Sevoflurane: Kwegera Ideal Inhalational Anesthetic

Mu rwego rwa anesthesia, hashyirwa ingufu mu kongera umutekano w’abarwayi, kugabanya ingaruka mbi, no kunoza uburambe muri rusange ku barwayi ndetse n’inzobere mu buvuzi. Sevoflurane, anesthetic ihumeka, yagaragaye nkumukinnyi ukomeye mugushikira izo ntego. Reka ducukumbure ibiranga inyungu za sevoflurane mugihe yegereye imiterere ya anesthetic nziza yo guhumeka.

Intangiriro Muri make Sevoflurane

Sevoflurane ni mubyiciro bya ethers ya halogene kandi ikoreshwa cyane nka anesthetic ihumeka muburyo bwo kubaga no kuvura. Sevoflurane izwiho kuba ifite umuvuduko muke w'amaraso, sevoflurane itera anesteziya mugihe itanga uburyo bwihuse bwo kuva muri anesthetic. Iyi mitungo idasanzwe yagize uruhare mukwiyongera kwamamare mubuvuzi butandukanye.

Gutangira byihuse no guhagarika

1. Kwinjiza Anesthesia:

Kimwe mubyiza byingenzi bya sevoflurane nigikorwa cyihuse cyibikorwa. Abarwayi batanze sevoflurane bafite uburambe kandi bwihuse bwo gutera anesteziya, bituma abahanga mubuvuzi batangira inzira vuba. Ibi biranga ingirakamaro cyane cyane kubagwa-igihe cyangwa ibihe byihutirwa.

2. Kwivuka muri Anesthesia:

Icyangombwa kimwe nubushobozi bwa sevoflurane bwo koroshya kugaragara byihuse bivuye muri anesthetic. Iyi mikorere ni nziza kubarwayi, kuko igabanya igihe cyo gukira, igabanya ingaruka mbi nyuma yo kubagwa, kandi ituma abarwayi bihinduka vuba mubigo nderabuzima.

Metabolism Ntoya hamwe namaraso-gazi yo gukemura

1. Metabolism:

Sevoflurane ihagaze neza kuri metabolism ntoya mumubiri. Ibi biranga kugabanya ibyago byo kubyara metabolite yangiza, bigira uruhare mumiterere rusange yumutekano wa anesthetic. Ubushobozi bwo gukora biotransformation ntoya byongera guhanura ingaruka zabyo.

2. Amaraso-gazi yo gukemura:

Amaraso make ya gaze ya sevoflurane ituma habaho kuringaniza byihuse hagati ya alveoli n'amaraso. Ibi bivamo kwinjiza vuba anesthesia no gukira vuba nyuma yo guhagarika. Ubushobozi buke kandi bugira uruhare mukugenzura neza ubujyakuzimu bwa anesthetic mugihe gikwiye.

Guhagarara k'umutima

Kugumana umutima uhagaze neza ni ikintu gikomeye cya anesteziya. Sevoflurane yerekanye ingaruka nziza kumiterere yumutima nimiyoboro y'amaraso, itanga imiterere ihamye ya hemodinamike mugihe cya anesthesia. Ibi ni ingenzi cyane kubarwayi bafite ibibazo byumutima nimiyoboro y'amaraso cyangwa abafite uburyo bukomeye bwo kubaga.

Ikoreshwa ryinshi kandi rihindagurika

1. Gukoresha abana:

Sevoflurane ikwiranye neza n’abarwayi b’abana kubera impumuro yayo nziza, gutangira vuba, no koroshya ubuyobozi. Icyamamare cyayo muri anesthesia yabana cyiyongereye, bituma ihitamo guhitamo kubaga abana.

2. Abaturage bakuze naba bakuze:

Usibye gukoresha abana, sevoflurane ihindagurika igera kubantu bakuze ndetse nabakuze, bigatuma ihitamo agaciro mumyaka itandukanye. Kuba ikoreshwa ryayo rigira uruhare runini mu kwivuza.

Umwanzuro

Mu gusoza, sevoflurane yagaragaye nkimbere mu gushakisha uburyo bwiza bwo guhumeka neza. Sevoflurane hamwe no gutangira kwihuta kwayo, metabolisme ntoya, kugabanuka kwamaraso-gazi, hamwe no guhagarara kwimitsi yumutima, sevoflurane itanga ihuriro ryibintu bikemura ibibazo byingenzi mubuyobozi bwa anesteziya. Ikoreshwa ryinshi ryarushijeho gushimangira umwanya waryo nko kujya guhitamo abahanga mubuvuzi mubyiciro bitandukanye.

Niba ushishikajwe no kwinjiza sevoflurane mubikorwa byawe byubuvuzi, nyamuneka ntutindiganye twandikire. Nkumutanga wizewe, twiyemeje gutanga imiti yujuje ubuziranenge n’ibicuruzwa by’ubuvuzi kugira ngo inzobere mu buvuzi zikenewe. Uzamure imyitozo ya anesthesia hamwe nibyiza bitangwa na sevoflurane.