Ngaba wakha watyandwa? Okanye kukho umntu kusapho lwakho owakha watyandwa? Kukho iqela leengcali ezinokukulalisa ngokupheleleyo ukuze ungaziva iintlungu, okanye ungabi nantlungu kwinxalenye yomzimba wakho, akunjalo? Namhlanje, siza kuthetha ngecandelo elibonelela ngaloo nkonzo ibalulekileyo, kodwa asithethi kakhulu ngayo. Ngokukodwa, siza kuthetha "ngabaNgcali be-Anesthetists abaNgcali", abafumana uqeqesho olukhethekileyo koku kwamanye amazwe.
Ngubani uMongikazi oNcedisayo?
Ngamafutshane, lo ngugqirha oqeqeshwe ngokukodwa ukunika izigulane i-anesthesia ukuze zingaziva iintlungu ngexesha lotyando okanye ezinye iinkqubo zonyango. Bakwaziwa ngokuba zii-Certified Registered Nurse Anesthetists (CRNAs).
ESri Lanka, lo msebenzi wenziwa kakhulu ziingcali zokubulala iintlungu. Oko kukuthi, oogqirha abaye bafunda nge-anesthesia iminyaka eliqela emva kwesidanga sabo sezonyango baza bafumana ulwazi olukhethekileyo. Nangona kunjalo, kumazwe afana ne-United States, abahlengikazi abaqeqeshwe ngokukodwa nabo bavumelekile ukwenza lo msebenzi. Izifundo zibonise ukuba ukhuseleko, umgangatho kunye neziphumo zeenkonzo zokubulala iintlungu ezinikezelwa ngamaqela omabini zikwinqanaba elifanayo . Ke ngoko, nabani na owenza lo msebenzi, kubalulekile ukuba ahlangabezane nenqanaba eliphezulu loqeqesho kunye neziqinisekiso.
Benza ntoni kanye kanye aba bantu?
Umsebenzi we-anesthesiologist unzima kakhulu kunokuba unokucinga. Asikuko nje "ukukunika i-sedative." Luxanduva lwabo ukukugcina ukhuselekile kwaye ukhululekile ngexesha lotyando lwakho.
Ngaphambi kotyando, ingcali yokubulala iintlungu iza kudibana nawe ize ikubuze ngempilo yakho, amanye amayeza owasebenzisayo, kunye nazo naziphi na ii-allergies onokuba nazo. Baza kuchaza nohlobo lwe-anesthesia oza kunikwa, iingozi zayo, kunye nemiphumo emibi.
Ngexesha lotyando, baza kuqhubeka bejonga iimpawu zakho ezibalulekileyo , ezifana nokubetha kwentliziyo yakho, ubushushu bomzimba, uxinzelelo lwegazi, kunye nokuphefumla . Baza kulungisa umthamo we-anesthesia njengoko kufuneka ukuze uhlale uzinzile. Emva kotyando, baza kukunyamekela ude ubuyele engqondweni kwaye imeko yakho iphucuke.
Kukho iintlobo ezininzi eziphambili ze-anesthesia. Eyona ndlela ifanelekileyo iya kuxhomekeka kuhlobo lotyando lwakho kunye nemeko yakho yempilo.
| Uhlobo lwe-Anesthesia | Kwenzeka ntoni kuyo? |
|---|---|
| I-Anesthesia Jikelele | Kule meko, uya kuba ulele ngokupheleleyo. Awuyi kuva okanye ukukhumbula nantoni na ngexesha lotyando. Ngenxa yesi sizathu, amayeza aya kunikwa ngokuwaphefumla (ngemaski) okanye nge-cannula efakwe emthanjeni (IV - Intravenous). |
| I-Anesthesia yeSithili | Kule meko, yindawo yomzimba otyandwayo kuphela evalwe yiminwe. Umzekelo, ukuba utyandwa engalweni yakho, ingalo yakho kuphela evalwe yiminwe, okanye ukuba utyandwa emlenzeni wakho, umqolo wakho ongezantsi kuphela ovalwe yiminwe. I-epidural enikwa ngexesha lokubeleka nayo iwela kolu didi. Usengqondweni, kodwa awuziva iintlungu. |
| Ukuthomalalisa | Oku kukwenza ulale kancinci okanye uphumle. Kunciphisa uloyiko lwakho kunye nexhala kwaye kukwenze uzive ukhululekile. Le ndlela isetyenziswa rhoqo kwiimvavanyo ezifana ne-Endoscopy kunye neColonoscopy. Kukho amanqanaba aliqela apha: - Ukuzola okuncinci: Uza kuziva ukhululekile kwaye ulele. - Ukulala okuPhakathi: Usenokuziva ulele, kodwa ungavuswa lula ukuba kuyimfuneko. - Ukulala nzulu: Uza kulala ubuthongo obunzulu kwaye awuyi kukhumbula unyango. |
Zifuneka nini iinkonzo ze-anesthesia?
I-anesthesia yindawo ebaluleke kakhulu esivumela ukuba sifumane unyango ngokukhuselekileyo nangaphandle kwentlungu.
Kukho iimeko ezininzi eziphambili apho ezi nkonzo zifuneka khona.
Kwiinkqubo zotyando kunye novavanyo lwezonyango
Ukususela kutyando oluncinci olufana neetyhubhu zendlebe ukuya kutyando olukhulu olufana nokutshintshwa kwesinqe, i-anesthesia ibalulekile kuyo nayiphi na inkqubo yotyando. Ikwasetyenziswa kwizinto ezifana nokukhupha amazinyo kunye notyando lweplastiki. I-sedation ikwasetyenziselwa ukunciphisa ukungonwabi ngexesha leenkqubo ezifana ne-endoscopy okanye i-colonoscopy.
Ngexesha lokubeleka
I-anesthesia yengingqi iluncedo kakhulu ekulawuleni iintlungu ngexesha lokubeleka. Eyona isetyenziswa kakhulu yi -epidural.Kule ndlela, amayeza okuthomalalisa iintlungu anikwa rhoqo ngetyhubhu encinci kakhulu (i-catheter) efakwe kumjelo womqolo. Oku kuvumela umama ukuba athathe inxaxheba ekuzalweni ngabom kwaye ngaphandle kwentlungu. Ukuba kufuneka utyando lwe-Caesarean, le ndlela ngamanye amaxesha inokusetyenziswa nakwelo. Ngaphandle koko, utyando lwe-Caesarean lwenziwa kusetyenziswa inaliti enye yeentlungu zomqolo (i-spinal anesthesia). Kwimeko yengxamiseko, aba ngcali bakulungele ukufaka umama phantsi kwe-anesthesia ngokubanzi ngokukhawuleza.
Ulawulo lweentlungu ezingapheliyo
Abanye oogqirha be-anesthesiologists bakwanceda ekwenzeni izicwangciso zokulawula iintlungu kwizigulana ezineentlungu ezingapheliyo, kubandakanya iinaliti, amayeza, kunye nonyango lomzimba.
Umyalezo Wokuya Ekhaya
- I-anesthesia yinkqubo yezonyango ekhuselekileyo kakhulu ekunceda ukuba wenze utyando kunye nolunye unyango ngaphandle kwentlungu.
- Le nkonzo inikezelwa ziingcali eziqeqeshwe kakuhle ezifana neengcali zokubulala iintlungu okanye iingcali zokubulala iintlungu eziqeqeshwe ngokukodwa.
- Baza kukhetha indlela yokubulala iintlungu (ngokubanzi, ngokwengingqi, okanye ngokuthomalalisa) ekufaneleyo, kuxhomekeke kwimeko yakho yempilo kunye nonyango oluqhutywayo.
- Bakubeka esweni kakhulu ngaphambi, ngexesha, nasemva konyango ukuqinisekisa ukhuseleko lwakho.
- Ukuba unemibuzo, unamathandabuzo, okanye unemibuzo malunga ne-anesthesia, zive ukhululekile ukuyixoxa nogqirha wakho okanye ingcali ye-anesthesia. Bazimisele ukuphendula yonke imibuzo yakho.
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