I-anesthesia yomqolo kunye neyesifo

Umqolo kunye ne-anesthesia yomqolo yinkqubo ehambisa amayeza abangela amalungu omzimba wakho ukuba abambe iintlungu. Banikwa ngokudubula ngaphakathi okanye ngeenxa zomqolo.

Ugqirha okunika i-epidural okanye i-spinal anesthesia ibizwa ngokuba yi-anesthesiologist.

Okokuqala, indawo yomqolo wakho apho inaliti ifakwe khona icocwa ngesisombululo esikhethekileyo. Indawo leyo inokuba nenombolo nge-anesthetic yendawo.

Uyakufumana ulwelo ngokusebenzisa umgca we-intravenous (IV) emthanjeni. Unokufumana iyeza nge-IV ukukunceda uphumle.

Ngokwe-epidural:

• Ugqirha utofa iyeza ngaphandle kwengxowa yolwelo ejikeleze intambo yakho yomqolo. Oku kubizwa ngokuba yindawo yesifo.
• Iyeza lindindisholo, okanye livimbe imvakalelo kwindawo ethile yomzimba wakho ukuze ungaziva iintlungu okanye ungabi nazintlungu kwaphela kuxhomekeke kwinkqubo. Iyeza liqala ukusebenza kwimizuzu eli-10 ukuya kwengama-20. Isebenza kakuhle kwiinkqubo ezinde. Abasetyhini bahlala benesifo ngexesha lokubeleka.
• Umbhobho omncinci (i-catheter) uhlala ushiyeka endaweni. Unokufumana iyeza elininzi nge-catheter ukunceda ukulawula iintlungu zakho ngexesha okanye emva kwenkqubo yakho.

Ngomqolo:

• Ugqirha utofa iyeza kulwelo olujikeleze umnqonqo wakho. Oku kuhlala kwenziwa kube kanye, ke awuzukufuna ukuba ubekwe ipayipi.
• Iyeza liqala ukusebenza kwangoko.

Ukubetha kwentliziyo yakho, uxinzelelo lwegazi kunye nenqanaba leoksijini egazini lakho zijongwa ngexesha lenkqubo. Emva kwenkqubo, uya kuba nebhandeji apho inaliti yafakwa khona.

I-anesthesia yomqolo kunye ne-epidural isebenza kakuhle kwiinkqubo ezithile kwaye ayifuni ukubeka ityhubhu yokuphefumla kwi-windpipe (trachea). Abantu bahlala befumana iingqondo zabo ngokukhawuleza okukhulu. Ngamanye amaxesha, kufuneka balinde i-anesthetic ukuba iphele ukuze bakwazi ukuhamba okanye ukuchama.

I-anesthesia yomqolo ihlala isetyenziselwa isini, ukuhambisa umchamo, okanye iinkqubo ezisezantsi zomzimba.

I-Epidural anesthesia ihlala isetyenziswa ngexesha lomsebenzi kunye nokuhanjiswa, kunye notyando kwi-pelvis kunye nemilenze.

I-Epidural kunye ne-spinal anesthesia zihlala zisetyenziswa xa:

• Inkqubo okanye ukusebenza kubuhlungu kakhulu ngaphandle kwonyango lwentlungu.
• Inkqubo isesiswini, emilenzeni, okanye ezinyaweni.
• Umzimba wakho unokuhlala kwimeko entle ngexesha lenkqubo yakho.
• Ufuna amayeza enkqubo ambalwa kunye ne "hangover" encinci kunaleyo ubuya kuyifumana kwi-anesthesia jikelele.

I-anesthesia yomqolo kunye ne-epidural ikhuselekile ngokubanzi. Buza ugqirha wakho malunga nezi ngxaki zinokwenzeka:

• Ukunyanga komzimba kwi-anesthesia esetyenzisiweyo
• Ukopha malunga nomqolo womqolo (hematoma)
• Kunzima ukuchama
• Yehla kuxinzelelo lwegazi
• Usulelo kumqolo wakho (meningitis okanye ithumba)
• Umonakalo wemithambo
• Ukuxhuzula (oku kunqabile)
• Intloko ebuhlungu

Xelela umboneleli wakho wezempilo:

• Ukuba ukhulelwe okanye unokukhulelwa
• Ngawaphi amayeza owathathayo, kubandakanya amayeza, izongezo, okanye amayeza owathengileyo ngaphandle kommiselo

Ngexesha leentsuku ngaphambi kwenkqubo:

• Tshela ugqirha wakho malunga naluphi na ualiwa okanye imeko yezempilo onayo, ngawaphi amayeza owathathayo, kunye ne-anesthesia okanye i-sedation obukhe wanayo ngaphambili.
• Ukuba inkqubo yakho icwangcisiwe, unokucelwa ukuba uyeke ukuthatha i-aspirin, ibuprofen (Advil, Motrin), warfarin (Coumadin), kunye nalo naliphi na elinye igazi.
• Buza ugqirha wakho ukuba ngawaphi amayeza ekufuneka uwathathe ngemini yenkqubo yakho.
• Yenza amalungiselelo okuba umntu omdala onenkathalo akuqhubele ukuya nokubuya esibhedlele okanye ekliniki.
• Ukuba uyatshaya, zama ukuyeka. Buza umboneleli wakho ngoncedo lokuyeka.

Ngomhla wenkqubo:

• Landela imiyalelo yokuba uyeke nini ukutya nokusela.
• Musa ukusela utywala kubusuku obungaphambili kunye nomhla wenkqubo yakho.
• Thatha amayeza ugqirha wakho akuxelele ukuba uwathabathe ngesiphuzo esincinci samanzi.
• Landela imiyalelo ukuba ufike nini esibhedlele. Qiniseka ukuba ufika ngexesha.

Emva koluphi na uhlobo lweanesthesia:

• Ulala ebhedini de ube uziva emilenzeni kwaye uyakwazi ukuhamba.
• Unokuziva ugula esiswini sakho kwaye unesiyezi. Ezi ziphumo bezingalindelekanga zihlala zihamba kungekudala.
• Inokuba udiniwe.

Umongikazi angakucela ukuba uzame ukuchama. Oku kukuqinisekisa ukuba izihlunu zesinyi ziyasebenza. I-Anesthesia iyayiphumlisa imisipha yesinyi, yenze kube nzima ukuchama. Oku kunokukhokelela kusulelo lwesinyi.

Uninzi lwabantu aluziva ntlungu ngexesha lomqolo kunye ne-anesthesia yomqolo kunye nokufumana kwakhona ngokupheleleyo.

I-anesthesia ye-intrathecal; I-anesthesia ye-subarachnoid; Epidural

• I-Anesthesia- yintoni ongayibuza ugqirha wakho - umntu omdala
• Ukubulawa - yintoni oza kuyibuza ugqirha wakho - umntwana
• Uqhaqho lomqolo-ukukhutshwa

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.

IMacfarlane AJR, uBrull R, uKhan VWS. Umqolo, i-epidural, kunye ne-anesthesia ye-caudal. Ku: Pardo MC, Miller RD, ii-eds. Isiseko seanesthesia. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2018: isahluko 17.