Paʻakai Thiopental - 'ano paha o ka palapala noi

"Paʻakai Thiopental" mea he maloo porous nui he omaomao iki-yellow waihoʻoluʻu. Ua hoike mai hoopuni i loko o ka wai. A pāʻoihana o ka lāʻau koke ma mua i kona hoʻohana.

"Paʻakai Thiopental" ua hoʻohana 'ia no ka anesthesia, a me ka mea, ua loaʻa i loko o ka intravenous hooponopono o ka lāʻau, a ma kona rectal hooponopono. Nō hoʻi, hookomo iho i ke kanaka i loko o ka moku'āina o anesthesia hiki ma ka hoike ana i keia mea paahana intramuscularly, akā, ua hoʻohana 'loa kākaʻikahi i kēia hana.

Inā pili pono, "paʻakai Thiopental," i ke kanaka e komo i loko o ka moku'āina o ka anesthesia ka oluolu a me ka loa e hoʻokēʻai ai, a me ka luaʻi a me ka pīhoihoi ua aneane loa ana. Inā anesthesia ua hoʻohana 'ia no keʻoki kino, i ka hoʻomanawanui mea ole corneal a me ka tendon reflexes, e ke kānaka hou na haumana, akā, ka mea, IeAUPIIe, IAa IO noho maʻamau waiwai, e paa i ka'ōnohi a poʻopoʻo. No hoi, aia no he hoʻomaha o ka pharynx Muscle, ke alelo palemo ho'ēmi i kā ka puʻuwai a me ka emi ka alapine (frequency) a me ka hohonu o ka hanu. Ua mea waiwai 'ana i kumumanaʻo mea, i ka wā i loko o hohonu anesthesia, a ua kauoha aku ma ka hoike ana o keia k, he piha hoʻomaha no nāʻiʻo o ka abdominal paia, aole ia i hana i nā mea a pau nā mea maʻi.

"Thiopental paʻakai" e aho koke eliminated mai ke kino, a me kona mau hoʻokahi-manawa hoʻohana o anesthesia komo i ke kanaka no ka 20-25 minuke. Koke ana analgesic hopena o ka lāʻau ma hope o ua hoʻi i kāpiliʻia.

Nāʻikepili no ka hoʻohana ana i ka lāʻau '

ʻano nui hoʻohana 'ia ma ka la e pono ai ma ka pōkoleʻoki lāʻau lapaʻau ina hana. Nō hoʻi ka mea, ua hoʻohana 'ia no ka hoʻokomo o ka anesthesia ukali ma ka noi o ka anesthetics ikaika. ka lāʻau ua pinepine hoʻohana i ka huipūʻana me ka Muscle relaxants, ina me mechanical hoʻokomo ea.

"Paʻakai Thiopental": kauoha no ka hoʻohana

No ka makua e hoomanawanui i ka hoomakaukau ana i 2 a 2,5% pāʻoihana o ka lāʻau, a me na keiki, na nā mea maʻi kūpuna a debilitated e hoʻohana 1% pāʻoihana. Inā "Thiopental paʻakai" ua hoʻohana 'ia no ka hoʻokomo o ka anesthesia a no ka nīnūnēʻoki kino, e like me ka mea wale narkotiziruyuschee mea, ia mea pono e komo 20-30 ML intravenously. ʻO kā mākou laʻau heluna o ka 2% pāʻoihana o ka lāʻau, a hiki i nā mākua, he 50 ml, i mai la ua hoʻolauna pāʻoihana lohi, ma mua he uuku mahele lāʻau, a ma hope o 30 kekona a pau i ke koena.

I hookuu i ka lāʻau mea i pololei ia i 25 minuke, akā, e hilinaʻi nui,ʻaʻole wale nō ma ka nui o ka mea, ua komo, akā, no hoi ma na ano kanaka o kēlā me kēia kanaka.

E lawe mai walaʻauʻana lāʻau anesthesia noi i na keiki, ka poe i ka iini, e like me kanaka e loaa ana mai ka thyrotoxicosis. Ma kēia hihia, pinepine pili i ka 5% pāʻoihana 'o ka paʻakai thiopental ", a ua wela i 32-35 ° C a injected rectally, kaʻoi loa,ʻaʻole i loko o ka pae'ōnaehana lumi, a ma o ka hou mau kulana no ka hoʻomanawanui. Children ma lalo makahiki ekolu o rectally lawelawe ma 0,04 g., A me na keiki i hiki i na makahiki ehiku e kau ma luna o ka 0,05 g. No ka makahiki o ke ola.

Contraindications

He mea hiki ole, e hoʻohana i ke koʻi no kanaka, ka poe i malama ke aloha maʻi o ke akepaa, hakuʻala, ka poe i mimikō, kanaka e hoohikilele au ia. Nō hoʻi, i ka lāʻau 'aʻole i pili ina he mea nasal li nui, kāna hana o ke koko holo, kanaka ma loko o ka feverish moku'āina.

Hikiʻaoʻao 'ole:

- i ka helehelena o ka cough;

- hanana laryngospasm, bronchospasm a me ka hypersalivation;

- me ka ÷ naehana hanu kaumaha a me ka hypotension.

E pale aku i ka hanana o complications, i mea ku pono i ka mea e maoli i ka leo o ka vagus nā aʻalolo, ma mua o ka hooko ana o ka anesthesia mea pono e komo "Metacin" a me "Atropine". A pāʻoihana o keia k hiki ole ke hui me ka pāʻoihana "chlorpromazine", "pentamine", "ditilina" "Promethazine" a me ka "arfonad".