Kuvamile ukuzizwa ukhathazekile kancane uma utshelwa ukuthi uya kudokotela wamazinyo noma kufanele uhlinzwe kancane, akunjalo? Enye indlela odokotela abayisebenzisayo ukunciphisa ukwesaba kwakho nokukugcina uzolile ukusebenzisa '
igesi yokuhleka '. Ngakho-ke namuhla, ake sixoxe ngalokhu ngokuningiliziwe nangokulula.
Iyini ngempela igesi yokuhleka?
Kalula nje, ibizwa ngokuthi
i-nitrous oxide ngokwezokwelapha. Iyigesi engenambala, engashi, futhi enephunga elimnandi kancane. Isetshenziswa ezinqubweni zezokwelapha
nezamazinyo ukukuthulisa (ukwehlisa umoya), ukunciphisa ukukhathazeka, nokukusiza uphumule. Ibilokhu isetshenziswa njengesibulala-zinhlungu kusukela ngawo-1800. Namuhla, ivame ukunikezwa ngengxube nomoya-mpilo. Ingenye yamagesi esibulala-zinhlungu asetshenziswa kakhulu emhlabeni.
Cabanga nje, lokhu akugcini nje ngokusetshenziswa kwezokwelapha, kodwa futhi kusetshenziswa emathinini kakhilimu oqoshiwe osetshenziswa ekuphekeni nasekukhuliseni ijubane lenjini emijahweni yezimoto.
Naphezu kwegama elithi 'Laughter Gas', akubona bonke abantu abazohleka uma bephefumula lokhu. Kodwa abanye abantu bangase bazizwe bemomotheka kancane futhi bejabule.
Yiziphi izinzuzo zokusebenzisa lokhu?
Kunezizathu eziningana zokuthi kungani odokotela besasebenzisa lokhu ekwelashweni okuncane.
- Kunciphisa ukwesaba nokukhathazeka: Lokhu kuthulisa isiguli futhi kusikhuthaze ukuba sibambisane nokwelashwa.
- Kulula kakhulu ukunikeza: azikho izinaliti ezidingekayo. Ufaka nje imaski encane phezu kwekhala lakho (noma mhlawumbe kokubili ikhala nomlomo) bese uphefumula ngayo.
- Iqala ukusebenza ngokushesha: Uzoqala ukuzwa imiphumela yayo zingakapheli imizuzu emi-3-5 uqale ukuphefumula igesi.
- Umphumela uyaphela ngokushesha: uzobuyela esimweni esijwayelekile ngokuphelele zingakapheli imizuzu emi-5-10 ngemva kokuyeka ukunikeza igesi.
- Kuphephile esigulini: Le divayisi yokuhambisa igesi inezici zokuphepha ezingaphezu kuka-12 eziqinisekisa ukuthi akukho zinkinga ezenzekayo.
Kwenzekani emzimbeni wakho uma uthatha lokhu?
Uma uphuza le gesi, awulali ngokuphelele. Lokho kusho ukuthi ungakuzwa okwenzekayo eduze kwakho bese uphendula imibuzo ebuzwa udokotela. Lokhu okwenzayo ukukuthulisa nokuphakamisa umkhawulo wakho wobuhlungu. Lokho kusho ukuthi
Esikhundleni sokuqeda ubuhlungu ngokuphelele, kuzokwenza ubekezeleleke kakhudlwana. Kodwa-ke, ekwelashweni okubuhlungu kakhulu, kungase kudingeke i-anesthetic enamandla. I-Nitrous oxide iyisidakamizwa sokucindezeleka. Uma ijovwa, ungase ubhekane nalokhu okulandelayo: Ngaphambi kokwelashwa, udokotela uzokubuza ukuthi uyafuna yini ukukusebenzisa. Ngemuva kwalokho, kuzobekwa imaski yepulasitiki phezu kwekhala lakho bese ucelwa ukuthi uphefumule. Ezinganeni ezincane, kungasetshenziswa i-hood encane emboza ikhala kuphela ngenkathi umlomo uvulekile. Ngezinye izikhathi, kungafakwa iphunga ukusiza izingane zijwayele imaski. Ungase uzizwe izingalo nemilenze yakho kuzwakala kusinda kancane. Ungase uzizwe nokuba ndikindiki ezandleni nasezinyaweni zakho. Imaski izosuswa lapho ukwelashwa sekuphelile, futhi uzobuyela esimweni esijwayelekile phakathi nemizuzu embalwa. Ezinganeni ezincane, umoya-mpilo ongu-100% unganikezwa isikhathi esifushane ngemva kokumiswa kwegesi, ukuze zilulame ngokushesha. Yimiphi imiphumela emibi futhi obani okungafanele bayisebenzise?
I-nitrous oxide iphephile kakhulu uma inikezwa ngaphansi kokuqondisa kukadokotela. Kodwa-ke, inani elincane kakhulu labantu lingase libe nemiphumela emibi. Imiphumela emibi evame kakhulu ikhanda kanye nesicanucanu. Izingane ezincane ngezinye izikhathi zingase zihlanze noma zizizwe zikhathazekile kancane. Izindaba ezinhle ukuthi le miphumela emibi yenzeka kuphela kumaphesenti amancane kakhulu eziguli, cishe u-5%. Akwaziwa ukuthi kukhona yini imiphumela emibi yesikhathi eside ngokuyithatha ukuze isetshenziswe ngezikhathi ezithile. Kodwa-ke, uma kufanele welashwe njalo, udokotela wakho angakutshela ukuthi uthathe isithasiselo se-vitamin B12. Lokhu kungenxa yokuthi i-nitrous oxide ingavimba i-enzyme esiza umzimba wethu ukuthi umunce amavithamini abalulekile i-B12 kanye ne-B9 (i-folate). Lokhu kungabangela izimo ezifana ne -anemia . Izimo lapho kufanele ugweme ukusebenzisa igesi yokuhleka (i-Nitrous Oxide)
| Isimo | Isizathu |
|---|
| Izinyanga zokuqala ezintathu zokukhulelwa | Njengoba amavithamini B12 kanye ne-B9 ebalulekile ekukhuleni kwengane, ukuphazamisa ukumuncwa kwawo ngumzimba kungaba yingozi enganeni. |
| Isifo senhliziyo esibi kakhulu | Kungakhuphula izinga le-homocysteine egazini, okungadala isifo senhliziyo. |
| I-Pneumothorax, ukuhlinzwa kwendlebe ephakathi, ukuhlinzwa kwe-retina, njll. | Umfutho womoya ezindaweni ezinjalo zomzimba ezivalekile ungakhuphuka kakhulu. |
| Izifo zengqondo ezimbi kakhulu (isib. i-schizophrenia ) azifaneleki kulabo asebenazo kakade lezo zimo, njengoba le gesi ingabangela ukubona izinto ezingekho. |
| Izingane ezingaphansi kweminyaka emi-3 ubudala (ezisetshenziswa njalo) | Nakuba ukusetshenziswa kanye kuphela kuye kwabonakala kuphephile, kunezixwayiso zokuthi ukubulala izinzwa njalo kungathinta ukukhula kobuchopho bengane. Khuluma nodokotela wakho ngalokhu. |
Izingozi zokusebenzisa kabi injabulo
Lokhu kuyingozi kakhulu futhi akulungile . Abanye abantu basebenzisa le gesi njengesidakamizwa. Lezi zibizwa ngokuthi 'ama-whippits' futhi zivame ukugcwaliswa ebhaluni noma esikhwameni bese ziphefumulwa. Kunezizathu eziningana zokuthi kungani lokhu kuyingozi kakhulu. Odokotela banikeza ingxube ye-30% nitrous oxide kanye ne-70% oxygen. Kodwa-ke, 'ama-whippets', athathwa njengesidakamizwa, aqukethe i-100% nitrous oxide . Uma ephefumulwa ngqo, inani lomoya-mpilo emaphashini liyancipha kakhulu , futhi isimo esisongela ukuphila esibizwa ngokuthi i-hypoxia singavela. Imiphumela emibi yesikhathi eside yokusebenzisa kabi
Uma ungaphansi kwethonya lale gesi, umzimba ulahlekelwa yibhalansi yawo . Ngakho-ke, amathuba okuwa nokulimala, kanye nokuba nezingozi zezimoto aphezulu kakhulu. Ngakho-ke, ungalokothi usebenzise into efana nale ukuze uzijabulise .
Umlayezo Wokuya Nawe Ekhaya
- I-nitrous oxide iyigesi ephephile kakhulu esetshenziselwa ukukuthulisa ngaphansi kokuqondisa kukadokotela.
- Umphumela walokhu ungowesikhashana. Uma usuyekile ukunikeza igesi , uzobuyela esimweni esijwayelekile ngemizuzu embalwa.
- Ukuyisebenzisa njengesidakamizwa sokuzijabulisa kuyingozi kakhulu . Kungabangela ukulimala kwemizwa, ukushoda komoya-mpilo, ngisho nokufa.
- Ngaphambi kokuba unikezwe le gesi nganoma yikuphi ukwelashwa, qiniseka ukuthi utshela udokotela wakho nganoma yiziphi ezinye izimo zezokwelapha onazo (ikakhulukazi isifo senhliziyo, isifo sengqondo) kanye nokuthi ukhulelwe.
- Uma unemibuzo ngalokhu, ungesabi ukukhuluma nodokotela wakho.
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