Ni iki cyitwa Anesthesia Rusange? Intego, Uburyo & Gukira

Anesthesia rusange ni uburyo bwa muganga bugenzurwa neza aho uba utazi ibikubaho rwose kandi ntugire ububabare na buke mugihe cyo kubagwa cyangwa ibindi bikorwa bya muganga. Bitekereze nk'ibitotsi birebire, bigenzurwa neza, itsinda ryawe rya muganga rikuyobora muri byo no hanze yabyo mu buryo bwizewe. Iyi leta y'agateganyo ituma abaganga babaga imirimo igoye mugihe bagufasha kumva umeze neza kandi utihuta mugihe cyose cy'ibikorwa.

Ni iki cyitwa anesthesia rusange?

Anesthesia rusange ni uruvange rw'imiti ikujyana muri leta irebire, itazi ibikubaho mugihe cy'ibikorwa bya muganga. Umuganga wawe w'inzobere mu by'ubuvuzi akoresha iyi miti kugirango ahagarike by'agateganyo ubwenge bwawe, kwibuka, no kumva ububabare. Bitandukanye na anesthesia yaho ituma ahantu hamwe gusa hatumva, anesthesia rusange igira ingaruka kumubiri wawe wose n'ubwenge.

Muri iyi leta, ntuzibuka ikintu icyo aricyo cyose kibaye, ntuzumva ububabare ubwo aribwo bwose, kandi imitsi yawe iraruhuka rwose. Umuganga wawe w'inzobere mu by'ubuvuzi akurikirana neza guhumeka kwawe, umuvuduko w'umutima, umuvuduko w'amaraso, n'ibindi bimenyetso by'ingenzi mugihe cyose cy'ibikorwa. Iyi miti ikora igira ingaruka ku bushobozi bw'ubwonko bwawe bwo gutunganya ibyiyumvo no gukomeza ubwenge.

Anesthesia rusange ya none ifite umutekano mwinshi kandi irahanwa. Itsinda ryawe rya muganga rishobora kugenzura neza uko anesthesia yawe igenda kandi ikamara igihe kingana iki. Abantu benshi basobanura uburambe nk'uko basinzira mu cyumba cyo kubagiramo no gukanguka mu gukira batibuka igihe cyose cyabayeho.

Kuki anesthesia rusange ikorwa?

Anesthesia rusange ikoreshwa iyo ukeneye kutamenya ibikubaho rwose kandi udafite ububabare kubikorwa bya muganga. Muganga wawe arabikugiraho inama kubagwa aho ukeneye kuguma uhagaze neza, aho ibikorwa byaba bibabaza cyane hamwe na anesthesia yaho gusa, cyangwa iyo kubagwa bikubiyemo ahantu h'ingenzi kumubiri wawe. Birakenewe kandi kubikorwa bifata amasaha menshi kugirango birangire.

Itsinda ryawe ry’abaganga rihitamo kubaga umuntu wese kugira ngo rikwirinde kandi bikugire neza mu gihe cyo kubaga bikomeye. Kubaga bimwe bisaba ko imitsi yawe iruhuka rwose, ibyo kubaga umuntu wese gusa nicyo gishobora gutanga. Ubu bwoko bwo kubaga kandi butuma utibuka ibyabaye, bikurinda umunabi wo mu mutwe.

Ibikorwa bisanzwe bisaba kubaga umuntu wese birimo kubaga gukomeye nk'ibikorwa by'umutima, kubaga ubwonko, kwimura ingingo, n'ibikorwa byinshi byo mu nda. Bikoreshwa kandi mu bikorwa bimwe byo gupima nka colonoscopies iyo ukeneye guhagarara rwose. Umuganga wawe w'ibijyanye no kubaga azaganira niba kubaga umuntu wese ari wo mwanzuro mwiza kuri wowe.

Ni iki gikorerwa kubaga umuntu wese?

Uburyo bwo kubaga umuntu wese butangira mbere yuko winjira mu cyumba cyo kubagiramo. Umuganga wawe w'ibijyanye no kubaga azahura nawe mbere yo gusuzuma amateka yawe y'ubuvuzi, akaganira ku mpungenge zose, kandi akagusobanurira ibyo witegura. Bazakubaza ku miti yawe, allergie, n'ibyo wanyuzemo mbere byo kubaga kugira ngo bakurehere umugambi mwiza kuri wowe.

Ku munsi wo kubagwa, uzahabwa imiti unyuze mu muyoboro wa IV mu kuboko kwawe cyangwa mu kiganza. Umuganga w'ibijyanye no kubaga akenshi atangira n'imiti ituma wumva uruhutse kandi usinzira. Mu gihe gito cyangwa iminota, uzatakaza ubwenge rwose. Abantu bamwe bahabwa kubaga banyuze mu gapfukamunwa ku mazuru n'umunwa, cyane cyane abana bashobora gutinya inshinge.

Iyo utagifite ubwenge, umuganga wawe w'ibijyanye no kubaga ashobora gushyira urushinge rwo guhumeka mu muhogo wawe kugira ngo agufashe guhumeka mu gihe cyo kubagwa. Ibi bisa nk'ibiteye ubwoba, ariko ntuzabyumva cyangwa ngo ubwibuke. Mu gihe cyo kubagwa kwawe, umuganga wawe w'ibijyanye no kubaga akomeza gukurikirana ibimenyetso byawe by'ingenzi kandi agahindura imiti yawe kugira ngo akugumane ku rwego rwo kubaga rutunganye.

Iyo kubagwa kwawe kurangije, umuganga wawe w’ibijyanye n’ibiyobyabwenge agabanya buhoro buhoro imiti y’ibiyobyabwenge. Uzasinzira buhoro buhoro mu gace ko gukira aho abaganga bakurikirana neza. Abantu benshi bumva bameze nk'abasinze kandi bataye umutwe, ibyo bikaba bisanzwe rwose. Ingaruka z'ibiyobyabwenge zirashira nyuma y'amasaha menshi.

Ni gute witegura kubagwa ukoresheje ibiyobyabwenge rusange?

Kutegura kubagwa ukoresheje ibiyobyabwenge rusange bikubiyemo intambwe z'ingenzi zifasha kwemeza umutekano wawe n'ubushobozi bw'igikorwa cyawe. Umuganga wawe w’ibijyanye n’ibiyobyabwenge azaguha amabwiriza yihariye yagenewe uko umeze, ariko kwitegura cyane bikubiyemo kwiyiriza no guhindura imiti yawe. Gukurikiza izi ngamba neza bifasha kwirinda ingorane mugihe cyo gukoresha ibiyobyabwenge.

Intambwe y'ingenzi yo kwitegura ni ugukurikiza amabwiriza yo kwiyiriza, akenshi bivuze kutarya cyangwa kunywa icyo aricyo cyose mu masaha 8-12 mbere y'igikorwa cyawe. Iri tegeko ryo kuba udafite ikintu mu gifu ririho kuko ibiyobyabwenge bishobora gutuma uruka, kandi kugira ibiryo mu gifu cyawe mugihe utazi ibiri kuba bishobora guteza akaga. Itsinda ryawe ry’ubuvuzi rizababwira neza igihe bazahagararira kurya no kunywa.

Dore intambwe z'ingenzi zo kwitegura itsinda ryawe ry’ubuvuzi rizagufasha:

• Reka kurya ibiryo bikomeye amasaha 8-12 mbere y'igikorwa cyawe
• Reka kunywa amazi asobanutse amasaha 2-4 mbere yo gukoresha ibiyobyabwenge
• Fata imiti yemewe gusa ukoresheje amazi make
• Kura imitako, amaso y'ubwenge, n'amenyo y'ubwenge
• Wambare imyenda yoroshye, itagufashe cyane
• Tegura umuntu uzakujyana mu rugo nyuma yaho
• Reka kunywa itabi byibuze amasaha 24 mbere y'igikorwa cyawe

Umuganga wawe w’ibijyanye n’ibiyobyabwenge ashobora kandi kukubwira guhagarika imiti imwe igihe gito, cyane cyane imiti igabanya amaraso cyangwa ibyongerera imbaraga bishobora kugira ingaruka ku kuva amaraso cyangwa guhura n'imiti y'ibiyobyabwenge. Buri gihe ukurikize amabwiriza yihariye y'itsinda ryawe ry’ubuvuzi, kuko bazi neza uko ubuzima bwawe bwifashe.

Ni gute ibiyobyabwenge rusange bikora mu mubiri wawe?

Anesthesia rusange ikora ihagarika by'agateganyo inzira zisanzwe zo mu bwonko bwawe n'imitsi. Imiti igenda mu maraso yawe ikagera mu bwonko bwawe, aho ihagarika ibimenyetso bituma umuntu amenya, yumva ububabare, no kwibuka. Ibi bituma habaho igihe gihinduka aho ubwonko bwawe "buzimya" imirimo y'ubwenge.

Imiti ya anesthesia igira ingaruka ku bice bitandukanye by'ubwonko bwawe icyarimwe. Ibice bimwe bihagarika ubwonko bwawe mu gutunganya ibimenyetso by'ububabare, mu gihe ibindi bibuza kwibuka no gukomeza kutamenya. Imiti yiyongera irashobora gukoreshwa kugirango uruhuke imitsi yawe rwose, bigatuma abaganga bakora byoroshye kandi ko uhumeka ufashijwe na mashini niba bibaye ngombwa.

Umuvuzi wawe wa anesthesia akoresha uruvange rw'ubwoko butandukanye bw'imiti kugirango agere ku kigereranyo cyiza cy'ibikorwa byawe. Imiti yinjizwa mu maraso itanga igihe gito cyo gutangira no kugenzura neza, mu gihe anesthesia ihumekwa irashobora guhindurwa byoroshye mugihe cyose cyo kubagwa kwawe. Ubu buryo bwo gukoresha imiti myinshi butuma ikipe yawe y'ubuvuzi itunganya urwego rwa anesthesia yawe umwanya ku wundi.

Mugihe cyose cyo kubagwa kwawe, imirimo y'umubiri wawe yikora nk'ihumeka n'imitsi irashobora gukenera ubufasha. Umuvuzi wawe wa anesthesia akoresha ibikoresho bigezweho byo gukurikirana kugirango akurikirane umutima wawe, umuvuduko w'amaraso, urwego rwa oxygen, n'ibikorwa by'ubwonko. Uku gukurikirana guhoraho bituma uguma ku rwego rwa anesthesia rwiza mugihe ukomeza umutekano wawe.

Ni izihe ntera za anesthesia rusange?

Anesthesia rusange ibaho mu ntera enye zitandukanye umuvuzi wawe wa anesthesia akuyobora neza. Kumva izi ntera birashobora kugufasha kumenya icyo witegura kandi ukumva ufite umutekano kurushaho muri ubu buryo. Buri ntera ifite umugambi wihariye wo kumenyesha umutekano wawe n'ihumure mugihe cyo kubagwa.

Icyiciro cya mbere cyitwa itangizwa, aho uhinduka uva mu bwenge ukajya mu kutagira ubwenge. Ibi mubisanzwe bifata iminota mike gusa mugihe imiti ya anesiteziya itangira gukora. Ushobora kumva unaniwe, uribwa umutwe, cyangwa ukagira uburyohe bw'icyuma mu kanwa kawe. Abantu benshi babisobanura nk'uko bumva basa nk'abaryamye vuba cyane.

Ibi nibyo bibaho mugihe cyicyiciro cyose cya anesiteziya:

1. Itangizwa: Uhabwa imiti ya anesiteziya hanyuma ukabura ubwenge mumunota
2. Gukomeza: Umuganga wawe wa anesiteziya agukomeza kumurongo wo kutagira ubwenge neza mugihe cyose cyo kubagwa
3. Kugaruka: Anesiteziya igabanuka buhoro buhoro mugihe igikorwa cyawe kirangiye
4. Kugaruka: Ubyuka kandi ingaruka za anesiteziya zigenda zishira mumasaha menshi

Mugihe cyo gukomeza, uguma utagira ubwenge rwose mugihe umuganga wawe wa anesiteziya akomeza gukurikirana no guhindura urwego rwawe rwa anesiteziya. Icyiciro cyo kugaruka gitangira mugihe kubagwa kwawe kurangije, kandi buhoro buhoro uzongera kubona ubwenge mumwanya ugenzurwa. Kugaruka bikomeza mugihe ubyutse neza kandi ingaruka zisigaye za anesiteziya ziva mumubiri wawe.

Mbese ni izihe ngaruka zisanzwe za anesiteziya rusange?

Abantu benshi bagira ingaruka zimwe z'igihe gito mugihe anesiteziya rusange igenda ishira, kandi izi ngaruka mubisanzwe zoroheje kandi zikemuka mumasaha cyangwa iminsi. Umubiri wawe ukeneye igihe cyo gukuramo imiti ya anesiteziya mumubiri wawe, ibyo bishobora gutera ibimenyetso bitandukanye by'igihe gito. Kumva izi ngaruka zisanzwe birashobora kugufasha kumva witeguye kandi utagira impungenge kubyerekeye kugaruka kwawe.

Ibyo byiyumvo bikunze kubaho harimo gucika intege, isesemi, no kuribwa mu muhogo bitewe n'agahumeka. Ibi byiyumvo ni iby'igihe gito kandi akenshi birakosoka igihe umuti w'uburwayi usohotse burundu mu mubiri wawe. Abantu bamwe kandi bumva bafite urujijo, isereri, cyangwa bagorwa no kwibuka mu masaha ya mbere nyuma yo gukanguka.

Dore ibyiyumvo abantu benshi bahura nabyo nyuma yo gukoresha uburwayi rusange:

• Gusinzira cyane no gucika intege bishobora kumara amasaha 24-48
• Isememi cyangwa kuruka, cyane cyane mu masaha ya mbere
• Kuribwa mu muhogo bitewe no gushyirwamo agahumeka
• Umunwa wumye no kumva inyota
• Urujijo cyangwa gutakaza ubwenge igihe ukanguka bwa mbere
• Isereri cyangwa kutagira umutuzo igihe ugerageza guhagarara
• Kutibuka ibyabaye mu gihe cy'igikorwa cyawe
• Kuribwa mu mikaya cyangwa kuguma

Ibi byiyumvo ni ibimenyetso byerekana ko umubiri wawe ukira neza nyuma yo gukoresha uburwayi. Itsinda ry'abaganga bazagufasha guhangana n'ububabare bwose kandi bazakugenzura kugeza igihe ibi byiyumvo bitangiye gukira. Abantu benshi bumva bameze neza cyane mu masaha 24, nubwo gukira burundu bishobora gufata iminsi mike.

Ni izihe ngaruka zikomeye ziterwa n'uburwayi rusange?

Nubwo uburwayi rusange butekanye cyane ku bantu benshi, ingorane zikomeye zirashobora kubaho, nubwo bidakunze kubaho. Umuganga wawe w'uburwayi asuzuma neza ibyago byawe byihariye kandi afata ingamba zikomeye zo kwirinda izi ngorane. Kumva ibi byago bifasha gufata ibyemezo bifitiye akamaro ku kwitabwaho kwawe no kumenya ibimenyetso byo kwitondera.

Ibyago bikomeye cyane birimo ibibazo byo guhumeka, guhungabana kw'umutima, n'uburwayi bukomeye bwo kwibasirwa n'imiti y'uburwayi. Izi ngorane ntizisanzwe kandi akenshi ziravurwa iyo zibayeho. Itsinda ry'abaganga bawe ryatojwe cyane kumenya no gukemura ibi bibazo ako kanya nibiramuka bibayeho.

Dore ingorane zikomeye ariko zitabaho kenshi zishobora kubaho hamwe n'uburwayi rusange:

• Ibibazo byo guhumeka cyangwa indwara zifata ibihaha
• Uburwayi bw'umutima butunganye cyangwa impinduka mu gipimo cy'amaraso
• Uburwayi bukomeye bwo kwanga imiti ituma umuntu atagira ubwenge
• Amaraso avurirana mu maguru cyangwa mu bihaha
• Uburwayi bwo mu bwonko cyangwa umutima guhagarara gukora mu gihe cyo kubagwa
• Uburwayi bwo mu bihaha butewe n'ibiri mu gifu bigiye mu bihaha
• Malignant hyperthermia (uburwayi bwo mu bwoko bw'imiryango butavuka kenshi buterwa n'imiti ituma umuntu atagira ubwenge)
• Kumenya ibintu mu gihe cyo gutuma umuntu atagira ubwenge (ntibibaho cyane)

Ibyago byo guhura n'ibi bibazo biterwa n'ubuzima bwawe muri rusange, ubwoko bw'ubuganga burimo gukorwa, n'ibintu byihariye bigushyira mu kaga. Umuganga wawe w'ibijyanye n'imiti ituma umuntu atagira ubwenge azaganira nawe ku bijyanye n'urwego rw'ibibazo ufite n'intambwe bafata kugira ngo bagabanye ibyo bibazo mu gihe cyo kubagwa.

Ninde ufite ibyago byinshi byo guhura n'ibibazo byatewe n'imiti ituma umuntu atagira ubwenge?

Uburwayi runaka n'ibintu byawe bwite bishobora kongera ibyago byo guhura n'ibibazo biturutse ku miti ituma umuntu atagira ubwenge. Umuganga wawe w'ibijyanye n'imiti ituma umuntu atagira ubwenge azasuzuma neza amateka yawe y'ubuvuzi n'ubuzima bwawe buriho kugira ngo amenye ibintu byose bigushyira mu kaga bikeneye kwitabwaho by'umwihariko. Kugira ibintu bigushyira mu kaga ntibisobanura ko udashobora guhabwa imiti ituma umuntu atagira ubwenge mu buryo bwizewe, ariko bisobanura ko ikipe yawe y'abaganga izafata ingamba zihariye.

Imyaka igira uruhare runini mu byago byo gukoresha imiti ituma umuntu atagira ubwenge, abana bato cyane n'abantu bakuze barengeje imyaka 65 bakeneye kwitabwaho by'umwihariko. Abantu bakuze bashobora gutinda gukira kandi bagashyirwa mu kaga ko guhuzagurika nyuma yo gukoresha imiti ituma umuntu atagira ubwenge. Abana bato cyane bashobora kwitwara nabi ku miti ituma umuntu atagira ubwenge kandi bashobora gukenera uburyo butandukanye bwo kuyikoresha.

Uburwayi butandukanye n'imibereho bishobora kongera ibyago byawe byo gukoresha imiti ituma umuntu atagira ubwenge:

• Indwara y'umutima cyangwa ibitero by'umutima byabayeho mbere
• Indwara z'ibihaha nka asima, COPD, cyangwa apnea yo gusinzira
• Diyabete cyangwa indwara y'impyiko
• Ubunini bukabije, bushobora kugira ingaruka ku guhumeka mugihe cyo kubagwa
• Umubyigano w'amaraso mwinshi cyangwa amateka ya sitiroki
• Indwara y'umwijima cyangwa gukoresha inzoga nyinshi
• Ibibazo byabayeho byo kubagwa cyangwa amateka y'umuryango y'ibibazo byo kubagwa
• Imiti imwe n'imwe, cyane cyane imiti igabanya amaraso
• Umunywa w'itabi, wongera ibyago by'ibihaha n'umutima

Niba ufite kimwe muri ibi bibazo, umuganga wawe w'ibibazo byo kubagwa azakorana nawe kugirango ategure ubuzima bwawe mbere yo kubagwa kandi ategure uburyo bwo kubagwa butekanye cyane. Bashobora kugusaba gukurikiranwa by'inyongera, imiti itandukanye, cyangwa ingamba zidasanzwe zigenewe imiterere yawe.

Bifata igihe kingana iki kugirango ukire kubagwa rusange?

Kuvura kubagwa rusange bibaho mu byiciro, abantu benshi bumva barushijeho mu masaha 24. Ariko, gukira neza bishobora gufata iminsi myinshi, cyane cyane nyuma yo kubagwa gukomeye. Igihe cyo gukira kwawe giterwa n'ubwoko bwo kubagwa wakoresheje, igihe igikorwa cyawe cyamaze, n'ibintu by'ubuzima bwawe bwite.

Mu masaha make ya mbere nyuma y'igikorwa cyawe, uzakanguka buhoro buhoro ahantu ho gukira aho abaganga bakurikirana hafi. Ushobora kumva urushye, wibeshya, cyangwa uruka muri iki gihe cya mbere. Abantu benshi barashobora kunywa amazi make kandi bashobora kurya ibiryo byoroheje mumasaha make, bitewe nubwoko bwabo bwo kubagwa.

Gukira kwawe mubisanzwe bikurikiza iyi ngengabihe rusange:

1. Mu masaha 1-2 ya mbere: Ubyuka buhoro buhoro, ushobora kumva uri urujijo cyangwa uruka
2. Mu masaha 2-6: Ubushishozi buriyongera, mubisanzwe ushobora kunywa amazi
3. Mu masaha 6-24: Ingaruka nyinshi za anesitezi zirashira, ariko ushobora kumva urushye
4. Mu masaha 24-48: Urwego rw'imbaraga ruriyongera, gutekereza bisubira mu buryo busanzwe
5. Mu minsi 2-7: Gukira neza, ingaruka zose za anesitezi zirashize

Mugihe cyo gukira kwawe, ni ngombwa ko umuntu agumana nawe byibuze amasaha 24. Ntugomba gutwara imodoka, gukoresha imashini, gufata ibyemezo by'ingenzi, cyangwa kunywa inzoga kugeza igihe anesitezi isohokeye rwose mu mubiri wawe. Itsinda ryawe ry'abaganga rizaguhereza amabwiriza yihariye ashingiye ku buryo wakoreweho n'imimerere yawe bwite.

Ni ryari ugomba kuvugisha muganga wawe nyuma ya anesitezi rusange?

Nubwo kutumva neza nyuma ya anesitezi rusange bisanzwe, ibimenyetso bimwe na bimwe bisaba ubufasha bwihutirwa bw'abaganga. Itsinda ryawe ry'abaganga rizaguhereza amabwiriza yihariye yerekeye icyo ugomba kwitaho n'igihe ugomba kubahamagara. Kumenya itandukaniro riri hagati y'ibimenyetso bisanzwe byo gukira n'ibimenyetso biteye impungenge birashobora kugufasha gushaka ubufasha igihe bibaye ngombwa.

Ugomba guhamagara muganga wawe ako kanya niba ubonye ibimenyetso bikomeye bisa nkaho birenze cyane uko byari byitezwe cyangwa niba ibimenyetso bisanzwe bitagenda neza nkuko byagakwiye. Wizere ubwenge bwawe - niba hari ikintu kimwe kimeze nabi cyane, burigihe ni byiza guhamagara itsinda ryawe ry'abaganga kugirango baguhe ubuyobozi.

Hamagara muganga wawe ako kanya niba ubonye kimwe muri ibi bimenyetso biteye impungenge:

• Uburwayi bukomeye cyangwa bwiyongera bwo kuruka no kuribwa bituma utabasha kugumana amazi mu mubiri
• Kugorwa no guhumeka cyangwa guhumeka bigufi
• Urubavu rubabaza cyangwa umutima utera nabi
• Ibimenyetso byo kwandura nko gushyuha umubiri, guhinda umushyitsi, cyangwa amasohoka adasanzwe ava ahakorewe ibaganga
• Urujijo rukomeye cyangwa gutakaza ubwenge birenga amasaha 24
• Umutwe ukomeye utagira icyo uhinduka uruhutse
• Ibimenyetso byo kwibasirwa n'umubiri nko kuribwa, kubyimba, cyangwa kugorwa no kumira
• Ukuva amaraso kudasanzwe cyangwa amaraso mu biruka cyangwa mu musarani

Ku bibazo bitihutirwa nko kuribwa gake, kubabara bisanzwe nyuma yo kubagwa, cyangwa ibibazo bijyanye no gukira kwawe, ushobora guhamagara ibiro bya muganga wawe mu masaha asanzwe. Itsinda ryawe ry'abaganga rishaka kumva ibibazo byose ufite ku bijyanye no gukira kwawe, bityo ntugatinye kubavugisha igihe ukeneye ubuyobozi.

Ibikunze kubazwa ku bijyanye na anesthesia rusange

Ikibazo cya 1: Ese anesthesia rusange iratekanye ku barwayi bakuze?

Anesthesia rusange irashobora kuba itekanye ku barwayi bakuze iyo icungwa neza n'abaganga b'inzobere mu by'ubuvuzi. Nubwo abantu bakuze bahura n'ibibazo byinshi bitewe n'imihindukire y'umubiri yatewe n'imyaka, ibi bibazo birashobora kugabanuka binyuze mu gutegura no gukurikirana neza. Umuganga wawe w'inzobere mu by'ubuvuzi azasuzuma ubuzima bwawe muri rusange, atari imyaka yawe gusa, kugirango amenye uburyo butekanye kuri wowe.

Abantu bakuze bashobora gufata igihe kirekire cyo gukira kandi bagahura n'ibibazo byinshi byo guhungabana nyuma yo kubagwa, ariko ibi bikorwa mubisanzwe ni iby'igihe gito. Itsinda ryawe ry'abaganga rizafata ingamba zidasanzwe nko gukoresha imiti mike, gutanga uburyo bwo gukurikirana cyane, no gutegura uburyo bwo gukira buhoro. Abantu benshi bakuze bakorerwa anesthesia rusange buri munsi mu buryo butekanye.

Ikibazo cya 2: Ese ushobora gukanguka mugihe cyo gukoresha anesthesia rusange?

Gukanguka mugihe cyo kubagwa hakoreshejwe imiti ituma umuntu atakaza ubwenge, bita anesthesia awareness, ni gake cyane, bibaho mu byegeranyo biri munsi ya 1-2 kuri buri 1,000. Ibikoresho bigezweho bikoreshwa mugukurikirana uko umubiri w'umurwayi witwara bifasha umuganga w'indwara zo kubagwa (anesthesiologist) kumenya neza ko uri ku rwego rukwiye rwo kutagira ubwenge mugihe cyose cyo kubagwa. Bakurikirana buri gihe imikorere y'ubwonko bwawe, umuvuduko w'umutima wawe, n'ibindi bimenyetso by'ingenzi kugirango birinde ko ibi bibaho.

Niba anesthesia awareness ibayeho, mubisanzwe biba byihuse kandi akenshi nta bwumvikane bw'ububabare, nubwo bishobora guteza umubabaro. Umuganga wawe w'indwara zo kubagwa akoresha imiti myinshi kugirango arebe neza ko utakaza ubwenge, ntugire ibyo wibuka, kandi ntugire ububabare. Ibyago biba byinshi mugihe cyo kubagwa byihutirwa cyangwa kubarwayi bafite indwara zimwe na zimwe z'umutima, ariko ikipe yawe y'abaganga ifata ingamba zidasanzwe muri ibi bihe.

Q3: Ese anesthesia rusange igira ingaruka ku bwibuke bwawe burundu?

Anesthesia rusange mubisanzwe ntigira ibibazo by'ubwibuke burundu kubantu bafite ubuzima bwiza. Birashoboka ko ntacyo wibuka cyerekeye igikorwa cyawe kandi ushobora guhura no guhuzagurika kw'agateganyo cyangwa kwibagirwa mumasaha make cyangwa iminsi nyuma yaho. Iyi mvurungano y'ubwibuke bw'agateganyo ni ibisanzwe kandi mubisanzwe bikemuka rwose mugihe anesthesia ivuye mumubiri wawe.

Mu bihe bidasanzwe, abantu bakuze bamwe bashobora guhura nibibazo by'ubwibuke birambye bita postoperative cognitive dysfunction. Iyi ndwara ishobora gutera ibibazo by'ubwibuke, kugorana kwibanda, cyangwa guhuzagurika kumara ibyumweru kugeza kumyaka nyuma yo kubagwa. Ariko, abashakashatsi baracyiga niba anesthesia ubwayo itera ibi bibazo cyangwa niba bifitanye isano numunaniro wo kubagwa, indwara zishingiye ku buzima, cyangwa izindi mpamvu.

Q4: Ushobora kubagwa inshuro zingahe ukoresheje anesthesia rusange?

Nta kigero gihari cyerekana inshuro nyinshi ushobora kwakiramo neza imiti ituma umuntu atagira ubwenge mu buzima bwawe bwose. Abantu benshi bakorerwa uburyo bwinshi bwo kubaga bakoresheje imiti ituma umuntu atagira ubwenge nta ngaruka ziterana cyangwa ngo ibyago byiyongere. Buri gihe wakiriye imiti ituma umuntu atagira ubwenge, umuganga wawe w’inzobere mu kubaga yisuzuma uko ubuzima bwawe buhagaze ubu akaba yagendera ku buryo bwawe bwite hashingiwe ku byo ukeneye muri icyo gihe.

Ariko, kubagwa inshuro nyinshi zikurikirana bishobora kongera ibyago byo kubagwa muri rusange bitewe n’uko umubiri wawe uhanganye n’uburyo bwo kubaga buhoraho. Itsinda ryawe ry’abaganga rizasuzuma amateka yawe yo kubagwa vuba aha, uko ubuzima bwawe buhagaze ubu, n’uburyo bwihutirwa bw’uburyo bwo kubaga bwawe igihe bategura uburyo bwo kukuvura bakoresheje imiti ituma umuntu atagira ubwenge. Bazakora ibishoboka byose kugira ngo bagabanye ibyago byose mu gihe bafasha ko wakira uburyo bwizewe bushoboka.

Q5: Ushobora guhitamo kutagira imiti ituma umuntu atagira ubwenge mu kubagwa?

Mu bice bimwe na bimwe, ushobora kugira ubundi buryo bwo kubaga butari imiti ituma umuntu atagira ubwenge, nk’imiti ikoreshwa mu gice kimwe cy’umubiri (nk’imiti ikoreshwa mu mugongo cyangwa mu gice cy’umubiri cyegereye umugongo) cyangwa imiti ikoreshwa ahantu hato hamwe n’imiti ituma umuntu agira ubwenge buke. Umuganga wawe w’inzobere mu kubaga azaganira kuri izo nzira nawe hashingiwe ku buryo bwawe bwihariye bwo kubaga, amateka yawe y’ubuzima, n’ibyo wifuza ku giti cyawe. Ariko, mu buryo bwinshi bwo kubaga, imiti ituma umuntu atagira ubwenge ni yo nzira yizewe kandi ikwiriye.

Uburyo bumwe na bumwe bwo kubaga busaba rwose imiti ituma umuntu atagira ubwenge kugira ngo umutekano wawe ube wizeye, nk’uburyo bwo kubaga ubwonko, kubaga umutima, cyangwa uburyo ubwo aribwo bwose ugomba kumara igihe kirekire utihuta. Itsinda ryawe ry’abaganga rizasobanura impamvu bagusaba imiti ituma umuntu atagira ubwenge mu bihe byawe byihariye kandi bakemure impungenge zose ufite zo kuyakira. Barashaka ko wumva umeze neza kandi ufite icyizere ku bijyanye n’uburyo bwawe bwo gukoresha imiti ituma umuntu atagira ubwenge.