Ingabe Ngingumngcipheko Owandayo?
Ingabe usengozini enkulu uma uhlinzwa futhi une-asthma?
Yebo, i-asthmatics isengozini yezinkinga ezithile njengomphumela wesifo sabo se-asthma. Kodwa-ke, ingozi yakho yangempela ixhomeke ebukhulu besifo sakho se-asthma, inani lokungaqondakali, ukungakanani ukuvinjelwa kwe-airway onakho, nokusetshenziswa kwe-anesthesia. Uma i-asthma yakho ilawulwa kahle kunokuba ungase uhlinzwe ngaphandle kokukhathazeka okuningi.
Kodwa-ke, uma une-asthma encike ekutheni noma isifo se-asthma esingalawulwa kahle ( okuqhubekayo okuqhubekayo noma okuphikisanayo okukhulu ), kuzodingeka ubone udokotela wakho we- asthma ngaphambi kokuhlinzwa. Okokuqala kungcono, kodwa okungenani ngesonto kusengaphambili uma kwenzeka imithi yakho idinga ukulungiswa .. Ngeshwa, ukulawula kwakho nge-asthma akubikezeli njalo ingozi yezinkinga ngenkathi kuhlinzwa njengoba inani leziguli ezinobonakala obuhle lingase libe nezinkinga ngokungahambi kahle.
Kodwa-ke, okungenani abalobi abathile baye bazibuza ukuthi i-asthma isengumgogodla we-anesthesia jikelele? Umcabango wabo ungokugxila kokuguqulwa kokwelashwa ukuvimbela izifundo eziningi zangaphambilini ezikhuluma ngezingozi kanye nezinkinga akuzona njengamanje namuhla. Ngenkathi iziguli eziningi zizobhekana ne-anesthesia ejwayelekile ngaphandle kwezinkinga, kusadingeka ukuxoxisana nodokotela wakho ngaphambi kokuhlinzwa bese ucabangela okuqukethwe okuchazwe lapha.
Isihluthulelo singaphambi kokuhlela kanye nokuhlonza izingozi.
Yiziphi Izingozi
I-bronchospasm , ngokumangalisa kimi, ivele ngaphansi kwama-2% amacala lapho kudingeke khona ukuthi i-anesthesia ejwayelekile. Kungenzeka ukuthi kwenzeke ngesikhathi sokungeniswa, isikhathi lapho i-anesthesiologist (udokotela ophethe i-anesthesia) iqala i-anesthesia yakho.
Kodwa-ke, izinkinga ezingase zibe khona zingabhubhisa futhi zibangele ukulimala okukhulu kobuchopho noma ukufa.
Ukuvuthwa okukhulu kungabangelwa ukusizwa (lapho i-tube ifakwa emaphashini akho ukuze uvumele ukuphefumula ngesikhathi senqubo yakho). Lokhu kungabangela nokushisa okuphansi oksijini
Ezinye izingozi zibandakanya i-pneumonia ne- atelectasis . Ngenkathi ungaphansi kwe-anesthesia nemiphumela evela emithini yemithi unekhwehlela ekhubazekile engabangela ukufisa nokutheleleka okungenzeka.
I-asthma ingacatshangwa ukuthi ingandisa ingozi yakho yokucindezeleka kokuthunyelwa kwamapayipi okusebenza kakhulu. Kodwa-ke, kwezinye izinqubo eziphethwe kabi nge-asthma ezihambisana nokukhwehlela okubalulekile zingabangela ukwanda kwezingozi zokuhamba ngemuva kwezinqubo ezithile ezinjengobungozi obukhulu bokuvulwa kwegciwane lokuhlinzwa.
Uma uthola ukwelashwa kwe-latex udinga ukuqinisekisa ukuthi udokotela wakho ohlinzayo nabo bonke abasebenzi abasebenzayo bayazi lokhu. Uzofuna ukubuza futhi ubuyekeze ngethimba lakho lokusebenza ukuthi lizokugwema kanjani ukukwehlisela ku-latex.
Ukuvakashelwa kokuPhatha
Kufanele ubone udokotela wakho we-asthma ukuze ahlole ngokucophelela ngaphambi kokuhlinzwa. Udokotela wakho uzosungula umlando, ukuhlola ngokomzimba, futhi ubuyekeze ukusetshenziswa kwakho kwemithi yakamuva. Uma i-asthma yakho ingalawulwa kahle ingadinga ukuthi noma yikuphi ukuhlinzwa okukhethwayo, okungekho okuphuthumayo kuhlehliswa.
Uma udokotela wakho ohlinzayo engaqiniseki ngokulawula kwakho kwe-asthma bangase bafune ukwenza ukuhlolwa. Ngenkathi izinga eliphakeme lokuphefumula lokuphefumula elingaphezu kwama-80% elibikezelwe lihle, ukuhlolwa kokukhipha ukuphakama kwesikhathi esisodwa akukona okuhle. Uma udokotela wakho ezwa ukuthi ukuhlolwa kudinga ukwenziwa, i-spirometry izohle ilandelwe. I-FEV1 isetshenziselwa ukuqapha i-asthma endaweni yokubeka ihhovisi futhi abanye odokotela abahlinzayo bazocela ukuhlolwa kwezinqubo eziphezulu zokufaka ingozi ye-upper esiswini, i-thoracic, noma ukuhlinzwa komzimba. I-FEV1 engaphezu kuka-80% okubikezelwe ngokuvamile ibonisa ukulawula okuhle kwesifuba se-asthma.
Ngesinye isikhathi udokotela wakho ufuna ukuyala ukuhlolwa okuqondile kwebhu ngenxa yesikhuhlane sakho se-asthma.
Ukuphakama okuphezulu kwamanye ama-asthma meds kungaholela ekuguquleni kwe-glucose, i-potassium, noma i-magnesium okuzodinga ukuhlolwa. Ngesikhathi i-chest x-rays ivame ukulalelwa, akuzona ngokuvamile eziwusizo uma ungenayo izimpawu zokukhwehlela noma ukutheleleka.
Ungase futhi ufune ukukhuluma ne-anesthesiologist yakho (udokotela obeka wena ukuba ulale ngesikhathi senqubo) mayelana nezinketho ze-anesthesia yesifunda ngokumelene nokujwayelekile. Nge-anesthesia jikelele ubeka ngokuphelele ukulala ngenkathi i-anesthesia yesifunda ingenzi. Inzuzo eyinhloko ukuthi i-anesthesia yesifunda ivikela ingozi engase ibe yinkinga yezinkinga zomoya lapho umoya wakho usebenza khona.
Uma i-asthma yakho ingalawulwa kahle, lindela ukwelashwa okunamandla ngaphambi kokuhlinzwa kwakho. Lokhu kungabandakanya okuncane okushiwo yi- oral steroids nezinye izifo. Lesi esinye sezizathu ukuthi kungcono ukubona udokotela wakho we-asthma ngokushesha ngangokunokwenzeka ngaphambi kokuhlinzwa. Umgomo wukuthi ukugeleza kwakho kwe-FEV1 noma ukuphakama kunamazinga abo okubikezelwe noma okusemandleni akho ngaphambi kokuhlinzwa.
Izici ezithile zomlando wakho wezokwelapha zandisa ingozi ye-bronchospasm ngesikhathi sokuhlinzwa futhi kufanele kukhulunywe ngazo kuhlanganise:
- Atopy
- I-Eczema
- I-allergenic rhinitis
- Umlando womndeni we-asthma noma i-atopy
Ukusetshenziswa kweSteroid yakamuva
Okukhathazeka ngokukhethekile (ngakho kubaluleke kakhulu ukuvumela i-anesthesiologist ukwazi) yiziguli ezise-oral steroids ezingapheli nalabo abadinga i-steroids ngomlomo ezinyangeni eziyisithupha zokugcina. Ngezinye izikhathi lezi ziguli zizothola i-IV steroids ngesikhathi sokuhlinzwa.
Kufanele Ngiyeke Ukubhema?
Ngenkathi impendulo yalokhu cishe njalo yebo, ezinye iziguli (ukuthi unayo i-asthma noma cha) abayeka ukubhema ngaphambi nje kokuhlinzwa bazinikela engozini enkulu yokwenza ezinye izinkinga ngemuva kokuhlinzwa. Uma ushiya okungenani amasonto amabili ngaphambi kokuhlinzwa lokhu ngokuvamile akuyona inkinga. Ngesikhathi ukubhema ne-asthma kungeyona inhlanganisela enhle, qiniseka ukuthi ukhuluma nodokotela wakho ngaphambi kokuyeka ngaphambi kokuhlinzwa kwakho.
Imithombo
- I-National Heart, Lung, ne-Blood Institute. Umbiko wePhaneli Wabachwepheshe 3 (EPR3): Izinkombandlela Zokuthola Ukuhlolwa Nokuphathwa Kwe-Asthma
- Li J, McPherson R. Ingabe i-asthma isengcupheni yengozi ye-anesthesia ejwayelekile? Journal of Anesthesiology 2014; 2 (1): 8-12