Nciphisa umngcipheko kwaye uphuthuze induduzo nge-anesthesia yomgulane
Yiyiphi i-aneshesia eyona nto ibhetele ekutshintsheni kwakho okanye ukuguqula idolo? Abantu abaninzi balungiselela ukuba baqhutywe ngokubambisana ngokuxhatshazwayo malunga neengozi ezinobungozi ezinxulumene nale nkqubo yokupasa. Enye yezona nkxalabo eziqhelekileyo malunga ne-anesthesia esetyenziswayo. I-anesthesia efanelekileyo yokutshintshwa ngokubambisana ayiyikukhuseleka kuphela kodwa iya kusebenza.
Oku kuthetha ukuba kungekuphela nje ukuba kuya kuba nemiphumo emibini okanye iziphumo ezinxulumene ne-anesthhesia, kodwa kwakhona ukuba iya kunika intlungu ekhululekile kunye nemiphumo emihle yokubuyisela.
Inqama kunye nokuguqulwa kwamadolo zizinye zeenkqubo eziphambili zonyango. Inani lale nkqubo liyakhula minyaka yonke, njengoko abantu abaninzi baninzi baphendukela ekutshintsheni okuhlanganyelweyo kunyango lwe- arthritis enamandla . Kwakhona, abantu abaninzi banokukhetha ukuthatha indawo, kubandakanywa izigulane ezincinci kunye nezigulane ezidlulileyo , ngokunyusa ukwanda kwenani lotyando.
Izinketho ze-Anesthetic zoNyango oluPhezulu lweNtsholongwane
Isigqibo esiqhelekileyo sokuthi u-anesthetic sinokuphakathi kwe-anesthesia jikelele kunye ne-anesthesia yesithili. Ngokubanzi i-anesthesia ithetha isigulane sitshatyalaliswa ngokupheleleyo (ukulala), kwaye ngokuqhelekileyo, ukuphefumla kwakhe kuncedwa ngokusetyenziswa komshini wokuqhuma umoya .
I-anesthesia yesiNgingqi kwindawo yokubambisana ngokuqhelekileyo iqhutyelwa kunye ne-anesthesia yomgulane okanye i-epidural anesthesia eyenza i-anesthhetic yendawo engezantsi ngokubeka i-anesthetic yendawo ejikelezayo.
Ngethuba le-anesthhesia yesithili, i-sedation inganciphisa, ivumela isigulane ukuba iphefumule ngaphandle kokuncedisa umatshini.
Ubuncipheko obuninzi nge-Anesthesia yesiFunda
Izifundo ezininzi ziye zajonga kwiingozi ezahlukahlukeneyo zokutshintshwa ngokubambisana kunye nendlela yokukhetha i-anesthetic inokuchaphazela amathuba ezinokuthi zenze iimeko ezinzima.
Ezinye zezizathu zonyango ziye zaza zincoma i-anesthesia yendawo kwingingqi yokutyunjwa okubandakanyekayo zibandakanya:
- Iingxaki zonyango ezimbalwa (iingxaki zamapulmonary, ukuhluleka kwezintso)
- Izinga lokusasazeka
- Ukulahleka kwegazi encinane
Ukongezelela, izigulane ezithe zafumana i-anesthesia yommandla zifunyenwe ukuba zibe nezibhedlele ezincinci zokuhlala, kunye neendleko zokufakelwa okutshintshiselweyo ngokubambisana kuye kwaba ngaphantsi. Zonke ezi ntlukwano zincinci, kodwa zibonakala zinyani.
I-Anesthesia yeSithili yenziwe njani
I-anesthesia yesiFunda ifezekiswa ngokubeka i-anesthetic yendawo yangaphakathi kwimigulane yomgogodla ukuze idibanise imilenze. I-anesthetic ilawulwa ngedaliti encinci - efana neendlela abesifazana abanesifo sobuhlungu besifo ngexesha lokubeletha. Ngelo xesha, izigulana zinokukhetha ukuba zincinci ngaphantsi kwenkqubo yabo yokugqirha, kuxhomekeke kwinduduzo yabo.
Ukuba izigulane zixhalabele ngokukhethekileyo, zinokukhetha ukuba ne-sedation ngaphezulu ngexesha lokuhlinzwa. Ukuba izigulane zikhetha ukuba zincinci, ziyakuthi ziveze inkqubo yokutyanda, kodwa abayi kuba neentlungu. Emva kokuhlinzwa, i-anesthhesia yengingqi ithambekele ekugqithiseni ngokukhawuleza, ukuvumela ukulawula ubuhlungu obungcono, kunye nezigulane zibe nesicathulo esincinane kunye nemiphumo engaphantsi kwemiba xa kuthelekiswa ne-anesthesia jikelele.
Kutheni i-General Anesthesia isetyenziswa?
Ukuba i-anesthesia yesithili ineenzuzo ezininzi, kutheni umntu angakhetha i-anesthesia jikelele? Umbuzo omuhle, kodwa kukho izizathu ezifanelekileyo zokukhetha i-anesthesia jikelele. Kungathi, umzekelo, kuba luhle kumntu onobungcali obunzulu bokuhlinzwa njengohlobo lwe- fusion lumbar , olunokuthi kunzima ngakumbi ukuba i-anesthesia yesithili ibe nzima. Ukuguqulwa kwamagxa, kuquka i- scoliosis , kunokukwenza ukuba i-anesthesia yesithili ibe nzima nakakhulu. Kukho neemeko zonyango jikelele, ezifana ne- aortic stenosis , eyenza i-anesthesia jikelele ibe yindlela ekhuselekileyo yokunyuselwa kwezilwanyana. Isigulane ngasinye sifanele sixoxe nge-anesthesiologist kwiimeko ezithile ezinokuchaphazela isigqibo sokuba i-anesthetic iyona nto ibhetele kwiimeko zabo.
Olunye umcimbi obalulekileyo kukuba izigulane zihlala zididekile malunga nokuba kuthetha ukuthini i-anesthesia yesithili, okanye uxhalabe malunga nokuba negalelo elinikezwe kwingingqi yomgudu. Imfundo inokunceda kakhulu ukuze izigulane ziqonde ukuba ezi zonyango zilawulwa ngokukhuselekileyo ngethuba eliphantsi lemiphumo emibi. Izigulane ezininzi ezikhetha i-anesthesia jikelele zenza njalo kuba ziqonda le ndlela ingcono kune-anesthesia yesithili.
I-State Current Current of Joint Replacement Anesthesia
Okwamanje kunzima ukwazi amanani achanekileyo kuba ukusetyenziswa kwe-anesthesia yesithili kuye kwanda ngokuphawulekayo kwiminyaka embalwa edlulileyo. Ekupheleni kweminyaka yama-2000, malunga ne-75% yokutshintshwa okuhlanganyelweyo kwenziwa phantsi kwe-anesthesia jikelele-malunga ne-10% phantsi kwe-anesthesia jikelele kunye neyithili, kwaye malunga ne-15% phantsi kwe-anesthesia yesithili yodwa. Njengoko oogqirha kunye nezibhedlele baqaphele ngeenzuzo ze-anesthesia yengingqi yezigulane ezithathelanayo, izibhedlele ezininzi ziye zashintsha zaba ngaphezu kwe-90% yeenkqubo zokutshintshwa ngokubambisana ezenziwa phantsi kwe-anesthesia yengingqi.
Imithombo:
"I-anesthesia yecandelo lezithili liphucula kakhulu iziphumo zokugubha kunye nokuguqula amadolo" Isibhedlele seNyango yokuChengisisa. Meyi 1, 2013.
Mont MA, et al. "Ukukhusela i-Venous Thromboembolic Disease kwizigulana ezithatha i-Hip-Eleph and Knee Arthroplasty" J Am Acad Orthop Surg ngoDisemba 2011 vol. 19 no. 12 768-776.