Yu tink se dɛn dɔn arenj fɔ mek dɛn du yu ɔpreshɔn? Ɔ sɔmbɔdi na yu famili de rɛdi fɔ ɔpreshɔn? Di men rizin we mek pipul dɛn kin fred fɔ mek dɛn du di ɔpreshɔn na di pen we kin kam afta dɛn dɔn du di ɔpreshɔn. Bɔt nɔ wɔri, tide di mɛdikal sayɛns dɔn rili go bifo. Rili gud ɛn sef we dɛn de fɔ kɔntrol dis pen. Tide wi de tɔk bɔt wan spɛshal mɛrɛsin we dɛn kin yuz fɔ kɔntrol dis kayn pen.
Wetin na Bupivacaine rili?
Fɔ tɔk am simpul wan, Bupivacaine na mɛrɛsin we dɛn kin gi fɔ stɔp ɔ fɔ ridyus di pen afta dɛn dɔn du ɔpreshɔn ɔ mɛrɛsin. I de pan wan klas ɔf drɔgs we dɛn kɔl ‘ lokal anestetik’.
Imajin se smɔl kebul dɛn de na yu bɔdi we de kɛr ‘pen signal’ frɔm di say we yu fil pen to di bren. Wetin dis mεdisin de du na we i de go כnli na di εria we rilevεnt, dat na di εria we dεn du di כpεrayshכn, εn fכ sכm tεm i de ‘numb’ di nεv dεm we de kכri dεn pen signal dεm. I tan lɛk se yu de ‘switch ɔf’ ilɛktrik waya fɔ sɔm tɛm. Dɔn di pen nɔ kin go na di bren, so yu nɔ kin fil di pen. Dis nɔ de numb di wan ol bɔdi, lɛk se i de slip, i jɔs de numb di eria usay di pen de.
Tin dɛm wae yu fɔ tɛl yu dɔktɔ bifo yu tek dis mɛrɛsin
Pan ɔl we Bupivacaine na mɛrɛsin we rili sef, i impɔtant fɔ mek yu dɔktɔ no gud gud wan bɔt yu mɛrɛsin. Dis na bikɔs dɛn fɔ tek spɛshal kia we dɛn de gi dis mɛrɛsin to pipul dɛn we gɛt sɔm kayn mɛrɛsin. So, if yu gɛt ɛni wan pan di sik dɛn we de dɔŋ ya, mek shɔ se yu tɛl yu dɔktɔ.
| Sik ɔ kɔndishɔn | Wetin mek i impɔtant fɔ tɛl di dɔktɔ? |
|---|---|
| di εnzym dεm we nכ de lεk di G6PD dεfisiεns | Dis na blɔd sik we pɔsin kin gɛt frɔm in mama ɛn papa we kin mek pɔsin gɛt bad bad tin fɔ du wit sɔm mɛrɛsin dɛn. |
| At sik | Bikɔs i kin afɛkt di we aw di at de wok. |
| Kidni sik | Bikɔs di kidni dɛn de involv fɔ pul di mɛrɛsin na di bɔdi. |
| Liva sik | Bikɔs di liva impɔtant fɔ brok di mɛrɛsin dɛn we de na di bɔdi. |
| Lɔw blɔd prɛshɔn | Dis mɛrɛsin kin mek yu blɔd prɛshɔn go dɔŋ mɔ ɛn mɔ. |
| Di sik we de na di lɔng | Bikɔs i kin afɛkt di we aw di we aw di bɔdi de blo de wok. |
| Alɛji to Bupivacaine ɔ ɔda mɛrɛsin, it, ɔ day | Dis rili impɔtant fɔ mek yu nɔ gɛt alɛji. |
| If yu gɛt bɛlɛ ɔ yu de tray fɔ gɛt bɛlɛ | Fɔ tink if i kin afɛkt di pikin we de na di bɛlɛ. |
| If yu na mama we de gi pikin in bɛlɛ | Fɔ tink if di mɛrɛsin de pas to di pikin tru in mama in milk. |
Aw a go gi yu dis mɛrɛsin?
Dis nɔto mɛrɛsin we yu kin kɛr go na os. Dɛn kin gi am as injɛkshɔn, jɔs usay di pen de. Na ɔspitul ɔ klinik na yu dɔktɔ ɔ wan mɛdikal tim we dɛn dɔn tren kin gi am. So yu nɔ gɛt natin fɔ wɔri bɔt.
Di tin we impɔtant pas ɔl na dat dis mɛrɛsin na fɔ yu nɔmɔ. Nɔ ɛva sheb dis mɛrɛsin wit ɔda pɔsin, ilɛksɛf dɛn gɛt sayn dɛn we fiba yu yon.
Wetin fɔ du if yu tek di mɛrɛsin pasmak?
Bikɔs dɛn kin gi dis na ɔspitul, di risk fɔ mek pɔsin tek am pasmak nɔ kin bɔku. Bɔt if yu tink se yu go dɔn tek ɔvados, nɔ panik ɛn tɛl di mɛdikal tim wantɛm wantɛm. Ɔda we de fɔ kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta wantɛm wantɛm na di Kɔlɔmbɔ Nashɔnal Ospital , ɔ go na di Imejɛnsi Tritmɛnt Yunit (ETU) na di ɔspitul we de nia yu.
Ɔda drɔgs dɛm wae kin intarakt wit Bupivacaine
Sɔm mɛrɛsin wae yu de tek kin intarakt wit Bupivacaine. Dis min se we dɛn tek di tu mɛrɛsin dɛn togɛda, di we aw wan de wok kin chenj ɔ di sayd ɛfɛkt dɛn kin bɔku.
So, gi yu dɔktɔ wan kɔmplit list fɔ ɔl di mɛrɛsin dɛn we yu de tek, ilɛksɛf na dɔktɔ gi yu, we yu de bay, vaytamɛn, tradishɔnal mɛrɛsin, Ayurveda mɛrɛsin, ɔ ɛni ɔda tin we yu de yuz . Tɛl yu dɔktɔ bak if yu de smok ɔ drink rɔm.
Sɔm mɛrɛsin dɛm wae kin intarakt wit Bupivacaine na:
- Asetaminofɛn (parasɛtamɔl) .
- Sɔm kayn antibayɔtiks
- Sɔm mɛrɛsin dɛm wae dɛn kin yuse fɔ trit kondishɔn dɛm lɛk wae yu kin gɛt sik (e.g. phenobarbital, phenytoin) .
- Mεdisin dεm lεk Nitroglycerin fכ hat sik
- Ɔda kayn lokal anestetik lɛk Lidocaine, Tetracaine
- Bɔku ɔda mɛrɛsin dɛn...
Dis list nɔ kɔmplit. Na dat mek i impɔtant fɔ tɛl yu dɔktɔ bɔt ɔltin we yu de tek.
Tin dɛn we yu fɔ tek tɛm wit afta yu dɔn tek di mɛrɛsin
Yu mɛdikal tim go de wach yu sik gud gud wan we yu de tek dis mɛrɛsin, bɔt sɔntin de we impɔtant we yu fɔ no bɔt.
Dat min se yu nɔ de fil pen na da say de bikɔs di say we dɛn gi di mɛrɛsin nɔ de wok. Imajin se dɛn gi yu dis mɛrɛsin fɔ mek dɛn du ɔpreshɔn pan yu ni. Da tɛm de, yu ni bin de swɛt so yu nɔ bin de fil pen. So, if da eria de nak, wund, ɔ fil wam, yu nɔ go ɔndastand. So, yu nid fɔ tek tɛm bad bad wan te di swɛt dɔn kɔmɔt kpatakpata. Mek shɔ se no denja nɔ de fɔ da eria de.
Sayd ɛfɛkt dɛn we kin apin bikɔs ɔf mɛrɛsin
Lɛk ɛni mɛrɛsin, Bupivacaine kin mek yu gɛt sayd ɛfɛkt. Bɔt, nɔto ɔlman kin gɛt dɛn. Sɔm dɛn kin siriɔs, ɛn ɔda wan dɛn nɔ kin fred. Di tin we impɔtant pas ɔl na fɔ no bɔt dɛn sik ya ɛn tɛl yu dɔktɔ ɔ nɔs wantɛm wantɛm if yu notis ɛnitin we siriɔs.
| Sayd ɛfɛkt dɛm we yu fɔ ripɔt to yu mɛdikal tim wantɛm wantɛm | |
|---|---|
| Sayd ɛfɛkt we pɔsin kin gɛt | Tɔk bɔt |
| Alɛji we pɔsin kin gɛt | Skin rash, it, swel na di fes, lip, tong ɔ trot, i nɔ izi fɔ blo. |
| Di chenj dɛn we de apin na di at rit | Fɔ fil lɛk se yu at de bit fast ɔr nɔr de bit ɔltɛm, yu ed de tɔn, yu chɛst de pen, yu nɔr de ebul fɔ blo. |
| Di sik dɛn we kin mek pɔsin sik | Bɔdi de shek shek, we i nɔ de no natin. |
| Di chenj dɛn we de apin na di blɔd prɛshɔn | Blɔd prɛshɔn we ay ɔ smɔl (diziz, yu nɔ de si fayn, yu de fil se yu nɔ gɛt bɛtɛ trɛnk). |
| Di simptom dɛm fɔ Methemoglobinemia | Dis na tin we nɔ kin apin so ɔltɛm we di blɔd nɔ kin ebul fɔ kɛr ɔksijɛn. Di sayn dɛm na ed we de at, taya pasmak, nɔ de blo fayn, nɔs, at de bit kwik kwik wan, ɛn blu skin ɔ lip. |
| di aktvכti we di sεntri nεv sεstem de dכn dכn (CNS dεpreshכn) . | Fɔ blo sloslo ɔ shalɔ, slip pasmak, i nɔ kin izi fɔ de wach, kɔnfyushɔn. |
| Tin dɛm wae nɔr kin siriɔs, bɔt dɛn fɔ ripɔt to di mɛdikal tim if dɛn kɔntinyu | |
| Vɔmit | Fɔ fil lɛk se yu de vɔmit. |
| Fɔ vɔmit | - . |
| Di we aw pɔsin kin slip | - . |
| Fɔ wɔri ɔ fɔ fred | - . |
Dis list nɔ kin gɛt ɔl di sayd ɛfɛkt dɛn. If yu gɛt ɛnitin we nɔ kɔmɔn we yu tink se na bikɔs ɔf dis mɛrɛsin, tɔk to yu dɔktɔ bɔt am.
Mɛsej we dɛn kin kɛr go na os
- Bupivacaine na lokal anestetik we dɛn kin yuz fɔ kɔntrol pen afta dɛn dɔn ɔpreshɔn am.
- Na wan mɛdikal tim na ɔspitul de gi dis mɛrɛsin, so yu nɔ gɛt natin fɔ wɔri bɔt.
- I rili impɔtant fɔ tɛl yu dɔktɔ bɔt ɛni ɔda mɛrɛsin we yu gɛt ɛn ɔl di mɛrɛsin dɛn we yu de tek.
- Bikɔs di say go swɛ afta dɛn dɔn gi di mɛrɛsin, tek tɛm bad bad wan fɔ mek yu nɔ du ɛni bad tin to di say te di say we yu de swɛla.
- If yu gɛt ɛni siriɔs sayd ɛfɛkt lɛk fɔ mek yu nɔ ebul fɔ blo fayn, yu chɛst de pen, ɔ yu fes de swel, tɛl di dɔktɔ dɛn wantɛm wantɛm .
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