Ukunakekelwa kwe-Anesthhesia Care (MAC), eyaziwa ngokuba yi-consciousation okanye i-twilight sleep, luhlobo lwesilation olulawulwa nge-IV ukwenza isigulane silale kwaye sizinzile ngexesha leenkqubo. Isigulane sivusiwe, kodwa siyakwazi ukulandela imiyalelo njengoko kuyimfuneko.
Olu hlobo lwesilation lisetyenziselwa iinkqubo zonyango, njenge-colonoscopy, apho isigulane kulindeleke ukuba siye ekhaya emva kokuba i-anesthesia igqitywe ngokupheleleyo.
Indlela yokuLawula iindleko zokulala
Inqanaba lokudityaniswa olunikezwa lolu hlobo lwe-anesthesia lunokuqala ukusuka ekukhanyeni, apho isigulane nje siziva sikhululekile kakhulu, sinobuhlungu obukhulu kunokuba isigulane singazi into eyenzekayo kwaye sivusa kuphela ukuvuselela okukhulu.
Isigulana sinokuziva sisinyanisekile kwaye ukulala kancinci, okanye ngaphantsi kwezilingo ezinzima kunokuba zilele. Ngokuqhelekileyo, kunye ne-sedation sedge, isigulane sikwazi ukuthetha, ukuva izinto ezizungezile, uphendule imibuzo kwaye ulandele imiyalelo. Bayazi ngenkqubo, kodwa kungekhona kwintlungu kwaye abavumi ukukhathazeka malunga noko kwenzekayo. Ngomdumo obunzima, isigulane siphefumula kodwa singayazi indawo yaso kwaye ngokuqhelekileyo 'ayivuki.'
Ngelixa isigulane sinokuthi sihlale sihleli, lolu hlobo lwe-anesthesia luhluke kwi-anesthhesia jikelele kuba isiguli asikho imvelo, kwaye ayifuni uncedo ngokuphefumla.
Iimpawu ezibalulekileyo zihlolwe ngokukhawuleza ukuqinisekisa ukuba zizinzile kulo lonke inkqubo.
Elinye imithi esetyenziswa ngokubanzi kulolu hlobo lwe-sedation yi-Propofol, eyaziwa nangokuthi yi-Diprivan, enikwa nge-IV kwaye ibonakala ibonakala ngokufana nobisi. La mayeza anikezwa nge-IV kwaye ehamba ngokukhawuleza (ngaphantsi kwemizuzu elineshumi kubantu abaninzi) ngoko isigulane sinako ukuvuka emva nje kokuba inkqubo izaliswe.
Ngokuxhomekeke kumachiza asetyenziswayo kunye namayeza anikeziweyo, isigulane sinakho okanye asiyi kukukhumbula inkqubo.
Ukubeka iliso
Ngenxa yokuba inqanaba lokuguquka lihluka, inkqubo iyahlolwa, kunye ne-anesthesia yobungcali obukhoyo ngezikhathi zonke ukuze ihlolwe rhoqo imiqondiso ebalulekileyo yesigulane kwaye ilondoloze okanye ilungelelanise izinga lokudityaniswa njengoko kufuneka. Oku kudla ngokubhekisela kwipompo yexinzelelo yegazi kunye nokubeka iliso kwinqanaba le-oxygen, ubuncinci. Ngokuqhelekileyo, i-electrodes ifakwe kwisifuba ukujonga isigxina senhliziyo yesigulane kunye ne-EKG yonke inkqubo.
Xa Isetyenziswa
Olu hlobo lwesilato lusetyenziswa rhoqo ngeenkqubo ezincinci zokuhlinzwa kunye namazinyo kwaye zingabandakanywa ne -aneshesia yendawo okanye yengingqi ukunciphisa intlungu. Iinkqubo ezijonge ngaphakathi emzimbeni, ezifana ne-bronchoscopy (i-airways nemiphunga), i-colonoscopy (i-colon), kunye ne-esophagogastroduodenoscopy okanye i-EGD / i-Upper GI (umqala, isisu, isisu kunye nenxalenye yokuqala yesisu esincinci), rhoqo usebenzisa olu hlobo ye-anesthesia.
Imiphumela
Isigulane esineenkqonkqo zisoloko siba nemiphumo embalwa yecala kunezo ezine-anesthesia ezipheleleyo. Isiphumo esisemacaleni esisisigxina sisisongulu, kodwa ezinye izigulane zifumana amavasea kunye nokuhlanza.
Ukuba uye wafumana isicupunu okanye ukuhlanza emva kwe-aneshesia esikhathini esidlulileyo, qiniseka ukuxelela umnikezeli wakho we-anesthesia ukwenzela ukuba unyango lunokunceda ukukhusela ukuba lwenzeke kwakhona.