He aha ʻo Sevoflurane: Nā Hoʻohana, Ka Laʻau, Nā ʻAoʻao ʻAoʻao a me nā mea hou aku

ʻO Sevoflurane kahi ʻano kinoea anesthetic e kōkua iā ʻoe e hiamoe hohonu a mālama ʻia i ka wā o ke ʻoki. ʻO ia kekahi o nā anesthetics inhaled i hoʻohana nui ʻia i loko o nā lumi hana ma ka honua holoʻokoʻa, a ua manaʻo ʻia he palekana a maikaʻi hoʻi ke hāʻawi ʻia e nā poʻe lapaʻau i aʻo ʻia.

No kēia lāʻau i kahi hui i kapa ʻia ʻo nā mea hana anesthetic volatile, ʻo ia hoʻi, e lilo ia mai ka wai i ke kinoea i ka wela o ka lumi. E mālama pono kāu anesthesiologist i ka nui o kou hanu ʻana i loko e hōʻoluʻolu a ʻike ʻole ʻoe i ka wā o kāu kaʻina hana.

No ke aha e hoʻohana ʻia ai ʻo Sevoflurane?

Hoʻohana nui ʻia ʻo Sevoflurane e hoʻokomo a mālama i ka anesthesia maʻamau i ka wā o nā kaʻina hana ʻoki. ʻO ia hoʻi, kōkua ia iā ʻoe e hiamoe i ka wā mua a mālama iā ʻoe e hiamoe i ka wā o kāu hana.

Koho nā kauka iā sevoflurane no nā ʻano ʻoki like ʻole no ka mea hana wikiwiki a hiki ke maʻalahi nā hoʻololi ʻana i loko a i waho o ka anesthesia. He mea pono loa ia no nā kaʻina hana outpatient kahi e hele ai ʻoe i ka home i ka lā hoʻokahi, no ka mea, e hoʻomaʻemaʻe ʻia mai kāu ʻōnaehana me ka wikiwiki.

Hoʻohana pinepine ʻia ka lāʻau lapaʻau no nā ʻoki pediatric no ka mea e ʻae maikaʻi nā keiki iā ia. ʻO kona ʻala ʻoluʻolu a ʻaʻole hoʻonāukiuki e maʻalahi ai nā maʻi ʻōpio e hanu i loko o kahi pale maka i nā pae mua o ka anesthesia.

Pehea e hana ai ʻo Sevoflurane?

Hana ʻo Sevoflurane ma ka pale ʻana i nā hōʻailona nerve i kou lolo a me ke kuamoʻo e mālama i ka ʻike a me ka manaʻo ʻeha. Ke hanu ʻoe i loko, hele ia ma kou mau māmā i loko o kou kahe koko a laila i kou lolo.

Ua manaʻo ʻia he anesthetic ikaika, ʻo ia hoʻi, ua lawa ka ikaika e hāʻawi i ka ʻike ʻole piha akā akahai e ʻae i ka mana pololei. E noʻonoʻo e like me ka hoʻololi dimmer no kou ʻike ma mua o kahi pihi on-off.

Hoʻopilikia ka lāʻau lapaʻau i nā wahi he nui o kou ʻōnaehana nerve i ka manawa like. Hoʻopau ia i ka hana lolo ma nā wahi e pili ana i ka ʻike, ka hana ʻana i ka hoʻomanaʻo, a me ka hana ʻana i ka ʻeha, e hana ana i nā kūlana kūpono no ke ʻoki.

Pehea e lawe ai au i ka Sevoflurane?

ʻAʻole ʻoe e

E like me nā lāʻau anesthetic a pau, hiki i ka sevoflurane ke hana i nā hopena ʻaoʻao, ʻoiai he manawa pōkole ka hapa nui a hoʻoponopono ʻia i ka wā e haʻalele ai ka lāʻau i kou kino. Hiki i ka hoʻomaopopo ʻana i ka mea e manaʻo ai ke kōkua iā ʻoe e mākaukau a emi ka hopohopo.

ʻO nā hopena ʻaoʻao maʻamau loa āu e ʻike ai he maʻalahi a pōkole. Hana ʻia kēia mau hopena maʻamau no ka mea e hoʻoponopono ana kou kino i ka wā e pau ai ka anesthetic:

• Nausea a me ka luaʻi ʻana, ʻoi loa i nā hola mua ma hope o ke ʻoki
• Ka hiamoe a me ka grogginess e hiki ke mau i kekahi mau hola
• ʻO ka ʻūlū a i ʻole ka manaʻo paʻa ʻole i ka wā e kū mua ai
• ʻO ka ʻeha ʻāʻī mai ka paipu hanu (inā hoʻohana ʻia kekahi)
• Huikau maʻalahi a i ʻole nā ​​puka hoʻomanaʻo i ka manawa o ke ʻoki
• ʻO ke poʻo e hoʻoponopono maʻamau i loko o ka lā

ʻO kēia mau hopena maʻamau ka pane maoli o kou kino i ka anesthesia a maʻamau e hoʻomaikaʻi nui i loko o 24 mau hola. E kōkua kāu hui hoʻōla i ka mālama ʻana i kekahi ʻoluʻolu āu e ʻike ai.

ʻO nā hopena ʻaoʻao liʻiliʻi akā ʻoi aku ka koʻikoʻi e koi i ka lāʻau lapaʻau koke, ʻoiai he kakaikahi lākou. Mālama kāu hui lapaʻau i kēia mau mea me ka akahele i ka wā a ma hope o kāu kaʻina hana:

• Nā pilikia hanu a i ʻole nā ​​ʻano hanu maʻamau ʻole
• Nā hopena maʻi maʻi koʻikoʻi me ka ʻūhū, ka pehu ʻana, a i ʻole ka pilikia o ka hanu
• Ka puʻuwai puʻuwai ʻole a i ʻole nā ​​hoʻololi nui i ke koko
• ʻO ka luaʻi mau e pale iā ʻoe mai ka mālama ʻana i nā wai
• Huikau nui a i ʻole ka hoʻonāukiuki e mau ana ma mua o kekahi mau hola

Hiki i nā pilikia kakaikahi loa ke komo i ka malignant hyperthermia, kahi maʻi koʻikoʻi kahi e piʻi ai ka mahana o ke kino i ke kiʻekiʻe weliweli. Hana ʻia kēia ma lalo o 1 i ka 10,000 mau maʻi a hiki ke mālama koke ʻia ke ʻike mua ʻia.

ʻO wai ka mea ʻaʻole pono e lawe i ka Sevoflurane?

He palekana ʻo Sevoflurane no ka hapa nui o nā kānaka, akā hiki i kekahi mau maʻi a i ʻole nā kūlana ke hana ʻole a i ʻole e koi i nā hana kūikawā. E nānā kāu anesthesiologist i kāu moʻolelo olakino piha ma mua o ka hoʻoholo ʻana inā kūpono ia iā ʻoe.

Pono ʻoe e haʻi i kāu hui lapaʻau inā loaʻa iā ʻoe kekahi o kēia mau maʻi, no ka mea, hiki iā lākou ke hoʻopilikia i ke ʻano o ka hoʻohana ʻana o sevoflurane a i ʻole inā ʻoi aku ka maikaʻi o nā anesthetics ʻē aʻe:

• ʻIke ʻia ka maʻi allergy i ka sevoflurane a i ʻole nā anesthetics halogenated ʻē aʻe
• Moʻolelo pilikino a ʻohana paha o ka hyperthermia malignant
• Maʻi ate nui a i ʻole ka mōʻaukala o nā pilikia ate e pili ana i ka anesthesia
• ʻO kekahi mau maʻi genetic e pili ana i ke ʻano o ka hana ʻana o kou kino i nā anesthetics
• Maʻi kīkī nui e koi ana i ka dialysis
• ʻO kekahi mau maʻi puʻuwai e hoʻolilo iā ʻoe i mea maʻalahi i nā loli koko

Pono ka hāpai ʻana i ka noʻonoʻo kūikawā, ʻoiai hiki ke hoʻohana palekana ʻia ka sevoflurane ke pono. E kaupaona kāu anesthesiologist i nā pōmaikaʻi a me nā pilikia e pili ana i kāu kūlana kikoʻī a me ka wikiwiki o kāu kaʻina hana.

ʻAʻole pono ka makahiki i mea pale, akā pono paha nā keiki ʻōpio a me nā maʻi ʻelemakule i ka hoʻoponopono ʻana i ka dosage a i ʻole ka nānā ʻana. He nui ka ʻike o kāu hui anesthesia i ka hoʻololi ʻana i kā lākou hana no nā maʻi o nā makahiki āpau.

Nā inoa inoa Sevoflurane

Loaʻa ʻo Sevoflurane ma lalo o nā inoa inoa like ʻole, ʻoiai like ka lāʻau lapaʻau me ka mea hana. ʻO nā inoa inoa maʻamau e pili ana iā Ultane, Sevorane, a me nā ʻano generic like ʻole.

E hoʻohana kāu haukapila a i ʻole ke kikowaena ʻoki i ka inoa inoa i loaʻa iā lākou, a ʻaʻole pono ʻoe e hopohopo e noi i kekahi. Hoʻokō nā huahana sevoflurane i ʻae ʻia i nā kūlana palekana a me ka maikaʻi.

Hiki ke ʻike ʻia ka inoa inoa ma kāu mau moʻolelo lapaʻau a i ʻole ka ʻike pili kālā, akā ʻaʻole kēia e pili i ka maikaʻi a i ʻole ka palekana o kāu mālama anesthesia. Koho kāu anesthesiologist i ke ala anesthetic kūpono loa e pili ana i kāu mau pono pilikino, ʻaʻole i nā makemake inoa.

Nā Koho ʻē aʻe o Sevoflurane

Hiki ke hoʻohana ʻia kekahi mau anesthetics inhaled ʻē aʻe ma kahi o sevoflurane, me kēlā me kēia me kāna mau pono a me nā ʻano. E koho kāu anesthesiologist i ke koho maikaʻi loa e pili ana i kāu mau pono olakino kikoʻī a me ke ʻano o ke ʻoki āu e hana nei.

ʻO nā koho maʻamau e pili ana iā desflurane, e hana like ana me sevoflurane akā makemake ʻia no nā kaʻina hana lōʻihi a i ʻole ke koʻikoʻi ka ala wikiwiki loa. ʻO Isoflurane kekahi koho ʻē aʻe, ʻoiai ua hoʻohana ʻia i kēia lā ma muli o kona ʻala ikaika a me ka hoʻomaka lohi.

No kekahi mau kaʻina hana, hiki i kāu anesthesiologist ke ʻōlelo aku i ka anesthesia intravenous total (TIVA) me ka hoʻohana ʻana i nā lāʻau lapaʻau e like me propofol ma kahi o nā mea inhaled. Hiki ke kōkua nui kēia ala inā he moʻolelo kou o ka nausea koʻikoʻi me nā anesthetics inhaled.

Hiki nō hoʻi nā ʻenehana anesthesia regional e like me nā poloka spinal a i ʻole epidural no kekahi mau ʻoki, i kekahi manawa i hui pū ʻia me ka sedation māmā ma kahi o ka anesthesia maʻamau.

ʻOi aku ka maikaʻi o Sevoflurane ma mua o Propofol?

He mau koho anesthetic maikaʻi ʻo Sevoflurane a me propofol, akā hana lākou i nā mea like ʻole a loaʻa i kēlā me kēia me nā pono kūʻokoʻa. Ma mua o ka hoʻokahi e

Hāʻawi ʻia ʻo Propofol, ma o ka IV, pinepine e hāʻawi i ka ala ʻana maʻalahi me ka liʻiliʻi o ka nausea no kekahi mau maʻi. Makemake pinepine ʻia no nā kaʻina hana pōkole a i ʻole ke koi ʻia ka hoʻōla wikiwiki a me ka maopopo.

Noʻonoʻo kāu anesthesiologist i nā mea he nui i ke koho ʻana ma waena o kēia mau koho, me kāu mōʻaukala olakino, ka lōʻihi a me ke ʻano o ke ʻoki ʻana, a me kāu mau makemake pilikino. Ua manaʻo ʻia lāua ʻelua he anesthetics maʻamau gula me nā moʻolelo palekana maikaʻi loa.

Nā Nīnau i Nīnau Pinepine ʻia e pili ana iā Sevoflurane

He Palekana ʻo Sevoflurane no ka maʻi puʻuwai?

Hiki ke hoʻohana palekana ʻia ʻo Sevoflurane i ka hapa nui o nā maʻi me ka maʻi puʻuwai, akā pono ia i ka nānā pono ʻana a i kekahi manawa i nā hoʻoponopono ʻana i ka mahele. He hopena pale kekahi o kēia anesthetic i ka puʻuwai a makemake pinepine ʻia no nā maʻi me kekahi mau maʻi cardiac.

E nānā kāu anesthesiologist i kāu maʻi puʻuwai kikoʻī a e hana pū me kāu cardiologist inā pono e hōʻoia i ke ala palekana loa. Hiki iā lākou ke koho e hoʻohana i nā mea liʻiliʻi a i ʻole e hui pū i ka sevoflurane me nā lāʻau ʻē aʻe e hoʻomaikaʻi i kou paʻa cardiovascular i ka wā o ke ʻoki.

He aha kaʻu e hana ai inā loaʻa iaʻu ka nausea nui ma hope o Sevoflurane?

Hiki ke mālama ʻia ka nausea nui ma hope o ka sevoflurane me ka mālama kūpono, no laila mai kānalua e haʻi koke i kāu hui hoʻōla. Hiki iā lākou ke hāʻawi i nā lāʻau anti-nausea e hana wikiwiki e kōkua iā ʻoe e ʻoi aku ka maikaʻi.

E noho ana inā ʻoe e ʻike i ka dizziness, a e pale i ka hoʻāʻo ʻana e ʻai a inu paha a hiki i ka hoʻomaikaʻi ʻana o ka nausea. E nānā kāu mau kahu hānai i kou kūlana a hāʻawi paha iā ʻoe i nā wai IV inā ʻaʻole hiki iā ʻoe ke mālama i nā wai i lalo. Hoʻoponopono ka hapa nui o ka nausea ma hope o ka anesthesia i loko o 6-12 mau hola.

He aha kaʻu e hana ai inā he hopohopo koʻu e pili ana i koʻu hoʻōla?

Inā he hopohopo kāu e pili ana i kou hoʻōla ʻana mai ka sevoflurane, e hoʻokaʻaʻike koke i kāu hui ʻoki a i ʻole anesthesiologist. Loaʻa lākou e pane i nā nīnau a e kamaʻilio i nā hōʻailona e hopohopo ai iā ʻoe.

E kelepona koke inā pilikia ʻoe i ka hanu ʻana, huikau nui e mau ana ma mua o kekahi mau hola, luaʻi mau, a i ʻole kekahi mau hōʻailona i mea ʻano ʻē a hopohopo paha. Makemake kāu hui lapaʻau e lohe mai iā ʻoe e pili ana i kahi mea liʻiliʻi ma mua o ka nalo ʻana i ka hoʻoponopono ʻana i kahi pilikia nui.

I ka manawa hea e hiki ai iaʻu ke kalaiwa ma hope o ka loaʻa ʻana o Sevoflurane?

ʻAʻole pono ʻoe e kalaiwa no ka liʻiliʻi o 24 mau hola ma hope o ka loaʻa ʻana o sevoflurane, no ka mea, hiki i ka lāʻau lapaʻau ke hoʻopilikia i kou manawa pane a me nā hiki ke hoʻoholo i nā hoʻoholo ʻana ʻoiai ma hope o kou manaʻo e makaʻala. Pono ka hapa nui o nā keʻena lapaʻau iā ʻoe e loaʻa i kekahi e kalaiwa iā ʻoe i ka home ma hope o ke ʻoki.

Aia kou hiki ke kalaiwa palekana i nā mea he nui e like me ka lōʻihi o kāu ʻoki ʻana, nā lāʻau lapaʻau ʻē aʻe āu i loaʻa ai, a pehea ʻoe e manaʻo nei i ka holoʻokoʻa. Manaʻo kekahi poʻe ua mākaukau lākou e kalaiwa ma hope o 24 mau hola, ʻoiai paha e pono ana kekahi poʻe i 48 mau hola a ʻoi aku paha e manaʻo maʻamau.

Hiki iaʻu ke loaʻa iā Sevoflurane inā hāpai au?

Hiki ke hoʻohana ʻia ʻo Sevoflurane i ka wā hāpai ke pono ke ʻoki, akā e ana pono kāu anesthesiologist i nā pōmaikaʻi a me nā pilikia. ʻAʻole ʻike ʻia ka lāʻau lapaʻau e hana i nā kīnā hānau, akā ʻo ka pale ʻana i nā lāʻau lapaʻau āpau i ka wā hāpai he mea kūpono ke hiki.

Inā pono ʻoe i ke ʻoki wikiwiki i ka wā hāpai, manaʻo ʻia ʻo sevoflurane kekahi o nā koho anesthetic palekana i loaʻa. E hana pū kāu hui anesthesia me kāu obstetrician e nānā iā ʻoe a me kāu pēpē i ka wā o ke kaʻina hana a hoʻoponopono i kā lākou hana e like me ka mea e pono ai.