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Ukuqwashiswa kwe-Anesthesia: Kuyini?Ukuqwashisa kwe- anesthesia , okubizwa nangokuthi ukuqwashisa okungalindelekile ngaphansi kwe-anesthesia jikelele , kuyinkinga engavamile yokuhlinzwa. Ngokuvamile, i-anesthhesia ejwayelekile iqinisekisa ukuthi nonke ningenazi futhi nikhubazekile ngesikhathi sokuhlinzwa. Ukuqwashisa kwe-Anesthesia kwenzeka uma uqaphela indawo osizungezile ngesikhathi senqubo.
Cishe iziguli ezilodwa kuya kwezibili zingu-1,000 zizwa ezinye zezinga lokuqwashisa kwe-anesthesia, kusukela ekukhunjweni kwamazwi akhulunywa ngabasebenzi ukubhekana nokuhlinzwa kokuphaphama kodwa ekhubazekile.
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Izinhlobo ze-Anesthesia Awareness ExplainedIzinhlobo Zokuqwashiswa Kwe-Anesthesia
1. Ukudambisa akusebenzi, okuholela ekuqwashweni kwe-anesthesia
Lolu hlobo lokuqwashisa i-anesthesia luvame ukuhlukumeza kakhulu iziguli. Uma ukuvimbela umzimba kungasebenzi, noma ugqoke, isiguli singase sibe nomuzwa ojwayelekile, futhi singase siphapheme, kepha imithi enikezwe umzimba amandla ngesikhathi sokuhlinzwa ivimbela ukuba ixwayise noma ubani enkingeni yabo.
Iziguli eziningi ezithola lolu hlobo lokuqwashisa kwe-anesthesia zinezinkumbulo ezincane zengxoxo phakathi kwabasebenzi noma umsindo wemishini ku-OR. Kodwa-ke, ezimweni ezinzima, isiguli siyazi kahle indawo yaso futhi singakwazi ukwenza umsindo noma sibonise ukuthi siphapheme. Bangase babhekane nakho konke ubuhlungu, futhi ngokudabukisayo, ukwesaba, kokuhlinzwa ngaphandle kwe-anesthesia .
Umhlinzeki we-anesthesia angase angazi ngokuphelele ukuthi kunenkinga futhi akanakho okubonisa ukuthi kudingeka imithi eqhubekayo.
2. Okhubazekile nezidakamizwa azisebenzi, okwenza kube nokuqwashisa kwe-anesthesia
Kulesi simo, noma okhubazekile (imithi ephazamisekile) noma izidakamizwa ziyasebenza, futhi isiguli sesazi futhi sikwazi ukuhambisa. Isiguli singase sizame ukususa ithubhu yokugcina, sihlale phezulu, noma sizame ukukhuluma.
Lapho isiguli siqala ukuthutha, kusobala ukuthi umhlinzeki we-anesthesia ukuthi isiguli asikho ngaphansi kwe-anesthesia ejwayelekile. Imithi eyengeziwe inikezwa ukuba ihlaziye futhi ikhubaze isiguli.
3. Okhubazekile akasebenzi, okwenza ukunyakaza ngesikhathi sokuhlinzwa
Ngenkathi kungabalwa ngokucacile njengokuqwashisa kwe-anesthesia - ngoba isiguli asikwazi isimo - angase aqale ukuhamba ngesikhathi sokuhlinzwa ngoba lowo okhubazekile akaphumelelanga noma umthamo usuphelile.
I-agent yokudambisa isebenza, ngakho isiguli asikwazi ukunyakaza, futhi umthamo owengeziwe we-agent ekhubazekile unganikezwa umhlinzeki we-anesthesia ukukhubazeka isiguli ngokuphelele.
4. Inqubo noma isimo sidinga i-anesthesia encishisiwe, okuholela ekuqaphelweni okwengeziwe kunalokho okulungile
Ezinye izinhlobo zeziguli, ikakhulukazi labo abagula kakhulu, abanokuhlinzwa komzimba noma i-C-Section Isimo esiphuthumayo, abakwazi ukubekezelela i-anesthesia egcwele jikelele. Kulezi ziguli, i-anesthesia ingabangela ukuba bangahlali. Kulezi zimo, amanani amancane we-anesthesia asetshenziselwa ukuvimbela ukulimala isiguli.
Umphumela walokhu kuncibilika kwe-anesthesia kungasho ukuthi isiguli sinolwazi ngokuhlinzwa. Nakuba ingozi yokuqwashisa i-anesthesia iphakeme kakhulu uma i-anesthesia iyancishiswa ngenhloso ngale ndlela, kwenziwa ngenhloso yokulondoloza impilo yesiguli, futhi ingozi elinganisiwe.
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Ukuqwashiswa kwe-Anesthesia: Ubani Osesengozini?Ubani Osesengozini Yokuqwashiswa Kwe-Anesthesia?
Ezinye izinhlobo zokuhlinzwa nezinye izimo zezokwelapha zingandisa ingozi yokuqwashiswa kwe-anesthesia. Izimo ezilandelayo zandisa amathuba okuthola olunye ulwazi lokuqwashisa ngesikhathi sokuhlinzwa:
- Ukuhlukumezeka okukhulu ngokulahlekelwa igazi kanye / noma ukucindezelwa kwegazi okuphansi
- Ukuhlinzwa Kwezinhliziyo
- Ingxenye yesesare (C-Section)
- Isifo se-Lung noma isimo esivimbela ukuphefumula
- Ukusebenzisa kabi utshwala kanye / noma esikhathini esidlule
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Amaqiniso Ngokuqwashiswa Kwe-AnesthesiaAmaqiniso Wokuqwashisa Kwe-Anesthesia
Ukuqwashisa kwe-anesthesia yizimo ezingavamile futhi ezimbi kakhulu ezingavamile kakhulu.
Ezinye iziguli zingaphupha ngesikhathi sokuhlinzwa, futhi zingase ziphuphe ngokuhlinzwa. Lokhu akufanele kudidaniswe nokuqwashiswa kwe-anesthesia.
Iziguli eziningi azizwa ubuhlungu, noma kunjalo, zingase zibe nomuzwa wokucindezeleka.
Izinhlobo eziningi ze-anesthesia azinikezi isiguli ngokuphelele. Lokhu akulona ukuqwashisa kwe-anesthesia. Ukuqwashisa kwe-anesthesia kwenzeka kuphela nge- anesthesia ejwayelekile , lapho isiguli kufanele singazi ngokuphelele indawo yaso.
Kuyinto evamile ukuba uqaphele ngaphambi kokuqala kwenqubo nangemva kwenqubo.
Uma unomlando wokusebenzisa kabi izidakamizwa noma utshwala, qiniseka ukuthi wazisa umhlinzeki wakho we-anesthesia, njengoba umthamo wakho we-anesthesia udinga ukuguqulwa.
Uma usebenzisa imithi yokuhlunguphaza i- narcotic njalo ebuhlungu obungapheli, yazise umhlinzeki wakho we-anesthesia njengoba lokhu kungashintsha umthamo odingekayo we-anesthesia.
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Ukuvimbela Ukuqwashiswa Kwe-AnesthesiaUkuvimbela Ukuqwashiswa Kwe-Anesthesia
Ukuvimbela ukuqwashisa kwe-anesthesia kuwumthwalo womhlinzeki wakho we- anesthesia , noma i-anesthesiologist. Ukuze ayenze lo msebenzi, kubalulekile ukuthi uzimisele kakhulu phakathi nengxoxo yakho yangaphambi kokuhlinzwa.
Kubalulekile ukuthi i- anesthesiologist yakho ikwazi umlando wakho wezokwelapha, kuhlanganise nanoma imuphi umlando, odlule noma okhona, wokusetshenziswa kwezidakamizwa (odokotela noma okungekho emthethweni) nokuthi uphuza utshwala obungakanani. Ngaphezu kwalokho, kuzodingeka uxoxe nganoma imuphi umlando ongase unakho nobunzima ngezinkinga ze-anesthesia, izinhliziyo noma amaphaphu, nanoma yiziphi ezinye izinkinga zezokwelapha.
Ngaphandle kwengxoxo eqondile ne-anesthesiologist yakho, uma unenkinga ngokuqwashisa kwe-anesthesia, ungase ufune ukucela ukuba i-monitor ye-bispectral (BIS) isetshenziswe ngesikhathi sakho.
Ukuqapha kwe-BIS kusetshenziselwa ukulandelela umsebenzi wakho wobuchopho. Inzwa ifakwa ebunzini lakho futhi inike inombolo ngenani lakho lomsebenzi wobuchopho. 0, amaphuzu aphansi kunazo zonke, ubonisa okungakaze kwenziwe umsebenzi wobuchopho, kuyilapho 100, amaphuzu aphezulu, angabonisa ukuthi uphapheme futhi uqaphile.
Ukuqapha kwe-BIS kungasiza ukukwazisa i-anesthhesiologist uma uqaphele kakhulu kunalokho okufanele ube khona, ngisho noma umzimba wakho uphelelekile ngemithi.
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Ngemuva kokuqwashiswa kwe-AnesthesiaUma Ukuqwashiswa Kwe-Anesthesia Kufika Kuwe
Uma ungenye yezinkulungwane zeziguli ezithola ukuqwashisa kwe-anesthesia unyaka ngamunye, kubalulekile ukuthi wazise ithimba lezokwelapha elinikeza ukunakekelwa kwakho ngokushesha nje uma ukwazi. Kubalulekile ukuqopha ukuqwashisa kwakho ngezizathu eziningana, okubaluleke kakhulu, uma udinga enye inqubo, lokhu kungavinjelwa ukuba kwenzeke futhi.
Iziguli ezitholakalayo ngisho nokuqwashisa kancane zingakwazi ukuphazamiseka yilokho okuhlangenwe nakho futhi zingase zithole ama-nightmares kanye nama-flashbacks. Amacala amakhulu angabangela ukuthungatha ukucindezeleka kokuthunyelwa kokuthutha (PTSD). Ukwelapha kuvame ukuphakanyiswa iziguli ezithola ukuqwashisa okuphazamisayo kwe-anesthesia, futhi kufanele zifunwe ngokushesha nje lapho isiguli sikwazi ngokomzimba.
Imithombo:
Mayelana ne-BIS. Izinhlelo zezokwelapha zesimo. Kufinyelelwe ngo-Ephreli 2010. http://www.aspectmedical.com/AboutBIS.aspx
Ukuqwashisa kwe-Intraoperative Ngaphansi Kokujwayelekile Kwama-Pamphlet Anesthesia. I-American Society of Anesthesiologists. I-copyright 2009.