Iziphumo ebezingalindelekanga ze-Anesthesia Jikelele: Yintoni onokuyilindela

Umxholo

• Zeziphi iziphumo ebezingalindelekanga zexesha elifutshane ezinokwenzeka?
• Zeziphi iziphumo ebezingalindelekanga zexesha elide ezinokwenzeka?
• Yintoni eyonyusa umngcipheko weziphumo ebezingalindelekanga?
• Ngaba kunokwenzeka ukuba uvuke ngexesha lotyando?
• Kutheni le nto i-anesthesia ngokubanzi isetyenziswa kwezinye iindlela?
• Umgca wezantsi

Isetyenziswa nini ianesthesia ngokubanzi, kwaye ikhuselekile?

I-anesthesia ngokubanzi ikhuselekile kakhulu. Nokuba uneengxaki zempilo, uya kuyinyamezela i-anesthesia ngaphandle kweengxaki ezinzulu.

Kodwa ngalo naluphi na unyango okanye unyango, unokufumana iziphumo ebezingalindelekanga. Nantsi into onokuyilindela.

Zeziphi iziphumo ebezingalindelekanga zexesha elifutshane ezinokwenzeka?

Uninzi lweziphumo ebezingalindelekanga zeanesthesia ngokubanzi zenzeka kwangoko emva kotyando kwaye azihlali ixesha elide. Nje ukuba uqhaqho lwenziwe kwaye amayeza e-anesthesia amisiwe, uya kuvuka kancinci kwigumbi lokusebenza okanye kwigumbi lokubuyisela. Uya kuziva ugroggy kwaye udidekile kancinci.

Unokuziva ukuba kukho naziphi na iziphumo eziqhelekileyo:

• Isicaphucaphu nokugabha. Iziphumo ebezingalindelekanga zihlala zenzeka kwangoko emva kwenkqubo, kodwa abanye abantu banokuqhubeka nokuziva begula usuku okanye ezimbini. Amayeza okunyanga isicaphucaphu anokunceda.
• Umlomo owomileyo. Unokuziva ubharhile xa uvuka. Ngethuba nje ungekho isicaphucaphu, ukuphuza amanzi kunokunceda ukunakekela umlomo wakho owomileyo.
• Umqala obuhlungu okanye ukudumba. Umbhobho ofakwa emqaleni ukukunceda uphefumle ngethuba lotyando ungakushiya unomqala obuhlungu emva kokuba ususiwe.
• Ukugodola nokungcangcazela. Kuqhelekile ukuba iqondo lobushushu bomzimba wakho lihle ngexesha lomzimba ngokubanzi. Oogqirha bakho kunye nabongikazi baya kuqinisekisa ukuba iqondo lakho lobushushu aliliwi kakhulu ngexesha lotyando, kodwa unokuvuka ungcangcazela kwaye uzive ubanda. Ukugodola kungathatha imizuzu embalwa ukuya kwiiyure.
• Ukudideka kunye nokucinga okungacacanga. Xa uqala ukuvuka kwi-anesthesia, unokuziva udidekile, uyozela kwaye unenkungu. Oku kuhlala kuphela iiyure ezimbalwa, kodwa kubantu abathile-ngakumbi abantu abadala- ukudideka kunokuhlala iintsuku okanye iiveki.
• Ubuhlungu bemisipha. Amachiza asetyenziselwa ukukhulula izihlunu zakho ngexesha lotyando kunokubangela ukudakumba emva koko.
• Ukurhawuzelela. Ukuba amayeza e-narcotic (opioid) asetyenziswa ngexesha okanye emva kokusebenza kwakho, unokurhawuzelelwa. Esi sisiphumo secala eliqhelekileyo lolu didi lweziyobisi.
• Iingxaki zesinyi. Unokuba nobunzima bokugqithisa umchamo ixesha elifutshane emva kweanesthesia ngokubanzi.
• Ukuba nesiyezi. Unokuziva unesiyezi xa uqala ukuphakama. Ukusela ulwelo oluninzi kufanele kukuncede uzive ungcono.

Zeziphi iziphumo ebezingalindelekanga zexesha elide ezinokwenzeka?

Uninzi lwabantu alunakufumana naziphi na iziphumo ebezingalindelekanga zexesha elide.Nangona kunjalo, abantu abadala abadala banokufumana iziphumo ebezingalindelekanga ezihlala ngaphezulu kweentsuku ezimbalwa.

Oku kunokubandakanya:

• Ukudakumba emva kokusebenza. Abanye abantu banokudideka, badideke, okanye babe nengxaki yokukhumbula izinto emva kotyando. Oku kuphazamiseka kunokuza kudlule, kodwa kuhlala kuhamba emva kweveki.
• Ukungasebenzi kakuhle kwengqondo emva kokusebenza(POCD). Abanye abantu banokuba neengxaki zememori eziqhubekayo okanye ezinye iintlobo zokuphazamiseka kwengqondo emva kotyando. Kodwa akunakulindeleka ukuba esi sisiphumo se-anesthesia. Kubonakala ngathi sisiphumo sotyando ngokwalo.

Abanye abantu abangaphezu kweminyaka engama-60 banokubakho amathuba okuphuhlisa i-POCD.

Unokuba nako ngakumbi ukuphuhlisa i-POCD ukuba unayo:

• wahlaselwa sistroke
• isifo sentliziyo
• isifo semiphunga
• Isifo se-Alzheimer
• Isifo sikaParkinson

Yintoni eyonyusa umngcipheko weziphumo ebezingalindelekanga?

Ubukhulu becala, ianesthesia ngokubanzi ikhuselekile. Yinkqubo yoqhaqho ngokwayo ebeka emngciphekweni. Kodwa abantu abadala kunye nabo baneenkqubo ezinde zisengozini yeziphumo ebezingalindelekanga kunye neziphumo ezibi.

Ukuba unayo nayiphi na le miqathango ilandelayo, qiniseka ukuxelela ugqirha wakho kuba le miba inokuchaphazela indlela owenza ngayo ngexesha nasemva kotyando:

• imbali yezenzo ezigwenxa kwi-anesthesia
• ubuthongo bokulala
• ukuxhuzula
• ukutyeba kakhulu
• igazi elonyukayo
• isifo seswekile
• isifo sentliziyo
• isifo semiphunga
• isifo sezintso
• ukwaliwa iziyobisi

Kuya kufuneka uxelele ugqirha wakho ukuba:

• umsi
• sebenzisa utywala kakhulu
• thatha amayeza okucoca igazi

Ngaba kunokwenzeka ukuba uvuke ngexesha lotyando?

Kunqabile kakhulu, abantu banokukwazi ukuba kwenzeka ntoni ngexesha lotyando. Ezinye iingcali ziqikelela ukuba malunga nomntu omnye kwabayi-1 000 ubuyela ezingqondweni kodwa aqhubeke angakwazi ukuhamba, ukuthetha okanye ukulumkisa ugqirha. Eminye imithombo ichaza ukuba kunqabile ngakumbi, kunqabile njenge-1 kwi-15,000 okanye kwi-1 kuma-23,000.

Xa oku kusenzeka, umntu uhlala engaziva buhlungu. Nangona kunjalo, ulwazi ngokusebenza lunokubangela uxinzelelo kwaye kunokubangela iingxaki zengqondo zexesha elide, ezifanayo kwisifo sasemva koxinzelelo.

Ukuba ufumanisa ulwazi ngokusebenza phantsi kweanesthesia ngokubanzi, unokukufumanisa kuluncedo ukuthetha nonyango okanye umcebisi malunga namava akho.

Kutheni le nto i-anesthesia ngokubanzi isetyenziswa kwezinye iindlela?

Ukuba ufuna utyando, mhlawumbi awufuni kuziva ukuba kuqhubeka ntoni. Kuxhomekeka kuhlobo lotyando, oku kunokufezekiswa ngeendlela ezahlukeneyo.

Ugqirha wakho uya kuncoma i-anesthesia jikelele ukuba inkqubo yakho iya:

• thatha ixesha elide
• kukhokelela ekuphelelweni ligazi
• kuchaphazela ukuphefumla kwakho

I-anesthesia ngokubanzi ngokuyintloko isiqaqa esibangelwa kwezonyango. Ugqirha wakho uhambisa amayeza okwenza ukuba ungabikho zingqondweni ukuze ungashukumi okanye uve iintlungu ngexesha lotyando.

Ezinye iinkqubo zinokwenziwa nge:

• I-anesthetic yendawo, njengaxa ufumana iziqu esandleni sakho
• ukuthomalalisa, njengaxa ufumana ikholonoscopy
• i-anesthetic yengingqi, njengaxa ufumana ulusu lokuhambisa usana

Ugqirha wakho uya kukuhamba ngeendlela ozikhethayo xa ucwangcisa inkqubo yakho. Bazokwazi ukuphendula nayiphi na imibuzo onokuba nayo malunga nento ezakusetyenziswa kwaye ngoba.

Umgca wezantsi

Kubalulekile ukuba uthethe ngokukhululekileyo noogqirha bakho ngalo lonke ulwazi lwakho lwempilo. I-anesthesiologist yakho inokulawula ngokukhuselekileyo inkathalo yakho kwaye inyange iziphumo zakho ebezingalindelekanga, kodwa kuphela ukuba unyanisekile.

Xa uthetha nogqirha wakho kunye ne-anesthesiologist ngaphambi kwenkqubo, qiniseka ukuthetha nabo malunga neenkxalabo zakho kunye nokulindela. Kuya kufuneka uxoxe nange:

• Amava okubulala iintlungu ngaphambi kwexesha
• iimeko zempilo
• Ukusetyenziswa kwamayeza
• ukusetyenziswa kweziyobisi ngokuzonwabisa

Qiniseka ukuba ulandela yonke imiyalelo yakho yonyango - kubandakanya into onokuyitya okanye ongayityi kunye nokusela kunye namayeza ekufuneka uwathathile okanye ongafanele ukuwathatha. Ukulandela le miyalelo kunokunceda ukunciphisa iziphumo ebezingalindelekanga zeanesthesia ngokubanzi.