Sevoflurane ni iki: Ibikoresho, Urutonde rw'imiti, Ingaruka zayo n'ibindi

Sevoflurane ni ubwoko bw'umwuka w'umuti w'ibinyabutabazi ugufasha gusinzira cyane kandi bigenzurwa mu gihe cyo kubagwa. Ni umwe mu miti y'ibinyabutabazi ihumeka ikoreshwa cyane mu byumba byo kubagira ku isi hose, kandi ifatwa nk'umutekano kandi ikora neza iyo itangwa n'abaganga bafite ubumenyi.

Uyu muti ubarirwa mu itsinda ryitwa ibinyabutabazi bikorwaho, bivuze ko bihinduka amazi akava mu mwuka ku bushyuhe busanzwe. Umuganga wawe w'ibinyabutabazi azagenzura neza urugero uhumeka kugirango ugume wumva neza kandi utazi ibiri kuba mu gihe cyo kubagwa.

Sevoflurane ikoreshwa mu iki?

Sevoflurane ikoreshwa cyane cyane mu gutera no gukomeza ibinyabutabazi rusange mu gihe cyo kubagwa. Ibi bivuze ko bifasha gusinzira mbere na mbere kandi bikagufasha gusinzira mu gihe cyo kubagwa.

Abaganga bahitamo sevoflurane kubwoko bwinshi bwo kubagwa kuko ikora vuba kandi ikemerera guhinduka neza mu gihe cyo gukoresha ibinyabutabazi no kubivamo. Bifitiye akamaro cyane cyane mu kubagwa abantu bazataha uwo munsi, kuko isohoka mu mubiri wawe vuba.

Uyu muti kandi ukoreshwa cyane mu kubaga abana kuko abana bakunda kuwihanganira neza. Impumuro nziza, itarakaza ituma byoroha kubarwayi bato guhumeka binyuze mu gapfukamunwa mu ntangiriro yo gukoresha ibinyabutabazi.

Sevoflurane ikora ite?

Sevoflurane ikora mu gihe gito ibuza ibimenyetso by'imitsi mu bwonko bwawe no mu mugongo bigenzura ubwenge n'ububabare. Iyo uyihumeka, igenda mu muhaha wawe ikinjira mu maraso yawe hanyuma ikajya mu bwonko bwawe.

Ibi bifatwa nk'ibinyabutabazi bikomeye, bivuze ko bikomeye bihagije kugirango bitume utagira ubwenge ariko bigahoraho bihagije kugirango bigenzurwe neza. Tekereza nk'umucyo wo gucisha amaso ku bwenge bwawe aho kuba buto yo gufungura no gufunga.

Uyu muti ugira ingaruka ku bice byinshi by'imitsi yawe icyarimwe. Ubangamira imikorere y'ubwonko mu turere dushinzwe kumenya, kwibuka, no gutunganya uburibwe, bigatuma habaho ibintu byiza byo kubagwa.

Nkwiriye Gufata Sevoflurane Nte?

Mu by'ukuri ntabwo "ufata" sevoflurane ubwawe - buri gihe itangwa n'umuganga w'inzobere mu kubaga cyangwa umuforomo w'inzobere mu kubaga mu bitaro cyangwa ahantu habagirwa. Uyu muti utangwa unyuze mu gapfukamunwa cyangwa uruhago rwo guhumeka ruhujwe n'ibikoresho byihariye.

Mbere yo kubagwa, akenshi usabwa kwirinda kurya cyangwa kunywa amasaha menshi. Iki gihe cyo kwiyiriza, akenshi amasaha 8-12 ku biryo bikomeye na 2-4 ku byo kunywa byoroshye, bifasha kwirinda ingorane mu gihe cyo kubagwa.

Umutanga w'ibiyobyabwenge azatangira n'umubare muto hanyuma akawongera buhoro buhoro kugeza usinziriye neza. Bazagenzura guhumeka kwawe, umuvuduko w'umutima, n'umuvuduko w'amaraso buri gihe mu gihe cyose cyo kubagwa kugira ngo bamenye ko ufite umutekano.

Nkwiriye Gufata Sevoflurane Igihe Kingana Gite?

Igihe cyo gutanga sevoflurane giterwa n'igihe cyose cyo kubagwa kwawe kimara. Umuganga wawe w'inzobere mu kubaga azakomeza kuguha uyu muti mu gihe cyose cyo kubagwa kwawe kugira ngo ukomeze gusinzira neza.

Uburyo bwinshi bukoresha sevoflurane bumara iminota 30 kugeza ku masaha menshi. Uyu muti urahagarara iyo kubagwa kwawe kurangije, kandi buhoro buhoro uzakanguka uko uva mu mubiri wawe.

Kuvuka mu gihe cya sevoflurane akenshi bibaho vuba. Abarwayi benshi batangira gukanguka mu minota 5-15 nyuma yo guhagarika uyu muti, nubwo kumenya neza bishobora gufata iminota 30-60 bitewe n'igihe cyo kubagwa kwawe.

Ni Iyihe Ngaruka Ziterwa na Sevoflurane?

Kimwe n'imiti yose ikoreshwa mu kubaga, sevoflurane irashobora gutera ingaruka zinyuranye, nubwo nyinshi muri zo ziba iz'igihe gito zigashira igihe umuti uva mu mubiri wawe. Kumva ibyo witegura bishobora kugufasha kwitegura neza kandi ntugire impungenge nyinshi.

Ingaruka zikunze kugaragara cyane ushobora guhura nazo muri rusange ziba zoroshye kandi zikamarana igihe gito. Izi ngaruka zisanzwe zibaho kuko umubiri wawe uba uhinduka igihe umuti wo kubaga ugenda ushiramo:

• Urugarika no kuruka, cyane cyane mu masaha make ya mbere nyuma yo kubagwa
• Gusinzira no kumva umubiri uremerewe bishobora kumara amasaha menshi
• Kuribwa umutwe cyangwa kumva utameze neza igihe uhagurutse bwa mbere
• Kuribwa mu muhogo biturutse ku tuyunguruzo tw'umwuka (niba twarakoreshejwe)
• Kuvurungana guto cyangwa kwibagirwa ibintu byabaye igihe cyo kubagwa
• Kuribwa umutwe bikunda gushira mu munsi umwe

Izi ngaruka zisanzwe ni uburyo umubiri wawe witwara ku muti wo kubaga kandi akenshi zikongera cyane mu masaha 24. Itsinda ryawe ryo kuvura rizagufasha guhangana n'ububabare ubwo aribwo bwose uhura nabwo.

Ingaruka zitagaragara cyane ariko zikomeye zisaba ubufasha bwihuse bw'abaganga, nubwo zibaho gake cyane. Itsinda ryawe ry'abaganga rirazikurikirana neza igihe cyose cyo kubagwa na nyuma yaho:

• Kugorana guhumeka cyangwa uburyo bujya gusa bwo guhumeka
• Ubwivumbagatanyo bukomeye bw'umubiri hamwe n'imivumbagatanyo, kubyimba, cyangwa kugorana guhumeka
• Umutima utagenda neza cyangwa impinduka zikomeye mu gipimo cy'amaraso
• Kuruka bidahagarara bikubuza gufata amazi
• Kuvurungana gukabije cyangwa guhangayika kumara amasaha arenga make

Ingorane zitagaragara cyane cyane zirimo hyperthermia mbi, uburwayi bukomeye aho ubushyuhe bw'umubiri buzamuka cyane. Ibi bibaho ku barwayi batarenga 1 kuri 10,000 kandi bivurwa ako kanya igihe byamenyekanye hakiri kare.

Ninde utagomba gufata Sevoflurane?

Sevoflurane muri rusange ni umutekano ku bantu benshi, ariko indwara zimwe na zimwe cyangwa ibihe bishobora gutuma bitabereye cyangwa bigasaba ingamba zidasanzwe. Umuganga wawe w’ibijyanye n’ibitotsi azasuzuma amateka yawe yose y’ubuvuzi mbere yo gufata icyemezo niba bikwiriye kuri wowe.

Ugomba kumenyesha ikipe yawe y’ubuvuzi niba ufite imwe muri izi ndwara, kuko zishobora kugira ingaruka ku buryo sevoflurane ikoreshwa cyangwa niba ibindi bitotsi byaba byiza:

• Kumenya allergie kuri sevoflurane cyangwa izindi anesthetics za halogenated
• Amateka yawe bwite cyangwa umuryango wa hyperthermia mibi
• Indwara ikomeye y’umwijima cyangwa amateka y’ibibazo by’umwijima bifitanye isano n’ibitotsi
• Indwara zimwe na zimwe za genetike zigira ingaruka ku buryo umubiri wawe ukoresha anesthetics
• Indwara ikomeye y’impyiko isaba dialysis
• Indwara zimwe na zimwe z’umutima zituma wumva cyane impinduka z’umuvuduko w’amaraso

Gusama bisaba gutekereza byihariye, nubwo sevoflurane ishobora gukoreshwa neza igihe bibaye ngombwa. Umuganga wawe w’ibijyanye n’ibitotsi azagereranya inyungu n’ibibazo bishingiye ku miterere yawe yihariye n’uburyo bwihutirwa bw’ibikorwa byawe.

Imyaka ntigomba kuba inzitizi, ariko abana bato cyane n’abarwayi bakuze bashobora gukenera imiti ihinduka cyangwa gukurikiranwa by’inyongera. Ikipe yawe y’ibitotsi ifite uburambe buhagije bwo guhuza uburyo bwabo ku barwayi b’imyaka yose.

Amazina ya Sevoflurane

Sevoflurane iboneka munsi y’amazina menshi y’ubwoko, nubwo umuti ubwawo usa neza hatitawe ku mukora. Amazina asanzwe y’ubwoko arimo Ultane, Sevorane, n’uburyo butandukanye bwa generic.

Ibitaro byawe cyangwa ikigo cy’ububaguzi bizakoresha ubwo bwoko bafite, kandi ntugomba guhangayika no gusaba icyo runaka. Ibicuruzwa byose byemewe bya sevoflurane byujuje ubuziranenge bumwe n’ubuziranenge.

Izina ry'ubwoko rishobora kugaragara ku nyandiko zawe z'ubuvuzi cyangwa ku makuru y'ishyura, ariko ibi ntibigira ingaruka ku bwiza cyangwa umutekano w'ubuvuzi bwawe bwo kubaga. Umuganga wawe w'ibijyanye no kubaga ahitamo uburyo bukwiye bwo kubaga bushingiye ku byo ukeneye, atari ku byo akunda.

Uburyo bwo gusimbuza Sevoflurane

Izindi ntero nyinshi zihumekwa zirashobora gukoreshwa mu mwanya wa sevoflurane, buri imwe ifite ibyiza byayo n'imiterere yayo. Umuganga wawe w'ibijyanye no kubaga azahitamo uburyo bwiza bushingiye ku byo ukeneye mu buvuzi no ku bwoko bw'ubuganga urimo gukorerwa.

Uburyo busanzwe bwo gusimbuza burimo desflurane, ikora kimwe na sevoflurane ariko ishobora gukundwa mu gihe imirimo imara igihe kirekire cyangwa igihe gukanguka vuba cyane ari ngombwa. Isoflurane ni ubundi buryo, nubwo bukoreshwa gake uyu munsi kubera impumuro yayo ikomeye no gutangira gake.

Ku mirimo imwe n'imwe, umuganga wawe w'ibijyanye no kubaga ashobora gushimangira ubuvuzi bwose bwo mu maraso (TIVA) akoresheje imiti nka propofol mu mwanya w'ibintu bihumekwa. Ubu buryo bushobora gufasha cyane niba ufite amateka yo kuruka cyane hamwe n'ibintu bihumekwa.

Uburyo bwo kubaga mu karere nka spinal cyangwa epidural blocks birashobora kandi gukwira ku kubaga kumwe, rimwe na rimwe bikomatanywa no gutuza byoroheje mu mwanya w'ubuvuzi rusange.

Ese Sevoflurane iruta Propofol?

Sevoflurane na propofol byombi ni uburyo bwiza bwo kubaga, ariko bikora mu buryo butandukanye kandi buri kimwe gifite ibyiza byihariye. Aho kuba kimwe cyose

Propofol, itangwa binyuze muri IV, akenshi ituma umuntu abyuka neza kandi atagira isesemi ku barwayi bamwe. Akunda gukoreshwa mu kubaga byoroheje cyangwa igihe umuntu akeneye gukira vuba kandi akaba yatekereza neza.

Umuvuzi wawe w'ibijyanye no kubaga yita ku bintu byinshi iyo ahitamo hagati y'ibi, harimo amateka yawe y'ubuvuzi, igihe cyo kubaga, n'ibyo ukunda. Byombi bifatwa nk'imiti ikomeye yo kubaga ifite umutekano mwinshi.

Ibibazo Bikunze Kubazwa ku bijyanye na Sevoflurane

Ese Sevoflurane irakoreshwa neza ku barwayi bafite indwara z'umutima?

Sevoflurane irashobora gukoreshwa neza ku barwayi benshi bafite indwara z'umutima, nubwo bisaba gukurikiranwa neza kandi rimwe na rimwe imiti igahindurwa. Uyu muti wo kubaga rwose ufite ingaruka zirinda umutima kandi akenshi ukoreshwa ku barwayi bafite indwara zimwe na zimwe z'umutima.

Umuvuzi wawe w'ibijyanye no kubaga azareba indwara yawe y'umutima by'umwihariko kandi akorane n'umuganga w'umutima niba bibaye ngombwa kugirango yemeze ko hari umutekano mwinshi. Barashobora guhitamo gukoresha imiti mike cyangwa bagahuza sevoflurane n'indi miti kugirango barusheho gushimangira umutima wawe mugihe cyo kubaga.

Nkwiriye gukora iki niba ngize isesemi ikabije nyuma ya Sevoflurane?

Isesemi ikabije nyuma ya sevoflurane irashobora kuvurwa neza niba ivuwe neza, bityo ntugatinye kubwira ikipe ikuvura ako kanya. Bashobora gutanga imiti irwanya isesemi ikora vuba kugirango igufashe kumva umeze neza.

Guma uryamye niba wumva uruka, kandi wirinde kugerageza kurya cyangwa kunywa kugeza isesemi igabanutse. Abaforomo bawe bazakurikirana uko umeze kandi bashobora kuguha amazi ya IV niba udashobora kubika amazi. Isesemi nyinshi zigaragara nyuma yo kubaga zikira mu masaha 6-12.

Nkwiriye gukora iki niba mfite impungenge zerekeye gukira kwanjye?

Niba ufite impungenge zerekeye gukira kwawe kuva muri sevoflurane, vugana n'ikipe ikubaga cyangwa umuvuzi wawe w'ibijyanye no kubaga ako kanya. Barahari kugirango basubize ibibazo kandi bavure ibimenyetso byose bikubabaza.

Hamagara ako kanya niba wumva ugorwa no guhumeka, urujijo rukabije rumara amasaha menshi, kuruka bidahagarara, cyangwa ibindi bimenyetso byose bisa nk'ibidahwitse cyangwa biteye impungenge. Itsinda ryawe ry'abaganga ryifuza kukumva ku kintu gito kuruta kurenganya ikibazo gikomeye.

Ni ryari nshobora gutwara imodoka nyuma yo guhabwa Sevoflurane?

Ntabwo ugomba gutwara imodoka byibuze mu masaha 24 nyuma yo guhabwa sevoflurane, kuko umuti ushobora kugira ingaruka ku buryo witwara no gufata ibyemezo nubwo wumva umeze neza. Ibikorwa byinshi by'ubuvuzi bigusaba kugira undi muntu ugutwara nyuma yo kubagwa.

Ubushobozi bwawe bwo gutwara imodoka neza buterwa n'ibintu bitandukanye birimo igihe cyamaze kubagwa, izindi miti wahawe, n'uko wumva umeze muri rusange. Abantu bamwe bumva biteguye gutwara imodoka nyuma y'amasaha 24, mu gihe abandi bashobora gukenera amasaha 48 cyangwa arenzeho kugira ngo bumve bameze neza rwose.

Nshobora guhabwa Sevoflurane niba ntwite?

Sevoflurane irashobora gukoreshwa mugihe cyo gutwita mugihe kubagwa ari ngombwa, nubwo umuganga wawe w'ibitaro azagereranya neza inyungu n'ibibazo. Uyu muti ntugaragara ko utera ubumuga bwo kuvuka, ariko kwirinda imiti yose mugihe cyo gutwita nibyiza uko bishoboka kose.

Niba ukeneye kubagwa byihutirwa mugihe utwite, sevoflurane ifatwa nk'imwe mumiti yo kubabaza ifite umutekano kurusha iyindi. Itsinda ryawe ry'ubuvuzi rizakorana bya hafi n'umuganga wawe w'indwara z'abagore kugira ngo bakurikirane wowe n'umwana wawe mugihe cyose cyo kubagwa kandi bahindure uburyo bakoresha uko bikwiye.