Ihlelelwe ukuhlinzwa okuncane noma okukhulu?Uzojabula ukwazi ukuthi i-anesthesia namuhla iphephe kakhulu sekukonke.Sekushiwo lokho, kunezinto ongase ungazi mayelana ne-anesthesia engadambisa noma yikuphi ukwesaba futhi ithuthukise umphumela wakho.
Uma uzizwa ukhathazekile ngokuhlinzwa ngezinzwa, cabangela okunye.Ukube ubuhlinzwa okufanayo eminyakeni engama-200 edlule, okuwukuphela kwendlela ongakhetha ngayo ukubhekana nobuhlungu bekuwukwehlisa i-whisky nokugedla amazinyo.
Manje, nsuku zonke iziguli ezingaba ngu-60 000 zithola zonke izinhlobo zokuhlinzwa nezinye izinqubo zokwelapha ngosizo lwale mithi edambisa izinhlungu, ngokusho kweNational Institutes of Health.Akungabazeki ukuthi i-anesthesia - kungakhathaliseki ukuthi idonswe njengegesi noma ifakwe egazini lakho udokotela oqeqeshwe kakhulu, udokotela wamazinyo, noma unesi obulala izinzwa - yenze izigidi zabantu zithole ukwelashwa okuholela ekuphileni okude futhi okunempilo.Lokho kusho, kunezinto ezithile mayelana ne-anesthesia engase ikumangaze.
1. Abantu Ababhemayo Bangase Badinge Ukulaliswa Kwabantu Kakhulu Kunabangabhemi
Sekuyisikhathi eside odokotela ababulala izinzwa beqaphela ukuthi ababhemayo ngokuvamile badinga izinzwa ezengeziwe.Futhi manje ochwepheshe sebeqala ukuqinisekisa lokhu: Ucwaningo lokuqala olwethulwa emhlanganweni we-European Society of Anaesthesiology ka-2015 eBerlin lwathola ukuthi abesifazane ababhemayo badinga ukulaliswa kwezinzwa ngamaphesenti angu-33 phakathi nokuhlinzwa kwabo kunabesifazane abangabhemi futhi labo abachayeka egwayi kagwayi badinga amaphesenti angu-20 ngaphezulu.Okunye okutholakele?Womabili la maqembu ababhemayo ayedinga imithi eyengeziwe yokudambisa izinhlungu ngemva kokuhlinzwa.
Ababhemayo baye bacasula imigudu yomoya, kuchaza uJohn Reynolds, MD, uprofesa ohlangene we-anesthesiology e-Wake Forest School of Medicine eWinston-Salem, North Carolina.Ngenxa yalokho, bangase badinge imithamo ephakeme yemithi yobuhlungu ukuze bathuthukise ukubekezelelana kwabo namashubhu okuphefumula, uthi.
Kuyathakazelisa ukuthi abantu ababhemayo noma abadla insangu (insangu) nsuku zonke noma ngesonto bangadinga ngaphezu kokuphindwe kabili izinga elijwayelekile le-anesthesia yezinqubo ezijwayelekile, njengama-endoscopies, ucwaningo olwanyatheliswa ngoMeyi 2019 ku-Journal of the American Osteopathic Association etholakele. .
Uma wazi kusenesikhathi ukuthi uzohlinzwa, ukuyeka ukubhema ngisho nezinsuku ezimbalwa kusengaphambili kungasiza ukunciphisa ingozi yezinkinga futhi kukusize ululame, ngokusho kokubuyekezwa okushicilelwe kumagazini we-Anesthesiology.
2. I-Anesthesia Ayikubulali Njalo
Ngokusho kweCleveland Clinic:
I-anesthesia yendawo ibamba indawo encane yomzimba kuphela ukuze uvimbele ubuhlungu ngesikhathi senqubo efana nokudonsa izinyo, ukuthungwa kokusikeka okujulile, noma ukukhishwa imvukuzane.
Ukubulala izinzwa kwesifunda kucindezela ubuhlungu nokunyakaza endaweni enkulu yomzimba, kodwa kukushiya uqaphile futhi ukwazi ukukhuluma nokuphendula imibuzo.I-epidural enikezwa ngesikhathi sokubeletha yisibonelo esisodwa.
I-anesthesia ejwayelekile ithinta wonke umzimba, ikwenze uquleke futhi ungakwazi ukunyakaza.Ngokuvamile isetshenziselwa imisebenzi emikhulu nedla isikhathi.Ngemithamo emincane, imithi evamile yokubulala izinzwa ingase isetshenziselwe ukunxenxa okuthile okubizwa ngokuthi 'ukulala kokuhlwa,' uhlobo olunamandla kancane lwe-anesthesia ekuthulisa ukuze ulale, ukhululeke, futhi kungenzeki ukuba unyakaze noma wazi ukuthi kwenzekani.
3. Kungenzeka Ukuvuka Ngesikhathi Uhlinzwa
Kodwa futhi kuyivelakancane kakhulu, kwenzeka kuphela ezinqubweni zezokwelapha ezi-1 noma ezi-2 kweziyi-1,000 ezihlanganisa ukulaliswa kwezinzwa okuvamile, ngokusho kwe-American Society of Anesthesiologists (ASA).Lesi simo, esibizwa 'i-anesthesia awareness,' yenzeka lapho isiguli sazi indawo yaso kanye nezehlakalo ezenzeka phakathi nokuhlinzwa.Ukuvuka okunjalo kuvame ukuba kufushane futhi iziguli ngokuvamile azibuzwa ubuhlungu.Ukuqwashisa nge-anesthesia kungase kuvame kakhulu ezigulini ezisengozini enkulu ezinezimo eziningi zezokwelapha, noma lezo ezilashelwa isimo esiphuthumayo, lapho umthamo ojwayelekile we-anesthesia ungeke unikezwe ngokuphepha.
4. Ukuba Nesisindo Esinzima Kungakhuphula Ingozi Yakho Yezinkinga
Kunzima ukuthi odokotela ababulala izinzwa banikeze umthamo ongcono kakhulu wemithi futhi balethe lowo muthi ngomthambo ezigulini ezikhuluphele kakhulu, ngokusho kwe-ASA.Ngaphezu kwalokho, ukukhuluphala ngokweqile kwandisa ingozi yokuphelelwa umoya lapho umuntu elele, isimo esibangela ukuba kume kancane ukuphefumula.Lokhu kungenza isiqiniseko sokuthi uthola umoya-mpilo owanele kanye nokugeleza komoya, ikakhulukazi phakathi ne-anesthesia evamile, kube nzima kakhulu.Ukulahlekelwa isisindo ngaphambi kokuhlinzwa kunganciphisa ingozi yezinkinga.
5. Odokotela Bathola Izindlela Ezihlukene I-Anesthesia Engasebenza
Emuva lapho imithi ebulala izinzwa isanda kuba ingxenye yokuhlinzwa okuvamile, odokotela ababeyinikeza babazi okuncane kakhulu ngendlela eyayisebenza ngayo, ngokweNational Institute of General Medical Sciences (NIGMS).Namuhla, kunenkolelo yokuthi izidakamizwa ezibulala izinzwa ziphazamisa amasignali ezinzwa ngokukhomba ama-molecule athile amaprotheni ngaphakathi kwamangqamuzana ezinzwa.Njengoba ososayensi beqhubeka nokufunda kabanzi mayelana ne-anesthesia, le mithi izosebenza kakhulu kuphela, kusho i-NIGMS.
6. Ama-Redheads Awadingi I-Anesthesia Ngaphezu Kwanoma yimuphi Omunye
Lena 'inganekwane yasemadolobheni esabalaliswa kabanzi emphakathini obulala izinzwa,' kusho u-Timothy Harwood, MD, inhloko yesigaba se-anesthesia yesiguli e-Wake Forest Baptist Health.Okwabangela lo mbono ukuthi abantu abanezinwele ezibomvu kungenzeka babe nofuzo olubizwa ngokuthi i-melanocortin-1 receptor (MC1R), okwakucatshangwa ukuthi lunciphisa ukuzwela komuntu emithi yokubulala izinzwa, kuchaza uDkt. Harwood.Kodwa lowo mbono awuzange ubambelele lapho uhlolisiswa okwengeziwe: Ucwaningo olwanyatheliswa kumagazini i-Anesthesia and Intensive Care alutholanga mehluko ekutheni ingakanani i-anesthesia edingekayo, isivinini sokululama, noma inani lobuhlungu bangemva kokuhlinzwa phakathi kweziguli ezinezinwele ezibomvu noma izinwele ezimnyama.
7. Ungase Ufune Ukuzama I-Aromatherapy Uma Uvuka
Amakha athile abonisiwe ukuthi asize ukudambisa isicanucanu nokuhlanza okuvame ukwenzeka ngemva kokubulala izinzwa.Olunye ucwaningo, olwanyatheliswa ngoFebhuwari 2019 ephephabhukwini I-Complementary Therapies in Medicine, lwathola ukuthi ukuhogela i-ginger noma uwoyela we-lavender abalulekile imizuzu emihlanu kwehlise ubukhali balezo zimpawu kangcono kune-placebo.Ngokufanayo, ucwaningo lwangaphambili olwanyatheliswa ephephabhukwini i-Anesthesia & Analgesia luphethe ngokuthi iziguli eziphefumule ngokujulile kathathu ngenkathi zivale ikhala lazo nge-gauze pad egcwele i-ginger ebalulekile yamafutha, noma inhlanganisela ye-ginger, i-spearmint, i-peppermint, kanye namafutha abalulekile e-cardamom, yazizwa. kancane kancane ngemva kwenqubo yabo futhi bacela imithi embalwa yokwelapha isicanucanu sabo.
8. Ukubulala Izinzwa Kungase Kuthinte Inkumbulo Yakho
I-anesthesia ejwayelekile ingabangela ukulahlekelwa inkumbulo okungahlala izinsuku, ngisho nezinyanga, ngokusho kocwaningo lwe-University of Toronto Faculty of Medicine olwanyatheliswa ngoNovemba 2014 ku-Journal of Clinical Investigation.Njengoba abacwaningi bechaza, cishe amaphesenti angu-37 abantu abasha, kanye namaphesenti angu-41 eziguli esezikhulile, babika ukuthi banezinkinga zokukhumbula ngemva kokuhlinzwa lapho bephuma esibhedlela.Okunye kwalokhu kulahlekelwa kwenkumbulo kungase kube ngenxa yezinye izici ngaphandle kokubulala izinzwa, njengokuvuvukala noma ukucindezeleka okubangelwa ukuhlinzwa.Kodwa okunye kungenxa yomphumela we-anesthesia wama-receptors okulahlekelwa inkumbulo ebuchosheni.
Ngaphezu kwalokho, ucwaningo lwakamuva lweMayo Clinic, olushicilelwe kumagazini ka-Agasti 2018 weBritish Journal of Anesthesia, luphakamise ukuthi ukuchayeka ku-anesthesia kungabangela ukwehla okwanele kokusebenza kobuchopho ukuze kudalulwe izinkinga zenkumbulo ezikhona ezigulini ezingaphezu kweminyaka engama-70.
Okubalulekile: Kungakhathaliseki ukuthi uneminyaka emingaki, bhala phansi imiyalelo kadokotela wakho ngemva kokulaliswa izinzwa okuvamile, noma ulethe umngane oseduze noma ilungu lomndeni elingafakazela ubuqiniso balokho okuzwile.
