Ingabe wena noma othile omaziyo wake wadinga ukuhlinzwa ? Enye yezinto ezinkulu abantu abaningi abakwesabayo ngaleso sikhathi imayelana “nokufakwa ngaphansi kwe-anesthesia.” Kuvamile ukuba novalo kancane uma uzwa igama elithi “ukukhishwa engqondweni.” Kodwa empeleni inqubo yezokwelapha ethuthukisiwe kakhulu nephephile. Ngakho-ke namuhla, ake sicacise yonke imibuzo onayo mayelana nale anesthesia ephelele, noma ‘ i-General Anesthesia ’.
Kalula nje, kuyini ukubulala izinzwa okuvamile?
I-anesthesia ejwayelekile yilapho ufakwa esimweni esifana nobuthongo obujulile ngaphambi kokuhlinzwa okukhulu. Kulesi simo, umzimba wakho awuzwa ubuhlungu, futhi ngeke ukhumbule lutho olunye ngesikhathi sokuhlinzwa . Kunjengokungathi usanda kuvuka ebuthongweni obujulile.
Lokhu kwenziwa ngudokotela obulala izinzwa. Lo dokotela uhlala eceleni kwakho kusukela ngesikhathi ukuhlinzwa kuqala kuze kube yilapho kuqedwa, eqapha yonke intshukumo yomzimba wakho ( ukuphefumula , ukushaya kwenhliziyo , njll.), ekugcina ulele ngokuphepha, futhi ekuvuselela lapho ukuhlinzwa sekuphelile.
Into ebaluleke kakhulu ukuthi, lokhu akusikho ukulala nje kuphela. Lesi isimo sokungazi lutho esilawulwa ngokwezokwelapha esiqinisekisa ukuphepha kwakho nge-100%.
Ake siqonde umehluko phakathi kwezinhlobo ze-anesthesia.
Ngaphezu kokubulala izinzwa okuvamile, kunezinye izindlela zokubulala izinzwa. Kubaluleke kakhulu ukwazi umehluko phakathi kwalezi.
| Uhlobo lwe-anesthesia | Kalula nje, | Izibonelo |
|---|---|---|
| I-Anesthesia Ejwayelekile | Ukubeka umzimba wonke ebuthongweni obukhulu. Ukungazi noma ukukhohlwa lutho. | Ukuhlinzwa kwenhliziyo, ukuhlinzwa kobuchopho, ukuhlinzwa okukhulu kwesisu. |
| I-Anesthesia Yesifunda | Ukuba ndikindiki engxenyeni enkulu yomzimba (isib. ngaphansi kwesinqe). Isiguli singase sibe nomuzwa. | Ukuhlinzwa kokuhlinzwa (ukuhlinzwa kwe-C), ukuhlinzwa kokufakelwa inqulu noma idolo. |
| I-Anesthesia Yendawo | Ukungabi namandla endaweni encane kakhulu. | Umuthi ofakwa ezinsinini ukuze kukhishwe izinyo, umuthi ofakwa ngaphambi kokuthunga inxeba. |
| Ukupholisa | Ukubeka isiguli esimweni sobuthongo obulula. Akusikho ukulahlekelwa ngokuphelele kwengqondo. | Ukuhlolwa kwe-colonoscopy, ukuhlolwa kwe-biopsy. |
Isebenza kanjani i-anesthesia ngesikhathi sokuhlinzwa?
Zicabange usegumbini lokuhlinza. Kwenzekani ngokulandelayo?
1. Ukunikeza umuthi: Okokuqala, udokotela wezinzwa uzofaka i-cannula (umugqa we-IV), okuyipayipi elifaka usawoti emthanjeni ongalweni yakho, bese ekunika umuthi wezinzwa ngawo. Ngezinye izikhathi uzonikezwa negesi yokuphefumula ngemaski. Lokhu kuzokulalisa phakathi nemizuzu embalwa.
2. Ukufakwa kwepayipi lokuphefumula: Ngemva kokuba ulele ngokuphelele, udokotela uzokunikeza umuthi wokuphumuza imisipha emphinjeni wakho bese efaka ipayipi ngomlomo wakho epayipini lomoya. Lokhu kwenzelwa ukuqinisekisa ukuthi uyaqhubeka nokuthola inani lomoya-mpilo olidingayo phakathi nokuhlinzwa. Ngeke uzizwe ngisho nokufakwa kwalo ngoba ulele.
3. Ukuqapha njalo: Phakathi nokuhlinzwa, ithimba le-anesthesia lizoqapha umzimba wakho eduze ukuze lithole okulandelayo:
- Ukuphefumula
- Izinga lokushisa lomzimba
- Isilinganiso senhliziyo
- Ukushaya kwegazi
- Izinga le-oxygen egazini
- Izinga loketshezi lomzimba
Ngokusekelwe kulezi zilinganiso, bazolungisa inani lemithi oyinikwayo, bakunike usawoti owengeziwe, noma bakunike ngisho negazi uma kudingeka.
4. Ukuvuka kabusha:Uma ukuhlinzwa sekuphelile, udokotela uzoyeka ukukunikeza umuthi wokubulala izinzwa. Ngemuva kwalokho uzoyiswa egumbini lokululama. Lapho uzoqala ukuvuka kancane kancane. Odokotela nabahlengikazi bazokuhlola ngokucophelela ukuthi abanazo yini izinhlungu noma okunye ukungakhululeki.
Yimiphi imithi esetshenziswa kulokhu?
Kokubili imithi yokwelapha ngemithambo yegazi (IV) kanye neyokuhogela isetshenziselwa i-anesthesia ejwayelekile. Ngokuvamile, zombili izinhlobo zisetshenziswa ndawonye.
Imithi eyinhloko enikezwa ngemithambo yegazi (Imithi ye-IV):
- I-Propofol: Lona umuthi osetshenziswa kakhulu. Ukufaka ebuthongweni obukhulu futhi kukusiza ukuthi uhlale kuleso simo phakathi nokuhlinzwa.
- I-Ketamine: Ingasetshenziswa yodwa ekuhlinzweni okufushane. Iphinde isebenze njengomthomalalisi wezinhlungu.
- I-Etomidate: Lona umuthi osebenza isikhathi esifushane kakhulu. Usetshenziswa kakhulu ekubangeleni i-anesthesia.
Imithi Ephefumulwayo:
- I-Sevoflurane: Igesi yokubulala izinzwa esetshenziswa kakhulu. Isetshenziselwa ukuqalisa nokugcina i-anesthesia.
- I-Isoflurane: Ayisetshenziswa kakhulu manje ngoba inephunga elinamandla.
- I-Desflurane: Isetshenziselwa ukugcina i-anesthesia.
- I-nitrous oxide: Ibizwa nangokuthi “igesi ehlekayo.” Njengoba ingeyona enamandla kakhulu, ayisetshenziswa yodwa. Inikezwa kanye neminye imithi enamandla.
Uzilungiselela kanjani ngaphambi kokuhlinzwa kwe-anesthesia?
Ngaphambi kokuhlinzwa kwakho, bobabili udokotela ozokwenza ukuhlinzwa kwakho kanye nodokotela obulala izinzwa bazokhuluma nawe. Udokotela obulala izinzwa uzokubuza le mibuzo nakanjani:
- Yiziphi ezinye izimo zezokwelapha onazo? (njengesifo sikashukela, umfutho wegazi ophakeme, isifo senhliziyo)
- Yiziphi izinhlobo zemithi ozisebenzisayo? (konke okuhlanganisa imithi kadokotela, amavithamini, imithi ye-Ayurvedic)
- Ingabe unesifo sokungezwani komzimba? (imithi, amaqanda, isoya, njll.)
- Uyabhema? Uyaphuza utshwala? Ingabe usebenzisa ezinye izidakamizwa?
- Uke waba nokusabela okungekuhle ekubulaweni yizinzwa ngesikhathi sokuhlinzwa kwangaphambilini?
Qiniseka ukuthi uphendula le mibuzo ngeqiniso. Kubaluleke kakhulu ekuphepheni kwakho.
Ngaphezu kwalokho, udokotela wakho uzokweluleka ukuthi ugweme ukudla noma ukuphuza noma yini ngaphandle kokudla namanzi cishe amahora angu-8 ngaphambi kokuhlinzwa. Lokhu kungenxa yokuthi imisipha iyakhululeka ngesikhathi sokuhlinzwa, okungabangela ukuthi ukudla esiswini sakho kudlulele emaphashini akho. Lesi yisimo esiyingozi. Ungase futhi ucelwe ukuthi uyeke ukuthatha imithi ethile, njenge-aspirin, ekhulisa ukopha, cishe isonto ngaphambi kokuhlinzwa.
Ingabe ikhona imiphumela emibi ngemva kokuhlinzwa kwe-anesthesia?
Kuvamile ukuzizwa ulele kancane ngemva kokuvuka ngemva kokusebenzisa i-anesthesia. Ngaphandle kwalokho, ungase ube nemiphumela emibi emincane efana nale, kodwa izophela ngemva kwesikhashana.
- Isicanucanu nokuhlanza
- Umlomo owomile
- Umphimbo obuhlungu noma ukushoshozela (ngenxa yomphimbo womoya)
- Ukozela
- Ukuthuthumela komzimba
- Ubuhlungu bemisipha
- Ukuluma
- Izinkinga zesikhashana zokukhumbula noma ukudideka (ikakhulukazi kwasebekhulile) - Lesi simo (ukuhlanya) sivame ukuphela ngokuphelele phakathi nesonto.
Ziyini izingozi zokubulala izinzwa?
Kumuntu ophilile, i-anesthesia ejwayelekile iphephile kakhulu . Kodwa-ke, abanye abantu basengozini enkulu kancane yezinkinga. Ake sibone ukuthi bangobani.
- Abantu abanokukhuluphala ngokweqile
- Abantu asebekhulile
- Abantu abanezifo ezingamahlalakhona ezifana nomfutho wegazi ophakeme, isifo sikashukela, isifo senhliziyo, isifo samaphaphu kanye nesifo sezinso
- Abantu abane-Obstructive Sleep Apnea
- Abantu ababhemayo
- Abantu abathatha imithi yokunciphisa igazi njenge-aspirin
- Abantu abane-allergy emithini yokubulala izinzwa
Abantu abaphuza utshwala kufanele baqaphele kakhulu. Ukuphuza utshwala nsuku zonke kungashintsha umthamo we-anesthesia, kwandise isikhathi sokululama ngemva kokuhlinzwa, futhi kwandise ingozi yokutheleleka. Ngakho-ke khuluma nodokotela wakho ngalokhu.
Akuvamile kakhulu, cishe umuntu oyedwa kwabayinkulungwane, ukuthi ahlale ephapheme ngenkathi engaphansi kwe-anesthesia (Anesthesia Awareness). Ngenxa yemishini yokuqapha yesimanje, amathuba okuthi lokhu kwenzeke manje aphansi kakhulu.
Umlayezo Wokuya Nawe Ekhaya
- Ukubulala izinzwa okuvamile kuyindlela yezokwelapha ethuthukisiwe kakhulu futhi ephephile kulezi zinsuku. Ungesabi ngokungadingekile.
- Udokotela wezinzwa uzohlala eduze kwakho futhi akunakekele phakathi nokuhlinzwa.
- Ngaphambi kokuhlinzwa, qiniseka ukuthi utshela udokotela iqiniso ngesimo sakho sempilo, imithi oyiphuzayo, kanye nemikhuba (ukubhema/utshwala). Lokhu kungenxa yokuphepha kwakho.
- Landela imiyalelo kadokotela wakho ngqo, ikakhulukazi mayelana nokuzila ukudla ngaphambi kokuhlinzwa.
- Imiphumela eminingi emibi ngemva kokuhlinzwa kwe-anesthesia ingeyesikhashana. Uma kukhona ukungakhululeki okuqhubekayo, funa iseluleko sezokwelapha ngokushesha.
I-Anesthesia, I-Anesthesia Ejwayelekile, Ukuhlinzwa, Ukuhlinzwa, Ukuhlinzwa, Isazi Sokubulala Izinzwa, Isazi Sokubulala Izinzwa











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