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

I-Sevoflurane iwuhlobo lwegesi yokubulala izinzwa ekusiza ukuthi ulale ubuthongo obujulile, obulawulwayo ngesikhathi sokuhlinzwa. Ingenye yezinto ezivame ukusetshenziswa kakhulu zokubulala izinzwa ezihogelwayo emagumbini okusebenzela emhlabeni wonke, futhi ithathwa njengephephile futhi isebenza kahle uma inikezwa ochwepheshe bezokwelapha abaqeqeshiwe.

Lo muthi ungoweqembu elibizwa ngokuthi ama-ejenti okubulala izinzwa ezingaguquki, okusho ukuthi iguquka isuka eketshezi iya kugesi emazingeni okushisa egumbi. Udokotela wakho wezifo zokubulala izinzwa uzolawula ngokucophelela ukuthi ungakanani umoya owuphefumulayo ukuze uhlale ukhululekile futhi ungaqapheli ngesikhathi senqubo yakho.

Yini i-Sevoflurane Esetshenziselwa Yona?

I-Sevoflurane isetshenziswa ikakhulukazi ukubangela nokugcina i-anesthesia ejwayelekile ngesikhathi sokuhlinzwa. Lokhu kusho ukuthi kuyakusiza ukuthi ulale ekuqaleni futhi kukugcina ulele ngesikhathi sokuhlinzwa kwakho.

Odokotela bakhetha i-sevoflurane ezinhlotsheni eziningi zokuhlinzwa ngoba isebenza ngokushesha futhi ivumela izinguquko ezibushelelezi ekungeneni nasekuphumeni kwe-anesthesia. Ilusizo ikakhulukazi ezinqubweni zokwelashwa ngaphandle kwesibhedlela lapho uzohamba khona ngosuku olufanayo, njengoba isusa ngokushesha ohlelweni lwakho.

Lo muthi uvame ukusetshenziselwa ukuhlinzwa kwezingane ngoba izingane zivame ukuyibekezelela kahle. Iphunga layo elimnandi, elingacasuli lenza kube lula ezigulini ezincane ukuthi liphefumule ngemaski ngesikhathi sokuqala se-anesthesia.

Isebenza Kanjani i-Sevoflurane?

I-Sevoflurane isebenza ngokuvimba okwesikhashana amasignali emizwa ebuchosheni bakho nasemgogodleni olawula ukuqwashisa nomuzwa wobuhlungu. Uma uyiphefumula, ihamba ngamaphaphu akho ingene egazini lakho bese iya ebuchosheni bakho.

Lokhu kuthathwa njenge-anesthetic enamandla ngokulinganisela, okusho ukuthi inamandla ngokwanele ukuhlinzeka ukungazi ngokuphelele kodwa ithambile ngokwanele ukuvumela ukulawulwa okunembile. Cabanga ngayo njengokushintsha okunciphisa ukukhanya kokuqwashisa kwakho kunokushintsha okucisha noma okuvula.

Umuthi uthinta izindawo eziningi zesimiso sakho sezinzwa ngasikhathi sinye. Uvala umsebenzi wobuchopho ezindaweni eziphethe ukuqwashisa, ukwakheka kwememori, kanye nokucutshungulwa kobuhlungu, okudala izimo ezifanele ukuhlinzwa.

Kufanele Ngiyithathe Kanjani I-Sevoflurane?

Awuyithathi ngempela i-sevoflurane ngokwakho - ngaso sonke isikhathi inikezwa ngudokotela we-anesthesiologist oqeqeshiwe noma umhlengikazi we-anesthetist esibhedlela noma esikhungweni sokuhlinzwa. Umuthi unikezwa ngemaski yokuphefumula noma ngeshubhu lokuphefumula elixhunywe emishinini ekhethekile.

Ngaphambi kwenqubo yakho, ngokuvamile uzocelwa ukuthi ugweme ukudla noma ukuphuza amahora ambalwa. Lesi sikhathi sokuzila ukudla, ngokuvamile amahora angu-8-12 okudla okuqinile kanye namahora angu-2-4 oketshezi olucacile, kusiza ekuvikeleni izinkinga ngesikhathi se-anesthesia.

Umhlinzeki wakho we-anesthesia uzoqala ngokugxila okuphansi bese ekwandisa kancane kancane kuze kube yilapho ulele ngokugcwele. Bazoqapha ukuphefumula kwakho, izinga lokushaya kwenhliziyo, nomfutho wegazi ngokuqhubekayo kuyo yonke inqubo ukuze baqinisekise ukuphepha kwakho.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Sevoflurane?

Ubude besikhathi sokuphathwa kwe-sevoflurane buxhomeke ngokuphelele ekutheni inqubo yakho yokuhlinzwa ithatha isikhathi esingakanani. Udokotela wakho we-anesthesiologist uzoqhubeka ekunika umuthi kuyo yonke inqubo yakho yokuhlinzwa ukuze akugcine ulele kahle.

Izinqubo eziningi ezisebenzisa i-sevoflurane zithatha noma yikuphi kusuka kumaminithi angu-30 kuya emahoreni ambalwa. Umuthi uyayekiswa lapho ukuhlinzwa kwakho kuqediwe, futhi uzovuka kancane kancane njengoba ususuka ohlelweni lwakho.

Ukwelulama ku-sevoflurane ngokuvamile kwenzeka ngokushesha. Iziguli eziningi ziqala ukuvuka phakathi kwemizuzu engu-5-15 ngemuva kokuthi umuthi uyekisiwe, nakuba ukuqwashisa okugcwele kungathatha imizuzu engu-30-60 kuye ngobude benqubo yakho.

Yiziphi Imiphumela Eceleni Ye-Sevoflurane?

Njengazo zonke izidakamizwa ze-anesthetic, i-sevoflurane ingabangela imiphumela emibi, nakuba iningi lingelesikhashana futhi liyanyamalala njengoba umuthi usuka emzimbeni wakho. Ukuqonda ukuthi yini ongayilindela kungakusiza ukuthi uzizwe ulungiselelwe kangcono futhi ungakhathazeki kakhulu.

Imiphumela emibi evame kakhulu ongase uyithole ngokuvamile imnene futhi ayihlali isikhathi eside. Lezi zimpendulo ezijwayelekile zenzeka ngoba umzimba wakho uyalungisa njengoba i-anesthetic iphela:

• Isicanucanu nokuhlanza, ikakhulukazi emahoreni ambalwa okuqala ngemva kokuhlinzwa
• Ukozela nokuzizwa ubuthuntu okungahlala amahora amaningana
• Isiyezi noma ukuzizwa ungaqinile uma uqala ukusukuma
• Umphimbo obuhlungu ovela ethubeni lokuphefumula (uma lisetshenzisiwe)
• Ukudideka okuncane noma izikhala zenkumbulo ngesikhathi sokuhlinzwa
• Ikhanda elibuhlungu elivame ukunyama ngaphakathi kosuku

Le miphumela ejwayelekile iyimpendulo yomzimba wakho yemvelo ku-anesthesia futhi ivamise ukuthuthuka kakhulu kungakapheli amahora angu-24. Ithimba lakho lokululama lizosiza ekuphatheni noma yikuphi ukungakhululeki okutholayo.

Imiphumela emibi engavamile kodwa ebucayi idinga ukunakekelwa kwezokwelapha ngokushesha, nakuba yenzeka ngezikhathi ezithile. Ithimba lakho lezokwelapha liqapha lokhu ngokucophelela ngesikhathi nangemva kwenqubo yakho:

• Ubunzima bokuphefumula noma amaphethini okuphefumula angajwayelekile
• Ukungezwani komzimba okukhulu okunezinduna, ukuvuvukala, noma ubunzima bokuphefumula
• Ukushaya kwenhliziyo okungajwayelekile noma izinguquko ezinkulu emfuthe yegazi
• Ukuqhubeka nokuhlanza okukuvimbela ukuthi ungagcini uketshezi phansi
• Ukudideka okukhulu noma ukucasuka okuhlala amahora angaphezu kwambalwa

Izinkinga ezingavamile kakhulu zingabandakanya i-malignant hyperthermia, isimo esibucayi lapho izinga lokushisa lomzimba likhuphuka ngendlela eyingozi. Lokhu kwenzeka kubantu abangaphansi kwe-1 kwabangu-10,000 futhi kuyelapheka ngokushesha uma kuqashelwa kusenesikhathi.

Ubani Ongafanele Athathwe I-Sevoflurane?

I-Sevoflurane ngokuvamile iphephile kubantu abaningi, kodwa izimo ezithile zezokwelapha noma izimo zingenza ingafaneleki noma zidinge izinyathelo zokuphepha ezikhethekile. Udokotela wakho we-anesthesiologist uzobukeza umlando wakho wezokwelapha ophelele ngaphambi kokunquma ukuthi ilungile yini kuwe.

Kufanele wazise ithimba lakho lezokwelapha uma unanoma yiziphi zalezi zimo, njengoba zingase zithinte indlela i-sevoflurane esetshenziswa ngayo noma ukuthi ama-anesthetics ahlukile angase abe ngcono yini:

• Ukungezwani okwaziwayo ne-sevoflurane noma ezinye izidakamizwa ze-halogenated
• Umlando womuntu siqu noma womndeni we-malignant hyperthermia
• Isifo sesibindi esibi noma umlando wezinkinga zesibindi ezihlobene ne-anesthesia
• Izimo ezithile zofuzo ezithinta indlela umzimba wakho oqhubula ngayo ama-anesthetics
• Isifo sezinso esibi esidinga i-dialysis
• Izimo ezithile zenhliziyo ezenza uzwele kakhulu ekushintsheni kwengcindezi yegazi

Ukukhulelwa kudinga ukucatshangelwa okukhethekile, nakuba i-sevoflurane ingasetshenziswa ngokuphepha uma kunesidingo. Udokotela wakho we-anesthesiologist uzohlola izinzuzo nezingozi ngokusekelwe esimweni sakho esithile kanye nokuphuthuma kwenqubo yakho.

Ubudala akudingeki ukuthi bube yisithiyo, kodwa izingane ezincane kakhulu neziguli ezigugile zingase zidinge ukulungiswa komthamo noma ukuqapha okwengeziwe. Ithimba lakho le-anesthesia linolwazi oluningi lokwenza ngendlela efanele indlela yalo yeziguli zabo bonke ubudala.

Amagama Omkhiqizo we-Sevoflurane

I-Sevoflurane itholakala ngaphansi kwamagama amaningi omkhiqizo, nakuba umuthi ngokwawo ufana kungakhathaliseki umkhiqizi. Amagama omkhiqizo ajwayelekile afaka i-Ultane, i-Sevorane, kanye namafomula ahlukahlukene ajwayelekile.

Isibhedlela sakho noma isikhungo sokuhlinzwa sizosebenzisa noma yiluphi uhlobo abanalo, futhi akudingeki ukhathazeke ngokucela oluthile oluthile. Yonke imikhiqizo ye-sevoflurane evunyelwe ihlangabezana nezindinganiso ezifanayo zokuphepha nekhwalithi.

Igama lomkhiqizo lingavela emarekhodini akho ezokwelapha noma olwazini lokukhokha, kodwa lokhu akuthinti ikhwalithi noma ukuphepha kokunakekelwa kwakho kwe-anesthesia. Udokotela wakho we-anesthesiologist ukhetha indlela efanele kakhulu ye-anesthetic ngokusekelwe ezidingweni zakho, hhayi okuthandwa ngumkhiqizo.

Ezinye izindlela ze-Sevoflurane

Ezinye izinhlobo eziningi ze-anesthetics eziphefumulwayo zingasetshenziswa esikhundleni se-sevoflurane, ngasinye sinenzuzo yaso nezici zaso. Udokotela wakho we-anesthesiologist uzokhetha inketho engcono kakhulu ngokusekelwe ezidingweni zakho ezithile zezokwelapha kanye nohlobo lokuhlinzwa okwenzayo.

Ezinye izindlela ezivamile zihlanganisa i-desflurane, esebenza ngendlela efana ne-sevoflurane kodwa ingase ithandwe ezinqubweni ezinde noma lapho ukuvuka okusheshayo kubalulekile. I-Isoflurane enye inketho, nakuba isetshenziswa kaningi namuhla ngenxa yephunga layo eliqinile nokuqala kwayo okuhamba kancane.

Kwezinye izinqubo, udokotela wakho we-anesthesiologist angase ancome i-total intravenous anesthesia (TIVA) esebenzisa imithi efana ne-propofol esikhundleni sama-ejenti aphefumulwayo. Le ndlela ingasiza ikakhulukazi uma unomlando wokucasuka okukhulu ngama-anesthetics aphefumulwayo.

Izindlela ze-anesthesia zesifunda njenge-spinal noma i-epidural blocks zingase zifaneleke futhi kokunye ukuhlinzwa, ngezinye izikhathi zihlanganiswe nokuthuliswa okukhanyayo esikhundleni se-anesthesia ejwayelekile.

Ingabe i-Sevoflurane ingcono kune-Propofol?

I-Sevoflurane ne-propofol zombili ziyizinketho ezinhle ze-anesthetic, kodwa zisebenza ngendlela ehlukile futhi ngasinye sinenzuzo eyingqayizivele. Esikhundleni sokuthi eyodwa ibe “ngcono” ngokujwayelekile, ukukhetha kuncike ezimweni zakho kanye nohlobo lwenqubo oyenzayo.

I-Sevoflurane inikeza ezinye izinzuzo ezihlanganisa ukulungiswa okulula kobujule be-anesthesia ngesikhathi sokuhlinzwa futhi okungenzeka ukuthi akuthinti kakhulu umfutho wegazi kwabanye abantu. Iphinde ibe yinhle ekungenisweni kwemaski, okuyenza ibe usizo ikakhulukazi ezinganeni noma kubantu abadala abakhathazekile ngokubekwa kwe-IV.

I-Propofol, enikezwa nge-IV, ivame ukunikeza ukuvuka okubushelelezi nokuncane ukucasuka kwabanye abantu. Ivame ukukhethwa ezinqubweni ezimfushane noma lapho ukululama okusheshayo, okucacile kubaluleke kakhulu.

Udokotela wakho we-anesthesiologist ucabangela izinto eziningi lapho ekhetha phakathi kwalezi zinketho, okuhlanganisa umlando wakho wezokwelapha, ubude nohlobo lokuhlinzwa, nezintandokazi zakho. Zombili zithathwa njenge-gold-standard anesthetics ezinamarekhodi okuphepha amahle kakhulu.

Imibuzo Evame Ukubuzwa Mayelana ne-Sevoflurane

Ingabe i-Sevoflurane iphephile ezigulini ezinomdlavuza wenhliziyo?

I-Sevoflurane ingasetshenziswa ngokuphepha ezigulini eziningi ezinomdlavuza wenhliziyo, nakuba idinga ukuqapha ngokucophelela futhi ngezinye izikhathi ukulungiswa komthamo. Le anesthetic empeleni inemiphumela ethile evikelayo enhliziyweni futhi ivame ukukhethwa ezigulini ezinemibandela ethile yenhliziyo.

Udokotela wakho we-anesthesiologist uzobuyekeza isimo sakho senhliziyo esithile futhi asebenze nodokotela wakho wenhliziyo uma kudingeka ukuze aqinisekise indlela ephephe kakhulu. Bangase bakhethe ukusebenzisa ukugxila okuphansi noma bahlanganise i-sevoflurane neminye imithi ukuze bathuthukise ukuzinza kwakho kwenhliziyo nemithambo yegazi ngesikhathi sokuhlinzwa.

Ngingenzani uma ngizwa ukucasuka okukhulu ngemva kwe-Sevoflurane?

Ukasuka omkhulu ngemva kwe-sevoflurane kulawuleka ngokwelashwa okufanele, ngakho unganqikazi ukutshela ithimba lakho lokululama ngokushesha. Bangakunikeza imithi elwa nokucasuka esebenza ngokushesha ukukusiza ukuba uzizwe ungcono.

Hlala ulele uma uzizwa unesiyezi, futhi gwema ukuzama ukudla noma ukuphuza kuze kube yilapho ukucasuka kuthuthuka. Abahlengikazi bakho bazokwazi isimo sakho ngokucophelela futhi bangakunika uketshezi lwe-IV uma ungakwazi ukugcina uketshezi phansi. Ukucasuka okuningi ngemva kwe-anesthesia kulungiswa phakathi kwamahora angu-6-12.

Ngingenzani uma nginokukhathazeka mayelana nokululama kwami?

Uma unokukhathazeka mayelana nokululama kwakho ku-sevoflurane, xhumana nethimba lakho lokuhlinzwa noma udokotela we-anesthesiologist ngokushesha. Bayatholakala ukuthi baphendule imibuzo futhi babhekane nanoma yiziphi izimpawu ezikukhathazayo.

Shayela ngokushesha uma uhlangabezana nobunzima bokuphefumula, ukudideka okukhulu okuhlala amahora ambalwa, ukuhlanza okuqhubekayo, noma yiziphi izimpawu ezibonakala zingajwayelekile noma zikhathaza. Ithimba lakho lezokwelapha lingathanda ukuzwa kuwe ngento encane kunokuthi lingaphuthelwa ukubhekana nodaba olubalulekile.

Ngingashayela nini ngemva kokuthola i-Sevoflurane?

Akufanele ushayele okungenani amahora angama-24 ngemva kokuthola i-sevoflurane, njengoba umuthi ungathinta isikhathi sakho sokusabela namakhono okwenza izinqumo ngisho nangemva kokuzwa ukuthi ulungile. Izikhungo eziningi zezokwelapha zidinga ukuthi omunye umuntu akuqhubele ekhaya ngemva kokuhlinzwa.

Ikhono lakho lokushayela ngokuphepha lincike ezintweni eziningana okuhlanganisa ukuthi ukuhlinzwa kwakho kwathatha isikhathi esingakanani, yimiphi eminye imithi oyitholile, nokuthi uzizwa kanjani ngaphandle. Abanye abantu bazizwa belungele ukushayela ngemva kwamahora angama-24, kanti abanye bangase badinge amahora angama-48 noma ngaphezulu ukuze bazizwe bejwayelekile ngokuphelele.

Ngingayithola i-Sevoflurane uma ngikhulelwe?

I-Sevoflurane ingasetshenziswa ngesikhathi sokukhulelwa lapho ukuhlinzwa kudingekile, nakuba udokotela wakho we-anesthesiologist ezohlola ngokucophelela izinzuzo nezingozi. Umuthi awubonakali ubangela ukukhubazeka kokuzalwa, kodwa ukugwema yonke imithi ngesikhathi sokukhulelwa kulungile uma kungenzeka.

Uma udinga ukuhlinzwa okuphuthumayo ngesikhathi ukhulelwe, i-sevoflurane ithathwa njengenye yezinketho ze-anesthetic eziphephile ezitholakalayo. Ithimba lakho le-anesthesia lizosebenza ngokuseduze nodokotela wakho wezifo zabesifazane ukuze liqaphe wena nomntwana wakho kuyo yonke inqubo futhi lilungise indlela yabo njengoba kudingeka.