Sevoflurane sisithomalalisi sokuphefumla esiqhele ukusetyenziswa kwicandelo lamayeza. Isetyenziselwa ukukhuthaza nokugcina i-anesthesia jikelele ngexesha lotyando. Ngelixa isetyenziswa kakhulu kwaye ithathwa njengekhuselekile, izigulana ezininzi ziyazibuza ukuba kwenzeka ntoni na xa ziphefumlela i-sevoflurane. Kweli nqaku, siza kuhlolisisa iinkcukacha ze-sevoflurane inhalation, imiphumo yayo emzimbeni, kunye nendima yayo kumayeza anamhlanje.
Ukuqonda i-Sevoflurane: Intshayelelo emfutshane
Ngaphambi kokuba singene kwiziphumo zomzimba, kubalulekile ukuqonda ukuba yintoni i-sevoflurane kwaye ilawulwa njani. I-Sevoflurane yi-volatile inhalation anesthetic elawulwa ngomatshini okhethekileyo wokuthomalalisa. Iphefumlelwa sisigulana ngemaski okanye ityhubhu ye-endotracheal, evumela ukuba ifikelele emiphungeni kwaye ingene egazini.
Ukunciphisa i-Anesthesia
Enye yeenjongo eziphambili ze-sevoflurane kukukhuthaza i-anesthesia ngokukhawuleza nangokutyibilikayo. Xa isigulane siphefumla i-sevoflurane, iqala ukusebenza kwimizuzwana embalwa. Irhasi erholeyo ihamba ngenkqubo yokuphefumla kwaye iye egazini. Njengoko ifikelela ebuchotsheni, iphazamisa ukuhanjiswa kwemiqondiso yemithambo-luvo, nto leyo ekhokelela ekulahlekelweni zingqondo. Oku kuvumela isigulane ukuba singazi ngokupheleleyo inkqubo yotyando kunye naluphi na ukungahambi kakuhle okanye intlungu.
Ukugcina i-Anesthesia
Nje ukuba isigulana siphantsi kwe-anesthesia, i-sevoflurane idlala indima ebalulekileyo ekugcineni inqanaba elifunekayo lokungabikho zingqondweni kulo lonke utyando. I-Anesthesiologists ibeka iliso ngokucokisekileyo ukuxinwa kwe-sevoflurane kwigazi lomguli kwaye ilungelelanise njengoko kuyimfuneko ukuze kuqinisekiswe imeko enzulu kunye nezinzile ye-anesthesia. Olu lawulo oluchanekileyo luyimfuneko ukugcina isigulane sikhululekile kwaye siqinisekise impumelelo yenkqubo yotyando.
Iimpembelelo zentliziyo
Ukongeza kwiipropati zayo ze-anesthetic, i-sevoflurane ineempembelelo ezithile eziphawulekayo kwi-cardiovascular system. Inokubangela ukuhla koxinzelelo lwegazi kunye nokucotha kwesantya sentliziyo. Ezi ziphumo zinyamezeleka kakuhle zizigulana ezininzi, kwaye ii-anesthesiologists zinokuhlengahlengisa idosi ukunciphisa naluphi na utshintsho olungafunwayo lwentliziyo. Nangona kunjalo, ukujongwa ngokusondeleyo kubalulekile ukuqinisekisa ukhuseleko lwesigulana.
Iziphumo zokuphefumla
Sevoflurane ikwachaphazela inkqubo yokuphefumla. Ibangela ukukhululeka kwemisipha kwiindlela zomoya, ezinokuthi zikhokelela ekunciphiseni umzamo wokuphefumula. Ukuchasana nesi siphumo, izigulana zihlala zibonelelwa ngokungena komoya ngoomatshini, apho i-ventilator incedisa ukuphefumla kulo lonke utyando. Oku kuqinisekisa ukuba isigulane sifumana ioksijini eyaneleyo kwaye sikhupha i-carbon dioxide ngokufanelekileyo.
I-Metabolism kunye nokupheliswa
Nje ukuba i-sevoflurane isebenze injongo yayo, iyakhutshwa emzimbeni ngokuphefumla. Irhasi ikhutshwa ngokuphefumla kwesigulane de ukugxininiswa kwegazi kufikelele kwinqanaba elikhuselekileyo lokuvuswa. Le nkqubo ivumela ukubuyisela ngokukhawuleza kwi-anesthesia, kunye nezigulane zihlala zivuka emva kwemizuzu emva kokuba i-sevoflurane iphelile.
Ukhuseleko kunye neMida emincinci emincinci
I-Sevoflurane yaziwa ngokukhuseleka kwayo kunye nemiphumo emibi encinci xa ilawulwa ngabaqeqeshi abaqeqeshiweyo. Izigulana zinokuba neziphumo ebezingalindelekanga eziqhelekileyo, ezifana nesicaphucaphu okanye umqala obuhlungu, ezidla ngokuba zezokwexeshana kwaye zilawuleka lula. Iziphumo ezibi kakhulu zinqabile kodwa zingenzeka, nto leyo egxininisa ukubaluleka kokujongwa ngononophelo kunye neqela lezonyango eliqeqeshwe kakuhle.
Ukuqukumbela
Ukuphefumla i-sevoflurane linyathelo elibalulekileyo kwi-anesthesia yanamhlanje, evumela izigulane ukuba zenze utyando ngokukhululeka nangokukhuselekileyo. Ibangela kwaye igcine i-anesthesia, ichaphazela inkqubo ye-cardiovascular and breathing, kwaye ikhutshwe ngokufanelekileyo emzimbeni. Ngelixa kukho iziphumo ebezingalindelekanga ezinokwenzeka, iprofayili yokhuseleko iyonke ye-sevoflurane yenza kube lukhetho olukhethwayo kwiinkqubo ezininzi zonyango.
Ukuba unayo nayiphi na imibuzo okanye iinkxalabo malunga ne-sevoflurane okanye ulawulo lwayo, nceda uzive ukhululekile Qhagamshelana nathi. Njengomthengisi othembekileyo wezixhobo zonyango kunye namayeza, silapha ukukunika ulwazi kunye nenkxaso oyifunayo ukuqinisekisa ukhuseleko kunye nokuphila kakuhle kwezigulana zakho ngexesha leenkqubo zotyando. Impilo yakho kunye nempilo yezigulana zakho zezona zinto ziphambili kuthi.
Ixesha lokuposa: Sep-13-2023