Sevoflurane sisithomalalisi sokuphefumla esisetyenziswa kakhulu esidlala indima ebalulekileyo kumayeza anamhlanje. Isetyenziselwa ukukhuthaza nokugcina i-anesthesia jikelele ngexesha lotyando. Kodwa ngaba wakha wazibuza ukuba le khompawundi imangalisayo isebenza njani umlingo wayo? Kweli nqaku, siza kuphanda kwindlela entsonkothileyo yesenzo se-sevoflurane kwaye sijonge ukuba izisa njani imeko ye-anesthesia kwizigulana.
Iziseko zeSevoflurane
Ngaphambi kokuba singene kwindlela yokusebenza, kubalulekile ukuqonda ukuba yintoni i-sevoflurane. I-Sevoflurane sisizobisi sokuphefumla esiguqukayo esilawulwa ngokuphefumla. Ngokuqhelekileyo ihanjiswa kwizigulana ngomatshini we-anesthesia kwaye ifakwe ngemaski okanye i-endotracheal tube.
Ukujolisa kwiNkqubo yeNervous esembindini
Indawo ephambili yesenzo se-sevoflurane yinkqubo ye-nervous central (CNS). Isebenza kwingqondo kunye nentambo yomgogodla ukuvelisa ilahleko enzulu kunye nokubuyisela umva kwingqondo. Oku kufezekiswa ngokuguqula ukuhanjiswa kwemiqondiso yemithambo-luvo kwimimandla eyahlukeneyo ye-CNS.
Ukumodareyithwa kweeNeurotransmitters
I-Sevoflurane ngokuyintloko yenza iziphumo zayo ngokumodareyitha ii-neurotransmitters, ezizizithunywa zeekhemikhali ezihambisa imiqondiso phakathi kweeseli zemithambo-luvo. Enye yee-neurotransmitters eziphambili ezichaphazelekayo yi-sevoflurane yi-gamma-aminobutyric acid (GABA). I-GABA yi-neurotransmitter engathinteliyo ethomalalisa umsebenzi weeseli zemithambo-luvo, ekhokelela kwisiphumo sokuzola kwingqondo.
Ukuphucula umsebenzi we-GABA
I-Sevoflurane iphakamisa umsebenzi we-GABA ngokuzibophelela kwiindawo ezithile ze-receptor kwiiseli ze-nerve. Xa iimolekyuli ze-sevoflurane zibophelela kula ma-receptors, kwandisa ukusebenza kwe-GABA ekuvimbeleni umsebenzi weeseli ze-nerve. Oku kubangela ukucuthwa kokudubula kwe-neuronal, okukhokelela ekugqibeleni ekulahlekelweni kwengqondo okufunyanwa sisigulana.
Ukuthintela Iimpawu Zokuvusa
Ukongeza ekuphuculeni umsebenzi we-GABA, sevoflurane ikwathintela ukuhanjiswa kweempawu ezivuselelayo. Imiqondiso evuselelayo inoxanduva lokuvuselela iiseli ze-nerve kunye nokukhuthaza ukuphaphama. Ngokuphazamisa le miqondiso, i-sevoflurane inegalelo ngakumbi ekufakweni kwe-anesthesia.
Impembelelo kwezinye iiNeurotransmitters
Indlela yesenzo ye-Sevoflurane ayiphelelanga kwi-GABA kunye neempawu zovuyo. Ikwachaphazela nezinye iinkqubo ze-neurotransmitter, kuquka inkqubo ye-glutamate. I-Glutamate yi-neurotransmitter evuselelayo, kwaye i-sevoflurane inokunciphisa ukukhululwa kwayo kunye nemiphumo, igalelo ngakumbi kwi-CNS yokudakumba ngokubanzi okubonwa ngexesha le-anesthesia.
Ukugcina i-Anesthesia
Ngelixa i-sevoflurane isebenza ngokubangela i-anesthesia, ibaluleke ngokufanayo ekuyigcineni kuyo yonke inkqubo yotyando. I-Anesthesiologists ilawula ngokucophelela i-concentration ye-sevoflurane kwigazi lesigulane ukuze kuqinisekiswe imeko enzulu kunye nezinzile ye-anesthesia. Olu lawulo oluchanekileyo luvumela isigulane ukuba sihlale singayazi inkqubo yotyando kunye naluphi na ukuphazamiseka okuhambelanayo.
Ukubuyiswa kunye nokupheliswa
Emva kokuba inkqubo yotyando igqityiwe, i-sevoflurane iyekwa, kwaye isigulane siqala ukuchacha. Ukukhutshwa kwe-sevoflurane emzimbeni kwenzeka ngokuyinhloko ngokukhupha umoya. Isigulana siyaqhubeka siphefumla i-sevoflurane eseleyo kude kube ukugxilwa kwegazi kufikelele kwinqanaba elikhuselekileyo lokuvuswa. Le nkqubo ikhokelela ekuchacheni ngokukhawuleza nangokutyibilikayo.
Ukhuseleko kunye nokuBeka iliso
Kulo lonke ulawulo lwe-sevoflurane, ukhuseleko lwesigulane lubaluleke kakhulu. Iingcali ze-Anesthesiologists kunye namaqela ezonyango zibeka iliso elibukhali iimpawu ezibalulekileyo, kuquka izinga lentliziyo, uxinzelelo lwegazi, kunye namanqanaba e-oksijini, ukuqinisekisa ukuba isigulane sihlala sizinzile ngexesha lenkqubo. Oku kubeka iliso ngononophelo kunceda ukukhusela iingxaki kunye nokuqinisekisa umphumo oyimpumelelo wotyando.
Ukuqukumbela
Isishwankathelo, indlela yesenzo se-sevoflurane ibandakanya impembelelo yayo kwinkqubo ye-nervous central, apho iphakamisa umsebenzi we-neurotransmitters ezinqandayo ezifana ne-GABA, ivimbela izibonakaliso ze-excitatory, kwaye imodareyitha ezinye iinkqubo ze-neurotransmitter. Oku kubangela ukungeniswa kunye nokugcinwa kwe-anesthesia jikelele, ukuvumela izigulane ukuba ziqhube iinkqubo zotyando ngokukhululeka nangokukhuselekileyo.
Ukuba unayo nayiphi na imibuzo malunga ne-sevoflurane okanye ufuna umthengisi othembekileyo wezixhobo zonyango kunye namayeza, nceda ungalibazisi Qhagamshelana nathi. Silapha ukukunika ulwazi kunye nenkxaso oyifunayo ukuqinisekisa ukhuseleko kunye nokuphila kakuhle kwezigulana zakho ngexesha lolawulo lwe-anesthesia. Impilo yakho kunye nempilo yezigulana zakho zezona zinto ziphambili kuthi.
Ixesha lokuposa: Sep-28-2023