Ukubaluleka kweklinikhi yokulawula ubushushu ngexesha le-perioperative

Ubushushu bomzimba yenye yeempawu ezisisiseko zobomi.Umzimba womntu kufuneka ugcine ubushushu bomzimba obuqhubekayo ukuze ugcine imetabolism eqhelekileyo.Umzimba ugcina ibhalansi eguqukayo yemveliso yobushushu kunye nokuchithwa kobushushu ngenkqubo yokulawula ubushushu bomzimba, ukuze kugcinwe ubushushu bomzimba obungundoqo kwi-37.0 ℃-04 ℃.Nangona kunjalo, ngexesha le-perioperative, ukulawulwa kweqondo lokushisa komzimba kuvinjelwe yi-anesthetics kwaye isigulane sibonakaliswe kwindawo ebandayo ixesha elide.Kuya kukhokelela ekunciphiseni ukulawulwa kweqondo lokushisa lomzimba, kwaye isigulane sikwimeko yokushisa ephantsi, oko kukuthi, iqondo lokushisa eliphambili lingaphantsi kwama-35 ° C, elikwabizwa ngokuba yi-hypothermia.

I-hypothermia encinci iyenzeka kwi-50% ukuya kwi-70% yezigulane ngexesha lotyando.Kwizigulana ezigula kakhulu okanye ukungondleki kakuhle komzimba, i-hypothermia ngengozi ngexesha le-perioperative inokubangela ingozi enkulu.Ngoko ke, i-hypothermia yingxaki eqhelekileyo ngexesha lotyando.Uphononongo lubonise ukuba izinga lokufa kwezigulane ze-hypothermia liphezulu kunelo lobushushu bomzimba obuqhelekileyo, ngakumbi abo banobuhlungu obukhulu.Kuphononongo olwenziwa kwi-ICU, i-24% yezigulane zafa nge-hypothermia kwiiyure ze-2, ngelixa izinga lokufa kwezigulane ezinokushisa komzimba okuqhelekileyo phantsi kweemeko ezifanayo kwakuyi-4%;I-hypothermia inokukhokelela ekunciphiseni ukuxinana kwegazi, ukulibaziseka ukuchacha kwi-anesthesia, kunye nokunyuka kwamazinga osulelo lwenxeba..

I-Hypothermia ingaba nemiphumo emibi eyahlukeneyo emzimbeni, ngoko kubaluleke kakhulu ukugcina ubushushu bomzimba obuqhelekileyo ngexesha lokusebenza.Ukugcina ubushushu bomzimba obuqhelekileyo besigulana ebudeni botyando kunokunciphisa ukopha kwegazi notofelo-gazi, nto leyo enceda ekuchacheni emva kotyando.Kwinkqubo yonyango lotyando, ubushushu bomzimba obuqhelekileyo besigulana kufuneka bugcinwe, kwaye ubushushu bomzimba wesigulane kufuneka bulawuleke ngaphezu kwama-36°C.

Ngoko ke, ngexesha lokusebenza, ubushushu bomzimba wesigulane kufuneka bubekwe esweni ngokubanzi ukuze kuphuculwe ukhuseleko lwezigulane ngexesha lokusebenza kunye nokunciphisa iingxaki emva kokusebenza kunye nokufa.Ngexesha le-perioperative, i-hypothermia kufuneka ivuse ingqalelo yabasebenzi bezonyango.Ukuze kuhlangatyezwane neemfuno zokhuseleko lwesigulane, ukusebenza kakuhle kunye neendleko eziphantsi ngexesha le-perioperative, iimveliso ze-Medlinket zokulawula ubushushu bomzimba ziye zaqalisa i-probe yokushisa elahlayo, enokubeka iliso ngokufanelekileyo utshintsho kwiqondo lokushisa lomzimba wesigulane ngexesha lokusebenza, ukwenzela ukuba abasebenzi bezonyango banokuya kwixesha elihambelanayo le-Insulation remedies.

Iiprobe zokushisa ezilahlayo

Iiprobe zobushushu ezilahlwayo zesikhumba sobuso

I-Rectum elahlayo, / i-Esophagus yeqondo lokushisa

Iinzuzo zemveliso

1. Ukusetyenziswa kwesigulana esinye, akukho usulelo olunqamlezayo;

2. Ukusebenzisa i-thermistor echanekileyo, ukuchaneka ukuya kwi-0.1;

3. Ngeentlobo ngeentlobo zeentambo zeadaptha, ezihambelana neemonitha ezahlukeneyo eziqhelekileyo;

4. Ukhuseleko olululo lwe-insulation luthintela umngcipheko wokutshatyalaliswa kombane kwaye lukhuselekile ngakumbi;ithintela ulwelo ukuba lungangeni kumdibaniso ukuqinisekisa ukufundwa okuchanekileyo;

5. I-foam ye-viscous egqithise uvavanyo lwe-biocompatibility inokulungisa indawo yokulinganisa iqondo lokushisa, ikhululekile ukunxiba kwaye ayinakucaphuka kwesikhumba, kwaye i-tape ebonisa i-foam ihlukanisa ngokufanelekileyo ubushushu be-ambient kunye nokukhanya kwemitha;(uhlobo lomphezulu wolusu)

6. Isingxobo sePVC sonyango esiluhlaza sigudile kwaye asinamanzi;umphezulu ongqukuva kunye ogudileyo we-sheath unokwenza le mveliso ngaphandle kokufaka okuNtuthukileyo kunye nokususwa.(I-Rectum,/Iqondo lobushushu lomqalazo)