Sevoflurane Inoshandiswa zvakanyanya inhalational anesthetic inozivikanwa nekukasira kutanga uye kumisa, zvichiita kuti ive sarudzo yakakurumbira mune dzakasiyana siyana dzekurapa. Nekudaro, senge chero kupindira mune zvekurapa, kutungamirwa kwe sevoflurane kunoda kunyatsotariswa kwezvidziviriro kuti uve nechokwadi chekuchengetedzwa kwemurwere uye kukwidziridza mabhenefiti ekurapa kweanesthetic. Ngationgororei matanho akakosha ane chekuita nekushandiswa kwe sevoflurane.
Nhoroondo Yemurwere uye Pre-existing Conditions
1. Nhoroondo Yezvokurapa:
Usati washandisa sevoflurane, kunyatsoongorora nhoroondo yehutano hwemurwere inokosha. Kunyanya kutarisisa kunofanirwa kupihwa kune chero nhoroondo yekusagadzikana kwemaitiro, mamiriro ekufema, chiropa kana itsvo kusagadzikana, uye nyaya dzemoyo. Kunzwisisa mamiriro ehutano hwemurwere kwakakosha pakuona kuyerwa kwakakodzera uye kutarisa panguva yekutonga.
2. Nhumbu uye Kuyamwisa:
Kuchenjerera kunorayirwa kana uchifunga nezve kushandiswa kwe sevoflurane muvanhu vane pamuviri kana vanoyamwisa. Kunyange paine humbowo hushoma hwemhedzisiro yakaipa, kubvunzana nemupi wehutano hunofanirwa kuyera njodzi dzinogona kuitika uye mabhenefiti, kuve nechokwadi chekugara zvakanaka kwevose amai nemwana asati azvarwa kana anoyamwisa.
Mafungiro Okufema
1. Basa Rekufema:
Kuongorora basa rekufema kunokosha panguva yekutonga kwe sevoflurane. Varwere vane zvirwere zvekufema zvakagara zviripo, zvakadai seasthma kana chronic obstructive pulmonary disease (COPD), vanogona kunyanya kunetseka nekufema. Kuchenjerera kunyorerwa kweanesthetic uye kugara uchitarisisa yeokisijeni saturation mazinga kwakakosha mumamiriro ezvinhu akadaro.
2. Airway Management:
Kutarisira kwakakodzera kwendege kwakakosha kudzivirira matambudziko panguva yekutonga sevoflurane. Izvi zvinosanganisira kuve nechokwadi chekuvepo kwemichina yakakodzera yekupinda mukati uye kufema, kunyanya kune varwere vane dambudziko remhepo. Yakakwana preoxygenation inokurudzirwa kuwedzera oxygen reserves muchiitiko chekuora mwoyo kwekufema.
Cardiovascular Precautions
1. Hemodynamic Monitoring:
Kuenderera mberi kwekutarisa kwemoyo yemoyo parameter kwakakosha panguva sevoflurane anesthesia. Varwere vane mamiriro emwoyo kana avo vari pangozi yekusagadzikana kwehemodynamic vanoda kunyatsocherechedza. Kukanganisa kweanesthetic paBP uye kurova kwemoyo kunofanirwa kunyatsoteedzerwa kuti kukurumidza kugadzirisa chero shanduko.
2. Arrhythmia Ngozi:
Varwere vane nhoroondo ye cardiac arrhythmias vangave vakanyanya kutarisana nemigumisiro ye arrhythmogenic ye sevoflurane. Kunyatsocherechedza uye kuwanikwa kwemishonga inorwisa arrhythmic uye midziyo ye defibrillation inokurudzirwa mumamiriro ezvinhu akadaro.
Kudyidzana Kwezvinodhaka
Kunyatsotariswa kunofanirwa kupihwa kune kungangoita kudyidzana kwezvinodhaka paunenge uchipa sevoflurane. Mimwe mishonga, yakadai se beta-blockers uye calcium channel blockers, inogona kukanganisa migumisiro yemwoyo ye sevoflurane. Ongororo yakazara yerejimendi yemishonga yemurwere yakakosha kuti uone kudyidzana kunogona kuitika.
Occupational Exposure
Kuratidzwa kwebasa kune sevoflurane kunetseka kwevashandi vehutano vanobatanidzwa mukutonga kweanesthetic. Kufefetera kwakakwana uye kushandiswa kwemaitiro ekutsvaira kunokurudzirwa kuti kuderedze njodzi yekufumurwa. Vatariri vehutano vanofanirwa kutevedzera zvakamiswa nhungamiro yekuchengetedza kuti vazvidzivirire kubva kune zvinogona kuitika zvekuratidzwa kwenguva refu.
Mhedziso
Mukupedzisa, nepo sevoflurane chiri chishandiso chakakosha muanesthesia, kutonga kwayo kwakachengeteka kunoda kunzwisisa kwakadzama kwezviyero zvinobatanidzwa. Nhoroondo yemurwere, kufunga nezvekufema uye zvemoyo, kudyidzana kwezvinodhaka, uye matanho ekuchengetedzwa kwebasa zvese zvinotamba mabasa akakosha mukuona mhedzisiro yakanaka. Vatariri vehutano vanofanirwa kungwarira, kunyatsotarisisa varwere, uye kuve vakagadzirira kugadzirisa chero matambudziko angamuka panguva yekutonga sevoflurane.
Kana iwe uine mimwe mibvunzo pamusoro pedziviriro ye sevoflurane kana uchida kutsvaga iyi anesthetic, ndapota usazeza taura nesu. Semutengesi akavimbika, takazvipira kupa vashandi vehutano mishonga yemhando yepamusoro uye kuona kushandiswa kwakachengeteka uye kunoshanda kwezvigadzirwa zvekurapa.
Nguva yekutumira: Jan-29-2024