Yu dɔn ɛva du ɔpreshɔn, dat min se dɛn dɔn ɔpreshɔn yu? Ɔ yu de plan fɔ gɛt wan tumara bambay? If na so i bi, wan pan di tin dɛn we yu go fred pas ɔl na, ‘Wetin fɔ du if a wek we dɛn de du di ɔpreshɔn?’ Dis fred kin wɔs bikɔs sɔm fim dɛn kin sho tin dɛn lɛk dis. So tide, lɛ wi tɔk bɔt if dis kin rili apin, wetin i min pan mɛrɛsin, ɛn wetin wi nid fɔ no bɔt am.
Wetin rili na Anesthesia Awareness?
Fɔ tɔk am simpul wan, dis na we pɔsin kin gɛt sɔm kayn kɔnshɛns bak we dɛn de du ɔpreshɔn ɔnda jenɛral anestezi. Bɔt i difrɛn smɔl frɔm wetin wi kin kɔl "wek op." Bifo yu gɛt ful kɔnshɛns, i tan lɛk fɔ gɛt shɔt tɛm fɔ no. Dis ɛkspiriɛns kin difrɛn frɔm wan pɔsin to ɔda pɔsin.
Sɔmbɔdi we kin gɛt dis kayn tin we dɛn de du di ɔpreshɔn kin gɛt dɛn tin ya:
- Fɔ yɛri wetin de apin rawnd yu, wetin di dɔktɔ dɛn de tɔk.
- I tan lɛk se yu de na drim.
- Wantɛm wantɛm, yu go gɛt kɔnshɛns bak ɛn no se yu nɔ go ebul fɔ muv ɔ tɔk.
- Fɔ fil sɔm prɛshɔn pan di bɔdi, ɛn insay sɔm kayn tin dɛn we nɔ kin apin so ɔltɛm, fɔ fil pen .
Impɔtant tin na dat, dis sik kin apin nɔmɔ we dɛn de du ɔpreshɔn ɔnda jenɛral anestezi . Ɔda kayn anestezi, lɛk fɔ mek yu an ɛn yu fut nɔ gɛt bɛtɛ trɛnk, fɔ gi yu IV sɛdɛshɔn, ɔ fɔ "twilight slip," nɔ de du dat. Bikɔs dɛn we dɛn de nɔ de kɔntrol di we aw yu bɔdi de wok fɔ yusɛf (lɛk fɔ blo), yu kin stil blo yusɛf ɛn tɔk to yu dɔktɔ if yu nid fɔ du dat.
Aw kɔmɔn tin dis? Yu tink se wi fɔ rili fred?
Dis na rili tin we nɔ kin apin so ɔltɛm. So nid nɔ de fɔ wɔri bɔt am we nɔ nid fɔ du dat. Bɔt i nɔ kin izi fɔ tɔk klia wan ɔmɔs pipul dɛn dis kin apin to. Di rizin na bikɔs sɔm pipul dɛn nɔ kin mɛmba se i kin apin te wan ɔ tu wik afta dɛn dɔn du di ɔpreshɔn. Ɔda pipul dɛn kin mɛmba am wantɛm wantɛm, bɔt dɛn nɔ kin tɛl dɛn dɔktɔ dɛn bɔt am.
Risach dɔn sho se dis sik kin apin pan 1 ɔ 2 pan ɔl 1,000 ɔpreshɔn dɛn. Dat na less dan 0.2% of di kes dɛm . So yu kin si aw dis nɔ kin apin so ɔltɛm.
Okay, so wetin mek dis de apin? Wetin na di rizin dɛn?
Dis ``Anesthesia Awareness'' kכndyushכn kin apin fכ tri men rizin dεm. Lɛ wi si klia wan wetin dɛn bi.
| Rizin | Fɔ ɛksplen am simpul wan |
|---|---|
| Nɔr inɔf mɛrɛsin dɛn we de mek pɔsin anestez | Dis na we di dɔktɔ we de anestez nɔ de gi di pɔsin inof mɛrɛsin. Bɔku tɛm dis kin apin we dɛn de du ɔpreshɔn pan am kwik kwik wan. Fɔ ɛgzampul, dɛn kin du ɔpreshɔn pan dɛn at, sizarian sɛkshɔn (C-sections), ɔ ɔpreshɔn afta dɛn dɔn gɛt siriɔs aksidɛnt. |
| Di chenj we di pɔsin in bɔdi nid fɔ chenj | Sɔm sik pipul dɛn nɔ kin ebul fɔ bia di kayn mɛrɛsin we dɛn kin tek fɔ mek dɛn nɔ fil fayn. Dis risk kin pasmak pan di wan dɛm wae gɛt siriɔs maynd sik, di wan dɛm wae gɛt adikshɔn to drɔgs ɔr rɔm, ɛn di wan dɛm wae dɔn gɛt dis kayn ɛkspiriɛns trade. |
| Mistek dɛn we kin apin na mashin dɛn we dɛn kin yuz fɔ anestez | Pan ɔl we i nɔ kin apin bɔku tɛm, sɔntɛnde dis kin apin if prɔblɛm de wit di mashin dɛn we dɛn kin yuz fɔ anestez ɔ if dɛn nɔ bin chɛk dɛn fayn bifo dɛn du di ɔpreshɔn. |
Udat de pan denja pas ɔl fɔ gɛt dis sik?
Sɔm pipul dɛn kin gɛt dis sik (Anesthesia Awareness) pas ɔda pipul dɛm.
- Fɔ pipul dɛn we de smok
- Fɔ di wan dɛn we gɛt bɔku bɔku mɛrɛsin di sem tɛm
- Fɔ di wan dɛn we nɔ kin ebul fɔ blo fayn (lɛk sik dɛn we dɛn kin gɛt we dɛn de blo) .
- Fɔ di wan dɛn we gɛt histri bɔt drag ɔ rɔm adikshɔn (Substance Use Disorder - SUD) .
Dɔn bak, dis risk kin go ɔp smɔl pan sɔm ɔpreshɔn dɛn usay i nɔ sef fɔ gi pɔsin di mɛrɛsin dɛn we de mek pɔsin anestez ɔltɛm.
- Sizarean sɛkshɔn (C-sekshɔn) .
- Ɔpreshɔn fɔ di at
- Imejɛnsi ɔpreshɔn bikɔs ɔf aksidɛnt ɔ blɔd we de kɔmɔt pasmak
Yu kin fil ɛni pen dis tɛm? Ɛnitin de we kin ambɔg am fɔ lɔng tɛm?
Dis na di big prɔblɛm fɔ bɔku pipul dɛn. Fɔ fil pen nɔ kin apin so ɔltɛm., bɔt i nɔto tin we nɔ pɔsibul. Pan ɔl we bɔku pipul dɛn kin mɛmba we dɛn yɛri sawnd, sɔm pipul dɛn dɔn ripɔt se dɛn kin fil pen na dɛn trot ɔ pen na di say we dɛn kɔt di ɔspitul bikɔs ɔf di intubation tube.
Nɔto ɔlman wae gɛt dis ɛkspiriɛns go gɛt prɔblɛm fɔ lɔng tɛm. Bɔt if de ɛkspiriɛns tranga, sɔm pipul dɛn kin gɛt prɔblɛm wit dɛn maynd lɛk:
- Wɔri
- Pwɛl at
- Naytmɛr disɔda
- Pɔst-Traumatik Strɛs Disɔda (PTSD) .
We dɛn kayn mental prɔblɛm ya kin kam, dɛn kin fred fɔ go to dɔktɔ ɔr go na ɔspitul. Dɔn, i pɔsibul se dɛn nɔ go trit dɛn ɔda sik dɛn. So, if yu gɛt dis kayn ɛkspiriɛns, fɔ mit wit saykayatrist ɔr advaysa ɛn tɔk bɔt am go bi big trɛnk na yu layf.
Di dɔktɔ dɛn nɔ go ebul fɔ fɛn dis we dɛn de du di ɔpreshɔn?
Dis na smɔl kɔmplikɛt kwɛstyɔn. Di wan dɛn we de anestez kin no fɔ tru if yu de ɔnda anestezi. Dɛn kin du dis bay we dɛn de wach yu impɔtant sayn dɛm - tin dɛm lɛk yu blɔd prɛshɔn, di rit we yu de blo, ɛn di sayz fɔ yu pupil dɛm.
Bɔt, i nɔ kin izi fɔ no smɔl if yu no ɔ yu nɔ no. Bikɔs di anestetik dɔn mek yu bɔdi nɔ gɛt bɛtɛ trɛnk ɛn yu nɔ ebul fɔ tɔk, i nɔ pɔsibul fɔ aks yu if yu kɔnshɛns di we aw yu kin no.
Bɔt naw, mɔdan tɛknik dɛn de we go ɛp fɔ du dis. Dɛn we ya kin no di ilɛktrik wok we yu bren de du we yu de du ɔpreshɔn. Tru dis, wi kin ɛstimat aw bɔku kɔnshɛns yu gɛt.
- Ilɛktroɛnsɛfalogram (EEG): Dis min se yu fɔ tay smɔl smɔl sɛns dɛn na yu ed ɛn wach di ilɛktrik patɛns na yu bren.
- Bispectral IndexTM (BIS) Monitor: Dis na di we we pɔsin kin abop pan pas ɔl. i de tek EEG data εn i de jεnarεt valyu bitwin 0 εn 100. di lכw di valyu, di dip di anεsthεsia. Bɔku tɛm dɔktɔ dɛn kin tray fɔ kip dis valyu bitwin 40 ɛn 60 .
- Auditory Evoked Potentials (AEP) monitor: Dis min se yu fɔ put ɛdfɔn na yu yes ɛn ple sɔm sawnd dɛn. Dɔn dɛn kin no aw di anestezi dip bay we dɛn de mɛzhɔ aw yu bren de ansa dɛn sawnd dɛn de.
- Narcotrend®: Dis na divays bak we de mכsu di dip we di anεsthεsia de yuz ``EEG'' data, we sכm kayn we lεk di ``BIS'' monita.
Tin dɛn de we wi kin du fɔ ridyus di chans fɔ mek dis apin?
Yɛs, yu kin ɛp fɔ ridyus dis prɔblɛm. Mek shɔ se yu tɔk bɔt dɛn tin ya wit yu dɔktɔ we de anestez bifo yu du di ɔpreshɔn.
- Tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek: Di mɛrɛsin dɛn we yu nɔ de bay, vaytamɛn dɛn, tradishɔnal mɛrɛsin dɛn, ɛn sɔpɔtmɛnt dɛn.
- Tɛl wi yu kɔmplit mɛdikal istri: Tɛl wi ditayli bɔt ɛni sik we yu gɛt, ɛni alɛji we yu gɛt, ɛn ɛni drɔg ɔ rɔm we yu de yuz. Nɔ ayd ɛnitin.
- Aks yu kwɛshɔn dɛm: Tɔk bɔt ɔl yu frayd ɛn dawt dɛm bɔt dis ``Anesthesia Awareness'' wit di anesteziɔlɔjis.
- If yu dɔn gɛt dis ɛkspiriɛns bifo, mek shɔ se yu se: Dis na di tin we impɔtant pas ɔl. Dɔn di mɛdikal tim kin pe spɛshal atɛnshɔn to am.
Di impɔtant tin na dat, dis ``Anesthesia Awareness'' nɔto sɔntin we kin apin bikɔs ɔf ɛni fɔlt pan yu pat. Na tin we nɔ kin apin so ɔltɛm.
Wetin a fɔ du if a tink se sɔntin lɛk dis dɔn apin to mi?
If yu tink se yu mɛmba sɔntin we dɛn de du di ɔpreshɔn ɔ afta dɛn dɔn du di ɔpreshɔn, tɛl yu dɔktɔ ɔ nɔs wantɛm wantɛm . Tɛl dɛn ɔl wetin yu mɛmba. Dɔn dɛn kin rayt am na yu mɛdikal rɛkɔd. Dis go rili impɔtant fɔ yu sef if yu gɛt ɔda ɔpreshɔn tumara bambay.
No shem nɔ de fɔ tɔk bɔt ɛkspiriɛns lɛk dis. I impɔtant fɔ yu wɛlbɔdi.
Mɛsej we dɛn kin kɛr go na os
- Kɔnshɛns we dɛn de du anestezi, ɔ ``Anesthesia Awareness'', na tin we nɔ kin apin so ɔltɛm . So nɔ fred am we yu nɔ nid fɔ fred.
- Dis nɔto fɔ wek kɔmplit wan, bɔt na sɔm shɔt tɛm dɛn we pɔsin kin no.
- If yu gɛt ɛnitin fɔ fred ɔ dawt bɔt dis bifo yu du di ɔpreshɔn, tɔk to di dɔktɔ we de anestez bɔt am opin wan .
- Mek shɔ se yu tɛl yu dɔktɔ bɔt yu kɔmplit mɛdikal istri, ɔl di mɛrɛsin dɛn we yu de tek, ɛn ɛni ɛkspiriɛns we yu bin dɔn gɛt trade.
- If yu fil se dis de apin to yu, mek yu dɔktɔ no wantɛm wantɛm. Nɔ shek fɔ go to saykilɔjik ɛp if nid de.
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