Hoʻokaʻawale ʻia ka ʻimi wela i ka ʻimi wela o ke kino a me ka ʻimi wela o ka lua kino. Hiki ke kapa ʻia ka ʻimi ʻana o ka wela o ka waha, ka ʻimi wela o ka ihu, ka ʻimi wela o ka esophageal, ka ʻimi ʻana i ka wela rectal, ka ʻimi wela o ka pepeiao a me ka mimi catheter e like me ke ana kūlana. Eia nō naʻe, ʻoi aku ka nui o nā hoʻokolohua wela o ke kino i hoʻohana pinepine ʻia i ka wā perioperative. No ke aha mai?

ʻO ka mahana maʻamau o ke kino kanaka ma waena o 36.5 ℃ a me 37.5 ℃. No ka nānā ʻana i ka wela perioperative, pono e hōʻoia i ka nānā pono ʻana i ka wela kumu ma mua o ka wela o ke kino.

Inā ʻoi aku ka haʻahaʻa o ka mahana ma mua o 36 ℃, he hypothermia pōʻino ia i ka wā perioperative

Hoʻopaʻa nā anesthetics i ka ʻōnaehana nerve autonomic a hoʻemi i ka metabolism. Hoʻonāwaliwali ka anesthesia i ka pane o ke kino i ka wela. I ka makahiki 1997, ua hāʻawi ʻo Polofesa Sessler Di i ka manaʻo o perioperative hypothermia i loko o ka New England Journal of Medicine, a ua wehewehe i ka wela o ke kino ma lalo o 36 ℃ ma ke ʻano he perioperative accidental hypothermia. He mea maʻamau ka perioperative core hypothermia, helu no 60% ~ 70%.

ʻO ka hypothermia i manaʻo ʻole ʻia i ka wā perioperative e lawe mai i kekahi mau pilikia

He mea koʻikoʻi ka mālama ʻana i ka mahana i ka wā perioperative, ʻoi aku hoʻi i ka hoʻololi ʻana o ke kino nui, no ka mea, e lawe mai ana ka hypothermia i nā pilikia, e like me ka maʻi o ka wahi o ka ʻokiʻoki, ka manawa lōʻihi o ka lāʻau lapaʻau, ka manawa hoʻihoʻi ʻana o ka anesthesia lōʻihi, nā hanana maʻi cardiovascular, nā hana coagulation abnormal. , noho lōʻihi i ka haukapila a pēlā aku.

E koho i ka ʻimi wela o ke kino kūpono e hōʻoia i ke ana pololei ʻana o ka wela kumu

No laila, ʻoi aku ka nānā ʻana o ka poʻe anesthesiologists i ke ana ʻana o ka wela kumu ma ke ʻoki nui. I mea e pale aku ai i ka hypothermia ulia i ka wā perioperative, koho maʻamau ka poʻe anesthesiologists i ka nānā ʻana i ka mahana kūpono e like me ke ʻano o ka hana. ʻO ka maʻamau, e hoʻohana pū ʻia ka ʻimi wela o ke kino, e like me ka ʻimi wela o ka waha, ka ʻimi ʻana i ka wela, ka ʻimi wela o ka ihu, ka ʻimi wela o ka esophageal, ka ʻimi ʻana i ka wela o ka pepeiao, ka ʻimi ʻana i ka wela urinary catheter, etc. , tympanic membrane, rectum, pūpū, waha, nasopharynx, etc.

Ma ka ʻaoʻao ʻē aʻe, ma kahi o ka nānā ʻana i ka wela kumu, pono e lawe ʻia nā ana insulation thermal. ʻO ka maʻamau, ua hoʻokaʻawale ʻia nā ana insulation thermal perioperative i ka insulation thermal passive a me ka insulation thermal active. ʻO ka waiho ʻana i ke kāwele a me ka uhi ʻana i ka quilt no nā ana hoʻokaʻawale wela passive. Hiki ke hoʻokaʻawale ʻia nā ʻano hana hoʻokalakupua i loko o ke kino kino (e like me ka inflatable heat blanket) a me ka insulation thermal internal (e like me ka hoʻomehana ʻana i ke koko a me ka infusion a me ka hoʻoheheʻe ʻana o ka ʻōpū o ka ʻōpū) o ka pale wela perioperative.

I ka wā o ka hoʻololi ʻana i ke kīkī, hoʻohana pinepine ʻia ka mahana o ka nasopharyngeal, ka waha waha a me ka mahana o ka esophagus e ana pono i ka wela kumu. I ka wā o ka hoʻololi ʻana i ke ake, ʻoi aku ka hopena o ka hoʻokele anesthesia a me ka hana ʻana i ka wela o ke kino o ka mea maʻi. ʻO ka mea maʻamau, nānā ʻia ka wela o ke koko, a ana ʻia ka wela o ka ʻōpū me kahi catheter ana wela e hōʻoia i ka nānā ʻana i ka manawa maoli i nā loli wela o ke kino.

Mai kona hoʻokumu ʻana i ka makahiki 2004, ua kālele ʻo MedLinket i ka R&D a me ka hana ʻana i nā ʻāpana kelepona olakino a me nā mea ʻike. ʻO ka ʻimi ʻana i ka wela i hoʻomohala kūʻokoʻa ʻia a hana ʻia e MedLinket e komo pū me ka ʻimi wela o ka ihu, ka ʻimi wela waha, ka ʻimi wela o ka esophageal, ka ʻimi ʻana i ka wela rectal, ka ʻimi wela o ka pepeiao, ka ʻimi ʻana i ka wela o ka urinary catheter a me nā koho ʻē aʻe. Inā pono ʻoe e nīnau mai iā mākou i kēlā me kēia manawa, hiki iā ʻoe ke hāʻawi i ka hana maʻamau OEM / ODM e hoʻokō i nā pono lapaʻau o nā halemai like ʻole ~