Uma wena noma othile omaziyo wake wadinga ukuhlinzwa, kungenzeka ukuthi uzizwe wesaba futhi unesifiso "sokulahlekelwa ukwazi." "Kuzokwenzekani ngemva kokulahlekelwa ukwazi?", "Ingabe ngizophinde ngithole ukuqonda?", "Kuzokwenzekani uma ngiphinde ngithole ukuqonda ngesikhathi sokuhlinzwa?" Imibuzo eminingi efana nale ifika engqondweni. Udokotela wezinzwa unguchwepheshe osusa konke lokho kwesaba nokukhathazeka, akuvikele phakathi nokuhlinzwa kwakho, futhi unjengomqaphi wempilo yakho. Ake sixoxe ngalaba odokotela namuhla.
Ubani lo dokotela wezinzwa?
Kalula nje, udokotela obulala izinzwa udokotela oqeqeshwe ngokukhethekile ukunikeza imithi yokuqeda ubuhlungu (i-anesthesia) ngesikhathi sokuhlinzwa noma ezinye izinqubo zezokwelapha. Kodwa umsebenzi wabo awupheli lapho. Banomthwalo wemfanelo oyinhloko wokuqapha imisebenzi yomzimba wakho nokuqinisekisa ukuphepha kwakho ngesikhathi nangemva kokuhlinzwa, kuze kube yilapho imiphumela yokubulala izinzwa iphela.
Futhi, abanye odokotela ababulala izinzwa bathole ukuqeqeshwa okukhethekile ekuphatheni ubuhlungu obungapheli.
Into ebalulekile ukuthi udokotela wezinzwa akayena umhlengikazi ongudokotela wezinzwa noma umsizi wezokwelapha ngezinzwa. Udokotela wezinzwa ungudokotela ophothule esikoleni sezokwelapha futhi waphothula iminyaka eminingana yokuqeqeshwa okukhethekile.
Yini ngempela eyenziwa yi-anesthesiologist?
Indima yabo ingahlukaniswa izingxenye eziningana.
1. Ukuzilungiselela ngaphambi kokuhlinzwa
Uma isinqumo sesithathiwe sokuthi uhlinzwe, udokotela wakho ohlinzayo uzokudlulisela kudokotela obulala izinzwa. Lapho, uzobuyekeza umlando wakho wezempilo ophelele .
- Ezinye izimo zezokwelapha onazo (njengesifo sikashukela, umfutho wegazi ophakeme, isifo senhliziyo, i-asthma).
- Imithi oyithathayo.
- Ukungezwani komzimba kwakho.
- Wake wahlinzwa ngaphambili futhi wasabela kanjani ku-anesthesia?
Ngemva kokucabangela konke lokhu, uzonquma ukuthi iyiphi indlela yokubulala izinzwa ephephile futhi efaneleka kakhulu emzimbeni wakho. Uzokuchazela yona futhi aphendule noma yimiphi imibuzo ongase ube nayo.
2. Ukuqapha ngesikhathi sokuhlinzwa
Kusukela ekuqaleni kokuhlinzwa kuze kube sekupheleni, ngenkathi udokotela ohlinzayo egumbini lokuhlinza egxile ekuhlinzweni kwakho, udokotela obulala izinzwa unendaba yakho ephelele. Njengomshayeli wendiza olawula indiza, uqapha njalo yonke imisebenzi ebalulekile yomzimba wakho.
- Isilinganiso senhliziyo: Kuhlola ukuthi inhliziyo yakho isebenza kahle yini.
- Ukuphefumula:Bahlola ukuthi amaphaphu akho athola yini isilinganiso esidingekayo somoya-mpilo nokuthi ukuphefumula kwakho kuyinto evamile yini.
- Umfutho wegazi: Umfutho wegazi ulinganiswa njalo ukuze kubonakale ukuthi uyakhuphuka noma uyehla.
- Izinga lokushisa lomzimba: Lilawula izinga lokushisa lomzimba.
- Uketshezi lomzimba: Usawoti unikezwa ukuze kuthathelwe indawo igazi nolunye uketshezi olulahlekile ngesikhathi sokuhlinzwa.
Uma kukhona ushintsho oluncane kunoma iyiphi yalezi zinto, angakwazi ukulawula isimo ngokushesha ngokunikeza imithi edingekayo. Unesibopho sokulawula izinga lokubulala izinzwa elidingekayo ukuze uhlale ungenabuhlungu phakathi nokuhlinzwa.
3. Ukuqinisekisa induduzo yakho ngemva kokuhlinzwa
Umsebenzi wabo awupheli ngemva kokuhlinzwa. Ngemva kokuthi uyiswe ewadini yangemva kokuhlinzwa, uzonakekelwa kuze kube yilapho imiphumela yomuthi wokubulala izinzwa iphela futhi ubuye uqonde. Udokotela wezinzwa uzophinde akunike imithi yokubulala izinzwa ukulawula noma yibuphi ubuhlungu ongase ubuzwe ngemva kokuhlinzwa.
Yiziphi izinhlobo ze-anesthesia? (Izinhlobo ze-Anesthesia)
Udokotela wezinzwa usebenzisa izinhlobo ezahlukene zokubulala izinzwa kuye ngohlobo lokuhlinzwa kwakho kanye nesimo sakho sempilo. Ake sibheke izinhlobo eziyinhloko.
| Uhlobo lwe-anesthesia | Incazelo elula |
|---|---|
| I-Anesthesia Ejwayelekile | Lokhu kukwenza ulale ngokuphelele. Ngeke ukhumbule lutho ngokuhlinzwa. Le ndlela isetshenziselwa ukuhlinzwa okukhulu njengokuhlinzwa kwenhliziyo nokuhlinzwa kobuchopho. |
| Ukuphumula kwe-IV | Lokhu kukwenza ulale kancane futhi kukwenze uzizwe ukhululekile. Ngezinye izikhathi ungakhuluma nodokotela. Kusetshenziselwa izinqubo ezincane zezokwelapha njenge-endoscopy. |
| I-Anesthesia Yesifunda | Lokhu akubangeli ukungazi. Kuyenza ingazwakali ingxenye enkulu yomzimba, isibonelo, ngaphansi kwesinqe . Usuke uqaphela. Le ndlela isetshenziswa kakhulu ngesikhathi sokuhlinzwa (C-section) ukuze kubelethwe umntwana. |
| I-Anesthesia Yendawo | Lokhu kuhilela ukujova indawo encane kakhulu yesikhumba ukuze kusenze singabi namizwa . Isibonelo, isetshenziselwa into encane njengokususa i-mole esikhumbeni. |
Ingxenye ekhethekile ebizwa ngokuthi Ukuphathwa Kobuhlungu
Abanye odokotela ababulala izinzwa bangochwepheshe kwenye indawo ngaphezu kokuhlinzwa: Ukuphathwa Kobuhlungu .
Laba ochwepheshe bayakwenza,
- Ubuhlungu obukhulu: Bulawula ubuhlungu obukhulu obuvela ngemva kokuhlinzwa noma ingozi.
- Ubuhlungu obungapheli: Busiza ekuphatheni ubuhlungu obuhlala izinyanga noma iminyaka ngenxa yezimo ezifana ne-arthritis, umdlavuza, kanye nobuhlungu bomhlane.
Ukuze benze lokhu, banikeza imithi, batusa ukwelashwa ngokomzimba, futhi benze ukwelashwa okukhethekile njengokuvinjelwa kwemizwa.
Uhambo oluya ekubeni udokotela wezinzwa
Lolu uhambo olude kakhulu futhi oluzinikele.
1. Okokuqala, udinga ukuqeda iziqu zeminyaka emi-4.
2. Ngemva kwalokho, udinga ukufunda iminyaka emi-5 esikoleni sezokwelapha bese uthola iziqu ze-MBBS.
3. Ngemuva kwalokho udinga ukuqedela i-internship yonyaka owodwa.
4. Ngemva kwalokho, udinga ukuqeqeshwa iminyaka emi-3-4 kochwepheshe bokuhlaliswa endaweni yokubulala izinzwa.
5. Abanye badlulela phambili futhi bafunde ezinye izifundo ezikhethekile (ama-fellowship) njenge-cardiac anesthesia kanye ne-obstetric anesthesia.
Kungemva kokuqeqeshwa okunjalo okubanzi kuphela lapho umuntu ekwazi khona ukukhonza njengodokotela wezinzwa.
Umlayezo Wokuya Nawe Ekhaya
- Udokotela wezinzwa akayena nje umuntu okuphumisa engqondweni. Unguchwepheshe oqeqeshwe kahle ovikela impilo yakho ngesikhathi sokuhlinzwa.
- Udokotela wezinzwa unesibopho sokuphepha kwakho kanye nenduduzo yakho ngaphambi, ngesikhathi, nangemva kokuhlinzwa.
- Ngaphambi kokuba uhlinzwe, hlangana nodokotela wezinzwa bese umnikeza umlando ophelele wesimo sakho sempilo. Ungesabi ukubuza noma yimiphi imibuzo onayo.
- Abanye odokotela bezifo ezibulala izinzwa basebenza njengochwepheshe bokulawula ubuhlungu, belawula ubuhlungu besikhathi eside.
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