Tsɔe be wowɔ dɔ sue aɖe na wò, abe aɖuɖeɖe alo ŋutigbalẽ me dɔdzẽ ɖeɖe ene. Emegbe ɖɔktaa naa teƒe si wole amekokoa wɔm le la tsia dzodzodzoe eye wòwɔa dɔa ale be màse veve aɖeke o, alo? Egbea míele nu ƒom tso atike tɔxɛ aɖe si wozãna le nɔnɔme siawo tɔgbe me ŋu. Esia nye atike si wonana zi geɖe le kɔdzi alo atikewɔƒe eye ɖɔktawo zãnɛ. Eyata ele vevie ŋutɔ be míanya esia.
Nukae nye atike sia si naa alɔ̃dɔdɔ ame? (Bupivacaine; Epinephrine ƒe atike) .
Kpuie ko la, esia nye atike si naa alɔ̃dɔdɔ le teƒea, si fia be enaa teƒe si wodo atikea le kple teƒe si ƒo xlãe la tsia dzodzodzoe hena ɣeyiɣi aɖe, evɔ menaa ametia katã tsia dzodzodzoe o. Esia fia be màse veve aɖeke o.
Atike sia ƒomevi vevi eve li:
1. Bupivacaine: Esiae nana ŋutigbalẽa tsia dzodzodzoe, si fia be mèsea veve o.
2. Epinephrine: Susu eve tae wotsɔa esia kpena ɖe eŋu. Ðekae nye be woana ʋuʋudedia nanɔ anyi eteƒe nadidi. Bubue nye be woaxe ʋuka sue siwo le afisi wodoe ɖo, si ana ʋu si dona le ame ŋu le amekoko me dzi naɖe akpɔtɔ.
Eyata le evea siaa ƒe ƒuƒoƒo ta la, ɖɔkta ate ŋu ada dɔ na wò dedie evɔ mase veve aɖeke na wò o.
Nusiwo wòle be nàgblɔ na wò ɖɔkta hafi ana atike wò
Hafi wòana atike sia wò la, wò ɖɔkta abia wò lãmesẽnyawo. Gake ne dɔléle siawo dometɔ aɖe le ŋuwò la, kpɔ egbɔ be yegblɔe na wò ɖɔkta. Esia le vevie ŋutɔ na wò dedienɔnɔ.
- Suklidɔ alo sukli ƒe agbɔsɔsɔ si dzi ɖe edzi.
- G6PD ƒe anyimanɔmanɔ: Esia nye domenyiŋusẽfianu si wodzina kple ame aɖewo.
- Dzidɔ ƒomevi ɖesiaɖe .
- Ʋusɔgbɔdɔ .
- Ʋu ƒe sisi ƒe ɖiɖi .
- Aklã alo ayikudɔ ɖesiaɖe.
- Aklãdɔlélewo (abe asrã alo COPD ene).
- Thyroid dɔléle .
- Ne èfɔ fu alo nèle agbagba dzem be yeafɔ fu .
- Ne vidada si le no nam viwoe nènye la .
- Ne atike sia alo atike bubu aɖe, nuɖuɖu, amadede, alo nusi wotsɔ dzraa nu ɖo ƒe nulɔdɔ le ŋuwò.
Zi alesi wò lãmesẽ ŋutinya de bliboe la, zi nenemae wòate ŋu awɔ atike na wò le dedie wu.
Aleke nèzãa atike siae?
Esia menye atike si nàte ŋu atsɔ ayi aƒeme alo aƒle le atikedzraƒe o.
Esia nye atike si ɖɔkta bibi alo lãmesẽdɔwɔla si xɔ hehe naa ame ɣesiaɣi le kɔdzi alo atikewɔƒe, eyata mehiã be nàtsi dzi ɖe eŋudɔwɔwɔ ŋu o.
- Le ɖeviwo gome: Wozãnɛ le nɔnɔme tɔxɛ aɖewo me na ɖevi sue siwo xɔ wu ƒe 12. Gake wowɔa esia kple beléle gã kple afɔɖeɖe tɔxɛwo.
- Le ame tsitsiwo gome: Ame siwo xɔ wu ƒe 65 ate ŋu ase le wo ɖokui me be atike sia ƒe ŋusẽkpɔɖeamedziwo nu sẽ vie. Eyata zi geɖe la, ɖɔktaa ɖea agbɔsɔsɔ si wona wo dzi kpɔtɔna.
Ke ne meno atike fũ akpa ya ɖe?
Esi wònye kɔdzie wonaa esia ta la, afɔku si le atike si wozãna wògbɔa eme me la le sue ŋutɔ. Gake ne esia dzɔ le mɔ aɖe nu alo ne èsusu be yexɔ atike geɖe akpa la, na atikewɔlawo nanya enumake. Ne nɔnɔme kpata aɖe do mo ɖa la, ele be nàyi Atikewɔwɔ Kpata ƒe Dɔwɔƒe (ETU) tẽ . Ne èhiã aɖaŋuɖoɖo tso aɖi aɖe ŋu la, àte ŋu aƒo ka na Dukɔa ƒe Aɖi Ŋuti Nyatakaka Dɔwɔƒe si le Colombo Dukɔa ƒe Kɔdzi hena numeɖeɖe tsitotsito.
Nu bubu siwo ate ŋu awɔ dɔ kple atike sia (Interactions) .
Ne èle atike nom na dɔléle bubuwo la, ele vevie ŋutɔ be nàgblɔe na wò ɖɔkta. Elabena atike aɖewo ate ŋu awɔ dɔ kple vevesesenutsitike sia eye woahe nugbegblẽ le ame ŋu si womedi o vɛ. Tabla si le ete la ɖe atike aɖewo siwo ate ŋu awɔ dɔ ɖe wo nɔewo dzi alea fia.
| Atikewo ƒe hatsotso | Kpɔɖeŋuwo kple numeɖeɖewo |
|---|---|
| Vevesesenutsitikewo kple dɔlékuiwutikewo | Atike aɖewo abe acetaminophen, dapsone, kple nitrofurantoin ene. |
| Dzidɔ kple ʋusɔgbɔdɔ ƒe atikewo | Atike vovovo siwo wozãna tsɔ léa dzi ƒe tsotso kple ʋu ƒe sisi nu. (Kpɔɖeŋu: Nitroglycerin) |
| Atike si wozãna na susu ƒe lãmesẽ | Atikewo na nɔnɔmewo abe blanuiléle kple dzimaɖitsitsi, vevietɔ MAOI atikewo. |
| Atike siwo wozãna na alɔ̃madɔmadɔ | Atikewo abe phenobarbital kple phenytoin ene. |
| Atike bubu siwo naa alɔ̃dɔdɔ ame kple atikewo | Atike bubu siwo wozãna le amekoko me dometɔ aɖewoe nye nitrous oxide, kple atike bubu siwo naa alɔ̃dɔdɔ le teƒea abe lidocaine ene. |
Nuŋlɔɖi sia mede blibo o. Eyata gblɔ atike, vitamin, gbetike, kple kpeɖeŋutɔ siwo katã nèzãna na wò ɖɔkta. Gblɔe na wo hã ne ènoa atama alo noa aha sesẽ.
Nusiwo ŋu wòle be woaɖɔ ŋu ɖo le atikeawo nono vɔ megbe
Ne èdo atike sia vɔ la, ele be nàɖɔ ŋu ɖo vie le teƒe si lãmetutudɔa le ŋu. Esi mèse vevea o ta la, àte ŋu ade abi teƒe ma evɔ mànya o.
Le kpɔɖeŋu me, ne woɖe aɖu na wò eye wò aɖuwo le veve sem la, ele be nàkpɔ nyuie be màgaɖu wò ŋgonu alo ano aha dzodzoe o vaseɖe esime vevesesea nu ayi keŋkeŋ. Azɔ hã, ne abi aɖe le wò ŋutigbalẽ ŋu la, kpɔ teƒe ma ta be woagaƒoe alo aƒoe o.
Nukawoe nye nusiwo ate ŋu ado tso eme?
Abe atike ɖesiaɖe ene la, esia hã ate ŋu ahe nugbegblẽ le ame aɖewo ŋu. Esiawo dometɔ aɖewo nye nya veviwo, ɖewo bɔ. Ele vevie be nànya nusiawo.
| Nu gbegblẽ sesẽ siwo wòle be woagblɔ na ɖɔkta alo dɔnɔdzikpɔla enumake | |
|---|---|
| Nusiwo ŋu nulɔdɔ le | Ŋutilã ƒe ʋuʋu, ʋuʋudedi, mo, nuyi, aɖe alo ŋɔti ƒe vuvu. |
| Tɔtrɔ siwo vaa dzi ƒe tsotso me | Sese le ɖokuiwò me be yeƒe dzi le ƒoƒom kabakaba alo le ƒoƒom edziedzi o, taɖuame, akɔtave, gbɔgbɔ sesẽ. |
| Ŋusẽ si wòkpɔna ɖe lãmeka siwo le titina dzi | Gbɔgbɔgbɔgbɔ blewu NyateƒeeBlewu blewu Blewu blewu blewu blewu blewu blewu blewu blewu blewu blewu blewu blewu blewu blewu blewu blewu blewuBlewu blewu Blewu blewu blewu blewu blewu blewu blewu blewu blewu blewu blewu blewu blewu blewu blewu blewu blewuBlewu blewu Blewu blewu blewu blewu blewu blewu blewu blewu blewu blewu blewu blewu blewu blewu blewu blewu blewuBlewu blewu Blewu blewu blewu blewu blewu blewu blewu blewu blewu blewu blewu blewu blewu blewu blewu blewu blewuBlewu blewu Blewu blewu blewu blewu blewu blewu blewu blewu blewu blewu blewu blewu blewu blewu blewu blewu blewuBlewu blewu Blewu blewu blewu blewu blewu blewu blewu blewu blewu blewu blewu blewu blewu blewu blewu blewu blewuBlewu blewu Blewu blewu blewu blewu blewu blewu blewu blewu blewu blewu blewu blewu blewu blewu blewu blewu blewuBlewu blewu Blewu blewu blewu blewu blewu blewu blewu blewu blewu blewu blewu blewu blewu blewu blewu blewu blewuBlewu blewu Absent -mindedness, . tɔtɔ. |
| Methemoglobinemia ƒe ʋusɔgbɔdɔ | Yagbɔgbɔ sesẽ; Taɖuame; Nuyiwo, ɖawo, alo ŋutigbalẽ ƒe ɣie, ɣie, alo blɔ; Ðeɖiteameŋu si gbɔ eme. |
| Alɔ̃madɔmadɔ | Ʋuʋudedi kpata. |
| Nusiwo dona tso eme siwo zi geɖe mesẽna o, gake ele be woagblɔe na ɖɔkta ne woyi edzi | |
| Dzimaɖitsitsi alo dzimaɖitsitsi | Dzimaɖitsitsi ƒe seselelãme wɔnuku aɖe ƒe seselelãme. |
| Alɔ̃dɔdɔ | Ðewohĩ àse le ɖokuiwò me be yele alɔ̃ dɔm vie. |
| Aɖuɖɔtoe kple ʋuʋudedi | Dɔgbo ƒe veve, ʋuʋudedi, alo ʋuʋudedi. |
Ne èkpɔ dzesi bubu aɖewo siwo mebɔ o siwo womeyɔ le xexlẽdzesi sia me o la, ƒo nu tso wo hã ŋu na wò ɖɔkta.
Gbedasi si Wotsɔ Yi Aƒeme
- Bupivacaine ƒe atike; Epinephrine nye atike si wodona na ame le teƒe ɖeka si ɖɔkta si le kɔdzi alo atikewɔƒe koe dona be wòaɖe vevesese dzi akpɔtɔ.
- Hafi nàxɔ atike sia la, gblɔ wò atikewɔwɔ ƒe nɔnɔmewo katã (abe suklidɔ, dzidɔ ene) kple atike siwo katã nènona na wò ɖɔkta.
- Le atikeawo dodo vɔ megbe la, kpɔ egbɔ be yekpɔ teƒea ta tso abixɔxɔ me. Esi wònye be mèse veve o ta la, àte ŋu ade abi ɖokuiwò ŋu le manyamanya me.
- Di atikewɔla enumake ne èkpɔ nugbegblẽ sesẽ aɖewo abe mo ƒe vuvu, gbɔgbɔ sesẽ, alo akɔtave ene.
- Ne nyabiase alo dzimaɖitsitsi aɖe le asiwò ku ɖe atike sia ŋu la, mègahe ɖe megbe gbeɖe be yeabia wò ɖɔkta tso eŋu o.











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