Ngamanye amaxesha asazi kakuhle ukuba zeziphi amayeza oogqirha abazisebenzisayo kwiimeko ezingxamisekileyo, akunjalo? I-Atropine liyeza elibaluleke kakhulu elisetyenziswa kwiimeko ezisindisa ubomi nakwezinye iimeko ezikhethekileyo. Lidla ngokunikezelwa njengenaliti. Lineenzuzo ezininzi. Ngoko ke, masithethe ngale nto ngokweenkcukacha ezithe vetshe kwaye namhlanje.
Kutheni i-Atropine ibaluleke kangaka?
Ngamafutshane, i-atropine liyeza elinokunceda kwiimeko ezahlukeneyo zonyango. Makhe sijonge ukuba lisetyenziselwa ntoni na.
- Ngaphambi kotyando: Khawuthelekelele ukuba xa utyando, kufuneka unciphise inani lamathe emlonyeni wakho kunye nencindi ephuma kwindlela yakho yokuphefumla. Kuba ukuba le ncindi ingena emiphungeni yakho ngelixa uphantsi kwe-anesthesia, inokubangela usulelo olunzima (i-aspiration pneumonia). Le injection ye-atropine isetyenziselwa ukunciphisa loo mngcipheko.
- Xa kutyiwa ityhefu: Le yenye yezona ndlela zibalulekileyo zokusetyenziswa kwale mayeza. Enye yezona ndlela zixhaphakileyo zokusetyenziswa kweli lizwe lethu kuxa kutyiwa izibulali-zinambuzane. Oku kunikwa njengonyango lwetyhefu enzima kangaka. Ikwasetyenziswa nakwiimeko zokutya amakhowa athile anetyhefu. Oku kunokusindisa ubomi ngokwenene.
- Iimeko zentliziyo ezingxamisekileyo: Ukuba isantya sentliziyo yomntu siyehla ngequbuliso kakhulu (bradycardia), eli yeza likwasetyenziswa njengonyango olungxamisekileyo ukuze libuyele esiqhelweni.
Ukongeza kwezi, oogqirha banokusebenzisa eli yeza ngenxa yezizathu ezininzi zonyango. Ngoko ke ukuba unemibuzo malunga noku, kungcono ukubuza ugqirha wakho.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba usebenzise eli yeza
Kubaluleke kakhulu ukunika ugqirha wakho ingxelo epheleleyo ngempilo yakho ngaphambi kokuba uthathe naliphi na iyeza. Ingakumbi ngaphambi kokuba usebenzise amayeza afana ne-atropine, qiniseka ukuba uxelele ugqirha wakho ukuba unezinye zezi meko zidweliswe ngezantsi.
| Iimeko zempilo onokuba nazo | Ingcaciso elula |
|---|---|
| I-Glaucoma (imeko yamehlo) | Imeko eyonyusa uxinzelelo emehlweni. I-Atropine ingayenza le meko ibe mandundu. |
| Isifo sentliziyo okanye uhlaselo lwentliziyo lwangaphambili | Ekubeni eli yeza lichaphazela izinga lokubetha kwentliziyo, indlela elichaphazela ngayo izigulana zentliziyo inokwahluka. |
| Isifo sezintso | Amayeza akhutshwa emzimbeni ngezintso. Iingxaki zinokubakho ukuba izintso azisebenzi kakuhle. |
| Ingxaki yeprostate | Ingakumbi ukuba amadoda anobunzima bokuchama, eli yeza linokukwandisa. |
| Ukuvalwa kwemibhobho yokutya | Ukuba ukusebenza kwamathumbu akho akulunganga, eli yeza linokuyenza mandundu imeko. |
| Ukunganyamezelani ne-atropine okanye ezinye izinto | Qiniseka ukuba uyasixelela ukuba unayo nayiphi na i-allergies kwi-atropine, amanye amayeza, ukutya, okanye iidayi. |
| Ukuba ukhulelwe okanye ulindele umntwana | Ugqirha kufuneka aqaphele ukusetyenziswa kwamayeza ngexesha lokukhulelwa. |
| Ukuba umama uncancisa umntwana wakhe | Ekubeni iyeza linokudluliselwa kumntwana ngobisi lwebele, xelela ugqirha ngale nto. |
Indlela yokusebenzisa iyeza kunye noko kufuneka ukwazi
Eli yeza linikwa njengenaliti kwisihlunu, emthanjeni, okanye phantsi kolusu . Oku kudla ngokwenziwa esibhedlele okanye ekliniki ngugqirha okanye umongikazi oqeqeshiweyo.
Ukuba unikwa eli yeza ukuze ulisebenzise ekhaya ngexesha elingaqhelekanga nelikhethekileyo, uya kunikwa uqeqesho olufanelekileyo malunga nendlela yokulisebenzisa. Ufanele ulandele loo miyalelo ngokuchanekileyo.
Eyona nto ibalulekileyo!
Ungaze ulahle iinaliti neesirinji ezisetyenzisiweyo enkunkuma. Zifanele zilahlwe kwisikhongozeli esikhethekileyo sezinto ezibukhali. Ukuba awunazo, buza ugqirha wakho malunga nendlela yokuzifumana.
Kuthekani ukuba ndithatha amayeza amaninzi kakhulu?
Oku kudla ngokunikezelwa esibhedlele, ngoko ke amathuba okuba oku kwenzeke mancinci. Nangona kunjalo, ukuba ucinga ukuba uthathe eli yeza kakhulu, qhagamshelana neZiko loLwazi lweeTyhefu zeSizwe kwiSibhedlele sikaZwelonke saseColombo ngoko nangoko, okanye uye kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane. Phatha oku njengengxamiseko.
Amanye amayeza anokusebenzisana ne-atropine
Amanye amayeza owasebenzisayo anokuchaphazela i-atropine. Oku kuthetha ukuba iziphumo zenye zinokuchaphazela iziphumo zenye. Umzekelo:
- Amanye amayeza okugula ngengqondo kunye neengxaki zengqondo
- Amayeza esifo sikaParkinson
- Amanye amayeza omkhuhlane kunye ne-allergies
- Amayeza okuvuselela iingxaki zokuqwalasela
- Kukho nezinye iintlobo ezininzi zamayeza.
Ngoko ke kungcono ukuxelela ugqirha wakho ngayo yonke imithi, imifuno, iivithamini, okanye izongezo ozithathayo. Ukuba utshaya okanye usela utywala, mxelele nabo ngayo, kuba inokuchaphazela iyeza.
Izinto ekufuneka ziqwalaselwe xa usebenzisa amayeza
- Ukozela kunye nesiyezi: Usenokuziva ulele kwaye unesiyezi. Ngoko ke , kuphephe ukuqhuba, ukusebenzisa oomatshini, okanye ukwenza nantoni na efuna ukugxininiswa ude wazi kakuhle ukuba eli yeza likuchaphazela njani.
- Lumka xa utshintsha indawo: Xa uvuka uhleli okanye ulele ebhedini, ungavuki ngequbuliso. Vuka kancinci. Lumka ngakumbi ukuba umdala. Kungenjalo, unokuba nesiyezi uze uwe.
- Umlomo owomileyo: Umlomo owomileyo uxhaphakile. Ungawulawula lo mbandela ngokuhlafuna itshungama engenaswekile, ngokufunxa iilekese ezingenaswekile, nangokusela amanzi amaninzi.
- Amehlo omileyo kunye nokubona okufipheleyo: Amehlo omileyo anokubangela ukufiphele kombono. Ukuba unxiba iilensi zokunxibelelana, unokufumana ukungakhululeki. Amathontsi amehlo aqatywayo angasetyenziswa. Ukuba ingxaki iyaqhubeka okanye inzima, xelela ugqirha wakho.
- Lumka kubushushu obugqithisileyo:Oku kubaluleke kakhulu. Eli yeza linciphisa ubuninzi bokubila okuveliswa ngumzimba. Ke ngoko, amandla omzimba wakho okuzipholisa ayancipha. Ke ngoko, kuphephe ukuhlala kwiindawo ezinamaqondo obushushu aphezulu. Kungenjalo, ubushushu bomzimba wakho bunokunyuka ngendlela eyingozi kwaye kunokubakho imeko ebizwa ngokuba yi-heat stroke.
Zeziphi iziphumo ebezingalindelekanga endinokuzifumana?
Njengalo naliphi na iyeza, i-atropine inokubangela iziphumo ebezingalindelekanga. Ezinye ziyingozi, ezinye zixhaphakile.
| Iziphumo Ezingalindelekanga Ezinokwenzeka | |
|---|---|
| Iziphumo ebezingalindelekanga ekufuneka uzixele kugqirha wakho ngoko nangoko | |
| |
| Iziphumo ebezingalindelekanga ezingafuneki ngcebiso kagqirha, kodwa kufuneka zixelwe ukuba ziyaqhubeka | |
Umyalezo Wokuya Ekhaya
- I-Atropine liyeza elibaluleke kakhulu, elisindisa ubomi elisetyenziswa kwiimeko ezikhethekileyo zonyango ezifana notyando, ukutyhefa, kunye neengxamiseko zentliziyo.
- Ngaphambi kokuba usebenzise eli yeza, xelela ugqirha wakho ngazo zonke iimeko zempilo onazo, ezifana ne-glaucoma, isifo sentliziyo, isifo sezintso, kunye neengxaki ze-prostate.
- Kubalulekile ukwazisa ugqirha wakho ngazo zonke ezinye iziyobisi, iziqholo, kunye neevithamini ozisebenzisayo.
- Lumka ngeziphumo ebezingalindelekanga ezifana nokozela nomlomo owomileyo. Lumka ngakumbi ubushushu obugqithisileyo, njengoko ukubila kunokuncipha.
- Ukuba ukrokrela ukuba usela kakhulu, yiya kwiZiko loLwazi lweePoisons leSizwe okanye kwiSebe leeNgxamiseko lesibhedlele esikufutshane (ETU).
- Eli yeza lelakho wedwa. Ungaze wabelane ngalo nabanye.
👩🏽⚕️ Imibuzo eyongezelelweyo (Ii-FAQ)
💬 Kunikwa inaliti ye-Atropine ngenxa yesiphi isifo?
Eli liyeza elinamandla kakhulu elisindisa ubomi elifakwa ngqo emthanjeni (IV) kwiSebe lezeMpilo eziNgxamisekileyo (ICU) lesibhedlele ukuze kusindiswe ubomi besigulana ngomzuzu wokugqibela xa kukho 'uhlaselo lwentliziyo oluqatha okanye xa isantya sentliziyo siza kuyeka (Severe Bradycardia / Cardiac Arrest)'! Likwasetyenziselwa ukuphelisa izibulali-zinambuzane/iityhefu (Organophosphate Poisoning) xa zityiwe.
💬 Xa intliziyo sele iza kuma, le injection (Atropine) ingalinyusa njani ngequbuliso izinga lentliziyo?
Intliziyo iyacothiswa kukuphazamisa ukusebenza kwe-SA Node, ethumela imiqondiso yombane entliziyweni, nge-vagus nerve. Umyalelo onikwa apho yi-'Acetylcholine'. Nje ukuba olu gonyo lungene emzimbeni, isithunywa esibizwa ngokuba yi-'Acetylcholine' sivala/sivale ngokupheleleyo onke amasango (ii-Muscarinic receptors) ezikhokelela entliziyweni. Ekubeni umyalezo ungafunyanwa, i-SA Node isebenza ngokungalawulekiyo kwaye intliziyo ibetha ngokukhawuleza.
💬 Zithini iziphumo eziyingozi zale gonyo xa umntu ehlaselwa yintliziyo?
Nokuba uyisebenzisa le nto ukuze usindise ubomi bakho, eyona ngxaki inkulu yi (Anticholinergic Toxicity) yokuba yomisa onke amanzi/ulwelo emzimbeni! Xa uyisebenzisa le nto, umlomo wakho uya koma nge-100% (awukwazi nokuthetha), umbono wakho uya kuba mfiliba/amehlo aya kuba makhulu (Dilated pupils), kwaye usenokungakwazi ukuchama kwaye ube nokugcinwa komchamo (Ukugcinwa komchamo). Kwakhona, intliziyo yabanye abantu inokubetha ngokukhawuleza kakhulu ize ingaqhelekanga.
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