Nemukoti anokotsirisa - ndiani uyu uye chii vari mabasa?

Kwemazana emakore, vanhu vakatsvaka kuderedza marwadzo kunobva "nechisimba" Somuenzaniso, pakuvhiya ari mumuviri womunhu. Pari, basa iri itungamirirwe nyanzvi dzakadai anesthesiologist.

Ndiani?

Anesthesiologist - a munhu anokwanisa munhu mubasa ose yokutindivadza panguva maoparesheni, marwadzo, kurohwa nehana uye post-yaizoitika ezvinhu.

Hazvina chiremba uyu kukonzera zvakanaka murwere panguva yokutindivadza, zviri kukonzera kuti kusarudzwa kupfuura vakachengeteka uye vakasununguka yokutindivadza.

Anesthesiologist kwete chete nehope yokutindivadza, asi zvinoita kuti murwere yose nguva kuvhiyiwa. Yaiti chiremba anopa murwere pfungwa rokudzora pashure kuvhiyiwa uye ake ezvinhu mune postoperative munguva.

A Nhoroondo shoma

Chakatishamisa wokutanga anesthesiologist akazviratidza kuMiddle Ages. Zvisinei, yokutindivadza dzokubvisa zvave, kutaura mudukusa, chaiyo. Saka, panguva iyoyo zvikuru kushandiswa nzira murwere akarova musoro chinorema. Mushure kwechirwere, murwere, Chokwadi, ndafenda. Kurasikirwa pfungwa uye yaiva yokutindivadza. In mamiriro ichi, murwere hauna vainzwa kwenguva yakati kuti zvakaitika naye panguva iyi uye raishandiswa oparesheni.

Mumakore akatevera remakore, masayendisiti munyika vachishingaira aishanda ubanguranyika uye kukura yakavimbika nzira yokutindivadza. Naizvozvo, muna 1864, rimwe rinozivikanwa chiremba wemazino Thomas Morton kutanga kushandisa Eteri senzira inhalation yokutindivadza. By nzira nguva ya akati, "yokutindivadza" chinyorwa uye yakanga zvishoma awa kupfuura rimwe.

In mushonga ano, anesthesiology akasvika yakadaro yakakwirira yakati sandara kuti anesthesiologist anogona ngaaverenge nyore ya yokutindivadza uye localization mumwe murwere nomumwe.

oma zvinodiwa

Iva mutindivadzi iwayo akaoma. Kutaura zvazviri, kunze kwairayirwa kuvapo dzidzo unyanzvi zvokurapa, vakati mazvikokota vanofanira kuziva zvakakwana sezvo yakaitwa nevanhu uye physiology yacho muviri.

Anesthesiologist anofanira nhaka nezivo yakadzama chikwata masero uye nhengo (kuti pakarepo rokuongorora panowanikwa upi kutsaudzira murwere).

The rinokosha reDare vanachiremba uye unhu. nyanzvi akadaro vanofanira kukwanisa kushanda anonetsa ezvinhu, zvisarudzo zvakanaka paine ezvinhu. Uyezve, Anesthesiologists Russia zvisingapindirani zvakadai unhu zvinokosha sezvo tsitsi uye tsitsi murwere.

Sezvingatarisirwa, basa mutindivadzi uye kunoda kurovedza rukuru uye kuwana ruzivo rutsva chokuita pakatanga michina mitsva uye kugadzirwa mishonga ano.

Mabasa uye mabasa

Anesthesiologist - chiremba uyo runodiwa kuitira anoshivirira vakachengeteka pakuvhiya. Panyaya iyi, vakati nyanzvi pamberi induction pamusoro yokutindivadza kunofanira kwazvo kuzivana nhoroondo murwere chirwere, uyewo kuti abate pachake kukurukura naye uye rokuongorora (kana zvakakodzera). Chiremba anofanira kuwana kana murwere vane chirwere chipi (semuenzaniso, mwoyo kana zvirwere zvemapapu), nezvimwe zvinhu kuti zvimwe zvinodhaka.

Chete pashure kunyatsodzidza murwere unhu uye chirwere chake anotanga huru basa anesthesiologist.

Uyezve, ane ruzivo nyanzvi ichapa murwere kuti kuedzwa kuti nehanya, kuti chichabatsira kurerutsa kwokuonekwa upi yematambudziko panguva oparesheni uye yapera yokutindivadza.

Ndiani anosarudza kuti yokutindivadza?

Munhu wose anoziva kuti, muna tsika, vakashandisa marudzi anoverengeka yokutindivadza: yemo, mukuru uye musana (aizivikanwawo ive nhengo dzomuviri). Uyezve, yokutindivadza yakasiyana maererano nzira yawo sumo kupinda muviri, uwandu zvinodhaka, uyewo kushandiswa mune zvakasiyana-siyana zvokukura kushanda. It anesthesiologist anosarudza zvakakodzera zvikuru kuti imwe murwere mhando yokutindivadza.

Zviya, kazhinji munguva oparesheni akashandisa Kazhinji rufimbi, unosanganisira kurasikirwa zvakakwana pfungwa. Anesthesiologist apo vakanga jekiseni nomutsinga uye mukati mumasekonzi 10 murwere anorasikirwa kuziva. jekiseni dose zvakare inofungidzirwa akati chiremba inobva kunzwisisa uye nguva pfungwa kuvhiyiwa.

Local yokutindivadza rinoshandiswa kazhinji mu dentistry. Kana kushandisa nzira iyi pasi -oma yakananga nzvimbo muviri murwere. Panyaya iyi, murwere anoziva.

Spinal yokutindivadza ari anozivikanwa kuna vazhinji akanaka pabonde, saka zviri zvinowanzoshandiswa mwana, musana uye gynecological kushandiswa. The anesthesiologist yakanga jekiseni kuva chaiyo nzvimbo nomuzongoza, uye pashure mumaminitsi mashoma murwere hunoguma kunzwa marwadzo.

Kana kushandisa chero yokutindivadza chiremba anesthesiologist monitors mhando uye anodzora murwere utano yose oparesheni.

"Gray Cardinal"

Pasinei nokuti oparesheni pacharo anotakura chiremba, nemukoti anokotsirisa anotakura asingaoneki Pakutanga, asi zvakakosha kwazvo basa. Nemukoti anokotsirisa - ndiye munhu vakadzidza uye zviito zvakanaka inochinja upenyu uye utano murwere.

Saka, kana panguva oparesheni murwere nemamiriro kuipa, izvozvo anesthesiologist zvinotora matanho kudzikamisa murwere ezvinhu. The akati nyanzvi vangarega kunanga mwoyo masaja, shandisa mimwe kurwadziwa, kumisa ropa rinenge richibuda uye zvichingodaro.

Uyezve, ndiyo anesthesiologist zvishoma nezvishoma anondimutsa murwere kubva yokutindivadza uye anoramba akuteerere mamiriro ake panyama avhiyiwa.

Nemukoti anokotsirisa kana intensivist?

Sezvambotaurwa, kune anesthesiologist - chiremba unyanzvi achirwadziwa utariri murwere pakuvhiya. Uye ndiani chiremba uye nokumutswa?

Kana yakawanda yokunyatsoongorora kare, tinogona kuona kuti shoko rokuti "nemukoti anokotsirisa" kubva muchiGiriki sezvariri anoshandura se "benzi." Resuscitator chete (rakashandurwa kubva chete muchiGiriki) - iri "kudzoka upenyu". Zvechokwadi, akadaro nyanzvi, kwete chete anopinda murwere kuva ezvinhu yokutindivadza, asiwo basa kuunza murwere pfungwa.

Saka, kuchenjera kutaura kuti chiremba uyo anobata nemhando dzose yokutindivadza pakuvhiya uye vakauya kuna upenyu pashure kuvhiyiwa - haisi mutindivadzi, chiremba anesthesiologist.

zvinokosha kurumbidza

Anobudirira Zvaizobuda kushanda zvikuru kunobva kumeso uye unyanzvi basa vanachiremba. Zvisinei, murwere vanofanira kutevera vamwe kutevedzera.

Saka, ruzivo Anesthesiologists vari zano asati chero oparesheni vanoomerera mitemo zvinotevera:

- kwete vhiki asingasviki rimwe asati akaronga zuva kushanda kuti kurambidza kushandiswa doro uye vanoedza kurega kusvuta;

- pamberi oparesheni iri zvaisambobvumirwa kutora "asipurini", sezvo mushonga uyu kanoverengeka inowedzera ropa;

- kubvisa kubva zvokudya kwemafuta mhuka uye udye zvakawanda sezvinobvira yehuku, hove nezvinogadzirwa nomukaka;

- iri chiitiko kuti murwere anorwara nechirwere chomwoyo kana chirwere cheshuga, usaregedza kutora mishonga ushandiswe nachiremba;

- kwete kuvanda kubva chiremba ruzivo pamusoro kuvapo chero neutachiona uye zvimwe zvinhu zvechadenga muviri.

Pawakaperera nokuchengeta mirayiro izvi kuchabatsira kuti kuderedza ngozi zvashata ezvinhu zvose panguva induction ose yokutindivadza uye kuvhiyiwa uye postoperative munguva.

Achiratidza

Zvinokosha zvikuru mishonga ipi sangano nemukoti anokotsirisa. Testimonials pamusoro basa vanachiremba izvi vakaratidza kuti chivimbo kuti vanachiremba specialization uyu zvikuru. Hazvishamisi, nokuti dzimwe nguva zviri kubva kunaka basa rinoitwa nemukoti anokotsirisa akazvimirira upenyu uye utano murwere.

Pakatanga yokutindivadza, kuongorora ezvinhu omurwere, zvishoma nezvishoma zvinoderedza pfungwa, mashoko Implementation ose post-kuvhiya vapore - zvose mabasa aya anofanira kuitwa anesthesiologist. The oparesheni anonzi akabudirira chete kana chikwata rose unyanzvi (vanachiremba vanovhiya, Anesthesiologists uye yevanorwara zvikuru nyanzvi uye mamwe vanachiremba) inoshanda zvakanaka, zvakarurama uye nounyanzvi.