Sevoflurane mushonga unoshandiswa zvakanyanya mukufemesa une basa rakakosha mukurapa kwemazuva ano. Inoshandiswa kukurudzira uye kuchengetedza general anesthesia panguva yekuvhiya. Asi wakambozvibvunza here kuti komisheni iyi inoshamisa inoshanda sei mashiripiti ayo? Muchikamu chino, tichaongorora nzira yakaoma yekuita sevoflurane uye kuongorora kuti inounza sei mamiriro eanesthesia muvarwere.
Izvo zvakakosha zveSevoflurane
Tisati tanyura mumagadzirirwo echiito, zvakakosha kuti tinzwisise kuti sevoflurane chii. Sevoflurane inhalation ine simba yekufemesa iyo inopihwa kuburikidza nekufema. Inowanzo kuendeswa kuvarwere kuburikidza nemuchina weanesthesia uye inofemerwa kuburikidza nemasiki kana endotracheal chubhu.
Kutarisa Central Nervous System
Nzvimbo yekutanga yekuita sevoflurane ndiyo inonzi central nerve system (CNS). Inoshanda pahuropi nemuzongoza kuti ibudise kurasikirwa kukuru uye kudzoreredzwa kwekuziva. Izvi zvinowanikwa nekugadzirisa kufambiswa kwezviratidzo zvetsinga munzvimbo dzakasiyana dzeCNS.
Modulation yeNeurotransmitters
Sevoflurane inonyanya kushandisa mhedzisiro yayo nekugadzirisa neurotransmitters, ari makemikari nhume dzinotumira masaini pakati pemasero etsinga. Imwe yeakakosha neurotransmitters akabatwa ne sevoflurane ndeye gamma-aminobutyric acid (GABA). GABA inonzi inhibitory neurotransmitter iyo inoderedza kushanda kwemasero etsinga, zvichiita kuti pfungwa dzigadzikane.
Kuvandudza GABA Chiitiko
Sevoflurane inosimudzira basa reGABA nekusunga kune chaiyo receptor nzvimbo pamasero etsinga. Kana sevoflurane mamorekuru anosunga kune aya mareceptor, inowedzera kushanda kweGABA mukudzivisa nerve cell kuita. Izvi zvinoguma nekudzvinyirirwa kwekupfura neuronal, izvo zvinozotungamira mukurasikirwa kwekuziva kunowanikwa nemurwere.
Kuvharira Excitatory Signals
Pamusoro pekusimudzira basa reGABA, sevoflurane zvakare inovhara kutapurirana kwezviratidzo zvinofadza. Masaini anofadza ane basa rekukurudzira masero etsinga uye kukurudzira kumuka. Nekuvhiringidza zviratidzo izvi, sevoflurane inowedzera kubatsira pakuiswa kweanesthesia.
Impact kune Mamwe Neurotransmitters
Sevoflurane maitiro ekuita haangogumiri kuGABA uye masaini anofadza. Inobatawo mamwe ma neurotransmitter masisitimu, kusanganisira iyo glutamate system. Glutamate is an excitatory neurotransmitter, uye sevoflurane inogona kuderedza kusunungurwa kwayo nemigumisiro, zvichiwedzera kupa kune yose CNS kuora mwoyo kunoonekwa panguva yeanesthesia.
Kuchengetedza Anesthesia
Kunyange zvazvo sevoflurane inoshanda pakuita anesthesia, inokosha zvakaenzana pakuichengetedza munguva yose yekuvhiya. Anesthesiologists anonyatso chengetedza kusanganiswa kwe sevoflurane muropa remurwere kuti ave nechokwadi chemamiriro akadzika uye akagadzikana eanesthesia. Uku kutonga kwakanyatsoita kunobvumira murwere kuti arambe asingazivi nzira yekuvhiya uye chero kusagadzikana kwakabatana.
Kudzorera uye Kubvisa
Kana kuvhiyiwa kwapera, sevoflurane inomiswa, uye murwere anotanga kupora. Kubviswa kwe sevoflurane kubva mumuviri kunoitika kunyanya kuburikidza nekufema. Murwere anoramba achifema sevoflurane yakasara kusvikira kusungirirwa muropa kwasvika padanho rakachengeteka rekumutsa. Iyi nzira inowanzo tungamira kune nekukurumidza uye kupora kupora.
Kuchengetedza uye Kuongorora
Munguva yese yekutonga kwe sevoflurane, kuchengetedzwa kwevarwere kwakakosha. Anesthesiologists nemapoka ezvokurapa anotarisisa zviratidzo zvinokosha, zvinosanganisira kurova kwemwoyo, BP, uye mazinga eokisijeni, kuti ave nechokwadi chokuti murwere anoramba akatsiga panguva yaanoitwa. Uku kunyatsotarisisa kunobatsira kudzivirira matambudziko uye kuve nechokwadi chekuvhiya kwakabudirira.
Mhedziso
Muchidimbu, maitiro ekuita sevoflurane anosanganisira kukanganisa kwaro pakati penheyo system, iyo inowedzera basa reinhibitory neurotransmitters seGABA, inovhara zviratidzo zvinofadza, uye inogadzirisa dzimwe neurotransmitter systems. Izvi zvinoguma mukupinza uye kuchengetedzwa kweaneshesia, zvichibvumira varwere kuti vavhiyiwe zvakanaka uye zvakachengeteka.
Kana iwe uine chero mibvunzo nezve sevoflurane kana uchida mutengesi akavimbika wemidziyo yekurapa nemishonga, ndapota usazeza taura nesu. Isu tiri pano kuti tikupe iwe ruzivo nerutsigiro rwaunoda kuti uve nechokwadi chekuchengetedza uye kugara zvakanaka kwevarwere vako panguva yekutonga kweanesthesia. Hutano hwako uye hutano hwevarwere vako ndizvo zvatinokoshesa zvikuru.
Nguva yekutumira: Sep-28-2023