Hauv thaj tsam ntawm kev siv tshuaj loog, kev siv zog tas li los txhim kho cov neeg mob kev nyab xeeb, txo cov kev mob tshwm sim, thiab txhim kho tag nrho cov kev paub rau cov neeg mob thiab cov kws kho mob. Sevoflurane, ib qho tshuaj loog inhalational, tau tshwm sim los ua ib qho tseem ceeb hauv kev ua tiav cov hom phiaj no. Cia peb delve rau hauv cov yam ntxwv thiab cov txiaj ntsig ntawm sevoflurane thaum nws mus txog qhov xwm txheej ntawm qhov zoo tshaj plaws inhalational anesthetic.
Kev Taw Qhia luv luv rau Sevoflurane
Sevoflurane belongs rau chav kawm ntawm halogenated ethers thiab dav siv los ua ib qho tshuaj loog hauv kev phais thiab kev kho mob. Paub txog nws cov ntshav tsis muaj roj-solubility, sevoflurane induces anesthesia sai sai thaum tso cai rau ib tug ceev ceev tshwm sim los ntawm lub xeev tshuaj loog. Cov khoom tshwj xeeb no tau ua rau nws muaj koob meej hauv ntau qhov chaw kho mob.
Rapid Onset thiab Offset
1. Induction ntawm tshuaj loog:
Ib qho txiaj ntsig tseem ceeb ntawm sevoflurane yog nws qhov pib ua haujlwm sai. Cov neeg mob tau muab cov tshuaj sevoflurane tau txais kev ua kom zoo thiab nrawm ntawm cov tshuaj loog, tso cai rau cov kws kho mob pib cov txheej txheem sai. Cov yam ntxwv no tshwj xeeb tshaj yog muaj txiaj ntsig zoo nyob rau lub sijhawm kev phais mob lossis xwm txheej ceev.
2. Qhov tshwm sim los ntawm kev siv tshuaj loog:
Qhov tseem ceeb sib npaug yog sevoflurane lub peev xwm los pab txhawb kev tshwm sim sai ntawm lub xeev tshuaj loog. Cov yam ntxwv no muaj txiaj ntsig zoo rau cov neeg mob, vim nws txo qis lub sijhawm rov qab los, txo cov kev mob tshwm sim tom qab, thiab tso cai rau cov neeg mob hloov pauv sai dua hauv cov chaw kho mob.
Tsawg Metabolism thiab Tsawg Ntshav-Gas Solubility
1. Metabolism:
Sevoflurane sawv tawm rau nws qhov tsawg kawg nkaus metabolism hauv lub cev. Cov yam ntxwv no txo qhov kev pheej hmoo ntawm kev tsim cov metabolites tsis zoo, ua rau muaj kev nyab xeeb tag nrho ntawm cov tshuaj loog. Lub peev xwm mus rau qhov tsawg kawg nkaus biotransformation txhim khu kev kwv yees ntawm nws cov teebmeem.
2. Ntshav-Gas Solubility:
Cov ntshav qis-gas solubility ntawm sevoflurane tso cai rau kom muaj kev sib npaug sai ntawm cov alveoli thiab cov hlab ntsha. Qhov no ua rau muaj kev cuam tshuam sai ntawm cov tshuaj loog thiab rov qab sai tom qab txiav tawm. Cov solubility tsawg kuj tseem ua rau muaj kev tswj xyuas meej ntawm cov tshuaj loog qhov tob thaum cov txheej txheem.
Cardiovascular Stability
Kev tuav lub plawv kom ruaj khov yog ib qho tseem ceeb ntawm kev siv tshuaj loog. Sevoflurane tau pom tias muaj txiaj ntsig zoo rau cov kab mob plawv, muab cov kab mob hemodynamic ruaj khov thaum siv tshuaj loog. Qhov no yog ib qho tseem ceeb tshwj xeeb rau cov neeg mob uas muaj kev txhawj xeeb txog kev mob plawv los yog cov txheej txheem phais nyuaj.
Wide Applicability thiab Versatility
1. Kev siv menyuam yaus:
Sevoflurane yog qhov zoo rau cov neeg mob menyuam yaus vim nws qhov tsw qab ntxiag, pib sai, thiab yooj yim ntawm kev tswj hwm. Nws cov koob npe nrov hauv kev siv tshuaj loog rau menyuam yaus tau loj hlob, ua rau nws yog qhov kev xaiv zoo tshaj plaws rau kev phais hauv cov menyuam yaus.
2. Cov neeg laus thiab cov laus:
Tshaj li kev siv menyuam yaus, sevoflurane's versatility txuas mus rau cov neeg laus thiab cov neeg laus, ua rau nws muaj txiaj ntsig zoo rau ntau pawg hnub nyoog. Nws txoj kev siv dav dav ua rau nws qhov kev lees paub dav dav hauv ntau qhov chaw kho mob.
Xaus
Hauv kev xaus, sevoflurane tau tshwm sim los ua tus thawj coj hauv kev tshawb nrhiav rau qhov zoo tshaj plaws inhalational anesthetic. Nrog nws qhov pib sai thiab offset, cov metabolism hauv tsawg, tsis tshua muaj roj-solubility, thiab plawv plawv, sevoflurane muaj kev sib xyaw ua ke ntawm cov yam ntxwv uas hais txog kev txhawj xeeb tseem ceeb hauv kev tswj hwm tshuaj loog. Nws txoj kev siv dav ntxiv ua rau nws txoj haujlwm yog qhov kev xaiv mus rau cov kws kho mob hauv ntau yam tshwj xeeb.
Yog tias koj txaus siab koom nrog sevoflurane rau hauv koj txoj kev kho mob, thov tsis txhob yig tiv tauj. tiv tauj peb. Ua ib tus neeg muab kev ntseeg siab, peb tau cog lus los muab cov tshuaj zoo thiab cov khoom siv kho mob kom tau raws li cov kev xav tau ntawm cov kws kho mob. Txhim kho koj qhov kev siv tshuaj loog nrog qhov zoo ntawm sevoflurane.
Post lub sij hawm: Jan-13-2024