Yini i-General Anesthesia? Inhloso, Inqubo & Ukululama

I-General anesthesia yisimo sezokwelapha esilawulwa ngokucophelela lapho ungenalwazi ngokuphelele futhi ungezwa buhlungu ngesikhathi sokuhlinzwa noma izinqubo zezokwelapha. Cabanga ngayo njengokulala okujulile, okulawulwayo okuthi ithimba lakho lezokwelapha likuqondise ngaphakathi nangaphandle ngokuphepha. Lesi simo sesikhashana sivumela odokotela abahlinzayo ukuthi benze imisebenzi eyinkimbinkimbi ngenkathi bekugcina ukhululekile futhi unganyakazi kuyo yonke inqubo.

Yini i-general anesthesia?

I-General anesthesia iyinhlanganisela yemithi ekufaka esimweni esijulile, esingenalwazi ngesikhathi sezinqubo zezokwelapha. Udokotela wakho we-anesthesiologist usebenzisa le mithi ukuvala okwesikhashana ukuqwashisa kwakho, ukwakheka kwenkumbulo, kanye nomuzwa wobuhlungu. Ngokungafani ne-anesthesia yendawo eqaqa indawo eyodwa kuphela, i-general anesthesia ithinta wonke umzimba wakho nengqondo yakho.

Ngesikhathi salesi simo, ngeke ukhumbule lutho olwenzekayo, ngeke uzwe buhlungu, futhi imisipha yakho izokhululeka ngokuphelele. Udokotela wakho we-anesthesiologist uqapha ngokucophelela ukuphefumula kwakho, izinga lokushaya kwenhliziyo, umfutho wegazi, nezinye izimpawu ezibalulekile kuyo yonke inqubo. Imithi isebenza ngokuthinta ikhono lobuchopho bakho lokucubungula imizwa nokugcina ukuqwashisa.

I-General anesthesia yesimanje iphephile futhi iyabikezeleka ngendlela emangalisayo. Ithimba lakho lezokwelapha lingalawula ngokuqondile ukuthi i-anesthesia yakho ijula kangakanani nokuthi ihlala isikhathi esingakanani. Abantu abaningi bachaza okuhlangenwe nakho njengokulala ekamelweni lokuhlinzela nokuvuka ekululameni bengenayo inkumbulo yesikhathi esiphakathi.

Kungani kwenziwa i-general anesthesia?

I-General anesthesia isetshenziswa uma udinga ukungazi ngokuphelele futhi ungenabo ubuhlungu ngezindlela zezokwelapha. Udokotela wakho uyayinciphisa ngemisebenzi lapho udinga ukuhlala ungenyakazi ngokuphelele, lapho inqubo izoba buhlungu kakhulu nge-anesthesia yendawo kuphela, noma lapho ukuhlinzwa kuhilela izindawo ezibucayi zomzimba wakho. Kuyadingeka futhi ngezindlela ezithatha amahora amaningana ukuze ziqedwe.

Iqembu lakho lezokwelapha likhetha i-anesthesia ejwayelekile ukuqinisekisa ukuphepha kwakho nokunethezeka ngesikhathi sokuhlinzwa okuyinkimbinkimbi. Okunye ukuhlinzwa kudinga ukuthi imisipha yakho iphumule ngokuphelele, okungatholakala kuphela nge-anesthesia ejwayelekile. Lolu hlobo lwe-anesthesia futhi likuvimbela ekwakheni izinkumbulo zenqubo, okukuvikela ekucindezelekeni ngokwengqondo.

Izinqubo ezivamile ezidinga i-anesthesia ejwayelekile zihlanganisa ukuhlinzwa okukhulu njengokuhlinzwa kwenhliziyo, ukuhlinzwa kobuchopho, ukufakelwa izitho, kanye nezinqubo eziningi zesisu. Isetshenziselwa futhi ezinye izinqubo zokuxilonga njenge-colonoscopies uma udinga ukuba uthule ngokuphelele. Udokotela wakho we-anesthesiologist uzoxoxa ukuthi ngabe i-anesthesia ejwayelekile iyona engcono kakhulu esimweni sakho esithile.

Yini inqubo ye-anesthesia ejwayelekile?

Inqubo ye-anesthesia ejwayelekile iqala ngisho nangaphambi kokuthi ungene ekamelweni lokuhlinzela. Udokotela wakho we-anesthesiologist uzohlangana nawe ngaphambi kwesikhathi ukuze abuyekeze umlando wakho wezokwelapha, axoxe nganoma yiziphi izinkathazo, futhi achaze okulindelekile. Bazobuza ngemithi yakho, ukungezwani komzimba, kanye nokuhlangenwe nakho kwangaphambilini nge-anesthesia ukuze bakhe uhlelo oliphephe kakhulu kuwe.

Ngosuku lwenqubo yakho, uzothola imithi ngomugqa we-IV engalweni yakho noma esandleni sakho. Udokotela we-anesthesiologist uvame ukuqala ngemithi ekwenza uzizwe ukhululekile futhi ulele. Ngemizuzwana kuya emizuzwini, uzolahlekelwa ukwazi ngokuphelele. Abanye abantu bathola i-anesthesia ngemaski phezu kwekhala nomlomo wabo, ikakhulukazi izingane ezingase zesabe izinaliti.

Uma ungenalwazi, udokotela wakho we-anesthesiologist angase abeke ipayipi lokuphefumula phansi emqaleni wakho ukukusiza ukuphefumula ngesikhathi senqubo. Lokhu kuzwakala kuyesabisa, kodwa ngeke ukuzwe noma ukukhumbule kwenzeka. Kuyo yonke inqubo yakho yokuhlinzwa, udokotela wakho we-anesthesiologist uqhubeka nokubheka izimpawu zakho ezibalulekile futhi alungise imithi yakho ukuze ikugcine ezingeni eliphelele le-anesthesia.

Lapho ukuhlinzwa kwakho kuqediwe, udokotela wakho we-anesthesiologist unciphisa kancane imithi ye-anesthesia. Uzovuka kancane endaweni yokululama lapho abahlengikazi bekuqapha eduze. Abantu abaningi bazizwa bebuthuntu futhi bedidekile ekuqaleni, okuyinto ejwayelekile ngokuphelele. Imiphumela ye-anesthesia iyaphela emahoreni amaningana.

Ungalungiselela kanjani i-anesthesia yakho ejwayelekile?

Ukulungiselela i-anesthesia ejwayelekile kuhilela izinyathelo eziningana ezibalulekile ezisiza ukuqinisekisa ukuphepha kwakho nempumelelo yenqubo yakho. Udokotela wakho we-anesthesiologist uzokunikeza imiyalelo ethile eyenzelwe isimo sakho, kodwa ukulungiselela okuningi kuhilela ukuzila ukudla nokulungisa imithi yakho. Ukulandela lezi ziqondiso eduze kusiza ukuvimbela izinkinga ngesikhathi se-anesthesia yakho.

Isinyathelo esibaluleke kakhulu sokulungiselela ukulandela imiyalelo yokuzila ukudla, okujwayelekile ukuthi akukho ukudla noma isiphuzo amahora angu-8-12 ngaphambi kwenqubo yakho. Lo mthetho wesisu esingenalutho ukhona ngoba i-anesthesia ingakwenza uhlanze, futhi ukuba nokudla esiswini sakho ngesikhathi sokungazi kungaba yingozi. Ithimba lakho lezokwelapha lizokutshela ngqo ukuthi uyeke nini ukudla nokuphuza.

Nawa amasu okulungiselela abalulekile ithimba lakho lezokwelapha elizokuqondisa ngalo:

• Yeka ukudla ukudla okuqinile amahora angu-8-12 ngaphambi kwenqubo yakho
• Yeka ukuphuza uketshezi olucacile amahora angu-2-4 ngaphambi kwe-anesthesia
• Thatha imithi evunyelwe kuphela ngamanzi amancane
• Susa ubucwebe, amalensi okuxhumana, namazinyo okwenziwa
• Gqoka izingubo ezikhululekile, ezikhululekile
• Lungiselela othile ukuthi akuqhubele ekhaya ngemva kwalokho
• Yeka ukubhema okungenani amahora angu-24 ngaphambi kwenqubo yakho

Udokotela wakho we-anesthesiologist angase futhi akucele ukuthi uyeke imithi ethile okwesikhashana, ikakhulukazi ama-blood thinners noma izithasiselo ezingase zithinte ukopha kwakho noma zisebenzisane nemithi ye-anesthesia. Njalo landela imiyalelo ethile yeqembu lakho lezokwelapha, njengoba bazi kangcono isimo sakho sempilo.

Isebenza kanjani i-anesthesia ejwayelekile emzimbeni wakho?

I-anesthesia ejwayelekile isebenza ngokuphazamisa okwesikhashana izindlela ezijwayelekile zokuxhumana ebuchosheni bakho nasohlelweni lwakho lwezinzwa. Imithi ihamba ngegazi lakho iye ebuchosheni bakho, lapho ivimba khona amasignali akha ukuqwashisa, umuzwa wobuhlungu, nokwakheka kwememori. Lokhu kudala isimo esibuyisekayo lapho ubuchopho bakho empeleni "buvala" imisebenzi yabo yokuqwashisa.

Imithi ye-anesthesia ithinta izingxenye ezihlukene zobuchopho bakho ngasikhathi sinye. Ezinye izingxenye zivimbela ubuchopho bakho ekucubunguleni amasignali obuhlungu, kanti ezinye zivimbela ukwakheka kwememori futhi zigcine ukungazi. Imithi eyengeziwe ingasetshenziswa ukuze uphumule imisipha yakho ngokuphelele, okwenza kube lula kubahlinzeki ukuthi basebenze futhi ukuthi uphefumule ngosizo lwemishini uma kudingeka.

Udokotela wakho we-anesthesiologist usebenzisa inhlanganisela yezinhlobo ezahlukene zemithi ukuze afinyelele ibhalansi ephelele yenqubo yakho. Imithi ye-intravenous inikeza ukuqala okusheshayo nokulawula okunembile, kuyilapho ama-anesthetics aphefumulwayo engalungiswa kalula kuyo yonke ingxenye yakho yokuhlinzwa. Le ndlela yokusebenzisa imithi eminingi ivumela ithimba lakho lezokwelapha ukuthi lilungise izinga lakho le-anesthesia ngomzuzwana ngomzuzwana.

Kuyo yonke inqubo yakho, imisebenzi ezenzakalelayo yomzimba wakho efana nokuphefumula nokujikeleza kwegazi ingase idinge ukusekelwa. Udokotela wakho we-anesthesiologist usebenzisa imishini eqeqeshiwe yokuqapha ukuze alandelele isigqi senhliziyo yakho, umfutho wegazi, amazinga omoya-mpilo, nomsebenzi wobuchopho. Lokhu kuqapha okuqhubekayo kuqinisekisa ukuthi uhlala ezingeni eliphelele le-anesthesia ngenkathi ugcina ukuphepha kwakho.

Ziyini izigaba ze-anesthesia ejwayelekile?

I-anesthesia ejwayelekile yenzeka ezigabeni ezine ezihlukene lapho udokotela wakho we-anesthesiologist ekuqondisa ngokucophelela. Ukuqonda lezi zigaba kungakusiza ukuthi wazi ukuthi yini ongayilindela futhi uzizwe ukhululekile ngenqubo. Isigaba ngasinye sikhonza injongo ethile ekuqinisekiseni ukuphepha kwakho nokunethezeka ngesikhathi senqubo.

Isigaba sokuqala sibizwa ngokuthi ukungeniswa, lapho usuka ekuqwashiseni uye ekuqwashiseni. Lokhu kuvame ukuthatha imizuzu embalwa nje njengoba imithi yokubulala izinzwa iqala ukusebenza. Ungase uzizwe ukozela, unesiyezi, noma uzwe ukunambitheka kwensimbi emlonyeni wakho. Abantu abaningi bachaza lokhu njengokuzizwa sengathi balala ngokushesha okukhulu.

Nakhu okwenzekayo ngesikhathi sesigaba ngasinye sokubulala izinzwa:

1. Ukungeniswa: Uthola imithi yokubulala izinzwa futhi ulahlekelwa ukuqwashisa ngemizuzu
2. Ukugcinwa: Udokotela wakho obulala izinzwa ukugcina ezingeni eliphelele lokungazi ngesikhathi sokuhlinzwa
3. Ukuvela: Ukubulala izinzwa kuncishiswa kancane kancane njengoba inqubo yakho iphela
4. Ukwelulama: Uvuka futhi imiphumela yokubulala izinzwa iyaphela emahoreni ambalwa

Ngesikhathi sesigaba sokugcinwa, uhlala ungalazi ngokuphelele ngenkathi udokotela wakho obulala izinzwa eqhubeka nokubheka nokulungisa izinga lakho lokubulala izinzwa. Isigaba sokuvela siqala lapho ukuhlinzwa kwakho kuqediwe, futhi uzobuyela kancane kancane ekuqwashiseni endaweni elawulwayo. Ukululama kuqhubeka njengoba uvuka ngokugcwele futhi imiphumela eseleyo yokubulala izinzwa isuka ohlelweni lwakho.

Yiziphi izimo ezivamile ezibangelwa ukubulala izinzwa okujwayelekile?

Abantu abaningi bazwa ezinye izimo ezingezinhle zesikhashana njengoba ukubulala izinzwa okujwayelekile kuphela, futhi lezi zimo ngokuvamile zithambile futhi zixazululwa emahoreni ambalwa kuya ezinsukwini ezimbalwa. Umzimba wakho udinga isikhathi sokususa imithi yokubulala izinzwa ohlelweni lwakho, okungabangela izimpawu zesikhashana ezihlukahlukene. Ukuqonda le miphumela ejwayelekile kungakusiza ukuthi uzizwe ulungiseleleke kakhulu futhi ungakhathazeki kakhulu ngokululama kwakho.

Imiphumela esivamile ongase uhlangabezane nayo ihlanganisa ukukhathala, isicanucanu, nomphimbo obuhlungu ovela ethubeni lokuphefumula. Le miphumela ingeyesikhashana futhi ivamise ukuthuthuka njengoba i-anesthesia isuka ngokuphelele emzimbeni wakho. Abanye abantu bazizwa bedidekile, benesiyezi, noma benobunzima bokugxilisa ingqondo emahoreni ambalwa okuqala ngemva kokuvuka.

Nawa imiphumela emibi abantu abaningi abahlangabezana nayo ngemva kwe-anesthesia ejwayelekile:

• Ukozela nokukhathala okungahlala amahora angu-24-48
• Isicanucanu noma ukuhlanza, ikakhulukazi emahoreni ambalwa okuqala
• Umphimbo obuhlungu ovela ekubekweni kwethumbu lokuphefumula
• Umlomo owomile nokoma
• Ukudideka noma ukulahlekelwa yisikhombandlela lapho uqala ukuvuka
• Isiyezi noma ukungazinzi lapho uzama ukusukuma
• Izikhala zememori ngesikhathi senqubo yakho
• Ukulimala kwemisipha noma ukuqina

Le miphumela emibi iyizimpawu zokuthi umzimba wakho ululama ngokujwayelekile ku-anesthesia. Ithimba lakho lezokwelapha lizosiza ukuphatha noma yikuphi ukungakhululeki futhi likuqaphe kuze kube yilapho le miphumela iqala ukuthuthuka. Abantu abaningi bazizwa bengcono kakhulu kungakapheli amahora angu-24, nakuba ukululama okuphelele kungathatha izinsuku ezimbalwa.

Ziyini izingozi ezingathi sína ze-anesthesia ejwayelekile?

Nakuba i-anesthesia ejwayelekile iphephile kakhulu kubantu abaningi, izinkinga ezingathi sína zingenzeka, nakuba zingavamile. Udokotela wakho we-anesthesiologist uhlola ngokucophelela izici zakho eziyingozi futhi uthatha izinyathelo eziningi zokuvimbela lezi zinkinga. Ukuqonda lezi zingozi kukusiza ukuthi wenze izinqumo ezinolwazi mayelana nokunakekelwa kwakho futhi wazi ukuthi yiziphi izimpawu zokuxwayisa okufanele uzibheke.

Izingozi ezingathi sína zihlanganisa izinkinga zokuphefumula, ukuphazamiseka kwesigqi senhliziyo, kanye nokusabela okukhulu komzimba emithini ye-anesthesia. Lezi zinkinga azivamile futhi zivame ukwelapheka uma zenzeka. Ithimba lakho lezokwelapha liqeqeshwe kakhulu ukubona nokuphatha lezi zimo ngokushesha uma zivela.

Nawa amakhomplikeshini angathi sína kodwa angavamile angase avele nge-anesthesia ejwayelekile:

• Izinkinga zokuphefumula noma izifo zamaphaphu
• Ukuphazamiseka kwesigqi senhliziyo noma izinguquko zomfutho wegazi
• Ukuphendula okukhulu komzimba emithini yokubulala izinzwa
• Amaqhubu egazi emilenzeni noma emaphaphu
• Isifo sohlangothi noma ukuhlaselwa yinhliziyo ngesikhathi sokuhlinzwa
• I-aspiration pneumonia uma okuqukethwe isisu kungena emaphaphu
• I-malignant hyperthermia (ukusabela okungavamile kwezakhi zofuzo emithini yokubulala izinzwa)
• Ukuqwashisa ngesikhathi sokubulala izinzwa (okungavamile kakhulu)

Ingozi yakho yokuba nalezi zinkinga incike empilweni yakho yonke, uhlobo lokuhlinzwa okwenzayo, kanye nezinto eziyingozi kuwe. Udokotela wakho obulala izinzwa uzoxoxa ngezinga lakho elithile lengozi kanye nezinyathelo abazithathayo ukunciphisa lezi zingozi ngesikhathi senqubo yakho.

Ubani osengozini enkulu yezinkinga zokubulala izinzwa?

Ezinye izimo zempilo kanye nezinto zomuntu siqu zingakhuphula ingozi yakho yokuba nezinkinga ezivela ekubulaleni izinzwa okujwayelekile. Udokotela wakho obulala izinzwa uzobuyekeza ngokucophelela umlando wakho wezokwelapha kanye nesimo sakho sempilo samanje ukuze athole noma yiziphi izinto eziyingozi ezidinga ukunakwa okukhethekile. Ukuba nezinto eziyingozi akusho ukuthi awukwazi ukuthola ngokuphepha ukubulala izinzwa okujwayelekile, kodwa kusho ukuthi ithimba lakho lezokwelapha lizothatha izinyathelo ezengeziwe zokuphepha.

Ubudala bunendima enkulu engozini yokubulala izinzwa, nezingane ezincane kakhulu kanye nabantu abadala abaneminyaka engaphezu kwengama-65 okudingeka banakekelwe ngokukhethekile. Abantu abadala bangase babe nezikhathi zokululama ezihamba kancane kanye nezingozi eziphakeme zokudideka ngemva kokubulala izinzwa. Izingane ezincane kakhulu zingase zizwele kakhulu emithini yokubulala izinzwa futhi zingase zidinge izindlela ezihlukene zokulinganisa.

Izimo eziningana zempilo kanye nezinto zokuphila zingakhuphula ingozi yakho yokubulala izinzwa:

• Isifo senhliziyo noma ukuhlaselwa yinhliziyo kwangaphambilini
• Izimo zamaphaphu njenge asthma, i-COPD, noma i-sleep apnea
• Isifo sikashukela noma isifo sezinso
• Ukukhuluphala ngokweqile, okungathinta ukuphefumula ngesikhathi sokuhlinzwa
• Umfutho wegazi ophezulu noma umlando wokushaywa unhlangothi
• Isifo sesibindi noma ukusetshenziswa ngokweqile kotshwala
• Izinkinga zangaphambilini nge-anesthesia noma umlando womndeni wezinkinga ze-anesthesia
• Imithi ethile, ikakhulukazi ama-blood thinners
• Ukubhema, okwandisa izingozi zamaphaphu nenhliziyo

Uma unanoma yiziphi zalezi zimo, udokotela wakho we-anesthesiologist uzosebenza nawe ukuze uthuthukise impilo yakho ngaphambi kokuhlinzwa futhi uhlele indlela ephephe kakhulu ye-anesthesia. Bangase batusa ukuqapha okwengeziwe, imithi ehlukene, noma izinyathelo zokuphepha ezikhethekile ezenzelwe isimo sakho esithile.

Kuthatha isikhathi esingakanani ukululama ku-anesthesia ejwayelekile?

Ukwelulama ku-anesthesia ejwayelekile kwenzeka ngezigaba, iningi labantu lizizwa lingcono kakhulu kungakapheli amahora angama-24. Kodwa-ke, ukululama okuphelele kungathatha izinsuku eziningana, ikakhulukazi ngemva kokuhlinzwa okukhulu. Isikhathi sakho sokululama sincike ohlotsheni lwe-anesthesia olutholile, ukuthi inqubo yakho yathatha isikhathi esingakanani, kanye nezici zakho zempilo.

Emahoreni ambalwa okuqala ngemva kwenqubo yakho, uzovuka kancane kancane endaweni yokululama lapho abahlengikazi bekuqapha ngokusondele. Ungase uzizwe ubuthuntu, udidekile, noma unesiyezi ngalesi sikhathi sokuqala. Abantu abaningi bangakwazi ukuphuza amanzi amancane futhi bangase bakwazi ukudla ukudla okulula kungakapheli amahora ambalwa, kuye ngohlobo lwabo lokuhlinzwa.

Ukwelulama kwakho ngokuvamile kulandela lo mugqa wesikhathi ojwayelekile:

1. Amahora okuqala angu-1-2: Uvuka kancane kancane, ungase uzizwe udidekile noma unesiyezi
2. Amahora angu-2-6: Ukuqapha kuyathuthuka, ngokuvamile ungakwazi ukuphuza uketshezi
3. Amahora angu-6-24: Imiphumela eminingi ye-anesthesia iyaphela, kodwa ungase usazizwa ukhathele
4. Amahora angu-24-48: Amazinga wamandla ayathuthuka, ukugxila kubuyela kokujwayelekile
5. Izinsuku ezingu-2-7: Ukululama okuphelele, yonke imiphumela ye-anesthesia isinyamalele

Ngesikhathi sokululama kwakho, kubalulekile ukuthi kube khona umuntu ozohlala nawe okungenani amahora angu-24. Akufanele ushayele imoto, usebenzise imishini, wenze izinqumo ezibalulekile, noma uphuze utshwala kuze kube yilapho i-anesthesia isisuswe ngokuphelele emzimbeni wakho. Ithimba lakho lezokwelapha lizokunikeza imihlahlandlela ethile esekelwe kunqubo yakho nesimo sakho somuntu ngamunye.

Kufanele uxhumane nini nodokotela wakho ngemva kwe-anesthesia ejwayelekile?

Ngenkathi ukungakhululeki okuthile ngemva kwe-anesthesia ejwayelekile kujwayelekile, izimpawu ezithile zidinga ukunakekelwa kwezokwelapha ngokushesha. Ithimba lakho lezokwelapha lizokunikeza imiyalelo ethile mayelana nokuthi yini okufanele uyibheke nokuthi kufanele ulithinte nini. Ukwazi umehluko phakathi kwezimpawu zokululama ezijwayelekile nezimpawu ezikhathazayo kungakusiza ukuthi ufune usizo uma kudingeka.

Kufanele uthinte udokotela wakho ngokushesha uma uhlangabezana nezimpawu ezinzima ezibonakala zibi kakhulu kunokulindelekile noma uma izimpawu ezijwayelekile zingathuthuki njengoba kufanele. Thembela emizweni yakho - uma kukhona okuzizwa kungalungile ngempela, ngaso sonke isikhathi kungcono ukushayela ithimba lakho lezokwelapha ukuze uthole isiqondiso.

Xhumana nodokotela wakho ngokushesha uma uhlangabezana nanoma yiziphi zalezi zimpawu ezikhathazayo:

• Ukugula okukhulu noma okwanda nokuhlanza okukuvimbela ukuthi ungagcini uketshezi phansi
• Ukuphefumula kanzima noma ukuphefumula ngokushesha
• Ubuhlungu besifuba noma ukushaya kwenhliziyo okungajwayelekile
• Izimpawu zokutheleleka njengomkhuhlane, amaqhwa, noma ukukhishwa okungajwayelekile ezindaweni zokuhlinzwa
• Ukudideka okukhulu noma ukulahlekelwa yisikhathi esingaphezu kwamahora angama-24
• Ikhanda elibuhlungu elingathuthuki ngokuphumula
• Izimpawu zokungezwani komzimba nezinto ezithile njengokuqubuka, ukuvuvukala, noma ukungakwazi ukugwinya
• Ukuphuma kwegazi okungajwayelekile noma igazi emvombeni noma esitulweni

Ngezinkinga ezingaphuthumi kangako njengokugula okuncane, ubuhlungu obujwayelekile bokuhlinzwa, noma imibuzo mayelana nokululama kwakho, ngokuvamile ungafona ehhovisi likadokotela wakho ngamahora ajwayelekile. Ithimba lakho lezokwelapha lifuna ukuzwa kuwe uma unokukhathazeka mayelana nokululama kwakho, ngakho-ke unganqikazi ukufinyelela lapho udinga isiqondiso.

Imibuzo evame ukubuzwa mayelana ne-anesthesia ejwayelekile

Q1: Ingabe i-anesthesia ejwayelekile iphephile ezigulini ezindala?

I-anesthesia ejwayelekile ingaphepha ezigulini ezindala uma iphathwa ngokucophelela ngabadokotela abanolwazi. Ngenkathi abadala bebhekene nezingozi eziphakeme ngenxa yezinguquko ezihlobene nobudala emizimbeni yabo, lezi zingozi zingancishiswa ngokuhlela nokugada ngokucophelela. Udokotela wakho we-anesthesia uzohlola impilo yakho yonke, hhayi iminyaka yakho kuphela, ukuze anqume indlela ephephe kakhulu yesimo sakho.

Iziguli ezindala zingase zithathe isikhathi eside ukululama futhi zibe nezingozi eziphakeme zokudideka ngemva kokuhlinzwa, kodwa lezi zinto zivame ukuba zesikhashana. Ithimba lakho lezokwelapha lizothatha izinyathelo ezengeziwe zokuphepha njengokusebenzisa imithamo ephansi yemithi, ukuhlinzeka ngokuqapha okujulile, nokuhlela inqubo yokululama ehamba kancane. Iziguli eziningi ezindala zihlinzwa ngaphansi kwe-anesthesia ejwayelekile ngokuphepha nsuku zonke.

Q2: Ungavuka ngesikhathi se-anesthesia ejwayelekile?

Ukuvuka ngesikhathi sokuhlinzwa ngaphansi kwe-anesthesia ejwayelekile, okubizwa ngokuthi ukuqwashisa nge-anesthesia, akuvamile kakhulu, kwenzeka ezigamekweni ezingaphansi kwe-1-2 kweziyi-1,000. Imishini yesimanje yokuqapha isiza udokotela wakho we-anesthesiologist ukuthi aqinisekise ukuthi uhlala ezingeni elifanele lokungazi lutho ngesikhathi sokuhlinzwa kwakho. Baqhubeka nokulandela umkhuba wobuchopho bakho, izinga lokushaya kwenhliziyo, nezinye izimpawu ezibalulekile ukuze bavimbele lokhu ukuthi kungenzeki.

Uma ukuqwashisa nge-anesthesia kwenzeka, kuvame ukuba kufushane futhi ngokuvamile ngaphandle komuzwa wobuhlungu, nakuba kungaba buhlungu. Udokotela wakho we-anesthesiologist usebenzisa imithi eminingi ukuqinisekisa ukuthi uhlala ungalazi lutho, awenzi izinkumbulo, futhi awuzwa ubuhlungu. Ingozi iphakeme ngesikhathi sokuhlinzwa okuphuthumayo noma ezigulini ezinemibandela ethile yenhliziyo, kodwa ithimba lakho lezokwelapha lithatha izinyathelo ezikhethekile kulezi zimo.

Q3: Ingabe i-anesthesia ejwayelekile ithinta inkumbulo yakho unomphela?

I-anesthesia ejwayelekile ngokuvamile ayibangeli izinkinga zenkumbulo ezingapheli kubantu abanempilo. Cishe ngeke ube nenkumbulo yenqubo yakho futhi ungase uhlangabezane nokudideka okuthile kwesikhashana noma ukukhohlwa amahora ambalwa kuya ezinsukwini ngemva kwalokho. Lokhu kufiphala kwenkumbulo okwesikhashana kuvamile futhi ngokuvamile kulungiswa ngokuphelele njengoba i-anesthesia isuswa ohlelweni lwakho.

Ezimweni ezingavamile, abanye abadala bangase bahlangabezane nezinkinga zenkumbulo ezihlala isikhathi eside ezibizwa ngokuthi ukungasebenzi kahle kwengqondo ngemva kokuhlinzwa. Lesi simo singabangela izinkinga zenkumbulo, ubunzima bokugxila, noma ukudideka okuthatha amasonto kuya ezinyangeni ngemva kokuhlinzwa. Nokho, abacwaningi basafunda ukuthi ingabe i-anesthesia ngokwayo ibangela lezi zinkinga noma ngabe zihlobene nokucindezeleka kokuhlinzwa, izimo zempilo ezingaphansi, noma ezinye izici.

Q4: Ungahlinzwa ngaphansi kwe-anesthesia ejwayelekile kangaki ngokuphepha?

Akukho mkhawulo oqondile wokuthi ungayithola kangaki i-anesthesia ejwayelekile ngokuphepha empilweni yakho yonke. Abantu abaningi bahlinzwa izinqubo eziningi nge-anesthesia ejwayelekile ngaphandle kwemiphumela eqongelelwe noma izingozi ezengeziwe. Ngesikhathi ngasinye uthola i-anesthesia, udokotela wakho we-anesthesiologist uhlola isimo sakho sempilo yamanje futhi ulungise indlela yakhe ngokusekelwe ezidingweni zakho ngaleso sikhathi.

Kodwa-ke, ukuhlinzwa okuningi ngokushesha kungase kwandise izingozi zakho zokuhlinzwa ngenxa yokucindezeleka emzimbeni wakho okuvela ezinqubweni eziphindaphindiwe. Ithimba lakho lezokwelapha lizocabangela umlando wakho wokuhlinzwa wakamuva, isimo sempilo yamanje, kanye nokugcizelela kwenqubo yakho lapho lihlela ukunakekelwa kwakho kwe-anesthesia. Bazosebenza ukunciphisa noma yiziphi izingozi ngenkathi beqinisekisa ukuthi uthola ukunakekelwa okuphephe kakhulu.

Q5: Ungakhetha ukungabi ne-anesthesia ejwayelekile ngoba ukuhlinzwa?

Kwezinye izimo, ungase ube nezinye izindlela ze-anesthesia ejwayelekile, njenge-anesthesia yesifunda (njengama-spinal noma ama-epidural blocks) noma i-anesthesia yendawo enokuthulisa. Udokotela wakho we-anesthesiologist uzoxoxa lezi zinketho nawe ngokusekelwe enqubweni yakho ethile, umlando wezokwelapha, kanye nezintandokazi zakho. Kodwa-ke, ezinhlotsheni eziningi zokuhlinzwa, i-anesthesia ejwayelekile iyindlela ephephe kakhulu nefanele.

Ezinye izinqubo zidinga ngokuphelele i-anesthesia ejwayelekile ukuze uthole ukuphepha kwakho, njengokuhlinzwa kobuchopho, ukuhlinzwa kwenhliziyo, noma noma yikuphi ukuhlinzwa lapho udinga ukuhlala unganyakazi ngokuphelele isikhathi eside. Ithimba lakho lezokwelapha lizochaza ukuthi kungani lincoma i-anesthesia ejwayelekile ngesimo sakho esithile futhi lizobhekana nanoma yikuphi ukukhathazeka onakho mayelana nokuyithola. Bafuna ukuthi uzizwe ukhululekile futhi uqiniseka ngohlelo lwakho lwe-anesthesia.