Ingabe ukhona owake wazama izinzwa e-Kayseri?

Ingabe ukhona owake wazama izinzwa e-Kayseri?

I-anesthesia yomgogodla iyindlela yokubulala izinzwa evame ukusetshenziselwa izingxenye zokuhlinzwa.
Isibulala-zinzwa sinikezwa ngqo entanjeni yomgogodla, okuvumela ingxenye engezansi yomzimba ukuba ibe ndikindiki, kuyilapho owesifazane elokhu eqaphile.
I-anesthesia yomgogodla ibhekwa njengephephile uma iqhathaniswa ne-anesthesia evamile, njengoba abesifazane abatholi izinkinga ezinkulu noma imiphumela emibi enamandla.
Ngaphezu kwalokho, i-anesthesia yomgogodla ivumela owesifazane ukuthi azuze ekuhlangenwe nakho kokuzalwa futhi abone ingane yakhe ngokushesha ngemva kokuzalwa.
Nokho, ukusabela komuntu siqu nokuhlangenwe nakho kuyehluka kuye ngowesifazane ngamunye nesimo sakhe sempilo, ngakho-ke kufanele kukhulunywe nodokotela owelaphayo ukuze anqume indlela engcono kakhulu yokubulala izinzwa lapho ehlinzwa.

Kuthatha isikhathi esingakanani ukululama ku-hemiaanesthesia?

Ngaphambi kokubheka ubude besikhathi sokululama, ake sibheke i-hemiaanesthesia kanye nezizathu zokuthi isetshenziswa.
I-anesthesia yomgogodla isetshenziselwa ukuthulisa ingxenye ethile yomzimba, ngokuvamile ukwenza inqubo encane yokuhlinzwa, njengokukhipha izinyo lokuhlakanipha noma ukuthunga ngemva kokuhlinzwa.
I-anesthesia yendawo ijova endaweni ehlosiwe, futhi isebenza ukuvimbela izimpawu zobuhlungu ukuthi zifinyelele ebuchosheni.

Ngokuphathelene nesikhathi sokululama, isikhathi esidingekayo sokuhlala ngaphansi kwethonya le-hemiaanesthesia siyahlukahluka kumuntu nomuntu futhi kusukela ekuhlinzeni okukodwa kuya kwesinye.
Ngokuvamile, i-hemianesthesia ithatha phakathi kwemizuzu engama-30 nehora elilodwa.
Lokhu kuncike ezintweni ezimbalwa, okuhlanganisa uhlobo nenani le-anesthesia esetshenzisiwe kanye nendawo yomzimba edinga ukulaliswa izinzwa.

Ngokuphathelene nesikhathi sokululama ngokujwayelekile, i-anesthesia yesigamu ibhekwa njengendlela ephephile uma kuqhathaniswa ne-anesthesia ephelele.
I-anesthesia ephelele igadwa udokotela obulala izinzwa oqeqeshwe ngokugcwele futhi idinga ukuba khona komshini wokuphefumula ukuze usize isiguli siphefumule.
Kodwa-ke, i-hemiaanesthesia ayithinti ukuphefumula futhi ivamise ukulawulwa kangcono futhi isebenze kangcono.

Ngamafuphi, kungashiwo ukuthi isikhathi sokululama kusuka ku-hemiaanesthesia ngokuvamile sisukela phakathi kwemizuzu engama-30 nehora elilodwa.
Ngobuchwepheshe obuqhubekayo kanye nentuthuko yezokwelapha, i-hemianesthesia isiba inketho ephephile nephumelelayo yezinqubo zokuhlinzwa ezincane.

Yiziphi izinzuzo ze-anesthesia yomgogodla?

Uma kuziwa ekuhlinzeni noma kwezinye izinqubo zezokwelapha ezidinga i-anesthesia, kunezinhlobo eziningana ze-anesthesia etholakalayo kodokotela neziguli.
Enye yalezi zinhlobo izinzwa zomgogodla, okuyindlela evamile yokubulala izinzwa ezivamile kwezinye izimo.
Kodwa-ke, kunezinye izinkinga ezihlobene nalolu hlobo lwe-anesthesia.

Okokuqala, i-anesthesia yomgogodla ingase iholele ekuqwashiseni ingxenye yesiguli ngesikhathi sokuhlinzwa.
Nakuba isiguli singeke sikwazi ukuzwa noma ibuphi ubuhlungu, singase sizwe ukunyakaza kodokotela nabahlengikazi futhi sizwe nemisindo ezungezile.
Lokhu kungabangela ukungakhululeki nokukhathazeka esigulini.

Okwesibili, i-anesthesia yomgogodla ingabangela imiphumela emibi efana nekhanda elibuhlungu, isicanucanu, nokuhlanza.
Ezinye iziguli zingase zibe nemiphumela engemihle yesikhashana ngemva kokuhlinzwa, engazikhathaza futhi ithinte ukunethezeka kwazo kukonke.

Okwesithathu, okunye ukuhlinzwa kudinga i-anesthesia ejulile futhi ephazamisa izinzwa ukuze kuqinisekiswe ukukhululeka okuphelele ebuhlungwini nokuqinisekisa impumelelo yokuhlinzwa.
Lapha, i-anesthesia yomgogodla ayanele, okudinga ukuphendukela ku-anesthesia evamile esikhundleni salokho.

Naphezu kwalezi zingqinamba, i-anesthesia yomgogodla ihlala iyindlela efanele kwezinye izimo lapho i-anesthesia ejwayelekile ingadingekile.
Inikeza odokotela neziguli inketho eyengeziwe nesebenzayo yokubhekana nokuhlinzwa nezinye izinqubo zezokwelapha ezidinga i-anesthesia.

Sicela uqaphele ukuthi ulwazi olunikezwe lapha ngeyezinjongo zokwaziswa kuphela futhi aluhloselwe ukusetshenziswa kwezokwelashwa.
Kungcono ukubonana nodokotela onguchwepheshe ukuze uthole iseluleko somuntu siqu.

Ingabe i-hemiplegic anesthesia ibangela ukuquleka?

Ucwaningo olusha luye lwavusa impikiswano mayelana nomphumela we-anesthesia yomgogodla ekuqapheleni ngesikhathi sokuhlinzwa.
Ucwaningo luyabuza ukuthi ingabe ukusetshenziswa kwezinzwa kuholela ekulahlekelweni ukwazi ngesikhathi sokuhlinzwa.

I-Hemianesthesia iwuhlobo lwe-anesthesia evumela isiguli ukuthi sihlale siphapheme futhi siphapheme ngesikhathi sokuhlinzwa, kodwa kudala izinzwa ezilinganiselwe zengxenye ehilelekile ekuhlinzeni kuphela.
Kuyaziwa ukuthi isetshenziselwa izinqubo ezimbalwa zokuhlinza ezilula, futhi ukusetshenziswa kwayo kudlule imingcele yendabuko futhi manje kuhlanganisa izinqubo zokuhlinzwa eziyinkimbinkimbi.

Ucwaningo, olwenziwa abacwaningi emkhakheni wokuhlinzwa, luthi kukhona umphumela omubi ongase ube khona wokusetshenziswa ngokweqile kwe-hemianesthesia.
Bathole ukuthi kungaholela ekuqulekeni okungalindelekile nasekulahlekelweni ukwazi, okungase kuthinte kabi labo abahlinzwa ngale ndlela.

Lesi simo esingenzeka sibangelwa ukusetshenziswa kwemithamo eyeqile ye-anesthesia noma ukwehluleka ukuthola izidingo zempilo ezifanele ngaphambi nangesikhathi sokuhlinzwa.
Ucwaningo lubonisa ukuthi izithombe ze-ultrasound kanye nokusetshenziswa kwamanye amalungiselelo ezidakamizwa esigabeni sokulungiselela ukuhlinzwa kungaba nomthelela ophephile futhi ophumelelayo ekuvimbeleni ukulahlekelwa ukwazi.

Nakuba lolu cwaningo lungaphoqi ushintsho olusheshayo ekusetshenzisweni kwe-hemianesthesia ekuhlinzeni, lugcizelela isidingo sokutadisha kangcono umthelela wangempela wale ndlela yokuhlinzwa esetshenziswa kabanzi.

Nakuba i-sedation inikeza izinzuzo eziningi, ucwaningo olwengeziwe kanye nokubuyekezwa kusadingeka emiphumeleni yayo emibi engase ibe khona kanye nendlela yokuyigwema.
Lokhu kungasiza ukunikeza izinketho eziphephile nezisebenza ngempumelelo ezigulini ezingqungqutheleni zokuhlinzwa ezizayo.

Lolu cwaningo luhlala luyimpikiswano ebalulekile kubahlengikazi nabacwaningi bezokwelapha ukuze basebenzisane ukuze bathuthukise ukuphepha kwesiguli ngesikhathi sokuhlinzwa, kucatshangelwa ezinye izindlela nezintsha zokuqeda izinzwa ezingase zithuthukise imiphumela yokuhlinzwa futhi zinciphise ingozi engaba khona yokulahlekelwa ukwazi.

Isiguli singahamba nini ngemva kwe-anesthesia yomgogodla?

Ngemuva kwe-anesthesia yomgogodla, isiguli singaqala ukuhamba phakathi namahora ambalwa ngemva kokuphela kokuhlinzwa.
Umphumela we-anesthesia ubuya kancane kancane, futhi uma uphela ngokuphelele, isiguli sivunyelwe ukunyakaza nokuhamba njengokujwayelekile.
Isiguli sibekwa ngaphansi kokuqondisa kodokotela phakathi nalawa mahora, lapho izimpawu nempilo yakhe ibhekwa khona.
Ubunzima benqubo yokuhlinzwa eyenziwa kanye nesimo sesiguli kufanele kunqunywe udokotela ohlinzayo ukuze anqume ukuthi isiguli singaqala nini ukuhamba ngokugcwele futhi siqale imisebenzi elula, ngokuvamile phakathi kwe-3 ne-XNUMX amasonto emva kwenqubo.

Ingabe i-anesthesia yomgogodla iphephile?

Muva nje, i-anesthesia yomgogodla isiphenduke inqubo ethandwayo eziningana zezinqubo zokuhlinzwa nezimonyo, njengoba isiza ukukhulula ubuhlungu nokucindezeleka ezigulini.
Nokho, kuphakama umbuzo obalulekile mayelana nokuphepha kokusebenzisa lolu hlobo lwe-anesthesia.

I-anesthesia yomgogodla ibangelwa ukusetshenziswa kwemithi yokudambisa yesistimu yezinzwa ephakathi nendawo noma emithanjeni ukuze kudambise ubuhlungu nokukhathazeka nokuvumela izinqubo ezincane zezokwelapha noma zokuhlinzwa.
Kuyaphawuleka ukuthi imiphumela ye-anesthesia yomgogodla iyahlukahluka komunye nomunye, njengoba kuncike ezicini ezithile zesiguli kanye nokungenelela kodokotela abaphethe.

Ngokusho kocwaningo kanye nesipiliyoni somtholampilo, i-anesthesia yomgogodla ingashiwo ukuthi iphephile ezimweni eziningi, ikakhulukazi uma yenziwa odokotela abanolwazi nabaqeqeshiwe.
Kodwa-ke, lokhu akusho ukuthi azikho izingozi ezingase zibe khona ku-anesthesia yomgogodla.

Phakathi kwezingozi ezivamile ze-anesthesia yomgogodla kukhona imiphumela emibi yesikhashana njengekhanda lesikhashana, isicanucanu, nomfutho wegazi ophakeme wesikhashana.
Ukungezwani nemithi esetshenziswa e-anesthesia nakho kungenzeka, futhi lokhu kuwukuziphatha okuvamile kwabanye abantu.
Imiphumela emibi kakhulu ingase yenzeke uma kwenzeka ukweqisa kwemithi ye-narcotic.

Ukuqinisekisa ukuphepha kwe-anesthesia yomgogodla, kufanele yenziwe ngabasebenzi bezokwelapha abaqeqeshwe nabakhethekile kulo mkhakha.
Isimo sezempilo esijwayelekile sesiguli kufanele sihlolwe futhi ukuphepha kokusebenzisa izinzwa zomgogodla kufanele kuhlaziywe ngaphambi kokuba kwenziwe.
Imisebenzi yomzimba efana nomfutho wegazi, ukushaya kwenhliziyo, kanye nezinga le-oksijini egazini kufanele futhi iqashwe futhi ihlolwe ngenkathi kwenziwa inqubo yezokwelapha.

Ngokuvamile, i-anesthesia yomgogodla iphephile uma yenziwa ngokucophelela futhi ngaphansi kwezimo ezifanele zokuhlanzeka.
Kodwa-ke, iziguli kufanele zazi ngezingozi ezingaba khona futhi zithintane nodokotela bazo abenza inqubo ngaphambi kokunquma ukusebenzisa lolu hlobo lwe-anesthesia.

Ithebula: Ezinye izingozi ezingase zibe khona ze-anesthesia yomgogodla

Ingabe inaliti yomgogodla ibuhlungu?

Inaliti yokubulala izinzwa yomgogodla iyithuluzi lezokwelapha elivame ukusetshenziswa ezinqubweni zokuhlinzwa noma ukukhulula ubuhlungu obungapheli.
Nakuba kubhekwa kudingekile ukunikeza ukwelashwa nokukhulula ubuhlungu, abanye bangase bazibuze ukuthi inaliti yomgogodla ibuhlungu yini noma cha.

Izinga lobuhlungu isiguli esibuzwayo lapho inaliti yokubulala izinzwa yomgogodla sijovwa kuncike ezicini eziningana, okuhlanganisa ukuzwela kwesiguli, indlela yokujova inaliti, nendawo umjovo ngokwawo.
Odokotela bavame ukusebenzisa isibulali-zinzwa sendawo ngaphambi kokujova inaliti yomgogodla, esiza ukunciphisa ubuhlungu.

Imvamisa, odokotela basebenzisa inaliti encane ukujova isibulala-zinzwa endaweni yomgogodla noma endaweni ethile yomzimba.
Iziguli zingase zizwe ingcindezi noma umuzwa wokudonsa kanye nomuzwa olumayo lapho inaliti ijovwa, kodwa ubuhlungu obuzwiwayo ngokuvamile abubi kakhulu noma budlulele.

Ubuhlungu bungase buhluke kumuntu oyedwa kuye komunye kuye ngokuzwela kwesikhumba kanye nokubekezelela ubuhlungu.Kubalulekile ukuqaphela ukuthi ubuhlungu obuzwiwa isiguli abuhlali isikhathi eside futhi buyanyamalala ngemva kokuqedwa kwezinqubo zokubulala izinzwa.

Ngokuvamile, inaliti ye-anesthesia yomgogodla ingase ibangele ingcindezi ethile noma ukugubha, kodwa ngokuvamile ayibuhlungu.
Ukusetshenziswa kwe-anesthesia yomgogodla kuyindlela ephumelelayo nephephile yokudambisa izinhlungu ngaphambi kwezinqubo zokuhlinzwa, futhi iziguli zelulekwa ukuthi zithembele ithimba lazo lokunakekelwa kwezempilo kanye nokusebenza komtholampilo okukhethekile.

Ngaphambi kokwenza noma iyiphi inqubo yezokwelapha, iziguli kufanele ziveze noma yikuphi ukucabangela noma ukukhathazeka ezinakho nodokotela bazo noma ithimba lezokwelapha ukuze baqinisekise ukuthi zithola ukunakekelwa kwezokwelapha okuphephile nokusebenzayo.

Yini engcono, i-renal noma i-hemipleural anesthesia?

Zombili lezi zinhlobo kufanele zethulwe, njengoba i-anesthesia ye-renal iyindlela yokubulala isiguli ngokuphelele ngokujova izidakamizwa ngqo emthanjeni.
Ukulahlekelwa ingqondo okuphelele kufinyelelwa ngesikhathi sokuhlinzwa, okuvumela udokotela ohlinzayo ukuba asebenze ngokukhululeka okukhulu.
Ngakolunye uhlangothi, i-hemianesthesia ibhekisela ekusetshenzisweni kwezidakamizwa ezinciphisa okwesikhashana ubuhlungu nokuqwashisa endaweni ethile, ngaphandle kokubangela ukuba isiguli silahlekelwe ngokuphelele ukwazi.

Uhlobo ngalunye lwesibulali-zinzwa lunezinzuzo nezinkinga zalo.
I-anesthesia ejwayelekile: Ihlinzeka nge-anesthesia ejulile futhi ephumelelayo, evumela udokotela ohlinzayo ukuba enze umsebenzi kalula futhi ngokunembile.
Nokho, kudinga ukungenelela kwezokwelapha okukhethekile kanye nokuqapha okuqhubekayo kwemisebenzi yomzimba, futhi kungase kudinge isikhathi eside sokululama ngemva kokuhlinzwa.

Ngokuqondene ne-hemianesthesia, ibhekwa njengephephile futhi ingenabungozi emzimbeni, njengoba ivumela isiguli ukuba sizuze esikhathini esifushane sokululama futhi sibuyele emsebenzini wesimiso ngokushesha.
Ngokungafani ne-anesthesia ye-renal, ukusetshenziswa kwe-hemianesthesia kunciphisa amathuba okuba nezinkinga ezihlobene nesifo sokubulala izinso, njengokutheleleka komgudu womchamo noma ezinye izinkinga zezinso.

Lapho kwenziwa isinqumo phakathi kwe-renal kanye ne-hemianesthesia, izici eziningana okumelwe zicatshangelwe, njengohlobo lokuhlinzwa oludingekayo, isimo sesiguli esivamile, kanye nezinto ezithandwa udokotela ohlinzayo.
Isiguli kufanele sithintane nethimba laso lezokwelapha eliyisipesheli ukuze senze isinqumo esifanele ngokusekelwe esimweni sempilo yaso nezidingo.

Ayikho impendulo eyodwa efanele embuzweni othi, "Yini engcono: i-renal noma i-hemiplegic anesthesia?"
Ukukhetha i-anesthesia efanele kuncike ezicini eziningana kanye nesinqumo sesiguli nethimba laso lezokwelapha.
Okubaluleke kakhulu ukuqinisekisa ukuphepha kwesiguli kanye nempumelelo yenqubo yokuhlinzwa esekelwe esinqumweni esinolwazi nolwazi olunembile lwesimo sempilo yesiguli.

Ukungalungi kwe-anesthesia yomgogodla

I-anesthesia yomgogodla iyindlela ephumelelayo futhi edingekayo ezinkambisweni eziningi zokuhlinzwa kanye nokungenelela kwezokwelapha.
Nokho, zingase zihambisane nokubi nezingozi okufanele iziguli zizazi ngaphambi kokuba zikwenze lokhu.

Enye yezinkinga ezivame kakhulu ze-anesthesia yomgogodla ukulahlekelwa ingxenye yolwazi okwenzeka esigulini.
Ukubulala izinzwa kwenziwa ngenjongo yokuvimbela ubuhlungu nokuthulisa isiguli, Nokho, isiguli singase sibe nomuzwa wokwenza ngokuzithandela nokukhohlwa isikhathi esithile esingaphansi kwethonya lokubulala izinzwa.
Ngakho-ke, ukunakekelwa okukhethekile kufanele kuthathwe ekulinganiseni umthamo odingekayo we-anesthesia nokuhlola imiphumela yawo ekuqapheleni nasekukhumbuleni kwesiguli.

Okunye okungalungile okungase kube khona umfutho wegazi ophansi kanye nenhliziyo ephansi ngesikhathi sokuhlinzwa.
Lezi zinkinga zingadala izinkinga zenhliziyo noma zokuphefumula ezigulini esezivele zinesifo senhliziyo noma sokuphefumula.
Ngakho-ke, abasebenzi bezokwelapha abenza lo msebenzi kumele baqaphele isimo sesiguli futhi benze ukunakekelwa okudingekayo ngesikhathi sokubulala izinzwa.

Ngaphezu kwalokho, izinkinga ezincane zingenzeka endaweni yokuhlinzwa, njengokubomvu noma ukuvuvukala kwesikhashana.
Nakuba lezi zinkinga ngokuvamile zingafaki ingozi enkulu, iziguli kufanele zibike noma yiluphi ushintsho olungavamile endaweni yenxeba futhi zithinte abasebenzi bezokwelapha uma kukhona izinkinga eziqhubekayo isikhathi eside ngemva kwenqubo.

I-anesthesia yomgogodla iyinqubo ebalulekile yokuhlinzwa okuningi nokungenelela kwezokwelapha.
Kodwa-ke, iziguli kufanele ziqaphele izinto ezimbi ezingase zibe khona kanye nezingozi ezingase zibe umphumela wokwenza lokhu kuhlinzwa.
Kunconywa ukuthi uthintane nodokotela abangochwepheshe kanye nabelaphi bezempilo ukuze ucacise zonke izici ezihlobene ne-anesthesia yomgogodla ngaphambi kokwenza noma iyiphi inqubo yokuhlinzwa.

Okuhlangenwe nakho kwami ​​nge-hemi- kanye ne-anesthesia ephelele

Kunezindlela eziningi ze-anesthesia ezitholakalayo zokubeletha, futhi phakathi kwalezi zindlela ungathola i-semianesthesia kanye ne-anesthesia ejwayelekile.
Ukukhetha phakathi kwabo kubalulekile kuwo wonke umama olungiselela isigaba sokuhlinzwa.
Kulo mhlahlandlela, sizobuyekeza ulwazi lwami nge-hemianesthesia kanye ne-anesthesia ephelele ukuze sikusize wenze isinqumo esingcono kakhulu secala lakho.

I-anesthesia yomgogodla:

Okuhlangenwe nakho kwami ​​nge-hemianesthesia kwakukuhle kakhulu ngesikhathi sokuhlinzwa.
I-anesthesia yomgogodla yayinikezwa ngokufaka inaliti emgogodleni.
Ngokuhlangenwe nakho kwami, angizange ngizwe ubuhlungu ngesikhathi sokubeletha, kodwa ngezwa ubuhlungu obuncane kuphela lapho inaliti ifakwa.
I-anesthesia yomgogodla ibhekwa njengephephile futhi ayinayo imiphumela emibi yesikhathi eside.
Kuyaphawuleka ukuthi inikeza impumuzo kusuka phlegm kanye nekhanda elibuhlungu ngemva kwenqubo.

I-anesthesia ejwayelekile:

Esikhathini sami sangaphambilini, ngasebenzisa i-anesthesia ejwayelekile ezingxenyeni zokuqala ezintathu zokuhlinzwa.
Nakuba inikeza i-anesthesia ephelele futhi ngeke uzwe ubuhlungu phakathi nenqubo, ingabangela ikhanda elibuhlungu, umfutho wegazi ophakeme kanye nokukhuthazela okuphansi ezigulini.
Ezimweni ezingavamile, kungabangela ukulimala kwezinzwa.

Ukukhetha phakathi kwe-hemi-anesthesia kanye ne-anesthesia ephelele:

Ngokuvamile, kungcono ukusebenzisa i-anesthesia yomgogodla we-caesarean section, futhi i-anesthesia ejwayelekile isetshenziswa kuphela uma i-anesthesia yomgogodla ingenakwenzeka.
I-anesthesia yomgogodla ibhekwa njengephephile futhi inezinzuzo eziningana, njengokunciphisa ubuhlungu bangemva kokuhlinzwa kanye nokukhulula iziguli ze-phlegm nekhanda.
Kuyaphawuleka ukuthi inikeza isikhathi esifushane sokululama uma kuqhathaniswa ne-anesthesia ejwayelekile.

Kodwa-ke, owesifazane okhulelwe kufanele abonane nodokotela ukuze athole isiqondiso esinembile ngokusekelwe empilweni yakhe kanye nezimo zokukhulelwa.
Ukukhetha phakathi kwe-hemi anesthesia kanye ne-anesthesia ephelele ingase ihluke kuye ngemibandela ethile yezokwelapha, njengokuba khona kwezinkinga zempilo noma ukuhlinzwa okukhulunywa ngakho.

Ekugcineni, ukukhetha phakathi kwe-hemi anesthesia kanye ne-anesthesia ephelele kuyisinqumo okumelwe senziwe ngokusekelwe esincomweni sikadokotela owelaphayo kanye nezidingo zowesifazane okhulelwe.
Gcina isikhathi sokutakula esiphephile kanye nokulethwa okuyimpumelelo ngokwenza isinqumo esifanele ngesimo sakho.