Wake wahlinzwa, okungukuthi, ukuhlinzwa? Noma uhlela ukwenza okunye esikhathini esizayo? Uma kunjalo, okunye kokwesaba kwakho okukhulu kungaba ukuthi, 'Kuthiwani uma ngivuka ngesikhathi sokuhlinzwa?' Lokhu kwesaba kwandiswa iqiniso lokuthi amanye ama-movie abonisa izinto ezinjengalezi. Ngakho-ke namuhla, ake sixoxe ngokuthi lokhu kungenzeka ngempela yini, ukuthi kusho ukuthini ngokwezokwelapha, nokuthi yini okudingeka sikwazi ngakho.
Kuyini ngempela Ukuqwashisa Nge-Anesthesia?
Kalula nje, lokhu kwenzeka lapho umuntu ethola izinga elithile lokuqwashisa ngesikhathi sokuhlinzwa ngaphansi kwe-anesthesia ejwayelekile. Kodwa kuhluke kancane kulokho esivame ukukubiza ngokuthi "ukuvuka." Esikhundleni sokuba nengqondo egcwele, kufana nokuba nezikhathi ezimfushane zokuqwashisa. Lokhu okuhlangenwe nakho kungahluka kuye ngomuntu nomuntu.
Umuntu obhekene nalesi simo ngesikhathi sokuhlinzwa angase abhekane nalokhu okulandelayo:
- Ukuzwa okwenzekayo eduze kwakho, lokho odokotela abakushoyo.
- Kufana nokuba sephusheni.
- Kungazelelwe ngiphinde ngiqaphele futhi ngiqaphela ukuthi awukwazi ukunyakaza noma ukukhuluma.
- Ukuzwa ukucindezeleka okuthile emzimbeni, futhi kwezinye izimo ezingavamile kakhulu, ukuzwa ubuhlungu .
Okubalulekile, lesi simo senzeka kuphela ngesikhathi sokuhlinzwa ngaphansi kwe-anesthesia ejwayelekile . Ezinye izinhlobo ze-anesthesia, njengokufaka izandla nezinyawo zakho enkingeni, i-IV sedation, noma "ukulala ebusuku," azikwenzi lokho. Ngenxa yokuthi lezo zindlela azilawuli imisebenzi yomzimba wakho ezenzakalelayo (njengokuphefumula), usengaphefumula wedwa futhi ukhulume nodokotela wakho uma kudingeka.
Kuvamile kangakanani lokhu? Ingabe kufanele sesabe ngempela?
Empeleni lokhu kuyinto engavamile kakhulu . Ngakho-ke asikho isidingo sokukhathazeka ngokungadingekile ngakho. Kodwa kunzima ukusho ukuthi lokhu kwenzeka kubantu abangaki ngempela. Isizathu ukuthi abanye abantu abakhumbuli ukuthi kwenzeka kuze kube yisonto noma amabili ngemva kokuhlinzwa. Abanye bayakukhumbula ngokushesha, kodwa abatsheli odokotela babo ngakho.
Ucwaningo luthole ukuthi lesi simo senzeka ekuhlinzweni okukodwa noma okubili kuphela kwabayi-1,000. Lokho kungaphansi kuka-0.2% wamacala . Ngakho ungabona ukuthi lokhu kungavamile kangakanani.
Kulungile, kungani lokhu kwenzeka? Yiziphi izizathu?
Lesi simo "sokuqwashisa nge-Anesthesia" singabangelwa yizizathu ezintathu eziyinhloko. Ake sibone ukuthi ziyini ngokucacile.
| Isizathu | Kuchazwe kalula |
|---|---|
| Imithi yokubulala izinzwa enganele | Lokhu kwenzeka lapho udokotela wezinzwa enganiki isiguli imithi eyanele. Lokhu kuvame ukwenzeka ngesikhathi sokuhlinzwa okuphuthumayo. Isibonelo, ukuhlinzwa kwenhliziyo, ukuhlinzwa (ukuhlinzwa kwe-C), noma ukuhlinzwa ngemva kwengozi enkulu. |
| Izidingo zomzimba wesiguli ezishintshayo | Ezinye iziguli zingase zingakwazi ukubekezelela inani elivamile lemithi yokubulala izinzwa. Le ngozi iphezulu kakhulu kulabo abanesifo sengqondo esibi kakhulu, labo abayimilutha yezidakamizwa noma utshwala, kanye nalabo abaye baba nokuhlangenwe nakho okufanayo esikhathini esidlule. |
| Amaphutha emishinini yokubulala izinzwa | Nakuba kungenzeki njalo, ngezinye izikhathi lokhu kungenzeka uma kunenkinga ngemishini yokubulala izinzwa noma uma ingahlolwanga kahle ngaphambi kokuhlinzwa. |
Ubani osengozini enkulu yalesi simo?
Abanye abantu banamathuba amaningi okubhekana nalesi simo (Ukwazi Nge-Anesthesia) kunabanye.
- Kwababhemayo
- Kulabo abanezinkinga eziningi zezokwelapha ngesikhathi esisodwa
- Kulabo abanenkinga yokuphefumula (njengezifo zokuphefumula)
- Kulabo abanomlando wokulutheka kwezidakamizwa noma utshwala (Isifo Sokusetshenziswa Kwezidakamizwa - SUD)
Futhi, le ngozi ingase yande kancane kwezinye izinhlinzeko lapho kungaphephile khona ukunikeza i-anesthesia ejwayelekile.
- Ukuhlinzwa (ukuhlinzwa kwe-C)
- Ukuhlinzwa kwenhliziyo
- Ukuhlinzwa okuphuthumayo ngenxa yengozi noma ukopha ngokweqile
Ingabe uzwa ubuhlungu ngalesi sikhathi? Ingabe ikhona imiphumela yesikhathi eside?
Lena inkinga enkulu kubantu abaningi. Ukuzwa ubuhlungu kuyinto engavamile kakhulu., kodwa akuyona into engenakwenzeka. Nakuba abantu abaningi bekhumbula imisindo yokuzwa, abanye baye babika ukuthi bazizwa umphimbo obuhlungu noma ubuhlungu endaweni yokusikwa ngenxa yepayipi lokufaka ipayipi.
Akuwona wonke umuntu obhekana nalolu lwazi ozothola imiphumela yesikhathi eside. Kodwa-ke, uma lolo lwazi lunzima, abanye abantu bangase babe nezinkinga zengqondo ezifana nalezi:
- Ukukhathazeka
- Ukucindezeleka
- Isiphithiphithi esibi
- Isifo Sokucindezeleka Ngemva Kokuhlukumezeka (PTSD)
Uma kuvela lezi zinkinga zengqondo, bangase besabe ukubona odokotela noma ukuya ezibhedlela. Bese kuba khona ithuba lokuthi ezinye izifo zabo ngeke zelashwe. Ngakho-ke, uma uhlangabezana nesimo esifanayo, ukuhlangana nodokotela wezifo zengqondo noma umeluleki nokukhuluma ngakho kuzoba amandla amakhulu empilweni yakho.
Odokotela abakwazi yini ukukuthola lokhu ngesikhathi sokuhlinzwa?
Lona umbuzo oyinkimbinkimbi kancane. Odokotela bezifo zokubulala izinzwa bangabona ngokuqinisekile ukuthi ungaphansi kwe-anesthesia. Lokhu bakwenza ngokuqapha izimpawu zakho ezibalulekile - izinto ezifana nomfutho wegazi lakho, izinga lokuphefumula, kanye nosayizi wamehlo akho.
Kodwa-ke, kunzima kancane ukulinganisa ukuthi uphapheme noma cha. Ngenxa yokuthi imithi yokubulala izinzwa yenze umzimba wakho waba ndikindiki futhi awukwazi ukukhuluma, akunakwenzeka ukukubuza ukuthi uphapheme ngendlela evamile.
Kodwa manje sekukhona amasu esimanje angasiza ngalokhu. Lezi zindlela zingalinganisa ukusebenza kukagesi kobuchopho bakho ngesikhathi sokuhlinzwa. Ngale ndlela, singalinganisa ukuthi unolwazi olungakanani.
- I-Electroencephalogram (EEG): Lokhu kuhilela ukunamathisela izinzwa ezincane ekhanda lakho nokuqapha amaphethini kagesi obuchopho bakho.
- I-Bispectral Index™ (BIS) Monitor: Lena yindlela ethembekile kakhulu etholakalayo. Ithatha idatha ye-EEG futhi ikhiqize inani eliphakathi kuka-0 no-100. Uma inani liphansi, kulapho i-anesthesia ijula khona. Odokotela bavame ukuzama ukugcina leli nani liphakathi kuka-40 no-60 .
- I-Auditory Evoked Potentials (AEP) monitor: Lokhu kuhilela ukubeka ama-headphone ezindlebeni zakho nokudlala imisindo ethile. Ukujula kwe-anesthesia kube sekubonakala ngokulinganisa ukuthi ubuchopho bakho busabela kanjani kuleyo misindo.
- I-Narcotrend®: Lena futhi iyithuluzi elilinganisa ukujula kwe-anesthesia kusetshenziswa idatha ethi ``EEG'', efana ne-``BIS'' monitor.
Ingabe kukhona izinto esingazenza ukunciphisa amathuba okuba lokhu kwenzeke?
Yebo, ungasiza ekunciphiseni le ngozi. Qiniseka ukuthi uxoxa ngalezi zinto nodokotela wakho wezinzwa ngaphambi kokuhlinzwa.
- Tshela udokotela wakho ngayo yonke imithi oyithathayo: Imithi ethengiswa ngaphandle kwemithi kadokotela, amavithamini, imithi yendabuko, kanye nezithasiselo.
- Sitshele umlando wakho wezokwelapha ophelele: Sitshele ngokuningiliziwe nganoma yiziphi izifo onazo, noma yikuphi ukungezwani komzimba onazo, kanye nanoma yikuphi ukusetshenziswa kwezidakamizwa noma utshwala onazo. Ungafihli lutho.
- Buza imibuzo yakho: Xoxa nganoma yikuphi ukwesaba noma ukungabaza onakho ngalokhu (Ukuqwashisa Nge-Anesthesia) nodokotela we-anesthesiologist.
- Uma uke waba nalokhu okuhlangenwe nakho ngaphambili, qiniseka ukuthi uthi: Lena yinto ebaluleke kakhulu. Khona-ke ithimba lezokwelapha lingakunikeza ukunaka okukhethekile kukho.
Into ebalulekile ukuthi, lokhu "Ukuqwashisa Nge-Anesthesia" akuyona into eyenzeka ngenxa yanoma yiliphi iphutha lakho. Kuyinto engavamile kakhulu.
Yini okufanele ngiyenze uma ngicabanga ukuthi into efana nalena ingenzekile?
Uma ucabanga ukuthi kukhona okukhumbulayo ngesikhathi sokuhlinzwa noma ngemva kokuhlinzwa, tshela udokotela wakho noma umhlengikazi ngokushesha . Batshele konke okukhumbulayo. Bangakubhala phansi kurekhodi lakho lezokwelapha. Lokhu kuzobaluleka kakhulu ekuphepheni kwakho uma uphinda ukuhlinzwa esikhathini esizayo.
Akukho namahloni okukhuluma ngesipiliyoni esinjengalesi. Kubalulekile empilweni yakho.
Umlayezo Wokuya Nawe Ekhaya
- Ukuqaphela ngesikhathi sokubulala izinzwa, noma "Ukuqwashisa Nge-Anesthesia", kuyinto engavamile kakhulu . Ngakho-ke ungakwesabi ngokungadingekile.
- Lokhu akusikho ukuvuka okuphelele, kodwa uchungechunge lwezikhathi ezimfushane zokuqonda.
- Uma unokwesaba noma ukungabaza ngalokhu ngaphambi kokuhlinzwa, khuluma ngokukhululekile nodokotela wezinzwa ngakho.
- Qiniseka ukuthi utshela udokotela wakho ngomlando wakho wezokwelapha ophelele, yonke imithi oyiphuzayo, kanye nanoma yikuphi okuhlangenwe nakho kwakho kwangaphambilini.
- Uma uzizwa sengathi lokhu kuyenzeka kuwe, yazisa udokotela wakho ngokushesha. Unganqikazi ukufuna usizo lwezengqondo uma kudingeka.
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