Wake wadinga ukuhlinzwa? Noma ingabe othile emndenini wakho kwadingeka enze kanjalo? Bese kuba nethimba lochwepheshe abangakulalisa ngokuphelele ukuze ungezwa ubuhlungu, noma ungabi namizwa engxenyeni yomzimba wakho, akunjalo? Namuhla, sizokhuluma ngomkhakha ohlinzeka ngaleyo nsizakalo ebalulekile, kodwa asikhulumi kakhulu ngayo. Ikakhulukazi, sizokhuluma "ngodokotela ababulala izinzwa abahlengikazi", abathola ukuqeqeshwa okukhethekile kulokhu kwamanye amazwe.
Ubani umhlengikazi obulala izinzwa?
Kalula nje, lo uchwepheshe wezokwelapha oqeqeshwe ngokukhethekile ukunikeza iziguli i-anesthesia ukuze zingazizwa ubuhlungu ngesikhathi sokuhlinzwa noma ezinye izinqubo zezokwelapha. Baziwa nangokuthi odokotela ababhalisiwe abangochwepheshe be-anesthesia (ama-CRNA).
ESri Lanka, lo msebenzi wenziwa kakhulu ngodokotela ababulala izinzwa. Okusho ukuthi, odokotela asebefunde nge-anesthesia iminyaka eminingana ngemuva kweziqu zabo zobudokotela futhi bathola ulwazi olukhethekile. Kodwa-ke, emazweni afana ne-United States, abahlengikazi abaqeqeshwe ngokukhethekile nabo bavunyelwe ukwenza lo msebenzi. Izifundo zikhombisile ukuthi ukuphepha, ikhwalithi kanye nemiphumela yezinsizakalo ze-anesthesia ezinikezwa yizinhlangothi zombili zisezingeni elifanayo . Ngakho-ke, noma ngubani owenza lo msebenzi, kubalulekile ukuhlangabezana nezinga eliphakeme kakhulu lokuqeqeshwa kanye neziqu.
Benzani ngempela laba bantu?
Umsebenzi wodokotela wezinzwa uyinkimbinkimbi kakhulu kunalokho ongase ucabange. Akukhona nje "ukukunikeza umuthi wokudambisa." Kungumsebenzi wabo ukukugcina uphephile futhi ukhululekile phakathi nokuhlinzwa kwakho.
Ngaphambi kokuhlinzwa, udokotela wezinzwa uzohlangana nawe akubuze ngempilo yakho, eminye imithi oyithathayo, kanye nanoma yikuphi ukungezwani komzimba okungenzeka ukuthi unakho. Bazochaza nohlobo lwe-anesthesia ozolunikwa, izingozi zayo, kanye nemiphumela emibi.
Ngesikhathi sokuhlinzwa, bazoqhubeka nokuqapha izimpawu zakho ezibalulekile , njengokushaya kwenhliziyo yakho, izinga lokushisa lomzimba, umfutho wegazi, kanye nokuphefumula . Bazolungisa umthamo we-anesthesia njengoba kudingeka ukuze uhlale uzinzile. Ngemva kokuhlinzwa, bazokunakekela uze ubuye uqaphile futhi isimo sakho sithuthuke.
Kunezinhlobo eziningana eziyinhloko zokubulala izinzwa. Indlela efanele kakhulu izoncika ohlotsheni lokuhlinzwa kwakho kanye nesimo sakho sempilo.
| Uhlobo lwe-Anesthesia | Kwenzekani kuyo? |
|---|---|
| I-Anesthesia Ejwayelekile | Kulokhu, uzobe ulele ngokuphelele. Ngeke uzizwe noma ukhumbule lutho ngesikhathi sokuhlinzwa. Ngenxa yalokhu, umuthi uzonikezwa wona ngokuwuphefumula (ngemaski) noma nge-cannula efakwe emthanjeni (IV - Intravenous). |
| I-Anesthesia Yesifunda | Kulokhu, indawo yomzimba ohlinzwayo kuphela evalwa yizinzwa. Isibonelo, uma uhlinzwa engalweni yakho, ingalo yakho kuphela evalwa yizinzwa, noma uma uhlinzwa emlenzeni wakho, umhlane wakho ongezansi kuphela ovalwa yizinzwa. I-epidural enikezwa ngesikhathi sokubeletha nayo iwela kulesi sigaba. Uyaqaphela, kodwa awuzizwa ubuhlungu. |
| Ukupholisa | Lokhu kukufaka ebuthongweni obuncane noma ekuthokoziseni. Kunciphisa ukwesaba nokukhathazeka kwakho futhi kukwenze uzizwe ukhululekile. Le ndlela ivame ukusetshenziswa ezivivinyweni ezifana ne-Endoscopy kanye ne-Colonoscopy. Kukhona amazinga amaningana lapha futhi: - Ukulala Okuncane: Uzozizwa ukhululekile futhi ulele. - Ukulala Okulingene: Ungase uzizwe ulele, kodwa ungavuswa kalula uma kudingeka. - Ukulala Okujulile: Uzolala ubuthongo obukhulu futhi ngeke ukhumbule ukwelashwa. |
Kunini lapho kudingeka khona izinsizakalo zokubulala izinzwa?
I-anesthesia iyindawo ebaluleke kakhulu esivumela ukuthi sithole ukwelashwa ngokuphephile nangaphandle kobuhlungu.
Kunezimo eziningana eziyinhloko lapho kudingeka khona lezi zinsizakalo.
Kokuhlinzwa kanye nokuhlolwa kwezokwelapha
Kusukela ekuhlinzweni okuncane okufana namapayipi endlebe kuya ekuhlinzweni okukhulu okufana nokufakelwa izinqe, i-anesthesia ibalulekile kunoma iyiphi inqubo yokuhlinzwa. Iphinde isetshenziswe ezintweni ezifana nokukhishwa kwamazinyo kanye nokuhlinzwa kwepulasitiki. I-sedation isetshenziselwa futhi ukunciphisa ukungakhululeki ngesikhathi sezinqubo ezifana ne-endoscopy noma i-colonoscopy.
Ngesikhathi sokubeletha
I-anesthesia yesifunda iyasiza kakhulu ekulawuleni ubuhlungu ngesikhathi sokubeletha. Esetshenziswa kakhulu yi -epidural.Kule ndlela, imithi yokubulala izinhlungu inikezwa njalo ngepayipi elincane kakhulu (i-catheter) elifakwe emgudwini womgogodla. Lokhu kuvumela umama ukuthi ahlanganyele ekuzalweni ngokuqonda nangaphandle kobuhlungu. Uma kudingeka ukuhlinzwa ngokuhlinzwa, le ndlela ingasetshenziswa ngezinye izikhathi nakulokho. Ngaphandle kwalokho, ukuhlinzwa ngokuhlinzwa kwenziwa kusetshenziswa umjovo owodwa wemithi yokubulala izinhlungu emgogodleni (i-spine anesthesia). Uma kwenzeka isimo esiphuthumayo, laba ochwepheshe bakulungele ukufaka umama ngaphansi kwe-anesthesia ejwayelekile ngokushesha.
Ukuphathwa Kobuhlungu Obungapheli
Abanye odokotela bokubulala izinzwa bayasiza ekudaleni izinhlelo zokulawula ubuhlungu zeziguli ezinobuhlungu obungapheli, okuhlanganisa imijovo, imithi, kanye nokwelashwa ngokomzimba.
Umlayezo Wokuya Nawe Ekhaya
- I-anesthesia inqubo yezokwelapha ephephile kakhulu ekusiza ukuthi uhlinzwe futhi uthole ezinye izindlela zokwelapha ngaphandle kobuhlungu.
- Le nsizakalo inikezwa ochwepheshe abaqeqeshiwe kakhulu njengodokotela bezifo ezibulala izinzwa noma odokotela bezifo ezibulala izinzwa abaqeqeshwe ngokukhethekile.
- Bazokhetha indlela yokubulala izinzwa (ejwayelekile, yesifunda, noma yokudambisa) ekufanele kakhulu, kuye ngesimo sakho sempilo kanye nokwelashwa okwenziwayo.
- Bakuqapha kakhulu ngaphambi, ngesikhathi, nangemva kokwelashwa ukuqinisekisa ukuphepha kwakho.
- Uma unemibuzo noma unemibuzo mayelana nokuhlinzwa kwe-anesthesia, zizwe ukhululekile ukuyixoxa nodokotela wakho noma nochwepheshe we-anesthesia. Bazibophezele ekuphenduleni yonke imibuzo yakho.
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