Singathetha nge-Bupivacaine Injection ethomalalisa iintlungu? (I-Bupivacaine Injection)

Ngaba wakha watyandwa kancinci, wakhutshwa izinyo, okanye wanqunyulwa emzimbeni wakho waza wafuna ukuthungwa? Uyakhumbula inaliti ugqirha akunike yona ukuze avale loo ndawo? Asiziva ntlungu ngelo xesha, akunjalo? Namhlanje siza kuthetha ngeyeza elikhethekileyo elisetyenziselwa ukunqanda intlungu okwethutyana kwindawo ethile yomzimba. Igama layo yiBupivacaine.

Kalula nje, yintoni iBupivacaine?

I-Bupivacaine luhlobo lonyango olubizwa ngokuba yi-local anesthetic. Ngamafutshane, iyenza buthathaka okwethutyana indawo ethile yomzimba wakho. Oku kuyekisa imiqondiso yentlungu evela kwimithambo-luvo ekuloo ndawo ukuba ingangeni engqondweni okwethutyana. Yiyo loo nto ungeva ntlungu. Cinga ngenkqubo yethu yemithambo-luvo njengothungelwano lweengcingo zefowuni. Xa senzakala ndaweni ithile, umyalezo uhamba ngaloo ngcingo uye engqondweni uthi, "Kubuhlungu apha." Into eyenziwa yi-Bupivacaine injection kukuya kwindawo yomyalezo kwaye uqhawule okwethutyana loo nxibelelwano. Emva koko, umyalezo awufiki engqondweni, ngoko asiva ntlungu. Iqhele ukusetyenziswa uku:

• Yifake inombolo kwindawo ngaphambi kotyando oluncinci.
• Khipha amazinyo okanye unyange amazinyo.
• Thunga inxeba.
• Njenge- epidural enikwa umama oza kubeleka umntwana ukuze anciphise iintlungu.
• Ngamanye amaxesha isetyenziselwa ukulawula iintlungu emva kotyando.

Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba ukunike eli yeza

Kulungile, ngoku ngaphambi kokuba ukunike eli yeza, ugqirha uza kukubuza ngemeko yakho yempilo. Oku kubaluleke kakhulu. Kuba ukhuseleko lwakho luza kuqala. Ke ngoko, ukuba unenye yezi meko zilandelayo, kufuneka uxelele ugqirha ngaphandle kokumfihla.

• Ii-Allergies : Sixelele ukuba unayo nayiphi na i-allergies, kungekuphela nje kwi -Bupivacaine , kodwa nakweyiphi na enye iyeza (ingakumbi ezinye ii-anesthetics), ukutya, idayi, okanye isigcini.
• Isifo sentliziyo : Ukuba unesifo sentliziyo.
• Isifo sesibindi okanye sezintso : Ukuba kukho ingxaki ekusebenzeni kwezi zitho.
• Uxinzelelo lwegazi oluphantsi: Ukuba uxinzelelo lwegazi luphantsi.
• Isifo semiphunga: Ukuba unayo nayiphi na imeko enxulumene nokuphefumla.
• Ukunqongophala kwe-G6PD: Oku kukusilela kwee-enzyme ezizuzwe njengelifa okuchaphazela iiseli zethu ezibomvu zegazi. Ukuba uyazi ukuba unale meko, qiniseka ukuba uxelele ugqirha wakho.
• Ukukhulelwa okanye ukuncancisa: Kubalulekile ukwazisa ugqirha wakho ukuba ukhulelwe, uzama ukukhulelwa, okanye uncancisa .

Ngokwazi ezi zinto ngokuchanekileyo, ugqirha wakho unokugqiba ngokukhuselekileyo ukuba akunike eli yeza, asebenzise elinye iyeza, okanye atshintshe umthamo walo.

Ulisebenzisa njani eli yeza?

Eli asiloyeza onokulithenga kwikhemesti uze ulithathe uye nalo ekhaya. I-Bupivacaine liyeza elinikwa kuphela njengenaliti esibhedlele okanye ekliniki ngugqirha ofanelekileyo okanye abasebenzi bezonyango abaqeqeshiweyo . Oku kungenxa yokuba izinga lentliziyo yakho, uxinzelelo lwegazi, kunye nokuphefumla kufuneka kujongwe ngelixa eli yeza linikwa.

Ngaba ninika abantwana oku?

Abantwana abangaphezu kweminyaka eli-12 ubudala banokusebenzisa eli yeza kwiimeko ezithile ezikhethekileyo. Kodwa kufuneka kwenziwe ngononophelo olukhulu kwaye phantsi kweliso elikhethekileyo lezonyango.

Wenza ntoni ukuba idosi iyanda?

Oku kunikwa esibhedlele, ngoko ke amathuba okuba oku kwenzeke mancinci kakhulu. Abasebenzi bezonyango baya kwazi ngqo idosi echanekileyo kuwe. Nangona kunjalo, ukuba kukho nakuphi na ukurhanela ukuba uthathe amayeza amaninzi kakhulu, abasebenzi bezonyango baya kuthatha amanyathelo afunekayo ngoko nangoko. Ngoko ke akufuneki ukhathazeke. Ukuba uneengxaki ngaphandle kwesibhedlele, yiya kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele esikufutshane ngoko nangoko. Ukuba ukrokrela ukuba kukho ityhefu, fowunela iZiko loLwazi lweePoison kwiSibhedlele sikaZwelonke .

Zithini iziphumo ebezingalindelekanga? Ngaba kufuneka ndiyoyike?

Njengalo naliphi na iyeza, iBupivacaine inethuba elincinci lokubangela iziphumo ebezingalindelekanga. Nangona kunjalo, ezi aziqhelekanga. Kwakhona, ekubeni uphantsi kweliso likagqirha xa unikwa eli yeza, naziphi na iingxaki zinokunyangwa ngokukhawuleza. Nangona kunjalo, kubalulekile ukuba uzazi ezi ngxaki. Masizahlule ezi ziphumo zibe ziindidi ezimbini. Ezinye zinzima kwaye kufuneka zixelwe ngoko nangoko. Ezinye zihlala zingabi yingozi kangako kwaye ziyanyamalala emva kwexesha elithile.

Iziphumo ebezingalindelekanga zeBupivacaine Iimpawu ekufuneka zixelwe kugqirha okanye kumongikazi ngoko nangoko Iimpawu eziqhele ukuba zingezizo ezinzulu, kodwa kufuneka zixelwe kugqirha ukuba ziyaqhubeka

Iimpendulo ze-allergy	Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi okanye umqala, ubunzima bokuphefumla.
Utshintsho lwesingqi sentliziyo	Ukuziva ngathi intliziyo yakho ibetha ngokukhawuleza okanye ngokungacwangciswanga, isiyezi, iintlungu zesifuba.
Uxinzelelo lwegazi oluphantsi	Isiyezi esinzima, amehlo aluhlaza okwesibhakabhaka, ukungakwazi ukuma.
Iziphumo kwinkqubo yemithambo-luvo (ukudakumba kwe-CNS)	Ukuphefumla kancinci, ukozela kakhulu, ukuncipha kwengqondo, ukudideka.
Ukuxhuzula	Ukungcangcazela komzimba, ukulahlekelwa zingqondo.
I-Methemoglobinemia	Le yimeko engaqhelekanga. Iimpawu ziquka ulusu okanye imilebe eluhlaza okwesibhakabhaka, ubunzima bokuphefumla, ukudinwa kakhulu, intloko ebuhlungu, isicaphucaphu, ukuhlanza, kunye nokubetha kwentliziyo ngokukhawuleza.
Isicaphucaphu nokuhlanza (Isicaphucaphu, Ukuhlanza)	Ukuphazamiseka kwesisu okanye ukuhlanza.
Ukozela	Ukuziva ulele kancinci ngenxa yemiphumo yeyeza.
Ixhala okanye uvalo	Ukuziva uloyiko olungaqhelekanga kunye nokungakhululeki.

Izinto ekufuneka uzilumkele emva kokuthatha iyeza

Le yeyona nto ibalulekileyo ekufuneka uyiqwalasele. Emva kokufaka inaliti yeBupivacaine, indawo iya kuba ndindisholo kangangeeyure ezimbalwa.

Eyona nto ibalulekileyo kukukhusela indawo ekulimaleni ngelixa ingaziva ntlungu. Ekubeni ungaziva iintlungu, indawo inokuba nokusikwa, ukukrweleka, okanye ukutsha.

Umzekelo, khawucinge ukuba unikwe eli yeza lokukhupha izinyo. Logama nje isidlele sakho kunye nomlomo wakho kwicala elo uyarhawuzelela, kusenokwenzeka ukuba ulume loo ndawo, usele iti eshushu kwaye utshise umlomo wakho. Ngoko ke, lumka kakhulu ngento oyityayo kunye nento oyiselayo de kube kuphelile ukurhawuzelela. Kwakhona, ukuba unendawo yokurhawuzelela engalweni okanye emlenzeni wakho, kufuneka uyikhusele loo ndawo ekubetheni nantoni na ebukhali okanye eshushu. Kuba awuyiva nokuba ibuhlungu.

Ngaba kukho iingxaki ngamanye amayeza?

Ewe, ngokuqinisekileyo. I-Bupivacaine inokusebenzisana namanye amayeza. Yiyo loo nto kubalulekile ukuxelela ugqirha wakho ngawo onke amayeza owasebenzisayo, kuquka iivithamini, iimveliso zezityalo, kunye nezithomalalisi zentlungu . Kubaluleke kakhulu ukuxelela ugqirha wakho ukuba usebenzisa naliphi na kula mayeza alandelayo:

• I-Acetaminophen (efana ne-paracetamol)
• Ezinye iintlobo zee-antibiotics (umz. i-dapsone, i-sulfonamides)
• Amayeza okulwa nesifo sokuwa (umz. i-phenobarbital, i-phenytoin)
• Amanye amayeza okunciphisa iintlungu (umz. i-lidocaine)
• Amanye amayeza esifo sentliziyo (umz. i-nitroglycerin)

Olu luhlu aluphelelanga, ngoko ke kungcono ukuxelela ugqirha wakho ngayo yonke into oyithathayo. Kwakhona, mxelele ukuba uyatshaya okanye usela utywala.

Umyalezo Wokuya Ekhaya

• I-Bupivacaine liyeza elikhuselekileyo eliphelisa iintlungu okwethutyana kwaye linciphise indawo ethile yomzimba.
• Eli yeza linikwa esibhedlele okanye ekliniki kuphela, phantsi kweliso likagqirha. Eli ayiloyeza lokuya nalo ekhaya.
• Qiniseka ukuba uxelela ugqirha wakho ngazo zonke iimeko zempilo, ii-allergies, kunye namayeza owasebenzisayo.
• Luxanduva lwakho ukukhusela indawo evalwe yiyeza ekulimaleni (imikrwelo, imivumbo, ukutsha) de kube yilapho ukuvaleka kuphelile.
• Iziphumo ebezingalindelekanga ezibi kakhulu aziqhelekanga. Nangona kunjalo, ukuba ufumana naziphi na iimpawu ezingaqhelekanga (ubunzima bokuphefumla, iintlungu zesifuba, ukuxhuzula), yazisa abasebenzi bezonyango ngoko nangoko.

Inaliti yeBupivacaine, i-anesthetic, i-painkiller, i-anesthetic yendawo, utyando, iziphumo ebezingalindelekanga, i-bupivacaine sinhala