Chii chinonzi Sevoflurane: Zvinoshandiswa, Madosi, Mativi eMuviri uye Zvimwe

Sevoflurane igasi reanesthetic rinokubatsira kuti urare zvakadzama, uchitongwa panguva yekuvhiyiwa. Imwe yemhando dzakanyanya kushandiswa dzeanesthetics inofemwa mumakamuri ekuvhiya pasi rese, uye inoonekwa seyakachengeteka uye inoshanda kana ichishandiswa nenyanzvi dzezvokurapa dzakadzidziswa.

Mushonga uyu ndeweboka rinonzi volatile anesthetic agents, zvinoreva kuti rinoshanduka kubva mumvura kuenda kugasi patembiricha yemukati. Anesthesiologist wako achadzora zvakanyatso kuti unofema zvakadii kuti ugare wakasununguka uye usingazive panguva yekuita kwako.

Chii chinonzi Sevoflurane chinoshandiswa?

Sevoflurane inonyanya kushandiswa kukonzera uye kuchengetedza general anesthesia panguva yekuvhiya. Izvi zvinoreva kuti zvinokubatsira kuti urare pakutanga uye zvinokuchengeta wakarara panguva yekuita kwako.

Vanachiremba vanosarudza sevoflurane kumhando dzakawanda dzekuvhiya nekuti inoshanda nekukurumidza uye inobvumira shanduko yakatsetseka mukati nekunze kweanesthesia. Zvinonyanya kubatsira kune outpatient procedures kwaunoenda kumba zuva rimwe chete, sezvo ichibviswa kubva muhurongwa hwako nekukurumidza.

Mushonga uyu unowanzo shandiswawo pakuvhiya kwevana nekuti vana vanowanzoshivirira zvakanaka. Kunhuhwirira kwayo kunofadza, kusingatsamwise kunoita kuti zvive nyore kuti varwere vadiki vafeme mumask panguva yekutanga yeanesthesia.

Sevoflurane inoshanda sei?

Sevoflurane inoshanda nekudzivisa kwenguva pfupi masaini etsinga muuropi hwako uye musana unodzora kuziva uye kunzwa kurwadziwa. Paunofema mukati, inofamba nemumapapu ako ichienda muropa rako uye wozoenda kuuropi hwako.

Izvi zvinoonekwa seaneesthetic ine simba zvishoma, zvinoreva kuti yakasimba zvakakwana kuti ipe kusaziva kwakakwana asi yakapfava zvakakwana kuti ibvumire kutonga kwakaringana. Funga nezvazvo semutsvairo wekudzora kuziva kwako panzvimbo yebhatani rekuti on-off.

Mushonga uyu unokanganisa nzvimbo dzakawanda dzehurongwa hwako hwetsinga panguva imwe chete. Unodzvinyirira mabasa ehuropi munzvimbo dzine chekuita nekuziva, kugadzirwa kwememori, uye kurapa kurwadziwa, zvichigadzira mamiriro akanaka ekuvhiyiwa.

Ndingatora Sei Sevoflurane?

Hauzotori sevoflurane iwe pachako - inogara ichipihwa nachiremba weanesthesiologist akadzidziswa kana mukoti anesthetist muchipatara kana nzvimbo yekuvhiya. Mushonga uyu unopihwa kuburikidza nemask kana chubhu yekufema yakabatana nemidziyo yakakosha.

Usati waita maitiro ako, unowanzoziviswa kuti usadya kana kunwa kwemaawa akati wandei. Iyi nguva yekutsanya, kazhinji maawa 8-12 ezvokudya zvakasimba uye maawa 2-4 ezvinhu zvakajeka, inobatsira kudzivirira matambudziko panguva yeanesthesia.

Mupi wako weanesthesia achatanga nekugadzirisa kwakaderera uye zvishoma nezvishoma achiwedzera kusvika wakarara zvizere. Vachatarisa kufema kwako, kumhanya kwemoyo, uye kudzvinyirirwa kweropa nguva dzose panguva yese yekuita kuti uve nechokwadi chekuchengeteka kwako.

Ndingatora Sevoflurane Kwenguva Yakareba Sei?

Kureba kwekupa sevoflurane kunoenderana zvachose nekuti maitiro ako ekuvhiya anotora nguva yakareba sei. Chiremba wako weanesthesiologist acharamba achikupa mushonga uyu panguva yese yekuvhiya kwako kuti akuchengete wakarara zvakanaka.

Maitiro mazhinji achishandisa sevoflurane anotora chero kubva pamaminitsi makumi matatu kusvika kumaawa akati wandei. Mushonga unomiswa kana kuvhiyiwa kwako kwapera, uye zvishoma nezvishoma uchamuka sezvachinobuda muhurongwa hwako.

Kupora kubva ku sevoflurane kunowanzoitika nekukurumidza. Varwere vazhinji vanotanga kumuka mukati memaminitsi 5-15 mushure mekunge mushonga wamiswa, kunyangwe kuziva zvizere kungatora maminitsi 30-60 zvichienderana nekureba kwemaitiro ako.

Ndezvipi Zvipingamupinyi zveSevoflurane?

Sezvakaita mishonga yese yekuzorodza muviri, sevoflurane inogona kukonzera matambudziko, kunyange zvazvo mazhinji acho ari echinguvana uye anopera kana mushonga wabuda mumuviri wako. Kunzwisisa zvaunofanira kutarisira kunogona kukubatsira kuti unzwe wakagadzirira uye usina kunetseka.

Matambudziko akajairika aunogona kusangana nawo anowanzoita akapfava uye anogara kwenguva pfupi. Izvi zvinowanzoitika nekuti muviri wako unogadzirisa sezvo mushonga wekuzorodza muviri uchipera:

• Kusvotwa uye kurutsa, kunyanya mumaawa mashoma ekutanga mushure mekuvhiyiwa
• Kuzara nehope uye kuneta kunogona kutora maawa akati wandei
• Dizziness kana kunzwa usina kugadzikana paunotanga kumira
• Huro inorwadza kubva mutubhu rekufema (kana imwe yakashandiswa)
• Kuvhiringidzika kudiki kana kusakwanisa kuyeuka nguva yekuvhiyiwa
• Musoro unowanzo pera mukati mezuva

Izvi zvinowanzoitika ndizvo zvinowanzoitika mumuviri wako kumishonga yekuzorodza muviri uye zvinowanzoita zvakanyanya mukati meawa makumi maviri nemana. Chikwata chako chekupora chichakubatsira kubata chero kusagadzikana kwaunosangana nako.

Matambudziko asingawanzoitiki asi akakomba anoda kutariswa kwekurapa nekukurumidza, kunyange zvazvo achiwanzoitika. Chikwata chako chekurapa chinotarisa izvi zvakanyatso panguva uye mushure mekuvhiyiwa kwako:

• Kufema kwakaoma kana maitiro ekufema asina kujairika
• Maitiro akakomba ekurwara neallergy ane rash, kuzvimba, kana kufema kwakaoma
• Kurova kwemoyo kusina kujairika kana shanduko huru mukumanikidzwa kweropa
• Kuramba kurutsa kunokutadzisa kuchengeta mvura pasi
• Kuvhiringidzika kwakanyanya kana kufara kunogara kwemaawa anopfuura mashoma

Matambudziko asingawanzoitiki anogona kusanganisira malignant hyperthermia, mamiriro akakomba apo tembiricha yemuviri inokwira zvakanyanya. Izvi zvinoitika mune vanhu vashoma vanopfuura 1 kubva pa10,000 uye zvinogona kurapwa nekukurumidza kana zvichizivikanwa kare.

Ndiani Asingafaniri Kutora Sevoflurane?

Sevoflurane inowanzova yakachengeteka kune vanhu vazhinji, asi mamiriro ezvinhu kana mamiriro ezvinhu anogona kuita kuti isakodzere kana kuda matanho akakosha. Chiremba wako weanesthesiologist achatarisa nhoroondo yako yezvokurapa yakazara asati asarudza kana yakakunakira.

Unofanira kuzivisa timu yako yezvokurapa kana uine chero mamiriro ezvinhu aya, sezvo angakanganisa mashandisirwo e sevoflurane kana kuti mamwe maanesthetics angave ari nani:

• Kuziva allergy kune sevoflurane kana mamwe ma halogenated anesthetics
• Nhoroondo yako pachako kana yemhuri ye malignant hyperthermia
• Chirwere chechiropa chakakomba kana nhoroondo yematambudziko echiropa ane chekuita neanesthesia
• Mamwe mamiriro ezvinhu e genetic anokanganisa maitiro emuviri wako ekugadzirisa ma anesthetics
• Chirwere cheitsvo chakakomba chinoda dialysis
• Mamwe mamiriro emoyo anoita kuti unzwe zvakanyanya kuchinja kweropa

Kuzvitakura kunoda kufunga kwakakosha, kunyangwe sevoflurane ichigona kushandiswa zvakachengeteka kana zvichidikanwa. Chiremba wako weanesthesiologist achayerera mabhenefiti nenjodzi zvichienderana nemamiriro ako chaiwo uye kukurumidza kwekuvhiyiwa kwako.

Zera harisi chipingamupinyi, asi vana vadiki zvikuru uye varwere vakuru vangada kugadzirisa dosing kana kuwedzera monitoring. Chikwata chako cheanesthesia chine ruzivo rwakawanda rwekugadzirisa nzira yavo yevashandi vemazera ese.

Mazita eSevoflurane Brand

Sevoflurane inowanikwa pasi pemazita akati wandei emhando, kunyangwe mushonga wacho pachako wakafanana zvisinei nemugadziri. Mazita akajairika emhando anosanganisira Ultane, Sevorane, uye akasiyana siyana generic formulations.

Chipatara chako kana nzvimbo yekuvhiya ichashandisa chero mhando yavanayo, uye haufaniri kunetseka nezvekukumbira imwe chaiyo. Zvese zvigadzirwa zve sevoflurane zvakabvumidzwa zvinosangana neyakafanana yakasimba yekuchengetedza uye mhando mitemo.

Zita remhando rinogona kuoneka pamarekodhi ako ekurapa kana ruzivo rwekubhadhara, asi izvi hazvikanganisi mhando kana kuchengeteka kwekuchengetwa kwako kweanesthesia. Anesthesiologist wako anosarudza nzira yakakodzera yeanesthetic zvichienderana nezvido zvako, kwete zvaunofarira zvemhando.

Zvimwe Zvinhu Zvokushandisa Panzvimbo peSevoflurane

Mamwe ma inhaled anesthetics anogona kushandiswa panzvimbo pe sevoflurane, imwe neimwe iine zvainobatsira uye maitiro ayo. Anesthesiologist wako achasarudza sarudzo yakanakisa zvichienderana nezvido zvako zvekurapa uye rudzi rwekuvhiyiwa kwauri kuita.

Zvimwe zvinhu zvinowanzo shandiswa zvinosanganisira desflurane, iyo inoshanda zvakafanana ne sevoflurane asi inogona kufarirwa kune nzira refu kana kumuka nekukurumidza kwakakosha. Isoflurane imwe sarudzo, kunyangwe ichishandiswa kazhinji nhasi nekuda kwekunhuhwirira kwayo kwakasimba uye kutanga kwakanyanya.

Kune dzimwe nzira, anesthesiologist wako anogona kukurudzira total intravenous anesthesia (TIVA) achishandisa mishonga yakaita se propofol panzvimbo pe inhaled agents. Iyi nzira inogona kubatsira kana uine nhoroondo yekurwara zvakanyanya ne inhaled anesthetics.

Nzira dze regional anesthesia dzakaita se spinal kana epidural blocks dzinogonawo kukodzera mamwe maoparesheni, dzimwe nguva dzichibatanidzwa ne lighter sedation panzvimbo ye general anesthesia.

Ko Sevoflurane Ari Nani Pane Propofol Here?

Sevoflurane ne propofol zvose zvakanaka anesthetic options, asi zvinoshanda zvakasiyana uye imwe neimwe ine zvainobatsira zvakasiyana. Pane kuti imwe ive yakanaka, sarudzo inoenderana nemamiriro ako ezvinhu uye rudzi rwekuvhiyiwa kwauri kuita.

Sevoflurane inopa zvimwe zvakanakira zvinosanganisira kugadzirisa nyore kudzika kweanesthesia panguva yekuvhiyiwa uye zvichibvira kuti isave nekukanganisa kukuru kweropa mune vamwe varwere. Zvakare zvakanaka pakupinza mask, zvichiita kuti zvikwanise kushandiswa nevana kana vanhu vakuru vanonetseka nezve IV placement.

Propofol, inopiwa kuburikidza neIV, kazhinji inopa kumuka kwakatsetseka nekushaya kusvotwa kune vamwe varwere. Inowanzo shandiswa kune nzira pfupi kana apo kupora nekukurumidza, kwakajeka-musoro kwakakosha.

Anesthesiologist wako anofunga zvinhu zvakawanda paanenge achisarudza pakati pezvisarudzo izvi, kusanganisira nhoroondo yako yekurapa, kureba uye mhando yekuvhiyiwa, uye zvaunofarira. Zvese zviri zviviri zvinoonekwa seyakajairika anesthetics ine marekodhi akanaka ekuchengetedza.

Mibvunzo Inowanzo bvunzwa pamusoro peSevoflurane

Sevoflurane Yakachengeteka Here Kune Chirwere Chemoyo?

Sevoflurane inogona kushandiswa zvakachengeteka kune vazhinji varwere vane chirwere chemoyo, kunyangwe ichida kunyatso tarisa uye dzimwe nguva kugadzirisa dose. Iyi anesthetic ine zvimwe zvinodzivirira pamoyo uye inowanzo shandiswa kune varwere vane mamwe mamiriro emoyo.

Anesthesiologist wako achatarisa mamiriro ako chaiwo emoyo uye achashanda necardiologist yako kana zvichidikanwa kuti ave nechokwadi che nzira yakachengeteka. Vanogona kusarudza kushandisa zvishoma zvinosanganiswa kana kusanganisa sevoflurane nemimwe mishonga kuti vakwanise kugadzikana kwemoyo wako panguva yekuvhiyiwa.

Ndingaita Sei Kana Ndikawana Kusvotwa Kwakanyanya Mushure meSevoflurane?

Kusvotwa kwakanyanya mushure me sevoflurane kunogoneka nekutariswa kwakakodzera, saka usazeze kuudza timu yako yekupora nekukurumidza. Vanogona kupa mishonga inorwisa kusvotwa inoshanda nekukurumidza kukubatsira kuti unzwe zviri nani.

Ramba wakarara kana ukanzwa dzungu, uye dzivisa kuyedza kudya kana kunwa kusvikira kusvotwa kwacho kwagadzirika. Vanamukoti vako vachatarisa mamiriro ako zvakanyanya uye vanogona kukupa mvura yeIV kana usingakwanise kuchengeta zvinwiwa pasi. Kusvotwa kwakawanda mushure meanesthesia kunopera mukati me6-12 maawa.

Ndingaita Sei Kana Ndine Zvandinonetseka Pamusoro Pekupora Kwangu?

Kana uine chero zvinhu zvinokunetsa pamusoro pekupora kwako kubva ku sevoflurane, bata timu yako yekuvhiya kana anesthesiologist nekukurumidza. Vanowanikwa kuti vapindure mibvunzo uye vataure chero zviratidzo zvinokunetsa.

Fonera nekukurumidza kana ukaona kuoma kufema, kuvhiringidzika kwakanyanya kunogara maawa mashoma, kurutsa kusingaperi, kana chero zviratidzo zvinoita sezvisina kujairika kana zvinonetsa. Chikwata chako chekurapa chinoda kunzwa kubva kwauri nezve chimwe chinhu chidiki pane kupotsa kugadzirisa nyaya yakakosha.

Ndingatyaira Rini Mushure meKugamuchira Sevoflurane?

Haufanire kutyaira kwemaawa angangoita 24 mushure mekutambira sevoflurane, sezvo mushonga unogona kukanganisa nguva yako yekupindura uye kugona kwako kuita zvisarudzo kunyangwe ukanzwa wakangwarira. Nzvimbo zhinji dzekurapa dzinoda kuti umwe munhu akutyairire kumba mushure mekuvhiyiwa.

Kugona kwako kutyaira zvakachengeteka kunoenderana nezvinhu zvakati wandei zvinosanganisira kuti kuvhiyiwa kwako kwakatora nguva yakareba sei, mimwe mishonga yaunogamuchira, uye manzwiro ako ese. Vamwe vanhu vanonzwa vakagadzirira kutyaira mushure memaawa makumi maviri nemana, nepo vamwe vachigona kuda maawa makumi mana nemasere kana kupfuura kuti vanzwe vakadzokera zvakajairika zvachose.

Ndingashandisa Sevoflurane Kana Ndakazvitakura Here?

Sevoflurane inogona kushandiswa panguva yekuzvitakura kana kuvhiyiwa kuchidikanwa, kunyangwe chiremba wako weanesthesiologist achanyatso kuyera mabhenefiti nenjodzi. Mushonga haunoita sekukonzera zvikanganiso zvekuzvarwa, asi kudzivirira mishonga yese panguva yekuzvitakura ndiyo yakanaka kana zvichibvira.

Kana iwe uchida kuvhiyiwa nekukurumidza panguva yekuzvitakura, sevoflurane inoonekwa seimwe yesarudzo dzakachengeteka dzeanesthetic dziripo. Chikwata chako cheanesthesia chichashanda padyo nachiremba wako weobstetrician kuti akutarise iwe nemwana wako panguva yese yekuita uye kugadzirisa nzira yavo sezvinodiwa.