Wake wakhishwa izinyo bese udokotela wamazinyo efaka ikhambi ezinsinini zakho bese efaka i-numb kuphela kuleyo ndawo? Noma, lapho uyothunga inxeba elincane, bafaka i-numb kuphela endaweni ezungeze inxeba? Yilokho esikubiza ngokuthi 'i-Local Anesthesia'. Akukwenzi uzizwe unesizungu ngokuphelele, kumane kufefethe indawo lapho uzwa ubuhlungu khona. Ngakho-ke, namuhla sizokhuluma ngalokhu ngokucacile, njengoba nje ungakuchazela umngane.
Kalula nje, iyini i-Local Anesthesia?
I-anesthesia yendawo uhlobo lomuthi odokotela abawusebenzisayo ukuze baqede okwesikhashana indawo encane yomzimba wakho ngaphambi kokuhlinzwa okuncane noma ukuhlolwa kwezokwelapha. Isibonelo, isetshenziselwa ukuqeda indawo encane yesikhumba esandleni sakho, njengengxenye yensini yakho.
Ngokungafani ne-'General Anesthesia' (i-anesthesia ephelele) enikezwa ngesikhathi sokuhlinzwa okukhulu, ngeke ulahlekelwe ingqondo phakathi nalokhu. Uzobe uphapheme kakhulu. Kodwa uzoyeka ukuzwa ubuhlungu. Ngezinye izikhathi, kanye nalomuthi oqeda izinhlungu, udokotela angakunika ne-sedation encane (i-sedation) ukuze akuphumuze futhi anciphise ukwesaba kwakho. Kuya ngokuthi kwenziwani kanye nesimo sakho.
Lomuthi usebenza kanjani?
Kulula kakhulu. Ake sithi usike umunwe wakho. Bese lobo buhlungu budlula emithanjeni yomunwe wakho buye ebuchosheni bakho njengezimpawu zobuhlungu . Uma ubuchopho buqonda leso sibonakaliso, uzizwa uthi, "O, lokho kubuhlungu."
I-Local Anesthesia ivimba okwesikhashana izimpawu zobuhlungu ezivela emizweni endaweni ziye ebuchosheni. Kufana nokumisa isithunywa. Ngemuva kwalokho, umyalezo wobuhlungu awufinyeleli ebuchosheni, ngakho awuzizwa ubuhlungu. Kodwa ungase uzizwe ucindezelekile, njengokungathi othile ucindezela indawo.
Into ebaluleke kakhulu ukuthi lokhu akuthinti uhlelo lwakho lwezinzwa oluphakathi futhi kukwenze ulahlekelwe ingqondo. Ungakuzwa futhi ubone konke okwenzekayo okuzungezile.
Izinhlobo ze-Anesthesia Yendawo kanye Nesikhathi Sokuyisebenzisa
Lezi zinhlungu zobuhlungu ziza ngezindlela ezahlukene. Futhi zisetshenziswa ezimweni ezahlukene. Ake sibheke ukuthi ziyini.
| Isetshenziswa kanjani | Izibonelo kanye namacala okusetshenziswa |
|---|---|
| Okhilimu/Amafutha/Amajeli | Ukuze uqede isikhumba. Ngezinye izikhathi, ngaphambi kokujova, hlikihla indawo ukuze uqede isikhumba. |
| Imijovo | Indlela evame kakhulu. Ngezinto ezifana nokukhipha izinyo, ukuthunga inxeba, noma ukuthatha ucezu lwesikhumba ukuze luhlolwe (i-biopsy). |
| Izifutho | Ukuqeda ubuhlungu ngemuva komphimbo, isibonelo ngaphambi kokuhlolwa kwe-endoscopy. |
| Amaconsi eso | Ngaphambi kokuhlinzwa kwamehlo okuncane njengokuhlinzwa kwe-cataract. |
| Amabala esikhumba | Ukuqeda ubuhlungu obuhambisana nemizwa isikhathi eside. |
Izidakamizwa ezisetshenziswa kakhulu
Eminye yemithi yokubulala izinzwa yendawo esetshenziswa odokotela yile:
- I-Benzocaine
- I-Bupivacaine
- I-Lidocaine
- I-Ropivacaine
Ngezinye izikhathi, ukuze le mithi ihlale isikhathi eside futhi yandise ukuphepha, odokotela banezela eminye imithi, njenge -epinephrine .
Ingabe udinga ukuzilungiselela? Ungadla futhi uphuze?
Ngokuvamile, ngento encane, lapho kunikezwa khona i-anesthesia yendawo kuphela, awudingi ukulungiselela noma yini ekhethekile . Ungadla futhi uphuze njengenjwayelo.
Kodwa-ke, khumbula ukuthi uma ukuhlinzwa kwakho kuhilela uhlelo lokugaya ukudla, noma uma kunengozi yokuthi kuzodingeka ufakwe ngaphansi kwe-anesthesia ejwayelekile, udokotela wakho angase akucele ukuthi uzile ukudla . Ngakho-ke landela njalo imiyalelo kadokotela wakho ngqo.
Qiniseka ukuthi utshela udokotela wakho nganoma yikuphi ukungezwani komzimba onakho noma uma uke waba nezinkinga nganoma yimiphi imithi yokubulala izinzwa esikhathini esidlule.Uma wesaba izinaliti (i-trypanophobia), kuwumqondo omuhle ukusho lokho futhi, ukuze bakwazi ukuthatha izinyathelo zokukwenza uzizwe ukhululekile kakhudlwana.
Kuthatha isikhathi esingakanani ukuthi umuzwa wokucasuka uphele? Ingabe ikhona imiphumela emibi?
Ukuthi imiphumela ye-anesthesia yendawo ihlala isikhathi esingakanani kuncike ezintweni eziningana.
- Lapho umuthi wafakwa khona
- Isilinganiso semithi esinikeziwe
- Uhlobo lomuthi osetshenzisiwe
- Kungakhathaliseki ukuthi eminye imithi, njenge-epinephrine, yengezwe
Ukungazweli kahle ngokuvamile kungahlala imizuzu engama-30 kuya emahoreni ayi-12 noma ngaphezulu. Ukungazweli kahle okubangelwa ukukhishwa kwezinyo kungahlala cishe amahora ama-5-7. Udokotela wakho uzokutshela ngalokhu kusenesikhathi.
Imiphumela emibi emincane
Lezi azivamile kakhulu futhi ngokuvamile azibi kakhulu.
- Ukulimala okuncane noma ubuhlungu lapho kujovwe khona.
- I-Vertigo (ukuzizwa sengathi uyajikeleza).
- Ikhanda elibuhlungu.
- Umbono ofiphele kancane.
- Ukuzizwa sengathi imisipha iyanyakaza.
- Ukuqaqamba, izikhonkwane nezinaliti, okuhlala isikhathi eside kunalokho obekulindelwe.
Uma lokhu kuthatha isikhathi eside kunalokho obekulindelwe, khuluma nodokotela wakho.
Izinkinga ezinkulu kodwa ezingavamile kakhulu
Amathuba okuthi lokhu kwenzeke mancane kakhulu , kodwa kubalulekile ukuqaphela.
1. Ukusabela Kokungezwani Nomzimba: Abanye abantu bangase babe nokusabela kokungezwani nomzimba kulo muthi. Uma lokhu kwenzeka, kuzovela ngokushesha ngemva kokunikezwa umuthi, ukuze ithimba lezokwelapha likwelaphe ngokushesha.
2. I-Local Anesthetic Systemic Toxicity (LAST): Lesi yisimo esingavamile kakhulu. Sivela lapho i-local anesthetic eningi kakhulu ingena egazini. Izimpawu zingavela zingakapheli imizuzu eyi-1-5 kusukela ekujovweni.
- Ukuzizwa ungakhululekile
- Ukudideka
- Isiyezi
- Ukunambitheka kwensimbi emlonyeni
- Ubunzima bokukhuluma
- Izinguquko zokuzwa
Uma wena noma othile omaziyo eba nanoma yiziphi zalezi zimpawu ngemva kokuthola i-anesthesia yendawo, kufanele uye ngokushesha eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze . Nakuba lesi kuyisimo esingelapheka, uma singelashwa ngokushesha, singaholela ezimweni ezingathi sína njengokuquleka kanye nokwehluleka kwenhliziyo.
Izinto okufanele uziqaphele ngemva kokuthatha umuthi
Udinga ukuqaphela kancane kuze kube yilapho ukucasuka kuphelile.
- Ukushayela: Ngokuvamile kuphephile ukushayela ngemva kwenqubo encane, njengokukhishwa kwezinyo. Kodwa-ke, uma uke wahlinzwa okuthinta ingalo yakho, umlenze, noma iso, noma uma unikezwe umuthi wokudambisa, kuphephile ukushayela omunye umuntu .
- Ukudla neziphuzo:Uma ukhishwe izinyo futhi izinsini zakho zibuhlungu, gwema ukudla ngalelo cala. Ungase ulume isihlathi sakho ngengozi futhi ulimaze izinsini zakho.
- Ukukhulelwa: Ukubulala izinzwa kwendawo ngokuvamile kubhekwa njengokuphephile ngesikhathi sokukhulelwa. Kodwa-ke, kubalulekile ukukhuluma nodokotela wakho futhi uthole imvume ngaphambi kokwenza noma yini.
I-Local Anesthesia iyinto ewusizo kakhulu kwezokwelapha. Ngenxa yalokhu, sinethuba lokwenza ukuhlinzwa okuncane nokuhlolwa ngaphandle kobuhlungu kanye nokululama okusheshayo. Ngakho-ke ungesabi lokhu. Uma unemibuzo noma ukukhathazeka, khuluma nodokotela wakho ngakho. Bakhona ukukusiza.
Umlayezo Wokuya Nawe Ekhaya
- Ukubulala izinzwa kwendawo kuwukuqedwa okwesikhashana kwendawo encane yomzimba. Ngeke ulahlekelwe ingqondo.
- Lokhu kusetshenziselwa izinqubo eziningi ezincane zezokwelapha njengokukhipha amazinyo, ukuthungwa kwamanxeba, kanye nokuhlinzwa kwesikhumba okuncane.
- Yazisa udokotela wakho njalo nganoma yikuphi ukungezwani komzimba noma izinkinga zokubulala izinzwa oye waba nazo ngaphambilini.
- Imiphumela emibi ayivamile kakhulu futhi imvamisa incane. Kodwa-ke, uma kuvela izimpawu ezinzima njengobunzima bokuphefumula noma ukudideka, funa usizo oluphuthumayo ngokushesha (ETU).
- Qaphela lapho udla futhi ushayela, ikakhulukazi ngemva kokwelashwa kwamazinyo, kuze kube yilapho umuzwa wokucasuka uphela.
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