Yintoni ukuhlala kweNgcaciso?

Umxholo

• I-sedation eyaziwayo ihlala njani ngokuchasene ne-anesthesia ngokubanzi?
• Zithini iinkqubo zokuthomalalisa ingqondo?
• Zeziphi iziyobisi ezisetyenziswayo?
• Ngaba uziva njani?
• Ngaba zikhona iziphumo ebezingalindelekanga?
• Kunjani ukuchacha?
• Ixabisa malini imali yokulala?
• Ukuthatha

Ushwankathelo

Ukudakumba okubonakalayo kunceda ukunciphisa uxinzelelo, ukungonwabi kunye nentlungu ngexesha leenkqubo ezithile. Oku kufezekiswa ngamayeza kwaye (ngamanye amaxesha) i-anesthesia yendawo yokubangela ukuphumla.

I-Conscious sedation ihlala isetyenziswa kugqirha wamazinyo kubantu abaziva bexhalabile okanye boyike ngexesha leenkqubo ezintsonkothileyo njengokuzaliswa, imijelo yeengcambu, okanye ukucocwa kwesiqhelo. Ihlala isetyenziswa ngexesha le-endoscopy kunye neenkqubo ezincinci zotyando ukuphumla izigulana kunye nokunciphisa ukungonwabi.

I-Conscious sedation ngoku ihlala ibhekiswa ngabaqeqeshi bezonyango njenge-sedation yenkqubo kunye ne-analgesia. Kwixesha elidlulileyo, bekubizwa njalo:

• ukulala kwamazinyo
• ukulala ngorhatya
• irhasi eyonwabileyo
• igesi ehlekayo
• umoya owonwabileyo

I-Conscious sedation yaziwa ngokuba iyasebenza, kodwa iingcali zonyango zisaphikisana ngokhuseleko kunye nokusebenza ngenxa yeziphumo zokuphefumla kunye nokubetha kwentliziyo yakho.

Funda ukuze ufunde ukuba isebenza njani kanye, ivakalelwa njani, kwaye ingasetyenziswa njani.

I-sedation eyaziwayo ihlala njani ngokuchasene ne-anesthesia ngokubanzi?

I-Conscious sedation kunye ne-anesthesia ngokubanzi yahlukile ngeendlela ezininzi:

Kukwakho namanqanaba amathathu ahlukeneyo okuzihlaziya ngokwasemphefumlweni:

• Ubuncinci (i-anxiolysis). Ukhululekile kodwa unolwazi olupheleleyo kwaye uyaphendula
• Iphakathi. Ulele kwaye usenokulahlekelwa yingqondo, kodwa usaphendula ngandlela ithile
• Nzulu. Uya kulala kwaye ubukhulu becala ungaphenduli.

Zithini iinkqubo zokuthomalalisa ingqondo?

Amanyathelo okunyanzeliswa kokuqonda angahluka ngokuxhomekeke kwinkqubo oyenzileyo.

Nantsi into onokuyilindela ngokwesiqhelo kwinkqubo ngokubanzi usebenzisa i-sedation eyaziwayo:

1. Uya kuhlala esitulweni okanye ulale etafileni. Ungatshintsha ube yingubo yesibhedlele ukuba ufumana i-colonoscopy okanye i-endoscopy. Kwi-endoscopy, uhlala ulala ngecala lakho.
2. Uya kufumana umthomalalisi ngokusebenzisa enye yezi zinto zilandelayo: ithebhulethi yomlomo, umgca we-IV, okanye imaski yobuso ekuvumela ukuba uphefumle ukuthambisa.
3. Uya kulinda de umthomalalisi usebenze. Unokulinda iyure ngaphambi kokuba uqale uzive iziphumo. Izidambisi ze-IV zihlala ziqala ukusebenza kwimizuzu embalwa okanye ngaphantsi, ngelixa izilonda zomlomo zidibanisa malunga nemizuzu engama-30 ukuya kuma-60.
4. Ugqirha wakho ujonga ukuphefumla kwakho kunye noxinzelelo lwegazi. Ukuba ukuphefumla kwakho kuya kuba nzulu kakhulu, kuya kufuneka unxibe imaski yeoksijini ukugcina ukuphefumla kwakho kungagungqi kunye noxinzelelo lwegazi kumanqanaba aqhelekileyo.
5. Ugqirha wakho uqala inkqubo emva kokuba i-sedative iqala ukusebenza. Kuxhomekeka kwinkqubo, uyakuba phantsi kokuthamba kangangemizuzu eli-15 ukuya kwengama-30, okanye ukuya kuthi ga kwiiyure ezininzi zeenkqubo ezintsonkothileyo.

Kuya kufuneka ucele i-sedation eyaziwayo ukuze uyifumane, ngakumbi ngexesha leenkqubo zamazinyo njengokuzaliswa, imijelo yeengcambu, okanye ukutshintshwa kwesithsaba. Kungenxa yokuba ngesiqhelo, kusetyenziswa iiarhente zediging yendawo kuphela kwezi meko.

Ezinye iinkqubo, ezinje ngeekolonoscopies, zinokubandakanya ukuthomalalisa ngaphandle kokucela, kodwa ungacela amanqanaba ahlukeneyo okuhlala. Ukuhlala kunokunikwa njengenye indlela ye-anesthesia ngokubanzi ukuba umngcipheko weengxaki ezivela kwi-anesthesia uphezulu kakhulu.

Zeziphi iziyobisi ezisetyenziswayo?

Amachiza asetyenziswa ekuthomalaliseni ngokwengqondo ayahluka ngokuya kwindlela yokuhambisa:

• Ngomlomo. Uya kuginya icwecwe elinesiyobisi esinjenge-diazepam (Valium) okanye i-triazolam (Halcion).
• Imisipha. Uya kufumana ifoto ye-benzodiazepine, efana ne-midazolam (iVersed), ibe sisihlunu, ngokunokwenzeka kwingalo yakho ephezulu okanye kwi-butt yakho.
• Efakwa. Uyakufumana umgca kumthambo wengalo oqukethe i-benzodiazepine, efana ne-midazolam (iVersed) okanye iPropofol (iDiprivan).
• Ukuphefumula. Uya kunxiba imaski yobuso ukuze uphefumle nge-nitrous oxide.

Ngaba uziva njani?

Iziphumo zokuhlala zihlala zahlukile kumntu kumntu. Ezona mvakalelo zixhaphakileyo kukozela kunye nokuphumla. Nje ukuba ukuthomalalisa ukusebenza, iimvakalelo ezingalunganga, uxinzelelo, okanye unxunguphalo nazo zinokuphela ngokuthe chu.

Unokuziva ubambe umzimba wonke, ngakumbi kwiingalo zakho, imilenze, izandla kunye neenyawo. Oku kunokuhamba nobunzima okanye ukonqena okwenza ukuba uzive kunzima ukuphakamisa okanye ukuhambisa imilenze yakho.

Unokufumanisa ukuba ilizwe elikungqongileyo liyacotha. Ingqondo yakho iyalibaziseka, kwaye ungaphendula okanye uphendule kancinci kancinci kukhuthazo lomzimba okanye kwincoko. Unokude uqale ukuncuma okanye ukuhleka ngaphandle kwesizathu. Babiza iitrous oxide gas ehlekisayo ngesizathu!

Ngaba zikhona iziphumo ebezingalindelekanga?

Ezinye iziphumo ebezingalindelekanga eziqhelekileyo zokuthomalalisa ingqondo kunokuhlala iiyure ezimbalwa emva kwenkqubo, kubandakanya:

• ukozela
• iimvakalelo zobunzima okanye ukonqena
• Ukuphulukana nenkumbulo yento eyenzekileyo ngexesha lenkqubo (amnesia)
• ikhefu elicothayo
• uxinzelelo lwegazi oluphantsi
• intloko ebuhlungu
• ziva gula

Kunjani ukuchacha?

Ukubuyiselwa kwimeko yesiqhelo ngokukhawuleza kuyakhawuleza.

Nantsi into onokuyilindela:

• Kuya kufuneka uhlale kwinkqubo okanye kwigumbi lokusebenza ukuya kuthi ga kwiyure, mhlawumbi ngaphezulu. Ugqirha wakho okanye ugqirha wamazinyo uhlala ejonga ukubetha kwentliziyo yakho, ukuphefumla, kunye noxinzelelo lwegazi ade abuyele esiqhelweni.
• Yiza nelungu losapho okanye umhlobo onokukuqhuba okanye akugoduse. Unakho ukuqhuba uqhuba nje xa ezinye zeendlela zokuthamba, ezinjenge-nitrous oxide, ziphelile. Nangona kunjalo, oku akusoloko kunjalo kwezinye iifom.
• Ezinye iziphumo ebezingalindelekanga zinokuhlala usuku lonke. Oku kubandakanya ukozela, intloko ebuhlungu, isicaphucaphu, kunye nokonqena.
• Thatha usuku emsebenzini kwaye uphephe ukwenza umsebenzi omninzi kude kube neziphumo ebezingalindelekanga. Oku kuyinyani ngakumbi ukuba ucwangcisa ukwenza nayiphi na imisebenzi yesandla efuna ukuchaneka okanye ukusebenzisa oomatshini abanzima.

Ixabisa malini imali yokulala?

Iindleko zokuhlala sedons ziyahluka ngokuxhomekeka:

• uhlobo lwenkqubo oyenzileyo
• uhlobo lokuthambisa olukhethiweyo
• zeziphi iziyobisi ezithomalalisayo ezisetyenziswayo
• ude uhlale ixesha elingakanani

I-Conscious sedation inokugutyungelwa yinshurensi yakho yezempilo ukuba ithathwa njengenxalenye yenkqubo yesiqhelo. Ii-Endoscopies kunye neekolonoscopies zihlala zibandakanya ukuthomalalisa kwiindleko zazo.

Abanye oogqirha bamazinyo banokubandakanya ukuthomalalisa kwiindleko zabo kwiinkqubo ezintsonkothileyo, ezinjengomsebenzi wamazinyo wokuthambisa. Kodwa iiplani ezininzi zamazinyo azigubungeli i-sedation eyaziwayo ukuba ayifuni yimigaqo yonyango.

Ukuba ukhetha ukuthanjiswa ngexesha lenkqubo engaqhelekanga ukuyifaka, iindleko zinokugqunywa kuphela okanye zingagutyungelwanga kwaphela.

Nalu ulwahlulo lweendleko ezithile eziqhelekileyo:

• inhalation (i-nitrous oxide): Iidola ezingama-25 ukuya kwezi-100, zihlala ziphakathi kwama-70 ukuya kuma-75 eedola
• ukukhanya okuthomalalisayo: I-150 yeedola ukuya kwi-500 yeedola, mhlawumbi ngaphezulu, kuxhomekeke kwiziyobisi ezisetyenzisiweyo, kufuneka umthomalalisa kangakanani, nalapho umboneleli wakho wezempilo akhoyo
• Ukuthanjiswa kwe-IV: $ 250 ukuya kuma-900 eedola, ngamanye amaxesha ngaphezulu

Ukuthatha

I-Conscious sedation yinto efanelekileyo ukuba uziva uxhalabile malunga nonyango okanye inkqubo yamazinyo.

Idla ngokungabizi kakhulu kwaye ineziphumo ebezingalindelekanga ezimbalwa okanye iingxaki, ngakumbi xa kuthelekiswa neanesthesia ngokubanzi. Isenokude ikukhuthaze ukuba uye kwii-aphoyintimenti ezibalulekileyo onokuthi uzicime ngenxa yokuba unovalo ngenkqubo uqobo, enokuthi iphucule impilo yakho iphela kubomi bakho bonke.