Ukuthula, ukuthula kuphela!
Omunye wake waqhathanisa umsebenzi we-ohlinzayo ohlinzayo no-anesthesiologist ezenzweni zabashayeli bezindiza empi empini, lapho umholi oyedwa, omunye-isigqila. Futhi kusukela ezingeni lokuhlukumeza kwalababili, umphumela wempi kanye nezindiza ngokugcwele kuxhomeke ekuqondeni kwabo komngane "kusukela ekubukeni kwesigamu".
Mhlawumbe lokhu kuqhathaniswa kunelungelo lokuphila. Ukukhathazeka, ngempela, kuyisici esibaluleke kakhulu kunoma yikuphi ukuhlinzwa okwamanje. Ngokuyinhloko, uma kungumbuzo wokuhlinzwa kwepulasitiki. Lapha ngokuvamile umthethosivivinywa uhamba ngokwemitha, futhi kuyadingeka ukuthi akugcini nje ukuthi isiguli sizolile - ukuthi imisipha yomzimba wayo ikhululekile ngokweqile futhi ivumela udokotela-umdwebi ukuba "anqume ngokweqile" ngokuchithwa kwezinto zokugqoka. Futhi lapha indima ye "isibonakaliso sokuqala" iwukuba i-anesthesiologist.
Thembela "abahlakaniphi" bakho
Ungakholelwa labo "amaqhawe" okuthiwa, aphelele, abesaba ngesibindi etafuleni lokusebenza. Ukwesaba ukusebenza kungokwemvelo kunoma yimuphi umuntu. Ukunqoba kuyadingeka ... kodwa cha, hhayi ukolchik "imilingo" kunazo zonke - okokuqala, ukuthembela okuphezulu kwesimo sengqondo seqembu lamakhangi.
Akuyona ingozi ukuthi i-etymology yegama elithi "udokotela" ibuyele emuva ezimpandeni zaseSlavonic zangaphambili: ngaphambi kokuthi "vrati" isho "ukukhuluma, ukukhuluma". Elimi eliseduze-lwesiBulgaria igama elithi "udokotela" lisho umlumbi, umuntu wezokwelapha. Futhi "udokotela" waseSerbo-Croatian usuhlobo lomlingo, umlumbi. Ngakho, ukulungiselela ukusebenza, okokuqala, zama ukwethemba "abahlakaniphile" bakho. Kodwa hhayi nje igama - ukubona izitifiketi eziqinisekisa izinga leziqu zezokwelapha, kholwa mina, ngeke kulimaze.
Futhi okubaluleke kakhulu - mayelana nemishini yobuchwepheshe. Maye, nanamuhla, ekhulwini lama-21, umuntu angakwazi ukugijima emtholampilo onjalo wokuhlinzekwa kweplastiki, lapho kungekho muntu, i-anesthesiologist yesikhathi esigcwele, ayikho i-unit resuscitation unit. Lokhu kakade kungumngcwabo ezingeni lobuciko, ngisho nemisebenzi yezandla - abantu abasebenza ezimweni ezinjalo, mhlawumbe, bazobizwa ngokuthi "shabashniki" evamile.
Uma usulungele ukubeka impilo yakho nempilo kubo, i-vyvododin: ungumngane we-tickling wezinzwa zakho, obhekene nesiphetho ku- "roulette yaseRussia".
Kulokhu, abasebenzi baseMoscow abahamba phambili emitholampilo yokuhlinzwa yasePoland "Beauty Doctor" ingaba nokuthula: nansi izinga lemishini, nesimo sengqondo esibhekene neziguli - okuyinto eyaziwa yiziningi zazo - ngaphandle kokwedlulisela phambili, ezingeni eliphezulu laseYurophu. Icala laseVovsiakom, amazwi aqotho okubonga ekhelini lakhe, umtholampilo we-anesthesiologist-resuscitator Igor V. Arkhipov wezwa izikhathi eziningi.
Umqondo we-anesthesia elinganiselayo
Luhlobo luni lwe-anesthesia oluzokhethwa - jikelele noma lendawo - lungelabahlengikazi. Lokhu kuncike, okokuqala, ngesimo nokubunzima kokusebenza okuzayo. I-anesthesia yasendaweni ivame ukusetshenziselwa ukuguqulwa kwe-contour plasty, ngokususwa kwezindlela ezinobungozi ezincane-okuwukuthi, kulawo maso lapho into yokuhlinzeka ngokuhlinzwa ingendawo encane yomzimba.
I-anesthetics ingafakwa nge-intravenously - ukucwilisa isiguli ekubhekaneni okubizwa ngezokwelapha. Ngenxa yalokhu, kusetshenziselwa izidakamizwa ezikhethekile okuqinisekisa ukuthula okuphelele phakathi nokusebenza nokungabikho kokuphendula okungalungile ngemuva kwalokhu: emva kokuvusa, umuntu akabheki nesisulu sokudla, unesimo esihle.
Kwezinye izimo, ukuthola i-analgesia ejulile yengxenye ethize yomzimba, i-anesthesia engenayo ihlanganiswa nomunye wendawo. I-General isetshenziswa ngesikhathi sokuhlinzwa kwepulasitiki, lapho isiguli singenalo ithuba lokuphefumula (isibonelo, nge-rhinoplasty).
Mhlawumbe, akukho mqondo ukulayisha ngokweqile lapha abafundi abanezici "zobungcweti" ezifana nobuchwepheshe bokusetshenziswa kwemisipha yokuphumula, ama-opioids. Kuzokwazi ukusho ukuthi ekuhlinzwa okwamanje, kuhlanganise nokuhlinzeka nge-Iplastic, umqondo we-anesthesia olinganiselayo usetshenziselwa ukusebenzisana, lapho kuhluka okwenziwe okuhlukile kwe-anesthesia, okwenza isiguli sizizwe ngesikhathi sokusebenza ekhululekile kakhulu, kanye nodokotela ohlinzayo - ukuyiqhuba ngangokunokwenzeka.
Amanga mayelana "nezindaba ezimbi"
Hhayi, kancane mayelana "nesabekayo". Kunalokho, mayelana nokuthi yini okufanele ukwesabe, okwamanje akudingekile. Kungenzeka ukuthi abaningi bezwa ukuthungwa kwe-anaphylactic-ukusabela komzimba womzimba kumzimba wokujola umzimba. Ngakho-ke, ngokokuqala, ngokwezibalo, lokhu kwenzeka kanye kuphela nge-anesthesia eyi-10,000, futhi okwesibili, i-anesthesiologist evuma lokho kubi.
Iphuzu liyi (futhi umtholampilo omuhle "Udokotela Wobungcweti" lapha, njengoba bekusho, futhi futhi ngaphambili), ukuthi ngaphambi kokuhlinzwa isiguli kumele sibhekane nokuhlolwa okuhle kwe-laboratory, lapho amasampuli ayenziwa khona ngama-anesthetic. Kuphephile kuphela okukhethiwe. Ngaphezu kwalokho, izidakamizwa zanamuhla zine-allergenicity ephansi kakhulu. Ngokubambisana, zonke lezi zici zinciphisa ingozi yokushaqeka kwe-anaphylactic okungenani.
Ngesikhathi sokusebenza ngokwayo, isiguli asihlali okwesibili ngaphandle kokuqondiswa kwe-anesthhesiologist-resuscitator nalezi zixhobo eziphezulu, ukusabela kunoma yiziphi izinguquko esimweni sempilo yabasebenzi abazosebenza ngokushesha.
Futhi "i-swish" yalesi sibini - udokotela ohlinzayo we-plastic kanye nesazi-anesthhesiologist-resuscitator - njalo uqinisekisa "ukushayela" kwimodi evamile.