Wakambofanira kuvhiyiwa kadiki kana kakuru here? Kana kuti uri kuronga kuita kamwe mune ramangwana here? Kana zvakadaro, zvakajairika kutya kurwadziwa kunouya mushure mekuvhiyiwa. Asi usazvidya moyo, mushonga wanhasi wafambira mberi zvikuru. Vanachiremba vanoshandisa nzira dzakasiyana-siyana kudzora kurwadziwa uku. Nhasi, tiri kutaura nezvemushonga wakakosha unoiswa paronda rekuvhiyiwa pacharo uye unoshandiswa kudzivirira kurwadziwa kwemaawa akati wandei.
Mushonga uyu chii? (Bupivacaine; Meloxicam)
Zvichitaurwa zviri nyore, uyu musanganiswa wemishonga miviri. Inotengeswa nezita rekuti ``ZYNRELEF''. Ine mishonga miviri, Bupivacaine naMeloxicam .
Funga nezvazvo setsono yaunopihwa nachiremba usati wabvisa zino. Izvozvo zvinopedza simba panzvimbo iyi, handiti? Ehe, Bupivacaine iri mune izvi ndiyo inopedza simba kwenguva pfupi tsinga dzawakavhiyiwa. Ipapo tsinga idzodzo dzinorega kutumira zviratidzo zvekurwadziwa kuuropi, uye unonzwa kurwadziwa kushoma.
Mushonga wechipiri ndiMeloxicam . Uyu mushonga wekurwadziwa uye unoderedza kuzvimba. Mukurapa, tinodana uyu kuti `(NSAID - Non-Steroidal Anti-Inflammatory Drug)`. Mushonga uyu unodzora kuzvimba nekutsvuka kweronda mushure mekuvhiyiwa. Saka, kusanganiswa kwemishonga iyi miviri kuchakupa zororo guru kubva pakurwadziwa kwekuvhiyiwa kwemaawa angangoita makumi manomwe nemaviri.
Chinhu chakakosha ndechekuti, uyu hausi mushonga waunogona kuenda nawo kumba. Imushonga wakakosha unoiswa nachiremba paronda panguva yekuvhiyiwa muchipatara kana kukiriniki.
Zvinhu zvaunofanira kuudza chiremba wako usati wapa mushonga uyu
Usati wasarudza kana mushonga uyu wakakunakira, chiremba wako anofanira kuziva nhoroondo yako yese yehutano. Iva nechokwadi chekuudza chiremba wako kana uine chimwe chezvirwere zvinotevera:
| Hutano kana tsika | Tsananguro |
|---|---|
| Zvirwere zvekufema | Kana uine zvirwere zvemapapu zvakaita seasthma. |
| Matambudziko ekubuda ropa | Kana uine chirwere chekubuda ropa. |
| Kuvhiyiwa kwemoyo | Kana uchangobva (mukati memavhiki maviri) kuvhiyiwa kwemoyo (Coronary Artery Bypass Graft - CABG). |
| Chirwere chemwoyo neBP | Zvirwere zvakaita sechirwere chemwoyo, BP yakakwira kana yakaderera. |
| Matambudziko emudumbu nedumbu | Kana wakambova nemaronda emudumbu kana kubuda ropa kare. |
| Chirwere cheitsvo kana chiropa | Kana uine chirwere chine chekuita nekushanda kweitsvo kana chiropa. |
| Dzimwe tsika nemamiriro ezvinhu | Kana uchinwa doro zuva nezuva, uchiputa fodya, kana kuti uine dambudziko reG6PD. |
| Kurwara | Kana uine allergies kuBupivacaine, Meloxicam, Aspirin kana mamwe maNSAID, mimwe mishonga, chikafu, kana madhayi. |
| Pamuviri | Kana uine pamuviri, uchiedza kubata pamuviri, kana kuti uchiyamwisa. |
Ko kana mushonga uyu wakanyanya kudhakwa?
Sezvo mushonga uyu uchipihwa nachiremba muchipatara, njodzi yekudhakwa zvakanyanya yakaderera. Zvisinei, kana uchifunga kuti ungave wakadhakwa zvakanyanya, unofanira kufonera National Poisons Information Centre kuNational Hospital nekukasika, kana kuenda kuEmergency Department (ETU) yechipatara chiri pedyo.
Kudyidzana nemimwe mishonga
Mushonga uyu unogona kukonzera matambudziko kana ukatorwa nemimwe mishonga, saka zvakakosha kuudza chiremba wako nezvemishonga yese yauri kutora, kusanganisira mavhitamini, mishonga yemiti, nezvimwe zvinowedzera .
ZYNRELEF haifanirwe kushandiswa nemishonga iyi kunyanya:
- Cidofovir
- Ketorolac (imwe mushonga unorwadza une simba)
Uye zvakare, matambudziko anogona kuitika nemishonga inotevera:
- Mimwe mishonga inoderedza marwadzo (semuenzaniso Aspirin, Ibuprofen, Naproxen)
- Mishonga inodzivirira kuumbwa kweropa (semuenzaniso Warfarin)
- Mimwe mishonga yekurapa BP nechirwere chemwoyo
- Mhando dzakasiyana dzemishonga inorwisa mabhakitiriya
- Mishonga inobvisa mvura mumuviri
- Mishonga yekuderedza kushushikana (SSRIs, SNRIs)
- Mhando dzemishonga inopiwa yekurapa chirwere chekurwara
- Mimwe mishonga chaiyo yakaita seLithium, Methotrexate
Rondedzero iyi haina kukwana, saka zvakanaka kuudza chiremba wako nezvemishonga yese yauri kutora usati wavhiyiwa.
Zvinhu zvekungwarira mushure mekutora mushonga uyu
1. Chenjerera nzvimbo isina chigunwe: Sezvo nzvimbo yakavhiyiwa isina chigunwe, hauzonzwi kurwadziwa. Saka, unofanira kungwarira kuti usapwanye, usakuvadze, kana kupisa nzvimbo yacho.
2. Zivisa vamwe vanachiremba: Kana uchida kuvhiyiwazve kana kurapwa mukati memazuva mana mushure mekutora mushonga uyu, udza chiremba kuti wagamuchira mushonga uyu.
3. Chenjerera kubuda ropa mudumbu: Meloxicam (NSAID) iri mumushonga uyu dzimwe nguva inogona kukonzera maronda mudumbu kana kubuda ropa. Kusvuta, kunwa doro, kukwegura, uye kuva nehutano husina kunaka zvinogona kuwedzera njodzi iyi. Kana uchinzwa kurwadziwa mudumbu kamwe kamwe, kurutsa kunoratidzika kunge kwakakuyiwa nekofi, kana tsvina nhema , tsvaga rubatsiro rwechiremba nekukasika.
Migumisiro inogona kuitika
Kufanana nemishonga yese, iyi inogona kuva nemigumisiro yakaipa. Mimwe yakakomba, mimwe inowanzoonekwa.
| Mhedzisiro yedivi | Zviratidzo |
|---|---|
| Migumisiro yakakomba inofanira kutaurwa kuna chiremba wako kana ETU nekukasika | |
| Kusawirirana kwakakomba | Mapundu paganda, kuvaviwa, kuzvimba kwechiso, miromo, rurimi kana pahuro, kuoma kufema. |
| Kubuda ropa | Tsvina nhema, kurutsa kunoratidzika kunge kofi yakakuyiwa, weti tsvuku/tsvuku yakasviba, mavanga matsvuku/pepuru paganda. |
| Kumira kurova kwemoyo | Kubata/kurwadziwa kwechipfuva, fudzi, ruoko, kana shaya, kuda kurutsa, kunetseka kufema. |
| Kurohwa | Kushaya simba/kushaya simba kamwe kamwe pachiso, ruoko, kana gumbo, kunetseka kutaura, kuvhiringidzika, kunetseka kufamba. |
| Kukuvara kweitsvo kana chiropa | Kudzikira kweweti, kuzvimba kwezvitsitsinho/maoko/tsoka, kutsvuka kwemaziso/ganda, kurwadziwa kumusoro kwedumbu. |
| Methemoglobinemia | Musoro, kuneta kwakanyanya, kushaya mweya, kurova kwemoyo nekukurumidza, ganda rebhuruu kana miromo (ichi chirwere chinokanganisa kugona kweropa kutakura okisijeni). |
| Migumisiro isingawanzova yakakomba, asi inofanira kutaurwa kuna chiremba kana ikaramba iripo | |
| Kuzvimba | Kuomerwa nekuenda kuchimbuzi. |
| Musoro | Musoro. |
| Kurutsa | Kurutsa nekurutsa. |
Mharidzo Yekuenda Nayo Kumba
- `ZYNRELEF` mushonga wekurapa wakakosha unoiswa zvakananga paronda rekuvhiyiwa kudzora marwadzo mushure mekuvhiyiwa.
- Usati wapihwa mushonga uyu, iva nechokwadi chekuudza chiremba wako nezvezvirwere zvako zvese nemishonga yauri kutora.
- Sezvo nzvimbo yekuvhiyiwa ichange isina simba mushure mekupiwa mushonga, ibasa rako kungwarira kuti usakuvadze nzvimbo yacho.
- Kana ukaona zviratidzo zvemigumisiro yakakomba yakadai sekubuda ropa mudumbu, kurwara nemoyo, kuoma mitezo, kana kuti allergic reaction yakanyanya, tsvaga rubatsiro rwechiremba nekukasika pasina kunonoka kana kuenda kuEmergency Department (ETU) yechipatara chiri pedyo.
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