koma pambuyo inu kumaliza zonse mofulumira anabwezeretsedwa.

Mankhwala ochititsa dzanzi "Sevoranom" pamene kutumikiridwa limodzi ndi mukubwadamuka pang'ono ndipo kunalibe noticeable kuyabwa airway mucosa. Choncho, sikutheka kuti tifulumizane ndi katulutsidwe amphamvu mtengo tracheobronchial ndi yotithandiza wamanjenje dongosolo. Mankhwala kumapangitsa munthu yimitsira mlingo amadalira wa ntchito kupuma ndi kutsitsa magazi.

Kodi mankhwala oletsa ululu? "Sevoran" alibe mphamvu pa kuthamanga intracranial, sizichepetsa akuchitanji ndi carbon dioxide, zilibe bwanji impso ndi chiwindi kulephera sayambitsa kuwonjezeka mu ziwalo zimenezi, ngakhale wodwalayo adzakhala pogonekedwa ndi mankhwala kwa nthawi yaitali. Koma mmene kuwerengera mlingo kuti mankhwala oletsa ululu bwino ndipo nthawi yomweyo bwino?

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Mankhwala ochititsa dzanzi "Sevoranom" kwa wodwala aliyense amasankhidwa payekha.

Choncho, alowererepo opaleshoni akudyetsedwa mwa mankhwala ochititsa dzanzi vaporizer. Childs, Anesthesiologists ntchito zipangizo zapadera zimene calibrated ndendende chifukwa mankhwala.

Mlingo asankhidwa pa nkhani iliyonse payokha. Titration ndi kufikira ndi anthu a mtima, nthawi yomweyo tiyenera kuganizira wodwala matenda mbiri ya matenda ake, co-morbidities ndi zaka. Nditamaliza kudyetsa "Sevorane" chiphunzitso kutumikiridwa kwa wodwalayo pa gulu ongokhala barbiturates, kapena mtundu wina wa mankhwala ochititsa zomwe cholinga chake ndi choti m'nsinga kulandira mankhwala oletsa ululu waukulu. Kawirikawiri ntchito mpweya cholinga ndi okusayidi nitric kapena "Sevorane" pamodzi ndi mpweya.

Mankhwala ochititsa dzanzi "Sevoranom" pamlingo wochepa asanachite opareshoni amalola siteji ya tulo chifukwa angapo Mphindi, ndipo izo zifika monga ana ndi akulu omwe. Ndi mankhwala ochititsa dzanzi izi ndi khalidwe kwambiri za kuchoka mwamsanga ku boma mankhwala ochititsa popanda kugwiritsa ntchito zipangizo zoonjezera: odwala kawirikawiri amadandaula maganizo yaitali pambuyo pake, mwamsanga anabwezeretsa ntchito maganizo, anthu samaona kusapeza aliyense pa malo a opaleshoni ndi jekeseni.

Komanso, "Sevoranom" ochititsa dzanzi amapereka mlingo kofunika ochititsa dzanzi. ndende akusankhidwa mu osiyanasiyana kuchokera 0,55 kuti 3%, mankhwala Co-kutumikiridwa ndi okusayidi nitric.

Kodi kucheza narcosis "Sevoranom"?

Inhalation ochititsa dzanzi ndi mankhwala, komanso ina okonzeka zimene tikubweretsazi munthu wodwala - n'kupeŵa mavuto aakulu. The chikhalidwe chachikulu - ndi chopanda kanthu m'mimba. Akulu amalangizidwa kuti asadye maola 6-8 asanachite opareshoni, ndi ana - kwa maola 4-5. ulamuliro kulembapo kuti aphedwe, wodwala akhoza wotetezedwa yekha mu nkhani iyi, chifukwa kusanza kumachitika, chifukwa mu vuto monga masanzi kulowa dongosolo kupuma.

Pamaso pa mtima kungachititse kuti opaleshoni, za masiku angapo izo tikulimbikitsidwa kumamatira kwa zakudya. Pokhapokha maphunziro isanafike, ndinu woyenera opaleshoni ndi "Sevoranom". Wodwalayo amavala chigoba pa nkhope, kudzera ndi otsika-otaya mpweya okwanira zidzachitika. Wodwala tulo pasanapite nthawi, pambuyo mphindi 1-2. Patapita kwabasi zikugwirizana ndi catheter kuti mtsempha zotumphukira, ngati n'koyenera, zikhoza intubate. ntchito iliyonse, mulole izo zikhale ngakhale lalifupi ndi losavuta, ndi mkhalidwe wa oyang'anira mtima ndi nthawi dzanzi ochititsa dzanzi mlingo akuya wa mankhwala oletsa ululu ankafunika. Pamene kumizidwa mu mankhwala ochititsa dzanzi mtima udzadutsa magawo angapo:

1. Zidzasintha. Chimakhala mphindi kuposa 4 ndi kukuwonekera mwamsanga munthu kuyamba kugwiritsa ntchito mankhwala ochititsa dzanzi. Yodziwika ndi chakuti wodwala safuna kumva ululu, koma kuzunza lili. Pa nthawi imeneyi, madokotala kuchita lalifupi ntchito - aipitsidwa abscess kapena phlegmon.
2. Malemeredwe. Pa mtima wake kudumpha kuthamanga, chikumbumtima, ndi kupweteka koma palibe alowererepo opaleshoni pa nthawi ino sangathe ntchito.
3. Opaleshoni ndi mankhwala, zomwe lagawidwa mitundu yambiri ya Mwatsatanetsatane:

• zachiphamaso;
• zosavuta;
• kwambiri;
• agonal siteji - wathunthu ziwalo ziwalo zofunika.

4. Kugalamuka. Pa nthawi imeneyi akuyamba ayambe kugwira ntchito konse thupi.

Features "Sevoran"

Mankhwala ochititsa dzanzi "Sevoranom" ayenera kugwiritsidwa ntchito pokhapokha mwa akatswiri makonzedwe mtima ndi luso okhumudwa. Panthawi imeneyi ayenera kukhala pa zida dzanja zomwe zingathandize kuti ntchito miyeso zonse zofunika kuti abwezeretse ndimeyi kapepala kakuti kupuma kapena kuwatsitsimula, ngati pa opaleshoni, chosayembekezeka.

Mlingo wa mankhwala oletsa ululu pamene ntchito mankhwala zikusintha mofulumira kwambiri, kukakamiza dzanzi ntchito vaporizers yekha mwapadera calibrated. Pa kukulitsa wa mankhwala oletsa ululu mu mtima zingaoneke kuenjezera hypotension ndi kupuma matupi maganizo.

Ngati inu ntchito yokonza mankhwala, ndiye ndi kuwonjezeka magawanidwe a kuthamanga mankhwala adzakhala ndichepe kwambiri, ndi mwachindunji amadalira mlingo "Sevoran". Kwambiri lakuthwa ndi amphamvu kuchepetsa kuthamanga kwa magazi mwina chifukwa digiri zozama za mankhwala ochititsa dzanzi.

Ubongo pambuyo mankhwala ochititsa dzanzi akadzabweranso mtima patapita mphindi pang'ono, koma ngakhale izi nzeru lobwezeretsedwa kokha patapita maola angapo. madokotala ambiri ndi mano ndi chimodzi cha mankhwala zabwino ochititsa dzanzi "Sevoran". pa ntchito chida kalozera limanena kuti kanthu kumachitika pafupifupi yomweyo, ndipo masamba wodwalayo mkhalidwe ochititsa dzanzi mofulumira, nthawi zambiri popanda zotsatira, ngakhale nthawi zina zimachitika.

Ubwino wa ntchito "Sevoran"

Dziwani kuti chiphunzitso ichi anafuna makonzedwe anthu m'chigawo cha mankhwala, angapo ubwino:

• Rapid kumizidwa mu zamizidwa ndi kusakhala (pafupifupi nthawi yomweyo pambuyo mpweya woyamba) ndipo njira kudya - osati kuposa mphindi 20 pambuyo chakudya cha mankhwala mabasi.
• Pafupifupi ziribe mphamvu pa zotengera kupuma dongosolo, mtima ndi magazi.
• The digiri yapamwamba ya controllability.
• The pazipita otsika digiri ya mkwiyo kupuma.
• Non-angaononge wodwalayo.
• Ndi zake zabwino mankhwala ochititsa zotsatira ogwira mankhwala ochititsa dzanzi pa mano ntchito ndipo pamene opaleshoni lotseguka.
• Osowa chiwonetsero cha mavuto.
• Luso ntchito monga mononarkoza a.
• Chimathandiza ntchito otsika-otaya mankhwala, zomwe zimabweretsa mlingo osachepera otaya mankhwala, ndi anasiya kuwonongeka kwa malo awiriawiri mankhwala.

ubwino onse tafotokozazi akusonyeza kuti mankhwala othandiza kwambiri ndipo ali pafupifupi palibe zotsatira zina amagwiritsidwa ntchito kawirikawiri pamene timachitira mano pansi ambiri ochititsa dzanzi pa akuluakulu ndi ana, komanso njira zina opaleshoni.

Zotsatira zoyipa za mankhwalawa ndi contraindications

Koma tiyenera kukumbukira kuti mankhwala alionse ali mavuto ndi contraindications, ndipo zonsezi ndi chifukwa cha makhalidwe a wodwala aliyense. N'zosatheka kulosera mmene ndazindikira kukonzekera chamoyo. Ngakhale mankhwala ambiri palibe vuto lililonse zingachititse anthu ena m'mavuto, izi imakhudzanso ochititsa dzanzi.

• Chizungulire, tulo, khunyu, kusintha kwambiri mu maganizo - zizindikiro zimenezi zingachitike mu masiku angapo pambuyo ntchito mankhwala ochititsa dzanzi.
• matenda kupuma, chifuwa.
• Kudumpha wa magazi, tachycardia kapena bradycardia.
• Nseru, kusanza.
• thupi lawo siligwirizana.
• Kuzizira ndipo malungo.

Kuwonjezera mankhwalawo mu nthawi zina "Sevoran" (malangizo ntchito umatchedwanso) ali contraindications, ndipo iwo ayenera kudziwa wodwala aliyense pamaso iye ankayenera kuti mankhwala ochititsa dzanzi. Pakati contraindications kuti:

• Tilinazo wapadera mankhwala.
• Majini chingawapangitse kukhala zidakwa kuti hyperthermia zilonda.
• Pa yoyamwitsa.

Komanso, njira zonse inhalation ochititsa dzanzi akulimbikitsidwa kugwiritsa ntchito mosamala kwambiri odwala ndi insufficiency aimpso, intracranial oopsa, matenda a mitima ndi pathologies neuromuscular. Ana saloledwa ntchito "Sevoran", koma mlingo m'munsi ndi kuyang'aniridwa ndi dokotala, ngakhale pambuyo kumasuka ku ochititsa dzanzi.

ambiri osokoneza

Pankhaniyi cha mankhwala osokoneza bongo, zizindikiro wodwalayo angaoneke:

• Kusintha ntchito za chapakati mantha dongosolo.
• Hypotension.
• mtima kugwa.
• Zopweteka.
• Kupuma kumangidwa.

Ngati pali zizindikiro, muyenera yomweyo isiye ka mankhwala, kukhazikitsa woyera kupuma chubu ndi kuyamba mpweya yokumba ndi mpweya, kutsatira ntchito za mtima, ngati mukufuna kuyambitsa mankhwala kuulimbitsa.

Mogwirizana ndi mankhwala ena

mankhwala ochititsa dzanzi Inhalation mwangwiro pamodzi ndi mankhwala amene amagwiritsidwa ntchito kawirikawiri madokotala opaleshoni. Zimenezi zikugwira ntchito mankhwala imakhudza wamanjenje dongosolo, relaxants minofu, mankhwala odana ndi bakiteriya, mahomoni, mankhwala magazi. Kulanga ankachita akhala sakudziwika.

malangizo Special ntchito

"Sevoranom" sangathe ntchito pa awo kunyumba. Izi mankhwala ayenera kuperekedwa, kusankha mlingo ndi kuwunika mmene alili ndi chabe dzanzi, ndi zofunika kwa anthu amene ali zinachitikira ochititsa dzanzi ambiri.

Kupereka njira inhalation mankhwala, makamaka "Sevoran" mankhwala, muyenera kugwiritsa ntchito vaporizers calibrated. Muyeneranso kuuza wodwala kuti mankhwala oletsa ululu sangakhale kwa nthawi yaitali kuti apite kumbuyo gudumu ndipo ntchito ndi makina chilichonse chokwawa, chifukwa ndende chidwi mododoma.

Features ya ntchito "Sevoran" mankhwalawa mano ana

Ngati timachitira mano pogonekedwa ndi mankhwala ambiri, "Sevoran" amaloledwa kugwiritsa ntchito kwa akulu ndi ana omwe. Komanso, mtundu uwu wa mankhwala oletsa ululu kawirikawiri amagwiritsidwa ntchito pa ntchito zina kwa ana:

• Mwamsanga alowererepo mphuno kutupa pachimake mu M'mimbamo m'kamwa (abscess abscess).
• Kusankidwa opaleshoni (dzino m'zigawo, cysts).
• Pulpit, caries angapo ndipo periodontitis.

Koma si nthawi zonse mano pa matenda a mano ana ntchito Mpweya "Sevoran". Mankhwala ochititsa dzanzi kuti ana patsogolo pathu kumatanthauza zikusonyezedwa milandu zotsatirazi:

• Ngati pali contraindications kugwiritsa ntchito mankhwala opha m'deralo.
• Ngati mwana nekontakten (kutchulidwa negativism kwa dokotala wa mano).
• Pali organic kudwala ya ubongo, imene mwana sangathe kwambiri zenizeni ozungulira.
• Ngati pakufunika kuti kunja sitepe imodzi konzanso wa M'mimbamo m'kamwa ndi buku lalikulu la odwala.

Koma tiyenera kukumbukira kuti aliyense mankhwala mwanayo amaona lotero kwambiri. Makolo ayenera kudziwitsa dokotala zokhudza kukhala ndi mwana zinthu zotsatirazi zimene contraindications kwa mankhwala ochititsa dzanzi amatanthauza "Sevoran". Zotsatira akhoza amalankhulana kwambiri. Kotero, ali osavomerezeka ntchito:

• Inflammations pa mundawo chapamwamba.
• Mu pachimake kutukusira kwa mkodzo thirakiti, chiwindi, m'mapapo.
• Ngati pali exudative diathesis.
• Recent matenda.
• Mkulu intracranial kuthamanga.
• Decompensated kudwala.
• Ngati simungathe kugwiritsa ntchito mankhwala oletsa ululu pamalopo.

Inde, mwana chofunika pokonzekera oyamba ochititsa dzanzi "Sevoran". chithandizo mano pansi ochititsa dzanzi ambiri amachitidwa osati pa nthawi ya dzino m'zigawo, koma nthawi zina, ndi kufunika kukonzekera bwino ndondomeko:

• Mayesowo - kupereka magazi, mkodzo, sayansi.
• ECG.
• Kutsiliza dokotala (mu satifiketi ayenera amasonyeza kuti wodwalayo alibe contraindications kugwiritsa ntchito mtundu wa mankhwala ochititsa dzanzi).
• Mankhwala ochititsa dzanzi chikuyendetsedwera kokha pa chopanda kanthu m'mimba.

Panopa, pali mitundu yosiyanasiyana ya mankhwala ochititsa dzanzi, koma zaposachedwapa ndi wotchuka kwambiri "Sevoran" American kampani. Iye ankaona kwambiri vuto lililonse kwa thupi, komanso zimachitikira, onse akulu ake ndi ana. Iye ali ndi kukoma osangalatsa kwambiri kuti ana pokoka mpweya ndi samaona kusapeza iliyonse.

Zotsatira yomweyo, atangotha awiri mpweya, ndi odwala kudzuka pambuyo Mphindi 15 pambuyo mankhwala yobereka. Amenewa ndi chifukwa chakuti oposa 90% mwa linanena bungwe kuunika ndiwo mu mawonekedwe unmodified. Wodwala Mpweya mankhwala, ndipo pambuyo Mphindi 10-15 m'magazi salinso wapezeka. Iye anasonyeza mofulumira kwambiri m'thupi, popanda ziwalo mmene iye sadalole chifuwa musati chifukwa.

Reviews

zabwino kwambiri za kukonzekera momuuza osati zaka wamkulu wa mtima, komanso ana, omwe akunena kuti kupuma mpweya onunkhira kenako anagona, kenako maso awo - ndi iwo kale atagona pa kama, ndi kanthu iwo sizimapweteka. Ndipotu, ndendende zimene amachita "Sevoran". Reviews makolo komanso kutsimikizira kuti ana awo zosavuta kulekerera mankhwala, zotsatira palibe mbali ndi chifuwa zimabweretsa. Ndi uyamiko kwa Iye, ana ambiri achuluka pafupipafupi kupita kwa dokotala wa mano, ndipo onse chifukwa cha njira zonse akutsatiridwa popanda ululu.

odwala wamkulu komanso ali ndithu zabwino za chikhalidwe chake pambuyo mankhwala ochititsa dzanzi izi. Chofunika, izo ikuchitika katswiri oyenerera, ndiye zonse zidzakhala bwino.