Ngaba wakha watyandwa, oko kukuthi, utyando? Okanye uceba ukwenza olunye kwixesha elizayo? Ukuba kunjalo, enye yezona zinto zinkulu oyoyikayo isenokuba, 'Kuthekani ukuba ndivuka ngexesha lotyando?' Olu loyiko luqiniswa kukuba ezinye iimuvi zibonisa izinto ezinje. Ke namhlanje, masithethe malunga nokuba oku kunokwenzeka ngokwenene na, kuthetha ukuthini ngokwezonyango, kunye noko kufuneka sikwazi ngako.
Yintoni kanye kanye i-Anesthesia Awareness?
Ngamafutshane, oku kwenzeka xa umntu efumana inqanaba elithile lokuqonda ngexesha lotyando phantsi kwe-anesthesia jikelele. Kodwa kwahlukile kancinci kwinto esiyibiza ngokuba "kukuvuka." Endaweni yokuba nengqondo epheleleyo, kufana nokuba nemizuzu emifutshane yokuqonda. La mava anokwahluka kumntu nomntu.
Umntu ojongene nale meko ngexesha lotyando unokufumana oku kulandelayo:
- Ukuva okwenzekayo kufutshane nawe, oko kuthethwa ngoogqirha.
- Kufana nokuba sephupheni.
- Ngequbuliso ndibuyela ezingqondweni ndize ndiqonde ukuba awukwazi ukushukuma okanye ukuthetha.
- Ukuva uxinzelelo oluthile emzimbeni, kwaye kwezinye iimeko ezingaqhelekanga, ukuziva iintlungu .
Okubalulekileyo kukuba, le meko yenzeka kuphela ngexesha lotyando phantsi kwe-anesthesia eqhelekileyo . Ezinye iintlobo ze-anesthesia, ezinje ngokufaka izandla neenyawo zakho entlungwini, i-IV sedation, okanye "ukulala ebusuku," azikwenzi oko. Ngenxa yokuba ezo ndlela azilawuli imisebenzi yomzimba wakho ngokuzenzekelayo (njengokuphefumla), usenako ukuphefumla wedwa kwaye uthethe nogqirha wakho ukuba ufuna njalo.
Kuqheleke kangakanani oku? Ngaba simele soyike ngokwenene?
Oku kuyinto engaqhelekanga kakhulu . Ngoko ke akukho mfuneko yokukhathazeka ngokungeyomfuneko ngako. Kodwa kunzima ukutsho ukuba bangaphi abantu abakwenzayo oku. Isizathu kukuba abanye abantu abakhumbuli ukuba kwenzeka ntoni de kube yiveki okanye ezimbini emva kotyando. Abanye bayakukhumbula kwangoko, kodwa abaxeleli oogqirha babo ngako.
Uphando lufumanise ukuba le meko yenzeka kutyando olunye okanye ezimbini kuphela kwi-1,000. Oko kungaphantsi kwe-0.2% yamatyala . Ngoko ke ungabona ukuba oku kunqabile kangakanani.
Kulungile, kutheni ke oku kusenzeka? Zithini izizathu?
Le meko "yokuQaphela ukuNxunguphala" inokwenzeka ngezizathu ezintathu eziphambili. Masibone ukuba ziyintoni na ngokucacileyo.
| Isizathu | Icacisiwe ngokulula |
|---|---|
| Amayeza okubulala iintlungu anganelanga | Oku kwenzeka xa ingcali yokubulala iintlungu inganiki isigulane amayeza aneleyo. Oku kudla ngokwenzeka ngexesha lotyando olungxamisekileyo. Umzekelo, utyando lwentliziyo, utyando lotyando (utyando lwe-C), okanye utyando emva kwengozi enkulu. |
| Ukutshintsha kweemfuno zomzimba wesigulana | Ezinye izigulana zisenokungakwazi ukunyamezela umlinganiselo oqhelekileyo wamayeza okubulala iintlungu. Lo mngcipheko uphezulu ngakumbi kwabo banesifo sengqondo esibi, abo baxhomekeke kwiziyobisi okanye utywala, kunye nabo babe namava afanayo ngaphambili. |
| Iimpazamo kwiimashini zokubulala iintlungu | Nangona oku kungenzeki rhoqo, ngamanye amaxesha oku kunokwenzeka ukuba kukho ingxaki ngoomatshini bokubulala iintlungu okanye ukuba abazange bahlolwe kakuhle ngaphambi kotyando. |
Ngubani osengozini enkulu yokuba nale meko?
Abanye abantu banamathuba amaninzi okuba nale meko (i-Anesthesia Awareness) kunabanye.
- Kwabo batshayayo
- Kwabo baneengxaki ezininzi zempilo ngaxeshanye
- Kwabo banengxaki yokuphefumla (ezifana nezifo zokuphefumla)
- Kwabo banembali yokuxhomekeka kwiziyobisi okanye utywala (Ingxaki Yokusebenzisa Iziyobisi - SUD)
Kwakhona, le ngozi inokwanda kancinci kwezinye iindlela zotyando apho kungakhuselekanga ukunika amayeza okubulala iintlungu rhoqo.
- Utyando lwe-C-sections (utyando lwe-C)
- Utyando lwentliziyo
- Utyando olungxamisekileyo olubangelwa yingozi okanye ukopha kakhulu
Ngaba uziva iintlungu ngeli xesha? Ngaba kukho naziphi na iziphumo ezihlala ixesha elide?
Le yeyona ngxaki inkulu kubantu abaninzi. Ukuva iintlungu kunqabile kakhulu., kodwa akunakwenzeka. Nangona uninzi lwabantu lukhumbula izandi zokuva, abanye baye baxela ukuba umphimbo ubuhlungu okanye intlungu kwindawo yokusikwa ngenxa yombhobho wokufaka ityhubhu.
Ayingabo bonke abantu abafumana olu lwazi abaya kufumana iziphumo ezihlala ixesha elide. Nangona kunjalo, ukuba olu lwazi lunzima, abanye abantu banokufumana iingxaki zengqondo ezifana nezi:
- Ixhala
- Uxinzelelo
- Ingxaki yobusuku obubi
- Ingxaki Yoxinzelelo Emva Kwengozi (PTSD)
Xa kuvela olu hlobo lweengxaki zengqondo, banokoyika ukubona oogqirha okanye ukuya ezibhedlele. Emva koko, kukho ithuba lokuba ezinye izifo zabo aziyi kunyangwa. Ngoko ke, ukuba unamava afanayo, ukudibana nogqirha wengqondo okanye umcebisi kunye nokuthetha ngawo kuya kuba namandla amakhulu ebomini bakho.
Ngaba oogqirha abanakukufumana oku ngexesha lotyando?
Lo ngumbuzo onzima kancinci. Iingcali zokubulala iintlungu zinokuqinisekisa ngokuqinisekileyo ukuba uphantsi kwe-anesthesia. Bakwenza oku ngokujonga iimpawu zakho ezibalulekileyo - izinto ezifana noxinzelelo lwegazi, izinga lokuphefumla, kunye nobukhulu bamehlo akho.
Nangona kunjalo, kunzima kancinci ukulinganisa ukuba uphilile engqondweni okanye akunjalo. Ngenxa yokuba amayeza okubulala iintlungu enze umzimba wakho waba ndindisholo kwaye awukwazi ukuthetha, akunakwenzeka ukuba ukubuze ukuba uphilile engqondweni ngendlela eqhelekileyo.
Kodwa ngoku, kukho iindlela zanamhlanje ezinokunceda ngale nto. Ezi ndlela zinokulinganisa umsebenzi wombane wengqondo yakho ngexesha lotyando. Ngale ndlela, sinokuqikelela ukuba ungakanani na ulwazi onalo.
- I-Electroencephalogram (EEG): Oku kuquka ukuncamathisela ii-sensors ezincinci entlokweni yakho kunye nokujonga iipatheni zombane zobuchopho bakho.
- I-Bispectral Index™ (BIS) Monitor: Le yeyona ndlela inokuthenjwa ekhoyo. Ithatha idatha ye-EEG kwaye ivelise ixabiso eliphakathi kwe-0 ne-100. Okukhona ixabiso liphantsi, kokukhona i-anesthesia inzulu. Oogqirha badla ngokuzama ukugcina eli xabiso liphakathi kwe-40 ne-60 .
- Isixhobo sokulawula ii-Auditory Evoked Potentials (AEP): Oku kuquka ukubeka ii-headphones ezindlebeni zakho nokudlala izandi ezithile. Ubunzulu be-anesthesia emva koko bumiselwa ngokulinganisa indlela ingqondo yakho esabela ngayo kwezo zandi.
- I-Narcotrend®: Esi sisixhobo esilinganisa ubunzulu be-anesthesia sisebenzisa idatha ye-``EEG'', efana ne-``BIS'' monitor.
Ngaba kukho izinto esinokuzenza ukunciphisa amathuba okuba oku kwenzeke?
Ewe, unokunceda ekunciphiseni lo mngcipheko. Qiniseka ukuba uxoxa ngezi zinto nogqirha wakho we-anesthesiologist ngaphambi kotyando.
- Xelela ugqirha wakho ngazo zonke iziyobisi ozisebenzisayo: Amayeza athengiswa ngaphandle kwemvume kagqirha, iivithamini, amayeza esintu, kunye nezongezo.
- Sixelele imbali yakho epheleleyo yezonyango: Sixelele ngokweenkcukacha ngazo naziphi na izifo onazo, naziphi na izinto ezibangela ukuba ungabi namdla kwizinto ezithile, kunye nokusetyenziswa kweziyobisi okanye utywala. Musa ukufihla nantoni na.
- Buza imibuzo yakho: Xoxa ngazo naziphi na izinto oza kuzoyika okanye amathandabuzo onawo malunga noku (Ulwazi nge-Anesthesia) nogqirha we-anesthesiologist.
- Ukuba ukhe wanamava anje ngaphambili, qiniseka ukuba uthi: Le yeyona nto ibalulekileyo. Emva koko iqela lezonyango linokuyinika ingqalelo ekhethekileyo.
Eyona nto ibalulekileyo kukuba, olu "lwazi nge-Anesthesia" alukho ngenxa yempazamo oyenzileyo. Yinto engaqhelekanga kakhulu.
Ndingenza ntoni xa ndicinga ukuba into efana nale indenzekele?
Ukuba ucinga ukuba kukho into oyikhumbulayo ngexesha lotyando okanye emva kwalo, xelela ugqirha wakho okanye umongikazi wakho ngoko nangoko . Baxelele yonke into oyikhumbulayo. Banokuyibhala phantsi kwirekhodi yakho yezonyango. Oku kuya kuba baluleke kakhulu kukhuseleko lwakho ukuba unolunye utyando kwixesha elizayo.
Akukho ntloni ukuthetha ngamava anje. Abalulekile kwimpilo yakho.
Umyalezo Wokuya Ekhaya
- Ukuba nengqiqo ngexesha lokubulala iintlungu, okanye "Ukwazi nge-Anesthesia", kunqabile kakhulu . Ngoko ke musa ukuyoyika ngokungeyomfuneko.
- Oku akukokuvuka ngokupheleleyo, kodwa luthotho lwemizuzu emifutshane yokuqonda.
- Ukuba uneenkxalabo okanye amathandabuzo malunga noku ngaphambi kotyando, thetha ngokukhululekileyo nogqirha we-anesthesiologist ngako.
- Qiniseka ukuba uxelela ugqirha wakho ngembali yakho epheleleyo yezonyango, onke amayeza owasebenzisayo, kunye nawo onke amava owakha wawafumana ngaphambili.
- Ukuba uvakalelwa kukuba oku kuyenzeka kuwe, yazisa ugqirha wakho ngoko nangoko. Musa ukuthandabuza ukufuna uncedo lwengqondo ukuba luyimfuneko.
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