Indlela i-Oxide ye-Oxide yabasebenzi eyenza ukuba ibuyiswe ngayo
Igesi yokuhleka, okanye i-nitrous oxide, yindlela yokuphucula intlungu ebuyele eUnited States njengendlela yokunceda abantu ukuba bancede ukulawula iintlungu zabasebenzi, kunye nemiphumo engaphantsi kwemiqathango yendlela yokuphulukisa intlungu njengemithi ye- epidural okanye intravenous (IV). njengoDemolol okanye iStadol . Kusenokwenzeka ukuba uvile ngegesi yokuhleka njengento esetyenziselwa kukunceda xa usebenza kwintonga yamazinyo; eli liyeza elifanayo.
Ukukhwa kwegesi nakho kungenakonakala kwaye kungenasiphelo. Oku kwenza kube lula ukuyisebenzisa kwaye kunomdla kumntu osebenzayo, njengoko abanye abantu bexhala malunga nokukwazi ukunambitha amayeza, njengokuba unako ukuphefumula okuninzi.
Ngoxa ukuhleka kwegesi kwakungekho e-United States, amanye amazwe awazange ayeke ukusebenzisa igesi yokuhleka kwezigulana zabasebenzi. Enyanisweni, unokufumana ezininzi iinkcukacha kwiinkcubeko eziqhelekileyo zibonisa ngathi "Shayela ababelethi." Kwamanye amazwe, ngokuqhelekileyo kuthiwa yi-gas negesi. Uya kufumana ukuba isetyenziswa ngokuqhelekileyo, kwanawo kuzalwa kwasekhaya .
Kwisifundo esinye, sinikwe ukhetho phakathi kwegesi kunye nokuhleka kwegesi, malunga neepesenti ezingama-20 zezigulane ezisebenzayo zikhethile i-gas laugh and iipesenti ezingama-60 zala mabhinqa zaza zaza zaza zaza zaza zaza zaza zaza zazala. La mabini maqela, iqela le-epidural, kunye neqela legesi ehlekayo, babuzwa ukuba bahlawule ukuphumelela kweentlungu zabo ezikhethiweyo.
Ngelixa kwakukho ukuhlukahluka kweqela legesi ehlekayo ngokubhekiselele kwindlela i-gas yokukrazula eyiyo ekuthatyeleni intlungu, kwakukho izinga eliphezulu lokuneliseka xa kuthelekiswa neqela le-epidural.
Ukukhahla kweGesi kunikwa njani emsebenzini?
Enye yeenzuzo zoqobo ekuhlekeleni igesi yinto elula kunye nesantya apho ingafumaneka khona.
Uninzi lwamagumbi luxhotyiswe ngamandla okusebenzisa igesi yokuhleka, okanye itanki elincinci elithunywayo lihanjiswe kwigumbi. Kuphela nje ukudibanisa i-nitrous ne-oxygen eyaziwa ngokuzenzekelayo nge-mask ubuso. Xa unesiphakamiso, uphakamisa isiskto ebusweni bakho kwaye uphefumle ngokuqhelekileyo. Ulahla isandla sakho kwaye awusekho unyango.
Kunconywa ukuba uqale ukuphefumula kwi-nitrous oxide malunga nemizuzwana engama-30 ngaphambi kokuqhawula kwakho. Oku kunceda ukuxilongwa kwamachiza ukuphumeza amazinga okuphakama malunga nexesha elifanayo kunye nenani leentlawulo zakho. Kungathatha iincwadana ezimbalwa ukufumana ixesha eligqibeleleyo lamanqanaba akho entlungu kunye nokunyamezela. Ungasebenzisa iliso lomntwana njengesikhokelo sokukunceda ukuba uqaphele xa ukuqhekeka kwakho kuya kuqalisa okanye kuxhomekeke kulabo abakujikelezile njengodla wakho okanye umongikazi wezabasebenzi ukuncedisa.
Enye yeenzuzo zegesi yokuhleka kukuba kulula ukuyisebenzisa kwaye ayifuni ukusetyenziswa kwezixhobo ezikhuselekileyo zokukhutshwa kwenkqubo yoqobo. Inokuqaliswa ngokukhawuleza kwaye ngokukhawuleza kwaye iqala ukubonelela intlungu yomnxeba ngaphakathi kwimizuzu yokusetyenziswa. Oku kukhawuleza kunokuba amaninzi amayeza kunye nezinye iindlela zonyango zokunceda intlungu.
Kwakhona akuthinteli ukusetyenziswa kwezinye iintlobo zentlungu yokuphulukana, kuquka i-epidural. Oku kungenza kube yindlela enhle yokubhenxa ixesha phakathi kwesicelo se-epidural kwaye xa i-anesthesiologist inokufumaneka.
Omnye umama uchaza oku ngathi: "Ndakwazi ukulawula ngokupheleleyo imeko. Ndandiyithanda ukuba ndiyakwazi ukuphakamisa imaski kwaye ndiyisebenzise xa ndiyifuna. Ngamanye amaxesha ndiza ngapha kancinci ukuphambana ngaphambi kokufuna kwakhona.
Izixhobo ezisetyenziselwa ukubonelela ngegesi ehlekayo isetyenziselwe ukuhambisa i-oksijini engama-50 e-oxygen kunye namashumi amahlanu ekhulwini i-nitrous oxide.
Ayikwazi ukutshintshwa okanye ukulungiswa. Yilokho ebeka inkqubo yokuhambisa ngaphandle kwalawo asetyenziswa kumazinyo. Kwakhona kubalulekile ukuqaphela, ngezizathu zokuphepha, ukuba le gesi ayinakutsha.
Ngethuba lini na iSigaba seMisebenzi Ngaba iGesi yokuHlaba isetyenzisiwe?
Ukukhwa kwegesi kuyatholakala kuzo zonke izigaba zabasebenzi , ngokungafani nezinye iilwimi zentlungu. Oku kungenza kube lukhetho olufanelekileyo kwiimfuno zokugqibela zonyango, ngakumbi xa ufuna ukuba usebenze ngokukhawuleza. Ngoko ungayisebenzisa ekuqaleni kwexesha lomsebenzi xa uzama ukunquma okanye ukulinda i-epidural. Ungayisebenzisa ngokuguqulwa, xa unganakho ixesha lokufumana imishanguzo ye-epidural okanye ye- IV ingaba yingozi kakhulu ukuyisebenzisa. Ungayisebenzisa kwakhona xa uqhuba okanye ngexesha lokuzalwa kwepentecenta. Olu tyenziswa lungabandakanya isigaba sokulungisa sokuhanjiswa kunye nokuhanjiswa kwephacenta, okanye ukuhlolisiswa kwembumba. Lezi zigaba zibini apho ungabona intlungu eyongeziweyo ngenxa yeenkqubo zonyango, ingakumbi ukuba awunayo i-epidural.
Ungasebenzisa igesi yokuhleka njengendlela yokunceda xa i -anesthesia ye-epidural ayanele. Abanye oogqirha basebenzisa igesi yokuhleka ngexesha lolawulo lwe-epidural ukunceda ukunciphisa ukwesaba nokuxhatshazwa ngexesha lolawulo lwayo.
Ziziphi iimpembelelo zoMdlalo weGesi yokuHlaba yeMisebenzi?
Akukho ziphumo ezichaphazelekayo zabasebenzi. Enyanisweni, xa kukhangelwe, le ndlela yokuphucula intlungu ayizange iguqulwe nayiphi na iziphumo ngokwemigqaliselo yamacandelo okanye ukuncedisa ukukhupha njenge-forceps okanye i-extraction extractions. Kwakhona kubonakala ngathi ayinayo impembelelo kubude bomsebenzi.
Enye indlela yokujonga ngayo le nto yindlela abasebenzi abachaphazeleka ngayo ngokunyakaza, ukubeka iliso, njl. Nangona kufuneka ube kufuphi nesixhobo sokuhanjiswa, kuya kukhangela. Ngenxa yokuba igesi yokuhleka ayinakukuphazamisa inkululeko epheleleyo yokuhamba. Uyakwazi ukuthatha izikhundla ezikhululekile kwaye usasebenzisa igesi ehlekayo. Ngaba ngathi uguqa ngasemva phezu kombhede? Ziphose kuyo! Abasetyhini abaninzi banqwenela ukuba le nto ayenzi imizimba yabo yomelele ukuze bakwazi ukuphendula emsebenzini wabo ngokunyakaza.
Izibhedlele ezininzi aziyi kubeka nayiphi na imiqobo kumfazi osebenzayo osebenzisa igesi yokuhleka. Nangona, kufuneka uqaphele njengoko uqala ukuyisebenzisa xa ucinga izikhundla ezingazinzileyo. Umzekelo unokusebenzisa ibhola yokuzalwa kunye ne-nitrous oxide. Unokufuna ukusebenzisa isiseko ukunceda ukuzinzisa ibhola okanye ube neqabane lakho okanye i-doula ekuncedayo ukuqinisekisa ukuba uzinzile. Unako kwakhona ukukwazi ukusebenzisa eli xesha ngelibhati. Ngokuqinisekileyo umbuzo ukubuza xa usesikhatheni sakho esibhedlele.
Ngaba ikhona Isizathu Sokungasisebenzisi Gesi Ukukhahla?
Iingqinisiso ezimbini zokusebenzisa igesi ehlekayo yilabo ababenokuhlinzwa okwenziwa kwangaphakathi (ngenxa yokunikezelwa kwenkqubo), kunye nalabo abanesifo se-vitamin B12. Nangona ubungozi beengxaki kulabo abanesifo se-vitamin B12 buchazwa xa usebenzisa i-nitrous oxide njenge-anesthesia, kwaye kungabi nge-analgesia, njengokuba sisisebenzisa ekusebenzeni nasekuzalweni.
Ziziphi iimpembelelo zoMgca weGesi lokuNkcenkceshela umntwana wakho?
Akukho ziphumo ezize zaziwa kwiintsana kwaye akukho ukwanda okwenziwe ekubandezelekeni komntwana okubonakalayo kunye namanye amayeza. Kwakhona alitshintshi ukuqaphela umntwana osandula, kwaye ngoko, alitshintshi indlela iiseshoni zokuqala zokuncelisa zihamba nani kunye nosana lwakho.
Ziziphi Iimiphumo Zecala Lokugubha Igesi?
Uninzi lwabantu basebenzisa igesi yokuhleka ingxelo yengqesho yokuba bayakuvuyela kakhulu iziphumo. Oko kwathiwa, akukho myeza ayinayo imiphumo emibi, nangona kunjalo, oku akuthethi ukuba wonke umntu uya kuba neziphumo ezibi. Abanye abantu abaye basebenzisa igesi ehlekayo baye babika isicaphuko, ukuhlanza, utywala kunye nokulala. Nangona uninzi lwabantu lithetha nje malunga nokufumana ukuphumla ngexesha lokuphulaphula nokusetyenziswa kwegesi yokuhleka. Ngandlela-thile, ezi ziphumo, ukuba uziva nazo, zihlala zifutshane, kwaye zikhawuleze zidibanise xa uyeka ukusetyenziswa kwegesi ehlekayo.
Isibhedlele sam Asinikeli iGesi yokukhaka, Ndingenza ntoni?
Ukuba isibhedlele sakho asikaqalanga ukunikela nge-nitrous oxide, qi niseka ukuba ubuze ukuba kusemisebenzini. Ekubeni yinto into entsha kwizibhedlele zanamhlanje, inokuba yinkqubo yokuphuhlisa imigaqo yokusetyenziswa kwayo kwingingqi yakho. Ukuba kunjalo, bacele nje xa bekulindele ukuba kuya kuba kuhle. Ukuba abazange baqalise ukuhlolisisa ukhetho, unokuba uzama ukuthumela ileta kumphathi wabahlengikazi kwi-unit labasebenzi kunye neenkonzo zokuhambisa ukucela uncedo kubani onokuthetha naye ukuze wenze into yokuba yinyani.
"Andizange ndifumane i-epidural ngenxa yesimo esithile sezokwelapha, kwaye ndingafuni ukuxilongwa ngogqirha njengoko ndivakalelwa ngemithi ye-IV, ngoko ke ndacinga ukuba oku kufana nesandi esilungileyo. Ngelishwa, ayifumanekanga Omnye ugqirha nombelethisi babenomdla kakhulu ngokuncedisa ukuba ndifumene njani ukusebenzela esibhedlele sethu. " "Kwafuneka ukuba ndibe nje kum, kodwa abahlengikazi bacinga ukuba kuyimangalisa gqitha, ngoku bayinikezela kuzo zonke izigulane."
Ngokuqinisekileyo, umboneleli wakho ngumntu onokuthetha naye ngomnqweno wakho wokuzama ukuhleka igesi yengqesho. Basenokukwazi ukunikela ngesinye imeko. Basenokukwazi ukuncedisa ekufumaneni iipolisi zibekwe esibhedlele. Ukuba nabo bancedise ukunyusa le nkqubo kukunceda kakhulu. Enyanisweni, izicelo ezikhokelwa zizigulane zivame ukutshintsha imigudu yesibhedlele kwiimeko ezininzi. Iileta ezimbalwa kunye namaxesha amaninzi uya kuba nempendulo. Ngokwenene, awusoze wazi ukuba awuceli!
Qiniseka ukuba ubuza ukuba isibhedlele sakho, isikhungo sokuzalwa, okanye umnikeli wokuzalwa ekhaya usebenzise igesi yokuhleka. Unokufuna ukwazi ukuba kukho izizathu zokuthi awufanele usebenzise i-nitrous oxide okanye ukuba kukho izinto eziza kuthetha ukuba akulungile kuwe.
> Imithombo:
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> Klomp T, van Poppel M, Jones L, Lazet J, Di Nisio M, i-Lagro-Janssen i-ALM. I-analgesia ye-inhaled yolawulo lwentlungu ebasebenzi. I-Cochrane Database yeeNkqubo eziPhononongo eziPhezulu 2012, Issue 9. Ubugcisa. Inombolo: CD009351. INGXELO: 10.1002 / 14651858.CD009351.pub2
> Likis FE, Andrews JC, MR Collins, Lewis RM, Seroogy JJ, Starr SA, Walden RR, McPheeters ML. I-nitrous oxide yokulawulwa kweentlungu zabasebenzi: ukuhlaziywa okucwangcisiweyo. Anesth Analg. 2014 Jan; 118 (1): 153-67. i-doi: 10.1213 / ANE.0b013e3182a7f73c.
> Richardson MG, Lopez BM, Baysinger CL. Ngaba i-Oitide ye-Nitrous ifanele isetyenziselwe abagulayo? I-Anesthesiol Clin. Ngo-2017 uMar; 35 (1): 125-143. i-doi: 10.1016 / j.anclin.2016.09.011.
> Richardson MG, Lopez BM, Baysinger CL, Shotwell MS, i-Chestnut DH. I-nitrose Oxide Ngomsebenzi: Ukuneliseka koMama akuxhomekekanga kuphela kwi-Analgesic Impumelelo. Anesth Analg. 2017 Feb; 124 (2): 548-553. I-doi: 10.1213 / ANE.0000000000001680.