If yu dɔn ɛva gɛt fɔ du ɔpreshɔn, yu go mɔs dɔn yɛri bɔt "anestesia" bifo am. Bɔku pipul dɛn kin fred dis smɔl. Na nɔmal tin fɔ gɛt kwɛstyɔn lɛk "A go ɛva wek?" ɛn "Wetin go apin if a go ɔnda anestezi?" Bɔt fɔ tru, na wan we we rili sef, we dɛn kin du ɔnda di ful sɔpɔtishɔn fɔ dɔktɔ dɛn. So tide, lɛ wi tɔk bɔt jenɛral anestezi , ɔ ɔl wetin yu nid fɔ no bɔt am.
Fɔ tɔk am simpul wan, wetin na jenɛral anestezi?
Jɛnɛral anestezi na we dɛn put yu na stet we fiba dip slip we dɛn de du ɔpreshɔn. Fɔ tɔk strikt wan, dis nɔto jɔs fɔ slip, bɔt na dip, kɔntrol stet fɔ nɔ no natin. Insay dis tɛm, yu bɔdi nɔ go fil ɛni pen, ɛn yu nɔ go mɛmba ɛni ɔda tin we dɛn de du di ɔpreshɔn .
Na wan dɔktɔ we de anestez de du dis wok . Na dɔktɔ we gɛt spɛshal trenin fɔ anestezi , dat na fɔ mek pɔsin slip. Frɔm di tɛm we di ɔpreshɔn bigin te i dɔn, te yu wek bak, dis dɔktɔ we de anestez kin sidɔm nia yu ɛn wach yu ɛvri muvmɛnt. So no rizin nɔ de fɔ mek wi fred.
Naw lɛ wi si wetin difrɛns de bitwin jenɛral anestezi ɛn ɔda we dɛn fɔ anestezi.
| Tayp fɔ anestezi | Wetin kin apin to am? | Yuz sɛnɛriɔ dɛn |
|---|---|---|
| Jɛnɛral Anɛstɛsia | Dɛn kin put di wan ol bɔdi na say we fiba dip slip. No pen ɔ kɔnshɛns nɔ de. | Big big ɔpreshɔn (at, bren), ɔpreshɔn we kin tek awa. |
| Rijinal Anɛstɛsia | wan big pat pan yu bכdi (e.g. dכn di wεst) de nכm. Yu de kɔnshɛns, bɔt dɛn de gi yu mɛrɛsin fɔ rilaks. | Sizarian sɛkshɔn (C-sekshɔn), knee ɔ hip riplesmɛnt. |
| Lokal Anestesia we dɛn kin yuz | Na wan rili smɔl eria nɔmɔ dɛn kin afɛkt. | Pul wan tut, siw wan wund. |
| Layt slip (Sedation) . | I de mek yu rilaks ɛn slip. Yu kin ivin slip. | Kolonoskopi tɛst, sɔm bayɔpsi tɛst. |
Aw di prɔses fɔ lɔs drim kin apin?
Dis na sɔntin we kin apin smɔl smɔl.
1. Fɔ gi yu mɛrɛsin: We yu go na di ɔpreshɔn teatar, dɛn go put kanula (IV layn) insay wan vein na yu an ɛn dɛn go gi yu wan likwid mɛrɛsin tru am. Ɔ sɔntɛnde dɛn go put mask oba yu fes ɛn dɛn go gi yu gas fɔ blo tru. Insay sɔm minit, yu go fɔdɔm na say we fiba dip slip.
2. Mek shɔ se yu de blo : Afta yu nɔ no natin, di dɔktɔ we de anestez go put wan smɔl tiub (endotracheal tube) tru yu mɔt insay yu winda fɔ mek shɔ se yu gɛt di rayt ɔksijɛn ɔl di tɛm we dɛn de du di ɔpreshɔn. Yu nɔ go fil se dɛn put am insay bikɔs dɛn go gi yu mɛrɛsin fɔ rilaks di mɔsul dɛn na yu trot bifo dɛn du dis.
3. Kɔntinyu fɔ wach: Insay di ɔl di ɔpreshɔn, di anestesia tim go de mɛzhɔ dɛn tin ya ɔltɛm na yu bɔdi:
- Di rit we pɔsin de blo
- Di tɛmpracha na di bɔdi
- At rit we yu de bit
- Blɔd prɛshɔn
- Blɔd ɔksijɛn lɛvɛl
- Di lɛvɛl we di wata we de kɔmɔt na di bɔdi
Bay dɛn mɛzhɔmɛnt ya, di dɔktɔ we de anestez go ajɔst di kayn mɛrɛsin we dɛn de gi yu, ɛn if nid de, i go gi yu ɛkstra wata ɔ blɔd. So yu rili sef.
4. Rikɔvayshɔn: We di ɔpreshɔn dɔn, di dɔktɔ go stɔp fɔ gi yu di anestezi. Dɔn dɛn go kɛr yu go na di rum usay dɛn de mɛn pipul dɛn. Na de yu go bigin fɔ wek smɔl smɔl. Di dɔktɔ ɛn nɔs dɛn go mek shɔ se yu nɔ de fil pen ɔ yu nɔ de gɛt ɛni ɔda prɔblɛm.
Us mɛrɛsin dɛn kin yuz fɔ dis?
Dɛn kin yuz tu men kayn mɛrɛsin fɔ mek pɔsin slip: IV drɔgs ɛn mɛrɛsin we dɛn kin inhal.
IV Drug dɛn we dɛn kin yuz
- Propofol: Na drɔg we dɛn kin yuz bɔku tɛm. I kin mek yu slip kwik kwik wan ɛn ɛp yu fɔ de na da stet de ɔl di tɛm we dɛn de du di ɔpreshɔn.
- Etomidate: Na shɔt tɛm mɛrɛsin we dɛn kin gi fɔ bigin fɔ mɛmba amnɛsia.
- Ketamine: Dɛn kin yuz am in wan ɔ wit ɔda mɛrɛsin fɔ shɔt ɔpreshɔn.
Mɛrɛsin dɛn we dɛn kin inhal
- Sevoflurane: Na gas we dɛn kin yuz fɔ mek dɛn gɛt anestezi ɛn mek dɛn kɔntinyu fɔ gɛt anestezi.
- Desflurane: Dɛn kin yuz dis bak fɔ mek dɛn kɔntinyu fɔ gɛt anestezi.
- Naytrɔs Ɔksayd: Dɛn kin kɔl am bak "laf gas," i nɔ strɔng fɔ mek pɔsin slip dip fɔ insɛf, so dɛn kin yuz am togɛda wit ɔda pawaful drɔgs.
Aw yu fɔ rɛdi bifo dɛn du yu ɔpreshɔn?
Yu dɔktɔ ɛn di dɔktɔ we de mɛn yu go tɔk to yu bifo dɛn du di ɔpreshɔn. Dɛn go mɔs aks yu bɔt dɛn tin ya. I rili impɔtant fɔ yu sef fɔ tɔk di tru dis tɛm ɛn nɔ ayd ɛnitin.
- Ɔda mɛrɛsin wae yu gɛt (lɛk dayabitis, ay blɔd prɛshɔn, at sik).
- Ɔl di mɛrɛsin dɛn we yu de yuz (inklud vaytamɛn ɛn tradishɔnal mɛrɛsin dɛn).
- Alɛji yu gɛt - to tin dɛm lɛk mɛrɛsin, eg, soya, ɛn ɔda tin dɛm.
- Ilɛksɛf yu de smok, drink rɔm, ɔ yuz ɔda drɔgs.
- If ɛnitin bin apin we dɛn tek anestezi di tɛm we dɛn bin dɔn du ɔpreshɔn pan am bifo.
Na mɔtalman, di dɔktɔ go tɛl yu fɔ nɔ it ɔ drink ɛnitin fɔ lɛk 8 awa bifo dɛn du di ɔpreshɔn. Dɛn kɔl dis ‘fastin’. Di rizin fɔ dis na bikɔs we yu fast, di mɔsul dɛn na yu bɔdi kin rilaks. Dɔn di it we de na yu bɛlɛ kin kam ɔp na yu trot ɛn go insay yu lɔng. Dis na tin we de mek pɔsin denja. So fala yu dɔktɔ in instrɔkshɔn dɛn di rayt we.
Dɔn bak, dɛn kin aks yu fɔ stɔp fɔ tek sɔm mɛrɛsin dɛn we de mek yu blɔd bɔku, lɛk aspirin, lɛk wan wik bifo yu du di ɔpreshɔn. Tɔk to yu dɔktɔ bɔt dis bak.
Wetin na di sayd ɛfɛkt ɛn risk dɛm?
Jɛnɛral anestezi na wan pan di tin dɛn we nɔ bad pas ɔl na di mɛrɛsin we dɛn de yuz tide. Bɔt lɛk ɛni ɔda mɛrɛsin, smɔl smɔl sayd ɛfɛkt dɛn de ɛn risk dɛn we nɔ kin apin so ɔltɛm.
Kɔmɔn tɛmporari sayd ɛfɛkt dɛn
Bɔku tɛm, dɛn tin ya kin dɔn insay sɔm awa ɔ wan de.
- Nɔs ɛn vɔmit
- Dray mɔt
- Trot we de at ɔ we de ala lawd lawd wan (bikɔs ɔf di windpaip) .
- Di we aw pɔsin kin slip
- Tremor
- Bɔdi pen
- I de it
- Sɔm tin dɛn we kin mek pɔsin nɔ ebul fɔ mɛmba tin (espɛshali pan di wan dɛn we dɔn ol) .
Di wan dɛn we kin gɛt mɔ prɔblɛm
Sɔm pipul dɛn kin gɛt smɔl prɔblɛm wit dɛn anestezi.
- Pipul dɛn we fat: Dɛn fɔ du anestezi ɛn mɛnejɛmɛnt fɔ brith wit mɔ kia pan pipul dɛn we gɛt bɔku bɔdi wet.
- Ol pipul dεm: De risk kin bכku as yu de ol bikoz כda mεdikal kכndyushכn dεm de.
- Pipul wae gɛt ɔda sik: Pipul wae gɛt sik lɛk ay blɔd prɛshɔn, dayabitis, at sik, lɔng sik, ɛn kidni sik.
- Pipul dɛn we gɛt Obstructive Sleep Apnea.
- Pipul dɛn we de smok: Di risk kin bɔku bikɔs we pɔsin de smok kin afɛkt di we aw pɔsin de blo.
- Pipul dɛn we de drink bɔku rɔm: Pipul dɛn we gɛt adikshɔn to rɔm kin du difrɛn we we dɛn tek drɔgs we de mek dɛn nɔ fil fayn.
- Pipul dɛn we nɔ gɛt alɛji to mɛrɛsin dɛn we de mek dɛn nɔ fil fayn.
Na smɔl tɛm nɔmɔ, lɛk wan pan tawzin pipul dɛn, yu kin gɛt sɔm lɛvul fɔ kɔnshɛns (anestesia awareness) ivin afta dɛn dɔn anestez yu. Pan ɔl we dis nɔ kin apin so ɔltɛm, yu kin tɔk to yu dɔktɔ bɔt am.
Mɛsej we dɛn kin kɛr go na os
- Jɛnɛral anestezi na wan we we rili sef we dɛn kin du ɔnda di ful sɔpɔtishɔn fɔ spɛshal anestezitɔ.
- Bifo yu du di ɔpreshɔn, tɛl yu dɔktɔ ɔltin we yu no bɔt yu wɛlbɔdi, di mɛrɛsin dɛn we yu de tek, ɛn di abit dɛn (smok/alcohol).
- Fɔ fala di tin dɛn we di dɔktɔ tɛl yu fɔ du, lɛk fɔ fast bifo yu du di ɔpreshɔn, to di lɛta. Na fɔ yu yon sef.
- Tin dɛm lɛk nɔs ɛn trot we de at afta dɛn dɔn anestez kin bi fɔ shɔt tɛm nɔmɔ.
- If yu gɛt ɛni fred ɔ kwɛstyɔn bɔt dis, tɔk to yu dɔktɔ opin wan bifo dɛn du di ɔpreshɔn. Dɛn go ansa ɔl yu kwɛstyɔn dɛn.
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