Uhlobo lweziguli ezijwayelekile ze-anesthesia ezikhethayo phakathi nokuhlinzwa komdlavuza wekoloni zingathinta amathuba abo okusinda eminyakeni emgwaqeni, ngokusho kocwaningo olutholwe eMhlanganweni Wonyaka Wonyaka we-American Society of Clinical Oncology. Ukuthola kwabo nesiphetho sabo kwakungqubuzana nalabo bezinye izinhlobo zomdlavuza. Ukubuyekezwa okuqhubekayo kwezinye izifundo kufinyelele esiphethweni esihlukile, esibonisa ubuthakathaka bokusekela okukhethwa kukho okukhethwa kukho ekutadisheni okulodwa.
Imfundiso yukuthi ukucindezeleka esimisweni somzimba sokuzivikela komzimba futhi ikhono layo lokuhlanza amangqamuzana omdlavuza okhishwe ngesikhathi sokuhlinzwa kungase kube umthombo wemikhakha emkhatsini wezinqubo zokuzibulala. Uma i-anesthesia ye-epidural isetshenziswa ngaphezu kwe-anesthesia ejwayelekile, isiguli siyodinga imithi encane ye-opioid yokuphumula ubuhlungu. I-opioids ingakwazi ukuvimbela impendulo yomzimba, engase ivumele amanye amangqamuzana omdlavuza ukuba aphile futhi mhlawumbe aholele ekuphindeni.
Mayelana ne-Anesthesia Research
Abacwaningi babheka idatha evela kwiziguli ezingama-177 zomdlavuza wekoloni ezazibandakanye ocwaningweni lapho ezinye iziguli zithola i-anesthesia ejwayelekile engaxhaswanga (UGA) nabanye bathola i-anesthesia ejwayelekile ye-epestural (ESGA) ngesikhathi sokuhlinzwa komdlavuza wekoloni. Abacwaningi abazange baqhube isifundo nabahlanganyeli babo; benza ukuhlaziya nokubala ngokusekelwe kwedatha evela kwesinye isifundo.
Imiphumela
Kwavela iphethini ecacile eyenza abacwaningi baphethe ngokuthi i-UGA iyindlela engcono kune-ESGA ye-colon operation.
Ngokuyinhloko, inani labo-crunching lenze ukuthi iziguli ezazitholile i-ESGA zivame ukuqhubeka zibi nakakhulu esikhathini eside (ngemuva kweminyaka emihlanu) kuneziguli ezikhethile i-UGA. Bacabanga ukuthi kungenzeka ngenxa yezici eziningana, kuhlanganise nokunciphisa ukugeleza kwegazi ezigabeni ngesikhathi se-ESGA.
Ukulinganiselwa
Kuningi ukulinganiselwa lapha.
Okokuqala, alukho ucwaningo oluningi ngalesi sihloko. Noma nini lapho kunjalo, ngokuvamile kuwukuhlakanipha ukugcina isahlulelo kuze kube nezifundo eziningi ezenziwe. Okwesibili, ukuhlaziywa kwenziwa kwedatha elinganiselwe. Ulwazi olufanele lutholakala kuphela kubantu abangu-177, okuyinto encane enhle kakhulu.
Izifundo Ngeziphetho Eziphikisanayo
Ukubuyekezwa kwezifundo ezanyatheliswa ngo-2015 bathole ukuthi i-epestural anesthesia ihlotshaniswa nesilinganiso esingcono sokusinda ezifundweni ezine eziyisikhombisa, okuphambene nalokho okufundwa ngu-2007. Iziguli zomdlavuza ezinomthelela zingase zizuze ekusetshenzisweni kwama-epidurals. Ngokuvamile, ukubuyekezwa kwaphetha ngokuthi "ubudlelwane phakathi kwe-epidural anesthesia nokusinda komdlavuza wekoloni nomhlanga akucaci." Baqaphele ukuthi ayikho enye yalezi zifundo ezifakiwe ezibonisa ithonya elibi le-epidurals ekusindeni.
Lokhu kusho ukuthini isiguli esibhekene nokuhlinzwa? Xoxa ngezinketho ze-anesthesia neqembu lakho lezokwelapha ukuthola ukuthi kungani batusa omunye noma omunye icala lakho.
Imithombo:
UChristopherson, R. noJames, K. "Ukusinda Kwesikhathi Eside Ukulandela Ukwelashwa Kwegciwane Le-Colon: Ukuhluka Okuhlobene Nokukhethwa Kwe-Anesthesia." I-Journal of Clinical Oncology 2007 I-ASCO Annual Meeting Proceedings (I-Post-Meeting Edition) 25.18S (20 Juni 2007): 17015.
F. Jeroen Vogelaar, uDaan J. Lips, uFrank RC van Dorsten, u-Valery E. Lemmens noKoop Bosscha. "Impikiswano yokusebenzisa izinzwa zokuzivikela ekulondolozweni komdlavuza wekoloni: ukubuyekezwa kwezincwadi." Umbiko we-Gastroenterology (2015) ini: 10.1093 / gastro / gov001 Ukushicilelwa kokuqala ku-intanethi: February 16, 2015