Unyango lweposturgical kubantu abadala

Intlungu eyenzeka emva kotyando yinkxalabo ebalulekileyo. Ngaphambi kokuba utyandwe, wena kunye nogqirha wakho unokuxoxa malunga nobungakanani bentlungu omele uyilindele kunye nendlela eya kulawulwa ngayo.

Imiba eliqela ichonga ukuba unentlungu engakanani kwaye uyilawula njani:

• Iindidi ezahlukeneyo zotyando kunye nokusikwa kotyando (ukusikwa) kubangela iintlobo ezahlukeneyo kunye nexabiso lentlungu emva koko.
• Utyando olude kunye nolungenangqondo, ngaphandle kokubangela iintlungu ezininzi, lunokuthatha ngaphezulu kuwe. Ukuchacha kwezi ziphumo zoqhaqho kunokwenza ukuba kube nzima ukujongana nentlungu.
• Umntu ngamnye uziva kwaye usabela kwiintlungu ngokwahlukileyo.

Ukulawula iintlungu zakho kubalulekile ukuze uchache. Ulawulo lweentlungu olufunekayo luyafuneka ukuze uvuke kwaye uqalise ukuhambahamba. Oku kubalulekile kuba:

• Yehlisa umngcipheko wamahlwili egazi kwimilenze yakho okanye emiphungeni, kunye nosulelo lwemiphunga kunye nomchamo.
• Uya kuhlala ixesha elifutshane esibhedlele ukuze ugoduke ngokukhawuleza, apho unokufumana khona ngokukhawuleza.
• Kunqabile ukuba ube neengxaki zentlungu ezingapheliyo.

Zininzi iintlobo zamayeza eentlungu. Kuxhomekeke kutyando kunye nakwimpilo yakho iyonke, unokufumana iyeza elinye okanye indibaniselwano yamayeza.

Uphononongo lubonisa ukuba abantu abasebenzisa amayeza eentlungu emva kotyando ukulawula iintlungu bahlala besebenzisa amayeza eentlungu ambalwa kunalawo azama ukunqanda amayeza eentlungu.

Umsebenzi wakho njengesigulana kukuxelela ababoneleli bakho xa usiva iintlungu kwaye ukuba amayeza owafumanayo alawula iintlungu zakho.

Kanye emva kotyando, unokufumana amayeza entlungu ngokuthe ngqo kwimithambo yakho ngokusebenzisa umgca we-intravenous (IV). Lo mgca uhamba ngempompo. Impompo imiselwe ukukunika umlinganiselo othile wamayeza eentlungu.

Rhoqo, unokucofa iqhosha ukuze uzinike isiqabu seentlungu xa uyidinga. Oku kubizwa ngokuba yi-anesthesia elawulwa sisigulana (PCA) kuba ulawula ukuba lingakanani iyeza olifumanayo. Yenzelwe ukuba ungaziniki kakhulu.

Amayeza obuhlungu e-Epidural ahanjiswa ngombhobho othambileyo (i-catheter). Umbhobho ufakwa emqolo kwisithuba esincinci ngaphandle kwethambo lomqolo. Iyeza leentlungu linokunikwa ngokuqhubekayo okanye ngeedosi ezincinci ngokusebenzisa ityhubhu.

Unokuphuma kotyando ngale catheter sele ikho. Okanye ugqirha (i-anesthesiologist) ufaka i-catheter kumqolo ongezantsi ngelixa ulele ngecala ebhedini yesibhedlele emva kotyando lwakho.

Umngcipheko weebhloko ze-epidural unqabile kodwa unokubandakanya:

• Yehla kuxinzelelo lwegazi. Ulwelo lunikwa ngomthambo (IV) ukunceda ukugcina uxinzelelo lwegazi luzinzile.
• Intloko ebuhlungu, isiyezi, ukuphefumla nzima, okanye ukuxhuzula.

I-Narcotic (opioid) iyeza lentlungu elithathwa njengeepilisi okanye elinikezwe njengefoto linokubonelela ngentlungu eyoneleyo. Unokufumana eli yeza kwangoko emva kotyando. Rhoqo, uyayifumana xa ungasafuni mayeza e-IV okanye eqhubekayo e-IV.

Iindlela ozifumana ngazo iipilisi okanye iifoto zibandakanya:

• Kwishedyuli eqhelekileyo, apho kungafuneki ukuba ubabuze
• Kuphela xa ubacela umongikazi wakho
• Ngamaxesha athile kuphela, njengaxa uvuka ebhedini ukuze uhambe epasejini okanye uye kunyango lomzimba

Uninzi lweepilisi okanye iifoto zibonelela ngoncedo kangangeeyure ezi-4 ukuya kwezi-6 okanye nangaphezulu. Ukuba amayeza akakwazi ukulawula iintlungu zakho ngokwaneleyo, buza umboneleli wakho malunga:

• Ukufumana ipilisi okanye ukudubula rhoqo
• Ukufumana idosi eyomeleleyo
• Ukutshintshela kwelinye iyeza

Endaweni yokusebenzisa amayeza eentlungu ze-opioid, ugqirha wakho ugqirha unokuthatha i-acetaminophen (iTylenol) okanye ibuprofen (Advil okanye iMotrin) ukulawula iintlungu. Kwiimeko ezininzi, ezi ntlungu zingasebenzi njenge-opioid zisebenza ngokuchanekileyo njengeziyobisi. Ziyakunceda ukuthintela umngcipheko wokusetyenziswa gwenxa kweziyobisi kunye ne-opioids.

Ukuphumla kwentlungu

• Amayeza entlungu

I-Benzon HA, i-Shah RD, iBenzon HT. I-Perioperative nonopioid infusions yolawulo lwentlungu emva kokusebenza. Ku: I-Benzon HT, i-Raja SN, i-Liu SS, i-Fishman SM, i-Cohen SP, ii-eds. Iimfuno zonyango lwezoNyango. Ngomhla we-4. IPhiladelphia, PA: Elsevier; I-2018: isahluko 12.

UChou R, uGordon DB, nguLeon-Casasola OA, et al. Ulawulo lweentlungu zasemva koqhaqho: isikhokelo sonyango esivela kwi-American Pain Society, i-American Society ye-Regional Anesthesia kunye ne-Pain Medicine, kunye ne-American Society ye-Anesthesiologists 'Committee on Regional Anesthesia, Executive Committee, and Administrative Council. J Ubuhlungu. Ngo-2016; 17 (2): 131-157. IINKCUKACHA: 26827847 www.ncbi.nlm.nih.gov/pubmed/26827847.

UGabriel RA, Swisher MW, Sztain JF, Furnish TJ, Ilfeld BM, Said ET. Imeko yobuchule bokulondoloza i-opioid yeentlungu zasemva kokusebenza kwizigulana ezenziwa ngotyando kubantu abadala. Ingcali Opin Pharmacother. 2019; 20 (8): 949-961. IINKCUKACHA: 30810425 www.ncbi.nlm.nih.gov/pubmed/30810425.

UHernandez A, uSherwood ER. Imigaqo ye-Anesthesiology, ulawulo lweentlungu kunye nokuthanjiswa kwengqondo. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, ii-eds. Incwadi yeSabiston yoNyango: Isiseko sebhayiloji yoQeqesho lwangoku. Umhla we-20. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 14.

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