Iriburiro:
Uburyo bwo gutera anesthetic bukorwa mubijyanye n'ubuvuzi.Nyamara, kwanduza indwara ya bagiteri itabangamira ubuzima bw’abarwayi.Ubushakashatsi buherutse gukorwa bwerekana ko kwanduza intoki mu bakozi batewe aneste ari ikintu gikomeye gishobora kwanduza bagiteri mu gihe cyo kubagwa.
Uburyo:
Ubushakashatsi bwibanze ku kigo cy’ubuvuzi cya Dartmouth-Hitchcock, ikigo cy’abaforomo cyo mu rwego rwa III n’ikigo cya I ihahamuka gifite ibitanda 400 by’abarwayi n’ibyumba 28 byo gukoreramo.Mirongo cyenda na kabiri ebyiri zo kubaga, zose hamwe 164, zatoranijwe kubisesengura.Bakoresheje protocole yemejwe mbere, abashakashatsi bagaragaje ibibazo byo kwanduza bagiteri kwanduza imitsi ihagarika imitsi ihagarara hamwe nibidukikije bya anesteziya.Nyuma bagereranije ibyo binyabuzima byanduye n’ibitandukanijwe n’amaboko y’abatanga anesteziya kugirango bamenye ingaruka zanduza intoki.Byongeye kandi, hasuzumwe imikorere ya protokole yo gusukura muri iki gihe.
Ibisubizo:
Ubushakashatsi bwerekanye ko mu bantu 164, 11,5% bagaragaje kwanduza indwara ziterwa na bagiteri mu mitsi ihagarika imiyoboro, aho 47% byanduye bitangwa n'abashinzwe ubuzima.Byongeye kandi, kwandura indwara ziterwa na bagiteri kwanduza ibidukikije byagaragaye muri 89%, aho 12% byanduye byatewe n'abashinzwe ubuzima.Ubushakashatsi bwagaragaje kandi ko umubare w’ibyumba byo gukoreramo bigenzurwa n’umuhanga mu gutera anesthesiologue witabiriye, imyaka y’abarwayi, no kwimura abarwayi bava mu cyumba cyo kubaga bakimurirwa mu bitaro by’ubuvuzi bukomeye ari ibintu byigenga byahanuye kwanduza bagiteri, bidafitanye isano n’abatanga.
Ikiganiro n'akamaro:
Ibyavuye mu bushakashatsi bishimangira akamaro ko kwanduza intoki mu bakozi batewe aneste mu kwanduza ibidukikije byo mu cyumba ndetse n’ibikoresho byo guhagarika imitsi.Indwara ziterwa na bagiteri zatewe n'abashinzwe ubuzima zagize uruhare runini mu kwanduza indwara, bikaba byangiza ubuzima bw'abarwayi.Niyo mpamvu, hakenewe iperereza ku yandi masoko yo kwanduza bagiteri no gushimangira uburyo bwo gukora isuku mu mikorere.
amaherezo, kwanduza intoki mubakozi batewe aneste ni ikintu gikomeye gishobora kwanduza bagiteri.Mugushira mubikorwa ingamba zo gukumira nko gukaraba intoki, gukoresha gants nziza,Guhitamo ibikoresho byiza bya anesthesia imashini yangizano gukoresha imiti yica udukoko twangiza, ibyago byo kwandura bagiteri birashobora kugabanuka.Ibyavuye mu bushakashatsi ni ingenzi cyane mu kuzamura isuku n’isuku mu cyumba cyo gukoreramo, amaherezo bikazamura umutekano w’abarwayi.
Inkomoko yatanzwe:
Loftus RW, Muffly MK, Brown JR, Beach ML, Koff MD, Corwin HL, Surgenor SD, Kirkland KB, Depite Yeager.Kwanduza intoki abatanga anesthesia ni ikintu cyingenzi gishobora kwanduza bagiteri.Anesth Analg.2011 Mutarama; 112 (1): 98-105.doi: 10.1213 / ANE.0b013e3181e7ce18.Epub 2010 Kanama 4. PMID: 20686007
