Uxolo, khula!
Omnye umntu waqhathanisa umsebenzi wegqirha osebenzayo kunye ne-anesthesiologist kwizenzo zeenqwelo zokuqhubela umqhubi wendiza e-air, apho inkokheli enye, enye-ikhoboka. Kwaye ukusuka kwinqanaba lokulahla kwaloo mbini, umphumo wokulwa kunye neendiza ngokupheleleyo kuxhomekeke ekuqondeni kwabo kumhlobo "ukusuka kwisiqingatha -bukeka".
Mhlawumbi lo mzekeliso unelungelo lobomi. Ngokuqinisekileyo, ukuxhalabisa kubaluleke kakhulu kwicandelo elibaluleke kakhulu kulo naluphina usebenziso lwangoku. Ngokugqithiseleyo, ukuba ngumbuzo wokuhlinzwa ngeplastiki. Kule nto ibhilikhwe iya kuhamba ngee-millimeters, kwaye kuyimfuneko ukuba kungekhona nje isigulane sizolile - ukuba izidumbu zomzimba wakhe zikhululekile kakhulu kwaye zavumela ugqirha-mdwebi ukuba "anqunywe ngokweqile" ngokuchaneka kwezinto zokugqoka. Kwaye nantsi indima ye "uphawu lokuqala" yinkqubo ye-anesthesiologist.
Thembela "iidemon"
Musa ukukholelwa loo "maqhawe" ayenjalo, ekuthiwa, ayikayikwesaba kwitheyibhile yokusebenza. Uloyiko lo msebenzi luyinto yemvelo kunoma yimuphi umntu. Ukuyinqoba kuyadingeka ... kodwa hayi, kungekhona "ubugqi" ukolchik - okokuqala, ukuthembela okukhulu kwisimo seqela lamagosa.
Akuyona ingozi ukuba i-etymology yelizwi elithi "ugqirha" libuyela kwimvelaphi yaseSlavonic yasekuqaleni: ngaphambi kokuba "vrati" ithetha "ukuthetha, ukuthetha". Ulwimi olusondeleyo lwesiBulgaria igama elithi "ugqirha" lithetha umthakathi, indoda yonyango. Kwaye kwi-Serbo-Croatian "ugqirha" ngumlumbi, umlumbi. Ngoko, ukulungiselela ukusebenza, okokuqala, zama ukuzithemba "iizwi" zakho. Kodwa kungekhona nje ilizwi - ukubona izatifikethi eziqinisekisa izinga lemfundo yoogqirha, kholwani mna, akuyi kubuhlungu.
Kwaye kubaluleke ngakumbi - malunga nezixhobo zobugcisa. Ewe, nanamhlanje, ngekhulu lama-21, umntu unokuqhuba ikliniki enjalo yokuhlinzwa ngoplastiki, apho kungekho mntu, i-anesthesiologist yexesha elizeleyo, akukho nxalenye yokuhlaziya. Le nto isele ingabhenwa kwinqanaba lobugcisa, kwaye kunye nemisebenzi yezandla - abantu basebenza kwiimeko ezinjalo, mhlawumbi, baya kuthiwa ngokuqhelekileyo ngokuthi "i-shabashniki" eqhelekileyo.
Ukuba ulungele ukubeka impilo kunye nobomi bakho kubo, i-vyvododin: ungumtshitshisi we-ticks yakho, ufumana ingozi "kwiRussia roulette".
Ngaloo nto, abasebenzi baseMoscow abahamba phambili kwiikliniki zokuhlinzwa zeplastiki "UbuGcisa boBugcisa" bunokuzolisa: nantsi izinga lezinto zokusebenza kunye nesimo sengqondo kwizigulane - eyaziwa ngabo abaninzi - ngaphandle kokunyaniseka, kwizinga elilungileyo laseYurophu. Icala laseVovsiakom, amazwi aqinisekileyo okubulela kwidilesi yakhe, i-anesthesiologist-i-resuscitator kliniki Igor V. Arkhipov weva amaxesha amaninzi.
Ingcamango ye-anesthesia efanelekileyo
Unjani uhlobo lwe-anesthesia olukhethiweyo - oluqhelekileyo okanye lwengingqi - lulwazi lwabagqirha. Oku kuxhomekeke, okokuqala, kwimeko kunye nobunzima bokusebenza okuzayo. I-anesthesia yasemakhaya isetyenziswa ngokubanzi kwi-contour plasty, ngokususwa kweendlela eziphathekayo eziphathekayo-oko kukuthi, kulawo matyala apho into yokungenelela yindawo encinane yomzimba.
I-anesthetics inokungena kwi-intravenously - ukucwilisa isigulane kwindawo ebizwa ngokuba yizokwelapha. Kule njongo, izidakamizwa ezikhethekileyo zisetyenziselwa ukuqinisekisa uxolo olupheleleyo ngexesha lokusebenza kunye nokungabikho kwempendulo engalunganga emva kwayo: emva kokuvuswa, umntu akahlali nesifo sengxaki, uyasondeza.
Kwezinye iimeko, i-analgesia ejulile yecandelo elithile lomzimba, i-anesthesia engena-intravenes idibaniswe nommandla wendawo. Jikelele iyasetyenziswa ngexesha lotyando lweplastiki, xa isigulane singenalo ithuba lokuphefumula ngokuzimela (umzekelo, nge-rhinoplasty).
Mhlawumbi, akukho mqondo wokugqithisa apha abafundi abanaloo "buchule" obunjengeenkcukacha zokusebenzisa izihlunu zokuphumula, i-opioids. Kuya kuba nelanelekile ukuthetha ukuba kwindlela yokuhlinzwa okwangoku, kubandakanya ukuhlinzwa okwenziwa nge-Iplas, i-anesthesia yokulinganisela isetyenziswa ngokusisigxina, xa ikhethekileyo ye-anesthesia ikhethiweyo, ivumela isigulane ukuba ivezwe ngexesha lokusebenza kukhululekile, kwaye ugqirha-ukuqhuba ngendlela enokwenzeka.
Iingcamango malunga "neendabuko zamabali"
Ewe, into encinci malunga 'neyoyikekayo'. Kunoko, malunga nokoyikisayo, okwangoku akuyimfuneko. Mhlawumbi, abaninzi beva malunga nokutshatyalaliswa kwe-anaphylactic-ukuphazamiseka komzimba womzimba kwi-anesthetic. Ngoko, okokuqala, ngokwezinto ezilandelwayo, oku kwenzeke kanye nge-10,000 anesthesia, kwaye, okwesibini, i-anesthhesiologist evuma loo nto.
Ingongoma (kunye neklinikhi yobuhle "udokotela wezobugcisa" apha, njengoko bathi, kwakhona kwakhona ngaphambili), ukuba ngaphambi kokusebenza isigulane kufuneka siphumelele iimvavanyo zeebhubhorari, ngexesha apho iisampuli zenziwa kwi-anesthetic. Yona yokhuseleko kuphela ekhethiweyo. Ukongezelela, izidakamizwa zanamhlanje ziphantsi kakhulu. Ngokubambisana, zonke ezi zinto zinciphisa umngcipheko wokutshatyalaliswa kwe-anaphylactic ubuncinci.
Ngethuba lo msebenzi ngokwawo, isiguli asihlali esibini ngaphandle kokuvavanywa kwe-anesthhesiologist-resuscitator kunye nalezi zixhobo eziphezulu, ukuphendula kuzo nayiphi na utshintsho kwiimeko zempilo ezisebenzayo ziya kwenzeka ngokukhawuleza.
Kwaye "i-swish" yeli bini - ugqirha we-plastic and anesthesiologist-resuscitator - uhlala eqinisekisa "ukuhamba" kwindlela eqhelekileyo.