Nciphisa ingozi futhi uthuthukise induduzo nge-anesthesia yomgogodla
Yimuphi u-anesthesia ongcono kakhulu ekufakweni kwakho kwe-hip noma egugile? Abantu abaningi abalungiselela ukuhlinzwa ngokubambisana banokukhathazeka ngezingozi ezingenzeka ezihambisana nalezi zinqubo zokuhlinzwa ezinkulu. Enye yezinto ezivame ukukhathazeka ngokuphathelene ne-anesthesia esetshenzisiwe. I-anesthesia ekahle yokushintshwa okuhlanganyelwe ngeke kuphela iphephile kodwa izosebenza futhi.
Lokhu kusho ukuthi akukhona kuphela ukuthi kuzoba nemiphumela embalwa emibi noma izinkinga ezihlobene ne-anesthesia, kodwa futhi ukuthi izohlinzeka ngokukhululeka okukhulu kobuhlungu nemiphumela emihle yokuthola.
Ukufakwa esikhundleni se-Hip kanye namadolo kungenye yezinqubo zokuhlinzwa ezivame kakhulu. Inombolo yalezi zinqubo iyanda njalo ngonyaka, njengoba abantu abaningi beya ekushintsheni okuhlanganyelwe ukwelashwa kwe- arthritis enamandla . Futhi, abantu abaningi bakhetha ukuthatha indawo, kubandakanya iziguli ezincane neziguli ezikhulile , okwandisa inani lokuhlinzwa.
Izinketho zokuhlinzeka ngezinzwa zokuhlinzekwa ngokuhlanganyela okuhlangene
Isinqumo esivamile sokuqeda isibindi siphakathi kwe-anesthesia jikelele kanye ne-anesthesia yesifunda. I-anesthesia jikelele isho ukuthi isiguli sigxiliwe ngokuphelele (ukulala), futhi ngokuvamile, ukuphefumula kwakhe kusizwa ngokusebenzisa umshini wokuphuza umoya .
I-anesthesia yesiFunda endaweni yokujoyina okuhlangene ivame ukufezwa noma i-anesthesia yomgogodla noma ye-epidural ephazamisa imiphetho engezansi ngokubeka ukuhlaziywa kwendawo yangaphakathi emanzini omgogodla.
Ngesikhathi se-anesthesia yesifunda, i-sedation ingalinganiselwe, ivumela isiguli ukuba iphefumule ngaphandle komshini.
Izingozi Ezincane Nge-Anesthesia yesiFunda
Ucwaningo oluningi luye lwabukeka ngezingozi ezahlukene zokufakelwa okuhlangene, nokuthi ukukhethwa kwezidakamizwa kuthonya kanjani amathuba okuba nezinkinga ezingathuthuka.
Ezinye zezizathu odokotela abaye bazithuthukisa ukuhlinzekwa kwezidakamizwa zesifunda endaweni yokuhlinzwa okuhlanganyelwe okubandakanya kufaka:
- Izinkinga ezimbalwa zezokwelapha (izinkinga zamaphayiphu, ukwehluleka kwezinso)
- Izinga lokutheleleka elincane
- Ukulahlekelwa kwegazi okungaphansi
Ngaphezu kwalokho, iziguli ezine-anesthesia yesifunda zitholakale zinezikhathi ezincane zokuhlala esibhedlela, futhi izindleko zokuhlinzwa okuhlanganyelwe ngokuhlanganyela ziye zaba ngaphansi. Konke lokhu kuhlukana kuncane, kodwa kubonakala kungokoqobo.
Yeka ukuthi i-Anesthesia yesiFunda isenziwa kanjani
I-anesthesia yesiFunda ifezwa ngokubeka izinzwa zomzimba zasendaweni ezungeze izinzwa zomgogodla ukuze zenzeke imilenze. I-anesthetic ihlinzekwa nge-sindle encane - efana nendlela abesifazane abanesifo sokuzibulala esibhedlela ngesikhathi sokubeletha. Ngaleso sikhathi, iziguli zingakhetha ukuthi zibe nesidingo esingaphezulu noma ngaphezulu ngesikhathi sokuhlinzwa, kuye ngokuthi induduzo yabo.
Uma iziguli zikhathazeka ngokukhethekile, zingase zikhethe ukuba nezidakamizwa eziningi ngesikhathi sokuhlinzwa kwazo. Uma iziguli zikhetha ukuba nomzimba ongaphansi, zingase zizwe inqubo yokuhlinzwa, kodwa ngeke ibe nobuhlungu. Ngemuva kokuhlinzwa, i-anesthesia yesifunda ijwayele ukugqoka kancane kancane, ivumela ukulawulwa kobuhlungu okungcono, futhi iziguli zinezinyosi ezincane kanye nemiphumela embalwa emibi uma kuqhathaniswa ne-anesthesia ejwayelekile.
Kungani Ukusetshenziswa Kwama-Anesthesia Okuvamile?
Uma i-anesthesia yesifunda inezinzuzo eziningi kangaka, kungani omunye angakhetha i-anesthesia ejwayelekile? Umbuzo omuhle, kodwa kunezizathu ezithile ezinhle zokukhetha i-anesthesia ejwayelekile. Kungenzeka, isibonelo, kube kuhle kumuntu obenokuhlinzwa okwemgogodla okuphawulekayo njengokwama- fusion lumbar , okungenza kube nzima kunzima ukubulala i-anesthesia yesifunda. Ukukhubazeka kokugulisa, okufaka phakathi i- scoliosis , kungenza futhi inselele yesifundazwe ibe nzima kakhulu. Kukhona nezimo zezokwelapha jikelele, ezifana ne- aortic stenosis , eyenza i-anesthesia ejwayelekile ibe yindlela yokuzivikela ephephile. Isiguli ngasinye kufanele sixoxisane nomuntu onesi-anesthesiologist izimo ezithile ezingathonya isinqumo sokuthi ukuhlinzekwa kwezidakamizwa kungcono kangakanani esimweni sabo.
Okunye okubalulekile ukuthi iziguli zivame ukudideka ngokuthi kusho ukuthini ukuba ne-anesthesia yesifunda, noma ukukhathazeka ngokuba nomjovo onikezwe esifundeni somgogodla. Imfundo ingasiza ngokujulile ukuze iziguli ziqonde ukuthi lezi zinambuzane zikwazi ukuphathwa ngokuphepha ngethuba eliphansi lemiphumela emibi. Iziguli eziningi ezikhetha i-anesthhesia ejwayelekile zenza lokhu ngoba ziqonda le nketho kangcono kune-anesthesia yesifunda.
I-State Current of Joint Replacement Anesthesia
Okwamanje kunzima ukwazi izinombolo ezicacile ngoba ukusetshenziswa kwe-anesthesia yesifunda kuye kwanda ngokuphawulekayo eminyakeni eminingi edlule. Ngasekupheleni kweminyaka eyi-2000, cishe amaphesenti angama-75 okufakelwa ngokuhlanganyela ayenziwa ngaphansi kwe-anesthesia eyedwa kuphela - cishe ngo-10% ngaphansi kwe-anesthesia ejwayelekile kanye nesifunda, futhi cishe ngo-15% ngaphansi kwe-anesthesia yesifunda yedwa. Njengoba odokotela nezibhedlela beqaphela izinzuzo ze-anesthesia yesifunda yeziguli ezithathelwanayo, izibhedlela eziningi ziye zashintsha ukuba zenze izinqubo ezingaphezu kuka-90% zokubuyisela esikhundleni esenziwe ngaphansi kwe-anesthesia yesifunda.
Imithombo:
"I-anesthesia yesifundazwe isithuthukisa kakhulu imiphumela ye-hip namadolo esikhundleni" Isibhedlela Sokuhlinzwa Okukhethekile. Ngo-Meyi 1, 2013.
Mont MA, et al. "Ukuvimbela Izifo Ze-Venous Thromboembolic Ezigulini Ezihamba Nge-Hip-Hop ne-Knee Arthroplasty" J Am Acad Orthop Surg December 2011 vol. 19 cha. 12 768-776.