Ungakwazi yini futhi ukuthola ulwazi ngesikhathi sokuhlinzwa? (Ukuqwashisa Nge-Anesthesia) Ake sixoxe ngakho!

Ngezinye izikhathi sizizwa sesaba kancane ngaphambi kokuba siqale ukuhlinzwa, okungukuthi, ukuhlinzwa, akunjalo? Enye yezinto ezisenza sesabe kakhulu kwabanye ukuthi, "Kuthiwani uma ngiphinde ngiphaphame ngokuzumayo ngenkathi ngingaphansi kwe-anesthesia?" Nakuba lokhu kuyinto engavamile kakhulu, kubaluleke kakhulu kimi nawe ukuqaphela lokhu. Ake sixoxe ngalokhu ngokuningiliziwe namuhla.

Kuyini Ukuqwashisa Nge-Anesthesia?

Kalula nje, i-Anesthesia Awareness inqubo yokungazi lutho ngokuphelele ngesikhathi sokuhlinzwa, okungukuthi, ngaphansi kwe-anesthesia ejwayelekile , bese ubuyela engqondweni isikhashana. Kodwa lokhu akufani 'nokuvuka' nje. Kuyisipiliyoni esihlukile kancane. Kungazizwa kuhlukile kubantu abahlukene. Cabanga ngakho ngale ndlela:

• Kungase kuzwakale sengathi uzwa imisindo yabantu abakhuluma eduze kwakho kanye nemisindo yemishini egumbini lokuhlinza.
• Kungaba njengokubona iphupho, njengokuba semhlabeni wamaphupho.
• Ungavuka ngokuzumayo uzithole ungakwazi ukunyakaza noma ukukhuluma. Lokhu kungaba yinto eyesabekayo.
• Ngezinye izikhathi umzimba uzizwa ucindezelekile, futhi akuvamile kakhulu ukuba nethuba elincane lokuzwa ubuhlungu.

Into ebaluleke kakhulu ukuthi lesi simo `(Ulwazi Lokuqwashisa Nge-Anesthesia)` senzeka kuphela ekuhlinzweni okwenziwa ngaphansi kwe-`(General Anesthesia)`. Lokhu akwenzeki kwezinye izindlela zokubulala izinzwa, okungukuthi, `(Local Anesthesia)` eqeda izandla nezinyawo zakho zibe buhlungu, `(IV Sedation)` ekwenza uzizwe udakiwe kancane, noma izindlela ze-`(Twilight Sleep)`. Ngoba, `(General Anesthesia)` yilapho ngisho nezinto ezenzeka ngokuzenzakalelayo emzimbeni wakho, njengokuphefumula, zilawulwa yimishini. Kwezinye izindlela, unezinga elithile lokuqwashisa, ungaphefumula wedwa, futhi ungakhuluma nethimba lezokwelapha uma kudingeka.

Kungakanani lokhu okungenzeka?

Manje ungase ucabange, "Hawu, ingabe lokhu kuyenzeka kubantu abaningi?" Cha, akunjalo nhlobo. Eqinisweni, lolu hlobo lokuqwashisa nge-anesthesia aluvamile kakhulu. Kunzima ukunikeza izibalo eziqondile. Ngoba abanye abantu bangase bangakhumbuli kahle okwenzekile kuze kube yisonto noma amabili ngemva kokuhlinzwa. Abanye bangase babe nalolu lwazi ngokushesha, kodwa bangase bangatsheli odokotela babo ngakho.

Kodwa ngokusho kwezifundo eziningana, lolu hlobo lokuhlangenwe nakho lwenzeka ekuhlinzweni okukodwa noma okubili kuphela kwabayi-1,000 (ngaphansi kuka-0.2%) . Ngakho-ke uyawuthola umqondo, akunjalo? Akuvamile kakhulu.

Kungani lokhu kwenzeka? Yiziphi izizathu?

Kutholakale ukuthi kunezizathu ezintathu eziyinhloko zokuthi kungani lokhu kuqwashisa nge-anesthesia kungenzeka:

1. Ukunikezwa kwemithi okunganele:Lokhu kwenzeka lapho udokotela wezinzwa enganikezi isibulala-zinhlungu esanele. Lokhu kuvame ukwenzeka ngesikhathi sokuhlinzwa okuphuthumayo. Isibonelo, ngesikhathi sokuhlinzwa kwenhliziyo okuphuthumayo, ukuhlinzwa ngokuhlinzwa , noma ukuhlinzwa okwenziwa ngokushesha ngemva kwezingozi ezinkulu. Ezimweni ezinjalo, kungase kube nesikhathi esincane sokuqapha ngokucophelela izinga lokuhlinzwa, njengoba impilo yesiguli kumele isindiswe.

2. Izidingo ezahlukene zokubulala izinzwa: Yilapho udokotela wezinzwa enikeza khona inani elijwayelekile lomuthi, kodwa umuntu udinga inani elihlukile. Akuwona wonke umzimba ofanayo. Lokhu kungenzeka kakhulu kubantu abakhathazekile kakhulu ( abasaba kakhulu ngaphambi kokuhlinzwa), labo abanezinkinga zokusebenzisa izidakamizwa, kanye nalabo abake baqaphela ukusetshenziswa kwezinzwa ngaphambilini.

3. Ukungasebenzi kahle komshini wokubulala izinzwa: Lokhu kungenzeka uma imishini yokubulala izinzwa egumbini lokuhlinza ingasebenzi kahle, noma uma abasebenzi bezokwelapha bengayihloli kahle imishini ngaphambi kokuhlinzwa. Kodwa-ke, lokhu kuyinto engavamile kakhulu , njengoba izibhedlela ziqikelela kakhulu ekunakekeleni le mishini.

Ubani osengozini enkulu?

Nakuba le ngozi ngokuvamile iphansi kuwo wonke umuntu, abanye abantu bangase babe sengozini enkulu kancane yokuthuthukisa ulwazi nge-anesthesia. Lokhu kungenxa yezici ezifana nalezi:

• Uma ubhema .
• Uma unezinkinga zezempilo ezingaphezu kwesisodwa (izimo zezokwelapha eziningi) (isib. isifo sikashukela, umfutho wegazi ophakeme).
• Uma unenkinga yokuphefumula (isib. izifo zokuphefumula ezifana ne-asthma, isifo samaphaphu).
• Uma unomlando wesifo sokusetshenziswa kwezidakamizwa (i-SUD) ngaphambili .

Futhi, le ngozi ingase ibe phezulu kancane kunezinye kwezinye izihlinzeko ezikhethekile lapho kungaphephile ukusebenzisa i-anesthesia ejwayelekile. Isibonelo:

• Ukuhlinzwa Kwesibeletho (C-sections): Izinga lokuhlinzwa kwesisu lilawulwa ngokucophelela ukuqinisekisa ukuphepha komama nomntwana.
• Ukuhlinzwa kwenhliziyo: Lokhu ukuhlinzwa okuyinkimbinkimbi.
• Ukuhlinzwa okuphuthumayo ukwelapha ukulimala noma ukulahlekelwa igazi: Lokhu kungenxa yokuthi ukusindisa impilo yesiguli kuyinto eza kuqala lapha.

Ingabe uzizwa ubuhlungu ngesikhathi sokuqwashisa nge-anesthesia?

Lona umbuzo abantu abaningi abawesabayo. Kodwa izindaba ezinhle ukuthi akuvamile kakhulu ukuzwa ubuhlungu ngesikhathi sokuqwashisa ngokubulala izinzwa.Nokho, kubalulekile ukukhumbula ukuthi lokhu akuyona into engenakwenzeka. Nakuba abantu abaningi bekhumbula izinto ezifana nokuzwa imisindo ebazungezile kanye nokuzwa izingxoxo, abanye bangase bakhumbule umphimbo obuhlungu ovela epayipini lokufaka noma indawo yokusikwa ebuhlungu evela ekuhlinzweni.

Ingabe lokhu kungaba nemiphumela yesikhathi eside?

Akuwona wonke umuntu oqaphela ukubulala izinzwa ozothola imiphumela yesikhathi eside. Kodwa-ke, ezimweni ezimbi kakhulu, okusho ukuthi uma lokhu okuhlangenwe nakho kusabisa kakhulu, abanye abantu bangase babe nalezi zimo zengqondo:

• Ukukhathazeka
• Ukucindezeleka
• Izinkinga zokulala ezifana namaphupho amabi avamile (i-Nightmare disorder)
• Isifo Sokucindezeleka Ngemva Kokuhlukumezeka (PTSD) : Lesi yisimo sengqondo esenzeka ngemva kwesigameko esibuhlungu kakhulu.

Abantu abanalezi zinkinga bangase babe nomuzwa wokungabi namandla. Ngenxa yalokho, bangase bagweme ngisho nokubonana nodokotela. Lokhu kwandisa ingozi yabo yokuthola ezinye izinkinga zempilo. Uma uke waba nalokhu, ukufuna usizo kudokotela wengqondo noma wengqondo kungakunikeza impumuzo enkulu futhi kuthuthukise ikhwalithi yempilo yakho.

Ingabe odokotela bayakwazi ukukubona lokhu? Ngesikhathi sokuhlinzwa?

Nakuba odokotela bengabona ukuthi ulaliswe i-anesthesia, noma ulaliswe umuthi wokudambisa ubuhlungu , akwenzeki njalo ukuthi uqiniseke ukuthi uphapheme ngokuphelele noma awuphapheme .

Odokotela be-anesthesia bazoqapha njalo izimpawu zakho ezibalulekile – njengomfutho wegazi , izinga lokuphefumula , kanye nosayizi we-pupilpip – ukuze banqume izinga lakho lokudambisa. Kodwa ukulinganisa ukuqonda kuyinkimbinkimbi kakhulu. Ngenxa yokuthi imithi esetshenziselwa i-anesthesia ejwayelekile ithinta uhlelo lwakho lwezinzwa oluzimele (olulawula konke okwenzeka emzimbeni wakho), ngeke ukwazi ukunyakaza noma ukukhuluma. Ngakho-ke, akulula ukukala ukuqonda njengoba kunjalo ukukala izinga le-anesthesia.

Kodwa-ke, ngobuchwepheshe obuthuthukisiwe, kunemishini ekhethekile engalinganisa umsebenzi kagesi ebuchosheni bakho ngesikhathi sokuhlinzwa futhi ikusize uthole umbono wezinga lakho lokuqwashisa.

Okokuqala, udokotela wakho angase athathe i- electroencephalogram (EEG) yobuchopho bakho. Kulolu vivinyo, kufakwa izinzwa ezincane esikhumbeni sekhanda lakho.Eziningana zinamathiselwe. Lezi zinzwa zithola izimpawu zikagesi ezivela ebuchosheni bakho. Le miphumela (ye-EEG) ihlanganiswa nezinye izindlela zokuqapha ukuze kwenziwe izinqumo. Ezinye zalezi zindlela yilezi:

• Ukuqapha i-Bispectral Index™ (BIS): Ucwaningo lubonisa ukuthi leli linye lamathuluzi athembekile kakhulu okulinganisa ukuthi uthotshiswe kahle kangakanani. Liqopha ukufundwa kwe-EEG yakho futhi likunike inombolo ephakathi kuka-zero no-100. Uma inombolo iphansi, kulapho i-anesthesia ijula ​​khona . Umgomo we-anesthesia ejwayelekile ukugcina le nombolo iphakathi kuka-40 no-60.
• I-Auditory Evoked Potentials (AEP) monitor: Le divayisi iqopha futhi ihlaziye umsebenzi kagesi ku -brainstem yakho kanye ne -cerebral cortex . Udokotela ufaka ama-headphone ezindlebeni zakho futhi adlale imisindo ethile. Le divayisi ibe isihlaziya impendulo yobuchopho bakho bese ikunikeza inombolo kusukela ku-zero kuya kwekhulu. Nalapha futhi, lapho inombolo iphansi, kulapho i-anesthesia ijula ​​khona.
• I-Narcotrend®: Njenge-BIS, i-Narcotrend isebenzisa imiphumela yakho ye-EEG ukulinganisa ukujula kwe-anesthesia. Ikala imiphumela yakho esikalini sezinhlamvu eziyisithupha (A kuya ku-F) kanye nenombolo (zero kuya ku-100). Imiphumela ingasukela "ekuvukeni" kuya "ekuthuleni kukagesi" (okusho umsebenzi omncane kakhulu wobuchopho).

Odokotela bakuthola kanjani lokhu ngemva kokuhlinzwa?

Indlela engcono kakhulu yokuthola ukuthi uke waba nolwazi lokusebenzisa i-anesthesia ukuthi udokotela wakho akubuze imibuzo ngakho ngemva kokuhlinzwa kwakho. Indlela ejwayelekile esetshenziswa kulokhu yi -Brice Interview . Ibuza imibuzo embalwa emifushane efana nale:

• "Yini into yokugcina oyikhumbulayo ngaphambi kokuba kuqale ukuhlinzwa?"
• "Yini into yokuqala oyikhumbulayo ngemva kokuhlinzwa?"
• "Ingabe kukhona okukhumbulayo ngesikhathi sokuhlinzwa?"
• "Ingabe uphuphe amaphupho ngesikhathi sokuhlinzwa?"

Odokotela bangathola umbono ngokusekelwe ezimpendulweni zakho zale mibuzo.

Ingabe kukhona esingakwenza ukuvimbela ukuqwashisa nge-anesthesia?

Yebo, uma ukhathazekile ngalokhu Kuqwashisa Nge-Anesthesia, qiniseka ukuthi ukhuluma nomhlinzeki wakho wokunakekelwa kwe-anesthesia ngakho. Bazokuchazela ukuthi yiziphi izinyathelo ongazithatha ukunciphisa ingozi yokuthi lokhu kwenzeke. Kukhona nezinto ongayenza:

• Yonke imithi oyithathayo (yomibili leyo oyinikezwe udokotela wakho kanye naleyo oyithenga ekhemisi), izithasiseloTshela udokotela nganoma yiziphi izithasiselo (ezifana namavithamini, imithi ye-Ayurvedic).
• Xoxa nodokotela wakho ngomlando wakho wezokwelapha ophelele (izifo zangaphambilini, ukuhlinzwa, ukungezwani komzimba, njll.).
• Babuze nganoma yimiphi imibuzo noma ukungabaza onakho. Ungabi namahloni.
• Okubaluleke kakhulu: Uma uke waqaphela ukubulala izinzwa ngaphambili, qiniseka ukuthi uyamtshela udokotela wakho.
• Gwema izinto ezaziwayo eziyingozi ( isib. ukubhema) ngangokunokwenzeka.

Khumbula, ukuqwashisa nge-anesthesia akuyona into oyenzile kabi. Kuyenzeka ngezinye izikhathi, futhi ochwepheshe basacwaninga ngezizathu zalokhu.

Kuthiwani uma nginolwazi nge-anesthesia?

Cabanga ukuthi uke waba nokuhlangenwe nakho okunjalo. Ngokushesha nje lapho usukwazi ngakho, tshela udokotela wakho (umhlinzeki wezempilo) noma umhlengikazi ngakho. Mtshele yonke imininingwane oyikhumbulayo (lokho okuzwile, lokho okuzwile). Udokotela angabe eseqopha lesi sigameko kumarekhodi akho ezokwelapha, futhi uma kufanele uphinde unikezwe i-anesthesia esikhathini esizayo, qaphela ngokukhethekile futhi uthathe izinyathelo zokunciphisa ingozi yokuqwashisa.

Liyini ikusasa lalabo abaye baqaphela ukubulawa kwezinzwa?

Kuncike kakhulu ezimweni kanye nobukhulu bemiphumela. Isibonelo, umuntu okhumbula ingxenye yendaba ngesikhathi sokuhlinzwa angase angabi nemiphumela emibi ekhathazayo. Kodwa-ke, umuntu ozwa ubuhlungu noma oqaphela kahle indawo akuyo angase abe nezinkinga zengqondo ezinzima kakhulu, zesikhathi eside.

Kodwa-ke, iziguli eziningi eziye zaqaphela ngokuhlinzwa kokubulala izinzwa zingaphinde zithole ukuhlinzwa kokubulala izinzwa ngokuphephile esikhathini esizayo. Ingozi yokuthi kwenzeke futhi iphansi kakhulu. Odokotela baqaphela kakhulu ngoba bayazi ngokuhlangenwe nakho kwangaphambilini.

Uma uke wabhekana nento efana nale, khuluma nodokotela wakho ngokukhululekile ngokuthi ikuthinta kanjani impilo yakho yansuku zonke. Bangakudlulisela kudokotela wengqondo noma wezifo zengqondo , ongenza izivivinyo ezidingekayo futhi anikeze iseluleko nokwelashwa okufanele.

Umqondo wokuvuka ngesikhathi sokuhlinzwa uyesabeka kangangokuthi sekuye kwenziwa ngisho namafilimu amaningana ngakho. Nakuba ukuqwashisa nge-anesthesia kuyinto engavamile, ukwesaba lokhu kuvamile kwabaningi, futhi kuyinto esezingqondweni zethu. Imiphumela yengqondo yesikhathi eside ngakho akufanele ithathwe kancane. Futhi, akuwona umqondo omuhle ukugwema ukuhlinzwa okudingayo ngenxa yalokho kwesaba. Odokotela be-anesthesia basebenzisa amathuluzi okuqapha athuthukile ukuvimbela lokhu ukuthi kungenzeki.isetshenzisiwe. Futhi, ososayensi bayaqhubeka nokucwaninga ukuthi kungani lokhu kwenzeka kwabanye abantu hhayi kwabanye. Uma uke waba nalokhu okuhlangenwe nakho - noma ukhathazekile ukuthi kungase kwenzeke kuwe - khuluma nodokotela wakho wezinzwa. Bangase bakwazi ukukududuza.

Yiziphi izinto ezibaluleke kakhulu esifuna ukuzithatha ekhaya kule ndaba?

Kulungile, nansi eminye yemibono okufanele uyikhumbule kulokho esikhulume ngakho:

• Ukuqwashisa nge-anesthesia kuyinto engavamile kakhulu. Ungakwesabi ngokungadingekile.
• Ngaphambi kokuba uhlinzwe , qiniseka ukuthi uxoxa ngomlando wakho wezokwelapha ophelele, imithi oyiphuzayo, kanye nanoma yikuphi ukwesaba noma ukukhathazeka ongase ube nakho nodokotela wakho wezinzwa.
• Uma uke waba nalokhu okuhlangenwe nakho ngaphambili, ngitshele nakanjani. Ungakufihli.
• Ngesikhathi ungaphansi kwe-anesthesia, odokotela basebenzisa imishini ekhethekile ukuqapha isimo sakho.
• Uma uke waba nomuzwa onjengalona, ​​futhi unomthelela ongokwengqondo, ungangabazi ukufuna iseluleko sezokwelapha ngengqondo. Kuzokusiza kakhulu.
• Ungakuhlehlisi ukuthola usizo lwezokwelapha noma ukuhlinzwa okudingayo ngenxa yalokhu kwesaba. Ithimba lakho lezokwelapha likhathazekile kakhulu ngokuphepha kwakho.

Ngakho-ke, ngithemba ukuthi lolu lwazi luwusizo kuwe. Hlala uphilile!

` Ukubulala izinzwa, ukuqwashisa ngokubulala izinzwa, ukuhlinzwa, ukuhlinzwa, ukululama, ukuhlinzwa, udokotela wezinzwa