Masithi wenze utyando oluncinci okanye olukhulu, wakhupha izinyo, okanye olunye uvavanyo lwezonyango olubuhlungu. Emva koko, oogqirha, abangayaziyo intlungu, bakunika amayeza akwenza ungabi nazimvakalelo, akunjalo? Ngamanye amaxesha, emva kokufakwa inaliti, awuziva iintlungu okwethutyana. Namhlanje, siza kuthetha ngeyeza elisetyenziswa rhoqo kwiimeko ezinjalo. Igama lalo liyindibaniselwano yamayeza amabini abizwa ngokuba yiBupivacaine kunye neEpinephrine.
Kalula nje, yintoni le yeza?
Oku ngokwenene yindibaniselwano yamayeza amabini. 1.
I-Bupivacaine: Le yileyo yenza umsebenzi wokwenyani. Ukuchaneka, le yi-anesthetic yendawo. Oko kuthetha ukuba ivala kuphela indawo ethile apho ifakwa khona. Khawuthelekelele ukuba wenza utyando oluncinci esandleni sakho. Emva koko eli yeza lifakwa esandleni sakho. Emva koko livala okwethutyana imithambo-luvo esesandleni sakho ukuba ingathumeli imiyalezo engqondweni isithi "oku kubuhlungu apha." Kufana nokucima 'intambo yentlungu' kuloo ndawo okwethutyana. 2.
I-Epinephrine: Oku kongezwa ukuze loo mvakalelo yokurhawuzelela ihlale ixesha elide. I-Epinephrine ibangela ukuba imithambo yegazi kuloo ndawo inciphe kancinci. Emva koko i-Bupivacaine ixutywe negazi kwaye kuthatha ixesha elide ukuba ihambe iye kwezinye iindawo zomzimba. Ngoko ke ukungaqini kuhlala kwindawo enye ixesha elide. Kwakhona, ngenxa yokuba imithambo yegazi incipha, kukho ukopha okuncinci ngexesha lotyando. Ngamafutshane, le yi
-painkiller enamandla ethintela iintlungu kuyo nayiphi na indawo. Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba usebenzise eli yeza
Ngaphambi kokuba agqibe ekubeni akunike eli yeza, ugqirha wakho kufuneka abe nomfanekiso opheleleyo wemeko yakho yempilo. Yiyo loo ndlela anokuqinisekisa ngayo ukhuseleko lwakho. Ngoko ke, ukuba unenye yezi meko zilandelayo,
qiniseka ukuba umxelele ngazo ngaphandle kokufihla nantoni na. | Imeko yakho | Kutheni kufuneka uthethe ngayo? |
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| Ukunganyamezelani neBupivacaine, iEpinephrine okanye ezinye izithomalalisi zentlungu | Ukuba ukhe waba ne-allergy ngaphambili, usenokuba ne-allergy enzima kwakhona. Kwakhona, xelela ugqirha wakho ukuba unayo nayiphi na i-allergy kwamanye amayeza, ukutya, okanye iidayi. |
| Isifo sentliziyo | I-Epinephrine inokuchaphazela izinga lentliziyo kunye noxinzelelo lwegazi, ngoko ke kufuneka inikwe ngononophelo olukhulu kubantu abanesifo sentliziyo. |
| Uxinzelelo lwegazi oluphantsi | Eli yeza ngamanye amaxesha linokubangela ukuba uxinzelelo lwegazi lwehle nangakumbi, ngoko ke kubalulekile ukukwazi oku kwangaphambili. |
| Isifo sesibindi okanye sezintso | Isibindi nezintso zinceda ekususeni amayeza emzimbeni. Ukuba la malungu angasebenzi kakuhle, amayeza anokuqokelelana emzimbeni aze abangele iziphumo ebezingalindelekanga. |
| Isifo semiphunga | Ukuba kukho izinto ezifana nobunzima bokuphefumla, kufuneka kuthathwe ingqalelo ekhethekileyo ngexesha lotyando lokubulala iintlungu. |
| Ukunqongophala kwe-G6PD | Le yingxaki yegazi ebangelwa lufuzo. Amanye amayeza anokubangela iingxaki kubantu abanale meko. |
| Ukuba ukhulelwe okanye uzama ukukhulelwa | Olu lwazi lubalulekile kugqirha ukuze acinge ngempembelelo enokubakho kumntwana. |
| Ukuba ungumama oncancisayo | Oku kubalulekile ukuze kuqinisekiswe ukuba iyeza lidlula ebantwaneni ngobisi na kwaye ingaba linayo nayiphi na impembelelo. |
Khumbula, ukhuseleko lwakho luza kuqala. Ngoko ke musa ukufihla olu hlobo lolwazi kugqirha wakho.
Ulisebenzisa njani eli yeza?
Lo asiloyeza onokulithatha ekhaya usuka ekhemesti.. Le isoloko inikwa njengenaliti emzimbeni wakho esibhedlele okanye ekliniki ngugqirha okanye ingcali yezempilo eqeqeshiweyo. Ngoko ke akufuneki ukhathazeke ngayo. Idla ngokusetyenziswa kubantwana abaneminyaka engaphezu kwe-12 ubudala kwiimeko ezithile ezikhethekileyo. Kodwa ngugqirha kuphela ogqibayo ngayo.
Yintoni omawuyenze ukuba amayeza agqithisile?
Ekubeni oku kunikwe phantsi kweliso likagqirha, amathuba okufumana i-overdose aphantsi kakhulu. Nangona kunjalo, ukuba ucinga ukuba kukho into eyenzekileyo kuwe, okanye ukuba ufumana naziphi na ezi mpawu (umz. isiyezi, ukurhawuzelela emlonyeni, ukubona okufipheleyo, ukuxhuzula), kufuneka wazise abasebenzi bezonyango apho ngoko nangoko. Baza kuthatha amanyathelo afunekayo. Ukuba uneengxaki ngaphandle kwesibhedlele, yiya
kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane ngoko nangoko. Ukuba ukrokrela ukuba kukho ityhefu, ungafowunela
iZiko loLwazi lweePoison kwiSibhedlele sikaZwelonke saseColombo .
Amanye amayeza anokusebenza kunye nale mayeza
Kubaluleke kakhulu ukuxelela ugqirha wakho ngawo onke amayeza, iivithamini, kunye namayeza esintu owasebenzisayo. Amanye amayeza anokusebenzisana nalo mayeza ngeendlela ezingalindelekanga. Apha ngezantsi kukho amanye ala mayeza. Olu luhlu aluphelelanga.
Nika ugqirha wakho uluhlu lwamayeza owasebenzisayo. Kwakhona, qiniseka ukuba uyamxelela ukuba uyatshaya, usela utywala, okanye usebenzisa ezinye iziyobisi.
Izinto ekufuneka uzilumkele xa usebenzisa amayeza
Le yinto abantu abaninzi abayilibalayo, kodwa ibaluleke kakhulu. Xa indawo ingasebenzi kakuhle emva kokuba unikwe iyeza lokunciphisa ukuqina,
awuyiva intlungu. Ngoko ke kukho ithuba elikhulu lokuba uza kwenzakala ungaqondanga. Khawuthelekelele ukuba ukhutshiwe izinyo kwaye icala lomlomo wakho lingasebenzi kakuhle. De kube kuphele ukuqina, awuyi kuva umlomo wakho ubetha xa usitya kwelo cala. Ngoko ke umlomo unokwenzakala. Ukuba umlenze wakho ungasebenzi kakuhle, usenokungaziva iqatha lakho liqengqeleka xa uhamba.
Ngoko ke, de indawo echaphazelekayo ibuyele esiqhelweni ngokupheleleyo, oko kukuthi, de isilonda siphele ngokupheleleyo, lumka kakhulu kuloo ndawo. Zigcine kude nemisebenzi enokubangela ukwenzakala.
Zithini iziphumo ebezingalindelekanga ezinokubakho?
Njengayo nayiphi na iyeza, oku kunokubangela iziphumo ebezingalindelekanga. Nangona kunjalo, ayinguye wonke umntu ozifumanayo. Ezinye zezi zinto kufuneka zixelwe ngoko nangoko, ngelixa ezinye zingengobungozi kangako.
Xelela ugqirha wakho okanye iqela lezonyango ngokukhawuleza. Ngokwesiqhelo ayisiyonto inzulu (kodwa xelela ugqirha wakho ukuba iyaqhubeka).
| Iimpendulo ze-allergy | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi okanye umqala, ubunzima bokuphefumla. |
| Utshintsho kwisantya sentliziyo | Ukubetha kwentliziyo ngokukhawuleza okanye ngokungangqalanga, isiyezi, iintlungu zesifuba, ubunzima bokuphefumla. |
| Uxinzelelo lwegazi oluphantsi/oluphezulu | Ukudinwa kakhulu, ukubona izinto ezingaqondakaliyo, ukuziva utyhafile (uxinzelelo lwegazi oluphantsi) okanye intloko ebuhlungu kakhulu (uxinzelelo lwegazi oluphezulu). |
| Ukuxhuzula | Ukungcangcazela komzimba kunye nokulahlekelwa kukulawula. |
| Ukudakumba kwenkqubo yemithambo-luvo ephakathi (ukudakumba kwe-CNS) | Ukuphefumla kancinci okanye kancinci, ukozela kakhulu, ubunzima bokuhlala uphaphile. |
| Iimpawu zeMethemoglobinemia | Ulusu okanye imilebe eluhlaza okwesibhakabhaka, ubunzima bokuphefumla, intloko ebuhlungu, ukubetha kwentliziyo ngokukhawuleza, isicaphucaphu, ukuhlanza. |
| Ukungazinzi kwengqondo | Ixhala, uvalo. |
| Ukozela | Imeko eqhelekileyo enokwenzeka ngenxa yeziphumo zamayeza. |
| Isicaphucaphu nokuhlanza (Isicaphucaphu, Ukuhlanza) | Ezi zihlala ziphela emva kwexesha elithile. |
Olu luhlu lusenokungabandakanyi zonke iziphumo ebezingalindelekanga. Ukuba ufumana into engaqhelekanga, thetha nogqirha wakho ngayo.
Umyalezo Wokuya Ekhaya
- I-Bupivacaine kunye ne-Epinephrine ziinaliti ezinikwa ukuze kuthintelwe indawo ethile kwaye kumiswe iintlungu ngexesha lotyando okanye ezinye iinkqubo ezibuhlungu.
- Ngaphambi kokuba usebenzise eli yeza, kubalulekile ukuxelela ugqirha wakho ngazo zonke iimeko zakho zempilo (ingakumbi intliziyo, isibindi, nesifo sezintso) kunye nawo onke amayeza owasebenzisayo.
- Eli asiloyeza elithathwa lithathwe liye ekhaya. Lihlala linikwa esibhedlele ngugqirha okanye yingcali yezempilo eqeqeshiweyo.
- Nangona iyeza likubangela ukuba ungabi nazimvakalelo, luxanduva lwakho ukunyamekela loo ndawo ukuze ingenzakali. Lumka kakhulu ngaloo nto.
- Ukuba ufumana naziphi na iziphumo ebezingalindelekanga ezinje ngobunzima bokuphefumla, iintlungu zesifuba, ukuxhuzula, okanye imilebe eluhlaza okwesibhakabhaka, funa ingcebiso kagqirha ngokukhawuleza .
Izibulali-ntlungu, iBupivacaine, iEpinephrine, utyando, izibulali-ntlungu, iAnesthetic yasekuhlaleni, iziphumo ebezingalindelekanga
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