Fungidzira uchivhiyiwa kadiki, sekubviswa kwezino kana kubviswa bundu reganda. Chiremba anobvisa ganda panzvimbo iri kuvhiyiwa uye anoita basa racho kuitira kuti usanzwa kurwadziwa, handiti? Nhasi tichataura nezvemushonga unoshandiswa mumamiriro ezvinhu akadaro. Uyu mushonga unowanzo kupihwa muchipatara kana kiriniki uye unoshandiswa navanachiremba. Saka, zvakakosha kuziva izvi.
Chii chinonzi mushonga uyu unonyaradza marwadzo? (Bupivacaine; Epinephrine)
Zvichitaurwa zviri nyore, iyi mushonga wekurapa marwadzo munharaunda, zvinoreva kuti inopedza nguva pfupi nzvimbo inobayiwa jekiseni nenzvimbo yakaipoteredza, pasina kuita kuti muviri wese usanzwa kurwadziwa. Izvi zvinoreva kuti hauzonzwi kurwadziwa.
Kune mhando mbiri huru dzemushonga uyu:
1. Bupivacaine: Izvi ndizvo zvinoita kuti ganda rive nechiveve, zvichireva kuti haunzwi kurwadziwa.
2. Epinephrine: Izvi zvinowedzerwa nekuda kwezvikonzero zviviri. Chimwe ndechekuita kuti kurwadza kugare kwenguva refu. Chimwe ndechekuvhara tsinga diki dzeropa panzvimbo yekubaiwa jekiseni, zvichideredza kubuda ropa panguva yekuvhiyiwa.
Saka, nekuda kwekusanganiswa kwezvose zviri zviviri, chiremba anogona kukurapa zvakachengeteka pasina kukukonzera marwadzo.
Zvinhu zvaunofanira kuudza chiremba wako usati wakupa mushonga
Chiremba wako asati akupe mushonga uyu, achakubvunza nezvehutano hwako. Zvisinei, kana uine chimwe chezvirwere zvinotevera, iva nechokwadi chekuudza chiremba wako. Izvi zvakakosha zvikuru kuti uchengetedzeke.
- Chirwere cheshuga kana huwandu hweshuga muropa.
- Kushaikwa kweG6PD: Ichi chirwere chinogara nhaka icho vamwe vanhu vanozvarwa nacho.
- Chero rudzi rwechirwere chemwoyo .
- Kukwira kweropa .
- Kuderera kweropa .
- Chero chirwere chechiropa kana cheitsvo .
- Zvirwere zvemapapu (zvakadai seasthma kana COPD).
- Chirwere chethyroid .
- Kana uine pamuviri kana kuti uri kuedza kubata pamuviri .
- Kana uri amai vanoyamwisa .
- Kana uine allergies kune mushonga uyu kana chero mumwe mushonga, chikafu, dhayi, kana kuchengetedza.
Kana nhoroondo yako yehutano yakakwana, achakwanisa kukurapa zvakachengeteka.
Mushonga uyu munoshandiswa sei?
Uyu hausi mushonga waunogona kutora kumba kana kutenga ku pharmacy.
Uyu mushonga wekudzivirira chirwere unogara uchipihwa muchipatara kana kiriniki nachiremba ane hunyanzvi kana nyanzvi yehutano yakadzidziswa, saka haufanirwe kunetseka nezvekuushandisa.
- Kune vana: Inoshandiswa mune dzimwe nyaya dzakakosha kuvana vadiki vane makore anopfuura 12. Asi inoitiswa nokungwarira kukuru uye nekudzivirira kwakanyanya.
- Kune vakwegura: Vanhu vane makore anopfuura 65 vanogona kunzwa simba remushonga uyu. Nokudaro, chiremba anowanzo deredza piritsi ravanopihwa.
Ko kana ndikatora mushonga wakawandisa?
Sezvo izvi zvichipiwa muchipatara, njodzi yekunwa mushonga wakawandisa yakaderera. Zvisinei, kana izvi zvikaitika neimwe nzira kana kuti kana uchifunga kuti wagamuchira mushonga wakawandisa, zivisa vashandi vekurapa nekukasika. Kana paine emergency, unofanira kuenda zvakananga kuEmergency Treatment Unit (ETU) . Kana uchida mazano pamusoro pemuchetura, unogona kufonera National Poisons Information Centre kuColombo National Hospital kuti uwane rumwe ruzivo.
Zvimwe zvinhu zvinogona kupindirana nemushonga uyu (Kudyidzana)
Kana uri kutora mishonga yemamwe matambudziko, zvakakosha kuudza chiremba wako nezvazvo. Nekuti mimwe mishonga inogona kushanda nemushonga uyu wekurwadziwa kwemwoyo uye kukonzera migumisiro isingadiwe. Tafura iri pazasi inoratidza mimwe mishonga inogona kushanda nenzira iyi.
| Rudzi rwemishonga | Mienzaniso netsananguro |
|---|---|
| Mishonga inouraya marwadzo nemishonga inorwisa mabhakitiriya | Mimwe mishonga yakaita seacetaminophen, dapsone, uye nitrofurantoin. |
| Mishonga yezvirwere zvemwoyo uye BP | Mishonga yakasiyana-siyana inoshandiswa kudzora kurova kwemoyo neBP. (Muenzaniso: Nitroglycerin) |
| Mishonga yehutano hwepfungwa | Mishonga yekurapa zvirwere zvakaita sekuora mwoyo nekuzvidya mwoyo, kunyanya mishonga yeMAOI. |
| Mishonga yekurapa pfari | Mishonga yakaita sephenobarbital nephenytoin. |
| Mimwe mishonga inonyaradza marwadzo | Mimwe mishonga inopedza marwadzo inoshandiswa panguva yekuvhiyiwa inosanganisira nitrous oxide, uye mimwe mishonga inopedza marwadzo yemuno yakaita selidocaine. |
Rondedzero iyi haina kukwana. Saka udza chiremba wako nezvemishonga yese, mavhitamini, mishonga yemiti, uye zvimwe zvinovaka muviri zvauri kutora. Vaudzewo kana uchisvuta kana kunwa doro.
Zvinhu zvekungwarira mushure mekutora mushonga
Mushure mekunge wabayiwa jekiseni iri, unofanira kungwarira nzvimbo isina kunzwa zvakanaka. Nekuti haunzwi kurwadziwa, unogona kukuvara nzvimbo iyoyo usingazvizivi.
Semuenzaniso, kana wakabviswa mazino uye mazino ako achirwadza, unofanira kungwarira kuti usaruma dama rako kana kunwa zvinwiwa zvinopisa kusvika kurwadziwa kwapera zvachose. Uyewo, kana uine ronda paganda rako, chengetedza nzvimbo iyoyo kuti isarohwe kana kukwenywa.
Ndezvipi zvingakonzera migumisiro yakaipa?
Kufanana nemushonga upi zvawo, uyu unogona kukonzera migumisiro yakaipa kune vamwe vanhu. Mimwe yacho yakakomba, mimwe inowanzoonekwa. Zvakakosha kuziva izvi.
| Migumisiro yakaipa inofanira kuziviswa kuna chiremba kana nesi nekukasika | |
|---|---|
| Kusawirirana kwemuviri | Mapundu paganda, kuvaviwa, kuzvimba kwechiso, miromo, rurimi kana pahuro. |
| Kuchinja kwekurova kwemoyo | Kunzwa sekuti moyo wako uri kurova nekukurumidza kana kuti zvisina kurongeka, dzungu, kurwadziwa pachipfuva, kana kufema zvakaoma. |
| Migumisiro pahurongwa hwemitsipa hwepakati | Kufema zvishoma nezvishoma ...Zvishoma nezvishoma ...Zvishoma nezvishoma ...Zvishoma nezvishoma ...Zvishoma nezvishoma ...Zvishoma nezvishoma ...Zvishoma nezvishoma ...Zvishoma nezvishoma ...Zvishoma nezvishoma ...Kunonoka zvishoma nezvishoma ... |
| Methemoglobinemia | Kuomerwa nekufema; Musoro; Miromo, nzara, kana ganda richichinja kuita grey, grey, kana bhuruu; Kuneta kwakanyanya. |
| Kubatwa nepfari | Kugwinha kamwe kamwe. |
| Migumisiro isingawanzova yakakomba, asi inofanira kutaurwa kuna chiremba kana ikaramba iripo | |
| Kunetseka kana kusagadzikana | Kunzwa kunetseka kusinganzwisisike. |
| Kurara | Unganzwa hope zvishoma. |
| Kusvotwa nekurutsa | Kushungurudzika kwemudumbu, kuda kurutsa, kana kurutsa. |
Kana ukaona zvimwe zviratidzo zvisingawanzoitiki zvisina kutaurwa pane urongwa uhwu, taura nachiremba wako nezvazvo zvakare.
Mharidzo Yekuenda Nayo Kumba
- Bupivacaine; Epinephrine ijekiseni remunzvimbo rinoita kuti munhu anzwe kurwadziwa rinongopihwa nachiremba muchipatara kana kukiriniki chete kuti aderedze marwadzo.
- Usati wagamuchira mushonga uyu, udza chiremba wako nezvezvirwere zvako zvese (zvakaita sechirwere cheshuga, chirwere chemwoyo) uye mishonga yese yaunotora.
- Mushure mekubaiwa jekiseni, iva nechokwadi chekudzivirira nzvimbo yacho kubva pakukuvara. Sezvo usinganzwe kurwadziwa, unogona kuzvikuvadza usingazive.
- Tsvaga rubatsiro rwechiremba nekukasika kana ukasangana nematambudziko akakomba akadai sekuzvimba kwechiso, kuoma kufema, kana kurwadziwa pachipfuva.
- Kana muine mibvunzo kana zvinokunetsai nezvemushonga uyu, musazeza kubvunza chiremba wenyu nezvazvo.
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