Imiphumela emibi ye-Anesthesia Jikelele: Ongakulindela

-Delile

• Yimiphi imiphumela emibi yesikhashana engenzeka?
• Yimiphi imiphumela emibi yesikhathi eside engenzeka?
• Yini eyandisa ingozi yemiphumela emibi?
• Kungenzeka yini ukuthi uvuke ngesikhathi sokuhlinzwa?
• Kungani i-anesthesia ejwayelekile isetshenziswa ngaphezu kwezinye izindlela?
• Okubalulekile

Isetshenziswa nini i-anesthesia ejwayelekile, futhi ingabe iphephile?

I-anesthesia ejwayelekile iphephe kakhulu. Noma ngabe unezinkinga ezinkulu zempilo, cishe uzobekezelela i-anesthesia ejwayelekile ngaphandle kwezinkinga ezinkulu.

Kepha nganoma yimuphi umuthi noma inqubo yezokwelapha, ungathola imiphumela emibi. Nakhu ongakulindela.

Yimiphi imiphumela emibi yesikhashana engenzeka?

Imiphumela eminingi emibi ye-anesthesia ejwayelekile yenzeka ngokushesha ngemuva kokuhlinzwa kwakho futhi ayihlali isikhathi eside. Lapho nje ukuhlinzwa sekwenziwe nemithi yokubulala izinzwa imisiwe, uzovuka kancane egumbini lokuhlinza noma egumbini lokululama. Cishe uzozizwa u-groggy futhi udidekile kancane.

Ungase uzwe noma iyiphi yale miphumela emibi ejwayelekile:

• Isicanucanu nokuhlanza. Lo mphumela wecala ojwayelekile uvame ukuvela ngokushesha ngemuva kwenqubo, kepha abanye abantu bangaqhubeka nokuzizwa begula usuku noma ezimbili. Imithi yokulwa nesicanucanu ingasiza.
• Umlomo owomile. Ungase uzizwe usomile lapho uvuka. Uma nje ungakhathazeki kakhulu, ukuphuza amanzi kungasiza ukunakekela umlomo wakho owomile.
• Umqala obuhlungu noma ukushuba. Ishubhu elifakwa emphinjeni ukuze likusize uphefumule ngesikhathi sokuhlinzwa lingakushiya nomphimbo obuhlungu ngemuva kokususwa kwalo.
• Ukugodola nokuqhaqhazela. Kuvamile ukuthi izinga lokushisa komzimba wakho lehle ngesikhathi sokubulala izinzwa okuvamile. Odokotela bakho nabahlengikazi bazoqinisekisa ukuthi izinga lokushisa kwakho aliweli kakhulu ngesikhathi sokuhlinzwa, kodwa ungavuka uqhaqhazela futhi uzizwe ubanda. Ukugodola kwakho kungahlala imizuzu embalwa kuya emahoreni.
• Ukudideka nokucabanga okungaqondakali. Lapho uvuka okokuqala ku-anesthesia, ungazizwa udidekile, uyozela futhi unenkungu. Lokhu kuvame ukuhlala amahora ambalwa nje, kepha kwabanye abantu - ikakhulukazi abadala - ukudideka kungahlala izinsuku noma amasonto.
• Ubuhlungu bemisipha. Izidakamizwa ezisetshenziselwa ukukhulula imisipha yakho ngesikhathi sokuhlinzwa zingadala ukukhathazeka ngemuva kwalokho.
• Ukulunywa. Uma imishanguzo ye-narcotic (opioid) isetshenziswa ngesikhathi noma ngemuva kokuhlinzwa kwakho, ungahle ulume. Lokhu kungumphumela ovamile ohlangothini lwalesi sigaba semithi.
• Izinkinga zesinye. Ungaba nobunzima bokudlula umchamo isikhashana ngemuva kwe-anesthesia ejwayelekile.
• Isiyezi. Ungazizwa unesiyezi lapho uqala ukuma. Ukuphuza uketshezi oluningi kufanele kukusize uzizwe ungcono.

Yimiphi imiphumela emibi yesikhathi eside engenzeka?

Iningi labantu ngeke libe nemiphumela emibi yesikhathi eside. Kodwa-ke, abantu abadala asebekhulile banamathuba okuthola imiphumela emibi ehlala isikhathi esingaphezu kwezinsuku ezimbalwa.

Lokhu kungafaka:

• I-delirium yangemva kokuhlinzwa. Abanye abantu bangadideka, badideke, noma babe nenkinga yokukhumbula izinto ngemuva kokuhlinzwa. Lokhu kudideka kungafika kudlule, kepha kuvame ukuhamba ngemuva kwesonto.
• Ukukhubazeka kwengqondo ngemuva kokusebenza(POCD). Abanye abantu bangabhekana nezinkinga zememori eziqhubekayo noma ezinye izinhlobo zokukhubazeka kwengqondo ngemuva kokuhlinzwa. Kodwa akunakwenzeka ukuthi lokhu kungumphumela we-anesthesia. Kubonakala kungumphumela wokuhlinzwa uqobo.

Abanye abantu abangaphezu kweminyaka engama-60 bangaba namathuba amaningi okuthuthukisa i-POCD.

Kungenzeka futhi ube nethuba lokuthuthukisa i-POCD uma une:

• wahlaselwa isifo sohlangothi
• Isifo senhliziyo
• isifo samaphaphu
• Isifo i-Alzheimer's
• Isifo sikaParkinson

Yini eyandisa ingozi yemiphumela emibi?

Ngokwengxenye enkulu, i-anesthesia ejwayelekile iphephe kakhulu. Yinqubo yokuhlinza uqobo ebeka engcupheni. Kepha abantu asebekhulile nalabo abanezinqubo ezinde basengozini enkulu yemiphumela emibi kanye nemiphumela emibi.

Uma unemibandela elandelayo, qiniseka ukuthi utshela udokotela wakho ngoba lezi zimo zingathinta ukuthi wenza kahle kangakanani phakathi nangemva kokuhlinzwa:

• umlando wokusabela okubuhlungu ku-anesthesia
• ukulala ubuthongo
• isithuthwane
• ukukhuluphala ngokweqile
• umfutho wegazi ophakeme
• isifo sikashukela
• Isifo senhliziyo
• isifo samaphaphu
• isifo sezinso
• ukungezwani nezidakamizwa

Kufanele futhi wazise udokotela wakho uma:

• intuthu
• uphuze kakhulu
• thatha imishanguzo yokunciphisa igazi

Kungenzeka yini ukuthi uvuke ngesikhathi sokuhlinzwa?

Kancane kakhulu, abantu bangahle bazi ukuthi kwenzekani ngesikhathi sokuhlinzwa. Abanye ochwepheshe balinganisela ukuthi cishe umuntu oyedwa kwabangu-1 000 ubuyela ezingqondweni kodwa aqhubeke angakwazi ukunyakaza, ukukhuluma, noma ukuxwayisa udokotela wabo. Eminye imithombo ibika ukuthi iyivelakancane ngokwengeziwe, njengoba ingavamile njengokukodwa ku-15,000 noma ku-1 kwabangu-23,000.

Uma lokhu kwenzeka, umuntu ngokuvamile akabuzwa ubuhlungu. Kodwa-ke, ukuqwashisa ngokusebenza kungacindezela kakhulu futhi kungadala izinkinga zesikhathi eside zengqondo, ezifana nesifo sokucindezeleka kwangemva kwenhlekelele.

Uma uthola ukuqwashisa ngokusebenza ngaphansi kwe-anesthesia ejwayelekile, ungakuthola kunenzuzo ukukhuluma nodokotela noma umeluleki ngesipiliyoni sakho.

Kungani i-anesthesia ejwayelekile isetshenziswa ngaphezu kwezinye izindlela?

Uma udinga ukuhlinzwa, mhlawumbe awufuni ukuzwa ukuthi kwenzekani. Ngokuya ngohlobo lokuhlinzwa, lokhu kungafezwa ngezindlela ezahlukahlukene.

Udokotela wakho cishe uzoncoma i-anesthesia ejwayelekile uma inqubo yakho izoya:

• thatha isikhathi eside
• kubangele ukulahleka kwegazi
• kuthinta ukuphefumula kwakho

I-anesthesia ejwayelekile empeleni iyikhoma elenzeke kwezokwelapha. Udokotela wakho ukuphathisa imishanguzo ukuze ukwazi ukuquleka ukuze unganyakazi noma uzwe ubuhlungu ngesikhathi sokuhlinzwa.

Ezinye izinqubo zingenziwa nge:

• i-anesthetic yendawo, njengalapho uthola imithungo esandleni sakho
• ukuthambisa, njengalapho uthola i-colonoscopy
• i-anesthetic yesifunda, njengalapho uthola i-epidural yokubeletha ingane

Udokotela wakho uzokuhamba ngezinketho zakho lapho uhlela inqubo yakho. Bazokwazi ukuphendula noma imiphi imibuzo ongaba nayo mayelana nokuthi yini ezosetshenziswa nokuthi kungani.

Okubalulekile

Kubalulekile ukuthi ukhulume ngokukhululekile nodokotela bakho ngayo yonke imininingwane yakho yezempilo. Udokotela wakho wokubulala izinzwa angakwazi ukuphatha ngokuphepha ukunakekelwa kwakho futhi alaphe nemiphumela yakho emibi, kodwa uma uthembekile.

Lapho ukhuluma nodokotela wakho ohlinzayo kanye nodokotela obulala izinzwa ngaphambi kwenqubo, qiniseka ukuthi ukhuluma nabo mayelana nokukhathazeka kwakho nokulindela kwakho. Kufanele futhi uxoxe nge:

• isipiliyoni sangaphambi kokubulala izinzwa
• izimo zezempilo
• ukusetshenziswa kwemithi
• ukusetshenziswa kwezidakamizwa zokuzijabulisa

Qiniseka ukuthi ulandela yonke imiyalo yakho yokwelashwa - kufaka phakathi ukuthi yini ongayidla noma ongayidli futhi uyiphuze kanye nemithi okufanele uyenze noma ongayiphuzi. Ukulandela le miyalo kungasiza ukunciphisa eminye imiphumela emibi ye-anesthesia ejwayelekile.