I-Anesthesia Ngokubanzi Ngexesha lokuziswa

Umxholo

• Yintoni injongo yokuba neanesthesia ngokubanzi ngexesha lokuhanjiswa?
• Yeyiphi imingcipheko yeanesthesia ngokubanzi ngexesha lokuhanjiswa?
• Ithini inkqubo yokuba neanesthesia ngokubanzi?
• Zithini izibonelelo zokubulawa komzimba ngexesha lokuhanjiswa?
• Yintoni imbono?

I-anesthesia ngokubanzi

I-anesthesia ngokubanzi ivelisa ilahleko iyonke yovakalelo kunye nokuqonda. I-anesthesia ngokubanzi ibandakanya ukusebenzisa zombini i-intravenous (IV) kunye neziyobisi ezi-inhaled, ezibizwa ngokuba yi-anesthetics. Ngexesha le-anesthesia ngokubanzi, awunakuziva iintlungu kwaye umzimba wakho awuphenduli kwiingqondo. Ugqirha obizwa ngokuba yi-anesthesiologist uya kubeka esweni imiqondiso yakho ebalulekileyo xa uphantsi kwe-anesthetic kwaye akubuyisele kuyo.

I-anesthesia ngokubanzi ijonge ukuzisa iindawo ezintlanu ezahlukeneyo ngexesha lotyando:

• iintlungu, okanye isiqabu seentlungu
• i-amnesia, okanye ilahleko yenkumbulo yenkqubo
• ukulahleka kwengqondo
• ukungashukumi
• buthathaka iimpendulo ezizimeleyo

Ukubeleka kufuna ukuba uthathe inxaxheba, ngenxa yoko kunqabile ukuba ufumane i-anesthesia ngokubanzi ngexesha lokuhambisa kuba ikwenza ungabikho zingqondweni.

Yintoni injongo yokuba neanesthesia ngokubanzi ngexesha lokuhanjiswa?

I-anesthetic efanelekileyo enikezwe ngexesha lokubeleka ibonelela ngesiqabu sentlungu ukuze ukwazi ukuthatha inxaxheba ngokuzeleyo ekuzalweni nasekutyhaleni xa ufuna ukwenza njalo. Ayikunqumli ukucutha okanye ukucothisa imisebenzi yobomi bomntwana wakho. Nangona kunjalo, imeko kaxakeka ifuna i-anesthetic ngokubanzi ngamanye amaxesha.

Oogqirha kunqabile ukuba basebenzise ianesthesia ngokubanzi ekuhanjisweni kwelungu lobufazi. Basebenzisa i-anesthesia ngokubanzi kwiimeko ezingxamisekileyo kwaye ngamanye amaxesha ukuhanjiswa kwe-cesarean. Ezinye izizathu zokuba ube neanesthesia ngokubanzi ngexesha lokuhambisa zibandakanya oku kulandelayo:

• I-anesthetic yengingqi ayisebenzi.
• Kukho ukuzalwa kwe-breech engalindelekanga.
• Igxalaba lomntwana wakho liyabanjwa kumjelo wokuzalwa, obizwa ngokuba yi-shoulder dystocia.
• Ugqirha wakho ufuna ukukhupha iwele lesibini.
• Ugqirha wakho unengxaki yokuhambisa umntwana wakho usebenzisa i-forceps.
• Kukho imeko engxamisekileyo apho izibonelelo zeanesthesia ngokubanzi zingaphezulu kobungozi bayo.

Ukuba une-anesthesia ngokubanzi, kubalulekile ukunciphisa ukubonakaliswa kosana lwakho kwi-anesthetic kangangoko kunokwenzeka.

Yeyiphi imingcipheko yeanesthesia ngokubanzi ngexesha lokuhanjiswa?

I-anesthesia ngokubanzi ibangela ukulahleka kwengqondo kwaye ihlaziye izihlunu kwindlela yakho yomoya kunye neendlela zokugaya ukutya. Ngokuqhelekileyo, i-anesthesiologist yakho iya kufaka ityhubhu ye-endotracheal ezantsi kwe-windpipe yakho ukuqinisekisa ukuba ufumana i-oksijini eninzi kunye nokukhusela imiphunga yakho kwisisu esiswini kunye nolunye ulwelo.

Kubalulekile ukuzila ukutya xa uqala ukuba neengcungcutheko xa ufuna ukuya phantsi kweanesthesia ngokubanzi. Imisipha elawula ukwetyisa kwakho iya kukhululeka ngexesha lokubulawa komzimba ngokubanzi. Oku kwandisa umngcipheko wokuba uphefumle isisu okanye olunye ulwelo kwimiphunga yakho, ebizwa ngokuba ngumnqweno. Oku kunokubangela inyumoniya okanye omnye umonakalo emzimbeni wakho.

Eminye imingcipheko enxulumene neanesthesia ngokubanzi ibandakanya:

• ukungakwazi ukubeka ityhubhu ye-endotracheal ezantsi kombhobho womoya
• Ityhefu amayeza iintlungu
• uxinzelelo lokuphefumla kosana olusandul 'ukuzalwa

Ugqirha wakho we-anesthesiologist unokwenza oku kulandelayo ukunciphisa umngcipheko wakho:

• nikezela ngeoksijini ngaphambi kokubulawa komzimba
• nika i-antacid ukunciphisa ubumuncu besisu sakho
• nika amayeza asebenza ngokukhawuleza ukukhulula izihlunu zakho ukuze zibekwe ngokukhawuleza kwaye kube lula kumbhobho wokuphefumla
• faka uxinzelelo emqaleni wakho ukuvimba umqala kunye nokunciphisa umngcipheko wokulangazelela kude kube yindawo yokugcina i-endotracheal tube

Ukwaziswa kwe-Anesthesia kwenzeka xa uvuka okanye uhlala uphaphile ngelixa uphantsi kwe-anesthesia ngokubanzi. Oku kunokwenzeka ngenxa yokuba ufumana izihlunu zokuqala izihlunu kuqala, ezinokukwenza ungakwazi ukuhamba okanye uxelele ugqirha wakho ukuba uvukile. Oku kukwabizwa ngokuba "kukuqonda okungalindelekanga koqhaqho." Kunqabile, kwaye ukufumana iintlungu ngexesha kunqabile ngakumbi. Kweminye, inokubangela iingxaki zengqondo ezifanayo nesifo soxinzelelo lwasemva koxinzelelo.

Ithini inkqubo yokuba neanesthesia ngokubanzi?

Kuya kufuneka uyeke ukutya kwakamsinya nje ukuba uqalise ukucaphuka. Oku kulungile kubo bonke abantu basetyhini abasebenzayo ukuba bayenze xa befuna i-anesthetic ngokubanzi.

Uya kufumana amayeza athile nge-IV drip. Emva koko, uya kufumana i-nitrous oxide kunye neoksijini ngokusebenzisa imaski yomoya. Ugqirha wakho we-anesthesiologist uya kubeka ityhubhu ye-endotracheal ezantsi kwephiko lakho lomoya ukunceda ekuphefumleni nasekukhuseleni umnqweno.

Emva kokuhanjiswa, amachiza aya kuphela kwaye i-anesthesiologist yakho iya kukubuyisela ezingqondweni. Uya kuziva ukrwada kwaye udidekile ekuqaleni. Unokufumana iziphumo eziqhelekileyo ezifana ne:

• isicaphucaphu
• ukugabha
• umlomo owomileyo
• umqala obuhlungu
• ndingcangcazela
• ukozela

Zithini izibonelelo zokubulawa komzimba ngexesha lokuhanjiswa?

Iibhloko zommandla, ezinje nge-spinal anesthetic okanye i-epidural, zikhethwa. Nangona kunjalo, i-anesthesia ngokubanzi inokusetyenziswa ngokukhawuleza kwimeko engxamisekileyo okanye ukuba ufuna ukuhanjiswa ngokukhawuleza. Ukuba inxenye yosana lwakho sele ikumjelo wokuzalwa xa ufuna i-anesthesia ngokubanzi, ungayifumana ngaphandle kokuhlala phezulu okanye ukutshintsha isikhundla.

Xa uphantsi kweanesthesia ngokubanzi, ukukhululeka kwentlungu akuyongxaki kuba ulala. Ezinye i-anesthetics, ezinjenge-epidural, ngamanye amaxesha zinika kuphela isiqabu sentlungu.

Kwabafazi abathile abafuna ukuhanjiswa okokugqibela kunye nokuhlinzwa ngasemva okanye ukukhubazeka okungasemva, i-anesthesia ngokubanzi isenokuba yenye eyamkelekileyo kwingingqi okanye kwi-spinal anesthesia. Oku kunokuba nzima ukulawula ngenxa yemicimbi yezempilo yangaphambili. Ukuba unesifo esophayo, isifo sobuchopho, okanye uxinzelelo lwe-intracranial, awungekhe ufumane i-epidural okanye i-anesthetic yomqolo kwaye unokufuna i-anesthesia ngokubanzi.

Yintoni imbono?

Ugqirha wakho uya kuzama ukunqanda ukusebenzisa i-anesthesia ngokubanzi ngexesha lokubeleka kuba inkqubo yokuhanjiswa ifuna ukuba uqaphele kwaye usebenze. Nangona kunjalo, unokufuna i-anesthesia ngokubanzi ukuba unemicimbi ethile yempilo. Oogqirha ikakhulu basebenzisa i-anesthesia ngokubanzi yokubeleka xa kukuhanjiswa kwe-cesarean. Ukusebenzisa i-anesthesia ngokubanzi ngexesha lokubeletha kuneengozi eziphezulu, kodwa kukhuselekile noko.