Zempilo, Amayeza
Ubuthongo eyabangelwa Drug-kwigumbi labagula kakhulu: nemithelela ncomo
Iinkqubo ezininzi zempilo ngaphandle zomzimba. Kuyimfuneko ukuba ukususa intlungu, ukunqanda kukothuka. Eneneni, basabela uphawu eziphilayo (iyangongoza intliziyo, uxinzelelo oluphezulu lwegazi, xi ihomoni) unako kakhulu kuchaphazela imeko yesigulane. Kudla kusetyenziswa iphupha zonyango.
imihlobo Ukubulawa
Kukho iindlela ezimbini ezisisiseko ukuya ntlungu. zomzimba Local osetyenziswa ekunciphiseni intlungu yasekuhlaleni. Kulo mzekelo, lo mntu uhlala abazi. Olu hlobo zomzimba na iintlobo ezilandelayo. Umphezulu indlela - amalungiselelo isicelo esikhumbeni (okanye ngenwebu yangaphakathi), apho bathi bafakwe ube nempumelelo. rhoqo le ndlela isetyenziswa yi bamazinyo. Kwakhona ningabaleli didi kunye lomkhenkce. Nokungena zomzimba lisetyenziswa iinkqubo zotyando ezithile, ukuphatheka. Le into yaziswa esikule ngenaliti. zomzimba Regional has zenyathi ezininzi: i ebulewe, amacingo, lialio. Kulo mzekelo, ichiza yaziswa kummandla ukuba sisondele kakhulu buti luvo okanye plexus. Esebenzisa le ndlela enjalo ivaliwe ngokukhutshelwa ngokwentshukumisa intlungu. Ukuba utyando yenzelwa phezu imilenze, kunokwenzeka ukuba ukusebenzisa Ukubulawa intravascular. Le ndindisholo ibhalwa imithambo yegazi lomzimba. zomzimba jikelele abangaphangeliyo umsebenzi kwenkqubo luvo. Izihlunu ukhululeke, ingqondo egxobhekile. zingenziwa zombini inhalation okanye inaliti efakwa.
Yintoni buthongo ngabom iziyobisi
Umthomalalisi na imveliso engenye bethembisa Ukubulawa enzonzobila. Kubaluleke kakhulu ukuba umntu lisezingqondweni na, ikhaliphe zakhe zombini. Kuba emanzini ukulala zonyango kusungulwe ezizodwa nadlamkisayo butofelwe okanye esihlunwini. Ikhuthaza epheleleyo kuthanjiswa, umthomalalisi kunye analgesia. Cebisa olu hlobo zomzimba kubantu kunye eliphantsi isinyuko iintlungu, ukuphazamiseka luvo, abantwana. Lenquba yenzelwa anaesthesiologist, leyo ibala idosi efunekayo. Kwakhona zeengcali kunceda isigulane ukuba niphume kule meko. Kuyinto isici kwi sakhiwo nga Ukongezelela ukusebenzisa Ukubulawa yasekuhlaleni. Izinto eziluncedo eziphambili bokulala kunye neziyobisi zilandelayo. Amayeza asetyenziswa musa eziqulathe izithako ezidakumbisayo kwaye musa ukuba likhoboka lazo. Eli ziko yokuphefumla elinganeno. Xa ezingqondweni umntu ngokukhawuleza - kwisithuba imizuzu 5-10. Ngoko ke, ukuba usebenzisa ubuthongo amayeza, imiphumo umlinganiswa thabatha phantse engekhoyo.
amazinga umthomalalisi
Uninzi degrees ecacileyo bokulala ngamayeza. Inqanaba lincinane luphawulwa kukuba isigulana niphaphile, qhagamshelana nogqirha wakho. Kulo mzekelo, kancinane kuphula bekuliphi inqanaba lengqiqo, ulungelelwaniso zeentshukumo. Moderate umthomalalisi ubunzulu - yimeko apho umntu iphendula ilizwi yashukunyiswa oyivileyo. ubuthongo obukhulu luphawulwa ngokungabikho qha yezonyango umguli kunye nogqirha. Awakening kunokwenzeka kwindawo inkanuko ngokwanelisayo buhlungu. Kwezinye iimeko, usenokuba iingxaki yokuphefumla ngelixa hemodynamics yahlala izinzile.
Ziziphi amayeza zisetyenziselwa umthomalalisi
Ichiza ezilungele amayeza ukulala kufuneka abe ezithile iimpawu. Okokuqala, ukusebenza. Kwakhona, izinto ezinjalo kufuneka ubuncinane ziziphumo ebezingalindelekanga, nengqondo kakulu ngokukhawuleza emva ukumisa wolawulo. umthomalalisi Light ikhutshwa phandle "midazolam." ubuthongo Kunzulu kuvela emva kokuba ukuqaliswa "Propofol". Umthomalalisi wavelisa kwakhona ngokusebenzisa into efana oxide. Le negesi, apho kubonelelwa ngayo imaski okhethekileyo. Phantsi impembelelo yayo kukho ukucuthwa izihlunu, luthoba isigulane. Kwezinye iimeko, wasebenzisa barbiturates, kodwa zingakuchaphazeli imisipha intliziyo. hemodynamics esweni okuqhubekayo. Ngoko ke, ukusetyenziswa kwazo imingcele. isisombululo Sodium hydroxybutyrate udla akukhuthazwa ukuba zisetyenziswe ngexesha lokubeleka.
Ukusetyenziswa in wamazinyo
Enye kwimimandla apho ngephupha esisetyenziswa ngokubanzi zonyango - bamazinyo. Ngokungafaniyo zomzimba ngokubanzi, apho kuyimfuneko kwiimeko ezithile, olu hlobo zomzimba indlela ekhuselekileyo kwaye eziliqela iingenelo. Kucetyiswa ukuba phambi kukwalisa zomzimba zasekuhlaleni, uqhaqho nzima (e ithumba, umonakalo umhlathi periostitis njl). Abantu abaninzi bafumana panic phambi ngokundwendwela wamazinyo. ubuthongo lwezonyango - indlela kuphela yalula yaye ngaphantsi buhlungu ukuphumeza zonke zazo eziyimfuneko em- ngomlomo. Kwakhona, le ndlela ntlungu umele izigulana sokuxhuzula, ngesifo kunye nezinye izifo e-nervous system. Kubaluleke kakhulu ukuba zonke emazinyweni iyanyangeka oko kwenziwe kutyelelo olunye ukuya yincutshe. Ezifana zomzimba ivumela ugqirha ukusebenza ngokuzolileyo (ngenxa yokuba isigulane ilele). Indlela ikhuselekile yaye kulula ukuba unako nokuba isincomo ubuthongo amayeza umntwana. Oku kuyinyaniso ngakumbi xa usana ukuqina okanye nje woyika koogqirha kunye nezixhobo zabo.
Ukusetyenziswa iyeza ukulala ngexesha lokubeleka
Kubalulekile ukuqaphela ukuba le nto analgesia emiselweyo enye kuphela komama umnqweno. Obstetrician luvavanya imeko lilonke kwimeko yabasebenzi elide zingacebisa ukusetyenziswa iyeza ubuthongo. Lo mlinganiselo kuyimfuneko ukuba umfazi ufumana intlungu kakhulu, nto leyo idima imikhosi yayo. Ngapha koko, ukuba intlungu unxiba njengomfazi ozalayo, inkqubo yemveliso umntwana ngokwakhe nga kwaphulwa. Kulo mzekelo, umntwana uya kubandezeleka. Ukuze okwethutyana ukubuyisela imikhosi isigulane elintyumpantyumpeka ubuthongo ekukhanyeni. Iziyobisi eziphethwe, kwaye abe negalelo iintlungu. Kubalulekile ukuphawula ukuba intlungu akayi ngokupheleleyo. Oku buthuntu kancinci kuphela, ekulweni uyaqhubeka. izakhi onjalo wenziwa ngokwamanqanaba amabini. Ngexesha umzimba yokuqala ilungele ukuqaliswa zomzimba (premedication). iindlela Used buthuntu intlungu, kolwandle. Noko ke, ukuba kusichukumisa ngumkhaya. Ngenxa yoko, kusenokubakho elide ubuthongo usana. Inqanaba lesibini - ukusungulwa iziyobisi ngqo ulale ngokwaneleyo zonyango. Xa kubelekwa idla ngokusetyenziswa sodium oxybutyrate (20% isisombululo wayo). Loo into sikhuselekile, zinetyhefu esezantsi, oko akuthethi ukuba uphefumla iingxaki umntwana. Oomama abaninzi bathi ukudanjiswa yokuzalwa usebenzisa Ukubulawa efanayo.
Ukubulawa labagula kakhulu
Xa kakhulu unxinzelelo cranial kunye neemeko ezifana nazo zingasetyenziswa ubuthongo ngokumphefumlela-uqhutyelwe iziyobisi. Noko ke, kule meko, kuthatha iintsuku ezimbalwa (1-3 okanye ngaphezulu). inzuzo yayo ukuqina kunye isicelo esinjalo - ukuncitshiswa soxinzelelo intracranial, apho ingqondo phumla. Ngexesha umthomalalisi iingcali kuphuhliswe Amaqhinga unyango. Kwakhona, le ndlela ngamanye amaxesha isetyenziswa apho imeko kakhulu yesigulane, kodwa iingcali abazi ukuba inyangwa njani. Noko ke, njengawuphi na zomzimba, le ndlela iye kuneengxaki zako kunye Izimo. Ukuphonononga bathi ukusetyenziswa ixesha elide iziyobisi enjalo ingaba neziphumo ezibi kwinkqubo luvo.
nefuthe Ukubulawa
Intshayelelo naziphi na iziyobisi emzimbeni kungabangela negazi lakho. Nangona ubuthongo-eyabangelwa chiza uhlolo ezintle, kodwa ngamanye amaxesha kubonakala isiyezi, isicaphucaphu nokugabha. Izimo ukuba ukusetyenziswa kwale hlobo zomzimba inokuba sisifo esingapheliyo, ingakumbi ithuba exacerbation. Kufuneka kuqatshelwe ukuba ngokufuthi kwimo ebuthongweni aze enze iinkqubo ezifana gastroscopy, colonoscopy. Oogqirha abaninzi siphakamisa ukuba phambi ukuphululwa ukuthatha epheleleyo igazi count, wenze cardiogram, kunye nesifuba X-reyi. Ngenxa yoko, bona inshorensi ngokwabo ingozi kunokwenzeka, qiniseka ukuba ayinayo iingxaki zokuphefumla nentliziyo ngexesha nkqubo. Ukuba wasebenzisa ubuthongo amayeza, emva kotyando, kwaye ngenye indlela lokuxhaphaza isigulana kulula ukuza ebomini. Kwaye ukuze ukunciphisa naziphi iimpembelelo ezingalunganga, kufuneka kuqala ukwazisa ugqirha malunga komzimba kunokwenzeka, ukukhulelwa gwenxa, amayeza.
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