Rehunga whānui: momo me contraindications

Rehunga (rehunga) i roto i te wawaotanga hāparapara hoatu, kia kia o rua nga momo:

• Ko mohio te manawanui, pohe to tetahi anake rohe o te tinana te wahi e tangohia te mahi wahi - rohe;
• rumakina te manawanui kei roto i te rongoā moe hohonu - katoa.

Kei te rite rehunga General, me te rohe kitea he wahi i roto i te rongoā hou. tawhiti te rongoā rohe te rehunga tuaiwi me epidural. I roto i enei wā, he mohio te manawanui, engari e kore e ake ko tona wahi raro o te tinana rawa kōpā, me te ngaro tūtohutanga. Kei te maha i huaina rehunga whānui rehunga.

Ko te ariā o te rehunga

Rehunga - rehunga whānui; i roto i te Kariki tikanga "te kōpā" "te kōpā." Ko tōna tikanga takoto i roto i te meka e ki te awhina o rongoā i te pānga i runga i te pūnaha io pokapū, me te tino ārai ponana io e ka tukua te reira. Ka rite ki te hua o ngā tauhohe katoa tangata e pakanga iho, a kua rumakina ai i roto i te pera-ka karanga te moe tarukino-piri.

e kore e taea te whakaritea i tēnei moe ki te moe ia mua ka taea te tangata ara ake i te kaakaho iti. A, no te moe hauora i roto i te tangata, i roto i te meka, tahuri atu hoki i te ia tata pūnaha faufaa katoa, i roto i te tua ki te Cardiovascular.

prenarcosis

I mua i te rehunga whānui me amohia e te manawanui whakangungu motuhake - premedication. Tata ahu iwi katoa ki te wheako manukanuka ranei te wehi o te pokanga. Stress meinga e manukanuka, e taea ki te kia raruraru i roto i te akoranga o te pokanga. Te manawanui i roto i teie taime i reira ko te nui wiwi Adrenaline. arata'i tenei ki te arā o whekau faufaa - ngakau, whatukuhu, pūkahukahu, ate, i, he mahi wehe ki pōauautanga i roto i te mahi, me te i muri i tona otinga.

Hoki tenei take, whakaaro toketā fakamohé reira e tika ana ki te ata te tangata i mua i te pokanga. Ki tenei mutunga, whakaritea ia māngai whakarokiroki āhua - huaina tenei ko te premedication. I roto i ngā mahi, te whakamahere i roto i te mua, premedication noho te po i mua. Ko te tata - he tika i runga i te tepu whakahaere.

Milestones, momo, me te atamira o te rehunga whānui

kawea rehunga General i roto i roto i toru ngā wāhanga:

• Arataki o te rehunga arataki ranei - kawea i roto i te taenga atu ano ko te manawanui i runga i te tepu whakahaere. tomo ia whakatakataka hauora, te whakarato i te moe hohonu, whakangā oti, me te mamae te tauturu.
• Tiaki rehunga - tika me kairehu tātai i te nui o ngā rongoā e tika ana. I roto i te mahi, i pupuri tonu i raro i te mana nga mahi katoa o te manawanui: pēhanga toto whanganga, aroturuki hoki auau ngakau me te manawa. He tohu nui i roto i tenei āhuatanga i te ngakau, me te nui o te hāora, me te hauhā i roto i te toto. kia mōhio o nga wāhanga katoa o te mahi, me tona roanga te anesthesiologist, kia ai taua mea i taea, ki te tika, tāpiri whakaiti i te horopeta o raau taero ranei.
• Ti'ai - i roto i o te rehunga. Ko te anesthesiologist Ko te tātaitanga tangohia o te nui o te raau taero hoki ki te tirohanga ki te kawea mai te manawanui i roto i te wa o te rongoā moe hohonu. I tenei wā, Me rongoā ki te whakaoti i tona mahi, a ka tīmata te tangata ki te ata te korikori ake. Kei roto te reira i te okana katoa me ngā pūnaha. e kore e te anesthesiologist waiho te manawanui rite te roa rite mai tino ia ki te mahara. kia meinga manawa manawanui he motuhake, te pēhanga toto me te pini e faaau, reflexes me te āhua uaua ki te haere mai tino ki noa.

He nga takahanga o rehunga whānui:

• Mata rehunga - ngaro tūtohutanga tūturu, e kore e ite i te reira i te paepae mamae, engari he whakaaro huritao o nga uaua kōhiwi, me whekau.
• rehunga marama - te whakakahore te uaua kōhiwi, te nuinga riro reflexes. Tākuta i reira ko te taea o ngā mahi mata marama.
• rehunga Full - uaua whakangā o uaua kōhiwi, āraia tata katoa reflexes me ngā pūnaha, i roto i te tua ki te Cardiovascular. riro te reira i taea ki te kawe ngā mahi o tetahi whīwhiwhi i roto i.
• rehunga Ultra-hohonu - Ka taea te mea te reira e tenei ahua i waenganui i te ora me te mate. tata āraia reflexes katoa, he tino māhorahora rite te uaua kōhiwi, me te maheni uaua.

Ngā momo o rehunga whānui:

• Mask;
• rō-uaua;
• whānui.

wā urutaunga muri rehunga whānui

I muri i te manawanui i roto i o rehunga whānui mo tona huru e te rata haere. he onge ngā raruraru o te rehunga whānui. I muri i ia mahi he ona ake tohu. Hei tauira, ki te whakamana i pokanga i runga i te puku, te wa e taea kore inu i te wai. I roto i ētahi wā, kua tukua te reira. Tautohetia tenei ra ko te take o te nekeneke manawanui i muri i te pokanga. whakamahia te reira ki te waiho e te tangata i roto i te wā postoperative he minaminatia rite he reira taea ki te kia i roto i te moenga roa. I teie mahana, e tūtohu ana ki te tiki ake, ki te neke takitahi i roto i te wā tika poto o te wā i muri i te mahi. Kei te whakapono te reira e whai wāhi tenei ki te ora tere.

I roto i tetahi take, kia rongo i te manawanui ki nga tūtohutanga o tō tākuta, te kore e roa ai te ora.

Ko te kōwhiringa o te tikanga rehunga

Hoki tukanga mamae te tauturu he anesthesiologist haepapa. Ia, me ki te taote, me te manawanui, ki te whakatau he aha te ahua o te rehunga ki hoatu hiahia ki te take ngā. awe te kōwhiringa o te tikanga o te rehunga e āhuatanga maha:

• Ko te rōrahi o te pokanga whakaritea. Hei tauira, e kore e tango o te kamiriona rapua e rehunga whānui, engari pokanga i runga i whekau o te manawanui - ko reira he mea nui, me te titau i te rongoā moe hohonu, me te auroa.
• huru o te manawanui. Ki te ko te manawanui i roto i te huru nui tūmanako tetahi pōauautanga o tafa ranei, te pātai o te rehunga rohe e kore e taea e.
• Ko te wheako me te tohungatanga o te tākuta. Anesthesiologist mohio e pā ana ki te akoranga o te mahi, rawa i roto i te wā i reira te mahi i te tākuta ki te kore ko te wa tuatahi.
• Ko, o te akoranga, te whiriwhiri i te anesthesiologist i te whiriwhiri, me te i roto i te ngaro o contraindications tonu te tikanga o te rehunga, i te mea piri ki a ia, a i roto i tenei take pai ki te whakawhirinaki i runga i a ia. Ahakoa te mea rehunga whānui rohe ranei - tino nui, e ko angitu te mahi.

Tohutohu mō te manawanui mua ki te pokanga

I mua i te mahi e nga wa katoa wahi kōrero i waenganui i te manawanui me te anesthesiologist. kia ui i te taote e pā ana ki te whakahaeretanga o mua whakawhitia, i pohe to nei me te manawanui o tona tukua. I runga i te wahi o te manawanui ko reira tino nui ki te korero i te tākuta mea katoa, e kore ngaro i te taipitopito kotahi, mai i reira e taea te tākaro te reira i te wāhi i roto i te mahi.

I mua i te pokanga, te manawanui me mahara nga mate e i ki kia whakangaueuetia ake i runga i te wā katoa o tona ora. Ko rawa pono o mate mau tenei. Hoki, kia korero i te manawanui te tākuta e pā ana ki ngā rongoā e takoha e ia ki te tango i i te kau. Ko reira taea e kia ui tō tākuta te rota atu o ngā pātai atu i roto i te tua ki te runga ake katoa. Ko te tika tenei kōrero ki a ia i roto i te tikanga ki te whakakore i ara te hape iti i roto i te kōwhiri i te tikanga o te rehunga. he onge ngā raruraru nui o te rehunga whānui, ki te mea kua kawea nga mahi katoa i runga i te wahi o te anesthesiologist, me te wahi o te manawanui i roto i tika.

rehunga rohe

rehunga Local i roto i nuinga o te wā e kore e rapua e te wawaotanga o te anesthesiologist. Tākuta takitahi e taea te kawe i tenei momo o te rehunga. tapahia noa ratou atu te wahi o te pokanga rongoā.

Ki te rehunga rohe ko tonu te mōrea e ongo'i ko te maha iti o taero whakaurua me te paepae o te mamae. I roto i tenei take, e kore e mataku. Me ui koe te tākuta ki te tāpiri i te tarukino.

rehunga tuaiwi

A, no te patia filosilivá (filosilivá) rehunga te tika ki te ua. mana'o te manawanui te werohanga anake. I muri i arataki o rehunga te wahi o raro katoa o te manawa o te tinana,, ngaro ongo katoa.

whakamahia tēnei momo o te rehunga te angitu i roto i ngā mahi i runga i nga waewae, mimi, me te gynecology.

rehunga epidural

I roto i te rehunga epidural i roto i te rohe i waenganui i te awa filosilivá me pū tōngāmimi ua, i roto i nei e taea te whakahaere painkillers.

Kei te te tahi mau taime rehunga epidural whakamahia mō te mamae te tauturu i roto i te mahi, me te maha - i roto i ngā mahi roa i roto i te mara o te gynecology me te mimi.

I te mea pai, epidural rehunga whānui ranei? Ko reira he take tino tautohetia i tenei ra. Ia i to ratou ake tohenga i runga i te mea.

te narcosis kanohi

Kei te whakaurua te rehunga kanohi whakarehu whānui inhalational ranei ki te tinana i roto i Airways o te manawanui. I roto i tenei momo o te rehunga moe tonu te e te hau motuhake e toketā fakamohé whangai i roto i te kanohi piri ki te mata o te manawanui. Kei te whakamahia te reira mo ngā mahi wā-poto ngawari.

Ki te kei te whakamahi koe i te rehunga kanohi mo te manawanui nui - whakarongo ki te tākuta: manawa rite ui ia, meatia e ia te mea tenei, te urupare ki ngā pātai fai ki a ratou. Ki te kanohi rehunga he ngāwari ki te tomo ki roto ki te moe, a tika rite ngāwari ki te ara ia ake te manawanui.

phlebonarcosis

Hoki taero whakarehu rō-uaua e meinga moe tarukino-piri me te whakangā, whakaurua te tika ki te rua. hanga tenei reira taea ki te whakatutuki i te pānga tere, me hua kounga.

Ka taea te whakamahi rehunga rō-uaua i roto i te whānuitanga o ngā mahi momo. Ko ia te nuinga noa i roto i te pokanga puāwaitanga.

rehunga General ki uaua whakangā multicomponent

huaina Multicomponent tenei momo o te rehunga no fakatahai reira te kanohi, me te rehunga rō-uaua. Ko, te wāhanga o te rehunga whānui whakahaeretia rite taero e pâmuhia me i te ahua o ngā haurehu i roto i te pūnaha romahā. Tenei momo o te rehunga taea ki a koe te whakatutuki i ngā hua mōrahi.

whakangā Uaua - whakangā o uaua kōhiwi. Ko te tino nui i roto i te wawaotanga hāparapara tenei.

Kei te tūtohutia rehunga Multicomponent mō ngā mahi wā-roa nui, me te. I teie mahana, i raro i rehunga, na te reira ia ohipa i runga i nga whekau puku, uma.

rehunga General. contraindications

Na roto i te whakamahi o te rehunga whānui, i reira e te tahi mau contraindications:

• rahunga ngakau;
• anemia nui;
• infarction myocardial;
• kakā;
• tākihi whakapeka me te ate;
• huangō;
• haurangi;
• maimoatanga anticoagulant;
• mate endocrine pērā i thyrotoxicosis, mate huka decompensated, mate adrenal;
• he puku tonu;
• haurangi waipiro taimaha;
• te ngaro o te anesthesiologist, taero faufaa me te taputapu.

rehunga General me rohe - he āhuatanga tino nui i roto i te pokanga hou. No mahi e wahi kahore rehunga. I roto i tenei whakaaro, e ti'a ia tatou utu takoha ki rongoa, no te mea e taea e kore te tangata katoa neke i te ru mauiui.