Kutheni le nto iqondo lobushushu bomzimba likhethwa ngokubanzi ngexesha lotyando?

Iprobe yobushushu yahlulahlulwe ngokubanzi ibe yiprobe yobushushu bomzimba kunye neprobe yobushushu bomzimba.Iqondo lobushushu bomngxunya womzimba linokubizwa ngokuba liqondo lobushushu lomngxunya womlomo womlomo, umngxunya wempumlo, ubushushu bommizo, ubushushu be-rectal, ubushushu bombhobho we-eardle kunye necatheter yomchamo womchamo ngokwendawo yokulinganisa.Nangona kunjalo, iiprobes zobushushu bomzimba ongaphezulu zisetyenziswa ngokubanzi ngexesha lokusebenza.Ngoba?

Ubushushu obuqhelekileyo bomzimba womntu buphakathi kwe-36.5 ℃ kunye ne-37.5 ℃.Ukubeka iliso kwiqondo lokushisa kwi-perioperative, kuyimfuneko ukuqinisekisa ukujongwa ngokuchanekileyo kobushushu obungundoqo kunobushushu bomzimba.

Ukuba iqondo lobushushu elingundoqo lingaphantsi kwe-36 ℃, yi-hypothermia ngengozi ngexesha lotyando.

I-Anesthetics inqanda inkqubo ye-nervous autonomic kunye nokunciphisa imetabolism.I-anesthesia yenza buthathaka ukuphendula komzimba kubushushu.Ngo-1997, uNjingalwazi Sessler Di wenze isindululo ngengqikelelo ye-perioperative hypothermia kwiNew England Journal yezamayeza, kwaye wachaza ubushushu bomzimba obungaphantsi kwe-36 ℃ njenge-perioperative accident hypothermia.I-Perioperative core hypothermia ixhaphakile, ibalelwa kuma-60% ~ 70%.

I-hypothermia engalindelekanga ngexesha le-perioperative iya kuzisa uluhlu lweengxaki

Ulawulo lobushushu lubaluleke kakhulu kwixesha le-perioperative, ngakumbi kwi-organ transplantation enkulu, kuba i-perioperative hypothermia yengozi iya kuzisa uthotho lweengxaki, ezifana nosulelo lwendawo yotyando, ixesha elide le-metabolism yeziyobisi, ixesha elide lokubuyisela i-anesthesia, iziganeko ezininzi ezimbi ze-cardiovascular, umsebenzi ongaqhelekanga we-coagulation. , ukuhlala ixesha elide esibhedlele njalo njalo.

Khetha iqondo lobushushu bomzimba obufanelekileyo ukuqinisekisa umlinganiselo ochanekileyo wobushushu obungundoqo

Ke ngoko, ii-anesthesiologists zinika ingqwalasela engakumbi kumlinganiselo wobushushu obungundoqo kutyando olukhulu.Ukuze ugweme i-hypothermia ngengozi ngexesha le-perioperative, ii-anesthesiologists zihlala zikhetha ukubeka iliso lobushushu ngokufanelekileyo ngokohlobo lomsebenzi.Ngokubanzi, iqondo lobushushu bomngxuma womzimba liya kusetyenziswa kunye, njengeprobe yobushushu bomngxuma womlomo womlomo, iprobe yobushushu be-rectal, iqondo lobushushu bomngxuma weempumlo, iqondo lobushushu lommizo, umjelo wendlebe ohlola ubushushu, umbhobho womchamo wecatheter, njl. njl. , inwebu ye-tympanic, i-rectum, i-bladder, umlomo, i-nasopharynx, njl.

Kwelinye icala, ukongeza kwisiseko sokubekwa kweliso kobushushu obungundoqo, amanyathelo okufakelwa kwe-thermal nawo kufuneka athathwe.Ngokuqhelekileyo, imilinganiselo yokufakelwa kwe-thermal ye-perioperative yahlulwe ibe yi-passive ye-thermal insulation kunye ne-thermal insulation esebenzayo.Ukuleya itawuli kunye nesigqubuthelo somgquba zezomlinganiselo wokwaleka kwe-thermal.Amanyathelo okufakwa kwe-thermal asebenzayo anokwahlulwa abe ngumzimba womphezulu wokugquma kwe-thermal (njengengubo esebenzayo yokufudumeza i-inflatable) kunye nokufudumeza kwangaphakathi kwe-thermal (njengokufudumeza utofelo-gazi kunye nokufakwa kunye nokufudumeza ulwelo lwesisu), i-Core thermometry idityaniswe ne-thermal esebenzayo yokugquma yindlela ebalulekileyo. yokukhusela ubushushu beperioperative.

Ngexesha lokutshintshelwa kwezintso, ubushushu be-nasopharyngeal, umlomo womlomo kunye nobushushu be-esophagus zihlala zisetyenziselwa ukulinganisa ubushushu obuphambili ngokuchanekileyo.Ngexesha lokutshintshwa kwesibindi, ulawulo lwe-anesthesia kunye nokusebenza kunempembelelo enkulu kwiqondo lokushisa lomzimba wesigulane.Ngokwesiqhelo, ubushushu begazi bujongwa, kwaye ubushushu besinyi bulinganiswa necatheter yokulinganisa ubushushu ukuqinisekisa ujongo lwexesha lokwenyani lokutshintsha kobushushu bomzimba.

Ukususela ekusekweni kwayo kwi-2004, i-Medlinket igxile kwi-R & D kunye nokuveliswa kwamacandelo ekhebula lezonyango kunye neenzwa.Iiprobes zokuhlola ubushushu eziphuhliswe ngokuzimeleyo kwaye ziveliswe yi-Medlinket zibandakanya i-probe yeqondo lokushisa leempumlo, i-probe yokushisa yomlomo, i-probe ye-esophageal lokushisa, i-rectal heat probe, i-ear canal heat probe, i-catheter ye-catheter yomchamo kunye nezinye iindlela.Ukuba ufuna ukudibana nathi nangaliphi na ixesha, unokubonelela nge-OEM / ODM ngokwezifiso ukuhlangabezana neemfuno zeklinikhi kwizibhedlele ezahlukeneyo ~