Ngaba ungaphinda ubuyele engqondweni ngexesha lotyando? (Ulwazi nge-Anesthesia) Makhe sithethe ngayo!

Ngamanye amaxesha siziva soyika kancinci ngaphambi kokuba siye kutyando, oko kukuthi, utyando, akunjalo? Enye yezona zinto zixhalabisayo kwabanye kukuba, "Kuthekani ukuba ngequbuliso ndibuya engqondweni ndiphantsi kwe-anesthesia?" Nangona oku kuyinto engaqhelekanga, kubaluleke kakhulu ukuba mna nawe sikuqaphele oku. Makhe sithethe ngale nto ngokweenkcukacha namhlanje.

Yintoni i-Anesthesia Awareness?

Ngamafutshane, i-Anesthesia Awareness yinkqubo yokuba ungabikho zingqondweni ngokupheleleyo ngexesha lotyando, oko kukuthi, phantsi kwe-anesthesia jikelele , uze ubuyele ezingqondweni okwethutyana. Kodwa oku akufani 'nokuvuka' nje. Ngamava ahluke kancinci. Kungavakala ngokwahlukileyo kubantu abahlukeneyo. Cinga ngale ndlela:

• Kungathi uyaziva izandi zabantu abathetha kufutshane nawe kunye nezandi zezixhobo kwigumbi lokutyanda.
• Kungafana nokubona iphupha, njengokuba kwihlabathi lamaphupha.
• Ungavuka ngequbuliso uze ungaziboni ushukuma okanye uthetha. Oku kungaba ngamava othusayo.
• Ngamanye amaxesha umzimba uziva uxinzelelo, kwaye kunqabile kakhulu ukuba kubekho ithuba elincinci lokuva iintlungu.

Eyona nto ibalulekileyo kukuba le meko `(Ulwazi nge-Anesthesia)` yenzeka kuphela kwiindlela zotyando ezenziwa phantsi kwe-`(General Anesthesia)`. Oku akwenzeki kwezinye iindlela ze-anesthesia, oko kukuthi, `(Local Anesthesia)` evala izandla neenyawo zakho, `(IV Sedation)` ekwenza uzive unxilile kancinci, okanye `(Twilight Sleep)` iindlela. Kuba, `(General Anesthesia)` kuxa nezinto ezenzeka ngokuzenzekelayo emzimbeni wakho, ezinje ngokuphefumla, zilawulwa ngoomatshini. Kwezinye iindlela, unenqanaba elithile lokuqonda, unokuphefumla wedwa, kwaye ungathetha neqela lezonyango ukuba kuyimfuneko.

Kunokwenzeka kangakanani oku?

Ngoku usenokuba ucinga, "Wow, ngaba oku kuyenzeka kubantu abaninzi?" Hayi, akunjalo konke konke. Enyanisweni, olu hlobo lolwazi nge-anesthesia aluqhelekanga kakhulu. Kunzima ukunika iinkcukacha-manani ezichanekileyo. Kuba abanye abantu basenokungakhumbuli kakuhle okwenzekileyo de kube yiveki okanye ezimbini emva kotyando. Abanye banokuba nalo mava ngoko nangoko, kodwa basenokungabaxeleli oogqirha babo ngako.

Kodwa ngokwezifundo ezininzi, olu hlobo lwamava lwenzeka kutyando olunye okanye ezimbini kuphela kwi-1,000 (ngaphantsi kwe-0.2%) . Ngoko ke uyayiqonda le ngcamango, akunjalo? Kunqabile kakhulu.

Kutheni oku kusenzeka? Zithini izizathu?

Kufunyaniswe ukuba kukho izizathu ezintathu eziphambili zokuba kutheni olu lwazi malunga nokubulala iintlungu lunokwenzeka:

1. Ukungabikho ngokwaneleyo kwamayeza:Oku kwenzeka xa ingcali yokubulala iintlungu inganiki ntlungu yaneleyo. Oku kwenzeka rhoqo ngexesha lotyando olungxamisekileyo. Umzekelo, ngexesha lotyando olungxamisekileyo lwentliziyo, utyando lotyando , okanye utyando olwenziwa ngokukhawuleza emva kweengozi ezinkulu. Kwiimeko ezinjalo, kusenokungabikho xesha lininzi lokujonga ngononophelo izinga le-anesthesia, njengoko ubomi besigulana kufuneka busindiswe.

2. Iimfuno ezahlukeneyo ze-anesthesia: Kulapho i-anesthesiologist inika khona umlinganiselo oqhelekileyo wamayeza, kodwa umntu ufuna umlinganiselo owahlukileyo. Asingomzimba womntu wonke ofanayo. Oku kunokwenzeka ngakumbi kubantu abaxhalabileyo kakhulu ( aboyika kakhulu ngaphambi kotyando), abo baneengxaki zokusebenzisa iziyobisi, kunye nabo banamava okwazi nge-anesthesia ngaphambili.

3. Ukungasebenzi kakuhle komatshini we-anesthesia: Oku kunokwenzeka ukuba oomatshini be-anesthesia kwigumbi lokutyanda abasebenzi kakuhle, okanye ukuba abasebenzi bezonyango abazijongi kakuhle izixhobo ngaphambi kotyando. Nangona kunjalo, oku kukwayinto engaqhelekanga , njengoko izibhedlele zinyamekela kakhulu ukugcina ezi zixhobo.

Ngubani osengozini enkulu?

Nangona le ngozi iphantsi kakhulu kumntu wonke, abanye abantu banokuba semngciphekweni omkhulu wokufumana ulwazi nge-anesthesia. Oku kungenxa yezizathu ezifana nezi:

• Ukuba ungumntu otshayayo .
• Ukuba unezifo ezingapheliyo ezingaphezulu kwesinye (iimeko ezininzi zempilo) (umz. isifo seswekile, uxinzelelo lwegazi oluphezulu).
• Ukuba unengxaki yokuphefumla (umz. izifo zokuphefumla ezifana ne-asthma, isifo semiphunga).
• Ukuba ukhe wakha wanengxaki yokusebenzisa iziyobisi (SUD) ngaphambili .

Kwakhona, le ngozi inokuba phezulu kancinci kuneminye kwiindlela ezithile zotyando apho kungakhuselekanga ukusebenzisa i-anesthesia jikelele. Umzekelo:

• Utyando lwe-Cesarean (C-sections): Inqanaba le-anesthesia lilawulwa ngononophelo ukuqinisekisa ukhuseleko lukamama nosana.
• Utyando lwentliziyo: Olu lutyando oluntsonkothileyo.
• Utyando olungxamisekileyo lokunyanga ukwenzakala okanye ukulahleka kwegazi: Oku kungenxa yokuba ukusindisa ubomi besigulana yeyona nto iphambili apha.

Ngaba uziva iintlungu xa uqaphela ukuba kukho i-anesthesia?

Lo ngumbuzo abantu abaninzi abawoyikayo. Kodwa iindaba ezimnandi zezokuba kunqabile kakhulu ukuva iintlungu ngexesha lolwazi nge-anesthesia.Nangona kunjalo, kubalulekile ukukhumbula ukuba oku akunakwenzeka. Nangona abantu abaninzi bekhumbula izinto ezifana nokuva izandi ezibangqongileyo kunye nokuva iincoko, abanye banokukhumbula umphimbo obuhlungu ovela kwityhubhu yokufunxa okanye indawo yokusikwa ebuhlungu emva kotyando.

Ngaba oku kunokuba nemiphumo yexesha elide?

Ayingabo bonke abantu abanamava olwazi nge-anesthesia abaya kuba nemiphumo yexesha elide. Nangona kunjalo, kwiimeko ezinzima, oko kuthetha ukuba ukuba amava ayoyikisa kakhulu, abanye abantu banokuba nezi meko zengqondo:

• Ixhala
• Uxinzelelo
• Iingxaki zokulala ezifana namaphupha amabi rhoqo (i-Nightmare disorder)
• Ingxaki Yoxinzelelo Emva Kwengozi (PTSD) : Le yimeko yengqondo eyenzeka emva kwesiganeko esibuhlungu kakhulu.

Abantu abanezi ngxaki banokuba nomuzwa wokungabi nakuzinceda. Ngenxa yoko, banokude baphephe ukuya kugqirha. Oku kwandisa umngcipheko wokuba nezinye iingxaki zempilo. Ukuba ukhe waba nalo olu lwazi, ukufuna uncedo kwingcali yezengqondo okanye yezengqondo kunokukunika isiqabu esikhulu kwaye kuphucule umgangatho wobomi bakho.

Ngaba oogqirha bayakwazi ukukubona oku? Ngexesha lotyando?

Nangona oogqirha benokwazi ukuba unikwe i-anesthesia, okanye uthomalaliswe yi-sedative , akunakwenzeka rhoqo ukuba uqiniseke ukuba usezingqondweni ngokupheleleyo okanye awukho zingqondweni .

Iingcali zokubulala iintlungu ziya kuhlala zijonga iimpawu zakho ezibalulekileyo – ezinje ngoxinzelelo lwegazi , izinga lokuphefumla , kunye nobungakanani bomfundi – ukuze zibone inqanaba lakho lokuthomalalisa. Kodwa ukulinganisa ingqondo kunzima ngakumbi. Ngenxa yokuba amayeza asetyenziselwa i-anesthesia ngokubanzi achaphazela inkqubo yakho yemithambo-luvo ezimeleyo (elawula yonke into eyenzekayo emzimbeni wakho), awuyi kukwazi ukushukuma okanye ukuthetha. Ngoko ke, akulula ukulinganisa ingqondo njengokuba kunjalo ukulinganisa inqanaba le-anesthesia.

Nangona kunjalo, ngetekhnoloji ephucukileyo, kukho izixhobo ezikhethekileyo ezinokulinganisa umsebenzi wombane engqondweni yakho ngexesha lotyando kwaye zincede ekufumaneni umbono wenqanaba lakho lokuqonda.

Okokuqala, ugqirha wakho angakuthatha i- electroencephalogram (EEG) yobuchopho bakho. Kolu vavanyo, kubekwa ii-sensors ezincinci eluswini lwentloko yakho.Zininzi eziqhotyoshelweyo. Ezi sensor zifumana imiqondiso yombane esuka engqondweni yakho. Ezi ziphumo (ze-EEG) zidityaniswe nezinye iindlela zokubeka esweni ukwenza izigqibo. Ezinye zezi ndlela zezi:

• Ukubeka esweni iBispectral Index™ (BIS): Uphando lubonisa ukuba esi sesinye sezona zixhobo zithembekileyo zokulinganisa ukuba uthomalaliswe kakuhle kangakanani. Sirekhoda ukufundwa kwe-EEG yakho kwaye sikunike inani eliphakathi kwe-zero kunye ne-100. Okukhona inani liphantsi, kokukhona i-anesthesia inzulu . Injongo ye-anesthesia ngokubanzi kukugcina eli nani liphakathi kwama-40 nama-60.
• Isixhobo sokujonga ii-Auditory Evoked Potentials (AEP): Esi sixhobo sirekhoda kwaye sihlalutye umsebenzi wombane kwi -brainstem yakho nakwi -cerebral cortex . Ugqirha ufaka ii-headphones ezindlebeni zakho aze adlale izandi ezithile. Esi sixhobo emva koko sihlalutya impendulo yengqondo yakho size sikunike inani ukusuka kwi-zero ukuya kwi-100. Nalapha, okukhona inani liphantsi, kokukhona i-anesthesia inzulu.
• I-Narcotrend®: Njenge-BIS, i-Narcotrend isebenzisa iziphumo zakho ze-EEG ukuqikelela ubunzulu be-anesthesia. Ilinganisa iziphumo zakho kwisikali soonobumba abathandathu (u-A ukuya ku-F) kunye nenani (u-zero ukuya kwikhulu). Iziphumo zingaqala "ekuvukeni" ukuya "ekuthuleni kombane" (oko kuthetha ukuba umsebenzi omncinci kakhulu wobuchopho).

Oogqirha bayixilonga njani le nto emva kotyando?

Eyona ndlela ilungileyo yokufumanisa ukuba ukhe waba namava okwazi nge-anesthesia kukuba ugqirha wakho akubuze imibuzo ngayo emva kotyando lwakho. Indlela eqhelekileyo esetyenziswayo koku yiBrice Interview . Ibuza imibuzo embalwa emifutshane efana nale:

• "Yintoni yokugqibela oyikhumbulayo ngaphambi kokuba utyando luqale?"
• "Yintoni yokuqala oyikhumbulayo emva kotyando?"
• "Ingaba kukho into oyikhumbulayo ngexesha lotyando?"
• "Ngaba ubuphupha ngexesha lotyando?"

Oogqirha banokufumana icebo ngokusekelwe kwiimpendulo zakho kule mibuzo.

Ngaba kukho into esinokuyenza ukuthintela ulwazi malunga ne-anesthesia?

Ewe, ukuba ukhathazekile ngale Anesthesia Awareness, qiniseka ukuba uthetha nomboneleli wakho weenkonzo zokuncedisa i-anesthesia ngayo. Baza kukuchazela amanyathelo onokuwathatha ukunciphisa umngcipheko wokuba oku kwenzeke. Kukwakho nezinto onokuzenza:

• Onke amayeza owathathayo (owayalelwe ngugqirha wakho kunye nalawo uwathengayo kwikhemesti), izongezoXelela ugqirha ngazo naziphi na izongezo (ezifana neevithamini, amayeza e-Ayurvedic).
• Xoxa ngembali yakho epheleleyo yezonyango (izifo zangaphambili, utyando, ii-aleji, njl.njl.) nogqirha wakho ngokweenkcukacha.
• Babuze ngayo nayiphi na imibuzo okanye amathandabuzo onawo. Musa ukuba neentloni.
• Eyona nto ibalulekileyo: Ukuba wakha waziva unolwazi nge-anesthesia ngaphambili, qiniseka ukuba uxelele ugqirha wakho.
• Ziphephe izinto ezinobungozi ezaziwayo ( umz. ukutshaya) kangangoko unako.

Khumbula, ukuqonda nge-anesthesia akuyonto oyenzileyo ngendlela engafanelekanga. Kuyenzeka ngamanye amaxesha, kwaye iingcali zisaphanda ngezizathu zoku.

Kuthekani ukuba ndinolwazi nge-anesthesia?

Khawuthelekelele ukuba ukhe waba namava anjalo. Wakuba nje ukwazi ngaloo nto, xelela ugqirha wakho (umboneleli wezempilo) okanye umongikazi ngayo. Baxelele zonke iinkcukacha ozikhumbulayo (oko ukuvileyo, oko ukuvileyo). Ugqirha unokurekhoda eso siganeko kwiirekhodi zakho zonyango, kwaye ukuba kufuneka uphinde wenze i-anesthesia kwixesha elizayo, thabatha unonophelo olukhethekileyo kwaye uthathe amanyathelo okunciphisa umngcipheko wokwazi.

Liyintoni ikamva labo baye banamava okwazi nge-anesthesia?

Kuxhomekeke kakhulu kwiimeko kunye nobunzima beziphumo. Umzekelo, umntu okhumbula inxalenye yebali ngexesha lotyando usenokungabi naziphumo ebezingalindelekanga ezikhathazayo. Nangona kunjalo, umntu oziva iintlungu okanye oqonda kakuhle indawo akuyo unokufumana iingxaki zengqondo ezinzulu ngakumbi, ezihlala ixesha elide.

Nangona kunjalo, uninzi lwezigulane eziye zaqaphela ukusetyenziswa kwe-anesthesia zinokufumana i-anesthesia kwakhona ngokukhuselekileyo kwixesha elizayo. Umngcipheko wokuba ingenzeki kwakhona uphantsi kakhulu. Oogqirha balumkile ngakumbi kuba bayazi ngamava angaphambili.

Ukuba ukhe wahlangabezana nale nto, thetha ngokukhululekileyo nogqirha wakho malunga nendlela echaphazela ngayo ubomi bakho bemihla ngemihla. Banokukuthumela kwingcali yezengqondo okanye kwingcali yezengqondo , enokwenza uvavanyo olufunekayo kwaye inike iingcebiso ezifanelekileyo kunye nonyango.

Ingcinga yokuvuka ngexesha lotyando iyoyikeka kangangokuba kuye kwenziwa neemuvi ezininzi ngayo. Nangona ukwazi nge-anesthesia kuyinto engaqhelekanga, ukoyika oko kuqhelekile phakathi kwabaninzi, kwaye yinto esezingqondweni zethu. Imiphumo yengqondo yexesha elide yayo akufuneki ithathwe lula. Kwaye, ayisiyongcinga ilungileyo ukuphepha ukwenza utyando olufunekayo ngenxa yolo loyiko. Iingcali ze-anesthesia zisebenzisa izixhobo zokubeka esweni eziphambili ukuthintela oku ukuba kungenzeki.isetyenzisiwe. Kwakhona, izazinzulu ziyaqhubeka nophando lokuba kutheni oku kwenzeka kwabanye abantu kungekhona kwabanye. Ukuba ukhe waba nalo mava - okanye ukhathazekile ukuba kusenokwenzeka kuwe - thetha nogqirha wakho we-anesthesiologist. Banokukwazi ukukuphumza ingqondo.

Zeziphi izinto ezibalulekileyo esifanele sizithathele ekhaya kweli bali?

Kulungile, nazi izinto ekufuneka uzikhumbule koko sithethe ngako:

• Ukwazi nge-Anesthesia yinto engaqhelekanga. Musa ukuyoyika ngokungeyomfuneko.
• Ngaphambi kokuba wenze utyando , qiniseka ukuba uxoxa ngembali yakho epheleleyo yezonyango, amayeza owasebenzisayo, kunye naluphi na uloyiko okanye iinkxalabo onokuba nazo nogqirha wakho we-anesthesiologist.
• Ukuba ukhe wadibana nale nto ngaphambili, ndixelele ngokuqinisekileyo. Musa ukuyifihla.
• Ngelixa uphantsi kwe-anesthesia, oogqirha basebenzisa izixhobo ezikhethekileyo ukujonga imeko yakho.
• Ukuba ukhe waba namava anje, kwaye anempembelelo engqondweni, ungathandabuzi ukufuna ingcebiso yezengqondo. Iya kukunceda kakhulu.
• Musa ukulibazisa ukufumana unyango okanye utyando olufunekayo ngenxa yolu loyiko. Iqela lakho lezonyango lixhalabele kakhulu ukhuseleko lwakho.

Ngoko ke, ndiyathemba ukuba olu lwazi luluncedo kuwe. Hlala usempilweni!

Unyango lokubulala iintlungu, ulwazi nge-anesthesia, utyando, utyando, ukuchacha, utyando, i-anesthesiologist