Ni iki cyitwa Anesthesia Rusange? Ibimenyetso, Ibiteye, & Ubuvuzi bwo mu Rugo

Anesthesia rusange ni uburyo bwa muganga bugushyira mu gihumure kirekire, kigenzurwa mugihe cyo kubagwa cyangwa ibindi bikorwa by'ubuvuzi. Ni urwego rwitondewe cyane aho uba utazi na gato, ntuzumva ububabare, ntuzibuka icyo gikorwa, cyangwa ngo ugire icyo wimuka mugihe cyo kubagwa.

Bitekereze nk'akaruhuko k'agateganyo, kagaruka ku bwenge bwawe mugihe abaganga bakora. Umuganga wawe w'indwara z'ubuzima akoresha imiti yihariye itangwa mu nzira zitandukanye kugirango yemeze ko wumva umeze neza kandi ufite umutekano mugihe cyose cy'igikorwa cyawe.

Ni iki cyitwa Anesthesia Rusange?

Anesthesia rusange ni uruvange rw'imiti igutera kutamenya na gato mugihe cyo gukora ibikorwa by'ubuvuzi. Bitandukanye na anesthesia yo mu gace kamwe gusa gihumura ahantu hamwe, anesthesia rusange igira ingaruka ku mubiri wawe wose n'ubwonko.

Mugikorwa cya anesthesia rusange, uzaba uri mu rwego rurenze gusinzira. Ibikorwa byawe by'ubwonko bigenda bigabanuka cyane, kandi ntuzasubiza ububabare, amajwi, cyangwa gukora. Umuganga w'indwara z'ubuzima akurikirana ibimenyetso byawe by'ingenzi kandi agahindura imiti mugihe cyose cy'igikorwa kugirango akugumane ufite umutekano.

Ubu buryo buragaruka rwose. Iyo igikorwa kirangiye, imiti irashira buhoro buhoro, ukanguka ahantu ho gukira ukurikiranwa n'abaganga.

Anesthesia Rusange Yumvikana Gute?

Abantu benshi basobanura uburambe nk'ukuntu "gusinzira" gusa hanyuma ukanguka nta kwibuka igihe cyose kiri hagati. Ubusanzwe ntuzibuka umwanya usinzirira cyangwa igikorwa ubwacyo.

Mbere yuko anesthesia itangira, ushobora kumva unaniwe cyangwa utuje kubera imiti yabanje. Itangira ryayo risanzwe riba mumasegonda cyangwa iminota, bitewe n'uburyo bwo gutanga. Uzajya mu gihumure mu mahoro, bisa no gusinzira cyane.

Iyo ubyutse, ushobora kumva urushye, wibeshya, cyangwa ufite isesemi. Ibi bigaragara ni ibisanzwe kandi birashira uko imiti ivuye mu mubiri wawe. Abantu bamwe bumva bakonje cyangwa bafite umunwa wumye mbere na mbere.

Ni iki gitera gukenera anesthesia rusange?

Anesthesia rusange iba ngombwa iyo ukeneye kubagwa cyangwa ibikorwa byakabaye bibabaza cyane, bifata igihe kirekire, cyangwa bigoye gukora ubyutse. Bituma uguma utuje rwose kandi wumva umeze neza mugihe cyo kubagwa.

Ibintu bitandukanye bituma anesthesia rusange ariyo nziza kuri wowe:

• Kubagwa gukomeye bikubiyemo igituza, inda, cyangwa ubwonko
• Ibikorwa bifata igihe kirekire bimara amasaha menshi
• Ibikorwa bisaba imyanya ihamye cyangwa kuruhuka kw'imitsi
• Ibikorwa aho anesthesia yo mu gace itatanga uburyo bwo kugenzura ububabare buhagije
• Kubagwa byihutirwa aho igihe ari ingenzi
• Kwiganyira kw'umurwayi cyangwa indwara zituma kuguma ubyutse bigorana

Itsinda ry'abaganga bakubaga bazirikana ubuzima bwawe muri rusange, uko ibikorwa bigoye, n'uko wumva umeze neza mugihe bafata icyemezo cy'ubwoko bwa anesthesia. Rimwe na rimwe anesthesia rusange ni yo nziza kandi y'ubumuntu.

Ni izihe nzira zitandukanye zo gutanga anesthesia rusange?

Anesthesia rusange ishobora gutangwa hakoreshejwe inzira zitandukanye mu mubiri wawe. Uburyo bwose bufite inyungu zihariye bitewe n'ibikorwa byawe n'ibikenewe by'ubuvuzi.

Umuhanga wawe mu by'ubuvuzi azahitamo inzira ikwiriye cyane bitewe n'ibintu nk'igihe kubagwa kwawe kumara, uko ubuzima bwawe bumeze, n'ubwoko bw'ibikorwa uri gukora.

Inzira yo guhumeka

Anesthesia yo guhumeka ikubiyemo guhumeka gazi ya anesthesia hakoreshejwe agapfukamunwa cyangwa uruhago rwo guhumeka. Ubu buryo butuma habaho kugenzura neza ubujyakuzimu bwa anesthesia mugihe cyose cy'ibikorwa byawe.

Ibiyobyabwenge bisanzwe bikoreshwa mu guhumeka harimo sevoflurane, desflurane, na isoflurane. Izi gazi zivangwa na ogisijeni kandi zikoreshwa hakoreshejwe ibikoresho byihariye bikurikirana neza urugero urimo kubona.

Inyungu yo gukoresha anesthesia yo guhumeka ni uko ishobora guhindurwa umwanya ku wundi mugihe cyo kubagwa. Niba ukeneye anesthesia yimbitse cyangwa yoroheje, umuganga wawe ushinzwe anesthesia ashobora guhindura umuvuduko wa gazi ako kanya.

Uburyo bwa Parenteral (Intravenous)

Anesthesia ya Parenteral bisobanura ko imiti itangwa mu maraso yawe binyuze mu murongo wa IV. Ubu buryo bukora vuba cyane kuko imiti idakeneye gukururwa binyuze mu nzira yawe yo mu gifu.

Ibiyobyabwenge bisanzwe bikoreshwa muri IV harimo propofol, etomidate, na ketamine. Iyi miti mubisanzwe ituma uburuhukira mu gihe kingana n'amasegonda 30 kugeza kuri 60 nyuma yo guterwa urushinge.

Anesthesia ya IV akenshi ikoreshwa mugutangiza inzira ya anesthesia mbere yo kwimukira kuburyo bwo guhumeka. Ni n'uburyo bwibanze bwo gukoresha uburyo bugufi cyangwa iyo gushyira umuyoboro wo guhumeka bitari ngombwa.

Uburyo bwa Rectal

Anesthesia ya Rectal ikubiyemo gushyira umuti muri rectum, aho ukururwa mu maraso. Ubu buryo ntibukoreshwa cyane ariko bushobora gufasha mubibazo byihariye.

Ubu buryo rimwe na rimwe buhitwamo kubana bato bafite impungenge kubijyanye n'inshinge cyangwa maski. Ikoreshwa kandi iyo kubona IV bigoye cyangwa iyo umurwayi afite indwara zimwe na zimwe zikora ku zindi nzira.

Anesthesia ya Rectal mubisanzwe bitwara igihe kirekire kugirango bikore kurusha uburyo bwa IV, mubisanzwe iminota 10 kugeza kuri 30. Gutangira biroroshye kandi buhoro buhoro kurusha imiti yo mu maraso.

Anesthesia Rusange ni Ikimenyetso cyangwa Ikimenyetso cy'iki?

Anesthesia rusange si ikimenyetso cy'ikibazo icyo aricyo cyose. Ahubwo, ni ubuvuzi bukenerwa iyo ukeneye kubagwa cyangwa uburyo bugusaba kutamenya.

Impamvu yo gukoresha anesthesia rusange mubisanzwe yerekana ko uri gukorerwa uburyo bwo kuvura bujyanye n'ibice bimwe na bimwe. Muganga wawe arabigushimira bitewe n'uburyo bukomeye n'uburyo bwo kwinjiramo by'ibyo bigomba gukorwa.

Rimwe na rimwe, ibisabwa bya anesthesia rusange byerekana uburemere bw'uburwayi bwawe bw'ibanze. Ibibazo byinshi by'ubuzima bigoye akenshi bisaba uburyo bwo kubaga bwisumbuyeho bisaba anesthesia yimbitse.

Ese urashobora koroherwa na Anesthesia Rusange wenyine?

Umubiri wawe mu buryo busanzwe ukora kandi ugakuraho imiti ya anesthetic nyuma y'igihe, ariko uzakenera kugenzurwa na muganga mugihe cyo koroherwa. Anesthesia izashira yonyine, ariko abaganga baragukurikirana kugirango barebe ko byose bigenda neza.

Imiti myinshi ya anesthetic yagenewe gukurwaho mumubiri wawe mumasaha make. Umwijima wawe n'impyiko bikorera hamwe kugirango bikore kandi bikureho iyi miti mumubiri wawe.

Gukira bibaho mubice, bitangira no gusubirana ubwenge buhoro buhoro no gusubira mubushishozi busanzwe. Ubu buryo burashobora gufata iminota 30 kugeza kumasaha menshi, bitewe nubwoko n'umubare wa anesthesia yakoreshejwe.

Wakwitegura ute Anesthesia Rusange murugo?

Kwitegura neza murugo birashobora gufasha kumenya ko uburambe bwawe bwa anesthesia bugenda neza. Gukurikiza amabwiriza y'ikipe yawe y'ubuvuzi neza ni ngombwa kugirango umutekano wawe ugende neza.

Kwitegura kwawe mubisanzwe bitangira iminsi myinshi mbere yuburyo bwawe kandi bikubiyemo intambwe zihariye zo kunoza ubuzima bwawe:

• Reka kurya no kunywa ku gihe cyagenwe mbere yo kubagwa
• Fata cyangwa ureke imiti nk'uko byategetswe na muganga wawe
• Teganya umuntu uzakujyana mu rugo nyuma yo kuvurwa
• Kura polish y'inzara, imitako, na contact lenses
• Karaba ukoresheje isabune irwanya mikorobe niba byategetswe
• Uruhuke bihagije mu ijoro ryo mbere yo kuvurwa
• Kurikiza amabwiriza yihariye kubijyanye n'indwara zidakira

Ibi byiteguro bifasha kugabanya ibyago no kumenya neza ko anesthesia ikora neza. Umuganga wawe w'indwara z'uburwayi bw'ibihaha akeneye umubiri wawe mu buryo bwiza bushoboka kugira ngo atange ubuvuzi bwizewe.

Ni iki gikurikizwa mu kuvura indwara hifashishijwe anesthesia rusange?

Anesthesia rusange ikurikiza uburyo bwitondewe, intambwe ku yindi buyoborwa na muganga wawe w'indwara z'uburwayi bw'ibihaha. Ubuvuzi bugizwe n'ibice bitatu by'ingenzi: itangizwa, ikorwa, no gukanguka.

Mugihe cyo gutangiza, uzakira imiti kugirango utagira ubwenge. Ibi bikunda kubera mu cyumba cyo kubagiramo, aho umuganga wawe w'indwara z'uburwayi bw'ibihaha azashyiraho ibikoresho byo gukurikirana no gutangiza imiti ya anesthesia.

Igice cyo gukora kigufasha kutagira ubwenge mugihe cyose cyo kubagwa. Umuganga wawe w'indwara z'uburwayi bw'ibihaha akomeza gukurikirana ibimenyetso byawe by'ingenzi kandi agahindura imiti kugirango agumane urwego rukwiye rwa anesthesia kubijyanye n'ubuvuzi bwawe.

Gukanguka ni uburyo bwo gukanguka butangira mugihe kubagwa kwawe kurangira. Umuganga wawe w'indwara z'uburwayi bw'ibihaha ahagarika imiti ya anesthesia kandi agufasha gukanguka buhoro buhoro mu buryo bugenzurwa.

Ni ryari ukwiye kuvugana na muganga wawe kubijyanye na anesthesia rusange?

Ukwiye guhamagara ikipe yawe y'ubuvuzi ako kanya niba ubonye ibimenyetso bimwe na bimwe nyuma ya anesthesia rusange. Nubwo ingaruka nyinshi ziba zoroshye kandi zikaba iz'agateganyo, ibibazo bimwe na bimwe bisaba ubufasha bwihuse bw'ubuvuzi.

Hamagara muganga wawe ako kanya niba ugize ibimenyetso bibangamiye nyuma ya anesthesia:

• Uburwayi bukomeye bwo kuruka cyangwa kuruka bikubuza kugumana amazi
• Kugorana guhumeka cyangwa guhumeka nabi
• Urubavu rubabaza cyangwa umutima utera nabi
• Urugero rukomeye cyangwa guta ubwenge
• Ibimenyetso byo kwibasirwa n'umubiri nk'uruhu, kubyimba, cyangwa kugorana guhumeka
• Urujijo rurambye cyangwa ibibazo byo kwibuka bimara amasaha arenga 24
• Urubavu rurenze 101°F (38.3°C)

Ibi bimenyetso bishobora kugaragaza ingorane zikeneye isuzuma ryihutirwa ry'ubuvuzi. Abantu benshi bakira anesthesia nta kibazo, ariko ni ngombwa kumenya igihe cyo gushaka ubufasha.

Ni Ibihe Bintu Bitera Ingorane Zituruka ku Anesthesia Rusange?

Ibintu bimwe na bimwe bishobora kongera ibyago byo kugira ingorane zituruka kuri anesthesia rusange. Kumva ibyo byago bifasha ikipe yawe y'ubuvuzi gutanga uburyo bwizewe bushoboka.

Umuhanga wawe wa anesthesia azasuzuma amateka yawe y'ubuvuzi n'ubuzima bwawe bwa none kugirango amenye ibintu byose bishobora kugira ingaruka ku byo wunguka muri anesthesia:

• Ubukure bwinshi (imyaka irenga 65)
• Indwara y'umutima cyangwa imirimo y'umutima idasanzwe
• Ibibazo by'ibihaha nk'umwuka cyangwa COPD
• Indwara y'impyiko cyangwa umwijima
• Diabetes cyangwa ibibazo byo kugenzura isukari mu maraso
• Umubyibuho ukabije cyangwa apnea yo gusinzira
• Uburyo bwo kwibasirwa nabi na anesthesia mbere
• Ukunywa itabi cyangwa gukoresha inzoga nyinshi
• Imiti cyangwa ibiyobyabwenge bimwe na bimwe

Kugira ibintu by'ibyago ntibisobanura ko udashobora kugira anesthesia rusange mu buryo bwizewe. Bisobanura gusa ko ikipe yawe y'ubuvuzi izafata ingamba zidasanzwe kandi ikugenzure neza cyane mugihe cyo gukora no nyuma y'igikorwa cyawe.

Ni Izihe Ngorane Zishoboka za Anesthesia Rusange?

Mugihe anesthesia rusange muri rusange ari nziza cyane, nk'ubundi buryo bwo kuvura, ishobora kugira ingorane zishoboka. Ingaruka nyinshi ziba zoroshye kandi z'agateganyo, ariko kumva ibishoboka bifasha gufata ibyemezo bifite isesengura.

Ingorane zisanzwe, zitari nziza cyane zikunda gukemuka zonyine zirimo:

• Uburwayi bwo kuruka no kuribwa
• Umuhogo uribwa biturutse ku tuyunguruzo tw'umwuka
• Ukunanirwa no kuvurungana
• Ugutitira cyangwa kumva ukonje
• Ibibazo byoroheje byo kwibuka mu masaha make
• Umunwa wumye cyangwa ijwi riranguruye

Ibi bikunze gukira mu masaha make cyangwa iminsi nyuma yo kubagwa. Itsinda ry'abaganga rishobora gutanga imiti yo gufasha gukemura ibibazo byose.

Ibikomere bikomeye biragoye ariko bishobora kwibandaho ibibazo byo guhumeka, impinduka z'umutima, cyangwa ibimenyetso by'uburwayi. Umuganga wawe w'ibijyanye n'uburwayi bw'umubiri yatojwe gukumira no gukemura ibi bibazo nibiramuka bibaye.

Ese ubwoko bw'uburwayi bw'umubiri ni bwiza cyangwa ni bubi ku ndwara zitandukanye?

Uburwayi bw'umubiri bugira ingaruka ku bantu mu buryo butandukanye bitewe n'ubuzima bwabo bw'ibanze. Ku bantu benshi, ni igice cy'ingenzi kandi gikenewe cy'ubuvuzi bw'ububagizi, ariko ibibazo bimwe na bimwe bisaba kwitonderwa byihariye.

Niba ufite indwara y'umutima, umuganga wawe w'ibijyanye n'uburwayi bw'umubiri azagenzura neza umutima wawe n'umuvuduko w'amaraso mu gihe cyose cyo kubagwa. Uburyo bwa none bwo kuvura indwara z'umubiri muri rusange burizewe ku bantu bafite indwara z'umutima zidakuka.

Abantu bafite ibibazo by'ibihaha nka asima cyangwa COPD bakeneye kwitabwaho byihariye mu guhumeka kwabo mu gihe cyo kuvurwa. Itsinda ry'abaganga rizahindura imiterere y'ibikoresho byo guhumeka n'imiti kugira ngo bifashe imikorere y'ibihaha byawe.

Niba ufite diyabete, urugero rw'isukari mu maraso yawe ruzagenzurwa neza mu gihe cyo kuvurwa. Umunaniro wo kubagwa n'imiti imwe n'imwe bishobora kugira ingaruka ku isukari mu maraso, bityo gucunga neza ni ingenzi.

Ni iki gishobora kwitiranywa n'uburwayi bw'umubiri?

Uburwayi bw'umubiri ubwabwo ntibukunze kwitiranywa n'izindi ndwara, ariko bimwe mu ngaruka zabyo zishobora kwitiranywa n'ibindi bibazo by'ubuvuzi. Kumva ibi bisa bifasha kumenya icyo witegura.

Umutima wo kuvurungana cyangwa kumva umubiri utameze neza nyuma yo gukoresha imiti yo kubaga irashobora kwitiranywa n'indwara y'umutsi w'ubwonko cyangwa izindi ndwara zo mu bwonko, cyane cyane ku bantu bakuze. Uku kuvurungana kw'agateganyo ni ibisanzwe kandi bikunda gukira mu masaha make.

Urugimbu no kuruka nyuma yo gukoresha imiti yo kubaga bishobora kwitiranywa no guhumurirwa n'ibiryo cyangwa grip ya mu nda. Ariko, urugimbu rwo nyuma yo gukoresha imiti yo kubaga rukunda gukira vuba kurusha izo zindi ndwara.

Abantu bamwe bahura n'imihindagurikire y'amarangamutima cyangwa kumva ibintu byose, nyuma yo gukoresha imiti yo kubaga, ibyo bishobora kwitiranywa n'agahinda gakabije cyangwa indwara zo mu mutwe. Ibyo byiyumvo bikunda kuba by'agateganyo kandi bifitanye isano n'umunaniro wo kubagwa no gukoresha imiti yo kubaga.

Ibibazo bikunze kwibazwa ku bijyanye no gukoresha imiti yo kubaga

Bifata igihe kingana iki kugira ngo umuntu abyuke nyuma yo gukoresha imiti yo kubaga?

Abantu benshi batangira kubyuka mu minota 5 kugeza ku 15 nyuma yo guhagarika imiti yo kubaga. Ariko, kumva umeze neza rwose bishobora gufata amasaha menshi. Igihe nyacyo giterwa n'ubwoko n'ubwinshi bw'imiti yo kubaga yakoreshejwe, imyaka yawe, n'ubuzima bwawe muri rusange.

Uko ugaruka mu buzima bisaba ibyiciro, bitangira no gufungura amaso yawe no gusubiza mu ijwi, hanyuma buhoro buhoro ukaba maso kandi uzi aho uri. Kugaruka rwose mu buzima busanzwe bwo mu mutwe bikunda gufata amasaha 6 kugeza kuri 24.

Ese nzavuga ibintu biteye isoni mu gihe mbyuka nyuma yo gukoresha imiti yo kubaga?

Nubwo abantu bamwe bahangayika ku bijyanye no kuvuga ibintu bidakwiriye mu gihe bakira, ibi ni gake cyane. Abantu benshi bararyamye gusa kandi bavurunganye aho kuba abantu badashobora kwifata mu gihe babyuka nyuma yo gukoresha imiti yo kubaga.

Niba uvuga mu gihe ukira hakiri kare, akenshi ni amagambo avurunganye cyangwa adasobanutse aho kuba ibanga rishobora kuvumburwa. Itsinda ryawe ry'abaganga ni abanyamwuga kandi bamenyereye abarwayi bari mu bihe bitandukanye byo kumenya ibintu mu gihe bakira.

Ese urashobora kurota mu gihe ukoresha imiti yo kubaga?

Kurota by'ukuri mugihe cyo kubagwa rusange bikoreshwa neza ntibisanzwe. Iyo uri munsi y'ububabare rusange, imikorere y'ubwonko bwawe irahagarikwa kugeza ku rwego rutarinda gutuma inzozi zibaho.

Abantu bamwe bavuga ibintu bisa n'inzozi, ariko ibi bikunda kubaho mugihe cyo kujya munsi cyangwa gukanguka. Inzozi zigaragara cyane mu minsi ikurikira kubagwa mugihe imiterere yo gusinzira kwawe isubira mu buryo busanzwe.

Abaganga bamenya bate niba ububabare bukora neza?

Umuhanga wawe mu kubaga akoresha uburyo bwinshi bwo gukurikirana kugirango yemeze ko ukoreshwa neza mugihe cyose cyo kubagwa. Ibi birimo kureba imikorere y'ubwonko bwawe, umuvuduko w'umutima, umuvuduko w'amaraso, n'imiterere yo guhumeka.

Ibikoresho bigezweho bishobora kumenya impinduka ntoya muburyo umubiri wawe witwara biranga ko utari munsi y'ububabare bihagije. Umuhanga wawe mu kubaga ahindura imiti buri gihe ashingiye kuri ibi bipimo.

Ese ububabare rusange bushobora gutera kwibagirwa burundu?

Kwibagirwa burundu biturutse ku bubabare rusange ntibisanzwe cyane kubantu bafite ubuzima bwiza. Abantu benshi bahura gusa n'urujijo rw'igihe gito cyangwa umwotsi ushira mumasaha cyangwa iminsi nyuma yo kubagwa.

Muri bamwe mu bantu bakuze cyangwa abantu bafite ibibazo byo kumenya, hashobora kubaho ingaruka zirambye, ariko ibi bikunda gufitanye isano n'umunaniro wo kubagwa kurusha ububabare ubwabwo. Itsinda ryawe ry'abaganga rizaganira ku ngaruka zihariye zishingiye ku miterere yawe bwite.