Ukubhekana Nokuhlinzwa Okuvamile Ukucindezeleka
I-nasusea ye-Postoperative nokuhlanza (i-PONV) yinkinga enkulu yeziguli ezilulame ngemva kokuhlinzwa. Ingxenye engaphezu kwengxenye yazo zonke iziguli zokuhlinzwa zithola isiphithiphithi nokuhlanza, ezinye ngemva kokuhlinzwa, kanti abanye uma befika ekhaya bese bephumula lapho.
Ukuzwa ukucatshungulwa emva kokuhlinzwa kungakhululekile futhi kunganciphisa kakhulu ukubuyela emisebenzini evamile njengokudla nokuphuza.
Ukuncintisana kuyingozi nakakhulu, njengoba kungaba buhlungu kakhulu emva kokuhlinzwa futhi kungabeka ukucindezeleka okuningi kwezinye izinto eziphathelene nokuhlinzwa, okuholela ezinkingeni ezinkulu ezinjenge- dehiscence nokuzivocavoca , ukuwohloka kwamanzi nokuningi.
Kungakhathaliseki ukuthi kungani ukuhlukunyezwa nokuhlanza kuqala noma ukuthi kungani, isinyathelo esisheshayo singasiza ukuvimbela izinkinga ezingathí sina. Ngokunakekelwa okusheshayo, i-nausea ingavinjelwa kaningi ukuphenduka ibe yisiqephu sokuhlanza.
Kungani I-Nausea Ivumelana Ngokuvamile Ngemva Kokuhlinzwa?
Ngenkathi isisulu sokucabangela nokuhlanza ngemuva kokuhlinzwa kuyingozi eyaziwayo ye-anesthesia , kunezinye izici ezingadlala indima, njengokungcoliswa kwemvelo, imithi inikezwa esiswini esingenalutho, ukubuyisela ngokweqile ekudleni okujwayelekile, nokuntuleka kwesisindo sokuvimbela isisu nokuhlanza imithi.
Uhlobo lwe-anesthesia nalo ludlala indima. Isiguli esinezinqubo zokwelapha amazinyo noma inqubo yokuphulukisa izifo ezifana ne-colonoscopy iyoba nemithi encane ye-anesthesia isikhathi esincane kunesikhathi sokuhlinzwa okujwayelekile.
Imithi encane isho ukuthi cishe ayinaso isisulu futhi ihlanza ngemuva kwalokho, futhi kaningi ayinayo izimpikiswano zokubekezelela ukudla kanye nezikhukhula emahoreni emva kwenqubo.
Kwezinye iziguli, isicanucanu nokuhlanza emva kokuhlinzwa yilokho abakuthola njalo uma benesifo sokubulala i-anesthesia. Kulezi ziguli ikakhulukazi, ukuvimbela inkinga kubaluleke kakhulu.
Lokhu kungase kusho ukuthi imithi inikezwa ngaphambi nangenkathi yokuhlinzeka, ngakho-ke isebenza ngokugcwele uma ukuhlinzwa kuqediwe.
Kulezi ziguli ezinezinyosi ezingapheliyo, umuzwa uyinto abayithola nsuku zonke, kanye noma ngaphandle kwemithi ye-anesthesia. Laba bantu basengozini enkulu kakhulu yokuba ne-nausea kanye / noma ukuhlanza ngemuva kwenqubo ngoba bangase baqale usuku bazizwa isifiso sokuhlanza futhi bathole ukuthi lubi kakhulu ngemithi ye-anesthesia.
Amathiphu 10 Ukuvimbela Isimangalo Nokuvuthwa Emva Kokuhlinzwa
Vimbela ukuguqulwa kwamanzi
Enye indlela yokuvimbela i-PONV ukuvimbela ukuphelelwa amandla kwamanzi. Ngesibusiso se-anesthesiologist, iziguli eziningi ziyakwazi ukuphuza utshwala obucacile kuze kufike amahora ngokushesha ngaphambi kokuhlinzwa ngaphandle kwezinkinga. Ukudla nokungcola okungacacile akukafaneli ngaphambi kokuhlinzwa, kepha ukudla okunezici ezicacile kungasiza ekuvimbeleni isicanucanu nokuhlanza.
Tshela ithimba lakho lokunakekela mayelana ne-nausea yakho
Ukubika isicashunwe ngokushesha uma kwenzeka kwenzeka, futhi utshele ithimba uma unomlando wezinambuzane ngemuva kokuhlinzwa. Umhlengikazi wakho kufanele akwazi ukubhekana nendaba uma usesibhedlela, udokotela wakho ohlinzayo kufanele atshelwa uma uphila ekhaya. Imithi ingahle ibekwe ukusiza ukunciphisa isicanucanu futhi, ngethemba, ukuvimbela ukuhlanza uma ithimba lakho lokunakekelwa liyazi ukuthi kunenkinga.
Xoxa nesazi sakho se-Anesthesiologist
Enye indlela idinga ingxoxo nge-anesthesiology ngokuphathelene neziqephu zangaphambili zesicashunwa nokuhlanza ngemva kokuhlinzwa. Uma inkinga yaziwa, umhlinzeki we-anesthesia angakhetha imithi ye-anesthesia engenakwenzeka kakhulu ukuthi ibangele izinambuzane nokuhlanza. Bangakwazi futhi ukuhlinzeka ngemithi yokuvimbela njenge-ondansetron (Zofran), promethazine (Phenergan) noma i-diphenhydramine (i-Benadryl). Le mithi ingasetshenziselwa futhi uma i-nausea ikhona.
Ukuvimbela kuyisihluthulelo
Imithi inganikezwa ukuvimbela isicanucanu ngaphambi kokuba kwenzeke. Abanye odokotela abahlinzayo bavame ukufaka imishanguzo yokulwa nesicanshu emyalweni we-postoperative wokunciphisa inkinga.
Uma uke wahlaselwa yisicashu futhi uhlanza esikhathini esedlule, qiniseka ukuthi uvumele ithimba lakho lokunakekelwa ukuze izinyathelo zokuvimbela zingathathwa.
Lawula Ubuhlungu Bakho
Ungawephuli imithi yakho yobuhlungu ngoba uzizwa unesihe uma ungayisiza. Ukulawulwa kobuhlungu kungasiza ukunciphisa isifo senzosi nokuhlanza ngemuva kokuhlinzwa. Ukuba khona kobuhlungu kungakwandisa amathuba okuhlanza, kodwa iziguli eziningi zigwema imishanguzo yabo yobuhlungu ngoba zizizwa zihlehlisiwe. Uma kunokwenzeka, ukuphatha kahle ubuhlungu kungabuye kube ukwelashwa kwesicashu.
Ungadli ukudla kwakho
Ukubuyela kancane ekudleni okujwayelekile kuyindlela enhle yokunciphisa isicanucanu. Ngemuva kokuhlinzwa, ukudla okuqala kuqala njengento emlonyeni kuze kube yilapho isiguli sidlula igesi. Uma isiguli singakwazi ukudlula igesi, uketshezi okucacile okulinganiselwe kufanele kuvivinywe phakathi namahora ambalwa ukuze kuqinisekiswe ukuthi ngeke kubangele ukuhlukumeza noma ukuhlanza.
Uma uketshezi olucacile lubekezelela, ezinye iziphuzo ezinjengejusi, itiye, ubisi kanye nekhofi zingathathwa. Uma lezi zibekezelela, ukudla okunomsoco okufana ne-appleauce noma i-pudding kulandela, ngokudla okugcwele okuvezwa kuphela lapho abanye bebekezelela ngempumelelo.
Le nqubo yokuqhubeka nokudla ivame ukwenziwa phakathi nezinsuku ezimbalwa uma ukuhlinzwa kwakuyinhloko. Ukuqhubeka kancane kuyisihluthulelo sempumelelo.
Ukushisa Kungaba Okubalulekile
Ezinye iziguli zizwela kakhulu ekushiseni kwamanzi. Bangase babekezelele ukushisa kwamakamelo okugumbana noma ama-fluid afudumele kahle, kodwa abakwazi ukubekezelela iziphuzo ezibandayo. Okuphambene nakho kungase kube yiqiniso.
Kusobala ukuthi ukukhathala kungase kube yinkinga. Ukuthola indawo epholile yokuphumula, kunokuhlala egumbini elishisayo noma ngaphandle kwelanga elishisayo, linganikeza abanye usizo.
I-Ginger, Ginger, Ginger
I-Ginger ale evunyelwe ukuhamba isitholakale iyancenga esiswini futhi ingasetshenziswa njengendlela yokwelapha isicanucanu. Qaphela, iziphuzo ezigcwele ze-carbonated zingenza uzizwe uzikhukhumezekile futhi zingabangela isicanucanu.
I-Ginger ngokujwayelekile iboniswe ukusiza i-nausea, ngakho-ke ukudla okunama-ginger kanye nezinye izinhlobo zokudla kwe-ginger kungasetshenziswa, uma nje benenjenge yangempela njengesithako, hhayi ukunambitheka kwe-ginger. Abanye abantu benza itiye nge-ginger fresh futhi baphuze kushisa noma phezu iqhwa ukukhululeka.
Ukulwa nokudambiswa kwamanzi
Uma ukuphela kwamanzi emzimbeni kuyinkinga, iziphuzo nge-electrolytes kuzo zingasiza ukubuyisela umzimba ngokujwayelekile ngokushesha kunezinye iziphuzo. Amanzi ahlale ebalulekile, futhi ukukhetha kuqala yizimo eziningi, kodwa ama-electrolyte avame ukulahlekelwa ukuhlanza nokuhuda futhi kungadingeka ukuthi kuthathwe indawo.
Kunezinhlobo eziningi zeziphuzo zokufaka esikhundleni se-electrolyte, kusukela ku-Gatorade kuya ku-Pedialyte ezingasiza ukubuyisela amanzi omzimba kanye nama-electrolyte ngesikhathi esifanayo.
Izwi elivela:
Ukuvimbela kubalulekile kakhulu uma kuziwa ku-Post Operative Nausea nokuVomiting (PONV) ngoba kulula kakhulu ukuvimbela isicanucanu kunokuphatha i-nausea. Uma uye waba nesisulu esikhathini esidlule, tshela umhlinzeki wakho we-anesthesia. Uma uqala ukuzwa isisulu emva kokuhlinzwa qiniseka ukuthi utshela umhlengikazi wakho noma umhlinzeki we-anesthesia ngaso leso sikhathi, ngoba kungase kube kubi ngaphambi kokuba kuthuthuke.
Uma ukwelapha inselele iqiniso elibi ukuthi ukuthi kubi kakhulu kunzima ukulawula ngakho ungalindeli ukucela imithi uma kwenzeka.
Imithombo:
I-Postauseative Nausea ne-Vomiting. Ama-Annal of Medicine Palliative. Kufinyelelwe ngo-Okthoba, 2014. http://www.amepc.org/apm/article/view/1035/1261
Ukubeka i-Stop To Nausea ne-Vomiting. Umhlengikazi waseMelika Namuhla. Ifinyelele ngo-Okthoba 2014. http://www.americannursetoday.com/putting-a-stop-to-postop-nausea-and-vomiting/