I-anesthesia yomgogodla ne-epidural

I-anesthesia yomgogodla neye-epidural yizinqubo eziletha imithi enezitho zomzimba eziyindikimba ukuvimba ubuhlungu. Banikezwa ngokudutshulwa ngaphakathi noma nxazonke zomgogodla.

Udokotela okunikeza i-epidural noma i-spinal anesthesia ubizwa nge-anesthesiologist.

Okokuqala, indawo yangemuva lapho kufakwa khona inaliti ihlanzwa ngesisombululo esikhethekile. Indawo nayo ingafakwa izinzwa nge-anesthetic yendawo.

Kungenzeka uthole uketshezi ngomugqa we-intravenous (IV) emthanjeni. Ungathola umuthi nge-IV ukukusiza uphumule.

Okwe-epidural:

• Udokotela ufaka umuthi ngaphandle kwesikhwama soketshezi oluzungeze umgogodla wakho. Lokhu kubizwa ngokuthi isikhala se-epidural.
• Umuthi uba ndikindiki, noma uvimbe umuzwa engxenyeni ethile yomzimba wakho ukuze uzwe ubuhlungu obungephi noma ungabuzwa ubuhlungu nhlobo kuye ngenqubo. Umuthi uqala ukusebenza cishe imizuzu eyi-10 kuye kwengu-20. Isebenza kahle ngezinqubo ezinde. Abesifazane bavame ukuba ne-epidural ngesikhathi sokubeletha.
• Ishubhu elincane (ipayipi) livame ukushiywa endaweni. Ungathola umuthi omningi nge-catheter ukusiza ukulawula ubuhlungu bakho ngesikhathi senqubo yakho noma ngemuva kwayo.

Okomgogodla:

• Udokotela ufaka umuthi kuluketshezi oluzungeze umgogodla wakho. Lokhu kuvame ukwenziwa kanye kuphela, ngakho-ke awudingi ukubekwa ngepayipi.
• Umuthi uqala ukusebenza ngokushesha.

Ukushaya kwenhliziyo yakho, umfutho wegazi kanye ne-oxygen egazini lakho kuyahlolwa ngesikhathi senqubo. Ngemuva kwenqubo, uzoba nebhandeshi lapho kufakwe khona inaliti.

I-spinal and epidural anesthesia isebenza kahle ngezinqubo ezithile futhi ayidingi ukubeka ipayipi lokuphefumula ku-windpipe (trachea). Abantu bavame ukuthola izinzwa zabo ngokushesha okukhulu. Kwesinye isikhathi, kufanele balinde ukuthi i-anesthetic iphele ukuze bakwazi ukuhamba noma ukuchama.

I-Spinal anesthesia ivame ukusetshenziselwa izitho zangasese, i-urinary tract, noma izinqubo zomzimba eziphansi.

I-Epidural anesthesia ivame ukusetshenziswa ngesikhathi sokubeletha nokubeletha, nokuhlinzwa okhalweni nasemilenzeni.

I-Epidural and spinal anesthesia ivame ukusetshenziswa lapho:

• Inqubo noma ukubeletha kubuhlungu kakhulu ngaphandle komuthi wezinhlungu.
• Inqubo isesiswini, emilenzeni, noma ezinyaweni.
• Umzimba wakho ungahlala usesimweni esihle ngesikhathi senqubo yakho.
• Ufuna imishanguzo embalwa yohlelo kanye ne "hangover" encane kunaleyo obuyoyithola kusuka ku-anesthesia ejwayelekile.

I-anesthesia yomgogodla neye-epidural ngokuvamile iphephile. Buza udokotela wakho ngalezi zinkinga ezingenzeka:

• Ukusabela okweqile ku-anesthesia esetshenzisiwe
• Ukopha kuzungeze ikholomu yomgogodla (hematoma)
• Kunzima ukuchama
• Yehlisa umfutho wegazi
• Ukutheleleka emgogodleni wakho (meningitis noma ithumba)
• Ukulimala kwemizwa
• Ukuquleka (lokhu akuvamile)
• Ikhanda elibuhlungu

Tshela umhlinzeki wakho wezempilo:

• Uma ukhulelwe noma ungakhulelwa
• Imiphi imishanguzo oyiphuzayo, kufaka phakathi imithi, izithasiselo, noma amakhambi owathengile ngaphandle kwemithi kadokotela

Phakathi nezinsuku ngaphambi kwenqubo:

• Tshela udokotela wakho nganoma yikuphi ukungezwani komzimba noma izimo zempilo onazo, imiphi imithi oyiphuzayo, nokuthi iyiphi i-anesthesia noma i-sedation oye waba nayo ngaphambili.
• Uma inqubo yakho ihleliwe, ungacelwa ukuthi uyeke ukuthatha i-aspirin, ibuprofen (Advil, Motrin), warfarin (Coumadin), nanoma ibaphi abanye abantu abacutha igazi.
• Buza udokotela wakho ukuthi imiphi imithi okufanele uyithathe ngosuku lwenqubo yakho.
• Hlela ukuthi umuntu omdala oziphethe kahle akuhambise ngemoto esibhedlela noma emtholampilo.
• Uma ubhema, zama ukuyeka. Cela umhlinzeki wakho akusize uyeke.

Ngosuku lwenqubo:

• Landela imiyalo yokuthi ungakuyeka nini ukudla nokuphuza.
• Ungaphuzi utshwala izolo ebusuku nangosuku lwenqubo yakho.
• Thatha imithi udokotela wakho akutshele ukuthi uyiphuze ngesiphuzo esincane samanzi.
• Landela imiyalo yokuthi uzofika nini esibhedlela. Qiniseka ukuthi ufika ngesikhathi.

Ngemuva kwanoma yiluphi uhlobo lwe-anesthesia:

• Ulala embhedeni uze ube nemizwa emilenzeni yakho futhi ukwazi ukuhamba.
• Ungazizwa ugula esiswini sakho futhi ube nesiyezi. Le miphumela emibi ivame ukuphela ngokushesha.
• Kungenzeka ukhathele.

Umhlengikazi angakucela ukuthi uzame ukuchama. Lokhu ukwenza isiqiniseko sokuthi imisipha yakho yesinye iyasebenza. I-Anesthesia idambisa imisipha yesinye, ikwenze kube nzima ukuchama. Lokhu kungaholela ekuthelelekeni kwesinye.

Iningi labantu alizizwa libuhlungu ngesikhathi se-spinal and epidural anesthesia futhi lilulama ngokuphelele.

Izinzwa intrathecal; Izinzwa ezingaphansi kwe-subarachnoid; Epidural

• I-Anesthesia - okufanele ubuze udokotela wakho - umuntu omdala
• I-Anesthesia - okufanele ubuze udokotela wakho - ingane
• Ukuhlinzwa komgogodla - ukukhishwa

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IMacfarlane AJR, Brull R, Chan VWS. I-anesthesia yomgogodla, i-epidural, ne-caudal. Ku: Pardo MC, Miller RD, ama-eds. Izisekelo ze-Anesthesia. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2018: isahluko 17.