I-General Anesthesia Ngesikhathi Sokulethwa

-Delile

• Yini injongo yokuba ne-anesthesia ejwayelekile ngesikhathi sokubeletha?
• Ziyini izingozi ze-anesthesia ejwayelekile ngesikhathi sokubeletha?
• Yini inqubo yokuba ne-anesthesia ejwayelekile?
• Ziyini izinzuzo ze-anesthesia ngesikhathi sokubeletha?
• Uyini umbono?

I-anesthesia ejwayelekile

I-anesthesia ejwayelekile ikhiqiza ukulahleka okuphelele kwemizwa nokwazi.I-anesthesia ejwayelekile ihilela ukusebenzisa imithambo yegazi (IV) kanye nezidakamizwa ezihogelwayo, ezibizwa nangokuthi izinzwa. Ngesikhathi se-anesthesia ejwayelekile, awukwazi ukuzwa ubuhlungu futhi umzimba wakho awuphenduli emiqondweni. Udokotela obizwa nge-anesthesiologist uzoqapha izimpawu zakho ezibalulekile lapho ungaphansi kwe-anesthetic futhi akubuyise nakho.

I-anesthesia ejwayelekile ihlose ukuletha izifunda ezinhlanu ezihlukile ngesikhathi sokuhlinzwa:

• i-analgesia, noma ukukhululeka kobuhlungu
• i-amnesia, noma ukulahleka kwenkumbulo yenqubo
• ukulahlekelwa ukwazi
• ukunganyakazi
• ukuncipha kwezimpendulo ezizimele

Ukubeletha kudinga ukubamba iqhaza kwakho, ngakho-ke akuvamile ukuthola i-anesthesia ejwayelekile ngesikhathi sokubeletha ngoba kukwenza ungazi lutho.

Yini injongo yokuba ne-anesthesia ejwayelekile ngesikhathi sokubeletha?

I-anesthetic ekahle enikezwa ngesikhathi sokubeletha inikeza ukukhululeka kobuhlungu ukuze usengakwazi ukubamba iqhaza elibonakalayo ekuzalweni nasekuqhubekeni lapho udinga ukwenza kanjalo. Akumisi nokuncipha noma ukubambezela imisebenzi yokuphila kwengane yakho. Kodwa-ke, isimo esiphuthumayo sidinga ukubulala izinzwa okuvamile kwesinye isikhathi.

Odokotela kuyaqabukela basebenzise i-anesthesia ejwayelekile lapho bediliva isitho sangasese sowesifazane. Basebenzisa i-anesthesia ejwayelekile ezimweni eziphuthumayo futhi kwesinye isikhathi ukulethwa ngokuhlinzwa. Ezinye izizathu zokuba ube ne-anesthesia ejwayelekile ngesikhathi sokubeletha zifaka okulandelayo:

• I-anesthetic yesifunda ayisebenzi.
• Kukhona ukuzalwa komoya ongalindelekile.
• Ihlombe lengane yakho libanjwa emgodini wokuzalwa, obizwa nge-shoulder dystocia.
• Udokotela wakho udinga ukukhipha iwele lesibili.
• Udokotela wakho unenkinga yokuletha ingane yakho usebenzisa i-forceps.
• Kunesimo esiphuthumayo lapho izinzuzo ze-anesthesia ejwayelekile zidlula izingozi zayo.

Uma une-anesthesia ejwayelekile, kubalulekile ukunciphisa ukuvezwa kwengane yakho kwi-anesthetic ngangokunokwenzeka.

Ziyini izingozi ze-anesthesia ejwayelekile ngesikhathi sokubeletha?

I-anesthesia ejwayelekile ibangela ukulahleka kokwazi futhi ivuselele imisipha esemgudwini womoya wakho nasemgudwini wokugaya ukudla. Imvamisa, i-anesthesiologist yakho izofaka i-endotracheal tube phansi kwe-windpipe yakho ukuqinisekisa ukuthi uthola i-oxygen eningi nokuvikela amaphaphu akho kuma-acid esiswini nakwezinye iziphuzo.

Kubalulekile ukuzila lapho uqala ukuba nezinciphiso uma kwenzeka udinga ukuya ngaphansi kwe-anesthesia ejwayelekile. Imisipha elawula ukugaya kwakho iyakhululeka phakathi ne-anesthesia ejwayelekile. Lokhu kwandisa ubungozi bokuthi ungaphefumula uketshezi lwesisu noma olunye uketshezi emaphashini akho, okuthiwa yi-aspiration. Lokhu kungadala inyumoniya noma omunye umonakalo emzimbeni wakho.

Ezinye izingozi ezihambisana ne-anesthesia ejwayelekile zifaka:

• ukungakwazi ukubeka ishubhu endotracheal phansi komoya
• ubuthi ngemithi yokubulala izinzwa
• ukucindezeleka kokuphefumula enganeni esanda kuzalwa

Isazi sakho sokubulala izinzwa singenza okulandelayo ukwehlisa izingozi zakho:

• nikeza umoya-mpilo ngaphambi kokubulawa izinzwa
• nikeza i-antacid ukwehlisa i-asidi yokuqukethwe kwesisu sakho
• nikeza imishanguzo esebenza ngokushesha ukuze uphumule imisipha yakho ukuze ibekwe ngokushesha futhi kalula ithubhu yokuphefumula
• faka ingcindezi emphinjeni wakho ukuvimba umphimbo futhi wehlise ubungozi be-aspiration kuze kube yilapho i-endotracheal tube isendaweni

Ukuqwashisa nge-Anesthesia kwenzeka lapho uvuka noma uhlala uphapheme kancane ngenkathi ungaphansi kwe-anesthesia ejwayelekile. Lokhu kungenzeka ngoba uthola ukuphumula kwemisipha kuqala, okungenza ukuthi ungakwazi ukunyakaza noma utshele udokotela wakho ukuthi uvukile. Lokhu kubizwa nangokuthi "ukuqwashisa ngokungahlosiwe kokuhlinzwa." Kuyinto engavamile, futhi ukuzwa ubuhlungu ngesikhathi kungavamile nakakhulu. Kwabanye, kungadala izinkinga ezingokwengqondo ezifana nengcindezi yangemva kwenhlekelele.

Yini inqubo yokuba ne-anesthesia ejwayelekile?

Kufanele uyeke ukudla ngokushesha nje lapho uqala ukuba nezinciphiso. Lokhu kuhle kubo bonke abesifazane abasebenzayo ukuze bakwenze uma kungenzeka badinge umuthi wokubulala izinzwa ojwayelekile.

Uzothola umuthi othile ngokusebenzisa i-IV drip. Ngemuva kwalokho, cishe uzothola i-nitrous oxide ne-oxygen ngesifihla-ndlela somoya. Udokotela wakho wokubulala izinzwa uzobeka ishubhu endotracheal phansi komoya wakho ukuze usize ekuphefumuleni nasekuvimbeleni ukufisa.

Ngemuva kokulethwa, imithi izophela futhi i-anesthesiologist yakho izokubuyisa. Kungenzeka uzizwe unamahloni futhi udidekile ekuqaleni. Ungahle ube nemiphumela emibi ejwayelekile efana nale:

• isicanucanu
• ukuhlanza
• umlomo owomile
• umphimbo obuhlungu
• ngiqhaqhazela
• ubuthongo

Ziyini izinzuzo ze-anesthesia ngesikhathi sokubeletha?

Amabhulokhi wesifunda, njenge-anesthetic yomgogodla noma i-epidural, ayathandeka. Kodwa-ke, i-anesthesia ejwayelekile ingasetshenziswa ngokushesha esimeni esiphuthumayo noma uma udinga ukulethwa ngokuhlinzwa ngokushesha. Uma ingxenye yengane yakho isivele isemgodini wokuzalwa lapho udinga i-anesthesia ejwayelekile, ungayithola ngaphandle kokuhlala phansi noma ukushintsha izikhundla.

Uma usungaphansi kwe-anesthesia ejwayelekile, ukukhululeka kobuhlungu akuyona inkinga ngoba empeleni ulele. Amanye ama-anesthetics, njenge-epidural, kwesinye isikhathi anikeza ukukhululeka okuncane kobuhlungu.

Kwabesifazane abathile abadinga ukulethwa ngokuhlinzwa futhi baye bahlinzwa emuva noma bakhubazeka emuva, i-anesthesia ejwayelekile ingaba yindlela eyamukelekayo ye-anesthesia yesifunda noma yomgogodla. Lokhu kungaba nzima ukuphatha ngenxa yezinkinga zempilo zangaphambili. Uma unenkinga yokopha, isimila ebuchosheni, noma ingcindezi yangaphakathi engasebenzi, ungahle ungakwazi ukuthola i-epidural noma i-anesthetic yomgogodla futhi ungadinga i-anesthesia ejwayelekile.

Uyini umbono?

Udokotela wakho uzozama ukugwema ukusebenzisa i-anesthesia ejwayelekile ngesikhathi sokubeletha ngoba inqubo yokulethwa idinga ukuthi uqaphele futhi usebenze. Kodwa-ke, ungadinga i-anesthesia ejwayelekile uma unezinkinga ezithile zezempilo. Odokotela ikakhulukazi basebenzisa i-anesthesia ejwayelekile yokubeletha lapho sekulethwa ngokuhlinzwa. Ukusebenzisa i-anesthesia ejwayelekile ngesikhathi sokubeletha kunezingozi eziphakeme, kepha kuphephe kakhulu.