Ọrịa Mendelson

Aguru Mendelson's syndrome na afo 1946 Maka American obstetrician na cardiologist Curtis Lester Mendelson, o bu udi chemical pneumonitis maobu aspiration pneumonitis nke na amalite n'ihi aspiration nke Ihe do na afo N'oge anaesthesia na omumu nwa. .[1][2]

Nkwupụta

[dezie | dezie ebe o si]

A na-akọwa ọrịa Mendelson site na mmeghachi omume bronchopulmonary na-esote ọchịchọ nke ihe dị n'ime afọ n'oge anesthesia n'ozuzu ya n'ihi mwepụ nke laryngeal reflexes. Ihe ndị bụ isi na-ahụ maka ahụike bụ ihe ịrịba ama nke hypoxia n'ozuzu ya, awa abụọ ruo ise mgbe anesthesia gasịrị. Ihe ndị dị otú ahụ nwere ike ịgụnye cyanosis, dyspnea, ahụ ọkụ, wheeze nke akpa ume, rales crepitant, rhonchi, na tachycardia na ọbara mgbali elu dị ala. O yikarịrị ka mbelata nke ikuku oxygen n'ọbara ga-apụta ìhè. Ọzịza nke akpa ume nwere ike ịkpata ọnwụ mberede ma ọ bụ ọnwụ nwere ike ime mgbe e mesịrị site na nsogbu nke akpa ume.   [citation needed]

Ihe ize ndụ

[dezie | dezie ebe o si]

N'akụkọ ihe mere eme, a na-ekwu na onye ọrịa nọ n'ihe ize ndụ ma ọ bụrụ na ha nwere: [3]

  • Ọnụ ọgụgụ gastric fọdụrụnụ nke karịrị 25ml, na
  • pH nke na-erughị 2.5

Otú ọ dị, ndị a bụ ihe ndị na-apụtaghị ìhè ma ọ bụghị ihe ndị na'emetụta ihe ize ndụ nke ọchịchọ.[3]

Ndị ọrịa nwere nnukwu ihe ize ndụ kwesịrị inwe usoro induction ngwa ngwa. A na-akọwa ihe ize ndụ dị elu dị ka ihe ndị a: [3]

  1. Usoro ịwa ahụ na-abụghị nke a na-ahọrọ
  2. Anesthesia dị mfe / mmeghachi omume a na-atụghị anya ya na mkpali
  3. Ọrịa GI siri ike ma ọ bụ nke na-adịghị ala ala
  4. Ibubiga ibu ókè
  5. Ọgwụ opium
  6. Ọrịa akwara, nkwarụ, ma ọ bụ sedation
  7. Ọnọdụ Lithotomy
  8. Intubation/airway siri ike
  9. Mgbanwe nke eriri afọ
  10. Ọrịa hernia nke afọ
  1. Malik (26 June 2021). "Mendelson Syndrome". PMID 30969586. Retrieved on 21 September 2021. 
  2. Г.А.Рябов, СИНДРОМЫ КРИТИЧЕСКИХ СОСТОЯНИЙ. Аспирационный пневмонит (синдром Мендельсона), http://surgerycom.net/critical/4/4_3.html
  3. 3.0 3.1 3.2 Levy (2006). "Pre-operative fasting—60 years on from Mendelson". Continuing Education in Anaesthesia, Critical Care & Pain 6 (6): 215–218. DOI:10.1093/bjaceaccp/mkl048.  Kpọpụta njehie: Invalid <ref> tag; name "Levy2006" defined multiple times with different content