He aha te Sevoflurane: Ngā Whakamahinga, te Inenga, Ngā Pānga Taha me Ētahi Atu

Ko te Sevoflurane he momo hau rongoā e āwhina ana i a koe kia moe hōhonu, kia moe mārire i te wā o te pokanga. Koinei tētahi o ngā rongoā rongoā e whakamahia nuitia ana i roto i ngā rūma whakahaere i te ao katoa, ā, e kiia ana he haumaru, he whai hua hoki ina whakahaerehia e ngā tākuta whakangungu.

No tētahi rōpū tēnei rongoā e kīia ana ko ngā rongoā rongoā hāora, ko te tikanga ka huri mai i te wai ki te hau i te pāmahana rūma. Ka āta whakahaere e tō tākuta rongoā te nui o te hau e hā ana koe kia noho pai koe, kia kore e mōhio i te wā o tō tukanga.

He aha te Sevoflurane e whakamahia ana mō?

Ko te Sevoflurane te mea nui e whakamahia ana hei whakaoho me te pupuri i te rongoā whānui i te wā o ngā tukanga pokanga. Ko te tikanga tēnei e āwhina ana i a koe kia moe i te tīmatanga, ā, ka pupuri tonu koe i te moe i te wā o tō mahi.

Ka whiriwhiria e ngā tākuta te sevoflurane mō te maha o ngā momo pokanga nā te mea e tere ana te mahi, ā, ka taea te huri mārire i te rongoā. He tino whai hua mō ngā tukanga tūroro waho ka hoki koe ki te kāinga i te rā kotahi, nā te mea e tere ana te whakawātea i tō pūnaha.

Ka whakamahia nuitia te rongoā mō ngā pokanga tamariki nā te mea e pai ana te aro o ngā tamariki ki a ia. Ko tōna kakara pai, kāore e riri ana, e māmā ana ki ngā tūroro tamariki te hā i roto i te kanohi i ngā wā tuatahi o te rongoā.

Me pēhea te Mahi a te Sevoflurane?

Ka mahi te Sevoflurane mā te aukati i ngā tohu io i tō roro me tō tuaiwi e whakahaere ana i te mōhiotanga me te āhua o te mamae. Ina hā ana koe i te hau, ka haere mā tō pūkahukahu ki tō toto, ā, ka haere ki tō roro.

E kiia ana he rongoā rongoā kaha, ko te tikanga e kaha ana ki te whakarato i te kore mōhiotanga katoa engari he ngawari ki te tuku i te whakahaere tika. Whakaarohia me he huri dimmer mō tō mōhiotanga, kaua ko te pātene on-off.

E pā ana te rongoā ki ngā wāhi maha o tō pūnaha io i te wā kotahi. Ka pēhi i te mahi roro i ngā rohe e whai wāhi ana ki te mōhiotanga, te hanga mahara, me te tukatuka mamae, e hanga ana i ngā āhuatanga pai mō te pokanga.

Me pēhea taku tango i te Sevoflurane?

Kāore koe e "tango" i te sevoflurane i a koe anō - ka whakahaerehia tonutia e tētahi tohunga rongoā rānei, he nēhi rānei i roto i te hōhipera, i te pokapū pokanga rānei. Ka tukuna te rongoā mā te kanohi manawa, i te ngongo manawa rānei e hono ana ki ngā taputapu motuhake.

I mua i tō tukanga, ka tonoa koe kia karo i te kai, i te inu rānei mō ētahi haora. Ko tēnei wā pōkai, te tikanga 8-12 haora mō ngā kai mārō, me te 2-4 haora mō ngā wai mārama, ka āwhina i te aukati i ngā raruraru i te wā o te rongoā.

Ka tīmata tō kaiwhakarato rongoā ki te kukume iti, ka piki haere i te kukume kia moe katoa koe. Ka aroturukihia tō manawa, te tere o te ngākau, me te pēhanga toto i te wā katoa o te tukanga kia mōhio ai kei te haumaru koe.

Kia pēhea te roa o taku tango i te Sevoflurane?

Ko te roa o te whakahaere sevoflurane e whakawhirinaki ana ki te roa o tō tukanga pokanga. Ka haere tonu tō tohunga rongoā ki te hoatu i te rongoā ki a koe i te wā katoa o tō pokanga kia moe pai ai koe.

Ko te nuinga o ngā tukanga e whakamahi ana i te sevoflurane e 30 meneti ki te ētahi haora. Ka mutu te rongoā i te otinga o tō pokanga, ā, ka ara haere koe i te wā e horo ana i tō pūnaha.

Ko te whakaora mai i te sevoflurane te tikanga ka tere. He maha ngā tūroro ka tīmata ki te ara i roto i te 5-15 meneti i muri i te whakamutunga o te rongoā, ahakoa ka roa te 30-60 meneti te mōhiotanga katoa i runga i te roa o tō tukanga.

He aha ngā pānga taha o te Sevoflurane?

Pērā i ngā rongoā whakamoe katoa, ka pānga ngā pānga taha ki te sevoflurane, ahakoa he wā poto noa iho te nuinga, ka ngaro ana te rongoā i tō tinana. Mā te māramatanga ki ngā mea e tūmanakohia ana ka āwhina i a koe kia rite ake, kia iti ake te āwangawanga.

Ko ngā pānga taha e tino kitea ana ka ngawari noa iho, ka poto te roa. Ka puta ēnei urupare noa nā te mea kei te whakatika tō tinana i te wa e ngaro ana te whakamoe:

• Te whakapairuaki me te ruaki, ina koa i ngā hāora tuatahi i muri i te pokanga
• Te moeā, te pōrangi rānei, ka roa pea te maha o ngā hāora
• Te whanoke, te kore pūmau rānei i te tū tuatahi
• Te korokoro mamae mai i te ngongo manawa (mehemea i whakamahia)
• Te pōraruraru ngawari, te ngaro mahara rānei i te wā o te pokanga
• Te ānini, ka ngaro i roto i te rā kotahi

Ko ēnei pānga noa te urupare tūturu a tō tinana ki te whakamoe, ā, ka pai ake i roto i ngā hāora 24. Ka āwhina tō rōpū whakaora i te whakahaere i ngā mamae e pā ana ki a koe.

Ko ngā pānga taha kāore i te kitea i te nuinga o te wā, engari he nui ake te kino, me whai wāhi tonu te rongoā, ahakoa he uaua te puta. Ka mātakitaki tō rōpū rongoā i ēnei i te wā o te pokanga, i muri hoki:

• Te uaua ki te manawa, ngā tauira manawa rerekē rānei
• Ngā urupare pānga nui ki te kiri, te pūhi, te uaua rānei ki te manawa
• Te ngākau rerekē, ngā huringa nui rānei i te pēhanga toto
• Te ruaki tonu e kore ai e taea e koe te pupuri wai
• Te pōraruraru nui, te ohooho rānei e roa ana i te maha o ngā hāora

Ko ngā raruraru tino uaua ka uru ki te hyperthermia kino, he āhuatanga nui e piki ai te pāmahana o te tinana ki te taumata mōrearea. Ka puta tēnei i roto i te iti iho i te 1 i roto i te 10,000 tāngata, ā, ka taea te rongoā tonu i te wā e mōhiotia ana.

Ko wai kāore e tika ana kia tango Sevoflurane?

He pai tonu te Sevoflurane mō te nuinga o te tāngata, engari ētahi āhuatanga hauora, ā, rānei, ka kore e tika, ka hiahia rānei kia tūpato. Ka arotakehia e tō tākuta rongoā te hītori hauora katoa i mua i te whakatau mēnā he tika mōu.

Me whakamōhio koe i tō rōpū hauora mēnā he āhuatanga ōna, nā te mea ka pā pea ki te whakamahi i te sevoflurane, mēnā rānei he pai ake ētahi rongoā rerekē:

• He mate pāwera ki te sevoflurane, ki ētahi atu rongoā rongoā halogenated rānei
• He hītori whaiaro, whānau rānei o te hyperthermia kino
• He mate ate nui, he hītori rānei o ngā raruraru ate e pā ana ki te rongoā
• Ētahi āhuatanga ira e pā ana ki te tukatuka o tō tinana i ngā rongoā
• He mate tākihi nui e hiahia ana ki te dialysis
• Ētahi āhuatanga ngākau e tino tairongo ana koe ki ngā huringa toto

Me whai whakaaro motuhake te hapūtanga, ahakoa ka taea te whakamahi i te sevoflurane i te wā e tika ana. Ka whakatauritehia e tō tākuta rongoā ngā painga me ngā tūponotanga i runga i tō āhuatanga motuhake me te ohorere o tō tikanga.

Kāore te pakeke i te arai, engari ko ngā tamariki tino pōtiki me ngā tūroro kaumātua ka hiahia pea ki te whakatikatika i te inenga, ki te mātakitaki atu rānei. He nui te wheako o tō rōpū rongoā ki te whakatika i tā rātou huarahi mō ngā tūroro o ngā tau katoa.

Ngā Ingoa Waitohu Sevoflurane

Kei te wātea te Sevoflurane i raro i ētahi ingoa waitohu, ahakoa he rite tonu te rongoā ahakoa te kaihanga. Ko ngā ingoa waitohu tino noa ko Ultane, Sevorane, me ngā momo rongoā whānui.

Ka whakamahia e tō hōhipera, pokapū rānei i te waitohu e wātea ana, ā, kāore koe e hiahia ki te tono i tētahi motuhake. Ko ngā hua sevoflurane katoa kua whakaaetia e tutuki ana i ngā paerewa haumaru me te kounga.

Ka puta pea te ingoa waitohu ki runga i ō rārangi hauora, i ngā kōrero pire rānei, engari kāore tēnei e pā ki te kounga, te haumaru rānei o tō atawhai tairongo. E whiriwhiria ana e tō tākuta tairongo te huarahi tairongo e tika ana i runga i ō hiahia takitahi, kāore i runga i ngā pai o te waitohu.

Ngā Kōwhiringa kē mō te Sevoflurane

He maha atu ētahi tairongo e ngāia ana ka taea te whakamahi hei whakakapi mō te sevoflurane, he rerekē ngā painga me ngā āhuatanga o ia mea. Ka whiriwhiria e tō tākuta tairongo te kōwhiringa pai rawa atu i runga i ō hiahia hauora motuhake me te momo pokanga e pā ana ki a koe.

Ngā kōwhiringa noa ko te desflurane, e mahi ana i te rite ki te sevoflurane engari ka pai ake pea mō ngā tukanga roa, i te wā rānei e nui ana te oho tere. Ko te Isoflurane tētahi atu kōwhiringa, ahakoa e whakamahia ana i tēnei rā i te iti ake nā te kaha o tōna haunga me te puhoi o te tīmatanga.

Mō ētahi tukanga, ka tūtohu pea tō tākuta tairongo i te tairongo i roto i te uaua (TIVA) mā te whakamahi i ngā rongoā pēnei i te propofol hei whakakapi mō ngā ākena e ngāia ana. Ka whai hua tēnei huarahi mō te hunga he hītori o te whakapairuaki nui ki ngā tairongo e ngāia ana.

Ka tika pea ngā tikanga tairongo ā-rohe pēnei i te poraka tuarā, i te poraka epidural rānei mō ētahi pokanga, i ētahi wā ka honoa ki te whakamārie ngawari hei whakakapi mō te tairongo whānui.

He Pai Anei te Sevoflurane i te Propofol?

He kōwhiringa tairongo pai te Sevoflurane me te propofol, engari he rerekē te mahi, ā, he painga motuhake tō ia mea. Kāore i te mea kotahi te mea e tino “pai” ana, engari kei runga i ō āhuatanga takitahi me te momo tukanga e pā ana ki a koe.

E whai ana te Sevoflurane i ētahi painga tae atu ki te whakatikatika i te hōhonutanga o te tairongo i te wā o te pokanga, me te iti ake pea o te pānga ki te pēhanga toto i ētahi tūroro. He pai hoki mō te whakauru kanohi, e whai hua ana mō ngā tamariki, ngā pakeke rānei e māharahara ana ki te whakanoho IV.

Ko te Propofol, ka tukuna mā te IV, he maha ngā wā ka whakarato i te oho mārie ake me te iti o te whakapairuaki mō ētahi tāngata. He maha ngā wā e pai ana mō ngā tukanga poto, mō te wā rānei e tino nui ana te whakaora tere me te mārama.

Ka whakaaro tō tākuta rongoā i ngā mea maha i te wā e whiriwhiri ana i waenga i ēnei kōwhiringa, tae atu ki tō hītori hauora, te roa me te momo o te pokanga, me ō hiahia whaiaro. E rua ngā rongoā rongoā paerewa koura me ngā rekoata haumaru pai.

Ngā Pātai Auau mō Sevoflurane

He Haumaru a Sevoflurane mō te Mate Ngākau?

Ka taea te whakamahi haumaru a Sevoflurane i roto i te nuinga o ngā tāngata e mate ana i te ngākau, ahakoa e hiahia ana kia mātakitaki āta me te whakatikatika i te horopeta i ētahi wā. He pānga whakamarumaru tēnei rongoā rongoā ki te ngākau, ā, he maha ngā wā e pai ana mō ngā tāngata e whai ana i ētahi āhuatanga ngākau.

Ka arotake tō tākuta rongoā i tō āhuatanga ngākau motuhake, ā, ka mahi tahi me tō tākuta ngākau ki te hiahiatia kia mōhio ai ki te huarahi haumaru. Ka whiriwhiria e rātou te whakamahi i ngā kukū iti ake, te whakakotahi rānei i te sevoflurane me ētahi atu rongoā hei whakapai ake i tō pumau ngākau i te wā o te pokanga.

Me Pēhea Taku Mahi Mēnā Ka Pā mai te Whakapairuaki Nui i muri i te Sevoflurane?

Ka taea te whakahaere i te whakapairuaki nui i muri i te sevoflurane mā te rongoā tika, nā reira kaua e whakaroa ki te kōrero ki tō rōpū whakaora tonu. Ka taea e rātou te whakarato i ngā rongoā anti-whakapairuaki e tere ana te mahi hei āwhina i a koe kia pai ake.

Noho takoto mēnā ka pōuri tō mahunga, ā, karo i te ngana ki te kai, ki te inu rānei kia pai ake te whakapairuaki. Ka mātakitaki āta ō nēhi i tō āhuatanga, ā, ka hoatu pea ki a koe ngā wai IV mēnā kāore e taea e koe te pupuri i ngā wai. Ko te nuinga o te whakapairuaki i muri i te rongoā ka ngaro i roto i te 6-12 haora.

Me Pēhea Taku Mahi Mēnā He Āwangawanga Taku mō Taku Whakaora?

Mēnā he āwangawanga ō mō tō whakaora mai i te sevoflurane, whakapā atu ki tō rōpū pokanga, ki tō tākuta rongoā rānei tonu. E wātea ana rātou ki te whakautu i ngā pātai me te whakatika i ngā tohu e āwangawanga ana koe.

Waea tonu atu mēnā ka pā koe ki te uaua ki te manawa, te rangirua nui e roa ana neke atu i te torutoru haora, te ruaki tonu, ētahi tohu rānei e ahua rereke ana, e māharahara ana rānei. He pai ake te rongo mai o tō rōpū hauora i a koe mō tētahi mea iti iho i te ngaro i te whakatika i tētahi take nui.

Āhea Āku e Āhei ai te Taraiwa i muri i te Whiwhinga Sevoflurane?

Kaua koe e taraiwa mō te iti rawa 24 haora i muri i te whiwhinga sevoflurane, nā te mea ka pā te rongoā ki tō wā urupare me te kaha ki te whakatau whakatau ahakoa i muri i tō whakaaro kia tūpato. Ko te nuinga o ngā whare hauora e hiahia ana kia whai tangata kē koe hei taraiwa i a koe ki te kāinga i muri i te pokanga.

Ko tō kaha ki te taraiwa haumaru e whakawhirinaki ana ki ētahi mea pēnei i te roa o tō pokanga, ētahi atu rongoā i whiwhi koe, me te pēhea o tō whakaaro whānui. Ko ētahi tāngata e whakaaro ana kua rite ki te taraiwa i muri i te 24 haora, i te wā e hiahia ana ētahi atu 48 haora, neke atu rānei kia tino hoki ki te noa.

Ka Taea e Āku te Whiwhi Sevoflurane Mēnā e Hapū ana Āku?

Ka taea te whakamahi sevoflurane i te wā e hapū ana i te wā e tika ana te pokanga, ahakoa ka āta whakatau tō tākuta rongoā i ngā painga me ngā tūponotanga. Kāore te rongoā e ahua ai te hē o te whānautanga, engari ko te karo i ngā rongoā katoa i te wā e hapū ana te mea pai ina taea.

Mēnā e hiahia ana koe ki te pokanga ohorere i te wā e hapū ana, ka whakaarohia ko sevoflurane tētahi o ngā kōwhiringa rongoā haumaru e wātea ana. Ka mahi tahi tō rōpū rongoā me tō tākuta whānau kia āta mātakitaki i a koe me tō pēpi puta noa i te tukanga me te whakatika i tā rātou huarahi i te wā e tika ana.