Ka pilikia o ka anesthesia i loko o ka holoholona

E like me ke kanaka, ʻaʻole loa loa ka pilikia o ka lāʻau lapaʻau me nā ʻīlio, nā pōpoki a me nā mea like. ʻO nā pilikia a me nā pilikia e hiki mai ana ma muli o ke ʻano o ka holoholona.

ʻAʻohe lāʻau lapaʻau ʻaʻohe pilikia! ʻAʻole hiki mai nā pilikia koʻikoʻi i ka wā o ka anesthesia a i ʻole ka anesthesia āpau. ʻOiaʻiʻo, pili ka pinepine o nā pilikia koʻikoʻi i ka maʻi o lalo o ka mea maʻi. ʻOiai hiki i ka mea hoʻomaʻamaʻa ke hoʻomaopopo koke i nā pilikia ma o ka nānā mau ʻana i nā hana o ke kino, hiki nō ke hoʻopiʻi ʻia ʻoiai ke mālama nui ʻia, ʻo ia hoʻi i nā hihia koʻikoʻi hiki ke hoʻoweliweli i ke ola a alakaʻi paha i ka pōʻino mau loa.

Nā pilikia nui o ka anesthesia

• Hiki ke hoʻoulu ʻia nā hopena maʻi a me ka hypersensitivity e ka lāʻau lapaʻau a i ʻole nā ​​mea disinfectants a mai nā hōʻailona maʻalahi no ka manawa pōkole (e laʻa i ka ʻili a i ʻole ka ʻili ʻili) i nā pilikia hanu a me ke kahe ʻana a hiki i ka haʻalulu loaʻa loa, weliweli i ke ola me ka puʻuwai, ke kahe ʻana, ka hanu, a me ka hemahema o ke kino. ka lāʻau lapaʻau koʻikoʻi a ma kahi e hiki mai ai ka pōʻino mau (ka lolo, ka hōʻino ʻole ʻana).
• ʻO ka ʻeha ʻana ma ke kahua o ka puncture a i ʻole ma kahi o nā nila hypodermic a me nā catheters pono e mālama ʻia a i ʻole ke ʻoki ʻana.
  Hiki ke mālama maikaʻi ʻia nā maʻi ma kahi o ka wahi puncture a me ka mumū o nā veins me ka lāʻau lapaʻau. Kakaʻikahi loa, komo kēia mau maʻi i loko o ke kahe koko a hoʻoulu i ke koko a i ʻole ka mumū o nā ʻiʻo (e laʻa me ka uhi o loko o ka puʻuwai).
• ʻO ka lawelawe ʻana i ke koko ʻē a i ʻole nā ​​ʻāpana koko ʻē aʻe hiki ke alakaʻi i nā maʻi, hiki ʻole i ka māmā, nā hopena maʻi, nā koko koko, a me ke kuni.
• ʻO ka ʻili, ka ʻiʻo palupalu, a me ka pōʻino o ke aʻalolo (syringe abscess, tissue death, nerve, and vein irritation, bruising, inflammation) ma muli o nā injections. ʻOiai ka hoʻonohonoho pololei ʻana, ʻaʻole nui ka pōʻino o nā aʻalolo i ke kaomi ʻana a i ʻole ke koʻikoʻi i ka wā o ka hana. Eia naʻe, hoʻoholo maʻamau kēia pōʻino iā ia iho ma hope o kekahi manawa a i ʻole hiki ke maʻalahi. I kekahi mau hihia, akā naʻe, hiki ke loaʻa ka pōʻino paʻa mau loa (e laʻa me ka ʻeha, ka lolo, ka makapō).
• ʻO ka Thrombosis: Kakaʻikahi loa, puka mai nā ʻōpuʻu koko, hiki ke lawe ʻia i loko o ke kahe koko a hoʻopaʻa i kahi moku (e laʻa me ka pulmonary embolism). Hiki i kēia ke hopena i ka pōʻino o ke kino me kahi hopena make.

Nā pilikia kūikawā a me nā hopena ʻaoʻao o ka anesthesia

• Aspiration: E pili ana kēia i ka inhalation o ka ʻōpū regurgitated/vomited i loko o ke akemāmā me nā hopena e like me ka maʻi pneumonia, abscess o ka māmā, ka pōʻino mau o ka ʻōpū, a i ʻole ka maʻi ʻāʻī o ka māmā. Aia kēia pilikia ma mua o nā mea a pau inā ʻaʻole ʻoe e mālama i nā lula o ka hana ma mua o ka hoʻomaʻamaʻa ʻana i kāu protége.
• Nausea, a me ka luaʻi: ​​Hiki ke loaʻa kēia mau hopena ʻaoʻao ma muli o ka hoʻohana ʻana i nā anesthetics a me nā lāʻau ʻeha, akā kakaikahi loa i nā holoholona.
• Paʻakikī i ka ʻai ʻana a i ʻole ka haʻahaʻa: Hiki ke pōkole o ka hanu a me ka haʻahaʻa ma muli o ka hoʻokomo ʻana i ka hose ventila a i ʻole ka laryngeal mask, nā ʻeha i ka ʻāʻī, ka ʻāwae, ka larynx, ka trachea, a me nā kaula leo, a ʻaʻole pono kēia mau mea e mālama. He kakaikahi loa ka poino o ke kaula leo me ka hoarse mau.
• Poino i nā niho: Ma ka pōʻaiapili o ka hoʻopaʻa ʻana i ke ala ea, hiki ke hōʻino i nā niho a me ka poho o ka niho. He kakaikahi loa keia pilikia i na holoholona.
• ʻO nā maʻi hanu a me nā spasms o ka larynx a i ʻole nā ​​ʻiʻo bronchial: Inā loaʻa i kāu pipi nā māmā olakino, ʻaʻole loa ka maʻi hanu. Eia nō naʻe, i ka wā e hoʻokomo ai a wehe paha i ka hose ventila a i ʻole ka mask laryngeal, hiki ke loaʻa kahi spasm o ka bronchi a i ʻole ka glottis. Ma hope o ka hana ʻana ma ke poʻo a me ka ʻāʻī, hiki ke pilikia ka hanu ma muli o ke koko a i ʻole ka pehu. Pono kēia mau kūlana koʻikoʻi i ka lāʻau lapaʻau a me nā ana.
• ʻO nā maʻi o ka puʻuwai a me ke kahe koko: ʻO nā lāʻau lapaʻau i hoʻohana ʻia i ka anesthesia kokoke i nā mea āpau e pili ana i ka ʻōnaehana cardiovascular. Hiki iā ia ke alakaʻi i ka hāʻule o ke koko, ka puʻuwai lohi, a i ʻole arrhythmia. ʻO nā maʻi ma mua o ka ʻōnaehana cardiovascular e hoʻonui i ka nui o ka make ʻana o nā ʻīlio a me nā pōpoki mai kahi pilikia anesthetic.
• Malignant hyperthermia: Kakaʻikahi loa, piʻi loa ka wela o ke kino ma muli o kahi maʻi maʻi metabolic nui e hoʻoweliweli i ke ola. Hiki i kēia ke alakaʻi i ka pōʻino mau i nā mea nui (e laʻa ka lolo, nā puʻupaʻa) a koi koke i ka lāʻau lapaʻau a me ka mālama koʻikoʻi.

Nā pilikia kūikawā a me nā hopena ʻaoʻao o ka anesthesia āpau:

• Nā ʻeha ʻāʻī, moku, a me ka ʻiʻo: ʻAʻole hiki ke loaʻa nā maʻi neʻe pōkole a me ka lolo mau loa ma hope o ka anesthesia āpau i hoʻokumu ʻia e ka ʻeha ʻana, ka pōʻino pololei o ke aʻalolo, a i ʻole ka mumū ma hope.
• Nā hopena ʻaoʻao o ka lāʻau lapaʻau: Kakaʻikahi ka loaʻa ʻana o ka maʻi maʻi maʻi maʻi, nalo ʻana o ka ʻike, a me ka hopu ʻana i ka hanu ma hope o ka anesthesia āpau.
• Nā pilikia o ka hoʻokahe ʻana i ka ʻōpū: Hiki ke mālama ʻia nā maʻi o ka hoʻokahe ʻana i ka ʻōpū ma ka hoʻokomo ʻana i kahi catheter mimi (preventively) a i ʻole ma ka lomilomi lima ʻana i ka ʻōpū. I nā hihia liʻiliʻi, hiki i kēia ke alakaʻi i kahi noho hoʻomaha lōʻihi i mea e pale ai iā ʻoe i nā pilikia ma ka home.