Emkhakheni wokubulala izinzwa, kwenziwa imizamo eqhubekayo yokuthuthukisa ukuphepha kwesiguli, ukunciphisa imiphumela engemihle, futhi kuthuthukiswe ulwazi oluphelele lweziguli kanye nochwepheshe bezokwelapha. I-Sevoflurane, isibulali-zinzwa esihogelayo, siye savela njengomdlali obalulekile ekufinyeleleni le migomo. Ake sihlole izici nezinzuzo ze-sevoflurane njengoba isondela esimweni se-anesthetic ehogelayo efanelekile.
Isingeniso esifushane se-Sevoflurane
I-Sevoflurane ingeyesigaba sama-halogenated ethers futhi isetshenziswa kabanzi njengesibulala-zinzwa esihogelayo ezinqubweni zokuhlinza nezokwelapha. Iyaziwa ngokuncibilika kwayo kwegesi ephansi yegazi, i-sevoflurane yenza izinzwa ngokushesha kuyilapho ivumela ukuvela ngokushesha esimweni sokubulala izinzwa. Lezi zakhiwo eziyingqayizivele zibe nomthelela ekudumeni kwayo okwandayo ezindaweni ezihlukahlukene zezokwelapha.
Ukuqala Okusheshayo kanye ne-Offset
1. Ukwethulwa Kwe-Anesthesia:
Enye yezinzuzo ezibalulekile ze-sevoflurane ukuqala kwayo ngokushesha kwesenzo. Iziguli ezinikezwe i-sevoflurane zithola ukwethulwa okushelelayo nokusheshayo kwe-anesthesia, okuvumela ochwepheshe bezokwelapha ukuthi baqale izinqubo ngokushesha. Lesi sici sizuzisa kakhulu ekuhlinzweni okuzwela isikhathi noma ezimeni eziphuthumayo.
2. Ukuvela kwe-Anesthesia:
Okubaluleke ngokufanayo ikhono le-sevoflurane lokusiza ukuvela ngokushesha esimweni sokubulala izinzwa. Lesi sici sinenzuzo ezigulini, njengoba sinciphisa isikhathi sokululama, sinciphisa imiphumela engemihle yangemva kokuhlinzwa, futhi sivumela inzuzo esheshayo yesiguli ezikhungweni zezokwelapha.
I-Metabolism Encane kanye Nokuncibilika Kwegazi Negesi Eliphansi
1. I-Metabolism:
I-Sevoflurane igqame ngemetabolism yayo encane emzimbeni. Lesi sici sinciphisa ubungozi bokukhiqiza ama-metabolite ayingozi, okunomthelela kuphrofayili yokuphepha iyonke ye-anesthetic. Ikhono lokuthola i-biotransformation encane lithuthukisa ukubikezelwa kwemiphumela yayo.
2. Ukunyibilika Kwegazi Negesi:
Ukuncibilika okuphansi kwegesi yegazi le-sevoflurane kuvumela ukulingana okusheshayo phakathi kwe-alveoli nomjikelezo wegazi. Lokhu kubangela ukungeniswa okusheshayo kwe-anesthesia kanye nokululama ngokushesha ngemva kokuyeka. I-solubility ephansi iphinde ibe nomthelela ekulawuleni okunembile kokujula kokubulala izinzwa phakathi nezinqubo.
Ukuzinza kwenhliziyo nemithambo yegazi
Ukugcina ukuzinza kwenhliziyo nemithambo yegazi kuyisici esibalulekile se-anesthesia. I-Sevoflurane ibonise imiphumela emihle kumapharamitha wenhliziyo, ihlinzeka ngephrofayili eqinile ye-hemodynamic ngesikhathi sokubulala izinzwa. Lokhu kubaluleke kakhulu ezigulini ezinokukhathazeka kwenhliziyo nemithambo yegazi noma lezo ezenza izinqubo zokuhlinzwa eziyinkimbinkimbi.
Ukusebenziseka Okubanzi Nokuguquguquka
1. Ukusetshenziswa Kwezingane:
I-Sevoflurane ifaneleka kahle ezigulini zezingane ngenxa yephunga layo elimnandi, ukuqala ngokushesha, kanye nokuphatha kalula. Ukuthandwa kwayo ekubulaweni kwezinzwa kwezingane sekukhulile, okwenza kube ukukhetha okuncanyelwayo ekuhlinzeni ezinganeni.
2. Abantu Abadala Nabancane:
Ngale kokusetshenziswa kwezingane, ukuguquguquka kwe-sevoflurane kudlulela kubantu abadala nakwabakhulile, okuyenza ibe inketho ebalulekile kuwo wonke amaqembu obudala obuhlukahlukene. Ukusebenza kwayo okubanzi kunomthelela ekwamukelweni kwayo kabanzi ezindaweni ezehlukene zezokwelapha.
Isiphetho
Sengiphetha, i-sevoflurane iqhamuke njengehamba phambili ekufuneni i-anesthetic efanelekile yokuhogela. Ngokuqala kwayo ngokushesha kanye nokwehla, i-metabolism encane, ukuncibilika kwegesi legazi eliphansi, nokuzinza kwenhliziyo, i-sevoflurane inikeza inhlanganisela yezici ezibhekana nokukhathazeka okuyinhloko ekuphathweni kwe-anesthesia. Ukusebenza kwayo okubanzi kuqhubezela phambili ukuqinisa isikhundla sayo njengokukhethwa kochwepheshe bezokwelapha emikhakheni ehlukahlukene.
Uma ungathanda ukufaka i-sevoflurane emsebenzini wakho wezokwelapha, sicela ungangabazi Xhumana nathi. Njengomphakeli onokwethenjelwa, sizibophezele ekuhlinzekeni ngemithi yekhwalithi ephezulu nemikhiqizo yezokwelapha ukuze sihlangabezane nezidingo zochwepheshe bezempilo. Phakamisa umkhuba wakho wokulalisa izinzwa ngezinzuzo ezinikezwa i-sevoflurane.
Isikhathi sokuthumela: Jan-13-2024