Ese uteganya kubagwa? Cyangwa hari umuntu uzi witegura kubagwa? Ubwoba bukomeye abantu benshi bagira iyo bigeze ku kubagwa ni ububabare buterwa no kubagwa. Ariko uyu munsi, kubera ko siyansi y'ubuvuzi yateye imbere, hari uburyo bwinshi bwo kugenzura ubu bubabare. Uyu munsi, tugiye kuvuga ku buryo bushya kandi budasanzwe. Ubwo buryo ni Bupivacaine Implant.
Mu magambo make, Bupivacaine ni iki?
Bupivacaine ni umuti ukoreshwa mu gukumira cyangwa kuvura ububabare nyuma yo kubagwa. Uri mu itsinda ry'imiti yitwa imiti igabanya ububabare mu gace runaka .
Tekereza ko wabazwe ikiganza cyawe. Icyo uyu muti ukora ni uguhagarika by'agateganyo ububabare bujya mu bwonko binyuze mu mitsi iri mu kuboko aho babazwe. Ni nko guhagarika by'agateganyo "ibimenyetso by'ububabare" binyuramo. Hanyuma ntukumva ububabare ubwo aribwo bwose aho wabaga.
Ikintu cyihariye kuri ibi ni uko bidatangwa nk'ibinini cyangwa nk'urushinge. Ni inshinge . Ni ukuvuga ko mu gihe cyo kubaga , muganga wawe azashyira agakoresho gato karimo uyu muti mu gikomere cyo kubagwa. Kuva aho, umuti urarekurwa kandi ububabare bugafatwa iminsi mike. Izina risanzwe ry'ikirango ni `(Xaracoll)`.
Ibintu muganga wawe agomba kumenya mbere yo kuguha uyu muti:
Nubwo uyu ari umuti utangwa mu bitaro, ni ngombwa cyane kumenyesha itsinda ry’abaganga bawe izindi ndwara zose ushobora kuba ufite, kuko ayo makuru azagena niba uyu muti ukubereye.
Niba ufite kimwe mu bibazo biri hepfo, menya neza ko wabibwiye muganga wawe.
- Kubura G6PD: Iyi ni indwara iterwa na enzyme mu maraso ya bamwe.
- Indwara z'umutima : Niba ufite indwara iyo ari yo yose y'umutima.
- Indwara z'impyiko : Iyo hari ibibazo mu mikorere y'impyiko.
- Indwara y'umwijima : Niba ufite indwara iyo ari yo yose y'umwijima.
- Umuvuduko w'amaraso uri hasi:Niba umuvuduko w'amaraso yawe usanzwe uri hasi.
- Indwara z'ibihaha: Indwara ziterwa n'ibihaha nka asima.
- Allergie: Niba ufite allergie kuri Bupivacaine cyangwa indi miti igabanya ububabare, indi miti iyo ari yo yose, ibiryo, cyangwa irangi, ugomba kubigaragaza.
- Gutwita: Menya neza ko ubimenyesheje muganga wawe niba utwite, ugerageza gutwita, cyangwa wonsa .
Ni ingenzi cyane ku mutekano wawe kuganira na muganga wawe ku mateka yawe y'ubuzima nta kintu na kimwe uhisha.
Nigute nakoresha ibi? Ni iki nkwiye kwitondera?
Uyu muti si ikintu ushobora kujyana mu rugo. Ushyirwa aho ukorerwa ubuvuzi n'itsinda ry'abaganga mu bitaro cyangwa ku ivuriro mu gihe cyo kubagwa. Bityo ntugomba guhangayikishwa n'uko ukoreshwa.
Ariko hari ibintu bike by'ingenzi ugomba kumenya.
- Gukoresha mu bana: Hashobora kuba ngombwa kwitabwaho by'umwihariko niba uyu muti ukoreshwa mu bana bato. Vugana na muganga wawe kuri ibi.
- Iyo urenze urugero: Ibi bitangwa mu bitaro, bityo amahirwe yo kubigeraho ni make cyane. Ariko, niba ukeka ko warenze urugero, hamagara Ikigo cy'Igihugu gishinzwe gutanga amakuru ku burozi mu Bitaro by'Igihugu , cyangwa umenyeshe Ishami rishinzwe Ubuvuzi bwihutirwa (ETU) ibitaro biri hafi yawe.
- Witondere ahantu hafite ibinure: Iki ni cyo kintu cy'ingenzi ugomba kwibuka. Umuti utera ibinure ahantu hakoreweho ubuvuzi, bityo ntugire ububabare. Bityo ushobora gukomeretsa ako gace ku buryo butunguranye. Urugero, niba wabazwe ukuguru kwawe kandi uyu muti ugasigwa, ntuzumva ububabare kuko ukuguru kwawe kuzaba gufite ibinure. Ariko niba wakubise ukuguru ahantu hakomeye, ukagukata, cyangwa ugatwikwa n'ikintu gishyushye, ntuzumva. Bityo rero ugomba kwitondera cyane igice cy'umubiri wawe kitagira ibinure.
Ingaruka mbi z'umuti ni izihe?
Nk’uko bimeze ku muti uwo ari wo wose, ibi bishobora gutera ingaruka mbi. Ariko, si buri wese ubibona. Ingaruka zimwe na zimwe zishobora kuba zikomeye, bityo ni ngombwa kuzimenya.
Reka turebe icyo ari cyo mu mbonerahamwe iri hepfo.
| Gushyira mu byiciro ingaruka mbi | |
|---|---|
| ⚠️ Ingaruka mbi zigomba kumenyeshwa itsinda ry'abaganga ako kanya | |
| Ubushobozi bwo kugira ubwivumbure | Uruhu rushyushye, kuribwa, kubyimba mu maso, ku minwa, ku rurimi cyangwa mu muhogo. |
| Ihungabana ry'imitsi yo hagati (CNS depression) | Guhumeka buhoro cyangwa buhoro, kugorwa no guhumeka, gucika intege, isereri, no guta ubwenge. |
| Ibimenyetso bya Methemoglobinemia | Kuribwa umutwe, umunaniro udasanzwe, guhumeka bigoranye, isesemi, kuruka, umutima utera vuba, uruhu rw'ubururu cyangwa iminwa. |
| Impinduka mu gipimo cy'umutima | Umutima utera vuba cyangwa utari umeze neza, isereri, gucika intege, kubabara mu gatuza, guhumeka bigoranye. |
| Impinduka mu muvuduko w'amaraso | Kwiyongera cyangwa kugabanuka k'umuvuduko w'amaraso (ibimenyetso nko kuzerera, gucika intege, kutabona neza). |
| Indwara zo mu mutwe | Guhinda umushyitsi cyangwa gucika intege k'umubiri. |
| 🙂 Ibintu akenshi bitari bikomeye, ariko bigomba kumenyeshwa muganga niba bikomeje | |
| Ingaruka zo mu mutwe | Kutuza, kutagira ituze. |
| Gusinzira | Kumva usinziriye bidasanzwe. |
| Ibibazo by'igogora | Isesemi, kuruka. |
Uru rutonde si ingaruka mbi zose zishobora kubaho. Niba ubonye ibimenyetso bidasanzwe, ganira na muganga wawe ku bikureba.
Indi miti ishobora kugira ingaruka kuri uyu muti
Indi miti ufata ishobora kugira ingaruka kuri Bupivacaine. Bwira muganga wawe imiti yose ufata, harimo imiti yandikiwe na muganga n'indi igurishwa mu kigo, vitamine, n'ibikomoka ku bimera. Nanone, bwira muganga wawe niba unywa itabi cyangwa unywa inzoga.
Imwe mu miti ishobora kugira ingaruka kuri uyu muti irimo:
- Asetaminofeni
- Amwe mu ma antibiyotike (urugero: dapsone, nitrofurantoin, sulfonamides)
- Imiti imwe n'imwe ivura indwara zo mu mutwe (urugero: phenobarbital, phenytoin, aside valproic)
- Chloroquine
- Cyclofosfamide
- Nitroglycerin
- Indi miti yo kugabanya ububabare mu gace nka lidocaine na tetracaine
- Quinine
Uru rutonde ntabwo rukubiyemo imiti yose, bityo ni byiza kubwira muganga wawe imiti yose ufata.
Ubutumwa bwo kujyana mu rugo
- Bupivacaine Implant ni umuti wihariye ushyirwa aho bakorewe kugira ngo ugabanye ububabare nyuma yo kubagwa.
- Mbere yo guhabwa ubu buvuzi, ni ngombwa ko ubwira muganga wawe indwara zawe zose hamwe n'uburwayi bwawe bwose.
- Witondere cyane kuko ushobora gukomeretsa igice cy'umubiri kitameze neza bitewe n'imiti.
- Shaka abaganga vuba niba ugize ingaruka mbi nko kugorwa no guhumeka, impinduka mu muvuduko w'umutima, ibicurane, cyangwa ingaruka zikomeye z'ubwivumbure.
- Niba ufite ikibazo icyo ari cyo cyose kuri uyu muti, ntugatinye kubaza muganga wawe ibyawo.
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