Izixhobo zomatshini we-anesthesia zidlala indima ebaluleke kakhulu ekuqinisekiseni ukuhanjiswa okukhuselekileyo kunye nokusebenzayo kwe-anesthesia kwizigulane.Phakathi kwezi zixhobo, isiphaluka sokuphefumula sinokubaluleka okubalulekileyo njengoko siququzelela ukuhanjiswa kwe-oksijini kunye neegesi ze-anesthetic ngelixa ususa i-carbon dioxide.
Ukusebenza kweeSekethe zokuphefumla:
Iisekethe zokuphefumula, njengenxalenye ebalulekileyo yoomatshini be-anesthesia, bakhonza imisebenzi emininzi ebalulekileyo ngexesha lolawulo lwe-anesthesia.Ukuqonda indima yabo kubalulekile ukuqonda ukubaluleka kwazo njengezincedisi.Imisebenzi ephambili yeesekethe zokuphefumla ibandakanya:
Ukuhanjiswa kwegesi yeoksijini kunye neAnesthetic:
Injongo ephambili yesekethe yokuphefumula kukuhambisa umxube we-oksijini kunye neegesi ze-anesthetic kwisigulane.Ezi gesi zilawulwa ngononophelo kwaye zilungelelaniswe ngokweemfuno zesigulane kunye nenkqubo yotyando.Umjikelo wokuphefumla uqinisekisa ukuhanjiswa ngokuchanekileyo kwezi gesi ukuze kugcinwe ubunzulu obufunwayo be-anesthetic.
Ukupheliswa kweCarbon Dioxide:
Ngexesha le-anesthesia, umzimba wesigulane uvelisa i-carbon dioxide, efuna ukupheliswa ukuze kugcinwe indawo yokuphefumula ekhuselekileyo kunye nezinzile.Isekethe yokuphefumla iququzelela ukususwa kwekharbon diokside ngeendlela ezahlukeneyo, njengokuqukuqela kwerhasi entsha (FGF) eyaneleyo okanye ukusetyenziswa kwezinto ezifunxa ilika yesoda.
Izinto eziluncedo kwiiSekethe zokuphefumla njengeZincedisi zoMatshini weAnesthesia:
Ukhuseleko lwesigulane:
Iisekethe zokuphefumla zidlala indima ebalulekileyo ekugcineni ukhuseleko lwesigulane ngexesha lolawulo lwe-anesthesia.Ngokuhambisa ugxininiso oluchanekileyo lwe-oksijeni kunye neegesi ze-anesthetic, iisekethe ziqinisekisa ukuba izigulane zifumana amanqanaba afanelekileyo e-anesthesia ngelixa zigcina i-oxygenation eyaneleyo.Ukususwa ngokufanelekileyo kwekhabhoni dioksidi kukwanegalelo kwindawo ezinzileyo yokuphefumula, ukunciphisa umngcipheko weengxaki.
Ukuziqhelanisa neeNkqubo ezahlukeneyo:
Iisekethe zokuphefumla kumatshini we-anesthesia zibonelela ngezinto ezahlukeneyo kunye nokuguquguquka ukulungiselela iinkqubo ezahlukeneyo zotyando.Iindidi ezahlukeneyo zeesekethe zokuphefumula, ezifana nezijikelezo ezivulekileyo, ezivaliweyo, kunye nezivaliweyo, zinokukhethwa ngokusekelwe kwiimfuno ezithile zenkqubo, iimpawu zesigulane, kunye nokukhethwa kwe-anesthetic.Oku kulungelelanisa kwandisa ukuguquguquka kunye nokusebenza kakuhle kokunikezelwa kwe-anesthesia.
Ukulawula iNkunkuma yeGesi yokuthomalalisa:
Iisekethe zokuphefumula zidlala indima ekunciphiseni ukukhutshwa kwegesi ye-anesthetic yenkunkuma kwindawo yokusebenza.Ngokuhambisa ngokufanelekileyo iigesi kwisigulane kunye nokuququzelela ukususwa kwazo, iisekethe zokuphefumla zinceda ukunciphisa ukubonakaliswa kwenkunkuma ye-anesthetic agents, ukukhusela bobabini ababoneleli bezempilo kunye nezigulane.
Ukuhambelana kunye nokudibanisa:
Oomatshini banamhlanje be-anesthesia benzelwe ukudibanisa ngokungenamthungo kunye neenkqubo ezahlukeneyo zokuphefumla.Oku kuhambelana kuqinisekisa ukuba iisekethe zokuphefumla zisebenza ngokufanelekileyo ngaphakathi kokusekwa komatshini we-anesthesia, ukuphucula ukusebenza kwenkqubo jikelele kunye nokulula kokusetyenziswa.
Isiphelo:
Izixhobo zomatshini we-anesthesia, ngakumbi iisekethe zokuphefumla, zizinto ezibalulekileyo ezinegalelo kulawulo olukhuselekileyo nolusebenzayo lwe-anesthesia.Ngokuhambisa ugxininiso oluchanekileyo lwe-oksijini kunye neegesi ze-anesthetic ngelixa ukuphelisa ngokufanelekileyo i-carbon dioxide, iisekethe zokuphefumla ziphucula ukhuseleko lwesigulane kunye nokubonelela ngokulungelelanisa kwiinkqubo ezahlukeneyo zotyando.Ababoneleli bezempilo kufuneka bakuqonde ukubaluleka kweesekethe zokuphefumla njengezixhobo zoomatshini bokuthomalalisa ii-anesthesia kwaye baqinisekise ukhetho lwabo olufanelekileyo, ukusetyenziswa kunye nokugcinwa kwabo ukuze kuphuculwe iziphumo zokuhanjiswa kwe-anesthesia.
