Sevoflurane sisithomalalisi sokuphefumla esisetyenziswa ngokubanzi esaziwa ngokuqala ngokukhawuleza kunye nokuthomalalisa, nto leyo eyenza ukuba ibe lukhetho oludumileyo kwizicwangciso ezahlukeneyo zonyango. Nangona kunjalo, njengalo naluphi na ukungenelela kwezonyango, ukulawulwa kwe-sevoflurane kufuna ukuqwalaselwa ngokucophelela kwezilumkiso zokuqinisekisa ukhuseleko lwesigulane kunye nokwandisa izibonelelo zonyango ze-anesthetic. Makhe sihlolisise izilumkiso eziphambili ezinxulumene nokusetyenziswa kwe-sevoflurane.
Imbali yesigulane kunye neeMeko esele zikhona
1. Imbali yoNyango:
Ngaphambi kokulawula i-sevoflurane, ukuphononongwa ngokucokisekileyo kwembali yonyango yesigulana kubalulekile. Ingqwalasela ekhethekileyo kufuneka inikwe nayiphi na imbali yokungaguquki, iimeko zokuphefumla, ukuphazamiseka kwesibindi okanye izintso, kunye nemiba ye-cardiovascular. Ukuqonda imeko yempilo yesigulane kubalulekile ekumiseleni idosi efanelekileyo kunye nokubeka iliso ngexesha lolawulo.
2. Ukukhulelwa nokuncancisa:
Isilumkiso siyacetyiswa xa kuqwalaselwa ukusetyenziswa kwe-sevoflurane kubantu abakhulelweyo okanye abancancisayo. Nangona kukho ubungqina obuncinane bemiphumo emibi, ukubonisana nomboneleli wezempilo kuyimfuneko ukulinganisa iingozi ezinokuthi zibe khona kunye neenzuzo, ukuqinisekisa impilo-ntle kamama kunye nosana olungekazalwa okanye oluncancisayo.
Iingqwalasela zokuphefumla
1. Umsebenzi wokuphefumla:
Ukubeka iliso kumsebenzi wokuphefumula kubalulekile ngexesha lolawulo lwe-sevoflurane. Izigulane ezineemeko zokuphefumla esele zikhona ngaphambili, ezifana ne-asthma okanye isifo esingapheliyo se-pulmonary obstructive (COPD), sinokuchaphazeleka ngakumbi kukudandatheka kokuphefumula. I-titration enononophelo ye-anesthetic kunye nokubeka iliso rhoqo amanqanaba okugcwalisa i-oxygen kubalulekile kwiimeko ezinjalo.
2. Ulawulo lwendlela yomoya:
Ulawulo olululo lomoya luyimfuneko ukuze kuthintelwe iingxaki ngexesha lolawulo lwe-sevoflurane. Oku kubandakanya ukuqinisekisa ukufumaneka kwezixhobo ezifanelekileyo zokungena kunye nokungena umoya, ngakumbi kwizigulane ezinemingeni yomoya. I-preoxygenation eyaneleyo iyanconywa ukunyusa i-oksijini yokugcina i-oksijini xa kwenzeka ukudakumba kokuphefumula.
Ukhuseleko lwentliziyo
1. UkuJonga iHemodynamic:
Ukujongwa rhoqo kweeparamitha zentliziyo kubalulekile ngexesha sevoflurane i-anesthesia. Izigulane ezineemeko zentliziyo okanye ezo zisengozini yokungazinzi kwe-hemodynamic zifuna uqwalaselo oluphapheleyo. Iimpembelelo zeyeza lokuthomalalisa kuxinzelelo lwegazi kunye nesantya sentliziyo kufuneka silandelelwe ngokukhawuleza ukulungisa nakuphi na ukuguquguquka.
2. Umngcipheko weArrhythmia:
Izigulane ezinembali ye-cardiac arrhythmias zinokuthi zichaphazeleke ngakumbi kwimiphumo ye-arrhythmogenic ye-sevoflurane. Ukubeka iliso olusondeleyo kunye nokufumaneka kwamayeza e-antiarrhythmic kunye nezixhobo ze-defibrillation zinconywa kwiimeko ezinjalo.
Ukusebenzisana kweziyobisi
Ingqwalasela enononophelo kufuneka inikwe kwintsebenziswano yamachiza enokubakho xa kusetyenziswa i-sevoflurane. Amayeza athile, afana ne-beta-blockers kunye ne-calcium channel blockers, anokuchaphazela i-cardiovascular effects of sevoflurane. Uphononongo olubanzi lwerejimeni yonyango lwesigulane lubalulekile ukuchonga intsebenziswano enokubakho.
Ukutyhileka emsebenzini
Ukuchanabeka emsebenzini kwi-sevoflurane yinkxalabo yabasebenzi bezempilo ababandakanyekayo kulawulo lweyeza lokuthomalalisa iintlungu. Ukungena komoya okwaneleyo kunye nokusetyenziswa kweenkqubo zokulahla kuyacetyiswa ukunciphisa umngcipheko wokuvezwa. Ababoneleli ngezempilo kufuneka babambelele kwizikhokelo zokhuseleko esele zibekiwe ukuze bazikhusele kwiziphumo ezinokuthi zibe sesichengeni ixesha elide.
Ukuqukumbela
Ukuqukumbela, ngelixa i-sevoflurane sisixhobo esibalulekileyo kwi-anesthesia, ulawulo lwayo olukhuselekileyo lufuna ukuqonda okubanzi kwezilumkiso ezinxulumene nazo. Imbali yesigulana, ukuqwalaselwa kokuphefumula kunye ne-cardiovascular, ukusebenzisana kweziyobisi, kunye nemilinganiselo yokhuseleko lomsebenzi zonke zidlala indima ebalulekileyo ekuqinisekiseni umphumo omuhle. Ababoneleli ngezempilo kufuneka balumke, babeke iliso kwizigulane, kwaye balungele ukujongana nayo nayiphi na imingeni enokuthi ivele ngexesha lolawulo lwe-sevoflurane.
Ukuba unemibuzo eyongezelelekileyo malunga nezilumkiso ze-sevoflurane okanye unomdla ekufumaneni le ntlungu yokuthomalalisa, nceda ungalibazisi Qhagamshelana nathi. Njengomthengisi othembekileyo, sizinikele ekunikeni abaqeqeshi bezempilo ngamayeza akumgangatho ophezulu kunye nokuqinisekisa ukusetyenziswa okukhuselekileyo nokusebenzayo kweemveliso zonyango.
Ixesha lokuposa: Jan-29-2024