Yu kin gɛt kɔnshɛns bak we dɛn de du ɔpreshɔn? (Anesthesia Awareness) Lɛ wi tɔk bɔt am!

Sɔntɛnde, wi kin fred smɔl bifo wi go du ɔpreshɔn, dat na ɔpreshɔn, nɔto so? Wan pan di big tin we sɔm pipul dɛn kin fred na, "Wetin fɔ du if a gɛt kɔnshɛns bak wantɛm wantɛm we a de ɔnda anestezi?" Pan ɔl we dis na rili tin we nɔ kin apin so ɔltɛm, i rili impɔtant fɔ mek mi ɛn yu no bɔt dis. Lɛ wi tɔk mɔ bɔt dis tide.

Wetin na Anesthesia Awareness?

Fɔ tɔk am simpul wan, Anesthesia Awareness na di prɔses fɔ mek pɔsin nɔ no natin atɔl we dɛn de du ɔpreshɔn, dat na, ɔnda jenɛral anesthesia , ɛn afta dat i kin gɛt kɔnshɛns bak fɔ shɔt tɛm. Bɔt dis nɔto di sem tin wit jɔs ‘wek’. Na ɛkspiriɛns we difrɛn smɔl. I kin fil difrɛn fɔ difrɛn pipul dɛn. Tink bɔt am dis we:

• I kin tan lɛk se yu kin yɛri di sawnd dɛn we pipul dɛn de mek we de tɔk rawnd yu ɛn di sawnd dɛn we di ikwipmɛnt dɛn we de na di ɔpreshɔn rum de mek.
• I kin tan lɛk se yu de si drim, lɛk se yu de na wɔl we yu de drim.
• Yu kin wek wantɛm wantɛm ɛn si se yu nɔ ebul fɔ muf ɔ tɔk. Dis kin mek wi fred.
• Sɔmtɛm de bɔdi kin fil prɛshɔn, ɛn nɔr kin bɔrku, smɔl chans de fɔ fil pen.

di mכst imכtant tin na dat dis stet fכ `(Anesthesia Awareness)` de apin כnli insay כpεrayshכn dεm we dεn du כnda `(Jεnεral Anεsthεsia)`. Dis nɔ kin apin pan ɔda anestezi we dɛn kin yuz, dat na, `(Local Anesthesia)` we kin mek yu an ɛn fut nɔm, `(IV Sedation)` we kin mek yu fil lɛk se yu dɔn drɔnk smɔl, ɔ `(Twilight Sleep)` we. Bikɔs, `(General Anesthesia)` na we ivin tin dɛn we kin apin ɔtomɛtik na yu bɔdi, lɛk fɔ blo, na mashin dɛn kin kɔntrol am. Na ɔda we dɛn, yu kin gɛt wan patikyula lɛvul pan kɔnshɛns, yu kin blo yusɛf, ɛn yu kin ivin tɔk to di mɛdikal tim if nid de.

Aw fa dis pɔsibul?

Naw yu kin de tink se, "Wow, dis kin apin to bɔku pipul dɛn?" Nɔ, nɔto so atɔl. Infakt, dis kayn anestesia awareness nɔ kin rili, rili rare. I at fɔ gi di rayt statystik. Na bikɔs sɔm pipul dɛn nɔ kin mɛmba di rayt tin we apin te wan ɔ tu wik afta dɛn dɔn du di ɔpreshɔn. Ɔda pipul dɛn kin gɛt dis ɛkspiriɛns wantɛm wantɛm, bɔt dɛn nɔ kin tɛl dɛn dɔktɔ bɔt dis.

Bɔt akɔdin to sɔm stɔdi dɛn, dis kayn ɛkspiriɛns kin apin pan 1 ɔ 2 pan ɔl 1,000 ɔpreshɔn dɛn (lɛs dan 0.2%) . So yu get di aidia, no bi so? I rili rili rare.

Wetin mek dis de apin? Wetin na di rizin dɛn?

Dɛn dɔn si se tri men rizin dɛn de we mek dis anestezi awareness kin apin:

1. Nɔ gi yu drɔg inɔf:Dis na we di dɔktɔ we de anestez nɔ de gi inof anestetik. Bɔku tɛm dis kin apin we dɛn de du ɔpreshɔn pan am kwik kwik wan. Fɔ ɛgzampul, we dɛn de du ɔpreshɔn pan dɛn at kwik kwik wan, sizarian sɛkshɔn , ɔ we dɛn de du ɔpreshɔn kwik kwik wan afta siriɔs aksidɛnt. If dɛn kayn tin ya, i nɔ kin gɛt bɛtɛ tɛm fɔ tek tɛm wach di lɛvɛl we dɛn de anestez am, bikɔs dɛn fɔ sev di pɔsin in layf.

2. Difrɛn anestezi we dɛn nid: Dis na we di dɔktɔ we de anestez kin gi di standad mɛrɛsin, bɔt di pɔsin nid difrɛn amɔnt. Nɔto ɔlman in bɔdi na di sem. Dis kin apin mɔ pan pipul dɛm wae kin wɔri bad bad wan ( wae kin frayd pasmak bifo dɛn du di ɔpreshɔn), wae gɛt dis maynia sik wae de yuse sɔbstans, ɛn wae dɔn gɛt anestezi awareness bifo.

3. Anestesia mashin nɔ de wok fayn: Dis kin apin if di anestesia mashin dɛn we de na di ɔpreshɔn rum nɔ de wok fayn, ɔ if di mɛdikal wokman dɛn nɔ chɛk di ikwipmɛnt fayn bifo dɛn du di ɔpreshɔn. Bɔt dis kin apin bak we nɔ kin apin so ɔltɛm , bikɔs ɔspitul dɛn kin tek tɛm kia fɔ dis ikwipmɛnt.

Udat dɛn de pan denja pas ɔlman?

Pan ɔl we dis risk kin smɔl fɔ ɔlman, sɔm pipul dɛn kin gɛt smɔl risk fɔ gɛt anestezi awareness. Dis kin bi bikɔs ɔf tin dɛn lɛk:

• If yu na pɔsin we de smok .
• If yu gɛt mɔr pas wan krɛse sik (bɔrku mɛdikal kɔndishɔn) (e.g. dayabitis, ay blɔd prɛshɔn).
• If yu gɛt prɔblɛm wit yu brith (e.g. sik dɛn we yu kin gɛt we yu de blo lɛk asma, lכng sik).
• If yu gɛt histri bɔt sɔbstans yus disɔda (SUD) bifo .

Dɔn bak, dis risk kin pas ɔda wan dɛn smɔl pas ɔda wan dɛn na sɔm spɛshal ɔpreshɔn usay i nɔ sef fɔ yuz jenɛral anestezi. Fɔ ɛgzampul:

• Sizarian sɛkshɔn (C-section): Dɛn kin tek tɛm kɔntrol di lɛvɛl we dɛn de anestez fɔ mek shɔ se di mama ɛn di pikin ɔl tu sef.
• Ɔpreshɔn fɔ yu at: Dɛn ɔpreshɔn ya na kɔmpleks ɔpreshɔn.
• Imejɛnsi ɔpreshɔn fɔ trit trauma ɔr blɔd lɔs: Dis na bikɔs fɔ sev di pɔsin in layf na di prɔyoritɛt ya.

Yu kin fil pen we yu de no bɔt di anestezi?

Dis na di kwɛstyɔn we bɔku pipul dɛn kin fred. Bɔt di gud nyus na dat , i nɔ kin izi fɔ fil pen we pɔsin de no bɔt anestezi.Bɔt i impɔtant fɔ mɛmba se dis nɔto tin we nɔ pɔsibul. Pan ɔl we bɔku pipul dɛn kin mɛmba tin dɛn lɛk fɔ yɛri sawnd rawnd dɛn ɛn yɛri tɔk-tɔk, sɔm kin mɛmba wan trot we bin de at frɔm di intubation tube ɔ wan say we dɛn kɔt am we dɛn bin dɔn ɔpreshɔn.

Yu tink se dis kin afɛkt am fɔ lɔng tɛm?

Nɔto ɔlman wae gɛt anestezi awareness go gɛt lɔng tɛm ifɛkt. Bɔt, pan siriɔs kes dɛm, we min se if di ɛkspiriɛns de mek pɔsin fred bad bad wan, sɔm pipul dɛn kin gɛt dɛn kayn maynd ya:

• Wɔri
• Pwɛl at
• Prɔblɛm fɔ slip lɛk fɔ de drim bad bad drim ɔltɛm (Nightmare disorder) .
• Post-Traumatic Stress Disorder (PTSD) : Dis na mental kכndyushכn wae kin apun afta wan siriכs traumatik ivent.

Pipul wae gɛt dɛn kayn prɔblɛm ya kin de fil fɔ lɔng tɛm wae dɛn nɔr kin ebul fɔ du natin. Dis kin mek dɛn ivin avɔyd fɔ go na dɔktɔ. Dis kin mek dɛn gɛt ɔda prɔblɛm dɛn wit dɛn wɛlbɔdi. If yu dɔn ɛva gɛt dis ɛkspiriɛns, fɔ aks fɔ ɛp frɔm sayɛnsman ɔr saykayatrist kin gi yu bɔrku rilif ɛn impɔtant yu layf.

Yu tink se dɔktɔ dɛn go ebul fɔ no dis? We dɛn de du ɔpreshɔn?

Pan ɔl we dɔktɔ dɛn kin no if dɛn dɔn anestez yu, ɔ dɛn dɔn mek yu fil fayn , nɔto ɔltɛm i pɔsibul fɔ no fɔ tru if yu no ɔltin, ɔ yu nɔ no natin .

Anesteziɔlɔjis dɛn go kɔntinyu fɔ wach yu impɔtant sayn dɛm – lɛk blɔd prɛshɔn , rit we yu de blo , ɛn di pupil saiz – fɔ no yu lɛvɛl fɔ sɛdishɔn. Bɔt fɔ mɛzhɔ di kɔnshɛns kin kɔmplikt smɔl. Bikɔs di mɛrɛsin dɛn we dɛn kin yuz fɔ jenɛral anestezi kin afɛkt yu ɔtonomik nɛvɔ sistɛm (we kin kɔntrol ɔltin we kin apin na yu bɔdi), yu nɔ go ebul fɔ muv ɔ tɔk. So, e nɔr izi fɔ mɛzhɔ di kɔnshɛns lɛk aw i izi fɔ mɛzhɔ di lɛvɛl fɔ anestezi.

Bɔt wit di advans tɛknɔlɔji, spɛshal tin dɛn de we kin mɛzhɔ di ilɛktrik aktiviti na yu bren we dɛn de du ɔpreshɔn ɛn ɛp fɔ gɛt aidia bɔt di lɛvɛl we yu de tink.

Fɔs, yu dɔktɔ kin tek wan ilɛktroɛnsɛfalogram (EEG) fɔ yu bren. Fɔ dis tɛst, dɛn kin put smɔl smɔl sɛns dɛn na di skin na yu ed.Bɔku pan dɛn de atak. Dɛn sɛns ya kin gɛt ilɛktrik signal frɔm yu bren. Dɛn (EEG) rizɔlt ya kin kam togɛda wit ɔda we dɛn fɔ wach fɔ mek dɛn disayd fɔ du sɔntin. Sɔm pan dɛn we ya na:

• Bispectral IndexTM monitoring (BIS): Risach sho se dis na wan pan di tin dɛm we yu kin rili abop pan fɔ mɛzhɔ aw yu de sɛd fayn fayn wan. I de rayt yu EEG ridin ɛn gi yu wan nɔmba bitwin ziro ɛn 100. Di mɔ di nɔmba smɔl, na di mɔ di anestezi go dip . Di gol fɔ jenɛral anestezi na fɔ kip dis nɔmba bitwin 40 ɛn 60.
• Auditory Evoked Potentials (AEP) monitor: Dis divays de rεkכd εn analכz di ilektrikal aktiviti na yu bren stεm εn sεribra kכtεks . Di dɔktɔ kin put ɛdfɔn na yu yes ɛn ple sɔm sawnd dɛn . Dɔn di divays de chɛk aw yu bren de ansa ɛn gi yu wan nɔmba frɔm ziro to wan ɔndrɛd. Na ya bak, di mɔ di nɔmba smɔl, na di mɔ di anestezi de dip.
• Narcotrend®: Lɛk di BIS, di Narcotrend de yuz yu EEG rizɔlt fɔ ɛstimat di dip we di anestezi de. I de rayt yu rizɔlt pan wan skel we gɛt siks lɛta dɛn (A to F) ɛn wan nɔmba (ziro to wan ɔndrɛd). di rizulεt kin kכmכt frכm "wek" to "ilεktrikal saylεns" (we min se di bren aktvכti bכku bכku wan).

Aw dɔktɔ dɛn kin no dis afta dɛn dɔn du di ɔpreshɔn?

Di bɛst we fɔ no if yu dɔn gɛt ɛkspiriɛns fɔ no bɔt di anestezi na fɔ mek yu dɔktɔ aks yu kwɛstyɔn bɔt am afta dɛn dɔn du yu ɔpreshɔn. Wan standad we we dɛn kin yuz fɔ dis na di Brice Intavyu . I de aks sɔm shɔt kwɛstyɔn dɛn lɛk dɛn wan ya:

• "Wetin na di las tin we yu mɛmba bifo di ɔpreshɔn bigin?"
• "Wetin bi di fes tin we yu memba afta di opareshon?"
• "Yu mɛmba ɛnitin we dɛn bin de du di ɔpreshɔn?"
• "Yu bin get eni drim durin di opareshon?"

Dɔktɔ dɛn kin gɛt wan aidia bay di ansa dɛn we yu gi to dɛn kwɛstyɔn ya.

Ɛnitin de we wi kin du fɔ mek pipul dɛn nɔ no bɔt di anestesia?

Yes, if yu de wɔri bɔt dis Anesthesia Awareness, mek shɔ se yu tɔk to yu anestesia kia bɔt am. Dɛn go ɛksplen to yu us step yu kin du fɔ ridyus di risk fɔ mek dis apin. Tin dɛn de bak we yu kin du:

• Ɔl di mɛrɛsin dɛn we yu de tek (di wan dɛn we yu dɔktɔ gi yu ɛn di wan dɛn we yu bay na di famasi), sɔpɔtmɛntTɛl di dɔktɔ bɔt ɛni sɔpɔtmɛnt (lɛk vaytamɛn, Ayurveda mɛrɛsin).
• Tɔk bɔt yu kɔmplit mɛdikal istri (di sik dɛn we yu bin dɔn gɛt bifo, ɔpreshɔn, alɛji, ɛn ɔda tin dɛn) wit yu dɔktɔ ditayli.
• Aks dɛn bɔt ɛni kwɛstyɔn ɔ dawt we yu gɛt. Nɔ shem.
• Di tin we impɔtant pas ɔl: If yu dɔn ɛva gɛt anestesia awareness bifo, mek shɔ se yu tɛl yu dɔktɔ.
• Avɔyd di risk factor dɛm we dɛn no ( e.g. fɔ smok) as mɔ as yu ebul.

Mɛmba se, fɔ no bɔt anestesia nɔto sɔntin we yu nɔ bin du. Sɔntɛnde, i kin apin, ɛn masta sabi bukman dɛn stil de du risach bɔt di rizin dɛn we mek dis kin apin.

Wetin a go du if a gɛt anestesia awareness?

Imajin se yu dɔn gɛt dis kayn ɛkspiriɛns. As yu no bɔt am so, tɛl yu dɔktɔ (di pɔsin we de kia fɔ wɛlbɔdi biznɛs) ɔ nɔs bɔt am. Tɛl dɛn ɔl di ditil dɛm we yu mɛmba (wetin yu yɛri, wetin yu fil). Dɔn di dɔktɔ kin rayt di tin we apin na yu mɛdikal rɛkɔd, ɛn if yu fɔ gɛt anestezi bak tumara bambay, tek spɛshal kia ɛn tek step fɔ ridyus di risk fɔ no.

Wetin na di fiuja fɔ di wan dɛn we dɔn gɛt anestezi awareness?

I rili dipen pan di tin dɛn we de apin ɛn di kayn bad bad tin dɛn we kin apin to am. Fɔ ɛgzampul, pɔsin we mɛmba sɔm pat pan wan stori we dɛn de du ɔpreshɔn, nɔ kin gɛt ɛni prɔblɛm we kin ambɔg am. Bɔt pɔsin we de fil pen ɔ we rili no bɔt di tin dɛn we de arawnd am kin gɛt mɔ siriɔs prɔblɛm dɛn we kin apin to am fɔ lɔng tɛm .

Bɔt bɔku pan di pasɛnt dɛn we dɔn gɛt anestezi awareness kin gɛt anestesia bak sef wan tumara bambay. Di risk fɔ mek i apin bak rili smɔl. Dɔktɔ dɛn kin tek tɛm mɔ bikɔs dɛn no bɔt di ɛkspiriɛns we dɛn bin dɔn gɛt trade.

If yu dɔn gɛt sɔntin lɛk dis, tɔk to yu dɔktɔ opin wan bɔt aw i de afɛkt yu ɛvride layf. Dɛn kin rifer yu to sayɛnsman ɔ saykayatrist , we kin du di tɛst dɛn we yu nid ɛn gi yu di rayt advays ɛn tritmɛnt.

Di aidia fɔ wek we dɛn de du ɔpreshɔn kin so fred dat dɛn dɔn ivin mek bɔku fim dɛn bɔt am. Pan ɔl we fɔ no bɔt anestesia nɔ kin apin so ɔltɛm, di fred fɔ am na tin we bɔku pipul dɛn kin fred, ɛn na sɔntin we de na wi maynd. Di lɔng tɛm saykilɔjik ifɛkt dɛm we i gɛt nɔ fɔ ɔndastand. Ɛn, i nɔ fayn bak fɔ avɔyd fɔ du di ɔpreshɔn we yu nid bikɔs ɔf da fred de. Di wan dɛn we de anestez kin yuz advans tin dɛn fɔ wach fɔ mek dis nɔ apin.dɔn yuz. Dɔn bak, sayɛnsman dɛn de kɔntinyu fɔ du risach bɔt wetin mek dis kin apin to sɔm pipul dɛn ɛn nɔto to ɔda pipul dɛn. If yu dɔn gɛt dis ɛkspiriɛns - ɔ yu de wɔri se i go apin to yu - tɔk to yu anestezi dɔktɔ. Sɔntɛm dɛn go ebul fɔ mek yu maynd fil fayn.

Wetin na di impɔtant tin dɛn we wi fɔ kɛr go na os frɔm dis stori?

Okay, so na sɔm tin dɛn we wi fɔ mɛmba frɔm wetin wi dɔn tɔk bɔt:

• Anesthesia Awareness na tin we nɔ kin apin so ɔltɛm. Nɔ fred am we yu nɔ nid fɔ fred.
• Bifo yu du ɔpreshɔn , mek shɔ se yu tɔk bɔt yu kɔmplit mɛdikal istri, di mɛrɛsin dɛn we yu de tek, ɛn ɛnitin we yu de fred ɔ wɔri bɔt wit yu dɔktɔ we de mɛn yu anestezi.
• If yu don geht dis expiriens bifo, definitely tel mi. Nɔ ayd am.
• We yu de ɔnda anestezi, dɔktɔ dɛn kin yuz spɛshal tin dɛn fɔ wach yu sik.
• If yu ɛva gɛt ɛkspiriɛns lɛk dis, ɛn i gɛt saykilɔjik impak, nɔr shem fɔ aks fɔ saykayatrik advays. I go ɛp yu bɔku.
• Nɔ put ɔf fɔ gɛt di mɛrɛsin ɔ ɔpreshɔn we yu nid bikɔs ɔf dis fred. Yu mɛdikal tim de rili wɔri bɔt yu sef.

So, a op se dis infɔmeshɔn go yusful to yu. Stay wit wɛlbɔdi!

` Anestesia, anestezi awareness, ɔpreshɔn, ɔpreshɔn, rikavari, ɔpreshɔn, anesteziɔlɔjis