Ukuphinda kutyalwe amanani

Ukufakwa kwakhona kwamanani kukutyandwa kwakhona ukuze uncamathisele iminwe okanye iinzwane ezisikiweyo (ezinqunyuliweyo).

Ugqirha lwenziwa ngale ndlela ilandelayo:

• I-anesthesia ngokubanzi iya kunikwa. Oku kuthetha ukuba umntu uya kulala kwaye akakwazi kuva iintlungu. Okanye i-anesthesia yengingqi (umgogodla kunye ne-epidural) iya kunikwa ukubamba ingalo okanye umlenze.
• Ugqirha ususa izicwili ezonakeleyo.
• Iziphelo zamathambo zichetyiwe.
• Ugqirha ubeka umnwe okanye uzwane (obizwa ngokuba yidijithi) endaweni. Amathambo adityaniswa kunye neengcingo okanye ipleyiti kunye nezikrufu.
• Iitendon ziyalungiswa, zilandelwe yimithambo-luvo kunye nemithambo yegazi. Ukulungiswa kwemithambo yegazi lelona nyathelo libalulekileyo kwimpumelelo yenkqubo. Ukuba kuyimfuneko, kusetyenziswa izicwili ezinemithambo-luvo kunye nemithambo yegazi evela kwelinye ilungu lomzimba.
• Inxeba livaliwe ngemithungo laza labotshwa.

Olu tyando lwenziwa xa kunqunyulwe iminwe okanye iinzwane kwaye zikwimeko enokuvumela ukuphindwa.

Umngcipheko we-anesthesia kunye notyando ngokubanzi kubandakanya:

• Ukuphendula kumayeza, iingxaki zokuphefumla
• Ukopha, amahlwili egazi, usulelo

Iingozi zolu tyando zibandakanya:

• Ukufa kwethishu ebuyiselweyo
• Ukwehla kwemithambo-luvo okanye intshukumo kwidijithi ebuyiselweyo
• Ukuphulukana nemvakalelo kwizihlunu eziphindiweyo
• Ukuqina kwamanani
• Intlungu eqhubekayo emva kotyando
• Olunye utyando luyafuneka kwidijithi efakelweyo

Unonophelo olulodwa luya kuthathwa ngelixa usesibhedlele ukuze uqiniseke ukuba igazi lihamba ngokufanelekileyo kwindawo edityanisiweyo. Ingalo okanye umlenze uya kugcinwa uphakanyisiwe. Igumbi linokugcinwa lifudumele ukuqinisekisa ukuhamba kwegazi okufanelekileyo. Inxalenye eqhotyoshelweyo iya kutshekishwa rhoqo ukuqinisekisa ukuba kukho ukuhamba kwegazi okuhle.

Emva kokuba ukhululwe esibhedlele, kungafuneka unxibe isamente ukukhusela umnwe okanye iinzwane. Ugqirha unokuyalela amayeza okucoca igazi ukuthintela amahlwili egazi.

Unonophelo olululo lwenxalenye okanye amalungu anqunyiwe kubaluleke kakhulu ukuze kutyalwe ngempumelelo. Ngaphantsi kweemeko ezifanelekileyo, kukho ithuba elihle lokuba utyando lunokubuyisela ukusetyenziswa komnwe okanye uzwane. Uya kudinga utyelelo olulandelayo kunye nomboneleli wakho wezempilo, oya kuthi aqhubeke nokujonga ukuhamba kwegazi kwindawo yotyando.

Abantwana bangabagqatswa abangcono kunyango lokutyala kwakhona ngenxa yokukwazi kwabo ukuphilisa nokubuyisela izicwili.

Ukuphinda utyalwe indawo enqunyulweyo kungcono kwenziwe kwiiyure ezi-6 emva kokonzakala. Kodwa ukuphinda kulinywe kusenokuphumelela ukuba icandelo elinqunyuliweyo lipholile ukuya kuthi ga kwiiyure ezingama-24 emva kokonzakala.

Awuyi kuba bhetyebhetye ngokufanayo emnweni okanye kuzwane emva kotyando. Utshintsho lweentlungu kunye nemvakalelo kunokuqhubeka.

Ukuhlaziya iidigithi ezinamanani; Ukudityaniswa kweminwe eshunquliweyo

• Unqunyulwe umnwe
• Ukuphinda kutyalwe amanani - uthotho

IHiggins JP. Ukutyala ngokutsha. Ku: Wolfe SW, Hotchkiss RN, Pederson WC, Kozin SH, Cohen MS, ii-eds. Utyando lwesandla esisebenzayo sikaGreen. Umhla wesi-7. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 42.

IKlausmeyer MA, iJupiter JB kunye neJupiter JB. Ukutyala ngokutsha. Ku: Browner BD, Jupiter JB, Krettek C, Anderson PA, ii-eds. Uxinzelelo lwamathambo: iNzululwazi esisiseko, uLawulo, kunye noKwakha ngokutsha. Umhla wesi-6. IPhiladelphia, PA: Elsevier; 2020: isahl 51.

URose E.Ulawulo lwezinto ezinqunyulweyo. Ku: Roberts JR, Custalow CB, Thomsen TW, ii-eds. Iinkqubo zeKlinikhi zikaRoberts kunye neHedges kwiNyango kaXakeka kunye noKhathalelo oluQhelekileyo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2019: isahluko 47.