I-Anesthesia : Iintlobo, imingcipheko, iimpembelelo zecala kunye nokulindela

Ekwenzeni naluphi na utyando olukhulu, kubalulekile ukuba isigulana sigcinwe sikwimeko yokuqaqadeka ngenxa yonyango. I-anesthesia jikelele yimeko ye-analgesia apho isigulane silahlekelwa ingqondo ngenxa yokuba ugqirha unokusebenza ngokulula kwisigulane. Oku kuyimfuneko ukuze kuqinisekiswe ukuba isigulana senziwa utyando olungenazintlungu njengoko ingqondo ethotyiweyo ingafumani zimpawu zentlungu.

Ngubani ocebisa uhlobo lwe-anesthesia efunekayo kumguli?

Ugqirha(Ingcali yokuthomalalisa iintlungu okanye ugqirha wotyando) ucebisa olona hlobo lufanelekileyo lokuthomalalisa iintlungu olunokufanela imfuneko yotyando lomntu olusekwe kwimpilo yesigulana ngokubanzi kunye nokhetho lotyando. Uhlobo lokuthomalalisa iintlungu luxhomekeke kwimeko yomguli yaye isigqibo sokugqibela sokwenza uhlobo lwesithomalalisi kulo naluphi na uhlobo lotyando siya kuba sesogqirha wokuthomalalisa iintlungu.

Ngokomzekelo, utyando oluncinci, awudingi ukuba ulawulwe nge-anesthesia jikelele. Kule meko, i-anesthesia yendawo isebenza kakuhle, apho inxalenye ethile yomzimba yenziwe i-numb. I-anesthesia jikelele inconywa kwiinkqubo ezinkulu zotyando. Oku kuquka utyando oluthatha ixesha elide, nolunokulahleka okukhulu kwegazi.

Ziziphi iintlobo ze-anesthesia?

Iintlobo ezintathu eziphambili ze-anesthesia zisetyenziswa ngokubanzi kuzo zonke iziko lezempilo kunye nesibhedlele. Masizijonge:

Ngokubanzi iAnesthesia

I-Anesthesia Jikelele yinqanaba apho isigulane silahlekelwa ukulawula phezu kwee-reflexes zabo, okubangelwa ukulahlekelwa ngokupheleleyo kwengqondo. Esi sifo sibangelwa kunyango sibalulekile ekwenzeni utyando olukhulu olungenazintlungu. I-anesthesia jikelele ikakhulu idibanisa iigesi eziphefumulayo kunye neziyobisi ezifakwe kwi-intravenous.

I-Aneesthesia yeNgingqi

Olu hlobo lwe-anesthesia luphazamisa indawo engezantsi yomzimba. I-Anesthesia yeNgingqi iphinda ihlulwe ibe yi-epidural kunye ne-spiral, kunye ne-nerve block anesthesia. I-epidural anesthesia isetyenziselwa ukunciphisa iintlungu ngexesha lotyando lwelungu elisezantsi kunye nokubeleka. Kwangaxeshanye, i-spiral anesthetic isetyenziselwa utyando kumazantsi esisu kunye nemilenze.

I-anesthesia yendawo

I-Anesthesia yendawo ilawulwa ngokukodwa ukwenza utyando oluncinci okanye inkqubo yonyango ngaphandle kwentlungu ngelixa isigulane sisavukile. Yinaliti yexesha elinye ebangela ukuba ilungu elithile lomzimba libe ndindisholo kwaye iluncedo kwiinkqubo ezifana nokuthunga inxeba, ukulungisa ithambo, okanye ukwenza ulusu. biopsy.

Ukuhlaliswa

ekwabizwa ngokuba yi "monitored anesthesia care", yile nto abantu bebesoloko beyibiza ngaphambili ngokuthi "ngorhatya". Amayeza anikezelwa, ngokuqhelekileyo nge-IV, ukwenza isigulana sive ukuba sisozela kwaye sikhululekile. Amanqanaba ahlukeneyo e-sedation ayenzeka, kuxhomekeke kuhlobo lwenkqubo kunye nokukhetha kwesigulane.

Idityaniswe Jikelele kunye ne-Epidural Anesthesia

Le yindlela yokudibanisa eyenza ukuba ulale kwaye inikeze ulawulo lweentlungu, kungekhona nje ngexesha lenkqubo, kodwa emva koko. Ukubekwa kwecatheter ye-epidural kukuvumela ukuba uqhubeke nokukhululeka kwentlungu emva kokuhlinzwa, okuya kukunceda ulale kwaye uhambe kakuhle emva kokuhlinzwa. Olu hlobo lwe-anesthesia lusetyenziswa ngokuqhelekileyo kwiinkqubo ezinkulu zesisu kunye ne-thoracic (isifuba). I-catheter ye-epidural ingashiywa kwindawo iintsuku eziliqela emva kokuhlinzwa kwakho.

Imingcipheko nge-anesthesia jikelele

I-anesthesia jikelele idla ngokukhuselekileyo kwaye inikezelwa ngokukodwa kwizigulane ezigulayo. Ukuba umntu uneminye imiba yezempilo ekhoyo, ke ulawulo lwe-anesthesia lunobungqina bokuba luyingozi. Jonga ezinye zezinto ezinokuthi zibe yingozi ye-anesthesia inhalation:

• Kubantu abadala abadala, ukulawulwa kwe-anesthesia kunokuvelisa iziphumo ezimbi.
• Ezi ziphumo zinokubandakanya ukuhlaselwa yintliziyo, ukubhideka, ukubetha, kunye nenyumoniya.
• Iimeko ezimbalwa ezinokuthi zenze umngcipheko omkhulu kwisigulane esenziwa utyando kunye ne-anesthesia jikelele ibandakanya ukuxhamla, ukukhotyokiswa butywala, ukutshaya, ukwaliwa yiziyobisi.
• Izintso, intliziyo, kunye nemeko yemiphunga ekhoyo
• Imeko efana ukunyanya
• Abantu abane ukuphazamiseka kokulala komzimba kunokubangela umngcipheko omkhulu wesiphumo esibi se-anesthesia.

Ukwazisa okungalindelekanga kwi-intraoperative-Ingxaki enkulu ye-anesthesia inhalation

Le meko yimeko enqabileyo apho isigulane sichazwa ukuba sikwimeko yengqondo ngelixa sityandwa. Ukuqonda okungalindelekanga kwi-intraoperative kukhokelela ekubeni isigulane sifumane ingqondo yakhe phakathi kotyando. Yimeko enqabileyo kakhulu, kwaye kuqikelelwa ukuba isigulana esi-1 kwi-19000 esenziwa utyando kwi-anesthesia jikelele sinokungena kwinqanaba lokwazi ukuthomalalisa.

Njengoko le meko inqabile, ngoko ke, kunzima ukuba iingcali zifumane oyena nobangela wokwenzeka kwayo. Nazi ezinye izinto ezijikeleza imeko yokwazisa ngobuhle:

• Iingxaki zentliziyo nemiphunga
• ukudakumba
• Ukuhanjiswa kweKesare
• Utywala
• Umgangatho ophantsi we-anesthesia
• Utyando olungxamisekileyo
• Ukusetyenziswa kwamayeza athile athile
• Impazamo eyenziwe ngesandla ngugqirha wotyando okanye i-anesthesiologist

Ziziphi iziphumo ebezingalindelekanga ze-anesthesia?

Emva kwenkqubo yotyando, isigulana sinokufumana iziphumo ebezingalindelekanga ezimbalwa, eziquka:

• I sizathu
• Umqala obuhkungu
• Utywala
• Ukukhupha
• Intlungu kwindawo eqhutywe
• intloko ebuhlungu & Nezihlunu Ezibuhlungu
• Ukugula
• Ubunzima bokuchama
• Ukuvutha
• Ukuthuka

Ukuba uyatshaya, iingcali zokudambisa iintlungu zicebisa ukuba uyeke. Ukuyeka ubuncinane iveki enye phambi kotyando olucwangcisiweyo kuyacetyiswa. Izigulana ezitshayayo ziye zanda umngcipheko wokwasulelwa amanxeba, inyumoniya, ukuphefumla kunye neengxaki zentliziyo ngexesha nasemva kotyando. Eminye yemingcipheko ye-anesthesia yengingqi inokubandakanya intloko ebuhlungu, usulelo, ukopha, ukonakala kwemithambo-luvo, ibhloko engaphumelelanga kunye nokusabela kweziyobisi. Le mingcipheko idla ngokuba phantsi kakhulu.

Uza kubona nini ugqirha?

Ukuba isigulana sifumana iziphumo ebezingalindelekanga ezikhankanywe ngasentla, kungekudala emva kotyando, kufuneka zixelelwe kugqirha ngoko nangoko.

Cela idinga kwisibhedlele saseApollo

Izinto onokuzilindela ngaphambi nangemva kokulawulwa kwe-anesthetic

Ukuba utyando kwiintsuku ezimbalwa ezizayo, nantsi into onokuyilindela ngaphambi nangemva kokulawulwa kwe-anesthesia.

Ngaphambi kwenkqubo yokulawula i-anesthesia

Phambi kokuba wenze utyando, ugqirha wakho wokubulala iintlungu uya kukubuza imibuzo malunga nemeko yakho yempilo yangoku, imbali yakho yempilo yangaphambili, ukuba unalo naluphi na uhlobo lokungalungi, amayeza akho amiselweyo, indlela otya ngayo, kunye namava akho otyando adlulileyo. Oku kuya kunceda i-anesthesiologist ekuhlalutyeni uhlobo lwe-anesthesia enokulawulwa emzimbeni wakho.

Emva kwenkqubo yokulawula i-anesthesia

Kungekudala emva kokugqitywa kotyando, i-anesthesiologist okanye ugqirha wotyando uguqula ulawulo lwechiza ukuze avuse isigulane. Kuthatha ixesha ukuba umguli abe sezingqondweni kwigumbi lokuchacha okanye lotyando. Kwakhona, njengoko isigulana sifumana ingqondo, siziva sinesiyezi esincinane kwaye sididekile.

Basenokuba nemiphumo ebuhlungu emva kokuba benomlomo owomileyo, ukuhlanza, ukuqaqamba kwezihlunu, ukurhawuzelelwa, isicaphucaphu, umqala obuhlungu, ukurhawuzelelwa kancinci, nokozela. Kwakhona, njengoko iziphumo zasemva kwe-anesthesia zinciphisa, isigulane sifumana intlungu ebangelwa ukusika kunye ne-slits eyenziwa emzimbeni wesigulane ngexesha lotyando.

isiphelo

Kukho amayeza amaninzi okuthomalalisa asetyenziswa ngexesha lotyando. Iikhompawundi ezahlukeneyo zisetyenziselwa ukuveliswa kwe-anesthesia, ehambisa imiphumo ebanzi, kuquka i-amnesia, i-analgesia, kunye nokungahambi.

Ukuba unemibuzo engaphezulu malunga neenkqubo zokuthomalalisa, ngoko.

FAQs

Kuthatha ixesha elingakanani ukuba i-anesthesia isebenze?

Impembelelo ye-anesthesia iqala ngokukhawuleza, njengoko ibeka isigulane kwisimo se-coma yesikhashana kwimizuzwana engama-30.

Ngaba umntu uyayeka ukuphefumla ngoxa ekwimeko yokuthomalalisa iintlungu?

Hayi. Inkqubo yokuphefumla idandathekile nje, kwaye kufakwa ityhubhu yokuphefumla emlonyeni womguli ukuze kuqinisekiswe inkqubo eqhelekileyo yokuphefumla.

Ngaba ndinokugqiba malunga nohlobo lwe-anesthesia ekufuneka yenziwe emzimbeni wam?

Akunjalo. Esi sigqibo sithathwa ngugqirha wokudambisa iintlungu okanye ngugqirha wotyando. Kwakhona, kuxhomekeke kwinkqubo yotyando oza kuyenza.