Ngokukhawuleza xa ufika kwigumbi lokuqhuba, uxinzelelo lwakho lwegazi luya kuhlolwe, ukumisela isilinganiselo sakho "esisezantsi", umlinganiselo oya kusetyenziswa kulo lonke inkqubo ukuba ulingise impendulo yakho kwindlela yokuhlinzwa kunye nemichiza esebenzisa i-anesthesia. Nangona kunjalo, uphando olutshanje lubonise ukuba umlinganiselo wexinzelelo lwegazi ngaphambi kokuba ungene kwigumbi lokusebenza (OR) lichanekile ngakumbi, kwaye kukuba uxinzelelo lwegazi olufunekayo ugqirha wakho ukuba lucacise isiseko sakho.
Ukufunda, okwenziwe kwi-Anesthesiology 2015 kwintlanganiso yonyaka, kwafumanisa ukuba xa uxinzelelo lwegazi lulinganiselwa kwi-OR, ngokuqhelekileyo kwakuphezulu kakhulu kunomlinganiselo wexinzelelo lwegazi owenziwe phambi komhla wokuhlinzwa, okanye umlinganiselo wempembelelo yegazi ezithathwe ngosuku unyango "kwindawo yokubamba," ngaphambi kokungena kwi-OR. Ukulawula uxinzelelo lwegazi kubaluleke kakhulu ekusebenzeni. Ukugcinwa kwengcinezelo echanekileyo yegazi kunokunceda ukukhusela izibetho kunye nokuhlaselwa kwintliziyo ngexesha lexesha lokusebenza.
Ngokuqhelekileyo, i-anesthesiologist ihlola uxinzelelo lwegazi kwi-OR. Ulawulo lwexinzelelo lwegazi kwigumbi lokuqhuba lucatshangelwa lwanele xa kungama-20 ekhulwini lomxhesho wegazi lomgca. Nangona kunjalo, uxinzelelo lwegazi lwesigulane lunokuphakanyiswa ngokunyuka ngenxa yokukhathazeka kwi-OR, okanye inokuncitshiswa kakhulu njengemiphumo yezinto ezidlulileyo.
Olunye utshintsho kwixinzelelo lwegazi lunokubangelwa ukuhoxiswa kwemithi yengcinezelo yegazi rhoqo phambi kokuhlinzwa; intlungu okanye ukugula kunokuphakamisa uxinzelelo lwegazi kumazinga aphezulu kunamaqhelo; kunye neentlungu zamachiza nazo zinokusetyenziswa kwegazi lakho. Izigulane ezingaphantsi kwe-anesthesia zingenako ukufumana i-oksijini eninzi njengoko zifuna kwaye oku kunokubangela ukongeza kwengcinezelo yegazi.
Kuhlolisiso lwezigulane ezingaphezulu kwe-2,000, abaphandi bafumana ukwanda kweengcinezelo zegazi kwizigulane ezininzi xa uxinzelelo lwegazi lwalo lubalwa kwigumbi lokusebenza, xa kuthelekiswa nomlinganiselo ekliniki phambi kokuhlinzwa okanye kwindawo yokugcina yokusebenza.
Uphando olutshanje nolwazi oluvela kwizigulane ezingaphezulu kwama-250,000 lubonise umbutho omkhulu phakathi kwexinzelelo lwegazi oluphantsi nokufa kunokuphakathi kwexinzelelo eliphezulu legazi kunye nokufa ngexesha lotyando. Abaphandi baphetha lo mzekelo ngokuthi xa ukulawula uxinzelelo lwegazi kubalulekile kwimpilo yexesha elide, akuyiyo ngokwayo ingozi ebalulekileyo yokufa emva kokusebenza.
Izidakamizwa ezisetyenziselwa i-anesthesia jikelele zingathintela uxinzelelo lwegazi, ingakumbi xa uqala ukulala kwaye kwakhona xa uqala ukuvuka. Abanye abantu bafumana ukunyuka okukhulu kwixinzelelo legazi emva kokufumana amayeza ukuze bawalele, yingakho umsebenzi we-anesthesiologist kukubaluleka ekusebenzeni ngokuphumelelayo. Amachiza asetyenziswe i-aneshesia aneempembelelo eziqhelekileyo zokuphucula imithana yakho yegazi, okanye ukwandisa. Oku kubangela ukwanda kwegazi kwizitho ezithile, kodwa umphumo jikelele ukunciphisa uxinzelelo lwegazi.
I-anesthesiologist izakujonga ngenyameko uxinzelelo lwegazi kunye nezinye iimpawu ezibalulekileyo ngexesha lotyando. I-anesthesiologist izakujonga ingcinezelo yegazi yakho yonke imizuzu emihlanu ngexesha lotyando lwakho, kwaye emva kokuhlinzwa, njengoko uphila kwigumbi lokubuyisela, kwaye kude kube yimiphumo yeyeza. Ukuba uxinzelelo lwegazi luba luphantsi kakhulu, uya kuba sebunciphekweni bokubetha okanye esinye isicatshulwa, ngoko i-anesthesiologist izongeza amachiza kumgca wakho we-intravenous (IV) ukubuyisela uxinzelelo lwegazi kwiimeko eziqhelekileyo. Njengoko ukukhawuleza nokukhuphaza kwamalungu akho angaphakathi kwenzeka, umzimba wakho uza kuvelisa izinto ezifana ne-epinephrin eziza kuphakamisa uxinzelelo lwegazi oluzimeleyo ngamachiza.
Nangomntu onomfutho wegazi ophezulu unokufumana uxinzelelo lwegazi oluphantsi kunye nokutshitshiswa xa igazi elihle lilahleka ngexesha lotyando. Nangona izigulane ezincinci zinokukwazi ukunyamezela ukunyanzelwa kwegazi ngexesha lokuhlinzwa, abantu abadala baye banakho iindlela ezininzi zokuhlawulela igazi ukugcina ukuhamba kwegazi okwaneleyo kwiimpawu ezibalulekileyo xa uxinzelelo lwegazi luhla. Kwiimeko ezininzi zokulahleka kwegazi, ukudluliselwa kweemveliso zegazi kunokufuneka ukuba kubuyiselwe uxinzelelo lwegazi eliphezulu ngokwaneleyo ukubonelela ngokwaneleyo iiseli ezibalulekileyo zomzimba kunye namalungu.
Ngexesha le-anesthesia, i-anesthesiologist iya kulungelelanisa yonke imiphumo yokuhlinzwa kunye neendlela ezikhoyo zokugcina uxinzelelo lwegazi olusempilweni. I-Anesthesiologists inokuqeqeshwa okukhethekileyo, ngoko unokuqiniseka ukuba baye bafumana iintlobo ezininzi zeengcinezelo zegazi. Ekugqibeleni, utyando oluqhelekileyo lokunyanga lwegazi lungaba yimpazamo yomshini okanye iphutha ngumntu ofunda umatshini. Yingakho i-anesthhesiologist ingabonakali ngokubaluleka kwexabiso eliqhelekileyo. Bajonge ukuqhubela phambili kwengcinezelo yegazi ngokucokisekileyo njengoko bebeka iliso kwimithi oyifumanayo kwi-anesthesia.