Uma ucabanga ngokuya kudokotela wamazinyo, abanye abantu bayasaba, akunjalo? Leso sihlalo, lowo msindo, lawo mathuluzi... Ngisho nokucabanga ngakho kukwenza uzizwe wesaba. Ngenxa yalokhu kwesaba, abantu abaningi bayalinda kuze kube yilapho izinkinga zabo zamazinyo ziba zimbi kakhulu. Kodwa ungangikholwa yini uma ngingakutshela ukuthi kukhona indlela yokwelapha amazinyo akho kalula, ngaphandle kokwesaba, ukukhathazeka, noma ubuhlungu? Yilokho esikubiza ngokuthi 'iSedation Dentistry'. Ake sixoxe ngalokhu kalula namuhla.
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Kuyini ngempela i-Sedation Dentistry?
Kalula nje, lokhu kuhilela ukukubeka esimweni sokuphumula nokuzola ngesikhathi sokuhlinzwa kwamazinyo. Lokhu kuyizinga eliphakathi lokupholisa, okusho ukuthi awukho ngokuphelele oqulekile . Uqaphile, kodwa usesimweni sokuphumula kakhulu nokuphumula. Abanye abantu bakubiza nangokuthi 'ukulala ebusuku', ngoba kudala isimo lapho ungekho oqulekile, ungezwa ubuhlungu, futhi ungakhumbuli ukwelashwa kamuva. Ukuze kube sobala, abantu abaningi bazizwa sengathi basephusheni.
Ngubani ofanele kakhulu le ndlela?
Eqinisweni, noma ubani wanoma yimuphi ubudala, ngisho nezingane ezincane, angazuza kule ndlela. Uma unenkinga efanayo, ungakhuluma nodokotela wamazinyo ngale ndlela.
| Inkinga / Ukwesaba | Incazelo |
|---|---|
| Ukukhathazeka Kwamazinyo | Ukwesaba okukhulu nokukhathazeka uma ucabanga ngokuya kudokotela. |
| I-Gag reflex | Ukuzizwa sengathi uzohlanza uma ufaka ithuluzi noma isandla sikadokotela emlonyeni wakho. |
| Ukwesaba izinaliti (i-Aichmophobia) | Ukwesaba ngokweqile umjovo obangela ukungakhululeki. |
| Ukuzwela kakhulu kwamazinyo | Ubuhlungu obukhulu uma into ishaya amazinyo akho. |
| Ukuzizwa uvalelekile (i-Claustrophobia) | Ukuzizwa ucindezekile futhi unenkinga yokuphefumula ngenkathi usesihlalweni sikadokotela. |
| Umuthi wokubulala amazinyo awusebenzi kahle | Umzimba wakho awusabeli kahle ku-anesthesia yendawo evame ukunikezwa. |
| Abantu abanezidingo ezikhethekile | Kubantwana noma abantu abadala abanezidingo ezikhethekile zomzimba, zengqondo noma zokuziphatha. |
Yiziphi lezi zindlela zokuzola?
Udokotela wakho uzokhetha indlela ekufanelekela kangcono ngokusekelwe ezidingweni zakho, izinga lokwesaba, isikhathi sokwelashwa, kanye nomlando wakho wempilo. Kunezindlela ezintathu eziyinhloko.
1. I-Nitrous Oxide (i-Nitrous Oxide) noma 'igesi ehlekayo'
Lokhu kubizwa nangokuthi 'igesi ehlekayo'. Unikwa imaski encane phezu kwekhala lakho futhi wenziwa ukuthi uphefumule le gesi. Kungakapheli imizuzu emi-3-5, uzoqala ukuzizwa ulula kakhulu futhi ukhululekile. Udokotela angalawula inani legesi onikwa lona phakathi nokwelashwa.
Inzuzo enkulu yalokhu ukuthi uma uphefumula umoya-mpilo ngemva kokuphela kokwelashwa, leli gesi licishe likhishwe ngokuphelele emzimbeni wakho. Ngakho-ke ungashayela imoto uye ekhaya wedwa.
2. Ukulala Okujulile Komlomo
Ngale ndlela, unikezwa iphilisi lokudambisa cishe ihora ngaphambi kokwelashwa. Elisetshenziswa kakhulu umuthi ovela ekilasini elithi Diazepam, njenge Triazolam. Ezinganeni ezincane, umuthi owuketshezi njenge Midazolam unganikezwa.
Uma uphuza la maphilisi, uzozizwa ulele kakhulu, futhi ungase ulale ngisho. Kodwa uma udokotela efuna ukukhuluma nawe, angakuvusa ngokumpompa kancane.
Kubaluleke kakhulu: Njengoba le ndlela ithinta inkumbulo yakho kanye nokunyakaza kwakho okwesikhashana, awukwazi ukuya ekhaya wedwa ngemva kokwelashwa nganoma yisiphi isizathu. Kufanele ube nomngane noma ilungu lomndeni elihamba nawe.
3. Ukuthomalalisa ngemithambo yegazi (IV)
Lolu uhlobo olujulile lokwelapha olunikezwa ehhovisi lamazinyo. Kulokhu, umuthi wokudambisa unikezwa ngqo emthanjeni wakho nge-IV ( saline ). Ngesikhathi sokwelashwa, udokotela nethimba lakhe baqhubeka nokuqapha izinga lokushaya kwenhliziyo yakho, umfutho wegazi, kanye namazinga omoya-mpilo .
Abantu abaningi bayalala phakathi nale ndlela futhi abakhumbuli lutho ngokwelashwa lapho bevuka. Le ndlela ilungele abantu abesaba kakhulu noma ukwelashwa okuthatha isikhathi eside.
Ingabe kubangela ukulahlekelwa ngokuphelele kwengqondo (i-General Anesthesia)?
Yebo, kwezinye izimo ezikhethekile, lokho kwenziwa futhi. Kodwa kuhlukile ku-'Sedation'. I-'General Anesthesia' isho ukuthi awukho nhlobo engqondweni ngesikhathi sokwelashwa. Lokhu kuvame ukwenziwa ezinganeni ezincane, abantu abadala abanezidingo ezikhethekile, noma abantu abanokwesaba kwamazinyo okungabekezeleleki.
Lokhu akuyona into engenziwa emtholampilo wamazinyo ojwayelekile. Kudinga isibhedlela noma indawo enezindawo ezikhethekile. Futhi kudinga udokotela wezinzwa oqeqeshwe ngokukhethekile ukwenza lokhu.
Yini okufanele ngiyenze ngaphambi nangemva kokwelashwa?
Ngaphambi kokwelashwa
Kufanele uqale ukhulume nodokotela wakho umtshele konke ngempilo yakho kanye nanoma yimiphi imithi oyithathayo. Ngokuvamile, welulekwa ukuthi ugweme ukudla noma ukuphuza noma yini amahora ayisithupha ngaphambi kokwelashwa. Uma uthatha imithi yokunciphisa igazi, njenge-Warfarin, kufanele nakanjani utshele udokotela wakho ngayo.
Ngemva kokwelashwa
Ngaphandle kokuthi usebenzise 'igesi yokuhleka' yodwa, uma usebenzise enye yezindlela ezimbili, udinga umuntu omethembayo ukuthi akuyise ekhaya.
Okubalulekile: Ungahambi wedwa ekhaya, kungaba ngetekisi noma ngesevisi yokwabelana ngokugibela (isb. i-Uber, i-PickMe), nganoma yisiphi isizathu. Hamba ekhaya nomuntu omazi kahle futhi omethembayo. Udinga ukuya ekhaya uphumule kahle.
Ziyini izinzuzo nemiphumela emibi?
Njenganoma iyiphi inqubo yezokwelapha, kunezinzuzo kanye nezingozi ezincane.
| Izinzuzo | Imiphumela emibi/Izingozi |
|---|---|
| Kuqeda ukwesaba nokukhathazeka. | Ukozela ngisho nangemva kokwelashwa. |
| Ukwelashwa kungenziwa kalula. | Umlomo owomile (i-Xerostomia). |
| Udokotela angasebenza ngokushesha. | Isicanucanu nokuhlanza. |
| Kusiza labo abagwema ukwelashwa ngenxa yokwesaba. | Ikhanda elibuhlungu kanye nokulimala lapho kufakwe khona i-IV. |
Ingabe lokhu kufanelekile ngesikhathi sokukhulelwa?
Lezi zindlela azivamile ukunconywa ngesikhathi sokukhulelwa ngoba eminye imithi ingathinta ukukhula komntwana. Nakuba i-nitrous oxide inganikezwa ngezinye izikhathi ku-trimester yesibili, odokotela abaningi bakhetha ukusebenzisa lokhu kwelashwa ngemva kokubeletha.
Kufanele ngiphinde ngimbone nini udokotela?
Umuthi ungase usebenze kuze kube amahora angama-24 ngemva kokwelashwa. Kodwa-ke, uma unesicanucanu noma ukuhlanza okuqhubekayo, umkhuhlane ongaphezu kwama-degrees Fahrenheit angu-101 (38.33 degrees Celsius), noma ubuhlungu obungapheli ngemithi yobuhlungu , shayela udokotela wamazinyo ngokushesha ukuze uthole iseluleko.
Umlayezo Wokuya Nawe Ekhaya
- Ungakugwemi ukwelashwa ngoba wesaba ukuya kudokotela wamazinyo. Ukwelapha Amazinyo Okulala kuyindlela ephephile engakusiza.
- Udokotela wakho wamazinyo uzokhetha indlela yokudambisa efanele kakhulu kuwe ngokusekelwe ekwesabeni kwakho, isimo sempilo, kanye nokwelashwa okwenziwayo.
- Uma uke wathola umuthi wokudambisa (amaphilisi) noma umuthi wokudambisa (ngokusebenzisa i-intravenous), ungalokothi uye ekhaya wedwa. Hamba nomuntu omethembayo. Gwema ukushayela okungenani usuku lonke.
- Landela imiyalelo kadokotela wakho ngokucophelela ngaphambi nangemva kokwelashwa. Uma unezinkinga noma izimpawu ezingavamile, xhumana nodokotela wakho ngokushesha.
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