Kodi mwakonzekera kuchitidwa opaleshoni? Kapena kodi munthu amene mumamudziwa akukonzekera opaleshoni? Mantha akulu omwe anthu ambiri amakhala nawo pankhani ya opaleshoni ndi ululu womwe umabwera pambuyo pa opaleshoni. Koma lero, chifukwa sayansi ya zamankhwala yapita patsogolo, pali njira zambiri zochepetsera ululuwu. Lero, tikambirana za njira imodzi yatsopano komanso yapadera. Imeneyi ndi Bupivacaine Implant.
Mwachidule, kodi Bupivacaine ndi chiyani?
Bupivacaine ndi mankhwala omwe amagwiritsidwa ntchito popewa kapena kuchiza ululu pambuyo pa opaleshoni. Ndi m'gulu la mankhwala otchedwa local anesthetics .
Tangoganizani kuti mwachitidwa opaleshoni padzanja lanu. Chomwe mankhwalawa amachita ndikuletsa kwakanthawi ululu kuti usapite ku ubongo kudzera m'mitsempha yomwe ili m'dzanja kumene opaleshoniyo inachitikira. Zili ngati kuletsa kwakanthawi "zizindikiro za ululu" zomwe zimadutsa mwa iwo. Kenako simukumva kupweteka kulikonse pamalo opareshoni.
Chinthu chapadera pa izi ndichakuti sichiperekedwa ngati piritsi kapena jakisoni. Ndi choyikamo . Izi zikutanthauza kuti, panthawi ya opaleshoni , dokotala wanu adzayika chipangizo chaching'ono chokhala ndi mankhwalawa mkati mwa bala la opaleshoni. Kuchokera pamenepo, mankhwalawa amatulutsidwa ndipo ululu umachepetsedwa kwa masiku angapo. Dzina lodziwika bwino la izi ndi `(Xaracoll)`.
Zinthu zomwe dokotala wanu ayenera kudziwa asanakupatseni mankhwala awa:
Ngakhale kuti mankhwalawa amaperekedwa kuchipatala, ndikofunikira kwambiri kudziwitsa gulu lanu lachipatala za matenda ena aliwonse omwe mungakhale nawo, chifukwa chidziwitso chimenecho chidzatsimikizira ngati mankhwalawa ndi oyenera kwa inu.
Ngati muli ndi vuto lililonse mwa zotsatirazi, onetsetsani kuti mwauza dokotala wanu za vutoli.
- Kusowa kwa G6PD: Ichi ndi vuto lomwe limakhudza enzyme m'magazi a anthu ena.
- Matenda a mtima : Ngati muli ndi matenda a mtima.
- Matenda a impso : Ngati pali mavuto ndi ntchito ya impso.
- Matenda a chiwindi : Ngati muli ndi matenda aliwonse a chiwindi.
- Kuthamanga kwa magazi kotsika:Ngati kuthamanga kwa magazi nthawi zambiri kumakhala kochepa.
- Matenda a m'mapapo: Matenda okhudzana ndi mapapo monga mphumu.
- Matenda a ziwengo: Ngati muli ndi ziwengo zilizonse za Bupivacaine kapena mankhwala ena oletsa ululu, mankhwala ena aliwonse, zakudya, kapena utoto, muyenera kuziulula.
- Mimba: Onetsetsani kuti mwadziwitsa dokotala wanu ngati muli ndi pakati, mukufuna kutenga pakati, kapena ngati mukuyamwitsa .
Ndikofunikira kwambiri kuti mukhale otetezeka kulankhula ndi dokotala wanu za mbiri yanu yachipatala popanda kubisa chilichonse.
Kodi ndingagwiritse ntchito bwanji izi? Ndiyenera kusamala ndi chiyani?
Mankhwalawa si chinthu chomwe mungapite nacho kunyumba. Amayikidwa pamalo ochitira opaleshoni ndi gulu lanu lachipatala kuchipatala kapena ku chipatala panthawi ya opaleshoni. Choncho simuyenera kuda nkhawa ndi momwe mungawagwiritsire ntchito.
Koma pali zinthu zingapo zofunika kudziwa.
- Kugwiritsa ntchito kwa ana: Kusamala kwambiri kungafunike ngati mankhwalawa agwiritsidwa ntchito kwa ana aang'ono. Lankhulani ndi dokotala wanu za izi.
- Ngati mwamwa mopitirira muyeso: Izi zimaperekedwa kuchipatala, kotero mwayi woti izi zichitike ndi wochepa kwambiri. Komabe, ngati mukukayikira kuti mwamwa mopitirira muyeso, imbani nthawi yomweyo ku National Poisons Information Centre ku National Hospital , kapena dziwitsani Emergency Treatment Unit (ETU) ku chipatala chapafupi.
- Samalani ndi malo oti musamamve kupweteka: Ichi ndi chinthu chofunikira kwambiri chomwe muyenera kukumbukira. Mankhwalawa amapha ululu pamalo omwe opaleshoniyo inachitikira, kuti musamve kupweteka kulikonse. Chifukwa chake mutha kuvulaza mwangozi malo amenewo. Mwachitsanzo, ngati mwachitidwa opaleshoni mwendo wanu ndipo mwapaka mankhwala awa, simudzamva kupweteka kulikonse chifukwa mwendo wanu udzakhala wopanda mphamvu. Koma ngati mwangogunda mwendo wanu mopanda mphamvu, kuudula, kapena kupsa ndi chinthu chotentha, simudzamva kupweteka. Chifukwa chake muyenera kusamala kwambiri ndi malo oti musamamve kupweteka kwa thupi lanu.
Kodi zotsatirapo zake ndi ziti?
Monga mankhwala ena aliwonse, izi zingayambitse zotsatirapo zoyipa. Komabe, si aliyense amene amalandira. Zotsatirapo zina zingakhale zoopsa, choncho ndikofunikira kuzidziwa.
Tiyeni tiwone zomwe zili mu tebulo ili m'munsimu.
| Kugawa zotsatira zoyipa | |
|---|---|
| ⚠️ Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa gulu lachipatala nthawi yomweyo | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Kusokonezeka kwa mitsempha yapakati (CNS depression) | Kupuma pang'onopang'ono kapena pang'ono, kuvutika kupuma, kukomoka, chizungulire, komanso kutaya chidziwitso. |
| Zizindikiro za Methemoglobinemia | Mutu, kutopa kosazolowereka, kuvutika kupuma, nseru, kusanza, kugunda kwa mtima mofulumira, khungu labuluu kapena milomo. |
| Kusintha kwa kugunda kwa mtima | Kugunda kwa mtima mofulumira kapena kosasinthasintha, chizungulire, kukomoka, kupweteka pachifuwa, kuvutika kupuma. |
| Kusintha kwa kuthamanga kwa magazi | Kuwonjezeka kapena kuchepa kwa kuthamanga kwa magazi (zizindikiro monga chizungulire, kukomoka, kusawona bwino). |
| Kugwidwa ndi khunyu | Kunjenjemera kwa thupi kapena kugwidwa ndi khunyu. |
| 🙂 Zinthu zomwe nthawi zambiri sizili zazikulu, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Zotsatira zamaganizo | Kusakhazikika, kusakhazikika. |
| Kugona tulo | Kumva tulo tosazolowereka. |
| Mavuto a m'mimba | Kusanza, kusanza. |
Mndandanda uwu si zotsatirapo zonse zomwe zingatheke. Ngati mukukumana ndi zizindikiro zachilendo, lankhulani ndi dokotala wanu za izo.
Mankhwala ena omwe angagwirizane ndi mankhwalawa
Mankhwala ena omwe mukumwa angagwirizane ndi Bupivacaine. Choncho uzani dokotala wanu za mankhwala onse omwe mukumwa, kuphatikizapo mankhwala olembedwa ndi dokotala komanso omwe amagulitsidwa mumsika wa mankhwala, mavitamini, ndi mankhwala azitsamba. Komanso, uzani dokotala wanu ngati mumasuta kapena kumwa mowa.
Mankhwala ena omwe angagwirizane ndi mankhwalawa ndi awa:
- Acetaminophen
- Maantibayotiki ena (monga dapsone, nitrofurantoin, sulfonamides)
- Mankhwala ena a khunyu (monga phenobarbital, phenytoin, valproic acid)
- Chloroquine
- Cyclophosphamide
- Nitroglycerin
- Mankhwala ena oletsa ululu am'deralo monga lidocaine ndi tetracaine
- Quinine
Mndandandawu si wokwanira, choncho ndibwino kuuza dokotala wanu za mankhwala onse omwe mumamwa.
Uthenga Wopita Nawo Kunyumba
- Bupivacaine Implant ndi mankhwala apadera omwe amaikidwa pamalo ochitira opaleshoni kuti achepetse ululu pambuyo pa opaleshoni.
- Musanalandire chithandizochi, ndikofunikira kuti muuze dokotala wanu za matenda anu onse komanso ziwengo zanu.
- Samalani kwambiri chifukwa mungavulaze thupi lanu mosadziwa lomwe lachita dzanzi chifukwa cha mankhwala.
- Fufuzani thandizo lachipatala mwachangu ngati mukukumana ndi mavuto ena aakulu monga kupuma movutikira, kusintha kwa kugunda kwa mtima, khunyu, kapena ziwengo zoopsa.
- Ngati muli ndi mafunso okhudza mankhwalawa, musaope kufunsa dokotala wanu za mankhwalawa.
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