Kwinkalo yeenkqubo zonyango kunye notyando, ukufezekisa ukulinganisela phakathi kwe-anesthesia esebenzayo kunye nokhuseleko lwesigulane kubaluleke kakhulu. Omnye umdlali oqaphelekayo kulo mmandla sevoflurane, iyeza lokuphefumla elisetyenziswa kakhulu. Iyaziwa ngokuqala kwayo ngokukhawuleza, ukungeniswa okugudileyo, kunye neprofayile yokhuseleko ethandekayo, i-sevoflurane idlala indima ebalulekileyo kunyango olufuna ukungazi okulawulwayo. Ngaphandle kwe-anesthesia, i-sevoflurane nayo ibonise ixabiso layo kwizicelo ezahlukeneyo. Makhe siphonononge iindlela ezininzi zokusetyenziswa kwale khompawundi eyenze ukuba ibe yindawo ebalulekileyo kumayeza anamhlanje.
Ukujonga kwiSevoflurane
I-Sevoflurane lulwelo oluguquguqukayo lwe-halogenated olukwiklasi ye-anesthetics yokuphefumla. Yaphuhliswa ngasekupheleni kwenkulungwane yama-20, yakhawuleza yafumana ukuthandwa njengenye indlela ekhuselekileyo nenobubele kwisigulane kwi-anesthetics yangaphambili. I-solubility ephantsi ye-blood-gas kunye ne-metabolism encinci emzimbeni inegalelo ekuqaliseni kwayo ngokukhawuleza kunye nokuvela kwi-anesthesia.
I-Anesthetic Marvel: Iinkqubo zoTyando kunye ne-Sedation
I-Anesthesia yokuhlinzwa: Ukusetyenziswa okuphambili kwe-sevoflurane ilele kwi-anesthesia yotyando. Ilawulwa ngokuphefumlela umoya ukuphembelela kunye nokugcina imeko elawulwayo yokungabikho zingqondweni, ivumela oogqirha botyando ukuba benze iinkqubo ezintsonkothileyo ngaphandle kokubangela intlungu okanye unxunguphalo kwisigulana. Ukuqala ngokukhawuleza kunye nokuvela kwi-anesthesia ye-sevoflurane igalelo kuguquko olulula ngaphakathi nangaphandle kokungazi, ukuphucula intuthuzelo yesigulane kunye nokubuyisela.
I-Anesthesia yabantwana: Ivumba elithambileyo le-Sevoflurane kunye nencasa iyenza ifaneleke ngakumbi izigulane zabantwana, ezinokuthi ngenye indlela zixhathise ukuphefumla ii-anesthetic agents. Ukungeniswa kwayo okuthambileyo kunye nokuchacha ngokukhawuleza kuyenze yaba lolona khetho lukhethwayo kuqhaqho lwabantwana.
Ngaphaya kweGumbi lokuSebenza
Iiyunithi zoNyango oluPhezulu (ICUs): Izibonelelo ze-Sevoflurane zandisa kwiindawo zokunyamekela okubalulekileyo. Kwezinye ii-ICUs, sevoflurane isetyenziswa kwi-sedation elawulwayo ukulawula izigulane kwii-ventilators. Ukukwazi ukulinganisa idosi kunye nokupheliswa kwayo ngokukhawuleza emzimbeni kunegalelo ekusebenzeni kwayo kwiisetingi ze-ICU.
Iimeko eziNgxamisekileyo: I-Sevoflurane iqala ngokukhawuleza yenza ukuba ixabiseke kwiimeko ezingxamisekileyo apho i-anesthesia esheshayo ifunekayo. Ukungeniswa kwayo ngokukhawuleza kunceda ukuzinzisa izigulana ngokukhawuleza, ngakumbi kwiimeko apho ukufikelela kwi-intravenous kunokuba ngumngeni.
Iprofayile yoKhuseleko
Ukuthandwa kwe-Sevoflurane kukwasekelwe kwiprofayile yayo yokhuseleko ethandekayo. Amandla ayo aphantsi okubangela ukudakumba kokuphefumula, okudityaniswa nokukhawuleza kwemetabolism kunye nokupheliswa komzimba, kunciphisa umngcipheko weengxaki ngexesha nangemva kwe-anesthesia. Lo mda wokhuseleko ubaluleke kakhulu xa kuqwalaselwa izigulana ezineemeko zempilo ezahlukeneyo.
UkuHamba ngokuQapha kunye neziphumo ezisecaleni
Ngelixa i-sevoflurane inezibonelelo ezininzi, kubalulekile ukuqaphela ukuba, njengalo naluphi na ungenelelo lwezonyango, luza neziphumo ebezingalindelekanga kunye nokuqwalaselwa. Ezinye izigulana zinokuba neziphumo ebezingalindelekanga ezithambileyo ezifana nesicaphucaphu, ukugabha, okanye ukungcangcazela xa kuvela i-anesthesia. Ukubeka iliso okufanelekileyo, uvavanyo lwembali yonyango, kunye nonxibelelwano lwesigulane lunceda ukunciphisa le mingcipheko.
Ekusukeleni Intuthuzelo kunye Nononophelo
Usetyenziso oluguquguqukayo lwe-Sevoflurane lugxininisa ukubaluleka kwayo kumayeza anamhlanje. Ukusuka ekuququzeleleni utyando oluntsonkothileyo ukuya ekuqinisekiseni ukuthotywa kwe-sedation kwimiba yokhathalelo olubalulekileyo, i-sevoflurane iphucula intuthuzelo yesigulana ngelixa iphakamisa imigangatho yokhuseleko. Ukuqala kwayo ngokukhawuleza, utshintsho olugudileyo, kunye neziphumo ebezingalindelekanga ezincinci zinegalelo ekwamkelweni kwayo ngokubanzi phakathi kweengcali zonyango kunye nezigulana ngokufanayo.
Ukuqukumbela: UkuXhotyiswa kweZenzo zoNyango
Kwihlabathi eliguquguqukayo lenkqubela phambili yezonyango, i-sevoflurane ime njengobungqina bokufuna okungapheliyo kokuphucula ukhathalelo lwesigulana. Indima yayo ekuboneleleni nge-anesthesia esebenzayo kwaye ekhuselekileyo ngexesha lotyando kunye neemeko zokhathalelo olubalulekileyo zibonisa ukubaluleka kwayo kwizinto zonyango kwihlabathi liphela. Njengoko uphando kunye nobuchwepheshe buqhubeka nokuguquka, ilifa le-sevoflurane lokuba negalelo kwiziphumo eziphuculweyo zezigulane kunye neenkqubo zonyango ngaphandle kwamathandabuzo ziya kuhlala. Singo umthengisi we-sevoflurane. Ukuba unomdla kwiimveliso zethu, nceda qhagamshelana nathi ngoku!
Ixesha lokuposa: Aug-14-2023