Ukuba wena okanye umntu omaziyo uza kwenziwa utyando, usenokuba noloyiko okanye unomdla malunga "ne-analgesia." Enyanisweni yinkqubo ekhuselekileyo kakhulu, eyenziwa phantsi kweliso lengcali. Iindidi ezahlukeneyo zamayeza zisetyenziselwa ukubonelela nge-anesthesia (i-analgesia). Namhlanje, siza kuthetha ngeyeza elikhethekileyo eliphefumlelwa emzimbeni kwaye linceda ekunciphiseni iintlungu kwaye likugcine usempilweni kwaye ukhuselekile.
Yintoni iDesflurane?
Ngamafutshane, iDesflurane liyeza eliza likwimo yolwelo, kodwa xa lisetyenziswa, liguqulwa libe yigesi (umphunga) ngesixhobo esikhethekileyo kwaye livunyelwe ukuphefumlwa. Lisetyenziswa kakhulu njengeyeza lokuthomalalisa iintlungu. Oko kukuthi, linikwa ukuze likwenze ungazi nto kwaye ungeva ntlungu ngexesha lotyando okanye uvavanyo lwezonyango. Ungalibona eli yeza phantsi kwegama lebrendi iSuprane.
Eli asiloyeza elinikwa isilevu kuphela. Linikwa yingcali yokubulala iintlungu kwindawo elawulwayo, njengegumbi lotyando esibhedlele.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba unike eli yeza
Oku kubaluleke kakhulu kukhuseleko lwakho. Ingcali yokubulala iintlungu iza kukubuza ngezi zinto ngaphambi kokuba wenze utyando. Ngelo xesha, kubalulekile ukuba uthethe inyani ungafihli nto .
| Ngaba unazo ezi meko? | Kutheni oko kubalulekile? |
|---|---|
| Imbali yosapho enomkhuhlane omkhulu ngexesha lotyando lokubulala iintlungu (iMalignant Hyperthermia) | Le yindlela engaqhelekanga kodwa enobungozi kakhulu yokusabela xa uphathwa yi-anesthesia. Ukuba kukho umntu kusapho lwakho okhe waba nale nto, kubalulekile ukubaxelela. |
| Umhlaza wobuchopho okanye uxinzelelo entlokweni | Ekubeni olu hlobo lwe-anesthetics lunokutshintsha uxinzelelo lobuchopho, ugqirha kufuneka azi oku. |
| Isifo sentliziyo | Ngenxa yokuba la mayeza anokuchaphazela ukusebenza kwentliziyo, kubalulekile ukuba ugqirha wakho azi ngemeko yentliziyo yakho. |
| Isifo sesibindi | Ngenxa yokuba isibindi sidlala indima ebalulekileyo ekususeni amayeza emzimbeni, kubalulekile ukuba uqaphele isifo sesibindi. |
| Izifo ze-neuromuscular (umz. i-Duchenne Muscular Dystrophy) | Abantu abanezi meko banokusabela ngendlela eyahlukileyo kwi-anesthetics. |
| Ukunganyamezelani namayeza, ukutya, okanye idayi | Ukuba une-allergy kwiDesflurane okanye nakweyiphi na enye i-anesthetic, kubalulekile ukuba usazise. |
| Ukuba ukhulelwe okanye uzama ukukhulelwa | Kufuneka kuqatshelwe ngokukodwa xa kusetyenziswa naliphi na iyeza ngexesha lokukhulelwa. |
| Ukuba umntwana uncanciswa | Ufanele uthethe nogqirha wakho malunga nokuba iyeza lidluliselwa na kumntwana wakho ngobisi lwebele. |
Ndingayisebenzisa njani le yeza kwaye kuza kwenzeka ntoni emva koko?
Eli asiloyeza oza kulithatha uye nalo ekhaya ulisebenzise wedwa. Linikwa esibhedlele okanye ekliniki yingcali yokubulala iintlungu kunye nabasebenzi abaqeqeshiweyo . Uphefumla le gesi, ngesiqhelo ngemaski ebusweni bakho. Emva kwexesha elithile, uza kulala ungaziva nto de utyando luphele.
Ngaba eli yeza linokunikwa abantwana?
Ewe, kwezinye iimeko, eli yeza linikwa neentsana ezisandul’ ukuzalwa. Kodwa kuthathwa amanyathelo akhethekileyo okhuseleko. Ukuba umntwana wakho uza kutyandwa, thetha ngale nto nogqirha wezingane kunye nogqirha we-anesthesiologist.
Eyona nto ibalulekileyo kukuba isantya sentliziyo yakho, uxinzelelo lwegazi, kunye nokuphefumla kwakho kujongwe rhoqo ngoomatshini kulo lonke utyando, ngoko ke akukho sizathu sokoyika.
Amanye amayeza anokusebenzisana neDesflurane
Amanye amayeza owasebenzisayo anokuchaphazela le arhente yokuthomalalisa iintlungu. Ngoko ke, kufuneka uxelele ingcali yakho yokuthomalalisa iintlungu ngawo onke amayeza owasebenzisayo, kuquka neevithamini .
Iintlobo eziphambili zamayeza ekufuneka ukhathazeke ngazo zezi:
- Amayeza ezifo zengqondo ezifana nokudakumba kunye nokuxhalaba.
- Iipilisi zokulala.
- Ezinye iintlungu ezibuhlungu ezinamandla, ingakumbi amayeza eziyobisi.
- Amayeza anikwa ukuphumza izihlunu ngexesha lotyando (ii-neuromuscular blockers).
Kwakhona, ukuba usebenzisa utywala, icuba, okanye ezinye iziyobisi, qiniseka ukuba uxelela ugqirha wakho ngaloo nto.
Zeziphi iziphumo ebezingalindelekanga endinokuzifumana?
Njengakweminye imithi, iDesflurane inokubangela ezinye iziphumo ebezingalindelekanga. Uninzi lwazo zezokwexeshana. Nangona kunjalo, kukho izinto ekufuneka uziqaphele. Olu lwazi alujoliswanga kukoyikisa, kodwa kukukufundisa.
| Isiphumo/impawu | Inkcazo kunye nento omawuyenze |
|---|---|
| Iimpawu omele uzixele kugqirha wakho okanye kumongikazi wakho ngoko nangoko | |
| Iimpendulo eziqatha ze-allergy | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe, okanye ulwimi. Oku kufuneka kuxelwe ngoko nangoko. |
| Ubunzima bokuphefumla | Ubunzima bokuphefumla, ukuphefumla kancinci, njl. |
| Iimpawu zomonakalo wesibindi | Umchamo omnyama, ukutyheli kwamehlo okanye ulusu (i-jaundice), iintlungu kwicala eliphezulu lasekunene lesisu, kunye nokuziva umkhuhlane. |
| Utshintsho kwisantya sentliziyo | Ukuziva ngathi intliziyo yakho ibetha ngokukhawuleza okanye ngendlela engaqhelekanga. |
| Isiyezi okanye i-vertigo | Ukuziva ubuthathaka, isiyezi, kunye nokuquleka. |
| Iimpawu eziqhele ukuba zimbi kakhulu, kodwa kufuneka zixelwe kugqirha ukuba ziyaqhubeka | |
| Ukukhwehlela | Ukukhwehlela okwethutyana okunokwenzeka emva kokubulala i-anesthesia. |
| Ukozela | Kuqhelekile ukuziva ulele usuku okanye ezimbini emva kokusebenzisa i-anesthesia. |
| Isicaphucaphu nokuhlanza | Esi sisiphumo esiqhelekileyo. Oogqirha baza kunika amayeza afunekayo. |
Kubalulekile: Ukuba ufumana naziphi na iziphumo ebezingalindelekanga ezibi emva kokuba ubuyele ekhaya uvela esibhedlele, yiya kwangoko kwiSebe leNgxamiseko (i-ETU) lesibhedlele esikufutshane. Ukuba unamathandabuzo, ungatsalela umnxeba iZiko loLwazi lweeTyhefu leSizwe kwiSibhedlele sikaZwelonke saseColombo ukuze ufumane ingcebiso.
Umyalezo Wokuya Ekhaya
- I-Desflurane sisithomalalisi sokuphefumla esisetyenziselwa ukuphelisa iintlungu ngexesha lotyando.
- Oku kunikwa esibhedlele kuphela, phantsi kweliso lengcali yokubulala iintlungu.
- Ngaphambi kotyando, qiniseka ukuba uxelela ugqirha wakho ngazo zonke iimeko zakho zempilo kunye nawo onke amayeza owasebenzisayo.
- Emva kokusebenzisa i-anesthesia, kuphephe ukuqhuba okanye ukusebenzisa oomatshini, kuba ubuthongo kunye nesiyezi zinokubakho. Kuphephe ngokupheleleyo utywala.
- Emva kokuphuma esibhedlele, ukuba kuvela iimpawu ezinzulu ezifana nobunzima bokuphefumla, ii-allergy ezinzima, okanye ukutyheli kolusu, funa ingcebiso kagqirha ngoko nangoko okanye uye kwi-ETU ekufutshane.
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