If yu go du ɔpreshɔn jisnɔ, wan pan di big tin dɛn we yu de fred na di pen we go kam afta am. "O, dɔktɔ, i go at bɔku afta dat?" Wi ɔl kin aks, nɔto so? Dat fred de rayt. Bɔt, fɔtunate wan, tide, bikɔs di mɛdikal sayɛns dɔn go bifo, bɔku gud we dɛn de fɔ kɔntrol di pen we kin apin afta dɛn dɔn ɔpreshɔn am. So tide wi go tɔk bɔt wan spɛshal mɛrɛsin we dɔktɔ dɛn kin yuz fɔ kɔntrol dis pen. Dɛn kɔl am Bupivacaine.
Wetin na dis Bupivacaine?
Fɔ tɔk am simpul wan, Bupivacaine na mɛrɛsin we de mek pɔsin nɔ fil fayn we dɛn kin gi fɔ mek di say we de rawnd wund we dɛn dɔn ɔpreshɔn nɔ gɛt bɛtɛ trɛnk we dɛn de du ɔpreshɔn ɔ afta dɛn dɔn du di ɔpreshɔn. I tan lɛk di mɛrɛsin we yu kin gi yu gam fɔ mek yu nɔ gɛt bɛtɛ trɛnk bifo yu pul yu tut, bɔt na spɛshal, strɔng tayp we dɛn kin yuz fɔ ɔspitul wund dɛn.
Dɛn kin injɛkt dis dairekt wan na di say we dɛn du di ɔpreshɔn, dat na, insay di tisu dɛn we de rawnd di wund. Dis kin mek di nɛf dɛn we de na da say de nɔ wok fɔ sɔm tɛm ɛn i kin mek di pen sayn dɛn nɔ go na di bren. Dis min se yu nɔ go fil pen fɔ sɔm awa afta di ɔpreshɔn. Dis min se yu go rilaks mɔ di tɛm we yu de wɛl.
Tin dɛm wae yu fɔ tɛl yu dɔktɔ bifo yu gi dis mɛrɛsin
Bifo yu gi yu dis mɛrɛsin, yu dɔktɔ go nid fɔ no yu kɔmplit mɛdikal istri. Dis na bikɔs sɔm mɛrɛsin dɛn kin nid spɛshal kia we dɛn de yuz dis mɛrɛsin. So, if yu gɛt ɛni wan pan di sik dɛn we de dɔŋ ya, mek shɔ se yu tɛl yu dɔktɔ bɔt am. Nɔ ignore am, bikɔs yu sef na di tin we impɔtant pas ɔl.
| Sik ɔ kɔndishɔn | Wetin mek yu fɔ tɛl pipul dɛn? |
|---|---|
| Alɛji to Bupivacaine ɔ ɔda mɛrɛsin we de mek pɔsin nɔ fil fayn (e.g. Lidocaine) . | Fɔ mek yu nɔ mek yu gɛt siriɔs alɛji. |
| At sik | Pipul wae gɛt hat sik nid spɛshal atɛnshɔn bikɔs de ifɛkt wae dis mɛrɛsin kin gɛt kin difrɛn. |
| Liva ɔ Kidni sik | Bikɔs i kin afɛkt di we aw dɛn kin pul drɔgs na di bɔdi. |
| Lɔw blɔd prɛshɔn | Na bikɔs dis mɛrɛsin kin mek di blɔd prɛshɔn go dɔŋ mɔ. |
| Sik dɛm na di lɔng (e.g. asma, COPD) . | Fɔ no di risk fɔ gɛt prɔblɛm wit di we aw yu de blo. |
| G6PD dɛfisiɛns | Dis na wan sik we nɔ kin apin so ɔltɛm we gɛt fɔ du wit blɔd we nid spɛshal kia. |
| Fɔ gɛt bɛlɛ, fɔ tray fɔ gɛt bɛlɛ, ɔ fɔ gi pikin in bɛlɛ | Fɔ tink bɔt di tin dɛn we kin apin to di pikin ɛn disayd fɔ du di bɛst tin. |
Aw yu kin yuz dis mɛrɛsin?
Di impɔtant tin na dat, dis nɔto mɛrɛsin we yu kin kɛr go na os. Na ɔspitul ɔ klinik nɔmɔ dɛn kin gi bupivacaine injɛkshɔn na dɔktɔ we tren ɔ nɔs wokman dɛn.
Dɛn kin injɛkt am na di tisu we de rawnd di ɔspitul wund we dɛn de du ɔ afta di ɔpreshɔn, so yu nɔ nid fɔ wɔri fɔ mis wan doz.
If prɔblɛm de wantɛm wantɛm we pɔsin tek dis mɛrɛsin pasmak, i go apin na ɔspitul ɛn di wan dɛn we de wok na di mɛrɛsin go tek akshɔn wantɛm wantɛm. If dis kayn tin apin, dɛn kin kɔl bak di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital ɛn gɛt di advays we dɛn nid. Dɔn bak, dɛn go admit di pɔsin wantɛm wantɛm na di Imejɛnsi Tritmɛnt Yunit (ETU) ɛn dɛn go gi am di tritmɛnt we i nid.
Ɔda drɔgs dɛm wae kin intarakt wit Bupivacaine
If yu de tek ɛni ɔda mɛrɛsin, i impɔtant fɔ tɛl yu dɔktɔ bɔt dɛn bak. Sɔm mɛrɛsin kin miks wit Bupivacaine ɛn mek dɛn gɛt tin dɛn we yu nɔ want. Tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek, nɔto jɔs di wan dɛn we yu dɔktɔ tɛl yu fɔ tek, bɔt tɛl yu bak di mɛrɛsin dɛn we de mek yu fil pen, vaytamɛn dɛn, ɛn ɛbul mɛrɛsin dɛn we yu bay na famasi.
Wetin na di bad tin dɛn we kin apin to pɔsin?
Lɛk ɛni mɛrɛsin, Bupivacaine kin mek sɔm pipul dɛn gɛt sayd ɛfɛkt. Bɔt, nɔto ɔlman kin gɛt dɛn. Sɔm dɛn kin siriɔs ɛn dɛn nid fɔ ripɔt dɛn wantɛm wantɛm. Ɔda wan dɛn nɔmal ɛn dɛn kin go afta sɔm tɛm. Lɛ wi si wetin dɛn bi.
| Sayd ɛfɛkt we pɔsin kin gɛt | Tɔk bɔt |
|---|---|
| Di sayd ɛfɛkt dɛm we yu fɔ ripɔt to yu dɔktɔ ɔ nɔs wantɛm wantɛm: | |
| Siriɔs alɛji riakshɔn dɛn | 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. |
| Sɛntral nervɔs sistɛm diprɛshɔn (CNS dipreshɔn) . | Fɔ blo sloslo ɔ shalɔ, slip pasmak, ɛn kɔnfyushɔn. |
| Di sik dɛn we kin mek pɔsin sik | Bɔdi de shek shek, de shek shek. |
| Methemoglobinemia we de mek pɔsin gɛt sik | I nɔ izi fɔ blo, yu mɔt, yu finga nel, ɔ yu skin kin chenj blu/grey, yu kin taya pasmak, yu ed kin at. (Dis na wan rare bɔt siriɔs kɔndishɔn). |
| Tin dɛm wae nɔr kin siriɔs, bɔt dɛn fɔ ripɔt to di dɔktɔ if dɛn kɔntinyu fɔ de | |
| Diziz, ed we de at | I go mɔs bi se na fɔ shɔt tɛm nɔmɔ, bɔt lɛ a no if i kɔntinyu fɔ de. |
| Vɔmit, nɔs | Dis kin apin bak afta dɛn dɔn du di ɔpreshɔn. |
| Chenj in teist na di mɔt | Fɔ fil wan mɛtal teys na yu mɔt. |
| Ring na di yes | Fɔ yɛri sawnd we de ring na yu yes. |
Tek kia ɔf di say we nɔ gɛt bɛtɛ trɛnk!
Dis rili impɔtant. Bikɔs di say we dɛn du yu ɔpreshɔn dɔn numb bikɔs ɔf di Bupivacaine injɛkshɔn, yu nɔ go fil ɛni pen na da eria de. So, chans de fɔ mek pɔsin wund ɔ aksidɛnt na da say de. Fɔ ɛgzampul, yu nɔ go fil ɛni pen if dɛn bit yu, kɔt yu, ɔ bɔn ɛnisay na da say de. So, yu fɔ tek tɛm bad bad wan wit da eria de te di swɛt dɔn kɔmɔt kpatakpata. Tek tɛm bɔt dat.
Mɛsej we dɛn kin kɛr go na os
- Bupivacaine na wan injɛkshɔn we de mek pɔsin nɔ fil fayn we dɛn kin jɔs gi am na ɔspitul fɔ ridyus di pen afta dɛn dɔn ɔpreshɔn am.
- Mek shɔ se yu tɛl yu dɔktɔ bɔt ɔl yu mɛrɛsin (espɛshali at, liva, ɛn kidni sik) ɛn ɔl di mɛrɛsin dɛn we yu de tek.
- Protɛkt di say we nɔ gɛt bɛtɛ trɛnk frɔm di ifɛkt dɛn we di mɛrɛsin gɛt frɔm bad tin. Tek tɛm pasmak as yu nɔ go fil ɛni pen.
- Notis di dɔktɔ dɛn wantɛm wantɛm if yu notis ɛni siriɔs sayd ɛfɛkt lɛk fɔ mek yu nɔ ebul fɔ blo fayn, yu chɛst de pen, ɔ yu fes de swel.
- If yu gɛt ɛni kwɛstyɔn ɔr wɔri bɔt dis mɛrɛsin ɔr yu sik, nɔr frayd fɔ tɔk to yu dɔktɔ ɔr nɔs.
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