Nyarara, nyarara chete!
Mumwe munhu akambofananidza basa rechiremba wokuvhiya uye anesthesiologist kune zviito zvevari vaviri vevatyairi vengoro muhondo yemhepo, uko mutungamiriri mumwe, mumwe-muranda. Uye kubva pakuenzana kwekutsva kwemaviri akadai, migumisiro yehondo uye kubhururuka zvakakwana kunobva pane kunzwisisa kwavo kweshamwari "kubva pahafu-kutarisa".
Zvichida kuenzanisa uku kune kodzero yehupenyu. Kunetseka, zvirokwazvo, chikamu chakakosha chekuvhiya kwemazuva ano. Kunyanya, kana iri mubvunzo wepurojekitiki yepurasitiki.Hano kazhinji bhiri iri rinowanzoenda pamamilimita, uye zvinokosha kuti kwete chete murwere akadzikama-kuti misi miviri yake yakanyatsosununguka uye akabvumira chiremba-muvezi kuti "aparadze zvakanyanya" nekashongedzwa kwakakwana. Uye pano basa re "chiratidzo chekutanga" ndechokuti anesthesiologist.
Vimba ne "vaudi"
Usatenda ivavo "majamba" ayo, anofungidzira, ari kunyangwe asingatyi patafura yekushanda. Kutya kushanda kwakasikwa kune munhu wese. Kukunda iyo inofanirwa ... asi kwete, kwete ye "magic" zvikuru ukolchik - kutanga kwezvose, kuvimba kwakakwana mumafungiro eboka re brigades.
Haisi pangozi iyo etymology yezwi rokuti "chiremba" inodzokera kumashoko ekutanga eSlavonic: "vrati" isati yareva "kutaura, kutaura". Mumutauro waive pedyo-weBulgaria shoko rokuti "chiremba" rinoreva muroyi, munhu wemishonga. Uye mumutauro weSerbo-Croatian "chiremba" muroyi, muroyi. Saka, uchigadzirira kushanda, kutanga kwezvose, edza kuvimba "vako". Asi kwete shoko rimwe chete-kuona zviiti zvinoratidza hutano hwezvigaro zvechiremba, nditende ini, hazvingakuvadzi.
Uye zvinonyanya kukosha - pamusoro pezvigadzirwa zvemichina. Nhamo, kunyange nhasi, muzana remakore rechi21, munhu anogona kukwanisa kukiriniki yakadaro yepuropiti yepurasitiki, uko pasina munhu, aneshehesiologist yenguva yakazara, hapana chimiro chemazuva ano chekusimudzira. Izvi zvatova vashandi pahutano hwehupirisiti, uye kunyange mishonga yezhizha - vanhu vanoshanda mumamiriro ezvinhu akadaro, zvichida, vachave vakanyatsonzi "shabashniki".
Kana iwe wakagadzirira kupa hutano hwako nehupenyu kwavari, a vyvododin: iwe uri mutsigiri wekunakidza mitsipa yako, unotaridzirwa mu "Russian roulette".
Muchirevo ichi, vashandi veimwe yemakiriniki ekuvhiya epurasitiki ekufambisa ePoland "Beauty Doctor" inogona kudzikama: heino chiyero chemichina, uye mafungire evarwere - izvo zvinoratidzwa nevakawanda vavo - pasina kuwedzeredza, kune imwe nzvimbo yeEurope. Vovsiakom mhosva, mazwi echokwadi ekutenda kune kero yake, anesthesiologist-resuscitator kliniki Igor V. Arkhipov akanzwa kakawanda.
Mhedziso yeaneshehesia yakaenzana
Ndeupi rudzi rweaneshesia yekusarudza - hukuru kana hwemunharaunda - ndeyevarapi. Izvi zvinotanga, kutanga kwezvose, pamusoro pechimiro uye kuoma kunzwisisa kwekushanda kunouya. Nharaunda yeanesthesia inowanzoshandiswa mumutsara wekutsvaga, nekubviswa kwezvinyorwa zvisinganzwisisiki-izvozvi, mune zviitiko apo chinhu chinoshandiswa pakuvhiya chikamu chiduku chemuviri.
Iyo anesthetics inogona kujowa mukati-kuisa muviri mujeri mune izvo zvinonzi chirwere chekurara. Nokuda kweizvi, zvinodhaka zvinoshandiswa zvinotsigira rugare rwakakwana panguva yekushanda uye kusavapo kwekusateerera kwakashure mushure mekunge: mushure mekumuka, munhu haawani nenyuchi, ane mafungiro akanaka.
Mune zvimwe zviitiko, nokuda kwechirwere chinowedzera chechimwe chikamu chemuviri, kunyatsoputika anesthesia kunosanganiswa neimwe nzvimbo. Zvose zvinoshandiswa panguva yekuvhiyiwa kwepurasitiki, kana murwere asina mukana wekupema ari oga (somuenzaniso, ne rhinoplasty).
Zvichida, hapana chinangwa chokudururira pano vaverengi vane ruzivo rwakadaro "hunyengeri" sezvinoreva kushandiswa kwemasumbu ekuzorodza, maopioid.Ichakwanisa kutaura kuti mune kuvhiyiwa kwemazuva ano, kusanganisira chirongwa chePlastiki, pfungwa yekuenzanisa anesthesia inoshandiswa zvakashandurwa, apo zvakasiyana-siyana zveanesthesia zvinosarudzwa, zvichibvumira murwere kunzwa panguva yekushanda kunyatsosununguka, uye chirembachireyi - kuti aite sezvinogona.
Nhema pamusoro pe "kutya nhau"
Zvakanaka, zvishoma nezve "anotyisa". Pane kudaro, pamusoro pezvinofanira kutya, ikozvino haisi kudiwa. Zvichida, vazhinji vakanzwa nezvevanaphylactic shock-iyo inokonzerwa nehutano hwemuviri wemunhu kune injairo yekushaya chirwere. Saka, kutanga, maererano nehuwandu, izvi zvinoitika kamwe chete zve1000 anesthesia, uye, yechipiri, anesthesiologist anobvuma zvakadaro zvakashata.
Pfungwa yacho ndeye (uye kliniki yakanaka "Beauty Doctor" pano, sezvavanotaura zvakare, zvakare mberi), kuti vasati vamboshanda murwere anofanira kuongorora marabhoreti, panguva iyo sampuli dzinoitwa painesthetic. Ndiyo chete yakachengeteka inosarudzwa. Mukuwedzera, mishonga yemazuva ano ine uwandu hwakanyanya. Pamwe chete, izvi zvose zvinoderedza ngozi yevanaphylactic shock kusvika padiki.
Panguva yekushanda pachedu, murwere haagari kwechipiri asiri kunze kwekutarisa kweanesthesiologist-resuscitator nemapurisa anosimudzira, zvinopindurwa kune humwe hutano hwehutano hwevashandi huchaitika pakarepo.
Uye "swish" yeizvi zviviri - chiremba wepurasitiki uye anesthesiologist-resuscitator - nguva dzose inotsigira "kufamba" munzira yakarongeka.