He aha ka Anesthesia Nui? Nā Hōʻailona, ​​Nā Kumu, & Lapaʻau Kūloko

ʻO ka anesthesia nui he hana lapaʻau e hoʻokomo iā ʻoe i loko o kahi hiamoe hohonu, i mālama ʻia i ka wā o ke ʻoki a i ʻole nā ​​hana lapaʻau. He kūlana i mālama pono ʻia kahi e ʻike ʻole ai ʻoe a ʻaʻole ʻoe e ʻike i ka ʻeha, e hoʻomanaʻo i ke kaʻina hana, a i ʻole e neʻe i ka wā o ka hana.

E noʻonoʻo iā ia he hoʻomaha manawa, hiki ke hoʻohuli ʻia no kou ʻike i ka wā e hana ai nā kauka. Hoʻohana kāu anesthesiologist i nā lāʻau lapaʻau kūikawā i hāʻawi ʻia ma nā ala like ʻole e hōʻoia ai ua ʻoluʻolu ʻoe a palekana i kāu kaʻina hana.

He aha ka Anesthesia Nui?

ʻO ka anesthesia nui kahi hui pū ʻana o nā lāʻau lapaʻau e hoʻomaopopo ʻole iā ʻoe i ka wā o nā hana lapaʻau. ʻAʻole like me ka anesthesia kūloko e hoʻopōpō wale i kahi hoʻokahi, pili ka anesthesia nui i kou kino a me ka lolo.

I ka wā o ka anesthesia nui, e hiamoe hohonu ʻoe ma mua o ka hiamoe. Hoʻolohi nui ka hana o kou lolo, a ʻaʻole ʻoe e pane i ka ʻeha, nā leo, a i ʻole ka hoʻopā. Mālama ka anesthesiologist i kāu mau hōʻailona koʻikoʻi a hoʻoponopono i nā lāʻau lapaʻau i ka wā o ke kaʻina hana e mālama iā ʻoe.

Hiki ke hoʻohuli ʻia ke kaʻina hana. Ke pau ke kaʻina hana, e pau mālie nā lāʻau lapaʻau, a e ala ʻoe i kahi wahi hoʻōla ma lalo o ka mālama ʻana i ka lāʻau.

Pehea ka manaʻo o ka Anesthesia Nui?

ʻO ka hapa nui o nā kānaka e wehewehe i ka ʻike e like me ka

I ka wā e ala ai ʻoe, e ʻike paha ʻoe i ka pōpō, huikau, a i ʻole ka maʻi iki. He mea maʻamau kēia mau hopena a e mae ana i ka wā e pau ai nā lāʻau lapaʻau mai kou ʻōnaehana. Manaʻo kekahi poʻe i ke anu a i ʻole he waha maloʻo i ka wā mua.

He aha ke kumu o ka pono no ka Anesthesia Nui?

He mea pono ka anesthesia nui i ka wā e pono ai ʻoe i ke ʻoki a i ʻole nā kaʻina hana e ʻeha loa, lōʻihi, a paʻakikī paha e hana i ka wā e ala ana ʻoe. E hōʻoiaʻiʻo ana e noho mālie a ʻoluʻolu ʻoe i ka wā o ka hana.

Nui nā kumu e hoʻoholo ai i ka wā e lilo ai ka anesthesia nui i koho maikaʻi loa no kāu mālama ʻana:

• Nā ʻoki nui e pili ana i ka umauma, ka ʻōpū, a i ʻole ka lolo
• Nā kaʻina hana lōʻihi e mau ana i kekahi mau hola
• Nā hana e pono ai ke kūlana pololei a i ʻole ka hoʻomaha ʻana o nā ʻiʻo
• Nā kaʻina hana kahi e hāʻawi ʻole ai ka anesthesia kūloko i ka mana ʻeha kūpono
• Nā ʻoki ulia pōpilikia kahi e koʻikoʻi ai ka manawa
• Ka hopohopo o ka mea maʻi a i ʻole nā maʻi olakino e paʻakikī ai ka noho ʻana

Ke noʻonoʻo nei kāu hui ʻoki i kou olakino holoʻokoʻa, ka paʻakikī o ke kaʻina hana, a me kou ʻoluʻolu i ka wā e hoʻoholo ai i ke ʻano anesthesia. I kekahi manawa, ʻo ka anesthesia nui ka koho palekana a me ka humane.

He aha nā ala like ʻole o ka hoʻokele ʻana i ka Anesthesia Nui?

Hiki ke hāʻawi ʻia ka anesthesia nui ma nā ala like ʻole i loko o kou kino. Loaʻa i kēlā me kēia ʻano nā pono kikoʻī e pili ana i kāu kaʻina hana a me nā pono olakino.

E koho kāu anesthesiologist i ke ala kūpono loa e pili ana i nā mea e like me ka lōʻihi o kāu ʻoki, kou kūlana olakino, a me ke ʻano o ke kaʻina hana āu e hana nei.

Ala Inhalation

ʻO ka anesthesia inhalation e pili ana i ka hanu ʻana i nā kinoea anesthetic ma o ka pale a i ʻole ka paipu hanu. Hāʻawi kēia ʻano hana i ka mana pololei ma luna o ka hohonu o ka anesthesia i kāu kaʻina hana.

ʻO nā mea hoʻohuihui hanu maʻamau e komo pū ana me sevoflurane, desflurane, a me isoflurane. Hoʻohui ʻia kēia mau kinoea me ka oxygen a hāʻawi ʻia ma o nā mea hana kūikawā e nānā pono i ka nui o kāu e loaʻa nei.

ʻO ka maikaʻi o ka anesthesia hanu ʻana, hiki ke hoʻoponopono ʻia i kēlā me kēia manawa i ka wā o ke ʻoki. Inā pono ʻoe i ka anesthesia hohonu a i ʻole māmā, hiki i kāu anesthesiologist ke hoʻololi koke i ka nui o ke kinoea.

Ala Parenteral (Intravenous)

ʻO ka anesthesia parenteral ke ʻano o ka hāʻawi pololei ʻia ʻana o nā lāʻau lapaʻau i loko o kou kahe koko ma o ka laina IV. He hana wikiwiki loa kēia hana no ka mea ʻaʻole pono e komo nā lāʻau lapaʻau ma o kāu ʻōnaehana digestive.

ʻO nā anesthetics IV maʻamau e komo pū ana me propofol, etomidate, a me ketamine. ʻO kēia mau lāʻau lapaʻau ke kumu e nalowale ai ʻoe i ka ʻike i loko o 30 a 60 kekona ma hope o ka hoʻokomo ʻana.

Hoʻohana pinepine ʻia ka anesthesia IV e hoʻomaka i ke kaʻina hana anesthetic ma mua o ka hoʻololi ʻana i nā hana hanu. ʻO ia nō hoʻi ke ʻano nui no nā kaʻina hana pōkole a i ʻole ke pono ʻole ka waiho ʻana i ka paipu hanu.

Ala Rectal

ʻO ka anesthesia rectal e pili ana i ka hoʻokomo ʻana i ka lāʻau lapaʻau i loko o ka rectum, kahi e komo ai i loko o ke kahe koko. ʻAʻole hoʻohana pinepine ʻia kēia ala akā hiki ke kōkua i nā kūlana kikoʻī.

Koho ʻia kēia hana i kekahi manawa no nā keiki ʻōpio e hopohopo nei e pili ana i nā nila a i ʻole nā ​​pale maka. Hoʻohana ʻia nō hoʻi ke paʻakikī ka loaʻa ʻana o ka IV a i ʻole ke loaʻa ʻana o nā maʻi olakino i nā ala ʻē aʻe.

ʻO ka anesthesia rectal ka mea maʻamau e lōʻihi ka hana ma mua o nā hana IV, maʻamau 10 a 30 mau minuke. ʻOi aku ka mālie a me ka mālie o ka hoʻomaka ʻana ma mua o ka lawelawe intravenous.

He aha ka General Anesthesia i hōʻailona a i ʻole hōʻailona o?

ʻAʻole ʻo ka anesthesia maʻamau he hōʻailona o kekahi maʻi. Akā, he lāʻau lapaʻau e pono ai ke pono ʻoe i ke ʻoki a i ʻole nā ​​hana e pono ai ʻoe e noʻonoʻo ʻole.

ʻO ka pono no ka anesthesia maʻamau e hōʻike maʻamau ana e loaʻa ana iā ʻoe kahi hana lapaʻau e hāʻule ana i loko o kekahi mau ʻano. Manaʻo kāu kauka iā ia ma muli o ka paʻakikī a me ka hoʻouka ʻana o ka mea e pono ai ke hana ʻia.

I kekahi manawa, hōʻike ka pono no ka anesthesia maʻamau i ke koʻikoʻi o kou maʻi olakino. ʻO nā pilikia olakino paʻakikī pinepine e koi i nā hana ʻokiʻoki nui e pono ai ka anesthesia hohonu.

Hiki iā ʻoe ke ola mai ka Anesthesia Nui ma kāu iho?

Hoʻoponopono maoli kou kino a hoʻopau i nā lāʻau anesthetic i ka manawa, akā pono ʻoe i ka mālama olakino i ka wā e ola ai. E pau ka anesthesia ma kāna iho, akā nānā nā mea mālama ola iā ʻoe e hōʻoia i ka holo pono ʻana o nā mea āpau.

Hoʻolālā ʻia ka hapa nui o nā lāʻau anesthetic e hoʻopau ʻia mai kāu ʻōnaehana i loko o nā hola. Hana pū kou ate a me nā puʻupaʻa e wāwahi a wehe i kēia mau lāʻau mai kou kino.

Hana ʻia ka hoʻōla ʻana i nā pae, e hoʻomaka ana me ka loaʻa hou ʻana o ka ʻike a me ka hoʻi ʻana i ka makaʻala maʻamau. Hiki i kēia hana ke lawe i nā wahi mai 30 mau minuke a i kekahi mau hola, ma muli o ke ʻano a me ka nui o ka anesthesia i hoʻohana ʻia.

Pehea e hiki ai iā ʻoe ke hoʻomākaukau no ka Anesthesia Nui ma ka home?

Hiki i ka hoʻomākaukau kūpono ma ka home ke kōkua i ka hōʻoia ʻana e holo pono ana kāu ʻike anesthesia. ʻO ka hahai ʻana i nā ʻōlelo aʻo a kāu hui lapaʻau me ka akahele he mea nui ia no kou palekana.

Hoʻomaka maʻamau kāu hoʻomākaukau ʻana i kekahi mau lā ma mua o kāu hana a pili i nā ʻanuʻu kikoʻī e hoʻomaikaʻi i kou olakino:

• E hooki i ka ʻai a me ka inu ʻana i nā manawa i kuhikuhi ʻia ma mua o ke ʻoki
• E lawe a hooki paha i nā lāʻau lapaʻau e like me ke kuhikuhi a kāu kauka
• E hoʻonohonoho i kekahi e hoʻokele iā ʻoe i ka home ma hope o ke kaʻina hana
• Wehe i ka pena kui, nā mea nani, a me nā aniani pili
• E ʻauʻau me ke kopa antibacterial inā ʻōlelo ʻia
• E hoʻomaha pono i ka pō ma mua o kāu kaʻina hana
• E hahai i nā ʻōlelo kuhikuhi kūikawā no nā maʻi maʻi maʻi

Kōkua kēia mau hoʻomākaukau ʻana i ka hōʻemi ʻana i nā pilikia a hōʻoia i ka hana pono ʻana o ka anesthesia. Pono kāu anesthesiologist i kou kino i ke kūlana maikaʻi loa e hāʻawi i ka mālama palekana.

He aha ke kaʻina hana lapaʻau no ka anesthesia maʻamau?

Hahai ka anesthesia maʻamau i kahi kaʻina hana akahele, i kēlā me kēia ʻanuʻu i mālama ʻia e kāu anesthesiologist. Aia i loko o ka lapaʻau ʻekolu mau ʻāpana nui: induction, maintenance, a me ka puka ʻana.

I ka wā o ka induction, e loaʻa iā ʻoe nā lāʻau lapaʻau e hoʻolilo iā ʻoe i ka ʻike ʻole. Hana maʻamau kēia i loko o ka lumi hana, kahi e kau ai kāu anesthesiologist i nā mea nānā a hoʻomaka i nā lāʻau anesthetic.

Mālama ka ʻāpana mālama iā ʻoe i ka ʻike ʻole i kāu ʻoki. Hoʻomau kāu anesthesiologist i ka nānā ʻana i kāu mau hōʻailona koʻikoʻi a hoʻoponopono i nā lāʻau lapaʻau e mālama i ka pae kūpono o ka anesthesia no kāu kaʻina hana.

ʻO ka puka ʻana ke kaʻina hana e ala ai e hoʻomaka ana i ka pau ʻana o kāu ʻoki. Hoʻōki kāu anesthesiologist i nā lāʻau anesthetic a kōkua iā ʻoe e ala mālie i ke ʻano i mālama ʻia.

I ka manawa hea ʻoe e hoʻopili ai i kāu kauka e pili ana i ka anesthesia maʻamau?

Pono ʻoe e hoʻopili koke i kāu hui lapaʻau inā ʻike ʻoe i kekahi mau hōʻailona ma hope o ka anesthesia maʻamau. ʻOiai he maʻalahi a he manawa pōkole ka hapa nui o nā hopena ʻaoʻao, pono kekahi mau kūlana i ka lāʻau lapaʻau wikiwiki.

E kelepona koke i kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona e pili ana ma hope o ka anesthesia:

• Ka luaʻi nui a i ʻole ka luaʻi ʻana e pale ai iā ʻoe mai ka mālama ʻana i nā wai
• He paʻakikī ka hanu ʻana a i ʻole ka pōkole o ka hanu
• ʻEha o ka umauma a i ʻole ka puʻuwai ʻole
• He wili nui a i ʻole ka hāʻule
• Nā hōʻailona o ka hopena maʻi e like me ka ʻōpala, ka pehu ʻana, a i ʻole ka pilikia o ka hanu ʻana
• Hoʻopilikia mau a i ʻole nā pilikia hoʻomanaʻo e mau ana ma mua o 24 mau hola
• ʻO ke kuni ma mua o 101°F (38.3°C)

Hiki i kēia mau hōʻailona ke hōʻike i nā pilikia e pono ai ka loiloi olakino koke. Hoʻōla ka hapa nui o nā kānaka mai ka anesthesia me ka ʻole o nā pilikia, akā he mea nui e ʻike i ka wā e ʻimi ai i ke kōkua.

He aha nā mea pilikia no nā pilikia anesthesia maʻamau?

Hiki i kekahi mau mea ke hoʻonui i kou pilikia o nā pilikia mai ka anesthesia maʻamau. ʻO ka hoʻomaopopo ʻana i kēia mau pilikia e kōkua i kāu hui lapaʻau e hāʻawi i ka mālama palekana loa.

E nānā kāu anesthesiologist i kāu mōʻaukala olakino a me ke kūlana olakino o kēia manawa e ʻike i nā mea e pili ana i kāu ʻike anesthesia:

• ʻO ka makahiki kiʻekiʻe (ma luna o 65 mau makahiki)
• Maʻi puʻuwai a i ʻole nā puʻuwai puʻuwai ʻole
• Nā maʻi māmā e like me ka maʻi hānō a i ʻole COPD
• Maʻi kīkī a i ʻole ate
• Diabetes a i ʻole nā pilikia hoʻomalu kōpaʻa koko
• Ka momona a i ʻole ka apnea hiamoe
• Nā hopena maikaʻi ʻole i ka anesthesia ma mua
• Ka puhi ʻana a i ʻole ka hoʻohana ʻana i ka waiʻona nui
• Nā lāʻau lapaʻau a i ʻole nā mea hoʻohui

ʻO ka loaʻa ʻana o nā mea pilikia ʻaʻole ia he manaʻo ʻaʻole hiki iā ʻoe ke loaʻa ka anesthesia maʻamau me ka palekana. ʻO ia wale nō ke ʻano e hana ai kāu hui lapaʻau i nā hana mālama hou aʻe a nānā pono iā ʻoe i ka wā a ma hope o kāu kaʻina hana.

He aha nā pilikia hiki ke loaʻa o ka anesthesia maʻamau?

ʻOiai he palekana loa ka anesthesia maʻamau, e like me nā kaʻina hana olakino, hiki iā ia ke loaʻa nā pilikia. ʻO ka hapa nui o nā hopena ʻaoʻao he maʻalahi a he manawa pōkole, akā ʻo ka hoʻomaopopo ʻana i nā mea hiki ke kōkua iā ʻoe e hana i nā hoʻoholo i ʻike ʻia.

ʻO nā pilikia maʻamau, ʻaʻole koʻikoʻi e hoʻoponopono maʻamau iā lākou iho, e komo pū ana:

• Ka luaʻi a me ka luaʻi ʻana
• ʻEha ʻāʻī mai ka paipu hanu
• Ka hiamoe a me ka huikau
• Ke haʻalulu a i ʻole ke anu
• Nā pilikia hoʻomanaʻo māmā no kekahi mau hola
• Waha maloʻo a i ʻole leo ʻā

Hoʻomaikaʻi maʻamau kēia mau hopena i loko o nā hola a i ʻole nā lā ma hope o kāu kaʻina hana. Hiki i kāu hui lapaʻau ke hāʻawi i nā lāʻau lapaʻau e kōkua i ka mālama ʻana i kekahi ʻoluʻolu.

He mea maʻamau ʻole nā pilikia koʻikoʻi, akā hiki ke komo i nā pilikia hanu, nā loli o ka puʻuwai, a i ʻole nā hopena maʻi. Ua aʻo ʻia kāu anesthesiologist e pale a mālama i kēia mau kūlana inā loaʻa lākou.

He maikaʻi a maikaʻi ʻole paha ka anesthesia maʻamau no nā kūlana olakino like ʻole?

Hoʻopilikia ka anesthesia maʻamau i nā kānaka i nā ʻano like ʻole e pili ana i ko lākou kūlana olakino. No ka hapa nui o nā kānaka, he ʻāpana palekana a pono ia o ka mālama ʻana i ke ʻoki, akā pono kekahi mau kūlana i ka noʻonoʻo kūikawā.

Inā loaʻa iā ʻoe ka maʻi puʻuwai, e nānā pono kāu anesthesiologist i kāu puʻuwai a me ke koko i ka wā o ke kaʻina hana. He palekana nā ʻenehana anesthetic hou no ka poʻe me nā kūlana puʻuwai paʻa.

Pono ka poʻe me nā pilikia o ka māmā e like me ka maʻi asthma a i ʻole COPD i ka nānā kūikawā i ko lākou hanu ʻana i ka wā anesthesia. E hoʻoponopono kāu hui lapaʻau i nā hoʻonohonoho ventilator a me nā lāʻau lapaʻau e kākoʻo i kāu hana māmā.

Inā loaʻa iā ʻoe ka maʻi diabetes, e nānā pono ʻia kou pae kō koko i ka wā anesthesia. Hiki i ke koʻikoʻi o ke ʻoki a me kekahi mau lāʻau lapaʻau ke hoʻopilikia i ke kō koko, no laila he mea nui ka mālama pono.

No ke aha e hiki ai ke kuhi hewa ʻia ka anesthesia maʻamau?

ʻAʻole maʻamau ka anesthesia maʻamau i nā kūlana ʻē aʻe, akā hiki ke huikau kekahi o kāna mau hopena me nā pilikia olakino ʻē aʻe. ʻO ka hoʻomaopopo ʻana i kēia mau mea like e kōkua iā ʻoe e ʻike i ka mea e manaʻo ai.

Hiki ke kuhi hewa ʻia ka huikau a i ʻole ka ʻūlū ʻana ma hope o ka anesthesia no ka hahau ʻana a i ʻole nā pilikia neurological ʻē aʻe, ʻoiai i nā mākua ʻelemakule. He mea maʻamau kēia huikau manawa a maʻa mau e hoʻoponopono i loko o nā hola.

Hiki ke kuhi hewa ʻia ka nausea a me ka luaʻi ʻana ma hope o ka anesthesia no ka ʻona ʻana i ka meaʻai a i ʻole ka maʻi ʻōpū. Eia naʻe, ʻoi aku ka wikiwiki o ka nausea ma hope o ka anesthesia ma mua o kēia mau maʻi ʻē aʻe.

Loaʻa i kekahi poʻe nā loli o ke ʻano a i ʻole ka naʻau ma hope o ka anesthesia, hiki ke huikau me ke kaumaha a i ʻole nā maʻi hopohopo. He manawa wale nō kēia mau manaʻo a pili i ke koʻikoʻi o ke ʻoki a me ka anesthesia.

Nā Nīnau i Nīnau Pinepine ʻia e pili ana i ka Anesthesia Nui

Pehea ka lōʻihi o ka ala ʻana mai ka anesthesia nui?

Hoʻomaka ka hapa nui o nā kānaka e ala i loko o 5 a 15 mau minuke ma hope o ka pau ʻana o ka anesthesia. Eia naʻe, hiki ke lawe i kekahi mau hola e manaʻo ai i ka makaʻala a me ka maʻamau. Aia ka manawa pololei i ke ʻano a me ka nui o ka anesthesia i hoʻohana ʻia, kou makahiki, a me kou olakino holoʻokoʻa.

Hana ʻia kou ola hou ʻana ma nā pae, e hoʻomaka ana me ka wehe ʻana i kou mau maka a me ka pane ʻana i nā leo, a laila e lilo mālie i mea makaʻala a me ke kuhikuhi. ʻO ka hoʻōla piha ʻana i kou kūlana noʻonoʻo maʻamau e lawe maʻamau i 6 a 24 mau hola.

E ʻōlelo anei au i nā mea hilahila i ka wā e ala ana mai ka anesthesia?

ʻOiai hopohopo kekahi poʻe e pili ana i ka ʻōlelo ʻana i nā mea kūpono ʻole i ka wā e ola hou ana, he mea maʻamau kēia. ʻO ka hapa nui o nā kānaka he hiamoe wale nō a huikau ma mua o ka uninhibited i ka wā e ala ana mai ka anesthesia.

Inā ʻoe e ʻōlelo i ka wā e ola hou ana, he mau huaʻōlelo huikau a i ʻole nonsensical ma mua o ka hōʻike ʻana i nā mea huna. He poʻe loea kāu hui lapaʻau a ua maʻa i nā maʻi i nā kūlana like ʻole o ka ʻike i ka wā e ola hou ana.

Hiki iā ʻoe ke moeʻuhane i ka wā o ka anesthesia nui?

ʻAʻole maʻamau ka moeʻuhane maoli i ka wā e lawelawe pono ʻia ai ka anesthesia maʻamau. Ke loaʻa ʻoe i ka anesthesia maʻamau, ua hoʻopaʻa ʻia ka hana o kou lolo i nā pae i ʻae ʻole i ka hana ʻana o ka moeʻuhane.

Hōʻike kekahi poʻe i nā ʻike e like me ka moeʻuhane, akā, hana pinepine kēia i nā pae māmā o ka hele ʻana i lalo a i ʻole ke ala ʻana. ʻOi aku ka maʻamau o nā moeʻuhane ola i nā lā ma hope o ke ʻoki ʻana i ka wā e hoʻi ai kāu mau hiʻohiʻona hiamoe i ka maʻamau.

Pehea e ʻike ai nā kauka inā e hana pono ana ka anesthesia?

Hoʻohana kāu anesthesiologist i nā ʻano hana nānā he nui e hōʻoia ai ua anesthetized pono ʻoe i kāu kaʻina hana. Aia kēia mau mea i ka nānā ʻana i ka hana o kou lolo, ka helu o ka puʻuwai, ke koko, a me nā hiʻohiʻona hanu.

Hiki i nā mea nānā hou ke ʻike i nā loli maʻalahi i nā pane o kou kino e hōʻike ana ʻaʻole ʻoe i lalo loa i ka anesthesia. Hoʻoponopono kāu anesthesiologist i nā lāʻau lapaʻau i nā manawa a pau e pili ana i kēia mau ana.

Hiki i ka anesthesia maʻamau ke hoʻopōʻino i ka nalowale o ka hoʻomanaʻo?

He mea maʻamau loa ka nalowale o ka hoʻomanaʻo mau mai ka anesthesia maʻamau i nā kānaka olakino. ʻO ka hapa nui o nā kānaka e ʻike wale i ka huikau manawa a i ʻole ka pōʻeleʻele e hoʻoponopono i loko o nā hola a i ʻole nā lā ma hope o ke ʻoki ʻana.

I kekahi poʻe ʻelemakule a i ʻole nā ​​kānaka me nā pilikia cognitive, aia paha nā hopena lōʻihi, akā, pili pinepine kēia i ke koʻikoʻi o ke ʻoki ʻana ma mua o ka anesthesia. E kūkākūkā kāu hui lapaʻau i nā pilikia kikoʻī e pili ana i kāu kūlana pilikino.