Ingabe ucabanga ngokuhlinzwa ukuze ulungise idolo elibuhlungu kodwa ukhathazeke ngemiphumela ye-anesthesia? Mhlawumbe uyazibuza ukuthi ukulahlekelwa inkumbulo kungenye yezingozi ze-anesthesia jikelele. Noma, uma ukuvezwa kwe-anesthesia kungakwandisa ingozi yengqondo yakho .
Ukuzwa ukwesaba mayelana nokuthola i-anesthesia nemiphumela yayo emzimbeni wakho kuvamile. Ucwaningo oluthile luye lwahlola le mibuzo, futhi iziphetho zabo zizosiza ngokusiza ukukhulula ukukhathazeka kwakho.
Izinhlobo ze-Anesthesia
I-anesthesia-lapho imithi isetshenziselwa ukuvimba ubuhlungu-isetshenziswa kakhulu ngesikhathi sokuhlinzwa. Olunye uhlobo lwe-anesthesia lungendawo , lapho nje indawo enqanyelwe umjovo, isibonelo, kanye nokunye okunesifo sokubulala i-anesthesia kuyinto ejwayelekile, lapho umuntu ehlushwa khona ukuwabeka ebuthongweni obukhulu ngesikhathi sokuhlinzwa ngakho ngeke bazizwe ubuhlungu futhi ngeke avuke kuze kufike ukuhlinzwa.
Ucwaningo Mayelana Nokulahlekelwa Kwememori Ne-Anesthesia
Wake wakezwa othile ekhuluma ngomuntu othandekayo engafani ngokufanayo emva kwe-anesthesia jikelele? I-anesthesia ejwayelekile ixhunywe ngezikhathi ezithile ekusetshenzisweni okubuhlungu kokusebenza kwengqondo , kodwa ingabe lokhu kuxhumano kwangempela noma nje kuhlangene? Ingabe ucwaningo lusekela lo mhlangano?
Impendulo emifushane? Kuncike ekutadisheni kocwaningo owawufunda.
Izifundo ezimbalwa zithole uxhumano oluthile, okufaka okulandelayo:
- Olunye ucwaningo lwaphetha ngokuthi kwakukhona ingozi yokwehla kwesifo sengculazi ngemva kokubamba iqhaza kwe-anesthesia jikelele.
- Ucwaningo lwesibili lwathola ukuthi abantu abaye bathola i-anesthesia ngenkathi behlinzwa babenengozi enkulu kakhulu yokuthuthukisa u-dementia ikakhulukazi ngesikhathi sokuqala kweminyaka emithathu kuya kweyisikhombisa ngemva kokuhlinzwa.
- Ucwaningo lwesithathu olwenziwe ucwaningo luphawula ukuthi imithi ethize kanye nohlobo lokuhlinzwa-sevoflurane (Ultane) ngesikhathi sokuhlinza umgogodla-kuhlotshaniswa nokwehla kokuqashelwa kwabantu abaye babhekwa ukuthi banokukhubazeka okuncane okucatshangelwayo . Ukukhubazeka okuncane kwengqondo kuyisimo esibangela ingozi yesifo se-Alzheimer, nakuba abanye abantu abane-MCI behlala bezinzile kanti abanye baze babuyele ekusebenzeni okujwayelekile kwengqondo.
Kodwa-ke, olunye ucwaningo luphikisana nalabo okutholakele:
- Ucwaningo olushicilelwe iphephandaba leMayo Clinic Proceedings luthi emva kokutadisha abantu abangu-877 abane-dementia futhi babuyekeze ukuthi yiyiphi yalezi zimo eziye zavezwa ku-anesthesia jikelele, kwakungekho ukuhlanganiswa phakathi kwe-dementia ne-anesthesia. Baphinde bathola ukuthi abantu ababenama-anesthesia izikhathi eziningi abazange babonise ingozi ephezulu yokuwohloka komqondo.
- I- Journal of Pain Research yaphetha ngokuthi nakuba izifundo ezimbalwa zathola ukuhlangana phakathi kokusetshenziswa kwe-anesthesia kanye nengozi eyingozi yokudangala komqondo, akuzange kube nokucwaninga okwanele ukucacisa ukuthi lezi zibili zihlobene ngempela.
- Ucwaningo olulodwa lwaqhathanisa amawele lapho elinye iwele lalingama-anesthesia kanye nokuhlinzwa kanti elinye lingazange libe khona. Abacwaningi abatholanga umehluko omkhulu phakathi kokusebenza kwengqondo kwamawele.
- Ngokuthakazelisayo, iqembu elilodwa labacwaningi lithole ukuthi akukhona nje ukuthi akukho ukulungiswa phakathi kokusetshenziswa kwe-anesthesia nokudemeka kwengqondo, empeleni kunciphise ingozi yokugula komqondo kubantu abano-anesthesia ezindaweni zokuhlinzwa eziyingozi.
Kungani Abanye Abantu Badideka Ngemva Kokuhlinzwa?
Ngenkathi ucwaningo lungakaze lubonise ukuhlanganiswa okuqinile phakathi kwe-anesthesia kanye nokuthuthukiswa kwesifo se-Alzheimer kanye nezinye izinhlobo zokudangala komqondo, akuyona into engavamile ukuba abantu badideke ngemva kokuhlinzwa uma bevuka.
Ngezinye izikhathi, lolu shintsho lungase luhlotshaniswe nokudiliza - ukuguqulwa okungazelelwe ememori, ukunakekelwa, ukuqondisa kanye nekhono lokucabanga. I-Delirium kubantu asebekhulile ihlotshaniswa nenengozi enkulu yokugula komqondo , futhi ukuhlonza i-delirium kubalulekile ekuxazululeni ngempumelelo lezi zimpawu.
Ngokufanayo, ukukhubazeka kokuhamba kwengqondo ngemuva kokusebenza kungathuthuka ngemuva kokuhlinzwa futhi ngokuvamile kuyisimo sesikhashana sokuncipha kwengqondo. Lesi simo ngokuvamile sixazulula ngesikhathi, nakuba abanye abantu bebika imiphumela ehlala njalo.
I-Delirium ihluke ekusebenziseni okungaqondakali kokuhamba kwengqondo ngemuva kwalokho kukhishwa ngokuyisimangaliso, okungazelelwe, futhi okuphawulekayo ekusebenzeni kwengqondo, kuyilapho i-POCD ingase ibe yinguquko eyinqaba ekuqondeni.
Okufanele ngikwenze?
Ngenkathi olunye ucwaningo seluthole ukuhlanganiswa phakathi kwe-anesthesia nokudemeka kwengqondo, akuzange kube nezifundo ezanele ezenziwe ukuphetha ngokuthi lokhu kuxhunyaniswe kwangempela. Ngakho-ke, uma wena noma othandekayo wakho esezohamba ngaphansi kommese, phefumula kalula.
Esikhundleni sokukhathazeka mayelana nobuhlobo obungabaza phakathi kwe-anesthesia nomqondo we-dementia, kungcono ukugxila ezingxenyeni eziyingozi ongakwazi ukuzilawula nokuthi yikuphi ukucwaninga okuboniswe ngokuphindaphindiwe mayelana nezingozi zokuzivocavoca umzimba , ukuzivocavoca umzimba kanye nenhliziyo yezwe kungasiza ekugcineni ubuchopho obuphilile.
Imithombo:
I-Alzheimer's & Dementia: iphephandaba le-Alzheimer's Association. 2014 Mar; 10 (2): 196-204. Ukwandisa ingozi yokugula komuntu kubantu abanesifo esiphuthumayo esibhedlela esidlangalaleni: isifundo sokulawulwa kwamacala omphakathi wesifundazwe.
Anesthesiology. 2 2016, Vol.124, 312-321. Ukusebenza okucatshangelwayo emva kokuhlinzwa ku-Old Age futhi abadala aseDenmark Twins.
I-Anesthesia ne-Analgesia. 2013 Aug; 117 (2): 471-8. Imiphumela ye-delirium zakuqala ukuxilongwa emva kwe-anesthesia jikelele kubantu asebekhulile.
I-British Journal ye-Psychiatry Mar 2014, 204 (3) 188-193. I-British Journal ye-Psychiatry. Ingozi yokudemeka kwengqondo ngemuva kokubulawa kwe-anesthesia nokuhlinzwa.
Ukwelashwa Kwemitholampilo Ekuguga. 2014; 9: 1619-1628. Ukuphelelwa komzimba okujwayelekile kanye nobungozi bokudemeka kwengqondo kweziguli asebekhulile: ukuqonda kwamanje.