Ukudonswa kwesazela ngezinqubo zokuhlinzwa

I-Conscious sedation iyinhlanganisela yemithi ukukusiza uphumule (i-sedative) nokuvimba izinhlungu (i-anesthetic) ngesikhathi senqubo yezokwelapha noma yamazinyo. Cishe uzohlala uphapheme, kepha kungenzeka ungakwazi ukukhuluma.

Ukudonswa kwengqondo okukuvumela ukuthi ululame ngokushesha futhi ubuyele emisebenzini yakho yansuku zonke ngemuva nje kwenqubo yakho.

Umhlengikazi, udokotela, noma udokotela wamazinyo, uzokunika isisu sokwazi esibhedlela noma emtholampilo wabangalaliswa esibhedlela. Isikhathi esiningi, ngeke kube ngudokotela obulala izinzwa. Umuthi uzophela ngokushesha, ngakho-ke usetshenziselwa izinqubo ezimfushane, ezingeyona inkimbinkimbi.

Ungawuthola umuthi ngentambo efakwa emthanjeni (IV, emthanjeni) noma ngokudutshulwa ube yisicubu. Uzoqala ukuzwa ukozela futhi ukhululeke ngokushesha okukhulu. Uma udokotela wakho ekunikeza umuthi ukuba uwugwinye, uzozwa imiphumela ngemuva kwemizuzu engaba ngu-30 kuye kwengu-60.

Ukuphefumula kwakho kuzokwehla futhi umfutho wegazi wehle kancane. Umhlinzeki wakho wezokunakekelwa kwempilo uzokuqapha ngesikhathi senqubo ukuqinisekisa ukuthi uyaphila. Lo mhlinzeki uzohlala nawe ngaso sonke isikhathi ngesikhathi senqubo.

Akufanele udinge usizo ngokuphefumula kwakho. Kepha ungathola oksijini owengeziwe ngesifihla-buso noma uketshezi lwe-IV nge-catheter (ithubhu) uye emthanjeni.

Ungahle ulale, kepha uzovuka kalula uphendule kubantu abasegumbini. Ungakwazi ukuphendula ezinkomba zomlomo. Ngemuva kokudonswa komzimba, ungazizwa ukozela futhi ungakhumbuli okuningi ngenqubo yakho.

I-Conscious sedation iphephile futhi iyasebenza kubantu abadinga ukuhlinzwa okuncane noma inqubo yokuthola isimo.

Ezinye zezivivinyo nezinqubo i-sedation eyaziwayo engasetshenziselwa zona yilezi:

• Ukuxilongwa kwesifuba
• Ukuhlinzwa kwamazinyo noma okwakha kabusha
• Ukulungiswa kwamathambo amancane
• Ukuhlinzwa ngezinyawo ezincane
• Ukuhlinzwa kwesikhumba okuncane
• Ukuhlinzwa kwepulasitiki noma okwakha kabusha
• Izinqubo zokuxilonga nokwelapha isisu esithile (i-endoscopy ephezulu), ikholoni (i-colonoscopy), amaphaphu (i-bronchoscopy), nezimo zesinye (i-cystoscopy)

Ukudonswa kolwazi ngokuvamile kuphephile. Kodwa-ke, uma unikezwa umuthi omningi kakhulu, izinkinga zokuphefumula kwakho zingavela. Umhlinzeki uzokubheka phakathi nenqubo yonke.

Abahlinzeki bahlala benemishini ekhethekile yokukusiza ekuphefumuleni kwakho, uma kudingeka. Ochwepheshe abathile bezempilo abaqeqeshiwe kuphela abanganikeza ukuxilongwa okuziwayo.

Tshela umhlinzeki:

• Uma ukhulelwe noma ungakhulelwa
• Imiphi imithi oyiphuzayo, ngisho nezidakamizwa, izithasiselo, noma amakhambi owathengile ngaphandle kwencwadi kadokotela

Phakathi nezinsuku ngaphambi kwenqubo yakho:

• Tshela umhlinzeki wakho mayelana nokungezwani komzimba noma izimo zempilo onazo, imiphi imithi oyiphuzayo, nokuthi iyiphi i-anesthesia noma i-sedation oke waba nayo ngaphambili.
• Ungahlolwa igazi noma umchamo nokuhlolwa komzimba.
• Hlela ukuthi umuntu omdala oziphethe kahle akuhambise ngemoto esibhedlela noma emtholampilo ukuze uthole inqubo.
• Uma ubhema, zama ukuyeka. Ukubhema kwandisa ubungozi bezinkinga ezinjengokuphulukiswa kancane. Cela umhlinzeki wakho akusize uyeke.

Ngosuku lwenqubo yakho:

• Landela imiyalo yokuthi ungakuyeka nini ukudla nokuphuza.
• UNGABUPHUZI utshwala izolo ebusuku nangosuku lwenqubo yakho.
• Thatha izidakamizwa udokotela wakho akutshele ukuthi uziphuze ngophuzo oluncane lwamanzi.
• Fika esibhedlela noma emtholampilo ngesikhathi.

Ngemuva kokudonswa komzimba, uzozizwa ulele futhi ungahle uphathwe yikhanda noma uzizwe ugula esiswini sakho. Ngesikhathi sokululama, umunwe wakho uzonqanyulelwa kudivayisi ekhethekile (pulse oximeter) ukuhlola amazinga e-oxygen egazini lakho. Umfutho wegazi lakho uzohlolwa ngesigaxa sezingalo njalo ngemizuzu engu-15.

Kufanele ukwazi ukuya ekhaya amahora angu-1 kuya kwangu-2 ngemuva kwenqubo yakho.

Lapho usekhaya:

• Yidla isidlo esinempilo ukuze ubuyise amandla akho.
• Kufanele ukwazi ukubuyela emisebenzini yakho yansuku zonke ngosuku olulandelayo.
• Gwema ukushayela, ukusebenzisa imishini, ukuphuza utshwala, nokwenza izinqumo zomthetho okungenani amahora angama-24.
• Buza nodokotela wakho ngaphambi kokuthatha noma yimiphi imithi noma izithako zemithi.
• Uma ngabe uhlinziwe, landela imiyalo kadokotela wakho yokululama nokunakekelwa kwesilonda.

Ukudonswa kolwazi ngokuvamile kuphephile, futhi kuyindlela yezinqubo noma izivivinyo zokuxilonga.

I-Anesthesia - i-sedation eyazi

• I-Anesthesia - okufanele ubuze udokotela wakho - umuntu omdala
• I-Anesthesia - okufanele ubuze udokotela wakho - ingane

UHernandez A, uSherwood ER. Izimiso ze-Anesthesiology, ukuphathwa kobuhlungu, kanye nokuthanjiswa kwengqondo. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ISabiston Incwadi Yokuhlinzwa: Isisekelo Sebhayoloji Sokuzijwayeza Kwamanje Kokuhlinzwa. Umhla ka-20. IPhiladelphia, PA: Elsevier; I-2017: isahluko 14.

UVuyk J, uSitsen E, uReekers M. I-anesthetics efakwa ngaphakathi. Ku: Miller RD, ed. I-Anesthesia kaMiller. Umhlaka 8. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 30.