Wakambofanira kuvhiyiwa kadiki here, kuvhiyiwa kunosanganisira kubaiwa netsono, kana kuti kutorwa ropa? Zvakajairika kuti unzwe kutya nezvekurwadziwa. Panguva dzakadai, chiremba wako anogona kukukumbira kuti uise chigamba kuti uderedze marwadzo. Kunyangwe chichiita seplaster, mushonga chaiwo. Nhasi tiri kutaura nezvechigamba chakakosha chinoshandiswa panguva dzakadai, uye chinopedza simba reganda, uye chine mishonga miviri inonzi Lidocaine neTetracaine.
Chii chinonzi Lidocaine; Tetracaine Patch iyi?
Zvichitaurwa zviri nyore, musanganiswa wemishonga miviri inoita kuti ganda rako rive chiveve kwenguva pfupi, ichivhara kurwadziwa kwenguva pfupi. Mishonga miviri iyi iLidocaine neTetracaine . Inobva muboka remishonga inonzi local anesthetics. Izvi zvinoreva kuti inogona chete kukuvadza nzvimbo diki yemuviri.
Fungidzira kuti unofanira kubaya mushonga muganda reruoko rwako. Panguva iyoyo, kana chigamba ichi chanamatira panzvimbo iyoyo, nzvimbo iyoyo inova isina simba. Zvadaro, kana tsono yaiswa, haunzwi kurwadziwa zvakanyanya. Chimwe chinhu chakakosha ndechekuti mamwe marudzi emachira ane sisitimu inogadzira kupisa kudiki. Nekuda kwekupisa uku, mushonga unokurumidza kupinda muganda, uye kusanzwa simba kunowedzera.
Zvinhu zvaunofanira kuudza chiremba wako usati washandisa chigamba ichi
Kunyangwe izvi zvingaita sezviri nyore, sezvo uyu uriwo mushonga, zvakakosha kuzivisa chiremba wako nezvehutano hwako. Kunyanya kana uine zvirwere zvinotevera, iva nechokwadi chekuudza chiremba wako.
| Dambudziko kana mamiriro ehutano | Sei izvozvo zvichikosha? |
|---|---|
| Chirwere chechiropa | Nekuti chiropa chakakosha mukubvisa mishonga mumuviri, nzira iyo mushonga uyu unobata nayo vanhu vane chirwere chechiropa inogona kunge yakasiyana. |
| Kushaikwa kwePseudocholinesterase | Ichi chirwere chisingawanzoitiki chemajini. Vanhu vane chirwere ichi vanonetseka nekushandisa mishonga iyi inonyaradza marwadzo mumuviri wavo, izvo zvinowedzera njodzi yemigumisiro yakaipa. |
| Utachiona hweganda kana dambudziko | Kana paine maronda, mavanga, kana eczema panzvimbo inofanira kuiswa chigamba, huwandu hwemushonga unotorwa nemuviri hunogona kuchinja. |
| Kurwara | Kana uine allergy nezvinhu zvakaita seLidocaine, Tetracaine, mimwe mishonga inonyaradza marwadzo, PABA, parabens, kana chero imwe mishonga kana chikafu, unofanira kuzvizivisa. |
| Kuva nepamuviri kana kuedza kubata pamuviri | Unofanira kungwarira pakushandisa chero mushonga panguva yekuzvitakura, saka taura nachiremba wako nezveizvi. |
| Kuyamwisa mwana | Bvunza chiremba wako kuti uone kana mushonga wacho uchigona kupfuudzwa kumwana kuburikidza nemukaka wemuzamu. |
Ndingashandisa sei chigamba ichi chaizvo?
Nzira yekushandisa izvi iri nyore kwazvo, asi zvakakosha kutevedzera mirairo nemazvo.
1. Shivirira: Usabvisa chigamba kubva mupakeji yacho kusvika wagadzirira kuchiisa.
2. Isa panzvimbo yakakodzera: Isa panzvimbo yeganda yawakaudzwa nachiremba chete. Usaisa panzvimbo dzakachekwa, dzakakuvara, dzakatsvuka, kana dzine eczema .
3. Isa nokungwarira: Bvisa chigamba mupaketi, chibatisise pamakona anonamira chete, wochiisa paganda.
4. Chenjerera nguva: Usasiye chigamba paganda rako kwenguva yakareba kupfuura yawakaudzwa nachiremba. Kazhinji, haufanirwe kuchisiya chakabatidzwa kwemaminitsi anopfuura makumi maviri kusvika makumi matatu.
5. Chenjerera nemvura: Usasasa mvura pachigamba mushure mekuchiisa. Usageze kana kuisuka.
6. Bvisa worasa zvakachengeteka: Kana nguva yasvika, bvisa chigamba nokungwarira uchichibata nekona imwe chete. Wobva wapeta chigamba chashandiswa nerutivi runonamira mukati, chiise mupakeji yawakapinda nayo, wochikanda mumarara, kure nevana nezvipfuyo . Izvi zvakakosha zvikuru.
7. Geza maoko ako: Geza maoko ako nesipo zvakanaka usati waisa chigamba uye wapedza kuchibvisa.
Ko kana ukaishandisa nekukanganisa kana kuti zvakanyanya? Ingoyeuka kuti kana ukaichengeta kwenguva yakareba, kana kuti ukashandisa anopfuura imwe, inogona kuva nengozi. Kana uine fungidziro diki yekuti chimwe chinhu chakadai chakaitika, enda kuchipatara chiri pedyo neEmergency Department (ETU) nekukasika. Kana kufonera National Poisons Information Centre kuColombo National Hospital kuti uwane mazano.
Unoshandisa izvi kuvana here?
Ehe, mune dzimwe nguva, semuenzaniso, usati wabaya jekiseni rinorwadza, chiremba anogona kukurudzira izvi kuvana vane makore anopfuura matatu. Asi zvinoitwa nokungwarira kukuru. Saka, kana ukashandisa izvi pamwana, unofanira kutevedzera mirairo yachiremba wevana .
Pfungwa dzakakosha dzekufunga nezvadzo pakushandisa
- Chenjerera mushure mekunzwa kusanzwa: Nzvimbo yacho inogona kuramba isina kunzwa kwemaawa mashoma mushure mekunge chigamba chabviswa. Sezvo ungasanzwa kurwadziwa, usakwenya nzvimbo yacho, kuikwiza zvakasimba, kana kuiisa pachinhu chinopisa kana chinotonhora. Ungazvikuvadza usingazive.
- Dzivirira maziso ako: Usarega mushonga uyu uchibata maziso ako nechero nzira. Unogona kukuvadza maziso ako zvikuru. Kana ukauwana netsaona mumaziso ako, suka maziso ako zvakanaka nemvura kana saline solution woavhara kusvika wawanazve kunzwa.
- Usacheke chigamba: Usacheke chigamba kana kubvisa chifukidziro chiri pamusoro. Kuita izvi kunogona kukonzera kuti chigamba chipise zvakanyanya uye chipise ganda.
- Usati waongororwa MRI: Kana uchizoongororwa neMagnetic Resonance Imaging (MRI), udza nyanzvi yeMRI kana uine chigamba ichi. Chinofanira kubviswa MRI isati yaongororwa.
Ndezvipi zvimwe zvingakonzerwa nemishonga iyi?
Kufanana nemushonga upi zvawo, uyu unogona kukonzera migumisiro yakaipa kune vamwe vanhu. Mimwe yacho yakakomba, mimwe yacho inowanzoitika.
| Rudzi rwemhedzisiro yakaipa | Hunhu |
|---|---|
| Migumisiro inofanira kuziviswa kuna chiremba wako nekukasika | |
| Kusawirirana kwemuviri | Mapundu eganda, kuvaviwa, kuzvimba kwechiso, miromo, rurimi. |
| Kukanganiswa kwakanyanya kweganda | Matumbu uye kurwadziwa kwakanyanya pakaiswa chigamba. |
| Mhedzisiro pahurongwa hwetsinga | Kuvhiringidzika, kushaya zororo, kutsamwa zvakanyanya, dzungu, hope, musoro, pfari, kudedera. |
| Zvimwe zviratidzo zvakakomba | Kutadza kufema zvakanaka, kuchinja kwekuona, fivha, dzihwa, kurova kwemoyo zvisina kurongeka, kuda kurutsa, kurutsa. |
| Kazhinji hazvisi zvekurwara zvakanyanya (asi udza chiremba wako kana zvikaramba zviripo) | |
| Kuchinja kudiki kweganda | Kutsvuka kana kuchenuruka kweganda, kuzvimba kudiki, kana kusanzwa kweganda pakaiswa chigamba. |
Pane mimwe mishonga inogona kupindirana nemushonga uyu here?
Ehe, zvechokwadi. Mushonga uri muchikamu chino unogona kushanda pamwe chete nemimwe mishonga yauri kutora. Saka, zvakakosha kuudza chiremba wako nezvemishonga yese yauri kutora, kusanganisira mavhitamini, mishonga yekuwedzera, uye kana uchisvuta kana kunwa doro . Iva nechokwadi chekuudza chiremba wako kana uri kutora chero ipi yemishonga inotevera:
- Acetaminophen (Paracetamol)
- Mamwe maantibiotic (akadai sedapsone, nitrofurantoin)
- Mishonga inorwisa chikosoro (yakadai sephenobarbital, phenytoin)
- Mishonga yemwoyo (yakadai se nitroglycerin)
- Mimwe mishonga yemuno inonyaradza marwadzo
Rondedzero iyi haina kukwana, saka kuti muve vakachengeteka, kurukurai zvese nachiremba wenyu.
Mharidzo Yekuenda Nayo Kumba
- Chigamba ichi chinofanira kushandiswa chete sezvakarairwa nachiremba wako. Usashandise sezvaunoda.
- Nguva inopfuura yakatarwa (semuenzaniso maminetsi makumi matatu)Usaisiye paganda rako kwenguva yakareba.
- Udza chiremba wako nezvemimwe mishonga yese yauri kutora.
- Mushure mekubvisa chigamba , chenjerera kuti usakuvadze nzvimbo yeganda isina simba.
- Rasa chigamba chashandiswa zvakachengeteka, kure nevana nezvipfuyo . Kumedza chigamba chitsva kana chakashandiswa nemwana kunogona kuuraya.
- Kana uchifungidzira kuti pane mhedzisiro yakaipa kana kuti kushandisa zvinodhaka zvakapfurikidza mwero, enda kuchipatara kuEmergency Department (ETU) nekukasika.
👩🏽⚕️ Mibvunzo yekuwedzera (Mibvunzo Inowanzo bvunzwa)
💬 Chii chinonzi Lidocaine; Tetracaine / Synera Patch? Chigamba chacho ndechei?
Iyi haisi nyaya yeganda! Iyi ipatch yakasimba kwazvo yemunzvimbo inonyaradza ganda. Inoshandiswa kudzima zvachose ganda uye kudzima kwenguva pfupi ganda. Inowanzo shandiswa kubvisa 100% yemarwadzo anosangana nemurwere panguva yekuvhiyiwa kweganda, senge kuvhiyiwa kweIV, jekiseni, kana kurapwa kweganda.
💬 Chigamba ichi chingabvisa sei marwadzo ekubaiwa netsono zvachose?
Zvakafanana nekuisa ice cube panzvimbo inopisa! Kuti tsinga dziri muganda redu dzitumire meseji yekuti 'dzakuvara' kuuropi, dzinofanira kuvhura 'Sodium Channels' dzadzo dzotumira magetsi (Action potentials). Kana chigamba ichi chikaiswa paganda, mishonga yese iyi (Lidocaine/Tetracaine) inopfuura nemuganda yovhara/kuvhara zvachose nzira dzese dzesodium dziri mutsinga. Sezvo pasina nzira yekuti meseji isvike, uropi hahunzwi kurwadziwa.
💬 Sei muchiti chigamba ichi chinopa mavanga (Lidocaine Patch) ngachigare chakavharidzirwa kana kusachiisa pamaronda makuru?
Ndiyo njodzi ine njodzi (uye inouraya) yeiyi (Systemic Toxicity)! Usamboisa izvi paganda rakakuvara/rakabviswa! Kana ukadaro, huwandu hwemushonga unopinzwa zvakananga muropa kuburikidza neganda huchawedzera, uye murwere (kunyanya vana vadiki) anogona kuva nepfari/kupfari zvakanyanya (Kubatwa nepfungwa) uye kumisa kwemoyo/kudzipwa nerufu. Zvakare, izvi zvinogona kungoitwa kwemaminetsi angangoita '20-30'!
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