I-anesthesia yomgulane: okanye ngokuchasene?

Namhlanje, nayiphi na ingenelelo yokucwangcisa eyenziwa phantsi kwe-anesthesia, ekhuthaza kakhulu nawuphi na umsebenzi. I-anesthesia yomgulane inengcamango encinci kumachiza anamhlanje, kodwa sele sele isasazeke kwaye ibeke izikhundla ngokwazo njengezona ndlela ezifanelekileyo kunye nezifikeleleko zokuxhaswa kwe-anesthetic kwintsimi yokuhlinzwa.

Ngoko, i-anesthesia yomgogodla yinkqubo apho isikhala ngaphakathi kwinqanaba lomgudu lizaliswa isisombululo se-anesthetic yendawo, kwaye ukugqithwa okujulileyo kwegobolondo elixubileyo elijikeleze intambo yomgudu kufuneka kwenziwe . Ngeendlela ezinjalo, iintlungu ezithintekayo kwiindawo ezifunekayo "ziyacinywa" kwixesha elithile, kwaye le nto i-anesthetic ilawulwa kwisayithi ephawulekayo yomgudu kufuphi nale mivo, kwaye le nkqubo inokuthi ibuhlungu kwaye ayibangeli nto.

Nangona kunjalo, njengento entsha kwaye engaziwa ngokupheleleyo, i-anesthesia yomgudu inezincedisi zayo kunye nabaphikisi abanamandla, kwaye akumangalisi, ngenxa yokuba indlela enjalo ye-anesthesia inezinto ezingonakalisayo kunye neenzuzo ezibalulekileyo. Masiqale, ngokuqinisekileyo, ngento enhle.

Okokuqala, kufuneka icaciswe ukuba le nkqubo ayinakonakalisa nayiphi na indlela intambo yomgudu, ngenxa yokuba ijoyiji yenziwa ngaphantsi kwayo, ngokukodwa ingabandakanyi ukulimala. Ukongezelela, kuvuyisiswa ngesantya sawo, eqinisweni, emva kwemizuzu engama-7 emva kokuba isisombululo sikhululwe, ukukhutshwa kwexeshana zentsholongwane yentsholongwane. Oku kunjalo ngokukodwa kubasetyhini abakhulelweyo abanikezwa i-anesthesia yomgogodla yokunikezela kweenkonzo, ngenxa yokuba emva komthamo, isigulane sinokufudumala, kunye nokuphumla okupheleleyo kwezihlunu zeengcambu ezingaphantsi kwaye akukho ntlungu nakwixesha lokuphambana. Kwakhona, emva kwenkqubo, akukho ukuxhatshazwa komzimba, ngoko unokuqiniseka ngokuqinisekileyo ukuba i- anesthesia yomgudu iyinkimbinkimbi engenakuchaphazeleka. Kucacisa nje, inkqubo iyamkeleka ukuba impendulo yomzimba iboniswa ngeqondo elilinganayo le-anesthétic, kunye nemiphumo emva kokuba iyakuthandeka ngokukhuseleka komzimba. Nangona kunjalo, akuzona zonke izinto eziqhaqhazelayo, kuba le ndlela ye-anesthesia inokungaphumeleli kwayo, okungafanelekanga kwakhona.

Njengoko unyango lwezonyango lubonisa ukuba, xa wenza i-anesthesia yomgogodla, iingxaki ze-pathological are rarely observed, kodwa zonke izinto zixhomekeke kwimeko nganye yekliniki, ekubeni isiguli ngasinye sinokuzikhethela kwimizimba yakhe enokuthi ingadlala indima engafanelekanga. Yonke into incike kwizinto ezithile zobungqina, phakathi kwazo ubunzima kunye nesimo sesifo, kunye nezifo ezisele zikhona, ubudala begulane, imeko yakhe jikelele kunye nobukho bemikhwa emibi. Kufuneka kube ne-anesthesia yomgogodla enobulunga obufanelekileyo, nemiphumo yinto enokubangelwa ngamanyathelo anesthesia njengokuba kufakwe i-catheter kwi-vein central, ukuxilongwa kwegazi kunye nokunyanga okuvelisayo. Kodwa ungakhathazeki, njengabasebenzi bezonyango abanolwazi bayazi ibhiziniselwano zabo kwaye baya kwenza umgudu wokugcina isiganeko esinjalo ngempumelelo.

Kodwa ke ngezinye iinkqubo kukho ukungathandekiyo okungathandekiyo komzimba ukuqaliswa kwezinto zangaphandle. Le nto inokuba yintlungu ephezulu eyenzeka ngenxa yokwanda kwimizimba yesigulane. Iimeko ezinjalo kwiimeko ezininzi zenzeka ngaphakathi kwimihla yazo, okanye ngoncedo lwamachiza akhethekileyo. Kwakhona, umphumo ongathandekiyo uphuculo olubukhali kwixinzelelo, olupheliswa ukusela okuphambili okanye ukuphathwa ngokusesikweni kwesisombululo. Kwiimeko ezinqabileyo, isigulane sinokukhalaza ngokulibaziseka ekuhambeni, kodwa loo nto ayifuni naluphi na unyango, njengoko kwenza intlungu emva kwentsuku yokuqala yokusebenza. Ngamanye amaxesha uvakalelo olubuhlungu lunokuphelisa i-tablet yeparacetamol okanye i-diclofenac. Kunqabile kakhulu kukho ukuphazamiseka kwengqondo, kodwa kudlula emva komhla wokuqala.

Kubalulekile ukukhumbula ukuba zonke iinkalo ezincinci kufuneka zinikezelwe kwangaphambili kwaye zivunywe ngongcali ngaphambili.