Ngaba Ndiyingozi Ingozi?
Ngaba unobungozi obukhulu xa utyunjwa kwaye une-asthma?
Ewe, i-asthmatics isengozini yeengxaki ezithile ngenxa yesifo se-asthma. Nangona kunjalo, umngcipheko wakho uqobo luxhomekeke kubuqhetseba besifo sakho se-asthma, ubungakanani bokungathinteli, ukungakanani ukuvinjelwa kwamanzi, kunye nohlobo lwe-anesthesia olusetyenziswayo. Ukuba i-asthma yakho ilawulwa kakuhle kunokuba unakho ukuhlinzwa ngaphandle kwengxaki.
Nangona kunjalo, ukuba une-asthma okanye i-asthma elawulwa kakubi (i- persistent persistent or persistent ), uya kufuna ukufumana udokotela wakho we- asthma ngaphambi kokuhlinzwa. Ekuqaleni kungcono, kodwa ubuncinane ngeveki kwangaphambili xa unyango lwakho ludinga ukulungiswa. Ngelishwa, ukulawula i-asthma akusoloko iqikelele umngcipheko weengxaki ngexesha lotyando njengoko inani lezigulane ezinokubonakala lifanelekileyo ukulawula lunokuba neengxaki ngenyameko.
Nangona kunjalo, ubuncinane abanye ababhali baye bazibuza ukuba i-asthma isengumngcipheko we-anesthesia jikelele? Ingcamango yabo inokugxilwa kokutshintshwa kwonyango ukukhusela izifundo ezininzi zangaphambili ezibhekiselele engozini kunye neengxaki azikhoyo namhlanje. Ngelixa ezininzi izigulane ziza kunikwa i-anesthesia jikelele ngaphandle kwengxaki, kusekufanele ukuxoxisana nodokotela wakho ngaphambi kokuhlinzwa kwaye ucinge umxholo okhankanywe apha.
Isisitshixo siqala ukucwangcisa nokuchonga ingozi.
Ziziphi iingozi
I-bronchospasm , ngokumangalisa kum, iyenzeka ngaphantsi kwe-2% yamatyala apho kufuneka i-anesthesia jikelele. Kungenzeka ukuba kwenzeke ngexesha lokutyalwa, ixesha apho i-anesthesiologist (ugqirha olawula i-anesthesia) uqala i-anesthesia yakho.
Nangona kunjalo, iingxaki ezinokubakho zingonakalisa kwaye zibangele ukulimala kwengqondo okanye ukufa.
Ukuvuthwa okukhulu kunokubangelwa kukungena (xa ityhubhu ingeniswa emiphakeni yakho ukuvumela ukuphefumula ngexesha lakho inkqubo). Oku kungakhokelela ekuzaleni i-oxygen ephantsi
Eminye ingozi iquka umbane kunye ne- atelectasis . Nangona uphantsi kwe-anesthesia kunye nemiphumo esuka kumachiza unomkhuhlane ongakhubazeki onokubangela ukusukela kunye nokusuleleka.
I-asthma ayicingi ukuba yongeze umngcipheko wakho weengxaki ze-pulmatic post. Nangona kunjalo, ezinye iinkqubo ezilawulwa kakubi nge-asthma ezinxulumene nokukhwehlela okukhulu kunokukhokelela ekunyuseni ingozi emva kokusebenza kwezinye iinkqubo ezifana nomngcipheko okhulayo wokuvulwa kwesilonda sokuhlinzwa.
Ukuba unobungozi kwi-latex kufuneka uqinisekise ukuba ugqirha wakho kunye nabasebenzi bonke bayazi le nto. Uyakufuna ukubuza nokuphonononga ngethimba lakho lokusebenza ngendlela eya kuphephelela ukukutshatyalalisa kwi-latex.
U ku tyelela
Ufanele ubone ugqirha wakho we-asthma ukuvavanya ngokufanelekileyo phambi kokuhlinzwa. Ugqirha wakho uya kulungisa umlando, ukuhlolwa ngokomzimba, kwaye uhlaziye ukusebenzisa kwakho imichiza yakutshanje. Ukuba i-asthma yakho ayilawulwa ngokufanelekileyo ingadinga ukuba nayiphi na imisebenzi yokukhetha, engeyiyo eyenziwa ngokukhawuleza ihlehliswe.
Ukuba ugqirha wakho akaqinisekanga ngolawulo lwakho lwe-asthma bangafuna ukwenza uvavanyo. Nangona ukuphakama kwezinga eliphezulu lokuphefumula elingaphezu kwe-80% eliqikelelwe lilungile, elinye ixesha ukuhlolwa kokupasa kweepower Ukuba ugqirha uyava ukuba ukuvavanywa kufuneka kwenziwe, i-spirometry iya kulandelwa. I-FEV1 isetyenziswa ngokuqhelekileyo ukujonga i-asthma kwindawo yokubeka iofisi kwaye abanye oogqirha baya kucela uvavanyo lweenkqubo ezinobungozi obuphezulu besisu esiswini, isifo se-thoracic okanye isifo se-cardia. I-FEV1 engaphezulu kwama-80% echazwe ngokubanzi ibonisa ukulawulwa kakuhle kwe-asthma.
Ngamanye amaxesha ugqirha wakho ufuna ukuyila iimvavanyo ezithile zebhabhane ngenxa yesifo sakho se-asthma.
Amanqanaba aphakamileyo eminye imiphunga ye-asthma ingakhokelela ekutshintsheni kwe-glucose, i-potassium, okanye i-magnesium ekufuneka ihlolwe. Nangona i-x-rays iyalandelwa ngokuqhelekileyo, ayiluncedo xa ungenayo impawu yokukhwehlela okanye isifo.
Ungaphinda ufune ukuthetha kunye ne-anesthesiologist yakho (ugqirha obeka kuwe ukulala ngexesha le nkqubo) malunga nokukhethwa kwinqanaba le-aneshesia. Ngokubanzi u-anesthesia ubeka ngokupheleleyo ukulala ngexesha i-anesthesia yesithili engenzi. Inzuzo eyintloko kukuba i-anesthhesia yengingqi igweba ingozi ebangela ukuba iingxaki zomoya ziqhutywe xa i-airway yakho isetyenziswa.
Ukuba i-asthma yakho ayilawulwa kakuhle, lindela unyango olunzulu phambi kokuhlinzwa kwakho. Oku kungabandakanya i-short short do steroid yomlomo kunye nezinye izibonelelo. Le yenye yezona zizathu ukuba kukulungele ukubona ugqirha wakho we-asthma ngokukhawuleza ngaphambi kokuhlinzwa. Injongo yukuthi u-FEV1 okanye uqukumbelo lweprayim beba ngamazinga abo aqikelelweyo okanye umntu obalaseleyo phambi kokuhlinzwa.
Imimiselo ethile yembali yakho yonyango ikwandisa umngcipheko we-bronchospasm ngexesha lotyando kwaye kufuneka ikhankanywe ngokubandakanya:
- Atopy
- Eczema
- I-rhinitis ye-allergen
- Imbali yentsapho ye-asthma okanye i-atopy
Ukusetyenziswa kweSteroid yakutsha
Ukukhathazeka ngokukodwa (ngoko kubaluleke kakhulu ukuvumela i-anesthesiologist ukuba ziyazi) zizigulane ezise-oral steroids ezingapheliyo kunye nalabo bafuna i-steroids yomlomo kwiinyanga ezi-6 zokugqibela. Ngamanye amaxesha izi gulane ziya kufumana i-IV steroids ngexesha locwangco.
Ngaba Ndifanele Ndiyeke Ukubhema?
Nangona i-impendulo yaloo nto ihlala njalo ewe, ezinye izigulane (enoba unesifo se-asthma okanye hayi) oyeka ukutshaya nje ngaphambi kokuba utyando lwenzeke engozini eyongeziweyo yeengxaki ezithile emva kokuhlinzwa. Ukuba uyeka ubuncinane ubuncinane iiveki ezi-2 phambi kokuhlinzwa, ngokuqhelekileyo akuyiyo ingxaki. Nangona ukutshaya kunye ne-asthma akuyona intlangano enhle, qiniseka ukuba uthetha nodokotela wakho ngaphambi kokuyeka phambi kokuhlinzwa kwakho.
Imithombo
- I-Heart Heart, i-Lung, ne-Blood Institute. Ingxelo yePhaneli yeNgcali 3 (EPR3): Izikhokelo zoLwazi kunye noLawulo lwe-Asthma
- Li J, McPherson R. Ngaba i-asthma isengumngcipheko we-anesthesia jikelele? Umbhalo we-Anesthesiology 2014; 2 (1): 8-12