Ukuhlolwa nokuvakashelwa ngaphambi kokuhlinzwa

Udokotela wakho ohlinzayo uzofuna ukuqinisekisa ukuthi usukulungele ukuhlinzwa kwakho. Ukuze wenze lokhu, uzoba nokuhlolwa nokuhlolwa okuthile ngaphambi kokuhlinzwa.

Abantu abaningi abahlukene eqenjini lakho lokuhlinza bangakubuza imibuzo efanayo ngaphambi kokuhlinzwa kwakho. Lokhu kungenxa yokuthi iqembu lakho lidinga ukuqoqa imininingwane eminingi ngangokunokwenzeka ukukunikeza imiphumela emihle kakhulu yokuhlinzwa. Zama ukubekezela uma ubuzwa imibuzo efanayo kaningi.

I-pre-op yisikhathi ngaphambi kokuhlinzwa kwakho. Kusho ukuthi "ngaphambi kokusebenza." Ngalesi sikhathi, uzohlangana nomunye wodokotela bakho. Lokhu kungaba udokotela ohlinzayo noma udokotela oyinhloko:

• Lokhu kuhlolwa ngokuvamile kudinga ukwenziwa kungakapheli inyanga ngaphambi kokuhlinzwa. Lokhu kunikeza odokotela bakho isikhathi sokuphatha noma yiziphi izinkinga zezokwelapha ongahle ube nazo ngaphambi kokuhlinzwa kwakho.
• Phakathi nalolu hambo, uzobuzwa ngempilo yakho eminyakeni edlule. Lokhu kubizwa ngokuthi "ukuthatha umlando wakho wezokwelapha." Udokotela wakho uzokwenza nokuhlolwa komzimba.
• Uma ubona udokotela wakho oyinhloko ekuhloleni ngaphambi kokuhlinzwa, qiniseka ukuthi isibhedlela sakho noma udokotela ohlinzayo uthola imibiko kulokhu kuvakashelwa.

Ezinye izibhedlela zikucela ukuthi uxoxe ngocingo noma uhlangane nomhlengikazi we-anesthesia ngaphambi kokuhlinzwa ukuze uxoxe ngempilo yakho.

Ungase futhi ubone i-anesthesiologist yakho ngesonto ngaphambi kokuhlinzwa. Lo dokotela uzokunika umuthi ozokwenza ulale ungabuzwa ubuhlungu ngesikhathi sokuhlinzwa.

Udokotela wakho ohlinzayo uzofuna ukuqinisekisa ukuthi ezinye izimo zezempilo ongahle ube nazo ngeke zibangele izinkinga ngesikhathi sokuhlinzwa kwakho. Ngakho-ke kungadingeka ukuthi uvakashele:

• Udokotela wenhliziyo (udokotela wenhliziyo), uma unomlando wezinkinga zenhliziyo noma uma ubhema kakhulu, unengcindezi ephezulu yegazi noma isifo sikashukela, noma usuphelile futhi akakwazi ukuhamba ngezitebhisi zokundiza.
• Udokotela wesifo sikashukela (i-endocrinologist), uma unesifo sikashukela noma uma ukuhlolwa kwakho kukashukela egazini ekuvakasheleni kwakho kwangaphambi kokuhlinzwa kwakukukhulu.
• Udokotela wokulala, uma une-apnea yokulala evimbelayo, edala ukuminyaniswa noma ukuma ekuphefumuleni lapho ulele.
• Udokotela olapha ukuphazamiseka kwegazi (i-hematologist), uma uke waba namahlule egazini esikhathini esedlule noma unezihlobo eziseduze ezike zaba namahlule egazi.
• Umhlinzeki wakho wokunakekelwa okuyisisekelo wokubuyekezwa kwezinkinga zakho zempilo, ukuhlolwa, nanoma yikuphi ukuhlolwa okudingekayo ngaphambi kokuhlinzwa.

Udokotela wakho ohlinzayo angakutshela ukuthi udinga ukuhlolwa ngaphambi kokuhlinzwa. Ezinye izivivinyo zenzelwe zonke iziguli ezihlinzwayo. Okunye kwenziwa kuphela uma usengozini yezimo ezithile zempilo.

Izivivinyo ezijwayelekile udokotela wakho ohlinzayo angakucela ukuthi ube nazo uma ungazange ube nazo muva nje yilezi:

• Ukuhlolwa kwegazi okufana nokubalwa kwegazi okuphelele (CBC) kanye nokuhlolwa kwezinso, isibindi, noshukela wegazi
• I-x-ray yesifuba ukuhlola amaphaphu akho
• ECG (electrocardiogram) ukuhlola inhliziyo yakho

Abanye odokotela noma odokotela abahlinzayo nabo bangakucela ukuthi wenze ezinye izivivinyo. Lokhu kuncike ku:

• Iminyaka yakho nempilo ejwayelekile
• Izingozi zezempilo noma izinkinga ongaba nazo
• Uhlobo lokuhlinzwa onalo

Lezi ezinye izivivinyo zingafaka:

• Izivivinyo ezibheka ulwelwesi lwamathumbu akho noma isisu, njenge-colonoscopy noma i-endoscopy ephezulu
• Ukuhlolwa kwengcindezi yenhliziyo noma okunye ukuhlolwa kwenhliziyo
• Ukuhlolwa kwemisebenzi yamaphaphu
• Ukufanekisa izivivinyo, njengokuhlolwa kwe-MRI, i-CT scan, noma ukuhlolwa kwe-ultrasound

Qiniseka ukuthi odokotela abenza izivivinyo zakho zangaphambi kwe-op bathumela imiphumela kudokotela wakho ohlinzayo. Lokhu kusiza ukugcina ukuhlinzwa kwakho kungabambezeleka.

Ngaphambi kokuhlinzwa - ukuhlolwa; Ngaphambi kokuhlinzwa - ukuvakashelwa udokotela

U-Levett DZ, u-Edwards M, u-Grocott M, u-Mythen M. Ukulungiselela isiguli ukuhlinzwa ukuze kuthuthukiswe imiphumela. Khipha ku-internet Pract Res Clin Anaesthesiol. 2016; 30 (2): 145-157. I-PMID: 27396803 pubmed.ncbi.nlm.nih.gov/28687213/.

I-Neumayer L, Ghalyaie N. Izimiso zokuhlinzwa ngaphambi kokuhlinzwa nokusebenza. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ISabiston Incwadi Yokuhlinzwa. Umhla ka-20. IPhiladelphia, PA: Elsevier; I-2017: isahluko 10.

ISandberg WS, iDmochowski R, Beauchamp RD. Ukuphepha endaweni yokuhlinzwa. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ISabiston Incwadi Yokuhlinzwa. Umhla ka-20. IPhiladelphia, PA: Elsevier; I-2017: isahluko 9.

• Ukuhlinzwa