Ukunakekelwa Kwe-Anesthesia Care (MAC), owaziwa nangokuthi u-sedation noma i-twilight sleep, uhlobo lwe-sedation olwenziwa nge-IV ukwenza isiguli silale futhi sizolile ngesikhathi senqubo. Isiguli ngokuvamile sivukile, kepha siyakwazi ukulandela imiyalelo njengoba sidingeka.
Lolu hlobo lokususa lusetshenziselwa izinqubo zokuphulukisa iziguli, njenge-colonoscopy, lapho isiguli kulindeleke ukuba sibuyele ekhaya ngemva kokuba i-anesthesia igugile ngokuphelele.
Indlela Ukulala Ngayo Amazwi
Izinga lokwehlukaniswa olunikezwa lolu hlobo lwe-anesthesia lungaba luvela ekukhanyeni, lapho isiguli nje sizwa sizikhululekile kakhulu, sisindiswe kakhulu lapho isiguli singazi ukuthi kwenzekani futhi sivusa kuphela ekuvuseleleni okuphawulekayo.
Isiguli singase sibe nomuhloni futhi silale kancane, noma ngaphansi kwamanani amaningi kakhulu kungenzeka ukuthi silele. Ngokuvamile, nge-sedation elula, isiguli sikwazi ukukhuluma, ukuzwa izinto eziseduze nabo, nokuphendula imibuzo nokulandela imiyalo. Bayazi inqubo, kodwa hhayi ebuhlungu futhi ngokuvamile abazizwa bekhathazekile ngalokho okwenzekayo. Njengoba sedation eyingozi kakhulu, isiguli siyaphefumula kodwa singazi ukuthi indawo ehlala kuyo futhi ngokuvamile "ayivukile."
Ngenkathi isiguli singase siphenduke kakhulu, lolu hlobo lwe-anesthesia alufani no-anesthesia jikelele ngoba isiguli asikho okomzimba, futhi ayidinga usizo ngokuphefumula.
Izimpawu ezibalulekile zibhekwa ngokucophelela ukuqinisekisa ukuthi zizinzile kulo lonke lolu hlelo.
Umuthi owodwa ovame ukusetshenziselwa lolu hlobo lokudalwa yi-Propofol, owaziwa nangokuthi i-Diprivan, enikezwa nge-IV futhi ibonakala ngokuphawulekayo efana nobisi. Le mithi inikezwa nge-IV futhi ihamba ngokushesha (ingaphansi kwemizuzu eyishumi kubantu abaningi) ngakho isiguli sikwazi ukuvuka ngemva nje kokuba inqubo igcwaliswe.
Ngokuya ngemithi esetshenzisiwe kanye nemithi ehlinzekwayo, isiguli singase sikhumbule noma singakhumbuli inqubo.
Ukuqapha
Ngenxa yokuthi izinga le-sedation lihluka, inqubo ihlolwe, nge-anesthesia ochwepheshe ngezikhathi zonke ukuqhubeka nokuqapha izimpawu ezibalulekile zesiguli futhi alondoloze noma alungise izinga lokudinga njengoba kudingeka. Lokhu kuvame ukusho ukuthi i-cuff pressure yegazi ne-monitor of levels of oxygen isetshenziswa, okungenani. Ngokuvamile, ama-electrode afakwa esifubeni sokuqapha izinga lenhliziyo yesiguli ne-EKG kulo lonke uhlelo.
Uma Kusetshenziswa
Lolu hlobo lokudambisa luvame ukusetshenziswa ngezinqubo ezincane zokwelapha nezinqubo zamazinyo futhi zingahlanganiswa ne- anesthesia yendawo noma yesifunda ukuze kunciphise ubuhlungu. Izinqubo ezibukeka ngaphakathi komzimba, njenge-bronchoscopy (i-airways namaphaphu), i-colonoscopy (i-colon), ne-esophagogastroduodenoscopy noma i-EGD / Upper GI (umphimbo, isisu, isisu kanye nengxenye yokuqala yamathumbu amancane), njalo usebenzise lolu hlobo of anesthesia.
Okuqhamuka uma udla imishanguzo
Isiguli esinezidakamizwa ezivame ukuba nemiphumela emibi kakhulu kunelabo abanesifo esiphezulu se-anesthesia. Umthelela ovame ukwedlula wonke uwukwenyanya, kepha ezinye iziguli zithola nakho kokubili ukucabangela nokuhlanza.
Uma uke wahlaselwa yisicashu noma ukuhlanza ngemuva kwe-anesthesia esikhathini esidlule, qiniseka ukuthi utshele umhlinzeki wakho we-anesthesia ukuze imithi inganikezwa ukusiza ukuyivimbela ukuthi ingabe isenzeka futhi.