Ngokushesha lapho ufika ekamelweni lokusebenza, ingcindezi yakho yegazi izohlolwa, ukusungula isilinganiso sakho "sokusekela", isilinganiso esizosetshenziselwa yonke inqubo ukukala impendulo yakho ekuhlinzekeni kanye nemithi esetshenziselwa i-anesthesia. Kodwa-ke, ucwaningo lwamuva lubonise ukuthi isilinganiso somshini wegazi ngaphambi kokuba ungene ekamelweni lokusebenza (OR) sinembile kakhulu, futhi ukuthi ukucindezelwa kwegazi okufanele udokotela wakho akusebenzise ekunqumeni isisekelo sakho sokuqala.
Ucwaningo olwenziwe emhlanganweni we-Anesthesiology wezi-2015, wathola ukuthi uma ukucindezelwa kwegazi kulinganiselwe ku-OR, kuvame ukuphakama kakhulu kunezingcindezi zegazi ezithathwe ngaphambi kosuku lokuhlinzwa, noma ngisho nezilinganiso zegazi ezithathwe ngosuku ukuhlinzwa endaweni "yokubamba," ngaphambi kokungena ku-OR. Ukulawula ukucindezelwa kwegazi kubalulekile ekuhlinzekeni. Ukugcinwa kwengcindezi efanele yegazi kungasiza ekuvimbeleni ukushaywa nokushaya kwenhliziyo ngesikhathi sokusebenza kwesikhathi.
Ngokuvamile, i-anesthesiologist ihlola ukucindezelwa kwegazi ku-OR. Ukuphathwa kwengcindezi yegesi ekamelweni lokusebenza kuye kwacatshangwa ukuthi kunelungelo uma kungaphansi kwamaphesenti angu-20 omgogodla wegazi wesisekelo sesiguli. Kodwa-ke, ukucindezeleka kwegazi kwesiguli kungagcizelela kakhulu ngenxa yenkathazo ku-OR, noma kungancishiswa kakhulu njengomphumela wezinguquko zokubeletha.
Ezinye izinguquko e-blood pressure zingabangela ukuhoxiswa kwemithi ejwayelekile yegazi ngaphambi kokuhlinzwa; ubuhlungu noma ukugula kungenza ukucindezeleka kwegazi kube ngaphezu kwamazinga avamile; futhi imithi yokuhlunguphaza nayo ingabangela ukucindezeleka kwegazi. Iziguli ezitholakala ngaphansi kwe-anesthesia zingase zingatholi oksijini okuningi njengoba zidinga futhi lokhu kungabangela ukwanda kwengcindezi yegazi kuyanda.
Ekucwaningweni kweziguli ezingaphezu kuka-2 000, abacwaningi bathola ukwanda kwengcindezi yegazi ezigulini eziningi lapho ukucindezelwa kwegazi kulinganiselwa ekamelweni lokusebenza, kuqhathaniswa nesilinganiso emtholampilo ngaphambi kokuhlinzwa noma endaweni yokubamba iqhaza.
Ucwaningo oluthile lwedatha oluvela ezigulini ezingaphezu kuka-250,000 lubonise ubudlelwane obukhulu phakathi kokucindezeleka kwegazi eliphansi nokufa kunomqondo ophakathi kwegazi eliphezulu nokufa ngesikhathi sokuhlinzwa. Abacwaningi baphetha ngalolu cwaningo ngokuthi nakuba ukulawulwa kwegazi eliphezulu kubalulekile empilweni yesikhathi eside, akusiyo yedwa ingozi ebalulekile yokufa ngemuva kokusebenza.
Izidakamizwa ezisetshenziselwa i-anesthesia jikelele zingathinta ingcindezi yakho yegazi, ikakhulukazi uma uqala ukulala futhi uphinde uqale lapho uqala ukuvuka. Abanye abantu bathola ukwehla okukhulu kwegazi ngemva kokuthola imithi yokuwalala, yingakho umsebenzi we-anesthesiologist ukugxila ekuhlinzekeni okuphumelelayo. Imithi esetshenziselwa i-anesthesia inomthelela ovamile wokwehlisa imithwalo yegazi, noma ukwandisa. Lokhu kubangela ukugeleza kwegazi okwenyuka kwezinye izitho, kepha umphumela jikelele ukunciphisa umfutho wegazi.
I-anesthesiologist izoqapha ngokucophelela ukucindezela kwegazi kanye nezinye izibonakaliso ezibalulekile ngesikhathi sokuhlinzwa. I-anesthesiologist izohlola ingcindezi yegazi njalo ngemizuzu emihlanu okungenani phakathi nokuhlinzwa kwakho, futhi emva kokuhlinzwa, njengoba uphila endaweni yokutakula, futhi kuze kube yilapho imiphumela yemithi igugile. Uma ingcindezi yakho yegazi iba phansi kakhulu, uzobe usengozini yokushaya isifo noma isifo esithile, ngakho-ke i-anesthhesiologist izokwengeza imithi ngokusebenzisa umugqa wakho we-intravenous (IV) ukubuyisela ukucindezela kwegazi kujwayelekile. Njengoba ukusika nokukhushulwa kwezitho zangaphakathi zakho kwenzeka, umzimba wakho uzokhiqiza izinto ezifana ne-epinephrine ezophakamisa ukucindezelwa kwegazi okuzimele ngaphandle kwemithi.
Ngisho nomuntu onomfutho wegazi ophezulu angathola ukucindezeleka kwegazi okuphansi futhi ashaqele uma igazi elilahlekile liqhubeka ngesikhathi sokuhlinzwa. Nakuba iziguli ezincane zingase zikwazi ukubekezelela ukucindezelwa kwegazi okuphansi ngesikhathi sokuhlinzwa, abantu asebekhulile abanakho izindlela eziningi zokukhokha ukuze bagcine ukugeleza kwegazi okwanele ezingxenyeni ezibalulekile lapho ukucindezeleka kwegazi kwehla. Ezimweni eziningi zokulahleka kwegazi, ukukhishwa kwemikhiqizo yegazi kungadingeka ukuba ubuyisele ukucindezeleka kwegazi phezulu ngokwanele ukuze unikeze ngokwanele amangqamuzana aqakathekile omzimba namalungu.
Phakathi ne-anesthesia, i-anesthhesiologist izolinganisela yonke imiphumela yokuhlinzwa ngamasu atholakalayo ukuze alondoloze umfutho wegazi ophilile. I-Anesthesiologists iqeqeshwa ngokukhethekile, ngakho ungaqiniseka ukuthi baye bahlangabezana nezinhlobo eziningi zezinguquko zegazi. Okokugcina, ukuhlinzwa okungavamile kokucindezelwa kwegazi kungaba kuphela iphutha lomshini noma iphutha lomuntu ofunda umshini. Yingakho i-anesthesiologist ingavamile ukwenza ngokulinganayo okungavamile. Bayiqaphele ukuqhubekela phambili kwegazi lakho ngokucophelela njengoba beqaphela imithi oyitholayo nge-anesthesia.