Ukudideka akuqhelekanga emva kokuhlinzwa, ngakumbi kwiiyure ezimbalwa zokuqala emva kokuhlinzwa. Jikelele i-anesthesia, eyenza isigulane singabi nalwazi ngenkqubo kwaye ngezinye iiyure emva koko, kusenokubangela ukudideka kunezinye iintlobo ze-anesthesia.
Kuyinto evamile ukubuza imibuzo ngokuphindaphindiweyo, ukulibala ukuba umbuzo wabuzwa kwaye uphendulwa, ngenxa ye-anesthesia kunye neyeza zentlungu.
Kwizigulane ezininzi, ukulibala nokudideka kucocekile kwiiyure ezimbalwa zokuqala emva kokuhlinzwa. Kwabanye, kunokugqibela usuku.
Kweminye, ukudideka kwanda kwiintsuku ezilandelayo kwinkqubo. Kuloo matyala, kubaluleke kakhulu ukuzama ukuqonda isizathu, nokulungisa ingxaki.
Izizathu eziqhelekileyo zokudideka emva kokuPiliswa
Usulelo: Ukusuleleka, ikakhulukazi kwizigulane zabantu abadala, kunokubangela ukudideka okukhulu nokuphazamiseka. Izifo ezithintela i-Urinary ziyaziwa ngokubangela ukuba izigulane ziziphathe ngokungaqhelekanga, kodwa ezinye iintlobo zentsholongwane zingakhokelela kwiimpawu ezifanayo.
Ukulawulwa kobuhlungu obubi: Isigulane esinentlungu enkulu sinokuthi sidideke, oku kunokubangelwa intlungu ngokwayo, okanye iingxaki ezibangelwa intlungu, njengobunzima bokulala. Ukulawulwa kakuhle kwentlungu kubalulekile kwezi zi gulane, oko akuthethi ukuba akukho ntlungu kodwa kuya kwehla kwintlungu.
I-Anesthesia: I- Anesthetics yaziwa ngokubangela ukudideka, kodwa oku kuyancipha njengoko umzimba uphatha amayeza kwaye uyabasusa emzimbeni.
Amanye amayeza anokubangela ukulibala ngokukhawuleza kwiiyure ngokukhawuleza emva kokuhlinzwa, okwenziwa ngumgangatho wesiganeko we-anesthesia .
Ukuxhatshazwa kweMithi: Imishanguzo emiselweyo yokuhlinzwa kunye nexesha lokubuyiselwa liyakwazi ukusebenzisana ngokungalindelekanga kunye neyeza ezithatha isiguli ekhaya.
Amachiza amatsha: Iiyeza ezintsha, ngakumbi ezo zintlungu kunye nokulala, zingabangela ukuphazamiseka, ukugulisa kwaye kugulise izigulane. Kwiimeko ezinqabileyo, amayeza amasha angaba negalelo elingalindelekanga nelingalindelekanga lokuphazamiseka okanye ukulala.
Amanqanaba e-Oxygen aphantsi: Ukuba isigulane asifumani oksijini, ukuphazamiseka kunye nokudideka kunokuba yenye yeempawu zokuqala. Ngokuqhelekileyo, amazinga e-oxygen aya kujongwa kwiiyure ezilandelayo emva kokuhlinzwa, ngoko oku kungalungiswa ngokukhawuleza kunye ne-oxygen eyongezelelweyo. Izigulane ezenza i-groggy emva kwenkqubo, okanye abo baneempumulo zokuphefumula ezifana ne-apnea yokulala okanye isifo se-pulmonary, banakho ukufumana iingxaki nge-oxygenation emva kokuhlinzwa.
Amanqanaba aphezulu e-Carbon Dioxide: Xa isigulane singaphefumlayo kwaye kufanelekile, sinokuqala ukugcina i-carbon dioxide egazini labo, oku kunokukhokelela ekudidekeni nasekuxakeni. Unyango lwalo ludla ngokuba ngumsiksi we-oxygen, onokukunceda isigulane siphefumle ngokufanelekileyo kwaye siphume ngakumbi i-carbon dioxide.
Ukuphazanyiswa kwi-Sleep-Wake Cycles: Isibhedlele yindawo eyoyikekayo yokuzama ukulala ubusuku obuhle. Izimpawu zeVitali zithatyathwa ngekhefu, amayeza anikezwa kwiiyure zobusuku, i-lab idonsa rhoqo iyenziwa ngehora lesantambama - ezi zinto zifumana iresiphi yokulahla ubuthongo.
Ezinye izigulana zingenza iintsuku zabo nobusuku babo badideke, okanye balahlekelwa ixesha lokuphela. Kwabanye, ukuphazanyiswa kwindlela yabo eqhelekileyo kunokubangela utshintsho olukhulu kumntu, kwaye kunokufuna ukungenelela kwezonyango ukuze ufumane ukulala ngokwaneleyo.
I-Delirium: I- Delirium yinkinga enkulu apho isigulane sinokutshintsha ngokukhawuleza kwisimo sabo sengqondo esifanelekileyo ukuze kudideke kakhulu kwaye ngamanye amaxesha kuphazamiseka. Oku kungabangelwa kukunyamekela kwexesha, njengokwi-ICU, ukungabikho koqhelaniso ukuya kwiintsuku nobusuku (ezi zi gulane kufuneka zibe kwigumbi elinesifestile xa kunokwenzeka), okanye isifo esibi esidinga ukuhlala esibhedlele.
Isigulane nge-delirium sisoloko siqaphile kwaye sijoliswe kwiiyure zasekuseni size sibuhlungu ngokuhlwa okanye ebusuku. Unyango luhlinzekwe ngokusekelwe kwimbambano yembambano.
Ukungalingani kwe-Electrolyte: Ukungalingani kwe- Electrolyte, njengamazinga aphantsi e-potassium, i-calcium, kunye nezinye i-electrolytes, kunokushiya isigulane ukugula kwaye oku kungakhokelela ekunyuseni.
I-anemia: Iiseli zegazi ezibomvu zithwala oksijini kwiiseli zomzimba. Isigulane esinegazi, okanye singenzi okwaneleyo amangqamuzana egazi obomvu, sinokunciphisa amazinga oksijini kwinkqubo yabo, imeko ebizwa ngokuba yi-hypoxia. I-Hypoxia ingabangela ukudideka okukhulu njengoko ingqondo ifuna i-oksijini ukusebenza kakuhle.
Ukurhoxiswa: Isizathu esiqhelekileyo sokudideka sikhoxiswa. Isigulana sinako ukurhoxisa kumachiza atyunjiweyo, iziyobisi ezingekho mthethweni okanye utywala , oku kunokukhokelela kwimpawu zokuhoxisa kuquka ukudideka kunye nokuphazamiseka.
I-Dementia: Izigulane eziye zancipha amandla engqondo ngaphambi kokuhlinzwa, zisengozini enkulu yokudideka nokudideka emva kokuhlinzwa. Ukuphazamiseka kwenkqubo yabo, ukuphazanyiswa kwimijikelezo yabo yokulala kunye neendidi ezahlukeneyo zonyango phambi, ngexesha kunye nangemva kokuhlinzwa kunokunyanya ngakumbi amandla abo okusebenza.
> Umthombo:
> Delirium. Medline Plus.