Okuqukethwe
Ukulethwa ngokwemithi noma ngokuhlinzwa: ukubonisana okuyimpoqo
Lokhu kuvakasha no-a unesthetist, ehlinzekwe ngokomthetho kusukela ngo-1994, ngokuvamile kwenzeka ekupheleni kwenyanga yesi-8 futhi, kunoma yikuphi, izinsuku ezimbalwa ngaphambi kosuku lokulethwa kwethu. Kuyimpoqo kuzo zonke izimo lapho ukuhlinzwa ngokuhlinzwa noma ukuzalwa okugodliwe (I-athikili D 6124-91 yeKhodi Yezempilo Yomphakathi). Ngokufanayo, uma sikhetha ngamabomu i-epidural analgesia kusengaphambili, siyelulekwa ngokuqinile ukuthi sithobelane nale ngxoxo. Inhloso yayo: vumela udokotela obulala izinzwa ozosinakekela ngosuku lokulethwa kwethu ukuthi abe nolwazi oluphelele lwefayela lethu lezokwelapha ukuze aqinisekise ukuphepha kwethu.
Ngaphandle kwe-epidural: ukubonisana ngokuzikhethela kuyanconywa
Peri noma cha ? Noma singakanqumi ngempela, kodwa siyazibuza ngalokhu kungenelela, kungcono ukuya kulokhu kuvakasha : udokotela obulala izinzwa ukhona futhi ukuze aphendule yonke imibuzo yethu futhi asisize senze ukukhetha kwethu. Ukuvakasha kubaluleke kakhulu uma ingane yethu ingena isihlalo noma uma unokukhulelwa okuningi, okuqhubeka kwandisa ingozi yokungabi ne-epidural kuphela, kodwa futhi nokuhlinzwa. Eqinisweni, a ukuzalwa ehlala ejola, akekho owesifazane ongaba nesiqiniseko sokuthi ngeke abe ebhekene nezinkinga okungenzeka kudinge ukufakwa kwe-epidural noma i-anesthesia yomgogodla, noma ngisho ne-anesthesia ejwayelekile. Yingakho, ngisho nasezimweni lapho sihlele ukubeletha ngesakhiwo esingenamithi (isiteji sobuchwepheshe, isikhungo se-physiological, isikhungo sokuzalwa noma ngisho nasekhaya), sinconywa ukuba siye kulokhu kuvakasha, ngoba ukudluliselwa ewadini lababelethayo akukaze kukhishwe!
Ukubonisana kwangaphambi kokubulala izinzwa: kuhamba kanjani?
Ngesikhathi ukubonisana kwangaphambi kokubulala izinzwa, udokotela uzosibuza mayelana nokukhulelwa kwethu (isikhathi, isipiliyoni), kodwa futhi ngomlando wethu wezokwelapha (ukukhulelwa kwangaphambilini, izifo, ukungezwani komzimba, umlando wokuhlinzwa, njll.). Uzosibuza ngemithi nokwelashwa okuqhubekayo, asitshele ukuthi yimiphi okufanele siyilungise noma siyimise. Uzohlola ngokucophelela ifayela lethu, futhi ikakhulukazi imiphumela yokuhlolwa komtholampilo okunqunyiwe (i-hematology, iqembu legazi, njll.). Uyothatha ukungezwani kwethu, isisindo sethu futhi auscultate us. Uzosazisa mayelana namalungiselelo angemuva kokuhlinzwa azokwenziwa uma sinengxenye yokuhlinzwa ehleliwe. Uzophinde aphendule imibuzo yethu futhi anikeze ukuhlolwa kwegazi okuphelele, okumele kwenziwe phakathi kwezinsuku ezingu-30 ngaphambi kokubeletha. Angase futhi kudingeke ukuthi anikeze ukuhlolwa okwengeziwe okwengeziwe kuye ngokuthi akutholile (i-x-ray yesifuba, i-electrocardiogram, njll.).
Kuthiwani uma ngibeletha ngaphambi kwalokhu kubonisana?
Ungabi novalo ! Kufanele sizuze ku-epidural ngaphandle kwenkinga. Ngempela, noma ngabe sibe nalokhu kuvakasha kwangaphambi kokubulala izinzwa, a ukuhlolwa kwezinzwa kuzokwenziwa noma yikuphi emahoreni andulela ukungenelela. Ngamafuphi: uma, lapho isikhathi sifika, ufuna ukuba ne-epidural noma uma izimo zidinga ukungenelela kokuhlinzwa okuphuthumayo, ukuhlolwa komtholampilo kanye negazi okuhleliwe phakathi nalokhu kubonisana (ukubalwa kweplatelet, ikakhulukazi) kungenziwa (kulokhu , kungase kudingeke ulinde isikhashana ukubekelwa i-peri, ngenkathi ukuhlolwa kwenziwa). Ngaphezu kwalokho, ngisho noma lezi zivivinyo zenziwa ngesikhathi sokubonisana, zivame ukuvuselelwa amahora ambalwa ngaphambi kokusebenza, ngoba idatha ethile ephathelene nathi ingase ishintshile okwamanje: isimo esingenzeka somkhuhlane, izinkinga zegazi, njll.
Ingabe obulala izinzwa uzohlangana ngosuku olukhulu?
Akunjalo. Ngezizathu zokuhlela zokusebenza, omunye udokotela obulala izinzwa ukuthi lowo ohlangane ngokubonisana kungenzeka asisekele ukuze singenelele (ikakhulukazi ezinhlakeni zomphakathi). Kodwa ifayela lethu lezokwelapha lizobe selithunyelwe kuye futhi uzokwazi icala lethu ngaphakathi!