Lɛ wi lan bɔt di spɛshal dɔktɔ we go si yu bifo di ɔpreshɔn - di dɔktɔ we de anestez.

Yu dɔn ɛva de rɛdi fɔ ɔpreshɔn ɔ big tɛst? Yu mɛmba we, apat frɔm di dɔktɔ we de du di ɔpreshɔn, ɔda spɛshal dɔktɔ bin kam fɔ si yu? Da dɔktɔ de na di dɔktɔ we de mɛn pipul dɛn we de anestez. Tide, lɛ wi tɔk bɔt udat na dis dɔktɔ we de anestez, wetin i de du, ɛn aw i impɔtant fɔ mek yu fil fayn ɛn sef.

Udat na Anesthesiologist?

Fɔ tɔk am simpul wan, dɔktɔ we de kia fɔ yu na dɔktɔ we de kia fɔ yu na di say usay dɛn de anestez, aw fɔ mɛn yu pen, ɛn we de kia fɔ yu bad bad wan bifo, we yu de du ɔpreshɔn, ɛn afta dɛn dɔn du yu ɔpreshɔn ɔ ɔda mɛrɛsin we de mek yu fil pen. Tink bɔt aw i impɔtant fɔ lɛ wi nɔ fil pen we wi de du ɔpreshɔn. Dis spɛshal dɔktɔ de du jɔs dat, sef wan.

Wetin na anestezi?

Anestesia na mɛrɛsin we de mek yu nɔ fil pen we yu de du ɔpreshɔn ɔ ɔda mɛrɛsin. Dɛn kɔl di mɛrɛsin dɛm wae dɔktɔ dɛm wae de anestez ɛn ɔda pipul dɛm wae de kia fɔ wɛl bɔdi kin yuse fɔ stɔp dis pen.

Naw luk, dɛn anestezi we ya de wok difrɛn we dɛn.

• Sɔm anestetik dɛn kin jɔs mek wan patikyula pat na yu bɔdi nɔ gɛt bɛtɛ trɛnk. Tink bɔt am lɛk di mɛrɛsin we yu kin gi bifo yu pul yu tut.
• Sɔm ɔda drɔgs kin mek yu bren slip fɔ sɔm tɛm, dɔn yu nɔ kin no natin igen. Dɛn kin yuz dis mɔ we dɛn de du big big ɔpreshɔn, lɛk di wan dɛn we de na di ed, chɛst, ɔ bɛlɛ.

If yu gɛt smɔl tin, lɛk fɔ ful-ɔp yu tut, fɔ ɛgzampul, di dɔktɔ we de du am go gi yu wan lokal anestetik , we min se na mɛrɛsin we de mek yu nɔ gɛt natin fɔ du wit da say de nɔmɔ.

Yu tink se dɔktɔ we de mɛn pipul dɛn bak na dɔktɔ?

Yɛs, fɔ tru! Anestesiɔlɔjis na dɔktɔ we gɛt mɛdikal digri, jɔs lɛk yu ɔspitul dɔktɔ ɔ yu famili dɔktɔ. Dɛn gɛt dɔktɔrɛt pan mɛrɛsin (`MD - Dɔkta fɔ Mɛdisin` ɔ `DO - Dɔkta fɔ Ɔstiɔpatik Mɛdisin`). Ɛn, we yu tink bɔt dɛn skul, yunivasiti digri, ɛn rɛzidɛns afta mɛdikal skul, dɛn kin tren fɔ bitwin 12 ɛn 14 ia. So, dat nɔto smɔl tin, nɔto so?

Wetin rili pɔsin we de mɛn pipul dɛn we de anestez kin du?

Lɛk yu famili dɔktɔ, di dɔktɔ we de anestez yu gɛt di wok fɔ kia fɔ ɔltin we gɛt fɔ du wit yu wɛlbɔdi. Fɔ ɛgzampul, dɛn go wach yu blɔd prɛshɔn, dayabitis, asma, ɛn at kɔndishɔn we dɛn de du di ɔpreshɔn, ɛn dɛn go gi yu anestezi bak so dat yu nɔ go fil ɛni pen.

Di wan dɛn we de anestez kin ɛp bak fɔ mek shɔ se yu sef bay we dɛn kin kɔba ɛn protɛkt yu bɔdi pat dɛn we yu nɔ no natin, fɔ mek yu nɔ pwɛl.

Di wan dɛn we de anestez gɛt sɔm impɔtant wok dɛn bifo dɛn du di ɔpreshɔn, we dɛn de du di ɔpreshɔn, ɛn afta dɛn dɔn du di ɔpreshɔn:

Bifo dɛn du di ɔpreshɔn

• Stɔdi yu wɛlbɔdi biznɛs ɛn di tɛst rizɔlt dɛn gud gud wan.
• Fɔ no aw yu bɔdi fit fɔ di ɔpreshɔn we yu de kam fɔ du.
• Fɔ disayd us anestezi plan we sef fɔ yu.

We dɛn de du di ɔpreshɔn

• Yu impɔtant sayn dɛm – lɛk aw yu at de bit, blɔd prɛshɔn, ɛn aw yu de blo – dɛn go de wach ɔltɛm we dɛn de du di ɔpreshɔn.
• Fɔ manej yu mɛrɛsin kɔndishɔn dɛn we yu dɔn gɛt.
• fכ gi wata, bכdi prodakt dεm εn mεdikeshכn dεm we yu bכdi nid fכ wok (e.g. hat, lכng, kidni).
• Dɛn kin wok dɛn wan, ɔ wit wan anestesia kia tim we gɛt nɔs anestezi ɔ tren anestezi.

Afta dɛn dɔn du di ɔpreshɔn

• Afta di ɔpreshɔn, na yu fɔ kia fɔ yu wɛlbɔdi te yu wɛl smɔl smɔl frɔm di tin dɛn we dɛn kin du we dɛn de anestez yu.
• Bɔku tɛm, na di dɔktɔ we de anestez yu kin disayd ustɛm yu dɔn wɛl frɔm di tin dɛn we dɛn kin du we dɛn de anestez yu ɛn rɛdi fɔ go na os ɔ dɛn kin kɛr yu go na ɔda wɔd na di ɔspitul.

Ɔda impɔtant wok dɛn we dɛn kin du

Anesteziɔlɔjis dɛn kin kia bak fɔ pipul dɛn we de du smɔl ɔpreshɔn ɔ we nɔ nid fɔ nɔ no natin atɔl (`Jɛnɛral Anestesia`). Fɔ ɛgzampul, tin dɛn lɛk epidural we dɛn kin gi mama dɛn we de kam bɔn pikin fɔ mek dɛn nɔ fil pen .

Dɛn kin ɛp bak fɔ kia fɔ di wan dɛn we sik na di Intensive Care Unit (ICU) afta dɛn dɔn du big ɔpreshɔn. Dɛn kin wok bak wit di ɔspitul in pen mɛnejɛmɛnt tim ɔ na ɔfis fɔ ɛp di wan dɛn we gɛt siriɔs pen, ilɛksɛf na aksidɛnt ɔ bak pen we nɔ de dɔn.

Ɔda pipul dɛn de na di tim we de gi anestezi?

Yɛs, ɔda pipul dɛn kin de na di tim we de gi anestezi apat frɔm di dɔktɔ we de anestez. Lɛ wi si udat dɛn bi.

• Certified Registered Nurse Anesthetist (CRNA): Dis na rɛjista nɔs we dɔn kɔmplit wan akreditɛd nɔs anestezi trenin program. Dɛn na nɔs (nɔto dɔktɔ) we dɔn gɛt advans trenin fɔ gi anestesia kia. Bɔku tɛm, wan CRNA kin wok ɔnda di sɔpɔtishɔn fɔ wan dɔktɔ we de mɛn pipul dɛn. Jɔs lɛk aw nɔs we de na ɔspitul wɔd go kia fɔ yu ɔnda di dayrɛkshɔn we yu dɔktɔ ɔ famili dɔktɔ de tɛl yu.
• Certified Anesthesiologist Assistant (CAA): Dis na mid-lɛvɛl kia prɔvayda we de wok lɛk CRNA. Bɔt instead fɔ gɛt nɔs digri, dɛn gɛt sayɛns bakgrɔn, lɛk prɛ-mɛd digri.
• Dɔktɔ Anesthesiologist: Dis na di dɔktɔ we wi bin dɔn tɔk bɔt, we gɛt spɛshal trenin fɔ anesthesia afta di mɛdikal skul. Dɛn kin gɛt 4 ia trenin fɔ jenɛral anestezi. Apat frɔm dat, dɛn kin spɛn ɔda ia ɔ tu ia fɔ tren fɔ sabspɛshal trenin pan tin dɛn lɛk Pikin, Kadiak, Obstetrik, Intɛnsiv Keya, ɔ Pen Manejmɛnt.

Wetin na di kɔmɔn ɔpreshɔn ɛn prosidur dɛn we nid fɔ gɛt dɔktɔ we de anestez?

Bɔku ɔpreshɔn ɛn mɛrɛsin dɛn kin nid sɔm kayn anestezi ɛn di ɛkspɛriɛns we dɔktɔ we de anestez kin gɛt. Di kayn anestezi we dɔktɔ we de anestez kin yuz na:

• Jɛnɛral Anestesia - Dis min se yu go lɔs yu kɔnshɛns kɔmplit wan.
• Sedation - Dis min fɔ put yu na layt slip.
• Rijinal Anεsthεsia - Dis min se yu de numb wan big εria na di bכdi.

If yu jɔs nid lokal anestetik fɔ sɔntin we smɔl, di dɔktɔ we de du am go gi yu am.

Jɛnɛral ɔpreshɔn dɛn we nid fɔ gɛt jenɛral anestezi:

• Ɔpreshɔn fɔ ed ɔ bak
• Ɔpreshɔn fɔ di at
• Ɔpreshɔn fɔ di lɔng
• Di we aw dɛn kin du ɔpreshɔn na yu bɛlɛ

Rijyonal Anestezi – dat na, spεnal anεsthεsia, epidural anεsthεsia, כ rijinal anεsthεsia blכk – dεn kin yuz am fכ jεnarכl כpεrayshכn:

• Ɔpreshɔn fɔ hip ɔ ni
• Dɛn kin du ɔpreshɔn pan dɛn an ɔ fut

IV Sedation – Dis min se fɔ gi yu mɛrɛsin fɔ rilaks yu ɛn kip yu wek pan difrɛn lɛvɛl dɛn (dis kin involv ɔ nɔ kin involv lokal anestesia) – Kɔmɔn prɔsidyu dɛn we dɛn nid:

• egzamin di insay pat pan di trakya (bronchoscopy) .
• egzamin di insay pat pan di big intestin (`Colonoscopy`) .
• egzamin di insay pat pan di blad (`Cystoscopy`) .
• Dɛn kin du ɔpreshɔn pan dɛn tit
• Smɔl bon fraktrɔs ripa
• Smɔl ɔpreshɔn we dɛn kin du na di skin
• Plastik ɔ rikostrɔktiv ɔpreshɔn
• egzamin di כp pat pan di dijestiv trakt (Upper endoscopy) .

di wan dεm we de anεsthεsi na di wan dεm bak we de gi di epidural fכ kכntrכl di pen we i de bכn εn di anεsthεsia fכ sizarian sεkshכn (C-section) .

Wetin yu fɔ ɛkspɛkt we yu go to dɔktɔ we de ɛp yu fɔ anestez?

Yu go mit wit yu anestezi dɔktɔ sɔm dez ɔ wik bifo dɛn du yu ɔpreshɔn. Da tɛm de, i go mek shɔ se yu fit fɔ di ɔpreshɔn.

Kwɛstyɔn dɛn fɔ aks yu

Dɛn kin aks yu bɔt tin dɛn lɛk:

• Aw yu ɔl wɛlbɔdi de ?
• Ɛni patikyula wɛl bɔdi prɔblɛm de we bin dɔn de bifo , fɔ ɛgzampul, at sik, dayabitis, ɔ asma?
• De kayn mɛrɛsin wae yu de tek (we dɔktɔ gi yu, mɛrɛsin wae nɔr de na kɔt, ɛn sɔpɔtmɛnt dɛm).
• Wetin na yu alɛji dɛn?
• If yu ɔ ɛnibɔdi na yu famili dɔn gɛt ɛni prɔblɛm wit anestezi trade. Dis rili impɔtant. Na mɔ, i impɔtant fɔ tɛl yu dɔktɔ if yu bin dɔn gɛt prɔblɛm fɔ wek frɔm anestezi trade, yu bin dɔn de pan ventilatɔ fɔ lɔng tɛm pas aw yu bin de tink, yu bin gɛt riakshɔn lɛk fiva we yu de anestez, ɔ yu bin gɛt bad bad nɔys ɛn vɔmit afta dɛn dɔn du yu ɔpreshɔn.

Dɛn bin du di ɛgzamin dɛn we dɛn bin de du fɔ mek dɛn bɔdi fayn

Dɛn go chɛk dɛn tin ya bɔt yu:

• Airway – Dis min se yu tit, trot, nek, ɛn yu nos pasej.
• At.
• Lɔng.
• Pulse (`Puls` / `Hat rit`).

Dɛn go rivyu yu blɔd tɛst, ɛkstrem rayt, ɔltra saund, ɛn EKG (ilɛktrokadiogram) ripɔt bak fɔ mek shɔ se yu rɛdi gud gud wan fɔ yu ɔpreshɔn.

Afta dɛn dɔn tink bɔt ɔl dis, dɛn go disayd di rayt anestezi plan fɔ yu – if na jenɛral anestezi, rijinal anestezi, spɛshal anestezi, ɔ wan kɔmbaynshɔn pan dɛn tin ya. Nɔr frayd fɔ aks yu anesthesiologist kwɛstyɔn. Ɛksplen wetin dɛn de rɛkɔmɛnd ɛn wetin fɔ ɛkspɛkt.

Aw pɔsin kin bi dɔktɔ we de mek pɔsin in anestezi?

Fɔ bi pɔsin we de anestez, i fɔ dɔn ɔl dɛn tin ya:

• Fo ia pri-mɛdikal ɛdyukeshɔn na yunivasiti ɛn bachɛlɔ digri.
• Wan 4 ia mɛdikal skul ɛdyukeshɔn (`Mɛdikal skul`) ɛn mɛdikal digri (`MD` ɔ `DO`).
• Wan 4 ia postgrɛdyut spɛshal trenin (`Residency`) na wan anestezi program.
• Apat frɔm dat, if yu want, yu kin gɛt ɔda ia ɔ tu ia bak fɔ sabspɛshal trenin (`Fellowship training`) . Dat min se, na mɔ spɛshal fild lɛk kadyolɔji, nyurolɔji, pikin dɛn, ɔbstetrik ɛn gaynɛkɔlɔji, intensiv kia, ɔ mɛnejɛmɛnt pen.

Afta dis postgrɛdyut trenin, bɔku pan di wan dɛn we de anestez kin bi bɔd sɛtifiket frɔm di American Board of Anesthesiology (ABA) bay we dɛn kin tek ɔl tu di ɛgzam dɛn we dɛn rayt ɛn we dɛn kin tɔk.

Lɛk ɔl ɔda mɛdikal pɔblisha dɛn, di wan dɛn we de anestezi fɔ atɛnd kɔnfrɛns ɛn klas dɛn ɔlsay na dɛn wok fɔ mek dɛn no bɔt nyu tin dɛn we dɛn dɔn mek ɛn di ɛtɛknɔlɔji dɛn we dɛn de du na dɛn wok. Sɔm kin du risach bak fɔ fɛn nyu ɛn bɛtɛ we fɔ gi anestezi.

Wetin na di sabspɛshal tin dɛm we de na di fild fɔ anestezi?

Sɔm pan di sabspɛshal tin dɛm we de na di fild fɔ anestezi na:

• Manejmɛnt fɔ di pen
• Anestezi fɔ di at
• Anestezi fɔ pikin dɛn
• Nyuro-anɛstɛsia we dɛn kin yuz
• Obstetric anestesia we dɛn kin yuz fɔ bɔn pikin
• Kritikal / Intɛnsiv kia
• Rijinal anestezi / Akyu pen mɛnejɛmɛnt
• Hospice ɛn palliativ kia

Fɔ dɔn, tin dɛn we wi fɔ mɛmba

If yu gɛt fɔ du ɔpreshɔn ɔ big mɛrɛsin, dat kin mek yu at pwɛl smɔl. Bɔt mɛmba se yu dɔktɔ we de mɛn yu anestezi gɛt spɛshal no ɛn skil fɔ mek yu nɔ gɛt prɔblɛm we yu de du yu ɔpreshɔn. Dɛn go mek wan anestezi plan we dɛn mek fɔ yu spɛshal wan.

Nɔ fred fɔ aks yu dɔktɔ we de anestez kwɛstyɔn dɛn. Dɛn de fɔ ɛp yu fɔ fil fayn ɛn gɛt kɔnfidɛns bɔt di ɔpreshɔn we yu go du. Yu sef rili impɔtant to dɛn.

So, di nɛks tɛm we yu ɔ pɔsin we yu sabi gɛt fɔ du ɔpreshɔn, naw yu no bɔt di wok we di dɔktɔ we de anestez de du, nɔto so? A op se i go mek yu maynd fil fayn.

` Anestezi, anestezi, ɔpreshɔn, ɔpreshɔn, anestezi, pen mɛnejɛmɛnt, Anestezi