Ukubulawa "Sevoranom": imiyalelo ukusetyenziswa, nokubuyekezwa imiphumo

"Sevoran" (esisebenza - sevoflurane) - arhente iintlungu isetyenziswa ngendlela eyiyo iyeza ekwenzeni inhalation zomzimba. Ukuqaliswa kwale ndlela ivumela beziyobisi ixesha elifutshane kakhulu ixesha lokuqhawula ezingqondweni yesigulane, kodwa emva kokuba ugqibile yonke into kwakhona ngokukhawuleza.

Ukubulawa "Sevoranom" xa ilawulwa ekhatshwa nasekuphazamisekeni kancinane kwaye ngenkankulu buqapheleke ukuluma ngokuma isifo. Ngenxa yoko, akunakwenzeka ukuba bamqumbise i secretion esiluqilima umthi tracheobronchial luvuselele luvo. Ichiza eshukumisa idosi-oxhomekeke kwezithandani lo msebenzi yokuphefumla, lisibekele uxinzelelo lwegazi.

Njani na Ukubulawa? "Sevoran" alunasiphumo kwi uxinzelelo intracranial, ayithethi ukunciphisa ekusabeleni carbon dioxide, ayithethi kuchaphazela izintso ukusilela wesibindi akuthethi ukuba ukwanda kwezi amalungu, ukuba isigulane liya kuba phantsi zomzimba ixesha elide. Kodwa njani ukubala ithamo ku zomzimba elasebenzayo yaye kwangaxeshanye ekhuselekileyo?

balawule

Ukubulawa "Sevoranom 'ukuba isigulane ngasinye esikhethwe ngamnye.

Ngoko ke, ngoncedo ngotyando ondliwa ngendlela Ukubulawa vaporizer. Ngokuqhelekileyo, Iintlungu basebenzisa izixhobo ezizodwa ukukala kanye ukuba eli chiza.

Umthamo ekhethiweyo kwimeko nganye nganye. Titration lide kangaka de i ziphumo zinqwenelekayo, xa kufuneka ngexesha elifanayo athathe ingqalelo imbali lwezonyango yomguli yokugula kwakhe, intsebenziswano morbidities kunye nobudala. Emva kokugqiba ukondla kuqulunqo "Sevorane 'elawulwa kwisigulana kwiqela equlathe barbiturates, okanye olunye uhlobo iintlungu ekuthi kujongwe ukuba kukhokelela butofelwe ukufumana Ukubulawa enzonzobila. kusetyenziswa Ngokuqhelekileyo le ioksijini njongo kunye ne-nitric oxide okanye "Sevorane" kunye ne-oksijini.

Ukubulawa "Sevoranom" ngomlinganiselo encinane phambi uqhaqho ivumela ibakala bubuthongo ukuba imizuzu embalwa, kwaye oko kuza kuba abadala kunye nabantwana ngokufanayo. Nale zomzimba nto uphawu kakhulu ukuba yokuphuma ekhawulezayo kurhulumente iintlungu ngaphandle kokusebenzisa naziphi na izixhobo ezongezelelweyo: izigulane kunqabile akhalaze ukudandatheka elide emva koko, ngokukhawuleza wayibuyisela umsebenzi yokucinga, abantu musa waziva kwisiza kotyando kunye inaliti.

Ukongezelela, "Sevoranom" zomzimba ubonelela inqanaba eyimfuneko zomzimba. Ukufumaneka i onyuliweyo isukela 0,55 ukuya-3%, ichiza co-elawulwa ne -nitric oxide.

Indlela ukuchitha narcosis "Sevoranom"?

zomzimba Inhalation nalo eli chiza, kwakunye naziphi na ezinye uzilungiselele kakuhle ukuba iphathwe nomntu ogulayo - ngaloo ndlela sikuphephe imiphumela emibi. Imeko ephambili - nto esiswini. Abantu abadala bayacetyiswa ukuba adle kwiiyure 6-8 phambi kotyando, nabantwana - kangangeeyure 4-5. Lo mthetho iyafuneka ukuze abulawe, isigulana zinokudityaniswa kuphela kulo mzekelo, ngokuba ukugabha Inokwenzeka, kubangele ingxaki ezifana nokugabha ukuba angene isixokelelwano sokuphefumla.

Phambi kokuba isigulane iya kukhokelela ngokusebenza, malunga iintsuku ezimbalwa kucetyiswa ukuba babambelele izidlo. Kuphela emva uqeqesho phambi, ukulungele kutyando with "Sevoranom". Isigulane unxiba imaski ebusweni, ngokusebenzisa kunye igesi kancinci flow iya kwenzeka. Nomonde alale phantse ngokukhawuleza, emva kwemizuzu 1-2. Emva iphupha kuza inxulumanisa catheter ukuya emthanjeni peripheral, ukuba kuyimfuneko, kungaba intubate. Nawuphi na umsebenzi, makube nkqu amafutshane alula, kunye nemeko-liso ngomonde kwaye ilawula zomzimba idosi anesthesiologist ukuba ubunzulu zomzimba ebifuneka. Xa badl zomzimba isigulane uhamba kwizigaba ezininzi:

1. Emangalisa. It awutsali ngaphezu kwemizuzu eyi-4 kwenzeka ngokukhawuleza emva kokuba le ndoda yaqala ukusebenzisa zomzimba. Luphawulwa yinto yokuba isigulane angacingi intlungu, kodwa isiqaqa igcinwe. Kweli nqanaba, oogqirha benza umsebenzi elifutshane - autopsied ithumba okanye phlegmon.
2. Excitation. Ngexesha isiguli sakhe siphinda- uxinzelelo, zingqondo, yaye akukho iintlungu, kodwa akukho ungenelelo zoqhaqho ngeli xesha awukwazi wachitha.
3. zomzimba Surgical, lwahlulwe ngeentlobo ezininzi ubunzulu:

• phezulu;
• kulula;
• obukhulu;
• sigaba agonal - ukushwabana olupheleleyo amalungu abalulekileyo.

4. Awakening. Kweli nqanaba iqala kwakhona zonke imisebenzi zomzimba.

Iimpawu "Sevoran"

Ukubulawa "Sevoranom" kufuneka zisetyenziswe kuphela abaqeqeshiweyo, ulawulo nomonde ukuba ubuchule ukwimeko enjalo. Ngeli xesha kufuneka kusoloko kwi izixhobo isandla leyo eza kuvumela ukuba ukusebenzisa onke amanyathelo ayimfuneko ukubuyisela esi sicatshulwa kwisiqwenga yokuphefumla okanye bazamile, ukuba ngexesha lokusebenza, i engalindelekanga kwenzeke.

Inqanaba zomzimba xa usebenzisa ichiza ukutshintsha ngokukhawuleza kakhulu, nto enyanzela anesthesiologist ukusebenzisa vaporizers kuphela ngokukodwa ukukala. Ngexesha nokubanzulu zomzimba xa isigulane ibonakala bendyebo hypotension kunye namaqumrhu ukudakumba zokuphefumla.

Ukuba usebenzisa ulondolozo zomzimba, koko ukwandisa lamanani yengcinezelo kweziyobisi kuya kuncipha ephawulekayo, oko kuxhomekeke ngqo kwi idosi "Sevoran". Ukuncitshiswa ezibukhali kakhulu yaye olomeleleyo uxinzelelo gazi ngenxa iqondo enzulu zomzimba.

Consciousness emva zomzimba imbuyekezo nomonde emva kwemizuzu embalwa, kodwa nkqu oku babenobuchule kubuyiselwa kuphela emva kokuba isibini kweeyure. oogqirha abaninzi oogqirha bamazinyo igqalwa enye amachiza kakhulu zomzimba "Sevoran". kwi isicelo yesikhokelo isixhobo ithi ukuba isenzo kwenzeka phantse washona, kwaye ishiya isigulane ukusuka kwimo zomzimba ngokukhawuleza, kwiimeko ezininzi ngaphandle imiphumo, nangona ngamanye amaxesha ukuba ziyenzeka.

Izinto eziluncedo ukusebenzisa 'Sevoran "

Kubalulekile ukuqaphela ukuba le kuqulunqo elungiselelwe ulawulo abantu kwi imeko zomzimba, kukho inani eziluncedo:

• emanzini ngokukhawuleza anesthetized (phantse ngoko nangoko emva kokuba umoya kuqala) kunye indlela ekhawulezayo - hayi kwemizuzu engama-20 emva kokuba feed beziyobisi zokumisa.
• Phantse nafuthe ezityeni kwinkqubo, intliziyo kunye negazi zokuphefumla.
• Iqondo eliphezulu controllability.
• Iqondo eliphezulu ephantsi aphazamiseke sokuphefumla.
• Non-yityhefu isigulane.
• Ukususela iintlungu zomzimba kwawo kwancamisa ngempumelelo wamazinyo isetyenziswa kwaye xa esenza utyando evulekileyo.
• kubonakaliswa Onge yemiphumela emibi.
• Ukukwazi ukusebenzisa njenge mononarkoza.
• Oku kwenza ukusetyenziswa esezantsi-flow zomzimba, nto leyo ebangela ukuba ubuncinane umyinge ukuhamba ichiza, ukungabikho ngokupheleleyo ngababini iziyobisi ungcoliseko lokusingqongileyo.

Zonke izinto ezichazwe ngasentla abonisa ukuba ichiza kakuhle kakhulu kwaye phantse akukho iziphumo, ngoko ke idla ngokusetyenziswa xa siphatha amazinyo phantsi zomzimba jikelele abadala kunye nabantwana, ngokunjalo nezinye iinkqubo zotyando.

side effects kanye Izimo

Kodwa ke kufuneka ungalibali kukuba naliphi na ichiza lineziphumo ebezingalindelekanga kunye Izimo, kwaye konke oku kungenxa iimpawu isigulane ngasinye. Kunzima ukuqikelela ukuba ukuqonda ukulungiselela ephilayo. Nkqu amayeza kakhulu kwezinye kungabangela abanye abantu nemiphumela emibi kakhulu, oku kubhekisela zomzimba.

• Isiyezi, ukozela, unditsho, utshintsho kakhulu kwi mood - ezi mpawu kunokwenzeka phakathi iintsuku ezimbalwa emva kokuba isicelo of zomzimba.
• neengxaki zokuphefumla, ukhohlokhohlo.
• Yesi uxinzelelo lwegazi, tachycardia okanye bradycardia.
• Isicaphucaphu, ukugabha.
• negazi lakho.
• Ukugodola kunye nomkhuhlane.

Ukongezelela imiphumela kwiimeko ezinqabileyo "Sevoran" (imiyalelo ukusetyenziswa kwakhona ekubhekiselelwe) iye Izimo, kwaye bamelwe kukuyazi isigulane ngasinye ngaphambi kwafuneka zomzimba. Phakathi Izimo:

• Uvakalelo ekhethekileyo ichiza.
• yofuzo ukuya komzimba amabi.
• Ngexesha lokuncancisa.

Kwakhona, zonke iindlela ukuze inhalation zomzimba Kucetyiswa ukuba basebenzise ngononophelo kakhulu xa izigulane insufficiency kwezintso, lwegazi intracranial, isifo sentliziyo kunye ezimbi neuromuscular. Abantwana bavumelekile ukuba basebenzise "Sevoran", kodwa kuphela idosi ezisezantsi phantsi kweliso likagqirha, kwanasemva angalulama zomzimba.

libanda

Kwimeko libanda, ukuze babonakale iimpawu yomguli:

• Ukutshintsha umsebenzi kwenkqubo luvo.
• Hypotension.
• ekuweni yegazi.
• Yombono.
• ukubanjwa sokuphefumla.

Ukuba kukho iimpawu, kufuneka ngoko nangoko ayeke ulawulo ichiza, ukuseka ukuphefumla tube ecocekileyo kwaye uqale umoya ngumntu mpilo, ukulandela umsebenzi wentliziyo, ukuba ufuna yokuzisa amachiza ukugcina kuyo.

Intsebenziswano kunye namanye amachiza

zomzimba Inhalation edibene ngokupheleleyo ne iziyobisi adla ngokusetyenziswa yi oogqirha ngexesha utyando. Oku kusebenza iziyobisi ezichaphazela inkqubo luvo, relaxants kwezihlunu, amachiza anti-yintsholongwane, iihomoni, iimveliso zegazi. ukwenzela Ezingalunganga ziye zachongwa.

imiyalelo Special ukuba ukusetyenziswa

"Sevoranom" ayikwazi ingasetyenziswa ngokwabo ekhaya. Eli chiza kufuneka ufakwe, khetha i idosi esweni imeko yomguli yi kuphela uqi anesthesiologist, kungakuhle abo amava Ukubulawa jikelele.

Ukuze unikezele indlela inhalation zomzimba, ingakumbi "Sevoran" iziyobisi, kufuneka usebenzise vaporizers lihlelwe. Kwakhona kumele wazise isigulana ukuba zomzimba akanakuba ukuba ngexesha elithile ukufumana emva ivili kunye nokusebenza nayiphi na oomatshini uhambisa, ngokuba uyondelelwano lwee- ingqalelo kunokulungiswa.

Iimpawu ze isicelo "Sevoran" kwi unyango kwamazinyo ebantwaneni

Ukuba siphatha amazinyo phantsi zomzimba jikelele, "Sevoran" zivumelekile ukuba usebenzise kubantu abadala kunye nabantwana. Ukongeza, olu hlobo zomzimba isoloko isetyenziswa ngexesha eminye imisebenzi yabantwana:

• ukungenelela angxamisekileyo zoqhaqho kwi ukudumba etsolo em- zomlomo (ithumba ithumba).
• utyando imbalo (izinyo, cysts).
• Pulpiti, yidityaniso ezininzi kunye periodontitis.

Kodwa ayisoloko bamazinyo unyango amazinyo abantwana usebenzisa ukurhogele "Sevoran". Ukubulawa abantwana phambi kwethu kuthetha kuboniswe kwezi meko zilandelayo:

• Ukuba kukho Izimo yokusetyenziswa iintlungu zasekuhlaleni.
• Ukuba umntwana nekontakten (endibuthethileyo negativism ukuya wamazinyo).
• Kukho ngezifo somgquba nervous system, apho umntwana akakwazi ngenene aqonde ubunyani ezingqongileyo.
• Ukuba kukho imfuno engxamisekileyo ukuphumeza-inyathelo elinye nokuvuselelwa kwisisu yomlomo kunye umthamo omkhulu iinkqubo.

Kodwa asimele silibale ukuba amayeza umntwana uyabubona ngobuthathaka kakhulu. Abazali kufuneka wazise ugqirha malunga phambi wosana miqathango ilandelayo ukuba Izimo ukuze zomzimba lithetha "Sevoran". Miphumela ingaba kungenjalo kuba kubi kakhulu. Ngoko ke, ayikhuthazwa tu ukusebenzisa:

• Inflammations ye phecana eliphezulu.
• Xa ukudumba nokoyika womchamo phecana, isibindi, imiphunga.
• Ukuba kukho diathesis exudative.
• usuleleko yakutshanje.
• uxinzelelo High intracranial.
• ngezifo Decompensated.
• Ukuba awukwazi ukusebenzisa Ukubulawa yasekuhlaleni.

Kakade ke, umntwana kufuneka ukulungiselela ukuqaliswa kwe zomzimba "Sevoran". unyango lwamazinyo phantsi zomzimba jikelele lwenziwa kuphela ngexesha gesi izinyo, kodwa kwezinye iimeko, kunye nemfuneko ukulungiselela inkqubo nganye:

• Ekuhlolweni - ukunikela igazi, umchamo, ngamachiza ezinto eziphilayo.
• ECG.
• Isiphelo sezifo (kwisiqinisekiso kufuneka abonise ukuba isigulana umntu akukho Izimo ukuba ukusetyenziswa kwale hlobo Ukubulawa).
• Ukubulawa ilawulwa kuphela ungatyanga.

Okwangoku, kukho iintlobo ezininzi iziyobisi zomzimba, kodwa kwiminyaka yakutshanje ngakumbi zithandwa ngakumbi "Sevoran" inkampani yaseMelika. He kubhekwa kakhulu ingozi umzimba, ukunyamezeleka kakuhle, abantu abadala kunye nabantwana bayo. Yena flavour mnandi kakhulu ukuba abantwana uphefumlela ngaphakathi kwaye uzive waziva.

Le nguqu ke ngoko nangoko, ngoko nangoko emva kokuba iperi phefumla, kwaye izigulane bavuke emva kwemizuzu eli-15 emva kokubeleka amayeza. Le effect kungenxa yokuba ngaphezu kwe-90% ngokusebenzisa isiphumo ukukhanya kuthetha ngohlobo unmodified. Isigulana imuncwe iziyobisi, yaye emva kwemizuzu 10-15 egazini ayisa andibhaqwa. Ukubonise ngokukhawuleza kakhulu emzimbeni, kungekho amalungu impembelelo yayo kumyekela allergies ungabi sisizekabani.

reviews

kuhle kakhulu yokulungiselela yasabela nje kuphela ubudala omdala yomguli, kodwa abantwana, abo bathi ukuphefumla umoya nedini walala ubuthongo, wavula amehlo abo - yaye sele ilele phezu kwesi ngqengqelo, nto nje buhlungu. Enyanisweni, kanye oko izenzo "Sevoran". Ukuphonononga abazali baqinisekise ukuba abantwana babo Kulula kakhulu ukuba kukunyamezela zomzimba, akukho iziphumo ebezingalindelekanga kunye allergies ibangela. Kuyinto ngenxa kuye, abantwana abaninzi baye babe nokuba rhoqo ngakumbi utyelelo wamazinyo, kwaye ngenxa yazo zonke iinkqubo zenziwa ngaphandle ngaphandle intlungu.

izigulane abadala ane kakhulu ngemeko yakhe emva koku zomzimba. Okubaluleke kakhulu, wazithwala phandle oyingcaphephe ofanelekayo, ngoko bonke baya kuba kakuhle.