Kutheni Kuthiwa Ukuqwashiswa Kwe-Anesthesia?

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Ukwazisa iAnesthesia: Yintoni na?

Ukwaziswa kwe-Anesthesia , ekwabizwa ngokuba yi- anesthesia yolwazi olungalindelekanga, yinto engavumelekanga yokuhlinzwa. Ngokuqhelekileyo, i-anesthesia jikelele iqinisekisa ukuba nonke nisayazi kwaye nikhubazekile ngexesha lotyando. Ukwaziswa kwe-Anesthesia kwenzeka ntoni xa uqaphela indawo oyijikelezile ngexesha le nkqubo.

Ngokumalunga nesigidi esisodwa ukuya kwezi zimbini ngamava anama-level anesthesia ukuqonda, ukusuka ekukhunjuleni amagama athetha ngabasebenzi ukuba bafumane ixesha lokuvuthwa kodwa bekhubazekile.

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Iintlobo zoLwazi lwe-Anesthhesia

Iintlobo ze-Anesthesia Awareness

1. Ukukhushulwa akusebenzi, kubangelwa ukuqaphela i-anesthesia

Olu hlobo lokuqwashisa i-aneshesia ludla ngokugqithiseleyo kwizigulane. Xa ukukhushulwa kungasebenzi, okanye ukuguqa, isigulane sinokuvakalelwa ngokuqhelekileyo, kwaye sinokuphaphama, kodwa amayeza anikwe ukukhubaza umzimba ngexesha lotyando luthintela ukuba alumkise nabani na kwiingxaki zabo.

Uninzi lwezigulane ezifumana olu hlobo lokwazisa lwe-anesthesia zinememori encinci yeengxoxo phakathi kwabasebenzi okanye isandi seeshishini kwi-OR. Nangona kunjalo, kwiimeko ezinzima, isigulane siyazi kakuhle indawo esikuyo kwaye asikwazi ukwenza isandi okanye sibonise ukuba sivukile. Basenokufumana zonke iintlungu, kwaye ngokudabukisayo, ukwesaba, kokuhlinzwa ngaphandle kwe-anesthesia .

Umnikezeli we-anesthesia angayiqondi ngokupheleleyo ukuba kukho ingxaki kwaye ayinaso isibonakaliso sokuba kufuneka unyango olongezelelweyo.

2. Okhubazekayo kunye nezidalwa ezingabonakaliyo azisebenzi, okubangelwa ukuqwashisa i-anesthesia

Kule meko, akukho okhubazekayo (amayeza anikezelwe ukukhubazeka) okanye ama-sedative asebenza kakuhle, kwaye isigulane sinokuqonda kwaye sikwazi ukuhamba. Isigulana sinokuzama ukususa ibhubhu yokugqibela, ukuhlala, okanye uzame ukuthetha.

Xa isiguli siqala ukuhamba, kuyacaca kumboneleli we-anesthesia ukuba isiguli asikho ngokupheleleyo phantsi kwe-anesthesia jikelele. Amachiza angeziwe anikezelwa ukuba adibanise kwaye aphelise isiguli.

3. Okhubazekayo akasebenzi, okwenza ukunyakaza ngexesha lotyando

Nangona kungabandakanywa ngokucacileyo njenge-anesthesia-awareness - ngenxa yokuba isiguli asikwazi ukuba imeko - unokuqala ukuhamba ngexesha lotyando ngenxa yokuba umntu okhubazekile akaphumelelanga okanye i-dose igugile.

I-arhente yokukhusela isebenza, ngoko isigulane asikwazi ukunyakaza, kwaye i-dose eyongezelelweyo ye-ejenti yokukhubazeka inokunikezwa ngumnikezeli we-anesthesia ukuphazamisa ngokupheleleyo isigulane.

4. Inkqubo okanye imeko idinga i-anesthesia eyancitshiswa, okubangelwa ukuqonda okungakumbi kunokuba kulungile

Ezinye iintlobo zezigulane, ngokuqhelekileyo abo abagula kakhulu, ukuba baphethwe yintliziyo okanye iSigaba se-C siphumeze, abanako ukunyamezela i-anesthesia epheleleyo. Kuzo zi gulane, i-anesthesia ingabangela ukuba bangazinzi. Kuloo meko, amanani amancinci e-anesthesia asetyenziswa ukukhusela umonakalo kwisigulane.

Isiphumo solu nciphiso lwe-anesthesia lithetha ukuba isiguli sinokuqaphela ukuhlinzwa. Ngoxa ingozi yokuqwashisa i-anesthesia iphezulu xa i-aneshesia iyancitshiswa ngenyameko ngale ndlela, yenziwa ngenjongo yokulondoloza ubomi bomguli, kwaye ingozi ebalulekileyo.

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Ukwazisa iAnesthesia: Ngubani Ubungozi?

Ngubani Osemngciphekweni Wokuqwashiswa Kwe-Anesthesia?

Ezinye iintlobo zokuhlinzwa kunye nezinye iimeko zonyango zingandisa ingozi yokufumana ukuqonda kwe-anesthesia. Iimeko ezilandelayo zandisa amathuba okufumana ulwazi oluthe xaxa ngexesha lotyando:

• Ixinzelelo elibi kunye nokulahleka kwegazi kunye / okanye uxinzelelo lwegazi oluphantsi
• Ukunyangwa kweCardiac
• Icandelo le-Caesarea (Icandelo leC-C)
• Isifo se-Lung okanye imeko evimbela ukuphefumla
• Ukusetyenziswa kakubi kotywala kunye / okanye kweziyobisi

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Iimfundiso malunga noLwazi lwe-Anesthesia

Iingqinisiso zokuQaphela iAnesthesia

• Ukwaziswa kwe-Anesthesia yiimeko ezinqabile kwaye ezinzima kakhulu.

• Ezinye izigulana zingaphupha ngexesha lotyando, kwaye zingaphupha ngokuhlinzwa. Oku akufanele kudidaniswe nolwazi lwe-anesthesia.

• Uninzi lwezigulane alubuhlungu, nangona kunjalo, zinokuziva zixinzelelo.

• Zininzi iintlobo ze-aneshesia ayinikezi isiguli ngokupheleleyo. Oku akusiyo i-anesthesia. Ukwaziswa kwe-Anesthesia kwenzeka kuphela ngo- anesthesia jikelele , xa isigulane singabi sazi ngokupheleleyo iindawo ezikuyo.

• Kuqhelekile ukuba uqaphele ngaphambi kokuqala kwenkqubo kwaye emva kwenkqubo.

• Ukuba unembali yokusetyenziswa kakubi kweziyobisi okanye utywala, qiniseka ukuba uyazisa umnikezeli wakho we-anesthesia, njengoko i-anesthesia yakho ifowuni ingadinga ukutshintshwa.

• Ukuba usebenzisa iiyeza zentlungu zonyango rhoqo ngenxa yentlungu engapheliyo , yazisa umnikezeli wakho we-anesthesia njengoko oku kunokutshintsha umlinganiselo ofanelekileyo we-anesthesia.

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Ukuthintela Ukuqwashiswa kweAnesthesia

Ukuthintela Ukuqwashiswa kweAnesthesia

Ukuthintela ukuqwashisa i-anesthesia kukuxanduva lomnikezeli wakho we- anesthesia , okanye u-anesthesiologist. Ukuze uyenze lo msebenzi, kubalulekile ukuba uzimisele kakhulu ngexesha leengxoxo zakho zangaphambi kokuhlinzwa.

Kubalulekile ukuba i- anesthesiologist yakho iyayazi imbali yakho yonyango, kubandakanye nayiphina imbali, esedlulileyo okanye yangoku, yokusetyenziswa kweziyobisi (umyalelo okanye umyalelo ongekho mthethweni) kunye nokusela okungakanani utywala. Ukongezelela, kuya kufuneka uxoxe naluphi na umlando onokuba nakho ubunzima nge-anesthesia, iingxaki zeentliziyo okanye iimphunga, kunye nayiphi na enye ingxaki yezokwelapha.

Ukongeza kwiingxoxo ezigqityiweyo kunye ne-anesthesiologist yakho, ukuba unenkxalabo malunga nokuqwashisa kwe-anesthesia, unokufuna ukucela ukuba iliso lombonakalo lwe-bispectral (BIS) lisetyenziswe ngexesha lakho.

I-monitor ye-BIS isetyenziselwa ukulandelela umsebenzi wakho wengqondo. Inzwa ifakwa ebunzini lakho kwaye inike inani kwinqanaba lomsebenzi wengqondo. 0, amanqaku aphantsi kakhulu, abonisa ukuba akukho nto eyenziwa ngengqondo, ngelixa i-100, amanqaku aphezulu, aya kubonisa ukuba uphaphile kwaye uqaphele.

I-monitor ye-BIS inokukunceda ukwazisa i-anesthhesiologist ukuba uqaphele ngakumbi kunokuba kufanele ukuba, nangona umzimba wakho uphelelwa yimithi.

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Emva kokuQala kweAnesthesia

Ukuba u-Anesthesia Awareness Happens To You

Ukuba ungomnye wezigidi zabantu abagulayo abanamava e-anesthesia ngonyaka, kubalulekile ukuba uxelele iqela lezokwelapha elinikezela ngononophelo xa unako. Kubalulekile ukuba uqaphele ukuqonda kwakho ngezizathu ezininzi, ngokubaluleke kakhulu, ukuba kufuneka ufune enye inkqubo, oku kunokuthintela ukuba ungabikho kwakhona.

Izigulane ezinamava nolwazi oluncinane ziyakwazi ukuphazamiseka ngamava kwaye zingaphinde zenze iibhulozo kunye neefowuni. Iziganeko ezinzima kunokubangela ukuphazamiseka kwesifo sengxaki (PTSD). Ulwaphulo luvame ukukhuthazwa kwizigulane ezinokuqwashiswa kwe-anesthhesia, kwaye kufuneka zifunwe ngokukhawuleza xa isigulane sinamandla.

_Imithombo:

_{Malunga neBIS. Iinkqubo zezoNyango. Kufumaneka ngo-Ephreli 2010. http://www.aspectmedical.com/AboutBIS.aspx}

_{Ukuqwashiswa kwee-tractative Under Under General Anesthesia Pamphlet. I-American Society of Anesthesiologists. Copyright 2009.}