Wake wadinga ukuhlinzwa? Noma ingabe othile emndenini wakho wadinga ukuhlinzwa? Ngaphambi kokuhlinzwa, ulaliswa ukuze ungezwa ubuhlungu. Enye indlela yokwenza lokhu ukuphefumula igesi ekhethekile. I-Sevoflurane iyigesi yokwelapha ebaluleke kakhulu esetshenziselwa ukunciphisa ubuhlungu ngesikhathi sokuhlinzwa nezinye izinqubo zezokwelapha. Ake sixoxe ngayo ngendlela elula namuhla.
Kalula nje, iyini i-Sevoflurane?
I-Sevoflurane iyigesi engenambala, enephunga elimnandi oyiphefumulayo. Umsebenzi wayo oyinhloko ukukufaka esimweni sokungazi lutho ngokuphelele, okungukuthi, ubuthongo obujulile, ngesikhathi sokuhlinzwa. Lokhu kubizwa ngokuthi i-anesthesia ejwayelekile . Uma ukulesi simo, awuzizwa ubuhlungu, futhi awukhumbuli lutho ngokuhlinzwa.
Lo muthi unikezwa endaweni elawulwayo, njengegumbi lokuhlinza esibhedlela, ngudokotela wezinzwa kanye nethimba lakhe, abanolwazi olukhethekile kulo mkhakha. Ngakho-ke unikezwa ngokuphephile kakhulu, ngokuqapha njalo isimo sakho.
Izinto okufanele uzitshele udokotela wakho ngaphambi kokuthatha lo muthi:
Ngaphambi kokuba unikezwe i-Sevoflurane anesthesia, udokotela wezinzwa uzokubuza ngomlando wakho wezempilo. Ngalesi sikhathi, kubaluleke kakhulu ukusitshela ngazo zonke izimo zakho zezokwelapha ngaphandle kokufihla lutho . Qiniseka ukuthi usitshela ngalezi zinto ikakhulukazi.
- Ukungezwani komzimba nemithi yokubulala izinzwa: Uma wena noma othile emndenini wakho wake waba nokusabela okukhulu kokungezwani komzimba nemithi yokubulala izinzwa, ikakhulukazi i-Malignant Hyperthermia (ukwenyuka okuyingozi kokushisa komzimba okubangelwa ukubulala izinzwa).
- Isifo sezinso noma sesibindi: Uma unesifo sezinso noma sesibindi.
- Izifo ze-neuromuscular: Uma unezifo ezihlobene nemizwa nemisipha, njenge-Duchenne muscular dystrophy.
- Ukuquleka: Uma unesifo esifana nokuquleka noma ukuquleka.
- Okunye ukungezwani komzimba: Sitshele nganoma yikuphi ukungezwani komzimba onakho kunoma yimuphi omunye umuthi, ukudla, noma idayi, hhayi nje i-Sevoflurane.
- Ukukhulelwa nokuncelisa: Kufanele futhi wazise udokotela wakho uma ukhulelwe, uzama ukukhulelwa, noma uncelisa.
Ngokusekelwe olwazini olunikezayo, udokotela uzokwazi ukukhetha indlela yokubulala izinzwa ephephile nefanele kakhulu kuwe.
Ingabe kungaba nezinkinga ngeminye imithi?
Yebo, impela. Eminye imithi ingasebenzisana ne-Sevoflurane futhi ibangele imiphumela engafuneki. Ngakho-ke, tshela udokotela wakho ngayo yonke imithi oyithathayo. Lokhu kufaka phakathi imithi kadokotela, imithi ethengiswa ngaphandle kwemithi kadokotela, imikhiqizo yamakhambi, kanye namavithamini (izithasiselo zokudla).
Qaphela kakhulu izinto ezifana nalezi:
- Utshwala nezidakamizwa ezingekho emthethweni.
- Imithi yokulutha.
- Eminye imithi yokwelapha isifo sengqondo (isibonelo, ama-MAOI ).
- I-St. John's wort , umkhiqizo wezitshalo.
- Ama-neuromuscular blocker imithi esetshenziselwa ukukhulula imisipha ngesikhathi sokuhlinzwa.
- Imithi efana ne -Isoniazid (INH), enikezwa isifo sofuba.
Uma usunike udokotela uhlu oluphelele, uzothatha izinyathelo ezidingekayo.
Imiphumela emibi nezinto okudingeka siziqaphele
Nakuba i-Sevoflurane iyisidakamizwa esiphephile kakhulu, njenganoma yimuphi umuthi, kungenzeka ukuthi kube nemiphumela emibi emincane noma emibi kakhulu. Awunalutho okufanele ukhathazeke ngalo njengoba uzohlala uqashwe yithimba lezokwelapha egumbini lokuhlinza kanye nasegumbini ngemva kwalokho. Uma kuvela izinkinga, bazokunikeza ukwelashwa okudingekayo ngokushesha.
Ngezansi kunemiphumela emibi engaba khona nokuthi yini okufanele uyenze uma uyiqaphela.
| Umphumela ongemuhle | Incazelo nokuthi yini okufanele uyenze |
|---|---|
| Izimpawu ezinkulu okufanele zibikwe eqenjini lezokwelapha ngokushesha | |
| Ukungezwani komzimba okukhulu | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe noma ulimi. |
| Ubunzima bokuphefumula | Ukuphefumula kancane, ubunzima noma ukufinyela komoya. |
| Izinguquko ekushayeni kwenhliziyo | Ukushaya kwenhliziyo okusheshayo noma okungajwayelekile. |
| Imiphumela esibindini | Izimpawu ezinjengokuphuzi kwamehlo noma isikhumba (i-jaundice), umchamo omnyama, ubuhlungu ohlangothini oluphezulu kwesokudla lwesisu, kanye nomkhuhlane. |
| Ukushisa komzimba okwandisiwe | Ukwanda okukhulu kwezinga lokushisa lomzimba ngaphandle kwesizathu. |
| Ukuquleka | Ukuquleka noma ukulahlekelwa ukwazi ngokuzumayo. |
| Izinto ezingavamile ukuba zimbi kakhulu, kodwa okufanele zibikwe kudokotela uma ziqhubeka | |
| Isicanucanu nokuhlanza | Lesi yisimo esivamile ngemva kokuhlinzwa. Kunezindlela zokwelapha ezitholakalayo uma kudingeka. |
| Ukuthuthumela nokuzizwa ubanda | Lokhu kungenzeka uma izinga lokushisa lomzimba libuyela esimweni esijwayelekile. |
| Ukozela | Kuvamile ukuzizwa ulele amahora ambalwa ngemva kokuhlinzwa. |
| Ukukhwehlela okuncane | Kungabangelwa ukulimala okuncane emphinjeni ngesikhathi uphefumula. |
| Ukungahlaliseki | Izingane, ikakhulukazi, zingase zibonakale zingakhululekile lapho zivuka ngemva kokuhlinzwa. |
Kwenzekani ngemva kokuhlinzwa kwe-anesthesia?
Ngemva kokuhlinzwa sekuqediwe, uzophinde uqaphe kancane kancane ngokushesha nje lapho i-Sevoflurane isiyekiwe.
- Ukozela kanye nesiyezi:Kujwayelekile ukuthi uzizwe ulele futhi uzizwa unesizungu amahora ambalwa ngemva kokuhlinzwa. Ngakho-ke, gwema imisebenzi eyingozi njengokushayela noma ukusebenzisa imishini kuze kube yilapho udokotela wakho ekuyala.
- Vuka kancane: Uma uvuka embhedeni noma uhleli, kwenze kancane. Uma uvuka ngokuzumayo, ungase uzizwe unesiyezi bese uwe.
- Utshwala: Gwema utshwala ngokuphelele izinsuku ezimbalwa ngemva kokusebenzisa umuthi wokubulala izinzwa. Kungaphazamisa imiphumela yomuthi.
Njengoba lo muthi unikezwa esibhedlela, akudingeki ukhathazeke ngokulahlekelwa umthamo noma ukuthatha i-overdose. Ithimba lezokwelapha lizonakekela konke. Uma kukhona isimo esiphuthumayo, bazobe sebekulungele. Ngeke futhi bakuvumele ukuthi uthathe lo muthi uye ekhaya.
Umlayezo Wokuya Nawe Ekhaya
- I-Sevoflurane iyigesi yokubulala izinzwa evame kakhulu futhi ephephile esetshenziselwa ukunciphisa ubuhlungu ngesikhathi sokuhlinzwa.
- Ngaphambi kokuhlinzwa kokubulala izinzwa, tshela udokotela wakho ngazo zonke izimo zakho zezokwelapha kanye nayo yonke imithi oyithathayo (kufaka phakathi imithi yendabuko).
- Kujwayelekile ukuzizwa ulele futhi unesizungu ngemva kokubulala izinzwa. Landela imiyalelo kadokotela wakho.
- Uma ubona noma yimiphi imiphumela emibi efana nokuphuzi kwesikhumba, ubunzima bokuphefumula, noma umkhuhlane ophakeme, yazisa abasebenzi besibhedlela ngokushesha.
- Konke lokhu kwenzeka ngaphansi kokuqashwa okuqinile kwezokwelapha, ngakho ungesabi. Bahlala bekhathazekile ngokuphepha kwakho.
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