He aha ka Isoflurane: Nā hoʻohana, ka nui o ka lāʻau, nā hopena ʻaoʻao a me nā mea hou aku

ʻO ka Isoflurane he lāʻau lapaʻau anesthetic maʻamau e kōkua iā ʻoe e hiamoe hohonu a mālama ʻia i ka wā o ke ʻoki. Hāʻawi ʻia ma ke ʻano he kinoea āu e hanu ai ma o ka pale maka a i ʻole ka paipu hanu, e ʻae ana i kāu hui lapaʻau e hana palekana i nā kaʻina hana ʻoiai ʻaʻole ʻoe i ʻike a me ka ʻeha ʻole.

Ua hoʻohana palekana ʻia kēia lāʻau lapaʻau i loko o nā lumi hana no nā makahiki he nui. Hana wikiwiki ia a pau koke ma hope o ka pau ʻana o ke ʻoki, e lilo ia i koho hilinaʻi no nā ʻano hana he nui.

He aha ka Isoflurane?

ʻO ka Isoflurane he wai e lilo i mahu ke hui pū ʻia me ka oxygen a me nā kinoea ʻē aʻe. Hoʻomalu kāu anesthesiologist i ka nui o kāu e loaʻa ai ma o nā lako nānā loea i ka wā o kāu ʻoki.

ʻAʻole like me nā pila a i ʻole nā ​​injection, hana ka isoflurane ma o kou mau māmā. Komo ke kinoea i loko o kou kahe koko ma o kou hanu ʻana, a laila hele i kou lolo kahi e hana ai i ke kūlana o ka anesthesia. Hāʻawi kēia ʻano hana i ka mana pololei loa ma luna o ka hiamoe hohonu āu i loko o kāu kaʻina hana.

No ka ʻohana i kapa ʻia ʻo halogenated hydrocarbons ka lāʻau lapaʻau. He mau pūhui i hoʻolālā kūikawā ʻia i hoʻomaʻemaʻe ʻia no nā makahiki he nui e palekana a maikaʻi hoʻi e like me ka hiki no ka anesthesia ʻoki.

No ke aha e hoʻohana ʻia ai ka Isoflurane?

Hoʻohana nui ʻia ka Isoflurane e mālama iā ʻoe i ka ʻike ʻole i ka wā o ke ʻoki. ʻO ia ka lāʻau lapaʻau e hōʻoiaʻiʻo ʻaʻole ʻoe e ʻeha, e neʻe, a i ʻole e ʻike i kekahi mea i ka wā e hana ana kāu kauka lapaʻau.

Hiki i kāu anesthesiologist ke koho i ka isoflurane no nā ʻano hana like ʻole. Hana maikaʻi ia no nā kaʻina hana pōkole e mau ana i 30 mau minuke a me nā ʻoki lōʻihi e lawe ana i kekahi mau hola. ʻO ka maʻalahi o kēia lāʻau lapaʻau e kūpono ia no nā hana ma kahi kokoke i kekahi ʻāpana o kou kino.

I kekahi manawa hoʻohana ʻia ka isoflurane me nā lāʻau lapaʻau anesthetic ʻē aʻe. Hiki i kāu hui lapaʻau ke hoʻomaka i kāu anesthesia me ka injection a laila hoʻololi i ke kinoea isoflurane e mālama i kou hiamoe i ka wā o ke kaʻina hana.

Pehea e Hana ai ʻo Isoflurane?

Hana ʻo Isoflurane ma ka hoʻololi ʻana i ke ʻano o ke kamaʻilio ʻana o nā cell lolo me kekahi i kekahi. Ke hanu ʻoe i ke kinoea, hele ia ma kou mau māmā i loko o kou kahe koko a laila i kou lolo, kahi e ālai ai i nā hōʻailona e mālama iā ʻoe i ka ala a me ka ʻike.

E noʻonoʻo e like me ka hoʻohaʻahaʻa ʻana i ka leo ma ka hana o kou lolo. ʻAʻole e hōʻino ka lāʻau lapaʻau i kāu mau cell lolo, akā hoʻomaha ia i kā lākou kamaʻilio maʻamau i lawa e hana i kahi hiamoe hohonu. ʻO kēia ke kumu ʻaʻohe ou hoʻomanaʻo i ka mea e hana ana i ka wā o ke ʻoki.

Ua manaʻo ʻia ʻo Isoflurane he anesthetic ikaika. Ua ikaika ia e mālama iā ʻoe i ka hiamoe loa i ka wā o ke ʻoki nui, akā akahai e ala maʻalahi ka hapa nui o nā kānaka ke pio ke kinoea. Hiki i kāu anesthesiologist ke hoʻoponopono i ka ʻike i ka wā o kāu kaʻina hana e mālama i ka pae kūpono o ka ʻike ʻole.

Pehea wau e lawe ai i ka Isoflurane?

ʻAʻole ʻoe e

Pehea ka lōʻihi e lawe ai au i ka Isoflurane?

Aia ka lōʻihi o kou loaʻa ʻana o ka isoflurane i ka lōʻihi o kāu ʻoki. E mālama ana kāu anesthesiologist i ka lāʻau lapaʻau i ka wā o kāu kaʻina hana holoʻokoʻa, inā he 30 mau minuke a i ʻole kekahi mau hola.

Ke pau kāu ʻoki, e pio ka isoflurane a e hoʻomaka ʻoe e hanu i ka oxygen maʻamau. Hoʻomaka ka hapa nui o nā kānaka e ala aʻe i loko o 5-15 mau minuke ma hope o ka pau ʻana o ke kinoea. Eia naʻe, hiki ke lawe i 30 mau minuke a i hoʻokahi hola ma mua o kou ala piha ʻana a me ka ʻike.

Hoʻomaʻemaʻe ka lāʻau lapaʻau mai kou ʻōnaehana me ka wikiwiki ma kou mau māmā. ʻAʻole like me kekahi mau lāʻau lapaʻau e pono e hana ʻia e kou ate a i ʻole nā ​​puʻupaʻa, hoʻopuka wale ʻia ka isoflurane i kou hanu ʻana. ʻO kēia kekahi kumu e maʻalahi a maʻalahi ka hoʻōla ʻana mai ka anesthesia isoflurane.

He aha nā hopena ʻaoʻao o ka Isoflurane?

E like me nā lāʻau anesthetic a pau, hiki i ka isoflurane ke hana i nā hopena ʻaoʻao, ʻoiai he manawa pōkole ka hapa nui a hoʻoponopono i ka wā e haʻalele ai ka lāʻau lapaʻau i kou ʻōnaehana. ʻO ka hoʻomaopopo ʻana i ka mea e manaʻo ai hiki ke kōkua iā ʻoe e mākaukau no kāu hoʻōla.

ʻO nā hopena ʻaoʻao maʻamau āu e ʻike ai he maʻalahi a pōkole:

• Nausea a me ka luaʻi no kekahi mau hola ma hope o ke ʻoki
• ʻO ka ʻūlū a i ʻole ka manaʻo paʻa ʻole i ka wā e ala mua ai
• ʻO ka hiamoe e hiki ke mau i kekahi mau hola
• ʻO ka huikau māmā a i ʻole ka disorientation i ka wā mua
• Waha maloʻo a i ʻole ʻeha ʻāʻī mai ka paipu hanu
• ʻO ke poʻo e hoʻoponopono maʻamau i loko o ka lā

ʻO kēia mau hopena ka pane maʻamau o kou kino i ka noho ʻana ma lalo o ka anesthesia. ʻIke ka hapa nui o nā kānaka e ʻoi aku ka maikaʻi i loko o 24 mau hola o kā lākou ʻoki.

ʻAʻole maʻamau nā hopena ʻaoʻao koʻikoʻi, akā hiki ke komo i nā pilikia hanu, ka puʻuwai ʻole, a i ʻole nā loli nui o ke koko. Mālama mau kāu hui lapaʻau iā ʻoe i ka wā o ke ʻoki ʻana e nānā a mālama i kēia mau mea hiki. I nā hihia kakaikahi loa, hiki i kekahi poʻe ke loaʻa i ka hyperthermia malignant, kahi hopena koʻikoʻi e hoʻoulu ai i ka wela weliweli, akā hiki mai kēia i ka liʻiliʻi ma mua o 1 i 50,000 mau kaʻina hana.

ʻO wai ka mea ʻaʻole pono e lawe iā Isoflurane?

Hiki i ka hapa nui o nā kānaka ke loaʻa palekana iā isoflurane, akā aia kekahi mau kūlana kahi e koho ai kāu anesthesiologist i kahi lāʻau lapaʻau ʻē aʻe. ʻO kou palekana ka mea nui loa i ka wā e hoʻolālā ai i kāu anesthesia.

ʻAʻole paha ʻoe he moho maikaʻi no ka isoflurane inā he moʻolelo pilikino a ʻohana paha o ka hyperthermia malignant. Hiki i kēia maʻi genetic kakaikahi ke hoʻoulu i kahi hopena weliweli i kekahi mau kinoea anesthetic. Inā pili kēia iā ʻoe, e hōʻoia i ka ʻike o kāu anesthesiologist ma mua o kāu ʻoki.

Pono paha ka poʻe me ka maʻi ate koʻikoʻi i ka noʻonoʻo kūikawā, no ka mea, hiki i ka isoflurane ke hoʻopilikia i ka hana ate. E nānā kāu anesthesiologist i kāu moʻolelo olakino a hiki ke kauoha i nā hoʻokolohua koko e nānā i kou ate ma mua o ka hoʻoholo ʻana i ke ala anesthetic maikaʻi loa no ʻoe.

Inā loaʻa iā ʻoe kekahi mau maʻi puʻuwai, ʻoi aku ka nui o ka puʻuwai ʻole a i ʻole ka puʻuwai i hala koke, e noʻonoʻo pono kāu anesthesiologist i nā pilikia a me nā pōmaikaʻi. Hiki iā lākou ke koho i ka isoflurane akā me ka nānā hou ʻana, a i ʻole hiki iā lākou ke koho i kahi ʻenehana anesthetic ʻē aʻe.

Nā inoa inoa Isoflurane

Loaʻa ka Isoflurane ma lalo o kekahi mau inoa inoa, ʻoiai ua like ka lāʻau lapaʻau me ka mea hana. ʻO nā inoa inoa maʻamau e pili ana iā Forane, Aerrane, a me Isoflurane USP.

E hoʻohana ana kāu haukapila a i ʻole ke kikowaena ʻoki i ka brand i loaʻa iā lākou. Hoʻokō nā brand a pau o ka isoflurane i nā kūlana palekana a me ka maikaʻi, no laila hiki iā ʻoe ke hilinaʻi i ka mea a kāu anesthesiologist e hoʻohana ai.

I kekahi manawa e ʻike ʻoe i ka isoflurane i helu ʻia ma ke ʻano he "isoflurane" ma kāu moʻolelo olakino me ka ʻole o kahi inoa brand kikoʻī. He mea maʻamau kēia a ʻaʻole ia e hōʻike i kahi ʻokoʻa i ka maikaʻi a i ʻole ka palekana.

Nā Koho ʻē aʻe o ka Isoflurane

Hiki ke hoʻohana ʻia kekahi mau kinoea anesthetic ʻē aʻe ma kahi o ka isoflurane, me nā pono ponoʻī. E koho kāu anesthesiologist i ke koho maikaʻi loa e pili ana i kāu kūlana kikoʻī a me nā pono olakino.

ʻO Sevoflurane kekahi kinoea anesthetic kaulana e hana like me ka isoflurane. He ʻala ʻoluʻolu kona a hiki ke hoʻoulu i ka liʻiliʻi o ka huhū i kou mau ala hanu. Ala koke kekahi poʻe mai ka sevoflurane.

ʻO Desflurane kahi koho ʻekolu e hiki ai ke hoʻomalu pololei a me nā manawa ala wikiwiki. Eia naʻe, hiki ke hoʻonāukiuki i ka hanu ʻana i ka wā mua, no laila e hoʻohana pinepine ʻia ma hope o kou hiamoe ʻana mai nā lāʻau lapaʻau ʻē aʻe.

No kekahi mau kaʻina hana, hiki i kāu anesthesiologist ke ʻōlelo aku i ka anesthesia intravenous holoʻokoʻa ma kahi o ke kinoea. Pono kēia i ka hāʻawi ʻana iā ʻoe i nā lāʻau lapaʻau anesthetic ma o ka IV i kāu ʻoki ʻana ma mua o nā kinoea inhaled.

ʻOi aku ka maikaʻi o ka Isoflurane ma mua o Sevoflurane?

He kinoea anesthetic maikaʻi loa ka isoflurane a me ka sevoflurane, a ʻaʻole i ʻoi aku ka maikaʻi o kekahi ma mua o kekahi. ʻO ke koho pinepine e pili ana i kāu kūlana olakino kikoʻī a me ka makemake o kāu anesthesiologist e pili ana i kā lākou ʻike.

He mau pono ko Sevoflurane, ʻoi aku hoʻi no nā keiki a i ʻole nā ​​poʻe me nā pilikia hanu. ʻAʻala ʻoluʻolu ʻole ia ma mua o ka isoflurane a ʻaʻole paha e hoʻoulu i ka ʻū a i ʻole ka paʻa ʻana o ka hanu ke hoʻomaka mua ʻoe e hanu. E ala koke nā kānaka mai ka sevoflurane.

Ua hoʻohana palekana ʻia ʻo Isoflurane no nā makahiki he nui a he moʻolelo lōʻihi. He mea maʻamau nō hoʻi ke kumu kūʻai ma mua o ka sevoflurane, he mea e noʻonoʻo ai kekahi mau ʻōnaehana mālama ola.

E noʻonoʻo ana kāu anesthesiologist i nā mea e like me kou makahiki, ke olakino holoʻokoʻa, ke ʻano o ke ʻoki āu e hana nei, a me nā pilikia hanu āu e loaʻa ai i ke koho ʻana ma waena o kēia mau lāʻau. E mālama nā mea ʻelua iā ʻoe i ka hiamoe palekana i kāu kaʻina hana.

Nā Nīnau i Nīnau Pinepine ʻia e pili ana iā Isoflurane

Q1. Palekana anei ʻo Isoflurane no ka maʻi puʻuwai?

Hiki ke hoʻohana palekana ʻia ʻo Isoflurane i nā poʻe he nui me ka maʻi puʻuwai, akā pono kāu anesthesiologist e loiloi pono i kou kūlana. Hiki i ka lāʻau lapaʻau ke hoʻopilikia i kou puʻuwai a me ke koko, no laila e hoʻohana ʻia ka nānā ʻana i ka wā o ke ʻoki.

Inā he pilikia koʻikoʻi kou puʻuwai, hiki i kāu anesthesiologist ke hoʻololi i ka nui o ka isoflurane a i ʻole e hui pū me nā lāʻau ʻē aʻe e hōʻemi i ke kaumaha ma kou puʻuwai. E hana pū lākou me kāu cardiologist e hōʻoia i ke ala palekana loa no kāu ʻoki.

Q2. He aha kaʻu e hana ai inā hoʻohana hewa au i ka nui o ka Isoflurane?

ʻAʻole hiki iā ʻoe ke hoʻohana hewa i ka nui o ka isoflurane no ka mea, ua lawelawe ʻia e nā anesthesiologists i aʻo ʻia me ka hoʻohana ʻana i nā mea hana nānā pono. Hoʻomalu mau ʻia ka nui āu e loaʻa ai a hoʻoponopono ʻia i kāu ʻoki.

Inā no kekahi kumu i loaʻa iā ʻoe ka nui o ka isoflurane, e ʻike koke kāu anesthesiologist i nā hōʻailona a e hana i nā hana e hoʻoponopono ai i ke kūlana. Hiki i kēia ke hoʻemi i ka nui, ke kākoʻo ʻana i kou hanu ʻana, a i ʻole ka hāʻawi ʻana i nā lāʻau lapaʻau e kūʻē i nā hopena.

Q3. He aha kaʻu e hana ai inā haʻalele au i kahi mahele o Isoflurane?

ʻAʻole pili kēia nīnau i ka isoflurane no ka mea ʻaʻole ia he lāʻau lapaʻau āu e lawe ai ma kahi papa manawa. Hoʻohana wale ʻia ʻo Isoflurane i ka wā o ke ʻoki ʻana ma lalo o ka mālama olakino pololei.

Inā ua hoʻonohonoho ʻia ʻoe no ke ʻoki a pono e hoʻololi i ka lā, e kelepona wale i ke keʻena o kāu kauka lapaʻau e hoʻonohonoho i kahi lā hou. E hāʻawi ʻia ka anesthesia hou i ka lā o kāu hana i hoʻonohonoho hou ʻia.

Q4. I ka manawa hea e hiki ai iaʻu ke hooki i ka lawe ʻana iā Isoflurane?

ʻAʻole ʻoe e hoʻomalu i ka manawa e hooki ʻia ai ka isoflurane - na kāu anesthesiologist e hoʻoholo i kēia hoʻoholo e pili ana i ka holomua o kāu ʻoki. E hoʻopau ʻia ka lāʻau lapaʻau ke pau kāu hana a palekana ʻoe e ala aʻe.

ʻO ka manawa e hooki ai i ka isoflurane he hoʻoholo akamai e noʻonoʻo ana i nā mea e like me ka nui o ka ʻoki e pono ai ke hana ʻia, kāu mau hōʻailona ola, a me ka wikiwiki o kou ala ʻana mai ka anesthesia.

Q5. Pehea ka lōʻihi o ka noho ʻana o Isoflurane i loko o kāu ʻōnaehana?

Hoʻomaʻemaʻe ʻo Isoflurane mai kāu ʻōnaehana me ka wikiwiki ma o kou mau māmā. Hoʻopau ʻia ka hapa nui o ka lāʻau lapaʻau i loko o ka hola mua ma hope o ka hoʻopau ʻia ʻana, ʻoiai e ʻike ʻia paha nā mea liʻiliʻi a hiki i 24 mau hola.

E hoʻomaka ana ʻoe e ala aʻe i loko o 5-15 mau minuke ma hope o ka hooki ʻia ʻana o ka isoflurane, akā e ʻike paha ʻoe i ka hiamoe a i ʻole ka huikau no kekahi mau hola i ka wā e haʻalele ai nā mea hope loa i kāu ʻōnaehana. He mea maʻamau a manaʻo ʻia kēia.