– Kahraman b\u0259y, anestezioloqun \u0259m\u0259liyyatdan \u00f6nc\u0259 x\u0259st\u0259 il\u0259 g\u00f6r\u00fc\u015fm\u0259si n\u0259 d\u0259r\u0259c\u0259d\u0259 vacibdir?<\/strong><\/p>\n – Anestezioloq \u0259m\u0259liyyatdan \u00f6nc\u0259 m\u00fctl\u0259q x\u0259st\u0259 il\u0259 g\u00f6r\u00fc\u015fm\u0259lidir. \u00c7\u00fcnki x\u0259st\u0259ni \u0259m\u0259liyyatxanada tamamil\u0259 n\u0259zar\u0259td\u0259 saxlayan \u015f\u0259xs anestezioloqdur. \u018fm\u0259liyyat edil\u0259c\u0259k hiss\u0259d\u0259n ba\u015fqa sa\u011flaml\u0131\u011f\u0131 il\u0259 ba\u011fl\u0131 h\u0259r hans\u0131 probleml\u0259ri varm\u0131, bilm\u0259liyik. Anestezioloqun x\u0259st\u0259 il\u0259 \u00f6nc\u0259d\u0259n g\u00f6r\u00fc\u015fm\u0259si onu t\u0259k fizioloji deyil, h\u0259m d\u0259 psixoloji olaraq \u0259m\u0259liyyata, \u0259m\u0259liyyat ota\u011f\u0131na haz\u0131rlamaqd\u0131r. H\u0259tta psixoloji durumunu da bilm\u0259k \u00f6n\u0259mlidir. \u00c7\u00fcnki \u0259m\u0259liyyat g\u00fcn\u00fc x\u0259st\u0259 ilk olaraq anestezioloqu g\u00f6r\u00fcr. \u018fm\u0259liyyat otaqlar\u0131 qurulu\u015f formas\u0131na g\u00f6r\u0259 bir az soyuq yerdir. \u0130nsanlarda olacaqlar\u0131 \u0259m\u0259liyyat\u0131n narahatl\u0131\u011f\u0131ndan dolay\u0131 ist\u0259r-ist\u0259m\u0259z qorxu, h\u0259y\u0259can olur. Bir d\u0259 ota\u011f\u0131n t\u0259siri onun \u00fcz\u0259rin\u0259 g\u0259lm\u0259sin. Biz \u00f6nc\u0259d\u0259n g\u00f6r\u00fc\u015fd\u00fcy\u00fcm\u00fczd\u0259, x\u0259st\u0259 \u0259m\u0259liyyat ota\u011f\u0131na gir\u0259nd\u0259, bir tan\u0131\u015f \u00fcz g\u00f6r\u00fcr, tan\u0131\u015f s\u0259s e\u015fidir v\u0259 bu, onlara g\u00fcv\u0259n verir.<\/p>\n – Anestezioloqun \u0259m\u0259liyyatdan \u00f6nc\u0259 g\u00f6r\u00fc\u015fm\u0259m\u0259yi hans\u0131sa risk yarad\u0131r?<\/strong><\/p>\n – Siz dey\u0259n hallara daha \u00e7ox regional anesteziya hallar\u0131nda gedilir. \u018fg\u0259r x\u0259st\u0259nin bir aya\u011f\u0131 \u0259m\u0259liyyat edil\u0259c\u0259ks\u0259, x\u0259st\u0259 cavand\u0131rsa, ona regional bir narkoz t\u0259tbiq edil\u0259c\u0259ks\u0259, d\u00fc\u015f\u00fcn\u00fcrl\u0259r ki, orqanizmind\u0259ki ba\u015fqa probleml\u0259r hans\u0131sa t\u0259hl\u00fck\u0259 yaratmaz. Amma o da do\u011fru deyil. \u00c7\u00fcnki ed\u0259c\u0259yin regional narkoz n\u00f6v\u00fc tutmaya bil\u0259r v\u0259 \u00fcmumi narkoz verm\u0259y\u0259 m\u0259cbur qalarsan. Yerli, yaxud regional anesteziyan\u0131n tutmama ehtimal\u0131 var, amma \u00fcmumi anesteziyan\u0131n tutmama ehtimal\u0131 yoxdur. Sad\u0259c\u0259 olaraq dozas\u0131n\u0131 m\u00fc\u0259yy\u0259n etm\u0259k laz\u0131md\u0131r. Bu s\u0259b\u0259bd\u0259n h\u0259r x\u0259st\u0259ni \u00fcmumi anesteziya alacaq \u015f\u0259kild\u0259 analiz edib, ala bil\u0259c\u0259k s\u0259viyy\u0259y\u0259 g\u0259tirdikd\u0259n sonra \u0259m\u0259liyyat ota\u011f\u0131na almal\u0131y\u0131q.<\/p>\n – \u00dcmumi narkozda da x\u0259st\u0259 il\u0259 g\u00f6r\u00fc\u015f\u00fclm\u0259m\u0259si hallar\u0131 olur.<\/strong><\/p>\n – G\u00f6r\u00fc\u015fm\u0259s\u0259l\u0259r bel\u0259, analizl\u0259r\u0259 \u0259sas\u0259n d\u0259y\u0259rl\u0259ndirm\u0259 apar\u0131rlar. Ancaq \u00f6z\u00fcmd\u0259n g\u00f6t\u00fcrs\u0259m, h\u0259r zaman \u00f6nc\u0259d\u0259n x\u0259st\u0259 il\u0259 g\u00f6r\u00fc\u015f\u00fcr\u0259m. Bu g\u00fcn 3 x\u0259st\u0259 il\u0259 g\u00f6r\u00fc\u015fd\u00fcm, onlardan standart analizl\u0259rd\u0259n \u0259lav\u0259 bir ne\u00e7\u0259 analiz ist\u0259dim. Bilm\u0259liy\u0259m ki, \u0259m\u0259liyyat zaman\u0131, \u0259m\u0259liyyat sonras\u0131 \u00fc\u00e7\u00fcn n\u0259l\u0259r\u0259 haz\u0131r olaq.<\/p>\n – Anesteziyan\u0131n n\u00f6vl\u0259rin\u0259 g\u0259l\u0259k.<\/strong><\/p>\n – An – yox, estezi \u2013 hissiyyat dem\u0259kdir. Anesteziya hissiyyat\u0131n olmamas\u0131 anlam\u0131na g\u0259lir. N\u00f6vl\u0259rin\u0259 g\u0259linc\u0259, \u00fcmumi narkoz var. Bu zaman b\u00fct\u00fcn b\u0259d\u0259n keyidilir. Regional anesteziyada is\u0259 b\u0259d\u0259nin hans\u0131sa bir hiss\u0259si. Bird\u0259 beld\u0259n olan anesteziyan\u0131 misal g\u00f6t\u00fcr\u0259 bil\u0259rik. Beld\u0259n a\u015fa\u011f\u0131 b\u00f6lg\u0259 keyiyir. Yerli anesteziyada is\u0259 \u0259m\u0259liyyat edil\u0259c\u0259k hiss\u0259 keyidilir. M\u0259s\u0259l\u0259n, ayaq \u0259m\u0259liyyat olunacaqsa, yaln\u0131z h\u0259min ayaq. Bir d\u0259 sedasiya var. Buna is\u0259 y\u00fcng\u00fcl narkoz veril\u0259r\u0259k yuxu hal\u0131na g\u0259tirilm\u0259si dey\u0259k. Edil\u0259c\u0259k prosedur g\u00fccl\u00fc a\u011fr\u0131 vermir, amma adam narahat olur dey\u0259, m\u0259cbur sedasiya edilir. Buna daha \u00e7ox stomatoloqlar v\u0259 qastroenteroloqlar gedirl\u0259r.<\/p>\n – B\u0259z\u0259n d\u00fc\u015f\u00fcn\u00fcr\u00fck ki, anestezioloqlar x\u0259st\u0259y\u0259 narkoz verib gedirl\u0259r. Sonrak\u0131 proses art\u0131q c\u0259rrahl\u0131qd\u0131r. Ancaq el\u0259 deyil. Anestezioloqlar\u0131 \u0259m\u0259liyyat boyunca x\u0259st\u0259nin ba\u015f\u0131nda durduran s\u0259b\u0259bl\u0259r n\u0259l\u0259rdir?<\/strong><\/p>\n – H\u0259kim x\u0259st\u0259ni \u0259m\u0259liyyat edir, anestezioloqlar is\u0259 \u0259m\u0259liyyat boyunca orqanizmd\u0259 ged\u0259n prosesl\u0259r\u0259 n\u0259zar\u0259t edirl\u0259r.<\/p>\n – \u201c\u018fm\u0259liyyat zaman\u0131 ay\u0131lsam, nec\u0259 olar\u201d \u00a0sual\u0131 \u00e7ox adamda olur. \u018fm\u0259liyyat zaman\u0131 adam narkozdan ay\u0131la, a\u011fr\u0131n\u0131 hiss ed\u0259 bil\u0259rmi?<\/strong><\/p>\n – Nadir olsa da, el\u0259 hallar olur. B\u0259zi \u0259m\u0259liyyatlarda biz daha z\u0259if narkoz verdiyimiz \u00fc\u00e7\u00fcn oyanma ola bil\u0259r. M\u0259s\u0259l\u0259n, \u00fcr\u0259k damar\u0131 \u0259m\u0259liyyatlar\u0131nda. Ancaq bu oyanma a\u011fr\u0131n\u0131 hiss ed\u0259c\u0259k s\u0259viyy\u0259d\u0259 olmur. 10 ildir tibd\u0259 t\u0259tbiq edil\u0259n modern monitorlar var. T\u00fcrkiy\u0259d\u0259 var idi, Az\u0259rbaycanda da b\u0259zi x\u0259st\u0259xanalarda istifad\u0259 edilir. \u018fm\u0259liyyat boyu monitorla biz pasiyentin durumuna n\u0259zar\u0259t edirik. Monitorda beyin\u0259 baxmaqla adam\u0131n n\u0259 q\u0259d\u0259r d\u0259rin yuxuda oldu\u011funu g\u00f6r\u00fcr\u00fck. Oyanma \u0259lam\u0259tl\u0259ri g\u00f6rd\u00fckd\u0259, x\u0259st\u0259 hiss etm\u0259d\u0259n laz\u0131m olan prosedurlar\u0131 edirik. Y\u0259ni narkozdan oyanma ola bil\u0259c\u0259yini art\u0131q t\u0259xmin edirik v\u0259 oyanma olmas\u0131na yol vermirik.<\/p>\n – \u201c\u018fm\u0259liyyat zaman\u0131 oyanaram\u201d narahatl\u0131\u011f\u0131 il\u0259 yana\u015f\u0131, bir d\u0259 \u201c\u0259m\u0259liyyatdan sonra \u00a0narkozdan oyanmaram\u201d qorxusu var. Bu qorxu niy\u0259 yaran\u0131b?<\/strong><\/p>\n – Bu c\u00fcr yana\u015fmalar daha \u0259vv\u0259ld\u0259n var. \u201c\u018fm\u0259liyyata girdi, narkoza b\u0259d\u0259ni tab g\u0259tirm\u0259di, oyana bilm\u0259di\u201d kimi deyirdil\u0259r. H\u0259tta d\u00fcn\u0259n bir x\u0259st\u0259 dedi ki, narkozdan oyanma\u011f\u0131ma s\u00f6z verirs\u0259n? O x\u0259st\u0259 \u0259m\u0259liyyat olundu, ev\u0259 getdi. B\u0259z\u0259n g\u0259lib deyirl\u0259r ki, m\u0259n\u0259 narkozun dozas\u0131n\u0131 az ver, bird\u0259n \u0259m\u0259liyyatdan sonra oyanmaram. \u018fm\u0259liyyatdan sonra oyanmamaq yox, nec\u0259 oyanmaq m\u0259s\u0259l\u0259si ola bil\u0259r. \u018fm\u0259liyyatdan sonra nec\u0259 oyanmaq is\u0259 beyinl\u0259 ba\u011fl\u0131 m\u0259s\u0259l\u0259dir. \u018fg\u0259r x\u0259st\u0259 oyanm\u0131rsa, oyand\u0131rmaq \u00fc\u00e7\u00fcn laz\u0131m olan d\u0259rmanlar\u0131 veririk. Amma olmasa, dig\u0259r orqanlara bax\u0131r\u0131q. Nevroloji narahatl\u0131\u011f\u0131 varm\u0131? \u0130stifad\u0259 etdiyi d\u0259rmanlar varm\u0131? Antidepresant d\u0259rmanlar, pis v\u0259rdi\u015fl\u0259r \u2013 alkoqol, siqaret, narkotik vasit\u0259l\u0259r narkozda yatmalar\u0131na v\u0259 oyanmalar\u0131na m\u0259nfi t\u0259sir edir.<\/p>\n – X\u0259st\u0259l\u0259rin onlara az doza narkoz verm\u0259yinizi ist\u0259dikl\u0259rini dediniz. Norma m\u0259s\u0259l\u0259sind\u0259 ist\u0259k n\u0259 d\u0259r\u0259c\u0259d\u0259 \u00f6n\u0259mlidir?<\/strong><\/p>\n – Burda tibbi qaydalar var. Biz \u0259m\u0259liyyat olunacaq \u015f\u0259xsin boyuna, \u00e7\u0259kisin\u0259, b\u00f6yr\u0259yinin nec\u0259 i\u015fl\u0259m\u0259sin\u0259, a\u011fciy\u0259rinin durumuna v\u0259 s. bax\u0131r\u0131q. H\u0259r orqanizmin \u00f6z normas\u0131 var. B\u0259z\u0259n pasiyent el\u0259 d\u0259rmanlar istifad\u0259 etmi\u015f olur ki, biz ona boyuna v\u0259 \u00e7\u0259kisin\u0259 g\u00f6r\u0259 olan norman\u0131n iki qat dozas\u0131n\u0131 verm\u0259y\u0259 m\u0259cbur qal\u0131r\u0131q. Antidepresant, psixotik d\u0259rmanlarda buna ged\u0259 bilirik. Adam\u0131n b\u00f6yr\u0259k problemi varsa, dig\u0259r hallarla m\u00fcqayis\u0259d\u0259 narkozdan oyanmas\u0131 \u00e7\u0259tin olur. \u00c7\u00fcnki b\u0259d\u0259n narkozu gec at\u0131r.<\/p>\n – Pis v\u0259rdi\u015fl\u0259r m\u0259s\u0259l\u0259sini vur\u011fulad\u0131n\u0131z. 30 ildir siqaret \u00e7\u0259k\u0259n adamla siqaret istifad\u0259 etm\u0259y\u0259n eyni \u00e7\u0259kid\u0259, boyda adama veril\u0259n narkozun miqdar\u0131nda hans\u0131 f\u0259rq olur?<\/strong><\/p>\n – Siqaret \u00e7\u0259k\u0259n adamlara \u00fcmumi narkoz verm\u0259kd\u0259n maksimum \u00e7\u0259kinir\u0259m. \u018fg\u0259r regional, yerli anesteziya imkan\u0131 varsa, onlar ilk se\u00e7imim olur. \u00c7\u00fcnki ver\u0259c\u0259yimiz d\u0259rman ilk olaraq damarla maye \u015f\u0259klind\u0259 daxil olur. Siqaret \u00e7\u0259k\u0259n adamlar\u0131n damarlar\u0131 o q\u0259d\u0259r g\u00fccl\u00fc olmur. D\u0259rmana d\u0259st\u0259k \u00fc\u00e7\u00fcn a\u011fciy\u0259r\u0259 verdiyimiz madd\u0259y\u0259 g\u0259linc\u0259, a\u011fciy\u0259rin d\u0259 siqaret\u0259 g\u00f6r\u0259 normal fiziologiyas\u0131 pozuldu\u011fu \u00fc\u00e7\u00fcn narkozun b\u0259d\u0259n\u0259 t\u0259siri d\u0259 z\u0259if olur, b\u0259d\u0259nd\u0259n xaric olunmas\u0131 da. B\u0259z\u0259n a\u011fciy\u0259ri sa\u011flam deyils\u0259, damardan daha \u00e7ox d\u0259rman veririk, ciy\u0259rd\u0259n verdiyimiz madd\u0259ni azald\u0131r\u0131q. \u015e\u0259k\u0259r x\u0259st\u0259l\u0259ri, art\u0131q \u00e7\u0259kili \u015f\u0259xsl\u0259r d\u0259 h\u0259m\u00e7inin. Bu c\u00fcr adamlara \u00e7ox hallarda t\u0259k bir n\u00f6v \u2013 \u00fcmumi anesteziya t\u0259tbiq etmirik. Anesteziya n\u00f6vl\u0259rini qar\u0131\u015fd\u0131r\u0131r\u0131q. X\u0259st\u0259 \u00fc\u00e7\u00fcn \u0259n uy\u011fununu edirik. \u018fm\u0259liyyat edil\u0259c\u0259k hiss\u0259y\u0259 regional, yaxud yerli narkoz veririk, \u00fcmumi b\u0259d\u0259n\u0259 is\u0259 y\u00fcng\u00fcl narkoz ver\u0259r\u0259k yat\u0131rd\u0131r\u0131q.<\/p>\n – Beld\u0259n olan anesteziyadan qorxu \u00e7ox olur.<\/strong><\/p>\n – Biz\u0259 x\u0259st\u0259l\u0259r g\u0259lir, deyirl\u0259r ki, \u0259vv\u0259ll\u0259r beld\u0259 y\u0131rt\u0131q yox idi, beld\u0259n narkoz verildi, m\u0259nd\u0259 y\u0131rt\u0131q yarand\u0131 v\u0259 s. Amma bu s\u0259b\u0259b olacaq faktor deyil. Beld\u0259n narkoz deyil\u0259n, regional anesteziyad\u0131r. Regional anesteziya ed\u0259n anestezioloqlar\u0131n ayr\u0131 bir t\u0259hsilli, t\u0259cr\u00fcb\u0259li olmas\u0131 laz\u0131md\u0131r. X\u00fcsusil\u0259 ya\u015fl\u0131 x\u0259st\u0259l\u0259rd\u0259, do\u011fuma ged\u0259nl\u0259rd\u0259 v\u0259 s. beld\u0259 anatomiya d\u0259yi\u015fir. Onlar\u0131 g\u00f6z \u00f6n\u00fcn\u0259 g\u0259tir\u0259r\u0259k t\u0259tbiq etm\u0259k laz\u0131md\u0131r. Ona g\u00f6r\u0259, bunu ed\u0259n anestezioloq pe\u015f\u0259kar olmal\u0131d\u0131r. Az\u0259rbaycandak\u0131 m\u00fct\u0259x\u0259ssisl\u0259r pe\u015f\u0259kard\u0131r, \u00f6zl\u0259rini inki\u015faf etdirirl\u0259r. D\u00fczg\u00fcn edilibs\u0259, beld\u0259 yerli a\u011fr\u0131 ola bil\u0259r, o da m\u00fc\u0259yy\u0259n m\u00fcdd\u0259t sonra ke\u00e7ir. Yaxud 4-5 g\u00fcn ba\u015f a\u011fr\u0131s\u0131 ver\u0259 bil\u0259r.<\/p>\n – \u018fm\u0259liyyatdan sonra kims\u0259 \u0259s\u0259bi olurdusa, \u201cnarkozu qusmad\u0131, ondan sonra bel\u0259 oldu\u201d deyirdil\u0259r. \u0130ndi is\u0259 deyilir ki, m\u00fcasir narkozlar qusma vermir. Ancaq yen\u0259 d\u0259 narkozdan sonra qusanlar v\u0259 qusmayanlar var. Niy\u0259?<\/strong><\/p>\n – Az\u0259rbaycana yeni g\u0259ldiyimd\u0259 bu \u015feyl\u0259ri e\u015fitm\u0259y\u0259 ba\u015flad\u0131m. \u201c3 d\u0259f\u0259 narkoz alm\u0131\u015fam, \u00e7ox \u0259s\u0259biy\u0259m\u201d kimi fikirl\u0259r e\u015fidirdim. \u201cX\u0259st\u0259miz narkozu qusmad\u0131, nec\u0259 olacaq\u201d dey\u0259 soru\u015furdular. Ancaq narkozun \u0259s\u0259b yaratmaq kimi t\u0259siri yoxdur. Narkozdan qusma hal\u0131 verdiyimiz b\u0259zi d\u0259rmanlar\u0131n yan t\u0259siri olaraq ortaya \u00e7\u0131xan m\u0259qamd\u0131r. Y\u0259ni d\u0259rman sizin orqanizminizd\u0259 yan t\u0259sir olaraq qusma ver\u0259 d\u0259 bil\u0259r, verm\u0259y\u0259 d\u0259. \u018fvv\u0259ll\u0259r geni\u015f t\u0259tbiq edil\u0259n d\u0259rmanlar var idi. O d\u0259rmanlar verildiyind\u0259 insanlar \u00f6zl\u0259rini tuneld\u0259n bo\u015flu\u011fa d\u00fc\u015f\u0259n kimi hiss edirl\u0259r. Y\u0259ni ovaxtk\u0131 narkozlar\u0131n bulant\u0131, qusma kimi yan t\u0259siri daha \u00e7ox idi, ona g\u00f6r\u0259 qusma da \u00e7ox olurdu. Amma modern narkoz d\u0259rmanlar\u0131 el\u0259 deyil. Daha g\u00f6z\u0259l, rahat \u015f\u0259kild\u0259 yat\u0131rsan. \u0130ndiki narkozlar\u0131n h\u0259min yan t\u0259sirl\u0259ri xeyli azd\u0131r. \u00c7\u00fcnki onlar\u0131n qar\u015f\u0131s\u0131n\u0131 alan d\u0259rmanlar\u0131m\u0131z var. Narkozla yana\u015f\u0131, onlar\u0131 da b\u0259d\u0259n\u0259 vururuq. \u0130ndi d\u0259 qusanlar v\u0259 qusmayanlar var. Orqanizmd\u0259n, \u0259m\u0259liyyatlardan as\u0131l\u0131d\u0131r. B\u0259z\u0259n iki \u0259m\u0259liyyatda qusmayan adam \u00fc\u00e7\u00fcnc\u00fcd\u0259 qusur.\u00a0 Biz narkozu qana veririk, ya da a\u011fciy\u0259r \u00fcz\u0259rind\u0259n qana sovrulmas\u0131n\u0131 t\u0259min edirik, o da beyin\u0259 gedir. M\u0259d\u0259y\u0259 he\u00e7 bir \u015fey vermirik.<\/p>\n – Narkozun m\u00fcdd\u0259tind\u0259n dan\u0131\u015faq. M\u00fcdd\u0259tin \u00e7ox olmas\u0131 h\u0259r hans\u0131 risk yarad\u0131r?<\/strong><\/p>\n – Narkoz fizioloji proses deyil. Biz x\u0259st\u0259nin beyni, \u00fcr\u0259yi, qaraciy\u0259ri v\u0259 dig\u0259r orqanlar\u0131n\u0131 basq\u0131 alt\u0131nda tutaraq, \u00a0c\u0259rrahi \u0259m\u0259liyyat\u0131n bitm\u0259sini t\u0259min edirik. N\u0259 q\u0259d\u0259r uzanarsa, yan t\u0259sirl\u0259ri o q\u0259d\u0259r olur. Amma uzun m\u00fcdd\u0259tli \u0259m\u0259liyyatlardan sonra x\u0259st\u0259l\u0259ri birba\u015fa oyand\u0131rmaq da d\u00fczg\u00fcn deyil. Reanimasiyaya al\u0131r\u0131q, saatlar i\u00e7\u0259risind\u0259 yava\u015f-yava\u015f oyan\u0131r. \u00dcr\u0259k, beyin \u0259m\u0259liyyatlar\u0131nda, qar\u0131\u015f\u0131q travmad\u0131rsa, laz\u0131m olarsa, 2 g\u00fcn sonra oyand\u0131r\u0131r\u0131q. Tez oyanmas\u0131n\u0131n b\u0259z\u0259n \u00fcr\u0259yin\u0259, beynin\u0259, yaxud dig\u0259r orqanlara yan t\u0259siri daha \u00e7ox ola bil\u0259r dey\u0259, daha balansl\u0131 \u015f\u0259kild\u0259 oyand\u0131rma\u011fa \u00e7al\u0131\u015f\u0131r\u0131q.<\/p>\n – Narkoz d\u0259rmanlar\u0131 n\u0259 q\u0259d\u0259r m\u00fcdd\u0259t sonra orqanizmd\u0259n xaric olunur?<\/strong><\/p>\n – Verdiyimiz d\u0259rmanlar ortalama 48 saat i\u00e7\u0259risind\u0259 b\u0259d\u0259nd\u0259n at\u0131l\u0131r.<\/p>\n – Ard-arda bir ne\u00e7\u0259 \u0259m\u0259liyyata ged\u0259n \u015f\u0259xsl\u0259r olur. Orqanizmin narkoz q\u0259buletm\u0259 aral\u0131\u011f\u0131n\u0131n n\u0259 q\u0259d\u0259r m\u00fcdd\u0259td\u0259n bir olmas\u0131 m\u0259sl\u0259h\u0259tdir?<\/strong><\/p>\n – C\u0259rrahi \u0259m\u0259liyyat da b\u0259d\u0259n \u00fc\u00e7\u00fcn bir travmad\u0131r. Orqanizmd\u0259 sistem olaraq h\u0259r \u015fey bir-birin\u0259 ba\u011fl\u0131d\u0131r. 1 h\u0259ft\u0259 i\u00e7ind\u0259 2-3 d\u0259f\u0259 narkoz verdiyimiz olub. Amma m\u0259cburiyy\u0259t yoxdursa, 2-3 h\u0259ft\u0259 g\u00f6zl\u0259nm\u0259li v\u0259 b\u0259d\u0259n \u00f6z\u00fcn\u0259 g\u0259lm\u0259lidir.<\/p>\n – Ya\u015fl\u0131lar v\u0259 u\u015faqlar \u00fc\u00e7\u00fcn narkozdan daha \u00e7ox ehtiyat edirl\u0259r. Ya\u015f burda rol oynay\u0131r?<\/strong><\/p>\n – Narkoz m\u00f6vzusunda u\u015faqlar daha \u015fansl\u0131d\u0131r. Orqanlar\u0131 daha yeni, sa\u011flam, beyin g\u00fccl\u00fc oldu\u011fu \u00fc\u00e7\u00fcn s\u00fcr\u0259tli \u015f\u0259kild\u0259 uy\u011funla\u015f\u0131rlar. Normalda bir insan\u0131n oksigensiz qalma m\u00fcdd\u0259tini 4-6 d\u0259qiq\u0259 deyirl\u0259r, u\u015faqlarda 10 d\u0259qiq\u0259y\u0259 q\u0259d\u0259rdir. U\u015faqlar daha tez toparlan\u0131rlar. Ya\u015fl\u0131lar\u0131n x\u0259st\u0259likl\u0259ri \u00e7ox oldu\u011fu \u00fc\u00e7\u00fcn \u00e7\u0259tin olur.<\/p>\n – Narkoz zaman\u0131 g\u00f6r\u00fcl\u0259n yuxular da \u00e7ox dan\u0131\u015f\u0131l\u0131r. B\u0259z\u0259n is\u0259 he\u00e7 n\u0259 g\u00f6rm\u0259diyini deyib m\u0259yus olanlar olur.<\/strong><\/p>\n – S\u0259thi, z\u0259if narkozlarda yuxu g\u00f6r\u00fcl\u00fcr. M\u0259s\u0259l\u0259n, regional narkoz istifad\u0259 edirik, amma onun yan\u0131nda z\u0259if \u015f\u0259kild\u0259 \u00fcmumi narkozumuz da olur. Bu zaman yuxu g\u00f6r\u00fcl\u00fcr. \u018fm\u0259liyyat ota\u011f\u0131ndak\u0131 s\u0259sl\u0259rin, musiqinin t\u0259siri alt\u0131nda beyin bir yerl\u0259r\u0259 gedir. \u018fm\u0259liyyatdan \u00f6nc\u0259 x\u0259st\u0259l\u0259ri h\u0259m d\u0259 ona g\u00f6r\u0259 psixoloji haz\u0131rlay\u0131r\u0131q. H\u0259y\u0259canl\u0131, narahat olan adamlar yuxuda narahatl\u0131qlar g\u00f6r\u00fcr. Nec\u0259 yatsan, el\u0259 d\u0259 oyan\u0131rsan deyirl\u0259r. \u00c7ox d\u0259rin narkozda yuxu g\u00f6rm\u0259 hal\u0131 nadirdir.<\/p>\n – Narkozdan sonra niy\u0259 bu maraql\u0131 hadis\u0259l\u0259r ba\u015f verir? Niy\u0259 adi vaxtda dan\u0131\u015fmad\u0131qlar\u0131m\u0131z\u0131 dan\u0131\u015f\u0131r\u0131q?<\/strong><\/p>\n – \u015e\u00fcurlu insan n\u0259yis\u0259 dem\u0259mi\u015fd\u0259n \u00f6nc\u0259 beynind\u0259 d\u00fc\u015f\u00fcn\u00fcr, n\u0259yi deyib-dem\u0259y\u0259c\u0259yin\u0259 q\u0259rar verir. Narkoz zaman\u0131 verdiyimiz d\u0259rmanlar\u0131n t\u0259sirind\u0259n \u015f\u00fcurlu d\u00fc\u015f\u00fcnm\u0259 ortadan qalx\u0131r. \u015eeir dey\u0259nl\u0259r, mahn\u0131 s\u00f6yl\u0259y\u0259nl\u0259r, h\u0259kiml\u0259r\u0259 qonaql\u0131q s\u00f6z\u00fc ver\u0259nl\u0259r, g\u00fcl\u0259nl\u0259r, a\u011flayanlar v\u0259 s. olur.<\/p>\n – Yad\u0131n\u0131zda qalan n\u0259 is\u0259 varm\u0131?<\/strong><\/p>\n – Az\u0259rbaycanda tan\u0131yanlar ola bil\u0259r dey\u0259, burdak\u0131lardan misal \u00e7\u0259k\u0259 bilm\u0259r\u0259m. T\u00fcrkiy\u0259d\u0259 bir \u0259m\u0259liyyat\u0131mda olan\u0131 deyim. X\u0259st\u0259 oyananda, \u201cFatma, can\u0131m, ciy\u0259rim\u201d deyib. K\u00f6m\u0259k\u00e7il\u0259rimizd\u0259n biri d\u0259 z\u0259nn edir ki, h\u0259yat yolda\u015f\u0131n\u0131 \u00e7a\u011f\u0131r\u0131r. H\u0259yat yolda\u015f\u0131 da klinikada g\u00f6zl\u0259yirmi\u015f. K\u00f6m\u0259k\u00e7i gedib xan\u0131ma yax\u0131nla\u015f\u0131b deyir ki, Fatma xan\u0131m, ke\u00e7mi\u015f olsun, x\u0259st\u0259niz yax\u015f\u0131d\u0131r, sizin ad\u0131n\u0131z\u0131 \u00e7\u0259kir. Qad\u0131n da deyib ki, m\u0259n onun h\u0259yat yolda\u015f\u0131yam, amma ad\u0131m Fatma deyil. Y\u0259ni \u015f\u00fcur alt\u0131nda kimi d\u00fc\u015f\u00fcn\u00fcrs\u0259, onun ad\u0131n\u0131 \u00e7\u0259kir (G\u00fcl\u00fcr).<\/p>\n – Ona g\u00f6r\u0259 x\u0259st\u0259l\u0259r \u0259m\u0259liyyata ged\u0259nd\u0259 deyirl\u0259r ki, tam ay\u0131lmayana q\u0259d\u0259r m\u0259ni yax\u0131nlar\u0131mla g\u00f6r\u00fc\u015fd\u00fcrm\u0259yin.<\/strong><\/p>\n – X\u0259st\u0259l\u0259r dem\u0259s\u0259 d\u0259, sad\u0259c\u0259 h\u0259r\u0259k\u0259t olaraq deyil, h\u0259m d\u0259 psixoloji olaraq haz\u0131r oldu\u011funda yax\u0131nlar\u0131 il\u0259 g\u00f6r\u00fc\u015fd\u00fcr\u00fcr\u00fck. X\u0259st\u0259 anlaqs\u0131z olanda, yan\u0131nda ancaq tibbi hey\u0259t olur. Oradak\u0131 hey\u0259t d\u0259 el\u0259 yeti\u015fir ki, x\u0259st\u0259 narkoz alt\u0131nda n\u0259 dan\u0131\u015f\u0131bsa, orda da qalmal\u0131d\u0131r.<\/p>\n <\/p>\n – A\u011f\u0131r x\u0259st\u0259l\u0259rl\u0259 \u0259m\u0259liyyatdan \u00f6nc\u0259 v\u0259 sonra g\u00f6r\u00fc\u015f\u0259n \u015f\u0259xs olaraq bu, psixoloji durumunuza nec\u0259 t\u0259sir edir?<\/strong><\/p>\n – Yolda\u015f\u0131m psixoloqdur. Ondan yard\u0131m al\u0131ram (G\u00fcl\u00fcr).<\/p>\n – Sah\u0259nizin \u0259n z\u00f6vql\u00fc t\u0259r\u0259fi n\u0259dir?<\/strong><\/p>\n – Anesteziyan\u0131n yax\u015f\u0131 t\u0259r\u0259fi odur ki, laz\u0131m olanda pediatr, terapevt, c\u0259rrah, lor v\u0259 s. olursan. Y\u0259ni c\u0259rrahiyy\u0259nin h\u0259r sah\u0259si il\u0259 i\u00e7-i\u00e7\u0259 ola bilirs\u0259n. Reanimasiya v\u0259 anesteziya ayr\u0131lmaz oldu\u011fu \u00fc\u00e7\u00fcn, s\u0259n reanimasiyada \u00e7ox olursan. Bunun bir m\u0259nfi t\u0259r\u0259fi var. B\u0259z\u0259n o q\u0259d\u0259r a\u011f\u0131r x\u0259st\u0259l\u0259r g\u00f6r\u00fcr\u0259m ki, yax\u0131nlardan biri hans\u0131sa y\u00fcng\u00fcl narahatl\u0131\u011f\u0131ndan dan\u0131\u015fanda, m\u0259n\u0259 adi g\u0259lir. Bu yana\u015fmam do\u011fru deyil, h\u0259r x\u0259st\u0259nin \u00f6z\u00fcn\u0259 g\u00f6r\u0259 can\u0131 yan\u0131r. Amma ist\u0259r-ist\u0259m\u0259z m\u0259n\u0259 el\u0259 g\u0259lir. Amma anesteziyan\u0131n \u0259n g\u00f6z\u0259l t\u0259r\u0259fl\u0259rind\u0259n birini deyim. \u0130nsanlar\u0131n \u0259n s\u0259mimi hal\u0131n\u0131 \u0259m\u0259liyyat masas\u0131na uzananda g\u00f6r\u00fcr\u0259m. Daxil\u0259n nec\u0259dirl\u0259rs\u0259, o c\u00fcr olurlar. \u0130nsan o masada n\u0259 q\u0259d\u0259r aciz oldu\u011funu anlay\u0131r. \u0130nsanlar b\u0259z\u0259n d\u00fcnyan\u0131 anlamaq \u00fc\u00e7\u00fcn tabutda yat\u0131rlar, g\u00fcnl\u0259rl\u0259 orda zaman ke\u00e7irirl\u0259r. Amma \u0259m\u0259liyyat masas\u0131 t\u0259biidir. \u018fm\u0259liyyatdan \u00f6nc\u0259 g\u00f6r\u00fc\u015fd\u00fcy\u00fcmd\u0259 q\u0259ddar g\u00f6rd\u00fcy\u00fcm\u00fcz birini, \u0259m\u0259liyyat masas\u0131na uzananda s\u0259mimi g\u00f6r\u00fcr\u00fck.<\/p>\n","protected":false},"excerpt":{"rendered":" T\u00fcrkiy\u0259d\u0259 bir ne\u00e7\u0259 anestezioloq m\u00fcsahib\u0259l\u0259rind\u0259, \u0259m\u0259liyyatdan \u00f6nc\u0259 x\u0259st\u0259 il\u0259 g\u00f6r\u00fc\u015f\u00fcrd\u00fckl\u0259rini, suallar verdikl\u0259rini bildiribl\u0259r. Az\u0259rbaycanda \u0259m\u0259liyyata ged\u0259nd\u0259 is\u0259, \u00e7ox vaxt anestezioloqu \u0259m\u0259liyyat masas\u0131nda g\u00f6r\u00fcr\u00fck. D\u00fczd\u00fcr, \u0259m\u0259liyyatdan \u00f6nc\u0259 x\u0259st\u0259 il\u0259 g\u00f6r\u00fc\u015f\u00fcb s\u00f6hb\u0259t ed\u0259nl\u0259ri d\u0259 var, amma \u00e7ox vaxt pasiyentd\u0259n m\u00fc\u0259yy\u0259n analizl\u0259r ist\u0259nilir v\u0259 onlar\u0131n n\u0259tic\u0259sin\u0259 \u0259sas\u0259n anesteziya (narkoz) verilir. Narkozla ba\u011fl\u0131 insanlarda narahatl\u0131q yaradan suallar \u00e7oxdur. El\u0259 h\u0259min suallar \u0259traf\u0131nda anestezioloq-reanimatoloq Kahraman Seyfidarov\u00a0\u201cKaspi\u201d\u00a0q\u0259zetin\u0259 m\u00fcsahib\u0259 verib. – Kahraman b\u0259y, anestezioloqun \u0259m\u0259liyyatdan \u00f6nc\u0259 x\u0259st\u0259 il\u0259 g\u00f6r\u00fc\u015fm\u0259si n\u0259 d\u0259r\u0259c\u0259d\u0259 vacibdir? – Anestezioloq \u0259m\u0259liyyatdan \u00f6nc\u0259 m\u00fctl\u0259q x\u0259st\u0259 il\u0259 g\u00f6r\u00fc\u015fm\u0259lidir. \u00c7\u00fcnki x\u0259st\u0259ni \u0259m\u0259liyyatxanada tamamil\u0259 n\u0259zar\u0259td\u0259 saxlayan \u015f\u0259xs…<\/p>\n","protected":false},"author":2,"featured_media":544284,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0},"categories":[1],"tags":[],"aioseo_notices":[],"gutentor_comment":0,"rttpg_featured_image_url":{"full":["https:\/\/arantv.az\/wp-content\/uploads\/2022\/12\/FotoJet-2022-12-11T131620.133.jpg",620,413,false],"landscape":["https:\/\/arantv.az\/wp-content\/uploads\/2022\/12\/FotoJet-2022-12-11T131620.133.jpg",620,413,false],"portraits":["https:\/\/arantv.az\/wp-content\/uploads\/2022\/12\/FotoJet-2022-12-11T131620.133.jpg",620,413,false],"thumbnail":["https:\/\/arantv.az\/wp-content\/uploads\/2022\/12\/FotoJet-2022-12-11T131620.133-500x280.jpg",500,280,true],"medium":["https:\/\/arantv.az\/wp-content\/uploads\/2022\/12\/FotoJet-2022-12-11T131620.133-548x365.jpg",548,365,true],"large":["https:\/\/arantv.az\/wp-content\/uploads\/2022\/12\/FotoJet-2022-12-11T131620.133.jpg",620,413,false],"1536x1536":["https:\/\/arantv.az\/wp-content\/uploads\/2022\/12\/FotoJet-2022-12-11T131620.133.jpg",620,413,false],"2048x2048":["https:\/\/arantv.az\/wp-content\/uploads\/2022\/12\/FotoJet-2022-12-11T131620.133.jpg",620,413,false],"post-thumbnail":["https:\/\/arantv.az\/wp-content\/uploads\/2022\/12\/FotoJet-2022-12-11T131620.133-240x172.jpg",240,172,true],"advps-thumb-one":["https:\/\/arantv.az\/wp-content\/uploads\/2022\/12\/FotoJet-2022-12-11T131620.133.jpg",620,413,false]},"rttpg_author":{"display_name":"V\u00fcsal Rafiqo\u011flu","author_link":"https:\/\/arantv.az\/?author=2"},"rttpg_comment":0,"rttpg_category":"C\u0259miyy\u0259t<\/a>","rttpg_excerpt":"T\u00fcrkiy\u0259d\u0259 bir ne\u00e7\u0259 anestezioloq m\u00fcsahib\u0259l\u0259rind\u0259, \u0259m\u0259liyyatdan \u00f6nc\u0259 x\u0259st\u0259 il\u0259 g\u00f6r\u00fc\u015f\u00fcrd\u00fckl\u0259rini, suallar verdikl\u0259rini bildiribl\u0259r. Az\u0259rbaycanda \u0259m\u0259liyyata ged\u0259nd\u0259 is\u0259, \u00e7ox vaxt anestezioloqu \u0259m\u0259liyyat masas\u0131nda g\u00f6r\u00fcr\u00fck. D\u00fczd\u00fcr, \u0259m\u0259liyyatdan \u00f6nc\u0259 x\u0259st\u0259 il\u0259 g\u00f6r\u00fc\u015f\u00fcb s\u00f6hb\u0259t ed\u0259nl\u0259ri d\u0259 var, amma \u00e7ox vaxt pasiyentd\u0259n m\u00fc\u0259yy\u0259n analizl\u0259r ist\u0259nilir v\u0259 onlar\u0131n n\u0259tic\u0259sin\u0259 \u0259sas\u0259n anesteziya (narkoz) verilir. Narkozla ba\u011fl\u0131 insanlarda narahatl\u0131q yaradan suallar \u00e7oxdur. El\u0259…","_links":{"self":[{"href":"https:\/\/arantv.az\/index.php?rest_route=\/wp\/v2\/posts\/544283"}],"collection":[{"href":"https:\/\/arantv.az\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/arantv.az\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/arantv.az\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/arantv.az\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=544283"}],"version-history":[{"count":0,"href":"https:\/\/arantv.az\/index.php?rest_route=\/wp\/v2\/posts\/544283\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/arantv.az\/index.php?rest_route=\/wp\/v2\/media\/544284"}],"wp:attachment":[{"href":"https:\/\/arantv.az\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=544283"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/arantv.az\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=544283"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/arantv.az\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=544283"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}<\/p>\n
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