He aha ka Anesthesia Nui? Ke Kumu, ke Kaʻina Hana & Hoʻōla

ʻO ka anesthesia nui he kūlana lapaʻau i mālama pono ʻia kahi e nalowale loa ai ʻoe i ka ʻike a ʻaʻole ʻoe e ʻike i ka ʻeha i ka wā o ke ʻoki a i ʻole nā kaʻina hana lapaʻau. E noʻonoʻo e like me ka hiamoe hohonu a mālama ʻia e alakaʻi pono ai kāu hui lapaʻau iā ʻoe i loko a i waho me ka palekana. Hāʻawi kēia kūlana manawa i nā kauka e hana i nā hana paʻakikī me ka mālama ʻana iā ʻoe i ka ʻoluʻolu a me ka mālie i loko o ke kaʻina holoʻokoʻa.

He aha ka anesthesia nui?

ʻO ka anesthesia nui he hui pū ʻana o nā lāʻau lapaʻau e hoʻokomo iā ʻoe i kahi kūlana hohonu a me ka ʻike ʻole i ka wā o nā kaʻina hana lapaʻau. Hoʻohana kāu anesthesiologist i kēia mau lāʻau lapaʻau e hoʻopau i kou ʻike, ka hana hoʻomanaʻo, a me ka manaʻo ʻeha. ʻAʻole like me ka anesthesia kūloko e hoʻopōpō wale i hoʻokahi wahi, pili ka anesthesia nui i kou kino a me kou manaʻo.

I loko o kēia kūlana, ʻaʻole ʻoe e hoʻomanaʻo i kekahi mea e hana nei, ʻaʻole ʻoe e ʻike i ka ʻeha, a lilo kou mau ʻiʻo i mea hoʻomaha loa. Mālama pono kāu anesthesiologist i kou hanu ʻana, ka puʻuwai, ke koko, a me nā hōʻailona koʻikoʻi ʻē aʻe i loko o ke kaʻina hana holoʻokoʻa. Hana nā lāʻau lapaʻau ma ka hoʻopilikia ʻana i ka hiki o kou lolo ke hana i nā manaʻo a mālama i ka ʻike.

He palekana loa a hiki ke wānana ʻia ka anesthesia nui o kēia wā. Hiki i kāu hui lapaʻau ke mālama pono i ka hohonu o kāu anesthesia a me ka lōʻihi o ka lōʻihi. Hōʻike ka hapa nui o nā kānaka i ka ʻike e like me ka hiamoe ʻana i loko o ka lumi hana a ala aʻe i ka hoʻōla ʻana me ka hoʻomanaʻo ʻole i ka manawa ma waena.

No ke aha e hana ʻia ai ka anesthesia nui?

Hoʻohana ʻia ka anesthesia nui ke pono ʻoe e nalowale loa i ka ʻike a me ka ʻeha ʻole no nā kaʻina hana lapaʻau. Paipai kāu kauka iā ia no nā ʻoki e pono ai ʻoe e noho mālie loa, kahi e ʻeha loa ai ke kaʻina hana me ka anesthesia kūloko wale nō, a i ʻole ke komo ʻana o ke ʻoki i nā wahi koʻikoʻi o kou kino. Pono nō hoʻi ia no nā kaʻina hana e lawe i kekahi mau hola e hoʻopau ai.

Ko kāu hui lapaʻau e koho i ka anesthesia maʻamau e hōʻoia i kou palekana a me ka hōʻoluʻolu i ka wā o nā hana paʻakikī. Pono kekahi mau hana ʻoki i kou mau ʻiʻo e hoʻomaha loa, ʻo ka anesthesia maʻamau wale nō e hiki ke hāʻawi. ʻO kēia ʻano anesthesia e pale pū iā ʻoe mai ka hana ʻana i nā hoʻomanaʻo o ke kaʻina hana, e pale iā ʻoe mai ke kaumaha noʻonoʻo.

ʻO nā kaʻina hana maʻamau e koi ana i ka anesthesia maʻamau e komo pū ana me nā hana ʻoki nui e like me nā hana puʻuwai, ka ʻoki ʻana i ka lolo, nā transplant o nā ʻōkana, a me nā kaʻina hana ʻōpū he nui. Hoʻohana ʻia nō hoʻi ia no kekahi mau kaʻina hana diagnostic e like me nā colonoscopies ke pono ʻoe e noho mālie loa. E kūkākūkā kāu anesthesiologist inā ʻo ka anesthesia maʻamau ke koho maikaʻi loa no kāu kūlana kikoʻī.

He aha ke kaʻina hana no ka anesthesia maʻamau?

Hoʻomaka ke kaʻina hana anesthesia maʻamau ma mua o kou komo ʻana i ka lumi hana. E hui kāu anesthesiologist me ʻoe ma mua e loiloi i kāu mōʻaukala olakino, kūkākūkā i nā hopohopo, a wehewehe i ka mea e manaʻo ai. E nīnau lākou e pili ana i kāu mau lāʻau lapaʻau, nā maʻi maʻi, a me nā ʻike mua me ka anesthesia e hana i ka hoʻolālā palekana loa no ʻoe.

I ka lā o kāu kaʻina hana, e loaʻa iā ʻoe nā lāʻau lapaʻau ma o kahi laina IV i kou lima a i ʻole ka lima. Hoʻomaka maʻamau ka anesthesiologist me nā lāʻau lapaʻau e hōʻoluʻolu a hiamoe ʻoe. I loko o kekona a i ʻole mau minuke, e nalowale loa kou ʻike. Loaʻa i kekahi poʻe ka anesthesia ma o ka pale ma luna o ko lākou ihu a me ka waha, ʻoiai ʻo nā keiki e makaʻu paha i nā nila.

Ke ʻike ʻole ʻoe, hiki i kāu anesthesiologist ke waiho i kahi paipu hanu i lalo o kou ʻāʻī e kōkua iā ʻoe e hanu i ka wā o ke kaʻina hana. He mea weliweli kēia, akā ʻaʻole ʻoe e ʻike a hoʻomanaʻo paha i ka mea e hana nei. I loko o kāu ʻoki, nānā mau kāu anesthesiologist i kāu mau hōʻailona koʻikoʻi a hoʻoponopono i kāu mau lāʻau lapaʻau e mālama iā ʻoe ma ke kiʻekiʻe kūpono o ka anesthesia.

Ma hope o ka pau ʻana o kāu ʻoki, e hoʻēmi mālie kāu mea hoʻokalakala i nā lāʻau lapaʻau anesthesia. E ala mālie ʻoe i kahi wahi hoʻōla kahi e nānā pono ai nā kahu hānai iā ʻoe. ʻO ka hapa nui o nā kānaka e manaʻo i ka ʻūlū a me ka huikau i ka wā mua, he mea maʻamau loa ia. E pau nā hopena o ka anesthesia i nā hola he nui.

Pehea e hoʻomākaukau ai no kāu anesthesia maʻamau?

ʻO ka hoʻomākaukau ʻana no ka anesthesia maʻamau e pili ana i kekahi mau ʻanuʻu nui e kōkua i ka hōʻoia ʻana i kou palekana a me ka holomua o kāu hana. E hāʻawi kāu mea hoʻokalakala iā ʻoe i nā ʻōlelo kikoʻī i kūpono i kou kūlana, akā ʻo ka hapa nui o ka hoʻomākaukau ʻana e pili ana i ka ʻai ʻole a me ka hoʻoponopono ʻana i kāu mau lāʻau lapaʻau. ʻO ka hahai pono ʻana i kēia mau alakaʻi e kōkua i ka pale ʻana i nā pilikia i ka wā o kāu anesthesia.

ʻO ka ʻanuʻu hoʻomākaukau nui loa ʻo ka hahai ʻana i nā ʻōlelo aʻoaʻo ʻai ʻole, ʻo ia hoʻi ʻaʻole meaʻai a inu paha no 8-12 mau hola ma mua o kāu hana. Aia kēia lula ʻōpū ʻole no ka mea hiki i ka anesthesia ke hoʻoulu iā ʻoe e luaʻi, a ʻo ka loaʻa ʻana o ka meaʻai i loko o kou ʻōpū i ka wā ʻike ʻole hiki ke pilikia. E haʻi aku kāu hui lapaʻau iā ʻoe i ka manawa e pau ai ka ʻai a me ka inu.

Eia nā ʻanuʻu hoʻomākaukau nui e alakaʻi ai kāu hui lapaʻau iā ʻoe:

• E hooki i ka ʻai ʻana i nā meaʻai paʻa 8-12 mau hola ma mua o kāu hana
• E hooki i ka inu ʻana i nā wai maʻemaʻe 2-4 mau hola ma mua o ka anesthesia
• E lawe wale i nā lāʻau lapaʻau i ʻae ʻia me nā sips liʻiliʻi o ka wai
• Wehe i nā mea nani, nā aniani pili, a me nā niho
• E ʻaʻahu i nā lole ʻoluʻolu a me ka lole
• E hoʻonohonoho i kekahi e hoʻokele iā ʻoe i ka home ma hope
• E hooki i ka puhi ʻana ma ka liʻiliʻi he 24 mau hola ma mua o kāu hana

Hiki nō hoʻi i kāu mea hoʻokalakala ke noi iā ʻoe e hooki i kekahi mau lāʻau lapaʻau no ka manawa, ʻo ia hoʻi nā mea lahilahi koko a i ʻole nā mea hoʻohui e hiki ke hoʻopilikia i kou kahe ʻana a i ʻole e launa pū me nā lāʻau anesthesia. E hahai mau i nā ʻōlelo kikoʻī a kāu hui lapaʻau, no ka mea, ʻike lākou i kou kūlana olakino pilikino.

Pehea e hana ai ka anesthesia maʻamau i kou kino?

Hana ka ʻano ʻanaesthesia ma ka hoʻopau ʻana i nā ala kamaʻilio maʻamau i loko o kou lolo a me ke aʻalolo. Hele nā lāʻau lapaʻau ma kou koko i kou lolo, kahi e ālai ai lākou i nā hōʻailona e hana ai i ka ʻike, ka manaʻo ʻeha, a me ka hana ʻana i ka hoʻomanaʻo. Hana kēia i kahi kūlana hiki ke hoʻohuli ʻia kahi e "hoʻopau" ai kou lolo i kāna mau hana ʻike.

Hoʻopilikia nā lāʻau ʻanaesthesia i nā ʻāpana like ʻole o kou lolo i ka manawa like. Hoʻōki kekahi mau mea i kou lolo mai ka hana ʻana i nā hōʻailona ʻeha, aʻo nā mea ʻē aʻe e pale i ka hana ʻana i ka hoʻomanaʻo a mālama i ka ʻike ʻole. Hiki ke hoʻohana ʻia nā lāʻau lapaʻau hou e hoʻomaha loa i kou mau ʻiʻo, e maʻalahi ai i nā kauka e hana a no ʻoe e hanu me ke kōkua mechanical inā pono.

Hoʻohana kāu anesthesiologist i ka hui pū ʻana o nā ʻano lāʻau like ʻole e loaʻa ai ke kaulike kūpono no kāu kaʻina hana. Hāʻawi nā lāʻau lapaʻau intravenous i ka hoʻomaka wikiwiki a me ka mana pololei, aʻo nā anesthetics i hoʻokomo ʻia e hiki ke hoʻoponopono maʻalahi i kāu ʻoki. Hāʻawi kēia ala multi-drug i kāu hui lapaʻau e hoʻoponopono maikaʻi i kāu pae anesthesia i kēlā me kēia manawa.

I loko o kāu kaʻina hana, pono paha nā hana maʻamau o kou kino e like me ka hanu ʻana a me ke kahe ʻana i ke kākoʻo. Hoʻohana kāu anesthesiologist i nā mea hana nānā maʻalahi e nānā i kāu puʻuwai, ke koko, nā pae oxygen, a me ka hana lolo. ʻO kēia nānā mau e hōʻoiaʻiʻo iā ʻoe e noho i ka pae kūpono o ka anesthesia me ka mālama ʻana i kou palekana.

He aha nā pae o ka anesthesia maʻamau?

Hana ʻia ka anesthesia maʻamau i ʻehā mau pae like ʻole e alakaʻi pono ai kāu anesthesiologist iā ʻoe. ʻO ka hoʻomaopopo ʻana i kēia mau pae hiki ke kōkua iā ʻoe e ʻike i ka mea e manaʻo ai a ʻoluʻolu i ke kaʻina hana. Hoʻohana kēlā me kēia pae i kahi kumu kikoʻī i ka hōʻoia ʻana i kou palekana a me ka hōʻoluʻolu i ka wā o ke kaʻina hana.

ʻO ka pae mua i kapa ʻia ʻo ka hoʻokomo ʻana, kahi e hoʻololi ai ʻoe mai ka ʻike i ka ʻike ʻole. He mau minuke wale nō kēia e hana ai i ka hopena o nā lāʻau lapaʻau anesthesia. Hiki paha iā ʻoe ke hiamoe, ʻūlū, a i ʻole e ʻike i kahi ʻono metala i kou waha. ʻO ka hapa nui o nā kānaka e wehewehe i kēia me he mea lā e hiamoe ana lākou me ka wikiwiki.

Eia ka mea e hana ʻia i kēlā me kēia pae o ka anesthesia:

1. Hoʻokomo: Loaʻa iā ʻoe nā lāʻau lapaʻau anesthesia a nalowale ka ʻike i loko o nā minuke
2. Mālama: Mālama kāu anesthesiologist iā ʻoe ma ke kiʻekiʻe kūpono o ka ʻike ʻole i ka wā o ke ʻoki
3. Puka mai: Hoʻemi mālie ʻia ka anesthesia i ka pau ʻana o kāu kaʻina hana
4. Hoʻōla: Ala aʻe ʻoe a pau nā hopena o ka anesthesia i nā hola he nui

I ka wā o ka mālama ʻana, noho ʻoe me ka ʻike ʻole ʻoiai e nānā mau ana kāu anesthesiologist a hoʻoponopono i kāu pae anesthesia. Hoʻomaka ka pae puka i ka pau ʻana o kāu ʻoki, a e hoʻi mālie ʻoe i ka ʻike i loko o kahi kaiapuni i mālama ʻia. Hoʻomau ka hoʻōla ʻana i kou ala piha ʻana a haʻalele nā hopena i koe o ka anesthesia i kāu ʻōnaehana.

He aha nā hopena ʻaoʻao maʻamau o ka anesthesia maʻamau?

ʻO ka hapa nui o nā kānaka e ʻike i kekahi mau hopena ʻaoʻao no ka pau ʻana o ka anesthesia maʻamau, a he maʻalahi kēia mau hopena a hoʻoponopono i loko o nā hola a i nā lā. Pono kou kino i ka manawa e hoʻomaʻemaʻe i nā lāʻau lapaʻau anesthesia mai kāu ʻōnaehana, hiki ke hana i nā hōʻailona manawa like ʻole. ʻO ka hoʻomaopopo ʻana i kēia mau hopena maʻamau hiki ke kōkua iā ʻoe e mākaukau a hopohopo ʻole e pili ana i kāu hoʻōla.

ʻO nā hopena ʻaoʻao maʻamau e hiki ke loaʻa iā ʻoe, ʻo ia ka hiamoe, ka maʻi, a me ka ʻeha ʻāʻī mai ka paipu hanu. He mea manawa wale nō kēia mau hopena a maʻa mau e hoʻomaikaʻi ke haʻalele loa ka anesthesia i kou kino. Manaʻo kekahi poʻe i ka huikau, ka wili, a i ʻole ka pilikia o ka noʻonoʻo ʻana i nā hola mua ma hope o ke ala ʻana.

Eia nā hopena ʻaoʻao e ʻike ai ka poʻe he nui ma hope o ka anesthesia maʻamau:

• Ka hiamoe a me ka luhi e hiki ke mau no 24-48 mau hola
• Ka maʻi a i ʻole ka luaʻi ʻana, ʻoi loa i nā hola mua
• ʻEha ʻāʻī mai ka waiho ʻana o ka paipu hanu
• Waha maloʻo a me ka make wai
• Huikau a i ʻole ka disorientation i ka wā e ala mua ai
• Wili a i ʻole ka paʻa ʻole i ka wā e hoʻāʻo ai e kū
• Nā hakahaka hoʻomanaʻo i ka manawa o kāu kaʻina hana
• ʻEha ʻiʻo a i ʻole ka ʻoʻoleʻo

He mau hōʻailona kēia mau hopena ʻaoʻao e hōʻike ana e ola ana kou kino mai ka anesthesia. E kōkua kāu hui lapaʻau i ka mālama ʻana i kekahi ʻoluʻolu a nānā iā ʻoe a hiki i ka hoʻomaka ʻana o kēia mau hopena e hoʻomaikaʻi. ʻOi aku ka maikaʻi o ka hapa nui o ka poʻe i loko o 24 mau hola, ʻoiai hiki i ka hoʻōla piha ke lawe i kekahi mau lā.

He aha nā pilikia koʻikoʻi o ka anesthesia maʻamau?

ʻOiai he palekana loa ka anesthesia maʻamau no ka hapa nui o ka poʻe, hiki ke loaʻa nā pilikia koʻikoʻi, ʻoiai he mea maʻamau. Hoʻomaopopo pono kāu anesthesiologist i kāu mau mea pilikia pilikino a lawe i nā hana nui e pale aku i kēia mau pilikia. ʻO ka hoʻomaopopo ʻana i kēia mau pilikia e kōkua iā ʻoe e hana i nā hoʻoholo i ʻike ʻia e pili ana i kāu mālama a ʻike i nā hōʻailona hōʻailona e nānā ai.

ʻO nā pilikia koʻikoʻi loa, ʻo ia nā pilikia me ka hanu ʻana, nā pilikia o ka puʻuwai, a me nā hopena maʻi maʻi i nā lāʻau anesthesia. He mea maʻamau ʻole kēia mau pilikia a maʻa mau e mālama ʻia ke loaʻa. Ua hoʻomaʻamaʻa nui ʻia kāu hui lapaʻau e ʻike a mālama i kēia mau kūlana i ka wā e kū mai ai.

Eia nā pilikia koʻikoʻi akā kakaʻikahi e hiki ke loaʻa me ka anesthesia maʻamau:

• Nā pilikia o ka hanu ʻana a i ʻole nā maʻi o ka māmā
• Nā pilikia o ka puʻuwai a i ʻole nā loli o ke koko
• Nā hopena maʻi nui i nā lāʻau anesthesia
• Nā koko i nā wāwae a i ʻole nā māmā
• Ka hahau ʻana a i ʻole ka puʻuwai i ka wā o ke ʻoki
• Ka maʻi pneumonia inā komo nā mea o ka ʻōpū i loko o nā māmā
• Malignant hyperthermia (he hopena genetic laha ʻole i ka anesthesia)
• Ka ʻike i ka wā o ka anesthesia (pilikia loa)

Aia ka pilikia o kou ʻike ʻana i kēia mau pilikia i kou olakino holoʻokoʻa, ke ʻano o ke ʻoki āu e hana nei, a me kou mau mea pilikia pilikino. E kūkākūkā kāu anesthesiologist i kou pae pilikia kikoʻī a me nā hana a lākou e hana ai e hōʻemi i kēia mau pilikia i ka wā o kāu hana.

ʻO wai ka mea i ʻoi aku ka pilikia o nā pilikia anesthesia?

Hiki i kekahi mau maʻi olakino a me nā mea pilikino ke hoʻonui i kou pilikia o ka ʻike ʻana i nā pilikia mai ka anesthesia maʻamau. E nānā pono kāu anesthesiologist i kāu mōʻaukala olakino a me ke kūlana olakino o kēia manawa e ʻike ai i nā mea pilikia e pono ai ka nānā kūikawā. ʻAʻole ia he manaʻo e hiki ʻole iā ʻoe ke loaʻa palekana i ka anesthesia maʻamau, akā ʻo ia hoʻi e hana kāu hui olakino i nā hana mālama hou.

He mea nui ka makahiki i ka pilikia anesthesia, me nā keiki liʻiliʻi loa a me nā mākua ma luna o 65 e koi ana i ka noʻonoʻo kūikawā. Hiki i nā mākua kahiko ke lohi i ka manawa hoʻōla a me nā pilikia kiʻekiʻe o ka huikau ma hope o ka anesthesia. Hiki i nā keiki liʻiliʻi loa ke ʻoi aku ka maʻalahi i nā lāʻau anesthesia a pono paha i nā ʻano hana ʻokoʻa.

Hiki i kekahi mau maʻi olakino a me nā mea ola ke hoʻonui i kou pilikia anesthesia:

• Ka maʻi puʻuwai a i ʻole nā puʻuwai i hala
• Nā maʻi o ka māmā e like me ka maʻi hānō, COPD, a i ʻole ka hiamoe apnea
• Ka maʻi diabetes a i ʻole ka maʻi kīkī
• Ka momona, hiki ke hoʻopilikia i ka hanu ʻana i ka wā anesthesia
• Ke koko kiʻekiʻe a i ʻole ka mōʻaukala hahau
• Ka maʻi ate a i ʻole ka hoʻohana nui ʻana i ka waiʻona
• Nā pilikia i hala me ka anesthesia a i ʻole ka mōʻaukala ʻohana o nā pilikia anesthesia
• Nā lāʻau lapaʻau, ʻoi aku hoʻi nā mea hoʻoheheʻe koko
• Ka puhi paka, e hoʻonui ana i nā pilikia o ka māmā a me ka puʻuwai

Inā loaʻa iā ʻoe kekahi o kēia mau maʻi, e hana pū kāu anesthesiologist me ʻoe e hoʻomaikaʻi i kou olakino ma mua o ke ʻoki ʻana a e hoʻolālā i ke ala anesthesia palekana loa. Hiki iā lākou ke ʻōlelo aku i ka nānā ʻana hou aku, nā lāʻau lapaʻau like ʻole, a i ʻole nā hana kūikawā i kūpono i kou kūlana.

Pehea ka lōʻihi o ka hoʻōla ʻana mai ka anesthesia maʻamau?

Hiki mai ka hoʻōla ʻana mai ka anesthesia maʻamau i nā pae, me ka hapa nui o nā kānaka e ʻoi aku ka maikaʻi i loko o 24 mau hola. Eia naʻe, hiki i ka hoʻōla piha ke lawe i kekahi mau lā, ʻoi aku hoʻi ma hope o ke ʻoki nui. Aia kāu manawa hoʻōla i ke ʻano o ka anesthesia āu i loaʻa ai, ka lōʻihi o kāu kaʻina hana, a me kāu mau mea olakino pilikino.

I nā hola mua ma hope o kāu kaʻina hana, e ala mālie ʻoe i kahi wahi hoʻōla kahi e nānā pono ai nā kahu hānai iā ʻoe. Hiki paha iā ʻoe ke manaʻo i ka ʻūlū, huikau, a i ʻole ka maʻi i kēia manawa mua. Hiki i ka hapa nui o nā kānaka ke inu i nā wai liʻiliʻi a hiki ke ʻai i nā meaʻai māmā i loko o kekahi mau hola, ma muli o ke ʻano o kā lākou ʻoki.

Maʻamau ka hahai ʻana o kāu hoʻōla i kēia manawa maʻamau:

1. Nā hola 1-2 mua: E ala mālie ana ʻoe, e huikau paha a i ʻole e ʻehaʻeha
2. Nā hola 2-6: E maikaʻi ana ka ʻike, hiki iā ʻoe ke inu wai
3. Nā hola 6-24: E pau ana ka hopena o ka anesthesia, akā e luhi paha ʻoe
4. Nā hola 24-48: E maikaʻi ana nā pae ikehu, e hoʻi ana ka noʻonoʻo i ka maʻamau
5. Nā lā 2-7: E ola piha ana, ua pau nā hopena anesthesia a pau

I ka wā o kou ola ʻana, he mea nui e noho kekahi me ʻoe no ka liʻiliʻi o 24 mau hola. ʻAʻole pono ʻoe e kalaiwa, hana i nā mīkini, hana i nā hoʻoholo nui, a i ʻole e inu i ka waiʻona a hiki i ka pau ʻana o ka anesthesia i kou ʻōnaehana. E hāʻawi kāu hui lapaʻau iā ʻoe i nā alakaʻi kikoʻī e pili ana i kāu kaʻina hana a me ke kūlana pilikino.

I ka manawa hea ʻoe e hoʻokaʻaʻike aku ai i kāu kauka ma hope o ka anesthesia maʻamau?

ʻOiai he mea maʻamau kekahi ʻoluʻolu ma hope o ka anesthesia maʻamau, pono kekahi mau hōʻailona i ka lāʻau lapaʻau koke. E hāʻawi kāu hui lapaʻau iā ʻoe i nā ʻōlelo aʻo kikoʻī e pili ana i ka mea e nānā ai a i ka manawa e kāhea ai iā lākou. ʻO ka ʻike ʻana i ka ʻokoʻa ma waena o nā hōʻailona ola maʻamau a me nā hōʻailona e pili ana hiki ke kōkua iā ʻoe e ʻimi i ke kōkua ke pono.

Pono ʻoe e hoʻokaʻaʻike koke i kāu kauka inā ʻike ʻoe i nā hōʻailona koʻikoʻi i ʻoi aku ka maikaʻi ma mua o ka mea i manaʻo ʻia a i ʻole inā ʻaʻole e hoʻomaikaʻi nā hōʻailona maʻamau e like me ka mea e pono ai. E hilinaʻi i kou mau manaʻo - inā he mea hewa loa, ʻoi aku ka maikaʻi o ke kelepona ʻana i kāu hui lapaʻau no ke alakaʻi.

E hoʻokaʻaʻike koke i kāu kauka inā ʻike ʻoe i kekahi o kēia mau hōʻailona e pili ana:

• Ka luaʻi nui a i ʻole ka luaʻi e ʻoi aku ana, e pale ana iā ʻoe mai ka mālama ʻana i nā wai i lalo
• He paʻakikī ka hanu ʻana a i ʻole ka pōkole o ka hanu
• ʻEha o ka umauma a i ʻole ka puʻuwai ʻole
• Nā hōʻailona o ka maʻi e like me ke kuni, nā anu, a i ʻole ka hoʻokuʻu ʻana mai nā wahi ʻoki
• Huikau nui a i ʻole ka disorientation e mau ana ma mua o 24 mau hola
• He ʻeha poʻo nui ʻaʻole e hoʻomaikaʻi me ka hoʻomaha
• Nā hōʻailona o ka hopena maʻi e like me ka ʻōpala, ka pehu, a i ʻole ka paʻakikī o ka ʻai ʻana
• Ke kahe koko ʻano ʻē a i ʻole ke koko i ka luaʻi a i ʻole ka noho

No nā hopohopo liʻiliʻi e like me ka nausea maʻalahi, ka ʻeha maʻamau o ke ʻoki ʻana, a i ʻole nā nīnau e pili ana i kou ola hou ʻana, hiki iā ʻoe ke kelepona i ke keʻena o kāu kauka i nā hola maʻamau. Makemake kāu hui lapaʻau e lohe mai iā ʻoe inā he hopohopo kāu e pili ana i kou ola hou ʻana, no laila mai kānalua e hoʻopili aku ke pono ʻoe i ke alakaʻi.

Nā nīnau i nīnau pinepine ʻia e pili ana i ka anesthesia maʻamau

Q1: He palekana anei ka anesthesia maʻamau no nā maʻi ʻelemakule?

Hiki ke palekana ka anesthesia maʻamau no nā maʻi ʻelemakule ke mālama pono ʻia e nā anesthesiologists i ʻike ʻia. ʻOiai e kū ana nā mākua kahiko i nā pilikia kiʻekiʻe ma muli o nā loli e pili ana i ka makahiki i ko lākou kino, hiki ke hōʻemi ʻia kēia mau pilikia ma o ka hoʻolālā a me ka nānā pono ʻana. E loiloi kāu anesthesiologist i kou olakino holoʻokoʻa, ʻaʻole wale kou makahiki, e hoʻoholo i ke ala palekana loa no kou kūlana.

Hiki i nā maʻi ʻelemakule ke ʻike i nā manawa hoʻōla lōʻihi a me nā pilikia kiʻekiʻe o ka huikau postoperative, akā he manawa pōkole kēia mau hopena. E hana kāu hui lapaʻau i nā hana mālama hou e like me ka hoʻohana ʻana i nā lāʻau lapaʻau haʻahaʻa, e hāʻawi ana i ka nānā ʻana i ka ikaika, a me ka hoʻolālā ʻana no kahi hana hoʻōla lohi. Nui nā maʻi ʻelemakule e hana i ka anesthesia maʻamau i kēlā me kēia lā.

Q2: Hiki iā ʻoe ke ala i luna i ka wā o ka anesthesia maʻamau?

He ala ʻana i ka wā o ka anesthesia maʻamau, i kapa ʻia ʻo ka ʻike anesthesia, he mea laha loa ia, e hana ana ma lalo o 1-2 mau hihia no 1,000 mau kaʻina hana. Kōkua nā mea hana nānā hou i kāu anesthesiologist e hōʻoia e noho ana ʻoe ma ka pae kūpono o ka ʻike ʻole i ka wā o kāu ʻoki. Hoʻomau lākou i ka nānā ʻana i ka hana o kou lolo, ka puʻuwai, a me nā hōʻailona koʻikoʻi ʻē aʻe e pale ai i kēia mai ka hana ʻana.

Inā loaʻa ka ʻike anesthesia, he pōkole ia a pinepine me ka ʻole o ka manaʻo ʻeha, akā hiki ke hoʻopilikia. Hoʻohana kāu anesthesiologist i nā lāʻau lapaʻau he nui e hōʻoia e noho ana ʻoe i ka ʻike ʻole, ʻaʻole e hana i nā hoʻomanaʻo, a ʻaʻole e ʻike i ka ʻeha. ʻOi aku ka kiʻekiʻe o ka pilikia i ka wā o nā ʻokiʻoki pilikia a i ʻole i nā maʻi me kekahi mau maʻi puʻuwai, akā hana kāu hui lapaʻau i nā hana kūikawā i kēia mau kūlana.

Q3: Hoʻopilikia anei ka anesthesia maʻamau i kou hoʻomanaʻo mau loa?

ʻAʻole maʻamau ka anesthesia maʻamau i nā pilikia hoʻomanaʻo mau i nā kānaka olakino. ʻAʻole paha ʻoe e hoʻomanaʻo i kāu kaʻina hana a hiki ke ʻike i kekahi huikau manawa a i ʻole ka poina no kekahi mau hola a i ʻole nā lā ma hope. He mea maʻamau kēia ao hoʻomanaʻo manawa a maʻa mau e hoʻoponopono piha ʻia i ka wā e maʻemaʻe ai ka anesthesia mai kāu ʻōnaehana.

I nā hihia laha, hiki i kekahi poʻe mākua kahiko ke ʻike i nā pilikia hoʻomanaʻo lōʻihi i kapa ʻia ʻo ka hana cognitive postoperative. Hiki i kēia maʻi ke hoʻopilikia i nā pilikia hoʻomanaʻo, ka paʻakikī o ka noʻonoʻo ʻana, a i ʻole ka huikau e mau ana i nā pule a i ʻole nā mahina ma hope o ke ʻoki. Eia naʻe, ke aʻo nei nā mea noiʻi inā he anesthesia ponoʻī ke kumu o kēia mau pilikia a i ʻole pili lākou i ke koʻikoʻi o ke ʻoki, nā kūlana olakino ma lalo, a i ʻole nā mea ʻē aʻe.

Q4: Ehia mau manawa hiki iā ʻoe ke loaʻa i ka anesthesia maʻamau me ka palekana?

ʻAʻohe palena kūikawā i ka nui o nā manawa e hiki ai iā ʻoe ke loaʻa palekana i ka anesthesia maʻamau i kou ola holoʻokoʻa. Nui ka poʻe e hele ana i nā kaʻina hana he nui me ka anesthesia maʻamau me ka ʻole o nā hopena i hōʻiliʻili ʻia a i ʻole nā pilikia i hoʻonui ʻia. I kēlā me kēia manawa e loaʻa ai iā ʻoe ka anesthesia, loiloi kāu anesthesiologist i kou kūlana olakino i kēia manawa a hoʻoponopono i kā lākou hana e pili ana i kāu mau pono pilikino i kēlā manawa.

Eia naʻe, ʻo ka loaʻa ʻana o nā ʻokiʻoki he nui i kahi kokoke kekahi i kekahi e hoʻonui paha i kou pilikia ʻokiʻoki holoʻokoʻa ma muli o ke koʻikoʻi ma kou kino mai nā kaʻina hana hou. E noʻonoʻo kāu hui lapaʻau i kāu mōʻaukala ʻokiʻoki hou, ke kūlana olakino i kēia manawa, a me ka wikiwiki o kāu kaʻina hana i ka wā e hoʻolālā ai i kāu mālama anesthesia. E hana lākou e hōʻemi i nā pilikia a pau i ka wā e hōʻoiaʻiʻo ana e loaʻa iā ʻoe ka mālama palekana loa.

Q5: Hiki iā ʻoe ke koho ʻaʻole e loaʻa ka anesthesia maʻamau no ke ʻokiʻoki?

I kekahi mau hihia, loaʻa paha iā ʻoe nā koho ʻē aʻe i ka anesthesia maʻamau, e like me ka anesthesia regional (e like me nā poloka spinal a i ʻole epidural) a i ʻole ka anesthesia kūloko me ka sedation. E kūkākūkā kāu anesthesiologist i kēia mau koho me ʻoe e pili ana i kāu kaʻina hana kikoʻī, ka mōʻaukala olakino, a me nā makemake pilikino. Eia naʻe, no nā ʻano ʻokiʻoki he nui, ʻo ka anesthesia maʻamau ke koho palekana a kūpono loa.

Pono kekahi mau kaʻina hana i ka anesthesia maʻamau no kou palekana, e like me ke ʻokiʻoki lolo, ke ʻokiʻoki puʻuwai, a i ʻole kekahi hana e pono ai ʻoe e noho mālie loa no nā manawa lōʻihi. E wehewehe kāu hui lapaʻau i ke kumu e ʻōlelo ai lākou i ka anesthesia maʻamau no kāu kūlana kikoʻī a e kamaʻilio i nā hopohopo āu e pili ana i ka loaʻa ʻana. Makemake lākou e ʻoluʻolu a hilinaʻi ʻoe i kāu hoʻolālā anesthesia.