Khawucinge ukuba utyando oluncinci, njengokukhupha izinyo okanye ukususwa kwesimila eluswini. Emva koko ugqirha uyayivala indawo apho utyando lwenziwa khona aze enze umsebenzi ukuze ungabi nantlungu, akunjalo? Namhlanje siza kuthetha ngamayeza akhethekileyo asetyenziswa kwiimeko ezinjalo. Eli liyeza elihlala linikwa esibhedlele okanye eklinikhi kwaye lisetyenziswa ngoogqirha. Ke ngoko, kubaluleke kakhulu ukuqaphela oku.
Yintoni le arhente yokuphelisa iintlungu? (Bupivacaine; Epinephrine)
Ngamafutshane, le yi-local analgesic, oko kuthetha ukuba iyayivala indawo apho kufakwe khona inaliti kunye nendawo eyijikelezileyo okwethutyana, ngaphandle kokuyivala umzimba wonke. Oku kuthetha ukuba awuyi kuva ntlungu.
Kukho iintlobo ezimbini eziphambili zale gonyo:
1. I-Bupivacaine: Yile nto iyenza ulusu lungasebenzi kakuhle, nto leyo ethetha ukuba awuziva iintlungu.
2. I-Epinephrine: Oku kongezwa ngezizathu ezibini. Esinye kukwenza ukuba ukuhlaba kuhlale ixesha elide. Esinye kukunciphisa imithambo yegazi emincinci kwindawo yokujova, ukunciphisa ukopha ngexesha lotyando.
Ngoko ke, ngenxa yokudibanisa zombini ezi zinto, ugqirha angakunyanga ngokukhuselekileyo ngaphandle kokukubangela intlungu.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba akunike amayeza
Ngaphambi kokuba ukunike olu gonyo, ugqirha wakho uza kukubuza ngempilo yakho. Nangona kunjalo, ukuba unayo nayiphi na kwezi meko zilandelayo, qiniseka ukuba uxelele ugqirha wakho. Oku kubaluleke kakhulu kukhuseleko lwakho.
- Isifo seswekile okanye amanqanaba aphezulu eswekile egazini.
- Ukunqongophala kwe-G6PD: Le yimeko yelifa abanye abantu abazalwa nayo.
- Naluphi na uhlobo lwesifo sentliziyo .
- Igazi elonyukayo .
- Uxinzelelo lwegazi oluphantsi .
- Nasiphi na isifo sesibindi okanye sezintso .
- Izifo zemiphunga (ezifana ne-asthma okanye i-COPD).
- Isifo se-thyroid .
- Ukuba ukhulelwe okanye uzama ukukhulelwa .
- Ukuba ungumama oncancisayo .
- Ukuba une -allergies kweli yeza okanye naliphi na elinye iyeza, ukutya, idayi, okanye isigcini.
Okukhona imbali yakho yempilo iphelele, kokukhona eya kukwazi ukukunyanga ngokukhuselekileyo.
Ulisebenzisa njani eli yeza?
Eli asiloyeza onokulithatha ekhaya okanye ulithenge kwikhemesti.
Olu lugonyo oluhlala lunikwa esibhedlele okanye ekliniki ngugqirha ofanelekileyo okanye ingcali yezempilo eqeqeshiweyo, ngoko ke akufuneki ukhathazeke ngokulusebenzisa.
- Kubantwana: Isetyenziswa kwiimeko ezithile ezikhethekileyo kubantwana abancinci abaneminyaka engaphezu kwe-12 ubudala. Kodwa yenziwa ngononophelo olukhulu kunye nokhuseleko olukhethekileyo.
- Kwabantu abadala: Abantu abangaphezu kweminyaka engama-65 ubudala banokuziva imiphumo yale yeza inamandla ngakumbi. Ke ngoko, ugqirha uhlala ehlisa umthamo abawunikwayo.
Kuthekani ukuba ndithatha amayeza amaninzi kakhulu?
Ekubeni oku kunikwa esibhedlele, umngcipheko wokusebenzisa amayeza amaninzi uphantsi kakhulu. Nangona kunjalo, ukuba oku kwenzeka nangayiphi na indlela okanye ukuba ucinga ukuba ufumene amayeza amaninzi, yazisa abasebenzi bezonyango ngoko nangoko. Kwimeko yongxamiseko, kufuneka uye ngqo kwiCandelo loNyango oluNgxamisekileyo (ETU) . Ukuba ufuna ingcebiso malunga nokutyhefa, ungatsalela umnxeba iZiko loLwazi lweeTyhefu zeSizwe kwiSibhedlele sikaZwelonke saseColombo ukuze ufumane iinkcukacha.
Ezinye izinto ezinokusebenzisana nale mithi (Intsebenziswano)
Ukuba usela amayeza kwezinye iimeko, kubaluleke kakhulu ukuxelela ugqirha wakho ngawo. Kuba amanye amayeza anokusebenzisana nale mithi yokuphelisa iintlungu aze abangele iziphumo ebezingalindelekanga. Itheyibhile engezantsi ibonisa amanye amayeza anokusebenzisana ngale ndlela.
| Udidi lweziyobisi | Imizekelo kunye neenkcazo |
|---|---|
| Iipilisi zokunciphisa iintlungu kunye nee-antibiotics | Amanye amayeza afana ne-acetaminophen, i-dapsone, kunye ne-nitrofurantoin. |
| Amayeza esifo sentliziyo kunye noxinzelelo lwegazi | Amayeza ahlukeneyo asetyenziswa ukulawula izinga lokubetha kwentliziyo kunye noxinzelelo lwegazi. (Umzekelo: iNitroglycerin) |
| Amayeza empilo yengqondo | Amayeza eemeko ezinje ngokudakumba nokuxhalaba, ingakumbi amayeza e-MAOI. |
| Amayeza okuxhuzula | Amayeza anjenge-phenobarbital kunye ne-phenytoin. |
| Ezinye ii-anesthetics kunye namayeza | Ezinye izinto ezibulala iintlungu ezisetyenziswa ngexesha lotyando ziquka i-nitrous oxide, kunye nezinye izinto ezibulala iintlungu zasekuhlaleni ezifana ne-lidocaine. |
Olu luhlu aluphelelanga. Ngoko ke xelela ugqirha wakho ngawo onke amayeza, iivithamini, iimveliso zezityalo, kunye nezongezo ozithathayo. Baxelele nokuba uyatshaya okanye usela utywala.
Izinto ekufuneka uzilumkele emva kokuthatha iyeza
Emva kokuba ufumene olu hlaselo, kufuneka ulumke kancinci ngendawo engenanto. Ngenxa yokuba awuziva iintlungu, unokwenzakalisa loo ndawo ungaqondanga.
Umzekelo, ukuba ukhutshiwe amazinyo kwaye iintsini zakho zibuhlungu, kufuneka uqaphele ukuba ungalumi isidlele sakho okanye usele iziselo ezishushu de ubuhlungu buphele ngokupheleleyo. Kwakhona, ukuba unesilonda eluswini lwakho, khusela loo ndawo ekubethekeni okanye ekukrwelweni.
Zithini iziphumo ebezingalindelekanga ezinokubakho?
Njengalo naliphi na iyeza, eli linokubangela iziphumo ebezingalindelekanga kwabanye abantu. Ezinye zezi zimbi kakhulu, ezinye ziqhelekile. Kubalulekile ukuzazi ezi zinto.
| Iziphumo ebezingalindelekanga ezinzulu ekufuneka zixelwe kugqirha okanye kumongikazi ngoko nangoko | |
|---|---|
| Iimpendulo ze-allergy | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi okanye umqala. |
| Utshintsho kwisantya sentliziyo | Ukuziva ngathi intliziyo yakho ibetha ngokukhawuleza okanye ngokungacwangciswanga, isiyezi, iintlungu zesifuba, ubunzima bokuphefumla. |
| Iziphumo kwinkqubo ye-nervous central | Ukuphefumla kancinci ...Kancinci kancinci ...Kancinci kancinci ...Kancinci kancinci ...Kancinci kancinci ...Kancinci kancinci ...Kancinci kancinci ...Kancinci kancinci ...Kancinci kancinci ...Ukungacingi kakuhle , ukudideka . |
| I-Methemoglobinemia | Ubunzima bokuphefumla; Intloko ebuhlungu; Imilebe, iinzipho, okanye ulusu luba mhlophe, lungwevu, okanye lubhlowu; Ukudinwa kakhulu. |
| Ukuxhuzula | Ukuxhuzula ngequbuliso. |
| Iziphumo ebezingalindelekanga ezingaqhelekanga, kodwa kufuneka zixelwe kugqirha ukuba ziyaqhubeka | |
| Ixhala okanye ukungazinzi | Ukuziva uxhalabile ngendlela engaqhelekanga. |
| Ukozela | Usenokuziva ulele kancinci. |
| Isicaphucaphu nokuhlanza | Ukuphazamiseka kwesisu, isicaphucaphu, okanye ukuhlanza. |
Ukuba ufumana naziphi na ezinye iimpawu ezingaqhelekanga ezingakhankanywanga kolu luhlu, thetha nogqirha wakho ngazo.
Umyalezo Wokuya Ekhaya
- I-Bupivacaine; I-Epinephrine yinaliti ye-anesthetic yendawo enikwa kuphela ngugqirha esibhedlele okanye ekliniki ukuze kuthomalaliswe iintlungu.
- Ngaphambi kokuba ufumane olu gonyo, xelela ugqirha wakho ngazo zonke iimeko zakho zempilo (ezifana nesifo seswekile, isifo sentliziyo) kunye nawo onke amayeza owasebenzisayo.
- Emva kokufaka inaliti, qiniseka ukuba uyayikhusela loo ndawo ekwenzakaleni. Ekubeni ungaziva iintlungu, ungazenzakalisa ngempazamo.
- Funa uncedo lwezonyango ngokukhawuleza ukuba ufumana naziphi na iziphumo ebezingalindelekanga ezinje ngokudumba kobuso, ubunzima bokuphefumla, okanye iintlungu zesifuba.
- Ukuba unemibuzo okanye iinkxalabo malunga nale mithi, ungaze ungathandabuzi ukubuza ugqirha wakho ngayo.
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