Yu dɔn ɛva gɛt fɔ du smɔl ɔ big ɔpreshɔn? Ɔ yu de plan fɔ gɛt wan tumara bambay? If na so i bi, i nɔmal fɔ mek yu fred smɔl fɔ di pen we yu go gɛt afta yu dɔn du yu ɔpreshɔn. Bɔt nɔ wɔri, di mɛrɛsin tide dɔn rili advans. Dɔktɔ dɛn kin yuz difrɛn we dɛn fɔ kɔntrol dis pen. Tide, wi de tɔk bɔt wan spɛshal mɛrɛsin we dɛn kin put pan di ɔpreshɔn wund insɛf ɛn yuz fɔ mek i nɔ fil pen fɔ sɔm awa.
Wetin na dis mɛrɛsin? (Bupivakɛyn; Mɛlɔksikam) .
Fɔ tɔk am simpul wan, dis na tu drɔgs we dɛn jɔyn togɛda. Dɛn de makɛt am ɔnda di nem ``ZYNRELEF''. I gɛt tu drɔgs, Bupivacaine ɛn Meloxicam .
Tink bɔt am lɛk nidul we dɔktɔ gi yu bifo yu pul yu tut. Dat de mek di eria nɔ gɛt bɛtɛ trɛnk, nɔto so? Wɛl, di Bupivacaine we de insay dis na wetin de mek di nerv dɛn usay yu bin gɛt yu ɔpreshɔn fɔ sɔm tɛm. Dɔn dɛn nɛv dɛn de kin stɔp fɔ sɛn sayn dɛn we de sho se pɔsin de fil pen to di bren, ɛn yu nɔ kin fil pen igen.
Di sɛkɔn mɛrɛsin na Mɛlɔksikam . Dis na mɛrɛsin we de mek pɔsin fil pen ɛn na mɛrɛsin we de mek pɔsin nɔ swel. Insay mɛrɛsin, wi kin kɔl dis `(NSAID - Nɔn-Steroidal Anti-Inflammatory Drug)`. Dis drɔg de kɔntrol aw di wund de swel ɛn rɛd afta dɛn dɔn du di ɔpreshɔn. So, if yu put dɛn tu mɛrɛsin ya togɛda, dat go mek yu gɛt bɔku rilif frɔm di pen we yu go gɛt we yu du ɔpreshɔn fɔ lɛk 72 awa so.
Di impɔtant tin na dat, dis nɔto mɛrɛsin we yu kin kɛr go na os. Na spɛshal sɔlv we dɔktɔ kin put insay di wund we dɛn de du ɔpreshɔn na ɔspitul ɔ klinik.
Tin dɛm wae yu fɔ tɛl yu dɔktɔ bifo yu gi dis mɛrɛsin
Bifo yu disayd if dis mɛrɛsin fayn fɔ yu, yu dɔktɔ go nid fɔ no yu kɔmplit wɛlbɔdi istri. Mek shɔ se yu tɛl yu dɔktɔ if yu gɛt ɛni wan pan dɛn tin ya:
| Wɛlbɔdi kɔndishɔn ɔ abit | Tɔk bɔt |
|---|---|
| Sik dɛn we pɔsin kin gɛt we i de blo | If yu gɛt lɔng sik lɛk asma. |
| Prɔblɛm dɛn we gɛt fɔ du wit blɔd | If yu gɛt prɔblɛm wit blɔd. |
| Ɔpreshɔn fɔ di at | If yu nɔ tu te yet (insay 2 wik) dɛn dɔn du at baypas ɔpreshɔn (Coronary Artery Bypass Graft - CABG). |
| At sik ɛn blɔd prɛshɔn | Kɔndishɔn lɛk at sik, ay ɔ lɔw blɔd prɛshɔn. |
| Prɔblɛm dɛn na di bɛlɛ ɛn di intestinal | If yu bin dɔn gɛt ɔlsa na yu bɛlɛ ɔ yu bin de blɔd trade. |
| Kidni ɔ liva sik | If yu gɛt ɛni mɛdikal kɔndishɔn we gɛt fɔ du wit di kidni ɔ liva we de wok. |
| Ɔda abit ɛn kɔndishɔn dɛn | If yu de drink rɔm ɛvride, smok, ɔ yu nɔ gɛt G6PD. |
| Alɛji dɛn we pɔsin kin gɛt | If yu gɛt alɛji to Bupivacaine, Meloxicam, Aspirin ɔ ɔda NSAID, ɔda mɛrɛsin, it, ɔ day. |
| We uman gɛt bɛlɛ | If yu gɛt bɛlɛ, yu de tray fɔ gɛt bɛlɛ, ɔ yu de gi pikin in bɛlɛ. |
Wetin fɔ du if dɛn tek dis mɛrɛsin pasmak?
Bikɔs na dɔktɔ na ɔspitul de gi dis mɛrɛsin, di risk fɔ mek pɔsin tek am pasmak nɔ bɔku. Bɔt if yu tink se yu go dɔn tek ɔvados, yu fɔ kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta wantɛm wantɛm na di Nashɔnal Ospital , ɔ go na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu.
Intarakshɔn wit ɔda drɔgs
Dis mɛrɛsin kin mek yu gɛt prɔblɛm we yu tek am wit sɔm ɔda mɛrɛsin dɛn, so i rili impɔtant fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek, lɛk vaytamɛn, ɛbul prɔdak, ɛn sɔpɔtmɛnt .
ZYNRELEF nɔ fɔ yuz wit dɛn mɛrɛsin ya patikyula:
- Sidofovir we dɛn kɔl Cidofovir
- Ketorolac (ɔda strɔng mɛrɛsin we de mek pɔsin fil pen) .
Apat frɔm dat, prɔblɛm kin apin bak wit dɛn mɛrɛsin ya:
- Ɔda mɛrɛsin dɛn we de mek pɔsin fil pen (ɛgz. Aspirin, Ibuprofen, Naproxen) .
- Mεdisin dεm we de mek bכdi nכ kכlכt (e.g. Warfarin) .
- Sɔm mɛrɛsin fɔ ay blɔd prɛshɔn ɛn at sik
- Bɔku kayn antibayɔtik dɛn
- Diuretiks we dɛn kin yuz fɔ pul wata
- Mɛrɛsin fɔ pwɛl hat (SSRI, SNRI) .
- Di kayn mɛrɛsin dɛn we dɛn kin gi fɔ fit
- Ɔda patikyula mɛrɛsin dɛn lɛk Lithium, Methotrexate
Dis list nɔ kɔmplit, so i bɛtɛ fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek bifo yu du di ɔpreshɔn.
Tin dɛn we yu fɔ tek tɛm wit afta yu dɔn tek dis mɛrɛsin
1. Tek tɛm wit di say we yu nɔ gɛt bɛtɛ trɛnk: Bikɔs di say we dɛn du di ɔpreshɔn nɔ gɛt bɛtɛ trɛnk, yu nɔ go fil ɛni pen. So, yu fɔ tek tɛm mek yu nɔ brus, wund, ɔ bɔn di say we yu de.
2. Tɛl ɔda dɔktɔ dɛn: If yu nid fɔ gɛt ɔda ɔpreshɔn ɔ mɛrɛsin insay 4 dez afta yu tek dis mɛrɛsin, tɛl di dɔktɔ se yu dɔn gɛt dis mɛrɛsin.
3. Wach aw yu bɛlɛ de blɔd: Sɔntɛnde, Meloxicam (wan NSAID) we de insay dis mɛrɛsin kin mek yu bɛlɛ ɔlsa ɔ blɔd kɔmɔt. Fɔ smok, fɔ drink rɔm, fɔ ol, ɛn fɔ nɔ gɛt bɛtɛ wɛlbɔdi kin mek dis prɔblɛm bɔku. If yu gɛt bɛlɛ pen wantɛm wantɛm, vɔmit we tan lɛk kɔfi grɔn, ɔ blak, tar stɔl , go to dɔktɔ wantɛm wantɛm.
Sɔm sayd ɛfɛkt dɛn we pɔsin kin gɛt
Jɔs lɛk ɛni mɛrɛsin, sayd ɛfɛkt kin apin. Sɔm siriɔs, sɔm kɔmɔn.
| Sayd ɛfɛkt we pɔsin kin gɛt | Sayn dɛn |
|---|---|
| Siriɔs sayd ɛfɛkt dɛm we yu fɔ ripɔt to yu dɔktɔ ɔ ETU wantɛm wantɛm | |
| Siriɔs alɛji riakshɔn dɛn | Skin rash, it, swel na di fes, lip, tong ɔ trot, i nɔ izi fɔ blo. |
| Blɔd we de kɔmɔt | Blak stɔl, vɔmit we tan lɛk kɔfi grɔn, rɛd/dak brawn urine, rɛd/pɔpul spat na di skin. |
| At atak | Chɛst, sholda, an, ɔ jaw tayt/pen, nɔs, i nɔ izi fɔ blo. |
| Strok | Wantɛm we yu fes, yu an, ɔ yu leg kin wik, yu nɔ kin ebul fɔ tɔk, yu kɔnfyus, yu nɔ kin ebul fɔ waka. |
| Kidni ɔ liva we dɔn pwɛl | di urine we de kכmכt dכn, di ankכl/an/fut dεm de swel, di yay/skin de yכlכ, pen na di כp rayt say na di bכdi. |
| Methemoglobinemia we de mek pɔsin gɛt sik | Ed we de at, taya pasmak, we yu nɔ de blo fayn, yu at de bit kwik kwik wan, yu skin ɔ lip dɛn de blu (dis na sik we de afɛkt di we aw di blɔd de kɛr ɔksijɛn). |
| Sayd ɛfɛkt dɛn we nɔ kin siriɔs, bɔt dɛn fɔ ripɔt to di dɔktɔ if dɛn kɔntinyu fɔ de | |
| Banbɛlɛ | I nɔ izi fɔ go na tɔylɛt. |
| Ed de at | Ed de at. |
| Fɔ vɔmit | Fɔ vɔmit wit nɔys. |
Mɛsej we dɛn kin kɛr go na os
- `ZYNRELEF` na spɛshal mɛrɛsin we dɛn kin put dairekt pan di ɔspitul wund fɔ kɔntrol di pen afta dɛn dɔn ɔpreshɔn.
- Bifo dɛn gi yu dis mɛrɛsin, mek shɔ se yu tɛl yu dɔktɔ bɔt ɔl yu mɛrɛsin ɛn ɔl di mɛrɛsin dɛn we yu de tek.
- Bikɔs di say we dɛn de du di ɔpreshɔn go swɛ afta dɛn dɔn gi di mɛrɛsin, na yu wok fɔ tek tɛm mek yu nɔ wund di say.
- If yu gɛt ɛni sayn we gɛt siriɔs sayd ɛfɛkt lɛk we yu bɛlɛ de blɔd, yu at atak, yu paralayz, ɔ yu gɛt siriɔs alɛji, go to dɔktɔ wantɛm wantɛm ɛn nɔ de te ɔ go na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu.
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