Yokutindivadza "Sevoranom": mirayiridzo kushandiswa, migumisiro yacho wongororo

"Sevoran" (active chirungiso - sevoflurane) - rufimbi mumiririri iri zvinobudirira kushandiswa mushonga nokuita inhalation yokutindivadza. Pakatanga nzira iyi inobvumira kuti mushonga ari pfupi nguva patsanura murwere kuziva, asi iwe pashure kupedza zvose nokukurumidza rakadzorerwa.

Yokutindivadza "Sevoranom" kana kutarisirwa pamwe zvishomanana kugadzikana uye kashoma kuoneka kutsamwa yemweya mucosa. Saka, hazvibviri zvakatsamwisa munhu secretion nesimba tracheobronchial muti uye zvinoita tsinga. The mushonga kunomutsa munhu dose-kubatsirwa kudzvinyirira ari kufema nerevane BP.

Sei yokutindivadza? "Sevoran" haana kushanda musi intracranial kumanikidzwa, hazvideredzi apindure carbon dioxide, hazvina chokuita itsvo uye chiropa kukundikana haakonzeri kuwedzera nhengo idzi, kunyange kana murwere achava pasi yokutindivadza kwenguva yakareba. Asi sei kuverenga dose kuti yokutindivadza kwaibatsira uye panguva imwe chete yakachengeteka?

chipimo chemushonga

Yokutindivadza "Sevoranom" neimwe murwere anosarudzwa nomumwe.

Nokudaro, kuvhiya kupindira zvokudya pachishandiswa yokutindivadza vaporizer. Kazhinji, Anesthesiologists kushandisa mano kuti calibrated chaiyo zvinodhaka ichi.

The chipimo chemushonga yasarudzwa neimwe nyaya nomumwe. Titration akareba saka kusvikira yava zvinozoita, panguva imwe chete inofanira kufungawo murwere kunotoda munhoroondo chirwere chake, co-morbidities uye zera. Ndapedza zvokudya "Sevorane" Pfungwa yokuti raitongwa murwere kubva boka rinoumbwa barbiturates, kana zvimwe mhando rufimbi iyo rinotarisirwa kutungamirira nomutsinga kugamuchira zvakadzama yokutindivadza. Kazhinji kushandiswa chinangwa ichi okisijeni uye nitric oxide kana "Sevorane" pamwe oxygen.

Yokutindivadza "Sevoranom" pamwero muduku asati avhiyiwa anobvumira padariro nehope kuti maminitsi mashoma, uye totaura sezvo vakuru nevana zvakafanana. With yokutindivadza iri chaizvo yo kukurumidza kubuda kubva rufimbi mamiriro pasina kushandiswa chero zvimwe zvishandiso: varwere Kashoma chokunyunyuta pamusoro mazhinji mwoyo pashure paizvozvo, akakurumidza akadzorera mashandiro mafungiro, vanhu havambonyari kusagadzikana pane nzvimbo oparesheni uye majekiseni.

Uyezve, "Sevoranom" yokutindivadza chinopa zvakakodzera nenhanho yokutindivadza. Wevasungwa anosarudzwa ari zvinobva 0.55 kusvika 3%, mushonga uri co-raitongwa pamwe nitric oxide.

How kupedza narcosis "Sevoranom"?

Inhalation yokutindivadza pamwe zvinodhaka ichi, uyewo mamwe kugadzirira zvakanaka unofanira kutarisirwa murwere - nokudaro torega zvakakomba. The chikuru nezvevakafa - zviri usina chawadya. Vanhu vakuru vari zano varege kudya maawa 6-8 pamberi vavhiyiwa, uye vana - kwemaawa 4-5. Kutonga uku kunodiwa kuurayiwa, murwere anogona richengetwe chete muchiitiko ichi, nekuti kurutsa kunogona kuitika, zvichiguma kuomesa akadai namarutsi kupinda kufema hurongwa.

Pamberi murwere kuchaita nokushanda, anenge pezvizuva Zvinokurudzirwa kunamatira zvokudya. Chete pashure risati kudzidziswa, wagadzirira kuti kuvhiyiwa ne "Sevoranom". Murwere anopfeka masiki kumeso, kuburikidza uye shoma-kuerera gasi wedzerai kuchaitika. Patient arara anenge pakarepo, pashure maminitsi 1-2. Pashure hope rinobatanidza anobudisa mushonga zvishoma nezvishoma kuti peripheral tsinga, kana zvichikodzera, rinogona intubate. Chero oparesheni, ngazviitwe kunyange pfupi uye nyore, pamwe ezvinhu omurwere monitors uye anoita anesthesiologist yokutindivadza dose kuti kudzika yokutindivadza chaidiwa. Kana uchiita yokutindivadza murwere anoenda mumatanho akawanda:

1. Dzinokatyamadza. Rinotora anopfuura 4 maminitsi uye kunoitika pakarepo mushure murume akatanga kushandisa yokutindivadza. Dzinoratidzwa kuti murwere asingadi kunzwa marwadzo, asi kuziva hwaponeswa. Panguva iyi, vanachiremba vanoita pfupi kushanda - autopsied pute kana phlegmon.
2. Excitation. Panguva yake murwere akasvetuka kumanikidzwa, kuziva, uye hapana marwadzo, asi hapana kuvhiya kupindira panguva ino hazvigoni vakapedza.
3. Kuvhiya yokutindivadza, iyo rakakamurwa marudzi anoverengeka udzamu:

• nhema;
• nyore;
• yakadzika;
• agonal Danho - kwakakwana kuoma zvinokosha zvomukati.

4. Awakening. Panguva iyi rinotanga kuzoita zvose muviri mabasa.

Features "Sevoran"

Yokutindivadza "Sevoranom" vanofanira chete kushandiswa nenyanzvi, murwere Kutarisirwa ane unyanzvi vagumirwe. Panguva ino inofanira kugara kuruoko midziyo ruoko izvo kuchaita kushandisa zvose matanho anodiwa kuti adzorere ndima kufema turakiti kana nokumutswa, kana panguva oparesheni, zvaisafungidzirwa zvakaitika.

Padanho yokutindivadza paaishandisa zvinodhaka izvi kuchinja nokukurumidza zvikuru, kumanikidza anesthesiologist kushandisa chete zvikuru calibrated vaporizers. Panguva kudzamisa pamusoro yokutindivadza mune murwere anogona kuonekwa zvibereko hypotension uye kufema mwoyo miviri.

Kana uchishandisa Nokuraramisa yokutindivadza, ipapo kuwedzera kuwanda zvinodhaka nevamwe kuderera zvinooneka, zviri zvakananga novimba dose "Sevoran". Too unopinza uye simba rutapudzo ropa kufurirwa angava nokuda rakadzika mwero yokutindivadza.

Kuziva pashure yokutindivadza murwere anodzoka pashure maminitsi mashoma, asi kunyange mano ichi mupfungwa bedzi pashure vaviri maawa. vanachiremba vakawanda vanachiremba vemazino anonzi imwe yakanakisisa zvinodhaka nokuda yokutindivadza "Sevoran". pamusoro pokushandisa chishandiso gwaro rinotaura kuti chiito kunoitika anenge pakarepo, uye inosiya murwere kubva ezvinhu yokutindivadza nokukurumidza, kazhinji pasina zvinozoitika, kunyange dzimwe nguva zvichiitika.

Zvakanakira kushandisa "Sevoran"

Zvinokosha kucherechedza kuti idzidziso ichi aida kuti atarisire vanhu rehurumende yokutindivadza, ane nhamba zvakanakira:

• Nokukurumidza mumvura muna anesthetized (anenge pakarepo pashure wokutanga mweya) nokutsanya nzira - kwete maminitsi anopfuura 20 pashure chikafu zvinodhaka rinomira.
• Zvinenge hapana zvainoita kufema maitiro, mwoyo uye ropa midziyo.
• Yakakwirira mwero controllability.
• Kufadza vakaderera kuti kufema bundu.
• Non-chepfu kumurwere.
• Wayo wakanaka rufimbi mugumisiro kunobudirira yokutindivadza mu dentistry rinoshandiswa uye kana achiita rakavhurika kuvhiyiwa.
• Rare kuratidza nemigumisiro.
• Kukwanisa kushandisa somunhu mononarkoza.
• Inoita kushandisa yakaderera-aibuda yokutindivadza, iro rinoita shoma nokuyerera mwero chinodhaka, kusavapo yakakwana kwezvakatipoteredza kusvibiswa zvinodhaka yezvinoita.

All zvazvakanakira pamusoro apa anoratidza kuti mushonga unoshanda chaizvo uye ane anenge asina kukanganiswa, saka rinoshandiswa kana atinoita mazino pasi vakawanda yokutindivadza mune vakuru nevana, uyewo mamwe maoparesheni.

Marwadzo uye contraindications

Asi hatifaniri kukanganwa ndechokuti chero mushonga une marwadzo uye contraindications, uye izvi zvose imhaka zvinoitwa nomumwe murwere. Hazvibviri kufanotaura sei kunzwisisa Muviri kugadzirira. Kunyange Hakuna Basa mishonga inogona kukonzera vamwe vanhu vane migumisiro, uyu unoshandawo yokutindivadza.

• Dzungu, hope, kugwinha, akanyanyisa kuchinja manzwiro - Zviratidzo izvi zvinogona kuitika mukati pezvizuva pashure kushanda yokutindivadza.
• Respiratoria kwepfungwa, chikosoro.
• Akasvetuka ropa kumanikidzwa, tachycardia kana bradycardia.
• Kuda kurutsa, kurutsa.
• Neutachiona.
• Chills uye fivha.

Kuwedzera marwadzo mu zvisingawanzoitiki zviitiko "Sevoran" (mirayiridzo kushandiswa akataurawo) ane contraindications, uye vanofanira kuziva mumwe murwere asati aifanira yokutindivadza. Pakati contraindications:

• The chaiyo aikanganiswa mushonga.
• Genetic kubatwa kune akaipa hyperthermia.
• Paanenge achiyamwa.

Uyewo, vose nzira inhalation yokutindivadza inokurudzirwa kushandisa nokungwarira kunyanyisa mune varwere renal insufficiency, intracranial neBP, nechirwere chemwoyo uye neuromuscular pathologies. Vana vanobvumirwa kushandisa "Sevoran", asi chete yepazasi dose uye pasi pokudzora chiremba, kunyange pashure kupora kubva yokutindivadza.

ovhadhozi

Kana zvikashandiswa zvakapfurikidza, murwere zvingaratidza ngapaonekwe;

• Kuchinja basa nechepakati tsinga.
• Hypotension.
• vascular akawisa.
• Nokugwinha.
• Respiratoria kusungwa.

Kana paine zviratidzo, unofanira pakarepo regedza kwokubatsira zvinodhaka, kuti muve vakachena kufema chubhu uye kutanga chakagadzirwa kufefetedza pamwe okisijeni, kutevera basa mwoyo, kana uchida kusuma zvinodhaka kuramba nayo.

Kudyidzana nevamwe zvinodhaka

Inhalation yokutindivadza zvakakwana pamwe zvinodhaka kuti inowanzoshandiswa nokuda vanovhiya pakuvhiya. Izvi zvinoshanda nezvinodhaka inochinja tsinga, tsandanyama relaxants, Anti-kwemabhakitiriya zvinodhaka, mahormone, zvinogadzirwa neropa. Kwakaomarara kwavatori vave kuzivikanwa.

Mirayiridzo Special kushandiswa

"Sevoranom" haagoni kushandiswa voga pamba. mushonga uyu anofanira kuzviita, sarudza kuti chipimo chemushonga uye kuongorora murwere ezvinhu chete mutindivadzi, zviri chinodiwa kune avo vane ruzivo rwevanhu yokutindivadza.

Kuwanisa nzira inhalation yokutindivadza, kunyanya "Sevoran" chinodhaka, unofanira kushandisa calibrated vaporizers. Unofanirawo zvapinda murwere kuti yokutindivadza haangagoni kuva imwe nguva kuti kuseri vhiri uye kushanda pamwe chero zvinofamba michina, nokuti wevasungwa nzeve kungakanganiswa.

Zvakakurukurwa kushanda "Sevoran" iri kurapwa mazino muvana

Kana atinoita mazino pasi zvavo yokutindivadza, "Sevoran" vanobvumirwa kushandisa vakuru nevana. Uyezve, uku kwakadai yokutindivadza inowanzoshandiswa panguva vamwe mabasa kuti vana:

• Urgent kuvhiya Kupindira mune rikwanise kuzvimba ari nemumuromo mhango (pute pute).
• Zvokuwedzera Kuvhiya (zino dzokubudisa, cysts).
• Papurupiti, multiple caries uye periodontitis.

Asi kwete nguva dzose vanachiremba vemazino vari kurapwa mazino muvana vachishandisa inhaled "Sevoran". Yokutindivadza kuvana pamberi pedu rinoreva unoratidzwa zvinotevera nyaya:

• Kana pane contraindications pakushandisa omunzvimbo dzokutindivadza.
• Kana mwana nekontakten (iziviswe negativism kuti wemazino).
• Kune Organic zvokurwara pakati tsinga, umo mwana haagoni unonyatsokoshesa akapoteredza chokwadi.
• Kana yaida kuti aite chimwe-danho kunaya dzaiita zvokutaurwa mhango zhinji vhoriyamu maitirwo.

Asi hatifaniri kukanganwa kuti mishonga ipi mwana anoona chaizvo sensitively. Vabereki vanofanira kuudza chiremba pamusoro pamberi mwana zvinotevera ezvinhu zviri contraindications kuti yokutindivadza zvinoreva "Sevoran". Consequences anogona zvimwe kuva dzakakomba zvikuru. Saka, hazvina varumbidzwa kushandisa:

• Inflammations rokumusoro turakiti.
• In chenjera kuzvimba Urinary turakiti, chiropa, mapapu.
• Kana paine exudative diathesis.
• Recent chirwere.
• High intracranial kumanikidzwa.
• Decompensated zvokurwara.
• Kana usingakwanisi kushandisa yomunharaunda yokutindivadza.

Chokwadi, mwana wacho akanzi kugadzirira pakatanga yokutindivadza "Sevoran". Dental kurapwa pasi vakawanda yokutindivadza rinoitwa kwete chete panguva zino dzokubudisa, asi mune zvimwe zviitiko, uye kudiwa kugadzirira mumwe nzira:

• Pass rokuongorora - kuti vape ropa, weti, nemakemikari omuviri.
• ECG.
• Mhedziso wevana (ari gwaro vanofanira kuratidza kuti murwere hapana contraindications pakushandisa kwakadai yokutindivadza).
• Yokutindivadza chinotarisirwa chete usina chawadya.

Pari zvino pane marudzi akasiyana-siyana zvinodhaka nokuda yokutindivadza, asi mumakore achangopfuura uye dzakakurumbira zvikuru "Sevoran" American kambani. Iye anonzi zvikuru hazvikuvadzi muviri, ayo zvakanaka akashivirira, vakuru nevana. Ane yeshoko inofadza chaizvo kuti vana fema uye havambonyari kusanzwa.

The nezvinozoitika pakarepo, pakarepo mushure peya mweya, uye varwere muka pashure maminitsi 15 pashure mishonga pakusununguka. Izvi imhaka yokuti vanopfuura 90% kuburikidza chiedza goho zvinoreva nenzira unmodified muchimiro. Murwere inhaled chinodhaka, uye pashure maminitsi 10-15 muropa hakuchisina dzakaonekwa. Akaratidza nokukurumidza kubva pamuviri, pasina nhengo kwayo nezvainoita kutendera Kurwara regai kukonzera.

Reviews

Very zvakanaka pamusoro gadziriro ikarumbidzwa kwete chete kune vakura pazera murwere, asi vana, vanoti kuti kufema anonhuwira mhepo uye akarara, uye ipapo akasvinudza meso avo - uye vari ratova pamubhedha, uye hapana havasi kukuvadzwa. Kutaura chokwadi, chaizvoizvo anoita "Sevoran". Reviews vabereki uyewo zvinosimbisa kuti vana vavo vari nyore zvikuru kushivirira yokutindivadza, hapana divi migumisiro uye nezvimwe zvinhu zvakunokonzera. Zviri nekuvongwa iye, vana vakawanda vava kunyanya kakawanda kuna chiremba wemazino, uye zvose nokuda ose miitiro kuitwa pasina kurwadziwa.

Varwere Adult vari chaizvo zvakanaka nezvechirwere chake pashure yokutindivadza ichi. Chikurukuru, yakatakura kunze anokwanisa nyanzvi, ipapo zvose zvichava zvakanaka.