Nangona uhlala uzama ukuphepha ukunikezela ikati into ethomalalisayo okanye ezolileyo, inyani kukuba ukuthathela ingqalelo ukunyamezeleka okuphantsi koxinzelelo lwesi silwanyana, ngamanye amaxesha akukho khetho ngaphandle kokwenza njalo. Umzekelo, ukuba yifeline enokuthi isabele ngogonyamelo kwiklinikhi yezilwanyana, ingcali iya kukhetha ukuhambisa iyeza, ngesiqhelo ngenkani, ukulizolisa.
Kodwa, Uyilalisa njani ikati? Kwaye ngoba?
Ungamthambisa njani?
Thetha kugqirha wezilwanyana
Ukuba sinekati ekufuneka siyilalisile, into yokuqala esiya kuhlala siyenza kukudibana nogqirha wezilwanyana. Asisoze, nakweyiphi na imeko, sikunike iyeza ngaphandle kwemvume yakho kungenjalo inokubulala isilwanyana.
Kuya kufuneka sichaze ingcali ukuba kutheni le nto sifuna ukumthomalalisa ukuze ikwazi ukucebisa eyona nto intle yomhlobo wethu, enokuthi:
- IiBenzodiazepines: Zezidambisi zithomalalisa uxinzelelo. Iziphumo zalo zozela, ukudideka, kunye nokwanda kokutya. Sukulawula iikati ezineengxaki zesibindi okanye zezintso.
- Iserotonin reuptake inhibitors (AIRS): bayaluphelisa unxunguphalo, kodwa kunokubangela ukuba ube nesiyezi kunye nokudideka. Kuphephe ukubanika iikati abanesifo sentliziyo.
- IPhenobarbital: sisiyobisi sokuthambisa esisetyenziselwa ukunyanga isifo sokuwa.
- Ezinye iindlela zokuthomalalisaI-Clonidine kunye neGabapentin ziyadambisa kwaye zikwanciphisa uxinzelelo kwiikati.
Nika iyeza
Nje ukuba ugqirha wezilwanyana akhuthaze ukuthomalalisa, Kufuneka siyilawule nini kwaye njani isixelele. Ukuba yipilisi, siza kuyidibanisa nokutya okumanzi ukuze bakuginye, okanye siza kukufaka emlonyeni wabo. Kwimeko apho ngenaliti, iya kuba nguye oya kuyinika.
Khathalela ikati
Emva kokukunika iyeza Kuya kufuneka uyisonge ngengubo ukuze ingabandi kwaye ijonge iimpawu zayo ezibalulekileyo. Kwimeko yokuthandabuza, dibana nogqirha wezilwanyana kwakhona.
Kutheni kufuneka umhlalise phantsi?
Kukho izizathu ezininzi ezinokukhokelela ekubeni umntu ayeke ikati yakhe, phakathi kwabo:
- Kuphephe ukuba novalo kunye / okanye nomsindo kwiklinikhi yezilwanyana.
- Ukucheba iinwele kunye / okanye ukumhlamba kwindawo yokulungisa izilwanyana.
- Njengonyango lwe uxhalaba.
- Ukulungelelanisa imeko yakho entsha (umzekelo, xa ilungu elitsha lifika ekhaya).
Ngaba zikhona ezinye iindlela zokumthoba umsindo?
Ukuba amayeza akakuqinisekisi, unokuzama ezinye iintlobo zonyango, ngakumbi zendalo, eziza kunceda ikati yakho. Enye yazo yi Kude kude, lulwelo oluqulathe iipheromones zokwenziwa eziphumlisa iikati. Uya kuyifumana zombini kwisitshizi nakwi-diffuser onokuyibeka kumagumbi apho isilwanyana sichitha ixesha elininzi.
Omnye wabo ngu zylkene, Ezizincedisi zokutya ezivela kwiprotein yobisi eneempawu zokuthomalalisa okanye zokuthomalalisa ikati. Ithengiswa kwiiklinikhi zonyango lwezilwanyana, iivenkile zezilwanyana zasekhaya nakwi-Intanethi.
Enye indlela yokuwuzolisa kukubeka Umculo weklasikhi kwaye uzama ukuphila ubomi obuzolileyo. Ngokwamava ndinokukuxelela ukuba iyasebenza le nto.
I-Anesthesia kwiikati kunye nokulala
Ngamaxesha amaninzi, xa kunyanzelekile ukuba ulale okanye upholise iikati, kusetyenziswa i-anesthesia. Abanini bezilwanyana abaninzi bayoyika ianesthesia. I-Anesthesia, ichazwa njenge 'lahleko yovakalelo', isetyenziswa kakhulu kunyango lwezilwanyana kwaye ibonelela ngesixhobo esibalulekileyo sotyando okanye ezinye iinkqubo zentlungu ezicetyiswayo kwimpilo yekati yakho.
Isetyenziselwa ukuhambisa okanye ukubulala iikati, ekucoceni amazinyo okanye kwimeko apho ikati kufuneka ingahambi okanye izole kwiinkqubo zentlungu. Ikati ibonakala ilele xa i-anesthetised. Emva koko Siza kukunika ulwazi ukuze uqonde ukuba lungantoni kwaye ngaphezu kwako konke, ukukuqinisekisa ukuba kunokwenzeka uyisebenzise kwikati yakho.
I-Anesthesia kulindeleke ukuba isetyenziswe xa ikati yakho ichithwe okanye ingafakwanga i-neutered, ukucoca amazinyo, nokunye okuninzi. Nazi ezinye iinkcukacha zokukunceda uqonde ngcono ezinye zeentlobo ze-anesthetics esizisebenzisayo kwizilwanyana zasekhaya.
Ukuhlala ngaphambi kweanesthesia
Amakati ngokubanzi anikwa amayeza okuthomalalisa okanye okuzolalisa umzimba ngaphambi kokubulawa komzimba. La mayeza hlalisa ikati ezolile ukuze ikhululeke kwaye inxibe imaski okanye ityhubhu yetraki Kufuneka ukuba zomzimba inhalation.
Ugqirha wezilwanyana uza kusebenzisa indibaniselwano eyahlukeneyo yokunceda ukunciphisa umngcipheko we-anesthesia ngelixa unceda ukunciphisa iintlungu kunye nenqanaba lokuthambisa isilwanyana esifunekayo kwiinkqubo ezixhasa impilo yezilwanyana. Amachiza okuthambisa anikwa ngeendlela ezahlukeneyo, ezinjenge-subcutaneous (phantsi kolusu), intramuscularly (kwi-muscle), okanye ngaphakathi.
Ii-anesthetics ezingenakutofwa
Zininzi iindidi ezahlukeneyo zeearhente ze-anesthetic kwaye siza kugubungela ezona ziqhelekileyo. Nganye yezi zinto inezinto ezilungileyo nezingalunganga. Thetha kugqirha wezilwanyana malunga nomngcipheko wokusebenzisa i-anesthetics yenkqubo yekati. Ugqirha wakho unokukuqinisekisa ngohlobo lwe-anesthetic ekufuneka isetyenzisiwe kwaye ngoba.. Ezona zisetyenziswa kakhulu zezi:
- Iipioids: Iipioids yenye yezona zinto zisetyenziswayo zisetyenziswa kwizinja neekati. Banikezela ngolawulo lweentlungu kunye neziphumo eziphantsi kakhulu kwinkqubo yentliziyo, ebenza babe ngamachiza okukhethwa kuzo izilwanyana ezininzi ezinokuphefumla okanye imeko yeentliziyo. Iiopioid ezahlukeneyo zihlala kumaxesha ahlukeneyo emzimbeni. Uninzi lwe-opioids lunokudityaniswa namanye amayeza ngokulula, lubenze lube lolona khetho lufanelekileyo lokufumana unyango kwiikati ezininzi.
- IiBenzodiazepines- Olu didi lwamachiza luthathwa njengelona likhuselekileyo kwizigulana zonyango kwaye ngokubanzi sisiyobisi esithandwayo kwiijometri. Kuye kwanda ukuthandwa kumayeza wezilwanyana. Eli klasi leziyobisi linokubangela umphumo wokuchwayita kwezinye izigulana ngezihlandlo ezinqabileyo. Ineziphumo ze-anticonvulsant kwaye ibandakanya amayeza anje nge-midazolam kunye ne-diazepam.
- KetamineI-Ketamine sisiyobisi esingahluthwanga esisetyenziswa ngokubanzi njengechiza laphambi kokubulala iintlungu kwaye ngokudibeneyo namanye amachiza. Inokuba luncedo kulawulo lweentlungu ezongezelelweyo kwizigulana eziphantsi kweanesthesia. I-Ketamine isetyenziswa kwiimeko ezininzi kwaye yinto ephambili ye-anesthesia kwiikati ezixhalabileyo malunga nogqirha wezilwanyana, ukunceda ukuqinisekisa ukuba bafumana ukhathalelo abalifunayo.
- IpropolIpropofol yi-non-barbiturate hypnotic. Ikwabizwa ngokuba yiPropoFlo, iRapinovet, kunye neDipravan. Ipropofol yenye yezona zinto zixhaphakileyo zisetyenziselwa amayeza emfuyo. Iyasebenza ngokukhawuleza, inika ithuba lokuchacha ngokukhawuleza, kwaye kunqabile ukuba ibangele iziphumo ebezingalindelekanga zeziyobisi.
I-anesthetics engenayo
I-Isoflurane yirhasi engafunyanwayo edla ngokusetyenziswa kunyango lwezilwanyana. Uninzi lweenkqubo zonyango lwezilwanyana zisebenzisa i-isoflurane okanye i-sevoflurane yegesi ngexesha le-anesthesia ukunceda ukugcina izigulana kwinqanaba elifanelekileyo lokuthambisa kunye ne-analgesia.
Kukho izinto ezilungileyo nezingalunganga kwinto nganye kwezi zithomalalisayo zichazwe ngasentla. Ihlala inobungozi xa usebenzisa i-anesthesia nayiphi na isilwanyana, kungakhathaliseki ubudala okanye imeko. Okwangoku, i-anesthesia yinxalenye ebalulekileyo yeenkqubo ezisebenzayo ezixhasa impilo, intuthuzelo kunye nokuphila ixesha elide kwezilwanyana zasekhaya. Buza ugqirha wezilwanyana kuvavanyo lwegazi langaphambi kokubulala iintlungu. Olu lumkiso luya kunceda ugqirha wezilwanyana amisele eyona ntlungu ingcono okanye indibaniselwano ye-anesthetics yekati yakho.
Ngaba uyifumene inomdla?