Kwabaningi bethu, igama elithi 'udokotela wamazinyo' lisikhumbuza ukwesaba nokukhathazeka okuncane, akunjalo? Umsindo waleso sihlalo, iphunga lomuthi, izinaliti... Ngisho nokukhumbula lezi zinto kusenza sijuluke. Ngenxa yalokhu kwesaba, abanye abantu bayahlehlisa ukuya kudokotela, kungakhathaliseki ukuthi banezinkinga eziningi kangakanani zamazinyo. Kodwa bewazi ukuthi kukhona indlela engaqeda lokhu kwesaba futhi ikusize uphumule ngaphandle kokungakhululeki noma ubuhlungu? Yilokho esikubiza ngokuthi 'iSedation Dentistry' . Ake sixoxe ngakho konke ngamagama alula namuhla.
Kalula nje, kuyini i-Sedation Dentistry?
Lokhu kulula kakhulu. Leli igama elinikezwe umuthi onciphisa ukwesaba nokucindezeleka futhi okusiza ukuthi uphumule ngenkathi ulashwa ngamazinyo. Awulali ngokuphelele. Ungahlala uphapheme futhi uphendule imibuzo ebuzwa udokotela. Kodwa uphumule kakhulu futhi ulele. Ngakho awuzwa lutho ngesikhathi sokwelashwa, njengobuhlungu. Abanye abantu bakubiza nangokuthi 'ukupholisa ingqondo' . Lokhu kusho ukuthi uzolile ngenkathi uphapheme.
Ngubani ngempela ofanele le ndlela?
Kunezizathu eziningana ezenza udokotela wamazinyo akuphakamisele le nqubo. Bheka ukuze ubone ukuthi unazo yini lezi zinkinga.
| Inkinga/isimo | Incazelo |
|---|---|
| Ukukhathazeka Kwamazinyo | Uma uzizwa wesaba kakhulu futhi ukhathazekile ngisho noma ucabanga ngokuya kudokotela. |
| Ukwesaba Izinaliti | Uma wesaba kakhulu umjovo oqeda umlomo wakho ubuhlungu. |
| I-Reflex ye-Gag ezwelayo | Uma uzizwa unesicanucanu ngokushesha uma ufaka ithuluzi emlonyeni wakho. |
| Amazinyo azwela kakhulu | Uma amazinyo akho engazwakali kahle futhi ebuhlungu kakhulu kunokujwayelekile. |
| I-Claustrophobia | Uma uzizwa wesaba noma ungakhululekile ngenkathi usesihlalweni sikadokotela wamazinyo, sengathi ubambekile. |
| Ubunzima bokulawula ukunyakaza komzimba | Kulabo abanenkinga yokuhlala endaweni eyodwa ngenxa yezimo ezithile zezokwelapha. |
| Abantu abanezidingo ezikhethekile | Kulabo abanobunzima bokuphumula ngenxa yezidingo ezithile zomzimba, zokuziphatha, noma zokuqonda. |
Uma unenkinga efana nale, khuluma nodokotela wakho ngayo ngokukhululekile. Ngemuva kwalokho angakhetha indlela engcono kakhulu kuwe.
Yiziphi izindlela eziyinhloko zokupholisa?
Kunezindlela ezintathu eziyinhloko. Udokotela uzokhetha indlela ekufanelekela kangcono ngokusekelwe ezicini ezifana nezinga lakho lokwesaba, isikhathi onaso sokwelashwa, kanye nesimo sakho sempilo.
1. I-Nitrous Oxide
Abanye abantu bakubiza nangokuthi 'igesi ehlekayo.' Lokhu kuhilela ukubeka imaski encane phezu kwekhala lakho bese ukuvumela ukuthi uphefumule le gesi ngayo.
- Phakathi nemizuzu emi-3-5, uzoqala ukuzizwa ukhululekile futhi uzolile.
- Udokotela uzolawula inani lomoya owunikezwayo phakathi nokwelashwa.
- Uma ukwelashwa sekuphelile, kunikezwa umoya-mpilo ohlanzekile ngaleyo mask. Ngemuva kwalokho imiphumela yaleyo gesi iyaphela ngokushesha.
- Inzuzo enkulu yalokhu ukuthi ungabuyela esimweni esijwayelekile zingakapheli imizuzu eyi-15-30 ngemva kokuphela kokwelashwa. Ungashayela ngisho nokuya ekhaya wedwa.
2. Ukulala Okujulile Komlomo
Okwenzekayo kulesi simo ukuthi kufanele uphuze iphilisi udokotela akunika lona cishe ihora ngaphambi kokwelashwa kwakho.
- Ngokuvamile, izidakamizwa ezifana ne-"Triazolam", ezingaphansi kwesigaba se-"Diazepam" noma "Valium", zisetshenziselwa lokhu.
- Ungase uzizwe ulele kakhulu ngemva kokuthatha leli philisi. Ungase ulale ngisho nangesikhathi sokwelashwa. Lokho akuyona inkinga. Uma udokotela efuna ukukuvusa, uzovuka.
- Ezinganeni ezincane, umuthi owuketshezi onjenge-"Midazolam syrup" unganikezwa ngezinye izikhathi esikhundleni samaphilisi.
3. Ukupholisa nge-IV
Lena indlela yokudambisa ejulile engenziwa ehhovisi lamazinyo.
- Lokhu kufaneleka kakhulu kulabo abanokwesaba okukhulu noma labo abelashwa isikhathi eside amahora amaningana .
- Kulokhu, kufakwa umugqa we-IV emthanjeni osengalweni yakho bese umuthi ufakwa ngqo egazini lakho.
- Isilinganiso senhliziyo yakho kanye nomfutho wegazi kuzoqashwa njalo ngesikhathi sokwelashwa.
- Ungase ulale ngesikhathi sokwelashwa. Uma uvuka, ungase ungakhumbuli lutho ngokwelashwa .
- Le nqubo ivame ukwenziwa ngaphansi kokuqondisa kukadokotela obulala izinzwa.
Ingabe ngidinga ukulungiselela ngaphambi kokwelashwa?
Yebo, nakanjani. Udokotela uzokunikeza iseluleko.
- Tshela udokotela wakho ngeminye imithi oyithathayo: Uma uthatha imithi yesinye isimo, kufanele utshele udokotela wakho ngayo. Eminye imithi ingase ihlangane nalesi sidambisi.
- Ukuzila Ukudla: Uzocelwa ukuthi ungadli noma uphuze amahora ambalwa ngaphambi kokwelashwa. Udokotela wakho uzochaza ukuthi kufanele uhlale isikhathi esingakanani unjalo.
- Letha othile ekhaya: Uma unikezwa umuthi wokudambisa ngomlomo noma umuthi wokudambisa nge-IV, lokhu kubaluleke kakhulu . Uzozela futhi uphuze ngemva kokwelashwa, ngakho-ke akuwona umqondo omuhle ukushayela noma ukuya ekhaya wedwa nganoma yisiphi isizathu . Letha umuntu omethembayo ukuthi akuphelezele.
Yiziphi izinzuzo, imiphumela emibi, kanye nezingozi zale ndlela?
Njenganoma yiluphi uhlobo lokwelashwa, lolu lungaba nezinzuzo nemiphumela emibi emincane.
| Izinzuzo kanye nemiphumela emibi | |
|---|---|
| Izinzuzo Eziyinhloko | |
| Ukuthola ukwelashwa okudingekayo | Lokhu kuwusizo olukhulu ekutholeni ukwelashwa kwamazinyo okudingayo obekuhlehlisa ngenxa yokwesaba. |
| Umsebenzi uqedwa kusihlwa. | Ngenxa yokuthi uphumule, udokotela angasebenza ngokushesha. Ngakho-ke ukwelashwa okungathatha izinsuku eziningana ngezinye izikhathi kungaqedwa ngosuku olulodwa. |
| Imiphumela Engase Ibe Khona | |
| Ukozela isikhathi eside | Ungase uzizwe ulele amahora ambalwa ngemva kokwelashwa. |
| Umlomo owomile | Imithi ingabangela umlomo owomile. |
| Ikhanda elibuhlungu, isicanucanu | Abanye abantu bangase babe nekhanda elibuhlungu noma isicanucanu. |
| Ukulimala lapho umugqa we-IV ufakwe khona | Uma kusetshenziswe umuthi wokudambisa imithambo yegazi, kungase kube nokulimala okuncane lapho inaliti ifakwe khona. |
Into ebalulekile ukuthi iningi lale miphumela emibi liphele ngokuphelele phakathi nosuku . Akuvamile ukuthi umuntu abe nokusabela kokungezwani nomuthi. Kodwa-ke, ithimba lezokwelapha likulungele ukubhekana nesimo esinjalo.
Imiphumela emibi engaba khona ezinganeni
Izingane ngezinye izikhathi zingaba nemiphumela emibi ehluke kancane.
- Imfiva
- Ukucasuka, ukuhleleka
- Isicanucanu nokuhlanza
- Ukuhona
Lezi zinto zivame ukuphela zingakapheli amahora angu-48 . Ezinye izingane zingathatha isikhathi ukuvuka ngemva kokuphuza utshwala. Ungakhathazeki ngalokho. Udokotela nabasebenzi bazomnakekela kahle umntwana aze alulame ngokuphelele.
Kuthatha isikhathi esingakanani ukuphulukiswa?
Lokhu kuzohluka kuye ngohlobo lomuthi wokudambisa owunikiwe kanye nendlela umzimba wakho osabela ngayo kuwo.
- I-Nitrous Oxide:Ungalulama ngokuphelele ngemizuzu eyi-15-30. Ungashayela imoto futhi wenze umsebenzi ojwayelekile ngalolo suku.
- Amaphilisi noma i-IV Sedation: Kungathatha amahora angama-24 ukululama ngokuphelele. Ngakho-ke, ungashayeli amahora angama-24 . Kungcono ukuphumula usuku lonke ngemva kokwelashwa.
Kunini lapho udinga ukukhuluma nodokotela?
Uma uzizwa ulele kakhulu, uphuza, noma unemiphumela emibi eqhubekayo njengesicanucanu nokuhlanza emahoreni angama-24 ngemva kokwelashwa, qiniseka ukuthi ushayela udokotela wamazinyo.
Ingabe lokhu kufaneleka kwabesifazane abakhulelwe?
Kubalulekile ukwenza izinto ezijwayelekile njengokuhlolwa nokuhlanza ngesikhathi sokukhulelwa. Kodwa-ke, uma unezinqubo ezinkulu ezidinga ukudambisa ubuhlungu, udokotela wakho uvame ukukweluleka ukuthi uzihlehlise kuze kube yilapho ingane yakho isizelwe . Eminye imithi ingathinta ukukhula kwengane.
Umlayezo Wokuya Nawe Ekhaya
- Kuvamile ukwesaba ukuya kudokotela wamazinyo. Kodwa ungavumeli lokho kwesaba kukuvimbele ekwelashweni. Ukwelapha amazinyo okudambisa ubuhlungu kuyisisombululo esihle kakhulu.
- Lokhu akukwenzi ulale ngokuphelele. Usesimweni sokuphumula, sokuthula, nesobuthongo.
- Udokotela uzokhetha indlela ekufanele kakhulu (igesi, amaphilisi, noma i-IV) kuye ngezinga lokwesaba kwakho kanye nohlobo lokwelashwa.
- Uma uphuza amaphilisi noma i-IV sedation, kubalulekile ukuthi ube nomuntu ozokuthatha akuyise ekhaya. Akufanele futhi ushayele amahora angama-24.
- Khuluma nodokotela wakho ngokukhululekile ngokwesaba kwakho, eminye imithi oyiphuzayo, nakho konke okunye. Ngaleyo ndlela, ungathola ukwelashwa ngokuphephile nangokukhululekile.
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