Ni ubuhe buryo bwo kwirinda Sevoflurane?

Sevoflurane ni anesthetic ikoreshwa cyane izwiho gutangira vuba no gutangira, bigatuma ihitamo gukundwa mubuvuzi butandukanye. Ariko, kimwe nubuvuzi ubwo aribwo bwose, ubuyobozi bwa sevoflurane busaba ko harebwa neza ingamba zo kwirinda umutekano w’abarwayi no kunoza ibyiza byo kuvura anesthetic. Reka dusuzume ingamba zingenzi zijyanye no gukoresha sevoflurane.

Amateka y'abarwayi n'ibihe byabanjirije kubaho

1. Amateka y'ubuvuzi:

Mbere yo gutanga sevoflurane, gusuzuma neza amateka yubuvuzi bwumurwayi ni ngombwa. Byakagombye kwitabwaho cyane ku mateka ayo ari yo yose yatewe na allergique, imiterere y'ubuhumekero, umwijima cyangwa impyiko, n'ibibazo by'umutima. Gusobanukirwa nubuzima bwumurwayi ningirakamaro muguhitamo igipimo gikwiye no kugenzura mugihe cyubuyobozi.

2. Inda no Kwonsa:

Icyitonderwa kirasabwa mugihe usuzumye ikoreshwa rya sevoflurane kubantu batwite cyangwa bonsa. Nubwo hari ibimenyetso bike byerekana ingaruka mbi, kugisha inama umuganga wubuzima birakenewe kugirango harebwe ingaruka zishobora guterwa ninyungu, kugirango ubuzima bwiza bwumubyeyi numwana utaravuka cyangwa wonsa.

Ibitekerezo byubuhumekero

1. Imikorere y'ubuhumekero:

Gukurikirana imikorere yubuhumekero nibyingenzi mugihe cyo kuyobora sevoflurane. Abarwayi bafite ibibazo byubuhumekero byahozeho, nka asima cyangwa indwara zidakira zifata ibihaha (COPD), barashobora kwibasirwa cyane no kwiheba. Kwitonda witonze kuri anesthetic no guhora ukurikirana urugero rwuzuye rwa ogisijeni nibyingenzi muribyo bihe.

2. Gucunga inzira:

Gucunga neza inzira ni ngombwa kugirango wirinde ingorane mugihe cya sevoflurane. Ibi bikubiyemo kwemeza ko haboneka ibikoresho bikwiye byo gutangiza no guhumeka, cyane cyane ku barwayi bafite ibibazo byo guhumeka. Preoxygenation ihagije irasabwa kongera ububiko bwa ogisijeni mugihe habaye ihungabana ryubuhumekero.

Kwirinda umutima

1. Gukurikirana Hemodynamic:

Gukomeza gukurikirana ibipimo byumutima nimiyoboro y'amaraso ni ngombwa mugihe sevoflurane anesthesia. Abarwayi bafite umutima-mitsi cyangwa abafite ibyago byo guhungabana kwa hemodinamike bakeneye kwitegereza neza. Ingaruka ya anestheque kumuvuduko wamaraso nigipimo cyumutima igomba gukurikiranirwa hafi kugirango ihite ikemura ibibazo byose bihindagurika.

2. Ingaruka ziterwa na Arththmia:

Abarwayi bafite amateka yumutima utera umutima barashobora kwibasirwa cyane ningaruka ziterwa na sevoflurane. Gukurikiranira hafi no kuboneka imiti igabanya ubukana hamwe nibikoresho bya defibrillation birasabwa mubihe nkibi.

Imikoreshereze yibiyobyabwenge

Hagomba kwitabwaho cyane kubijyanye nibiyobyabwenge bishobora gukoreshwa mugihe utanga sevoflurane. Imiti imwe n'imwe, nka beta-blokers hamwe na calcium umuyoboro wa calcium, irashobora kugira ingaruka kumutima nimiyoboro y'amaraso ya sevoflurane. Isubiramo ryuzuye ryimiti yumurwayi ningirakamaro kugirango hamenyekane imikoranire ishobora kuba.

Kumenyekanisha Akazi

Guhura nakazi kuri sevoflurane ni impungenge kubakozi bashinzwe ubuzima bagize uruhare mu micungire ya anesthetic. Guhumeka bihagije no gukoresha sisitemu yo guswera birasabwa kugabanya ibyago byo guhura nabyo. Abatanga ubuvuzi bagomba kubahiriza amabwiriza y’umutekano yashyizweho kugira ngo birinde ingaruka zishobora guterwa no kumara igihe kirekire.

Umwanzuro

Mu gusoza, mugihe sevoflurane nigikoresho cyingirakamaro muri anesteziya, ubuyobozi bwayo bwumutekano busaba gusobanukirwa byimazeyo ingamba zijyanye nabyo. Amateka y’abarwayi, ibitekerezo byubuhumekero nimiyoboro yumutima, imikoranire yibiyobyabwenge, hamwe ningamba zumutekano wakazi byose bigira uruhare runini mugutanga umusaruro ushimishije. Abatanga ubuvuzi bagomba kwitonda, gukurikiranira hafi abarwayi, no kwitegura gukemura ibibazo byose bishobora kuvuka mugihe cya sevoflurane.

Niba ufite ibindi bibazo byerekeranye no kwirinda sevoflurane cyangwa ushishikajwe no gushakisha iyi anesthetic, nyamuneka ntutindiganye twandikire. Nkumuntu utanga isoko wizewe, twiyemeje guha inzobere mu buvuzi imiti y’imiti yo mu rwego rwo hejuru no guharanira ko imiti y’ubuvuzi ikoreshwa neza kandi neza.