Kodi munayamba mwakokedwa dzino ndipo dokotala wa mano anakubayani mankhwala m'chingamu chanu ndipo anangoikamo dzanzi? Kapena, mutakasoka bala laling'ono, anangoikamo dzanzi m'dera lozungulira bala? Ndicho chimene timangotcha 'Local Anesthesia'. Sichikupangitsani dzanzi konse, chimangoikamo dzanzi m'dera lomwe mukumva ululu. Chifukwa chake, lero tikambirana za izi momveka bwino, monga momwe mungafotokozere mnzanu.
Mwachidule, kodi Local Anesthesia ndi chiyani?
Mankhwala oletsa kupweteka m'dera lanu ndi mtundu wa mankhwala omwe madokotala amagwiritsa ntchito kuti achite dzanzi kwakanthawi m'dera laling'ono la thupi lanu musanachite opaleshoni yaying'ono kapena mayeso achipatala. Mwachitsanzo, amagwiritsidwa ntchito kuti achite dzanzi m'dera laling'ono la khungu lanu, monga gawo la chingamu chanu.
Mosiyana ndi 'General Anesthesia' (anesthesia yonse) yomwe imaperekedwa panthawi ya opaleshoni yayikulu, simudzataya chikumbumtima panthawiyi. Mudzakhala maso kwambiri. Koma mudzasiya kumva ululu. Nthawi zina, pamodzi ndi mankhwala ochepetsa ululu awa, dokotala angakupatseninso mankhwala ochepetsa ululu (anesthesia) kuti akupumulitseni ndikuchepetsa mantha anu. Zimatengera zomwe zikuchitika komanso momwe mulili.
Kodi mankhwalawa amagwira ntchito bwanji?
Ndi zophweka kwambiri. Tiyerekeze kuti mwadula chala chanu. Kenako ululuwo umadutsa m'mitsempha ya chala chanu kupita ku ubongo wanu ngati zizindikiro za ululu . Ubongo ukamvetsa chizindikiro chimenecho, mumamva kuti, "O, zimenezo zimapweteka."
Mankhwala oletsa ululu am'deralo amaletsa kwakanthawi zizindikiro za ululu kuchokera ku mitsempha yomwe ili m'derali kupita ku ubongo. Zili ngati kuyimitsa uthenga. Kenako, uthenga wa ululu sufika ku ubongo, kotero simukumva ululuwo. Koma mungamve kupanikizika, ngati kuti wina akukankhira pamalopo.
Chofunika kwambiri ndichakuti izi zisakhudze dongosolo lanu la mitsempha ndipo zingakupangitseni kutaya chikumbumtima. Mutha kumva ndikuona chilichonse chomwe chikuchitika mozungulira inu.
Mitundu ya Anesthesia Yakumaloko ndi Nthawi Yogwiritsira Ntchito
Mankhwala ochepetsa ululu awa amabwera m'njira zosiyanasiyana. Ndipo amagwiritsidwa ntchito m'njira zosiyanasiyana. Tiyeni tiwone zomwe zili.
| Momwe mungagwiritsire ntchito | Zitsanzo ndi zochitika zogwiritsira ntchito |
|---|---|
| Ma kirimu/Mafuta/Ma Gel | Kuti khungu lizime. Nthawi zina, musanapereke jakisoni, pakani pamalopo kuti khungu lizime. |
| Majakisoni | Njira yodziwika kwambiri. Pa zinthu monga kuchotsa dzino, kusoka bala, kapena kutenga khungu laling'ono kuti akayesedwe (biopsy). |
| Ma spray | Kupangitsa kuti pakhosi pakhale dzanzi, mwachitsanzo musanachite endoscopy. |
| Madontho a m'maso | Musanachite opaleshoni ya maso yaying'ono monga opaleshoni ya maso a m'maso. |
| Mabala a pakhungu | Kuchepetsa ululu wokhudzana ndi mitsempha kwa nthawi yayitali. |
Mankhwala ogwiritsidwa ntchito kwambiri
Mankhwala ena oletsa ululu omwe madokotala amagwiritsa ntchito ndi awa:
- Benzocaine
- Bupivacaine
- Lidocaine
- Ropivacaine
Nthawi zina, kuti mankhwala awa akhale nthawi yayitali komanso kuti chitetezo chiwonjezeke, madokotala amawonjezera mankhwala ena, monga epinephrine .
Kodi muyenera kukonzekera? Kodi mungathe kudya ndi kumwa?
Kawirikawiri, pa chinthu chaching'ono, komwe kumaperekedwa mankhwala oletsa ululu am'deralo okha, simuyenera kukonzekera chilichonse chapadera . Mutha kudya ndi kumwa monga mwachizolowezi.
Komabe, kumbukirani kuti ngati opaleshoni yanu ikuphatikizapo kugaya chakudya, kapena ngati pali chiopsezo choti mungafunike kupatsidwa mankhwala oletsa ululu, dokotala wanu angakupempheni kuti musale kudya . Choncho nthawi zonse tsatirani malangizo a dokotala wanu ndendende.
Onetsetsani kuti mwauza dokotala wanu za ziwengo zilizonse zomwe muli nazo kapena ngati mwakhalapo ndi vuto lililonse ndi mankhwala oletsa ululu m'mbuyomu.Ngati mukuopa singano (trypanophobia), ndi bwino kutchulanso zimenezo, kuti athe kuchitapo kanthu kuti mumve bwino.
Kodi zimatenga nthawi yayitali bwanji kuti kumva kuwawa kuthe? Kodi pali zotsatirapo zina?
Kutalika kwa nthawi yomwe mankhwala oletsa ululu am'deralo amatha kumadalira zinthu zingapo.
- Kumene mankhwalawo anabayidwa
- Mlingo wa mankhwala operekedwa
- Mtundu wa mankhwala ogwiritsidwa ntchito
- Kaya mankhwala ena, monga epinephrine, adawonjezedwa
Dzino lochotsa dzino nthawi zambiri limatha kukhala ndi mphindi 30 mpaka maola 12 kapena kuposerapo. Dzino lochotsa dzino limatha kukhala ndi maola pafupifupi 5-7. Dokotala wanu adzakuuzani izi pasadakhale.
Zotsatirapo zazing'ono
Izi sizichitika kawirikawiri ndipo nthawi zambiri sizikhala zoopsa.
- Kutupa pang'ono kapena kupweteka komwe kunabayidwa jakisoni.
- Vertigo (kumva ngati ukuzungulira).
- Mutu.
- Kusawona bwino pang'ono.
- Kumva ngati minofu ikugwedezeka.
- Kuluma, mapini ndi singano, zomwe zimakhala nthawi yayitali kuposa momwe zimayembekezeredwa.
Ngati izi zikutenga nthawi yayitali kuposa momwe mukuganizira, lankhulani ndi dokotala wanu.
Mavuto aakulu koma osowa kwambiri
Mwayi woti izi zichitike ndi wochepa kwambiri , koma ndikofunikira kudziwa za izi.
1. Matenda a Ziwengo: Anthu ena akhoza kukhala ndi vuto la ziwengo chifukwa cha mankhwala awa. Ngati izi zitachitika, zidzaonekera nthawi yomweyo mankhwala ataperekedwa, kotero gulu lachipatala likhoza kuchiza nthawi yomweyo.
2. Local Anesthetic Systemic Toxicity (LAST): Ili ndi vuto losowa kwambiri. Limachitika pamene local anesthetic yambiri imalowa m'magazi. Zizindikiro zimatha kuonekera mkati mwa mphindi 1-5 kuchokera pa jakisoni.
- Kumva kusakhazikika
- Chisokonezo
- Chizungulire
- Kukoma kwachitsulo mkamwa
- Kuvuta kulankhula
- Kusintha kwa kumva
Ngati inuyo kapena munthu amene mumamudziwa akukumana ndi zizindikiro izi mutalandira mankhwala oletsa ululu, muyenera kupita ku Dipatimenti Yothandiza Anthu Odwala Yapafupi (ETU) ya chipatala chapafupi . Ngakhale kuti vutoli ndi lochiritsika, ngati silikuchiritsidwa mwachangu, lingayambitse matenda aakulu monga khunyu ndi kulephera kwa mtima.
Zinthu zofunika kusamala nazo mukatha kumwa mankhwala
Muyenera kusamala pang'ono mpaka kuyabwa kuthe.
- Kuyendetsa Galimoto: Nthawi zambiri kumakhala kotetezeka kuyendetsa galimoto mutachita opaleshoni yaying'ono, monga kuchotsa dzino. Komabe, ngati mwachitidwa opaleshoni yomwe imakhudza mkono wanu, mwendo, kapena diso lanu, kapena ngati mwapatsidwa mankhwala oletsa ululu, ndibwino kuti wina akuyendetseni .
- Chakudya ndi zakumwa:Mukachotsedwa dzino ndipo mkamwa mwanu mwapweteka, pewani kudya mbali imeneyo. Mungadzilume tsaya lanu mosadziwa ndikuvulaza mkamwa mwanu.
- Mimba: Mankhwala oletsa ululu am'deralo nthawi zambiri amaonedwa kuti ndi otetezeka panthawi ya mimba. Komabe, ndikofunikira kulankhula ndi dokotala wanu ndikupempha chilolezo musanachite chilichonse.
Kuletsa kupweteka kwa m'deralo ndi chinthu chothandiza kwambiri pa zamankhwala. Chifukwa cha izi, tili ndi mwayi wochita maopaleshoni ang'onoang'ono ndi mayeso popanda ululu uliwonse komanso kuchira mwachangu. Choncho musachite mantha ndi izi. Ngati muli ndi mafunso kapena nkhawa, lankhulani ndi dokotala wanu za iwo. Alipo kuti akuthandizeni.
Uthenga Wopita Nawo Kunyumba
- Mankhwala oletsa kupweteka m'dera lanu ndi kuletsa dzanzi kwakanthawi kwa gawo laling'ono la thupi. Simudzataya chikumbumtima.
- Izi zimagwiritsidwa ntchito pa njira zambiri zazing'ono zachipatala monga kuchotsa mano, kusoka mabala, ndi opaleshoni yaing'ono ya pakhungu.
- Nthawi zonse uzani dokotala wanu za ziwengo zilizonse kapena mavuto omwe mudakumana nawo kale okhudza mankhwala oletsa ululu.
- Zotsatirapo zake zimakhala zochepa kwambiri ndipo nthawi zambiri zimakhala zochepa. Komabe, ngati zizindikiro zazikulu monga kuvutika kupuma kapena kusokonezeka, funsani thandizo ladzidzidzi (ETU) nthawi yomweyo.
- Samalani mukamadya komanso mukamayendetsa galimoto, makamaka mukalandira chithandizo cha mano, mpaka kumva kuyabwa kutatha.
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