Yini i-Isoflurane: Ukusetshenziswa, Umthamo, Imiphumela Eceleni nokuningi

I-Isoflurane iyimithi yokubulala izinzwa ejwayelekile ekusiza ukuthi ungene ebuthongweni obujulile, obulawulwayo ngesikhathi sokuhlinzwa. Ithunyelwa njengegesi oliphefumulayo ngemaski noma ngeshubhu lokuphefumula, okuvumela ithimba lakho lezokwelapha ukuthi lenze izinqubo ngokuphepha ngenkathi ungenalwazi ngokuphelele futhi ungenabo ubuhlungu.

Le mithi isetshenziswe ngokuphepha emakamelweni okusebenza amashumi eminyaka. Isebenza ngokushesha futhi iyaphela ngokushesha uma ukuhlinzwa sekuqediwe, okwenza kube ukukhetha okuthenjwayo ezinhlotsheni eziningi zezinqubo.

Yini i-Isoflurane?

I-Isoflurane iwuketshezi oluguquka lube yintuthu uma luxutshwe nomoya-mpilo namanye amagesi. Udokotela wakho we-anesthesiologist ulawula ngqo ukuthi ungakanani okutholayo ngemishini yokubheka eyinkimbinkimbi ngesikhathi sokuhlinzwa kwakho.

Ngokungafani namaphilisi noma imijovo, i-isoflurane isebenza ngamaphaphu akho. Igesi lingena egazini lakho ngokuphefumula kwakho, bese lihamba liye ebuchosheni bakho lapho lidala khona isimo se-anesthesia. Le ndlela ivumela ukulawulwa okunembile kakhulu kokuthi ulele kangakanani ngesikhathi senqubo yakho.

Umuthi ungowomndeni obizwa ngokuthi ama-halogenated hydrocarbons. Lawa ama-compounds aklanywe ngokukhethekile futhi ahlanzwe eminyakeni eminingi ukuze aphephe futhi asebenze ngendlela efanele ngangokunokwenzeka nge-anesthesia yokuhlinzwa.

Yini i-Isoflurane Esetshenziselwa Yona?

I-Isoflurane isetshenziswa ikakhulukazi ukukugcina ungenalwazi ngesikhathi sokuhlinzwa. Yimithi eqinisekisa ukuthi awuzwa ubuhlungu, awuhambisi, noma awunalo ulwazi ngenkathi udokotela ohlinzayo wakho esebenza.

Udokotela wakho we-anesthesiologist angase akhethe i-isoflurane ngezinhlobo eziningi ezahlukene zokuhlinzwa. Isebenza kahle kuzo zombili izinqubo ezimfushane ezithatha imizuzu engama-30 kanye nokuhlinzwa okude okuthatha amahora amaningi. Ukuguquguquka kwalo muthi kuwenza ukuthi ulungele ukuhlinzwa cishe kunoma iyiphi ingxenye yomzimba wakho.

Ngesinye isikhathi i-isoflurane isetshenziswa kanye neminye imithi yokubulala izinzwa. Ithimba lakho lezokwelapha lingase liqale ukubulala izinzwa ngomjovo bese lishintshela kwi-isoflurane gas ukuze ligcine ubuthongo bakho kuyo yonke inqubo.

Isebenza Kanjani I-Isoflurane?

I-Isoflurane isebenza ngokushintsha okwesikhashana indlela amangqamuzana akho obuchopho axhumana ngayo. Uma uphefumula igesi, idlula emaphashini akho ingene egazini lakho bese idlulela ebuchosheni bakho, lapho ivimba khona amasignali akugcina uvukile futhi uqaphela.

Cabanga ngayo njengokwehlisa ivolumu emsebenzini wobuchopho bakho. Umuthi awalimalisi amangqamuzana akho obuchopho, kodwa uthulisa ukuxoxa kwawo okuvamile ngokwanele ukudala isimo sokulala okujulile. Yingakho ungenayo inkumbulo yalokho okwenzeka ngesikhathi sokuhlinzwa.

I-Isoflurane ithathwa njenge-anesthetic enamandla aphakathi nendawo. Inamandla ngokwanele ukukugcina ulele ngokuphelele ngesikhathi sokuhlinzwa okukhulu, kodwa ithambile ngokwanele ukuthi abantu abaningi bavuke kahle uma igesi icishiwe. Udokotela wakho we-anesthesiologist angashintsha ukugxila kuyo yonke inqubo yakho ukuze agcine izinga elifanele lokungazi.

Kufanele Ngiyithathe Kanjani I-Isoflurane?

Awuyithathi ngempela i-isoflurane ngokwakho. Udokotela wakho we-anesthesiologist uyinikeza ngemaski yokuphefumula noma ngeshubhu uma usendlini yokuhlinzela. Le nqubo ilawulwa ngokuphelele ithimba lakho lezokwelapha.

Ngaphambi kokuhlinzwa kwakho, ngokuvamile uzocelwa ukuthi ungadli noma uphuze lutho amahora amaningana. Lesi sikhathi sokuzila ukudla, ngokuvamile amahora angu-8-12, sisiza ekuvikeleni izinkinga ngesikhathi sokubulala izinzwa. Isisu sakho sidinga ukuba singenalutho ukuze kungabi nengozi yokuthi ukudla kubuye ngenkathi ulele.

Ekamelo lokuhlinzela, uzophefumula ngokujwayelekile ngemaski exhunywe emshinini wokubulala izinzwa. Lo mshini uhlanganisa i-isoflurane ne-oxygen futhi unikeza inani eliqondile lokukugcina ulele ngokuphepha. Akudingeki ukuthi wenze lutho olukhethekile ngokuphefumula kwakho - vele uphumule futhi uvumele umuthi usebenze.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Isoflurane?

Isikhathi ozothola ngaso i-isoflurane sincike ngokuphelele ekutheni ukuhlinzwa kwakho kuthatha isikhathi esingakanani. Udokotela wakho we-anesthesiologist uzoqhubeka nokugcina umuthi ugeleza kuyo yonke inqubo yakho, kungakhathaliseki ukuthi imizuzu engama-30 noma amahora amaningana.

Lapho ukuhlinzwa kwakho kuqediwe, i-isoflurane iyavalwa futhi uzoqala ukuphefumula umoya-mpilo ovamile. Abantu abaningi baqala ukuvuka phakathi nemizuzu emi-5-15 ngemva kokuthi igesi imisiwe. Nokho, kungathatha imizuzu engama-30 kuya ehora ngaphambi kokuba uqaphele ngokugcwele futhi uqondiswe.

Umuthi usuka ngokushesha ohlelweni lwakho ngamaphaphu akho. Ngokungafani neminye imithi edinga ukucutshungulwa yisibindi sakho noma izinso zakho, i-isoflurane imane iphefumulelwe njengoba ukhipha umoya. Lesi ngesinye sezizathu zokuthi kungani ukululama ku-anesthesia ye-isoflurane ngokuvamile kuhamba kahle futhi kulindelekile.

Yiziphi Imiphumela Eceleni Ye-Isoflurane?

Njengayo yonke imithi ye-anesthetic, i-isoflurane ingabangela imiphumela emibi, nakuba eminingi ingeyesikhashana futhi ixazululwe njengoba umuthi usuka emzimbeni wakho. Ukuqonda ukuthi yini ongayilindela kungakusiza ukuthi uzizwe ulungiseleleke kakhulu ekululameni kwakho.

Imiphumela emibi evame kakhulu ongase uyithole ngokuvamile imnene futhi ayihlali isikhathi eside:

• Isicanucanu nokuhlanza amahora ambalwa ngemva kokuhlinzwa
• Isiyezi noma ukuzizwa ungazinzile lapho uqala ukuvuka
• Ukozela okungahlala amahora amaningana
• Ukudideka okuncane noma ukungaqondisi ekuqaleni
• Umlomo owomile noma umphimbo obuhlungu ovela ethubeni lokuphefumula
• Ikhanda elibuhlungu elivame ukuxazululwa ngaphakathi kosuku

Le miphumela iyimpendulo yomzimba wakho evamile yokuba ngaphansi kwe-anesthesia. Abantu abaningi bathola ukuthi bazizwa ngcono kakhulu kungakapheli amahora angama-24 ngemva kokuhlinzwa kwabo.

Imiphumela emibi engathi sína ayivamile kodwa ingabandakanya ubunzima bokuphefumula, ukushaya kwenhliziyo okungajwayelekile, noma izinguquko ezinkulu zomfutho wegazi. Ithimba lakho lezokwelapha likuqapha ngokuqhubekayo ngesikhathi sokuhlinzwa ikakhulukazi ukuze liqaphele futhi liphathe lezi zinto ezingenzeka. Ezimweni ezingavamile kakhulu, abanye abantu bangase babe nokushisa ngokweqile okuyingozi, okuyisimo esibi esibangela ukushisa okuyingozi, kodwa lokhu kwenzeka kubantu abangaphansi koyedwa kwabangu-50,000 abahlinzwayo.

Ubani Ongafanele Athathe I-Isoflurane?

Abantu abaningi bangamukela i-isoflurane ngokuphepha, kodwa zikhona izimo ezithile lapho udokotela wakho we-anesthesiologist angase akhethe umuthi ohlukile. Ukuphepha kwakho kuhlala kuyinto eza kuqala lapho kuhlelwa i-anesthesia yakho.

Ngeke ube ngumuntu ofanelekayo ukuthatha i-isoflurane uma unomlando wakho siqu noma womndeni wokushisa ngokweqile okuyingozi. Lesi simo esingavamile sezakhi zofuzo singabangela ukusabela okuyingozi kumagesi athile e-anesthetic. Uma lokhu kusebenza kuwe, qiniseka ukuthi udokotela wakho we-anesthesiologist uyazi ngaphambi kokuhlinzwa kwakho.

Abantu abanezifo ezinzima zesibindi bangase badinge ukucatshangelwa okukhethekile, njengoba i-isoflurane ngezinye izikhathi ingathinta ukusebenza kwesibindi. Udokotela wakho we-anesthesiologist uzobukeza umlando wakho wezokwelapha futhi angase ayale ukuhlolwa kwegazi ukuze ahlolisise isibindi sakho ngaphambi kokunquma ngendlela engcono kakhulu ye-anesthetic kuwe.

Uma unezimo ezithile zenhliziyo, ikakhulukazi ukuhluleka kwenhliziyo okukhulu noma ukuhlaselwa yinhliziyo kwakamuva, udokotela wakho we-anesthesiologist uzohlola ngokucophelela izingozi nezinzuzo. Bangase bakhethe i-isoflurane kodwa ngokuqapha okwengeziwe, noma bangase bakhethe enye indlela ye-anesthetic ngokuphelele.

Amagama Omkhiqizo we-Isoflurane

I-Isoflurane itholakala ngaphansi kwamagama amaningi omkhiqizo, nakuba umuthi ngokwawo ufana kungakhathaliseki ukuthi umenzi ngubani. Amagama omkhiqizo avamile kakhulu afaka i-Forane, i-Aerrane, ne-Isoflurane USP.

Isibhedlela sakho noma isikhungo sokuhlinzwa sizosebenzisa noma yiluphi uhlobo olutholakala kubona. Zonke izinhlobo ze-isoflurane zihlangabezana nezindinganiso ezifanayo zokuphepha nekhwalithi, ngakho-ke ungaqiniseka kunoma yiluphi olusetshenziswa yi-anesthesiologist yakho.

Ngezinye izikhathi uzobona i-isoflurane ibhalwe kalula njenge- "isoflurane" emarekhodini akho ezokwelapha ngaphandle kwegama elithile lomkhiqizo. Lokhu kuvamile ngokuphelele futhi akubonisi noma iyiphi indlela ehlukile ekhwalithi noma ukuphepha.

Ezinye izindlela ze-Isoflurane

Ezinye izinhlobo zegesi ye-anesthetic zingasetshenziswa esikhundleni se-isoflurane, ngasinye sinokwazo izinzuzo. I-anesthesiologist yakho izokhetha inketho engcono kakhulu ngokususelwa esimweni sakho esithile nezidingo zezokwelapha.

I-Sevoflurane enye igesi ye-anesthetic ethandwayo esebenza ngendlela efana ne-isoflurane. Ivame ukuba nephunga elimnandi futhi ingase ibangele ukucasuka okuncane emgudwini wakho wokuphefumula. Abanye abantu futhi bavuka ngokushesha kancane ku-sevoflurane.

I-Desflurane iyinketho yesithathu evumela ukulawulwa okunembile kakhulu nezikhathi zokuvuka ezisheshayo. Kodwa-ke, kungase kucasule kakhulu ukuphefumula ekuqaleni, ngakho-ke kuvame ukusetshenziswa ngemuva kokuthi usuvele ulele emithini eminye.

Kwezinye izinqubo, i-anesthesiologist yakho ingase incomende i-total intravenous anesthesia esikhundleni segesi. Lokhu kuhilela ukukunika imithi ye-anesthetic nge-IV ngaso sonke isikhathi sokuhlinzwa kwakho kunokuba ngegesi ephefumulwayo.

Ingabe i-Isoflurane ingcono kune-Sevoflurane?

Kokubili i-isoflurane ne-sevoflurane ziyigesi ye-anesthetic enhle kakhulu, futhi akukho noyedwa othi "ungcono" kunomunye. Ukukhetha kuvame ukuncika esimweni sakho esithile sezokwelapha kanye nokukhetha kwe-anesthesiologist yakho ngokususelwa kulwazi lwabo.

I-Sevoflurane inezinzuzo ezithile, ikakhulukazi ezinganeni noma kubantu abanezinkinga zokuphefumula. Inuka kancane kuno-isoflurane futhi mancane amathuba okuthi ibangele ukukhwehlela noma ukubamba umoya lapho uqala ukuyiphefumula. Abantu futhi bavame ukuvuka ngokushesha kancane ku-sevoflurane.

Isoflurane, ngakolunye uhlangothi, isetshenziswe ngokuphepha iminyaka eminingi futhi inerekhodi elibanzi. Futhi ngokuvamile ibiza kancane kune-sevoflurane, okungaba yinto okufanele icatshangelwe kwezinye izinhlelo zokunakekelwa kwezempilo.

Udaktela wakho we-anesthesiologist uzocabangela izinto ezinjengobudala bakho, impilo yonke, uhlobo lokuhlinzwa onalo, nanoma yiziphi izinkinga zokuphefumula ongase ube nazo lapho ekhetha phakathi kwalawo mithi. Zombili zizokugcina ulele ngokuphepha ngesikhathi senqubo yakho.

Imibuzo Evame Ukubuzwa Mayelana ne-Isoflurane

Q1. Ingabe i-Isoflurane iphephile ezigulini ezinomdlavuza wenhliziyo?

I-Isoflurane ingasetshenziswa ngokuphepha kubantu abaningi abanomdlavuza wenhliziyo, kodwa udokotela wakho we-anesthesiologist uzodinga ukuhlola ngokucophelela isimo sakho esithile. Umuthi ungase uthinte izinga lokushaya kwenhliziyo nomfutho wegazi, ngakho-ke ukuqapha okwengeziwe kuvame ukusetshenziswa ngesikhathi sokuhlinzwa.

Uma unezinkinga ezinzima zenhliziyo, udokotela wakho we-anesthesiologist angase alungise ukugxila kwe-isoflurane noma akuhlanganise neminye imithi ukuze anciphise ukucindezeleka enhliziyweni yakho. Bazosebenza eduze nodokotela wakho wenhliziyo ukuze baqinisekise indlela ephephe kakhulu yokuhlinzwa kwakho.

Q2. Kufanele ngenzeni uma ngisebenzisa i-Isoflurane eningi ngengozi?

Awukwazi ukusebenzisa i-isoflurane eningi ngengozi ngoba inikezwa kuphela ngodokotela be-anesthesiologists abaqeqeshiwe besebenzisa imishini eqondile yokuqapha. Inani olitholayo lilawulwa ngokuqhubekayo futhi lilungiswe ngesikhathi sokuhlinzwa kwakho.

Uma ngasizathu simbe uthole i-isoflurane eningi, udokotela wakho we-anesthesiologist uzobona ngokushesha izimpawu futhi athathe izinyathelo zokulungisa isimo. Lokhu kungase kuhlanganise ukunciphisa ukugxila, ukusekela ukuphefumula kwakho, noma ukunikeza imithi yokulwa nemiphumela.

Q3. Kufanele ngenzeni uma ngiphuthelwa umthamo we-Isoflurane?

Lo mbuzo awusebenzi ku-isoflurane ngoba akuyona imithi oyithatha ngohlelo. I-Isoflurane isetshenziswa kuphela ngesikhathi sokuhlinzwa ngaphansi kokuqondisa kwezokwelapha okuqondile.

Uma uhlelelwe ukuhlinzwa futhi udinga ukulihlehlisa, vele uthinte ihhovisi likahlinzayo wakho ukuze uhlele usuku olusha. I-anesthesia izohlinzekwa isha ngosuku lwenqubo yakho ehlehlisiwe.

Q4. Ngingayeka nini ukuthatha i-Isoflurane?

Awulawuli ukuthi i-isoflurane imiswa nini - udokotela wakho we-anesthesiologist wenza lesi sinqumo ngokusekelwe ekuqhubekeleni phambili kokuhlinzwa kwakho. Umuthi uyavalwa uma inqubo yakho isiqediwe futhi kuphephile ukuthi uvuke.

Isikhathi sokuthi imiswe nini i-isoflurane yisinqumo esinobuchule esithatha izinto ezifana nokuthi kungakanani okunye ukuhlinzwa okudingeka kwenziwe, izimpawu zakho ezibalulekile, nokuthi uvuka ngokushesha kangakanani ku-anesthesia.

Q5. Ihlala isikhathi esingakanani i-Isoflurane ohlelweni lwakho?

I-Isoflurane iyasuswa ohlelweni lwakho ngokushesha ngamaphaphu akho. Iningi lomuthi liqedwa phakathi nehora lokuqala ngemuva kokuthi ivaliwe, yize amanani amancane angase atholakale kuze kube amahora angama-24.

Uzoqala ukuvuka phakathi kwemizuzu engu-5-15 ngemuva kokuthi i-isoflurane imisiwe, kepha ungase uzizwe ukozela noma udidekile kancane amahora amaningi njengoba imikhondo yokugcina isuka ohlelweni lwakho. Lokhu kuvamile ngokuphelele futhi kulindelekile.