Kuyini Ukuhlalwa Kwezazela?

-Delile

• Ngabe i-sedation eyazi kahle ihlangana kanjani ne-anesthesia ejwayelekile?
• Yiziphi izinqubo zokuthambisa umzimba?
• Iziphi izidakamizwa ezisetshenziswayo?
• Ngabe kuzwakala kanjani ukuthambeka kokuqonda?
• Ingabe ikhona imiphumela engemihle?
• Kunjani ukululama?
• Kubiza malini ukuthokomala?
• Ukuthatha

Ukubuka konke

Ukudonswa kolwazi kusiza ekunciphiseni ukukhathazeka, ukungakhululeki, nobuhlungu ngesikhathi senqubo ethile. Lokhu kufezwa ngemithi futhi (kwesinye isikhathi) i-anesthesia yendawo yokwenza ukuphumula.

I-Conscious sedation ivame ukusetshenziswa ekwelashweni kwamazinyo kubantu abazizwa bekhathazekile noma betatazela phakathi kwezinqubo eziyinkimbinkimbi njengokugcwaliswa, imisele yezimpande, noma ukuhlanzwa okujwayelekile. Ibuye isetshenziswe kaningi ngesikhathi sama-endoscopy nezinqubo ezincane zokuhlinzwa ukuphumuza iziguli nokunciphisa ukungakhululeki.

I-Consation sedation manje sekuvame ukubhekiswa kuyo ngabasebenzi bezokwelapha njenge-inqubo sedation ne-analgesia. Esikhathini esedlule, kuye kwabizwa:

• ukulala amazinyo
• ukulala kusihlwa
• igesi ejabulisayo
• igesi ehlekayo
• umoya ojabulisayo

Ukudonswa kolwazi kuyaziwa ukuthi kuyasebenza, kepha ochwepheshe bezokwelapha basaphikisana ngokuphepha nokusebenza kwaso ngenxa yemiphumela yakho ekuphefumuleni nasekushayeni kwenhliziyo yakho.

Funda ukuze ufunde ukuthi isebenza kanjani impela, ukuthi izwakala kanjani nokuthi ingasetshenziswa kanjani.

Ngabe i-sedation eyazi kahle ihlangana kanjani ne-anesthesia ejwayelekile?

I-Conscious sedation ne-anesthesia ejwayelekile yehlukile ngezindlela eziningi ezibalulekile:

Kukhona futhi izigaba ezintathu ezihlukene ze-sedation eyazi:

• Okuncane (i-anxiolysis). Ukhululekile kodwa uyazi ngokugcwele futhi uyaphendula
• Maphakathi. Uyalala futhi ungahle ulahlekelwe ukwazi, kodwa usaphendula ngandlela thile
• Kujulile. Uzolala futhi ikakhulukazi ungaphenduli.

Yiziphi izinqubo zokuthambisa umzimba?

Izinyathelo zokudonswa kokuqonda zingahluka ngokuya ngenqubo oyenzile.

Nakhu ongakulindela ngokujwayelekile ngenqubo ejwayelekile usebenzisa i-sedation eyazi:

1. Uzohlala esihlalweni noma ulale etafuleni. Ungashintsha ube ingubo yasesibhedlela uma uthola i-colonoscopy noma i-endoscopy. Nge-endoscopy, uvame ukulala ngohlangothi lwakho.
2. Uzothola i-sedative ngokusebenzisa okukodwa kokulandelayo: ithebhulethi yomlomo, umugqa we-IV, noma imaski yobuso ekuvumela ukuthi udonse umuthi.
3. Uzolinda kuze kuqale ukusebenza kokuthambisa. Ungalinda kuze kufike ehoreni ngaphambi kokuba uqale ukuzwa imiphumela. Ama-sedatives we-IV ngokuvamile aqala ukusebenza emizuzwini embalwa noma ngaphansi, kanti izidambisi zomlomo zisebenza ngemizuzu engaba ngu-30 kuye kwengu-60.
4. Udokotela wakho uhlola ukuphefumula kwakho nomfutho wegazi. Uma ukuphefumula kwakho kuba kuncane kakhulu, kungadingeka ukuthi ugqoke imaski ye-oxygen ukuze ugcine ukuphefumula kwakho kungaguquguquki nomfutho wegazi lakho usezingeni elijwayelekile.
5. Udokotela wakho uqala inqubo lapho ukuthomalalisa kuqala ukusebenza. Ngokuya ngenqubo, uzoba ngaphansi kokuthokomala okwemizuzu eyi-15 kuye kwengu-30, noma kuze kufike emahoreni amaningana ngezinqubo eziyinkimbinkimbi.

Ungadinga ukucela i-sedation eyaziwayo ukuze uyithole, ikakhulukazi ngesikhathi senqubo yamazinyo njengokugcwaliswa, imisele yezimpande, noma ukushintshwa komqhele. Lokho kungenxa yokuthi ngokwejwayelekile, kusetshenziswa kuphela ama-numbing agents asendaweni kulezi zimo.

Ezinye izinqubo, ezinjenge-colonoscopies, zingafaka ukuthambeka kokuqonda ngaphandle kwesicelo, kepha ungacela amazinga ahlukene wokuthambisa. I-sedation nayo inganikezwa njengenye indlela ye-anesthesia ejwayelekile uma ubungozi bezinkinga ezivela ku-anesthesia bukhulu kakhulu.

Iziphi izidakamizwa ezisetshenziswayo?

Izidakamizwa ezisetshenziselwa ukuthambisa umzimba ziyahlukahluka ngokususelwa kunqubo yokulethwa:

• Ngomlomo. Uzogwinya ithebhulethi equkethe umuthi ofana ne-diazepam (Valium) noma i-triazolam (Halcion).
• Imisipha. Uzothola isibhamu se-benzodiazepine, njenge-midazolam (Versed), esicutshini, ngokunokwenzeka engalweni yakho ephezulu noma kwi-butt yakho.
• Kufakwa ngomjovo. Uzothola umugqa emthanjeni wengalo oqukethe i-benzodiazepine, njenge-midazolam (i-Versed) noma i-Propofol (i-Diprivan).
• Ukuhogela. Uzogqoka imaski yobuso ukuze uphefumule nge-nitrous oxide.

Ngabe kuzwakala kanjani ukuthambeka kokuqonda?

Imiphumela yeDedation yehluka kumuntu nomuntu. Imizwa ejwayelekile ukozela nokuphumula. Lapho ukuthambisa sekuqala ukusebenza, imizwa engemihle, ukucindezeleka, noma ukukhathazeka nakho kunganyamalala kancane kancane.

Ungazizwa unemizwa yokushoshozela emzimbeni wakho wonke, ikakhulukazi ezingalweni, emilenzeni, ezandleni nasezinyaweni. Lokhu kungahle kuhambisane nobunzima noma ukuvilapha okwenza kube nzima ukuphakamisa noma ukuhambisa izitho zakho.

Ungathola ukuthi umhlaba okuzungezile unciphisa ijubane. Ukuzindla kwakho kubambezelekile, futhi ungaphendula noma usabele kancane ekugqugquzelweni okungokomzimba noma engxoxweni. Ungaqala nokumamatheka noma ukuhleka ngaphandle kwesizathu esisobala. Babiza i-nitrous oxide gas igesi ngesizathu!

Ingabe ikhona imiphumela engemihle?

Eminye imiphumela emibi ejwayelekile ye-sedation eyaziwayo ingahlala amahora ambalwa ngemuva kwenqubo, kufaka phakathi:

• ukozela
• imizwa yokusinda noma ubuvila
• ukulahlekelwa yinkumbulo yalokho okwenzekile ngenkathi kwenziwa inqubo (amnesia)
• ikhaliphe kancane
• umfutho wegazi ophansi
• ikhanda
• ngizizwa ngigula

Kunjani ukululama?

Ukubuyiselwa esimweni sokudonswa komzimba kuyashesha.

Nakhu ongakulindela:

• Ungahle udinge ukuhlala enkambisweni noma egumbini lokusebenzela kuze kufike ehoreni, mhlawumbe ngaphezulu. Udokotela wakho noma udokotela wamazinyo ngokuvamile uzoqapha ukushaya kwenhliziyo yakho, ukuphefumula, nomfutho wegazi kuze kubuyele kokujwayelekile.
• Letha ilungu lomndeni noma umngani okwazi ukushayela noma ukuyisa ekhaya. Imvamisa ungashayela uma ezinye izinhlobo ze-sedation, njenge-nitrous oxide, ziphela. Kodwa-ke, lokhu akuhlali kunjalo ngamanye amafomu.
• Eminye imiphumela emibi ingahlala usuku lonke. Lokhu kufaka phakathi ukozela, ukuphathwa yikhanda, isicanucanu nokuvilapha.
• Thatha usuku lwakho emsebenzini futhi uvikele umsebenzi oqinile womzimba kuze kuphele imiphumela emibi. Lokhu kuyiqiniso ikakhulukazi uma uhlela ukwenza noma imiphi imisebenzi yezandla edinga ukucaciswa noma ukusebenzisa imishini esindayo.

Kubiza malini ukuthokomala?

Izindleko zokudonswa kwemizwelo ziyahlukahluka kuye nge:

• uhlobo lwenqubo osuyenzile
• uhlobo lwe-sedation olukhethiwe
• yiziphi izidakamizwa zokuthambisa ezisetshenziswayo
• umuthise isikhathi esingakanani

I-Consation sedation ingambozwa ngumshuwalense wakho wezempilo uma uthathwa njengengxenye yenqubo ejwayelekile. Ama-endoscopies nama-colonoscopies ngokuvamile afaka phakathi ukuthambisa ezindlekweni zawo.

Abanye odokotela bamazinyo bangabandakanya ukudonswa kwezindleko zabo ngezinqubo eziyinkimbinkimbi, ezifana nomsebenzi wamazinyo wezimonyo. Kepha izinhlelo eziningi zamazinyo azikubandakanyi ukuthanjiswa okuqwashisayo uma kungadingeki ngemithetho yezokwelapha.

Uma ukhetha ukuthanjiswa ngesikhathi senqubo engajwayelekile ukuyifaka, izindleko zingahlanganiswa kuphela noma zingambozwa nhlobo.

Nakhu ukwehlukaniswa kwezinye izindleko ezijwayelekile:

• ukuhogela (initrous oxide): $ 25 kuya ku- $ 100, imvamisa iphakathi kuka- $ 70 no- $ 75
• ukukhanyisa ngomlomo okulula: $ 150 kuya ku- $ 500, mhlawumbe ngaphezulu, ngokuya ngemithi esetshenzisiwe, ukuthi kudinga ukuthambisa okungakanani, nalapho kutholakala khona umhlinzeki wakho wezokunakekelwa kwempilo
• Ukuthanjiswa kwe-IV: $ 250 kuya ku- $ 900, kwesinye isikhathi ngaphezulu

Ukuthatha

Ukudonswa kolwazi kuyindlela enhle uma uzizwa ukhathazekile ngenqubo yezokwelapha noma yamazinyo.

Ngokuvamile akubizi kakhulu futhi kunemiphumela engemihle noma izinkinga ezimbalwa, ikakhulukazi uma kuqhathaniswa ne-anesthesia ejwayelekile. Kungakukhuthaza ngisho nokuya kuma-aphoyintimenti abalulekile ongeke ukuhlehlise ngoba unovalo ngenqubo uqobo, engathuthukisa impilo yakho yonke empilweni yakho yonke.