Kodi mwakonzekera kuchitidwa opaleshoni? Kapena kodi winawake m'banja mwanu akukonzekera opaleshoni? Chifukwa chachikulu choopa opaleshoni ndi ululu womwe umabwera pambuyo pa opaleshoni. Koma musadandaule, sayansi ya zamankhwala ya masiku ano yapita patsogolo kwambiri. Pali njira zabwino komanso zotetezeka zochepetsera ululuwu. Lero tikulankhula za mankhwala apadera omwe amagwiritsidwa ntchito poletsa ululu wotere.
Kodi Bupivacaine ndi chiyani kwenikweni?
Mwachidule, Bupivacaine ndi mankhwala omwe amaperekedwa kuti athetse kapena kuchepetsa ululu pambuyo pa opaleshoni kapena opaleshoni yachipatala. Ndi m'gulu la mankhwala otchedwa ' local anesthetics'.
Tangoganizani kuti pali mitsempha yaying'ono m'thupi lanu yomwe imanyamula 'zizindikiro za ululu' kuchokera pamalo pomwe mumamva ululu kupita ku ubongo. Chomwe mankhwalawa amachita ndichakuti amapita kumalo oyenera okha, kutanthauza, kumalo komwe opaleshoni idachitikira, ndipo 'amapha' mitsempha yomwe imanyamula zizindikiro za ululu kwakanthawi. Zili ngati 'kuzimitsa' waya wamagetsi kwakanthawi. Kenako ululu supita ku ubongo, kotero simukumva ululu. Izi sizimapha thupi lonse, ngati kuti lagona, zimapha ululu pamalo pomwe ululu uli.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa
Ngakhale kuti Bupivacaine ndi mankhwala otetezeka kwambiri, ndikofunikira kuti dokotala wanu adziwe bwino za matenda anu. Izi zili choncho chifukwa muyenera kusamala kwambiri popereka mankhwalawa kwa anthu omwe ali ndi matenda enaake. Chifukwa chake, ngati muli ndi matenda aliwonse omwe atchulidwa pansipa, onetsetsani kuti mwadziwitsa dokotala wanu.
| Matenda kapena vuto | N’chifukwa chiyani kuli kofunikira kuuza dokotala? |
|---|---|
| Kulephera kwa ma enzyme monga kusowa kwa G6PD | Imeneyi ndi matenda obadwa nawo m'magazi omwe angayambitse zotsatira zoyipa ku mankhwala ena. |
| Matenda a mtima | Chifukwa zingakhudze ntchito ya mtima. |
| Matenda a impso | Chifukwa impso zimagwira ntchito yochotsa mankhwala m'thupi. |
| Matenda a chiwindi | Chifukwa chiwindi ndi chofunikira pochepetsa mankhwala m'thupi. |
| Kuthamanga kwa magazi kotsika | Mankhwalawa angapangitse kuti kuthamanga kwa magazi anu kuchepe kwambiri. |
| Matenda a m'mapapo | Chifukwa zingakhudze momwe dongosolo la kupuma limagwirira ntchito. |
| Matenda a Bupivacaine kapena mankhwala ena, zakudya, kapena utoto | Izi ndizofunikira kwambiri kuti tipewe ziwengo. |
| Ngati muli ndi pakati kapena mukufuna kutenga mimba | Kuganizira ngati pangakhale zotsatira pa mwana m'mimba. |
| Ngati ndinu mayi woyamwitsa | Kuganizira ngati mankhwalawo amaperekedwa kwa mwana kudzera mu mkaka wa m'mawere. |
Ndingakupatseni bwanji mankhwala awa?
Mankhwala awa si omwe mungapite nawo kunyumba. Amaperekedwa ngati jakisoni, koma kumene kuli ululu. Amaperekedwa kuchipatala kapena ku chipatala ndi dokotala wanu kapena gulu lachipatala lophunzitsidwa bwino. Choncho mulibe chodetsa nkhawa nacho.
Chofunika kwambiri ndichakuti mankhwalawa ndi a inu nokha. Musagawire wina aliyense mankhwalawa, ngakhale atakhala ndi zizindikiro zofanana ndi zanu.
Kodi mungachite chiyani ngati mwamwa mopitirira muyeso?
Popeza izi zimaperekedwa kuchipatala, chiopsezo chogwiritsa ntchito mopitirira muyeso ndi chochepa kwambiri. Komabe, ngati mukuganiza kuti mwina mwagwiritsa ntchito mopitirira muyeso, musachite mantha ndipo dziwitsani gulu lachipatala nthawi yomweyo. Kapena, muyenera kuyimbira foni nthawi yomweyo National Poisons Information Centre ku Colombo National Hospital , kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.
Mankhwala ena omwe angagwirizane ndi Bupivacaine
Mankhwala ena omwe mukumwa angagwirizane ndi Bupivacaine. Izi zikutanthauza kuti pamene mankhwala awiriwa atengedwa pamodzi, mphamvu ya imodzi ingasinthe kapena zotsatira zake zingawonjezere.
Choncho, perekani dokotala wanu mndandanda wathunthu wa mankhwala onse omwe mumamwa, kaya ndi omwe dokotala wakupatsani, omwe amagulitsidwa mumsika wa mankhwala, mavitamini, mankhwala achikhalidwe, mankhwala a Ayurvedic, kapena china chilichonse chomwe mumagwiritsa ntchito . Muuzeninso dokotala wanu ngati mumasuta kapena kumwa mowa.
Mankhwala ena omwe angagwirizane ndi Bupivacaine ndi awa:
- Acetaminophen (paracetamol)
- Mitundu ina ya maantibayotiki
- Mankhwala ena omwe amagwiritsidwa ntchito pochiza matenda monga khunyu (monga phenobarbital, phenytoin)
- Mankhwala monga Nitroglycerin a matenda a mtima
- Mitundu ina ya mankhwala oletsa ululu am'deralo monga Lidocaine, Tetracaine
- Mankhwala ena ambiri...
Mndandanda uwu sunathe. Ndicho chifukwa chake ndikofunikira kuuza dokotala wanu zonse zomwe mumamwa.
Zinthu zoti musamale nazo mutamwa mankhwalawo
Gulu lanu lachipatala lidzayang'anira thanzi lanu mosamala pamene mukulandira mankhwala awa, koma pali chinthu chofunikira chomwe muyenera kudziwa.
Ndiko kuti, simukumva kupweteka m'dera limenelo chifukwa dera limene mankhwalawo anaperekedwa ndi dzanzi. Tangoganizani kuti munapatsidwa mankhwala awa opaleshoni ya bondo. Panthawiyo, bondo lanu linali dzanzi kotero simunamve kupweteka. Chifukwa chake, ngati dera limenelo lagundidwa, lavulala, kapena likumva kutentha, simukumvetsa. Chifukwa chake, muyenera kusamala kwambiri mpaka dzanzi litatheratu. Onetsetsani kuti palibe choopsa m'dera limenelo.
Zotsatirapo zomwe zingachitike chifukwa cha mankhwala
Monga mankhwala ena aliwonse, Bupivacaine ingayambitse zotsatirapo zake. Komabe, si aliyense amene amadwala. Zina zimakhala zoopsa, pomwe zina zimakhala zochepa. Chofunika kwambiri ndikudziwa zizindikiro izi ndikudziwitsa dokotala kapena namwino nthawi yomweyo ngati muwona chilichonse choopsa.
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa gulu lanu lachipatala nthawi yomweyo | |
|---|---|
| Zotsatira zoyipa | Kufotokozera |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi, komanso kuvutika kupuma. |
| Kusintha kwa kugunda kwa mtima | Kumva ngati mtima wanu ukugunda mofulumira kapena mosakhazikika, chizungulire, kupweteka pachifuwa, komanso kupuma movutikira. |
| Kugwidwa ndi khunyu | Kunjenjemera kwa thupi, kutaya chidziwitso. |
| Kusintha kwa kuthamanga kwa magazi | Kuthamanga kwa magazi kokwera kapena kotsika (chizungulire, kusawona bwino, kumva kukomoka). |
| Zizindikiro za Methemoglobinemia | Imeneyi ndi vuto losowa kwambiri lomwe limapangitsa kuti magazi asanyamule mpweya. Zizindikiro zake ndi monga mutu, kutopa kwambiri, kupuma movutikira, nseru, kugunda kwa mtima mofulumira, komanso khungu kapena milomo yabuluu. |
| Kuchepa kwa ntchito ya dongosolo la mitsempha (CNS depression) | Kupuma pang'onopang'ono kapena pang'ono, kugona tulo topitirira muyeso, kuvutika kukhala maso, kusokonezeka. |
| Zinthu zomwe nthawi zambiri sizili zazikulu, koma ziyenera kufotokozedwa kwa gulu lachipatala ngati zipitirira | |
| Kusanza | Kumva ngati kusanza. |
| Kusanza | - |
| Kugona tulo | - |
| Nkhawa kapena mantha | - |
Mndandandawu sungakhale ndi zotsatirapo zonse zoyipa. Ngati muli ndi vuto lililonse lachilendo lomwe mukuganiza kuti lingakhale chifukwa cha mankhwalawa, lankhulani ndi dokotala wanu za vutoli.
Uthenga Wopita Nawo Kunyumba
- Bupivacaine ndi mankhwala oletsa ululu omwe amagwiritsidwa ntchito pochepetsa ululu pambuyo pa opaleshoni.
- Mankhwalawa amaperekedwa ndi gulu lachipatala kuchipatala, kotero mulibe chodetsa nkhawa nacho.
- Ndikofunikira kwambiri kuuza dokotala wanu za matenda ena aliwonse omwe muli nawo komanso mankhwala onse omwe mukumwa.
- Popeza malowo adzakhala opanda dzanzi akapatsidwa mankhwala, samalani kwambiri kuti musawononge malowo mpaka dzanzi litatha.
- Ngati mukukumana ndi mavuto aakulu monga kupuma movutikira, kupweteka pachifuwa, kapena kutupa pankhope, dziwitsani gulu lachipatala nthawi yomweyo .
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