Ngaba ucinga malunga nokuhlinzwa ukuze ulungele idolo elibuhlungu kodwa uxhalabele ngemiphumo ye-anesthesia? Mhlawumbi uyazibuza ukuba ukulahlekelwa kwememori kungenye yeengozi ze-anesthesia jikelele. Okanye, ukuba ukuvezwa kwe-anesthesia kunokwandisa umngcipheko weengqondo .
Ukuziva ukhathazekile malunga nokufumana i-anesthesia kunye nemiphumo yakho emzimbeni uyinto evamile. Uphando oluninzi luye lwahlolisisa le mibuzo, kwaye izigqibo zabo ziza kukunceda ukunciphisa uxhalaba lwakho.
Iintlobo zeAnesthesia
I-Anesthesia-apho iyeza elisebenzisa ukuvimba intlungu-isetyenziswa ngokuqhelekileyo ngexesha lovavanyo. Ezinye i-anesthesia yindawo yokuhlala, apho ummandla wodwa unomyinge ngumjovo, umzekelo, kunye nezinye i-anesthesia ziqhelekileyo , apho umntu exiliswayo ukuba abeke ebuthongweni obunzulu ngexesha lotyando ukuze bangayi kuva intlungu kwaye abayi kuvuka de kube utyando lugqityiwe.
Uphando malunga nokulahlekelwa kweMemori kunye neAnesthesia
Ngaba wakha wathetha umntu uthetha ngomntu othandekayo engafani ngokufanayo emva kwe-anesthesia jikelele? Ngokubanzi i-anesthesia iye yaxhunyelelwa ngokukhawuleza ekusebenzeni okuqhubekayo kwengqondo , kodwa ngaba olu luxhamlwano luyinyani okanye nje ngengozi nje? Ngaba uphando oluxhasa lo mbutho?
Impendulo emfutshane? Kuya kuxhomekeka kukuphi uphando olusisifundayo.
Izifundo ezimbalwa zifumene uxhulumaniso, kubandakanywa oku kulandelayo:
- Olunye uphando lugqiba ukuba kukho ingozi yokwanda kwengqondo emva kokuba abathathi-nxaxheba bafumana i-anesthesia jikelele.
- Uphando lwesibini lufumene ukuba abantu abaye bafumana i-anesthesia ngexesha lotyando babenomngcipheko omkhulu kakhulu wokuba ne-dementia ngokukodwa kwixesha eliyiminyaka emithathu ukuya kwisixhenxe emva kokuhlinzwa.
- Ucwaningo lwesithathu luye lwaphawula ukuba imithi ethile kunye nohlobo lotyando-sevoflurane (i-Ultane) ngexesha lotyando lwemigulane-lwaluhlanganiswa nokunciphisa ukuqonda kubantu abaye bafumanisa ukuba banokukhubazeka okucokisekileyo . Ukukhubazeka okunzulu kwengqondo yimeko ephakamisa umngcipheko wesifo se-Alzheimer, nangona abanye abantu abane-MCI bahlala bezinzile kwaye abanye baze babuyele ekusebenzeni okuqhelekileyo kwengqondo.
Nangona kunjalo, olunye uphando luphikisana neziphumo:
- Uphando olushicilelwe kwiphephandaba leMayo Clinic Proceedings luthi emva kokufunda abantu abangama-877 abanomdla wokuphefumula kunye nokuphonononga ukuba zeziphi iziganeko zazibonakaliswe kwi-anesthesia jikelele, kwakungenalo ulungelelaniso phakathi kwesifo sengqondo kunye ne-anesthesia. Kwakhona bafumanisa ukuba abantu ababenamaxesha amaninzi abazange babonise ingozi ephezulu yokugula komzimba.
- I- Journal of Pain Research yagqiba ukuba nangona uphando oluthile lufumene ukulungiswa phakathi kokusetyenziswa kwe-anesthesia kunye nomngcipheko ophezulu wokuba nomqondo wokugula ngengqondo, akuzange kubekho uphando olwaneleyo ukufumanisa ukuba abo babini banxulumene ngokwenene.
- Olunye uphando lucatsanisa amawele apho elinye iwele liye lafumana i-anesthesia kunye nokuhlinzwa kwaye enye yayingenalo. Abaphandi abafumananga umahluko omkhulu phakathi kokusebenza kwengqondo kwamawele.
- Ngokuthakazelisayo, elinye iqela labaphandi lafumanisa ukuba akukho kuphela ukulungiswa phakathi kokusetyenziswa kwe-anesthesia kunye nomqondo wokugula komzimba, ngokwenene kwakukho umngcipheko wokunciphisa umqondo kwabantu ababenesifo sokugula ngengqondo.
Kutheni Abanye Abantu Badidekile Emva Kokuguqulwa?
Nangona uphando lungazange lubonakalise ukulungelelanisa okuqinileyo phakathi kwe-anesthesia kunye nokuphuhliswa kwesifo se-Alzheimer kunye nezinye iintlobo zomqondo wokugula ngengqondo, akuqhelekanga ukuba abantu badideke emva kokuhlinzwa xa bevuka.
Ngamanye amaxesha, olu tshintsho lunokuthi lunxulumene nesondlo - ukutshintsha ngokukhawuleza kwimemori, ukuqwalasela, ukuqhelaniswa nokukwazi ukucinga. I-Delirium kubantu abadala asebekhulile idibene nomngcipheko omkhulu wokuba nomdemokhrasi , kwaye ukuchongwa kwe-delirium kubalulekile ekuzisombuleni ngempumelelo kwezi mpawu.
Ngokufanayo, ukukhubazeka okuqhubekayo kokusebenza kwengqondo kunokukhula emva kokuhlinzwa kwaye ngokuqhelekileyo imeko yesikhashana yokunciphisa kwengqondo. Le meko isoloko isombulula ixesha, nangona abanye abantu babika imiphumo engapheliyo.
I-Delirium eyahlukileyo kwi-postrictional functioning functional function in this delirium ngokuqhelekileyo yenguqu ephawulekayo, ngokukhawuleza, kunye nengundoqo ekusebenzeni kwengqondo, ngelixa i-POCD inokuba yinto engatshintshiyo yokuguquka.
Kwenziwe ntoni?
Nangona uphando oluthe lwafumana ukulungelelaniswa phakathi kwe-anesthesia kunye nengqondo ye-dementia, akuzange kubekho uphando olwaneleyo oluqhutywe ukugqiba ukuba olu linxibelelwano lwenyaniso. Ngoko ke, ukuba wena okanye wakho othandekayo uya kuhamba phantsi kwesandla, phefumula lula.
Endaweni yokukhathazeka ngobudlelwane obungathandabuzekiyo phakathi kwe-anesthesia kunye nomqondo wokugula komzimba, ungcono ukugxila kwimingcipheko enokuthi ungayithatha ukulawula kwaye yintoni uphando oluye lwaboniswa ngokuphindaphindiweyo malunga nobungozi bokudemokelwa komzimba, ukuzivocavoca umzimba , kunye nentliziyo yesinceda kunokugcina ngengqondo ephilileyo.
Imithombo:
I-Alzheimer & Dementia: iphephandaba le-Alzheimer's Association. 2014 Mar; 10 (2): 196-204. Ukwanda komngcipheko wokugula komntu kubantu ababenokudlulela kwi-anesthesia jikelele: uvavanyo lwamaqela oluntu-based control-study.
Anesthesiology. 2 2016, Vol.124, 312-321. Ukusebenza kweCognitive emva koPhando kwi-Middle-Old and Olderly Danish Twins.
IAnesthesia kunye ne-Analgesia. Ngo-Agasti wama-2013; 117 (2): 471-8. Iziphumo ze-diagnrims zakudala emva kokuhlaziywa kwe-anesthesia jikelele.
I-British Journal ye-Psychiatry ngoMatshi 2014, 204 (3) 188-193. I-British Journal ye-Psychiatry. Ingozi yokugula ngengqondo emva kwe-anesthesia kunye nokuhlinzwa.
Ukongenelela kweZliniki ekuguga. 2014; 9: 1619-1628. I-general anesthetic kunye nomngcipheko wokugula komzimba kwizigulane ezigugile: ukuqonda kwangoku.