Ngaba wakha wanyanzeleka ukuba wenze utyando oluncinci okanye olukhulu? Okanye uceba ukwenza olunye kwixesha elizayo? Ukuba kunjalo, kuyinto eqhelekileyo ukoyika kancinci intlungu eza emva kotyando. Kodwa ungakhathazeki, amayeza anamhlanje aphucukile kakhulu. Oogqirha basebenzisa iindlela ezahlukeneyo zokulawula le ntlungu. Namhlanje, sithetha ngesisombululo esikhethekileyo seyeza esisetyenziswa kwinxeba lotyando kwaye sisetyenziselwa ukuthintela intlungu kangangeeyure ezininzi.
Yintoni le yeza? (Bupivacaine; Meloxicam)
Ngamafutshane, le yindibaniselwano yamayeza amabini. Ithengiswa phantsi kwegama elithi ``ZYNRELEF''. Iqulethe amayeza amabini, iBupivacaine kunye neMeloxicam .
Cinga ngayo njengenaliti enikwa ngugqirha ngaphambi kokuba ukhuphe izinyo. Oko kuyayidambisa loo ndawo, akunjalo? Kaloku, iBupivacaine ekule nto yiyo edambisa imithambo-luvo okwethutyana apho wenze khona utyando. Emva koko loo mithambo-luvo ayisayi kuthumela imiqondiso yentlungu engqondweni, uze uzive uphantsi kwentlungu.
Iyeza lesibini yiMeloxicam . Eli liyeza lokunciphisa iintlungu kwaye liyeza elinciphisa ukudumba. Kwizonyango, silibiza ngokuba yi-`(NSAID - Non-Steroidal Anti-Inflammatory Drug)`. Eli yeza lilawula ukudumba kunye nokubomvu kwenxeba emva kotyando. Ngoko ke, ukudibana kwezi ziyobisi zimbini kuya kukunika isiqabu esikhulu kwintlungu yotyando malunga neeyure ezingama-72.
Into ebalulekileyo kukuba, eli asiloyeza onokulithatha ekhaya. Lisisombululo esikhethekileyo esifakwa ngugqirha enxebeni ngexesha lotyando esibhedlele okanye ekliniki.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba unike eli yeza
Ngaphambi kokuba ugqibe kwelokuba eli yeza likulungele na, ugqirha wakho kuya kufuneka azi imbali yakho epheleleyo yempilo. Qiniseka ukuba uxelele ugqirha wakho ukuba unenye yezi meko zilandelayo:
| Imeko yempilo okanye umkhwa | Inkcazo |
|---|---|
| Izifo zokuphefumla | Ukuba unezifo zemiphunga ezifana ne-asthma. |
| Iingxaki zokopha | Ukuba unesifo sokopha. |
| Utyando lwentliziyo | Ukuba kutshanje (kwiiveki ezi-2) ukhe wenziwa utyando lwe-heart bypass (iCoronary Artery Bypass Graft - CABG). |
| Isifo sentliziyo kunye noxinzelelo lwegazi | Iimeko ezifana nesifo sentliziyo, uxinzelelo lwegazi oluphezulu okanye oluphantsi. |
| Iingxaki zesisu namathumbu | Ukuba ukhe waba nezilonda zesisu okanye ukopha ngaphambili. |
| Isifo sezintso okanye sesibindi | Ukuba uneengxaki zempilo ezinxulumene nokusebenza kwezintso okanye isibindi. |
| Eminye imikhwa neemeko | Ukuba usela utywala yonke imihla, utshaya, okanye unesifo se-G6PD. |
| Ii-aleji | Ukuba une-allergies kwi-Bupivacaine, i-Meloxicam, i-Aspirin okanye ezinye ii-NSAID, amanye amayeza, ukutya, okanye iidayi. |
| Ukukhulelwa | Ukuba ukhulelwe, uzama ukukhulelwa, okanye uncancisa. |
Kuthekani ukuba kukho ukugqithisa kweli yeza?
Ekubeni eli yeza linikwa ngugqirha esibhedlele, umngcipheko wokusebenzisa eli yeza ngokugqithisileyo uphantsi kakhulu. Nangona kunjalo, ukuba ucinga ukuba usenokuba usebenzise eli yeza ngokugqithisileyo, kufuneka ufowunele iZiko loLwazi lweeTyhefu zeSizwe kwiSibhedlele seSizwe ngoko nangoko, okanye uye kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane.
Ukusebenzisana nezinye iziyobisi
Eli yeza linokubangela iingxaki xa lisetyenziswa namanye amayeza, ngoko ke kubaluleke kakhulu ukuxelela ugqirha wakho ngawo onke amayeza owasebenzisayo, kuquka iivithamini, iimveliso zezityalo, kunye nezongezo .
I-ZYNRELEF akufanele isetyenziswe kunye nala mayeza ngokukodwa:
- I-Cidofovir
- I-Ketorolac (enye iyeza elinamandla lokubulala iintlungu)
Ukongeza, iingxaki zinokwenzeka nangamayeza alandelayo:
- Ezinye iintlungu (umz. i-Aspirin, i-Ibuprofen, i-Naproxen)
- Amayeza athintela ukujiya kwegazi (umz. iWarfarin)
- Amanye amayeza oxinzelelo lwegazi oluphezulu kunye nesifo sentliziyo
- Iintlobo ezininzi zee-antibiotics
- Iziyobisi zomchamo
- Amayeza okudakumba (ii-SSRI, ii-SNRI)
- Iindidi zamayeza anikwa abantu abanesifo sokuwa
- Amanye amayeza athile afana neLithium, iMethotrexate
Olu luhlu aluphelelanga, ngoko ke kungcono ukuxelela ugqirha wakho malunga nawo onke amayeza owasebenzisayo ngaphambi kotyando.
Izinto ekufuneka uzilumkele emva kokuthatha eli yeza
1. Lumka kwindawo enesithukuthezi: Ekubeni indawo apho utyando lwenziwe khona ingenasithukuthezi, awuyi kuva ntlungu. Ngoko ke, kufuneka ulumke ungayityumzi, ungayilimazi, okanye uyitshise loo ndawo.
2. Yazisa abanye oogqirha: Ukuba ufuna olunye utyando okanye unyango lwezonyango zingadlulanga iintsuku ezi-4 emva kokusela eli yeza, xelela ugqirha ukuba ulifumene eli yeza.
3. Lumka ukopha esiswini: I-Meloxicam (i-NSAID) kweli yeza ngamanye amaxesha inokubangela izilonda zesisu okanye ukopha. Ukutshaya, ukusela utywala, ukwaluphala, nokuba nempilo embi kunokunyusa lo mngcipheko. Ukuba unentlungu yesisu ngequbuliso, ukuhlanza okufana nekofu, okanye isitulo esimnyama, esirhabaxa , funa ingcebiso kagqirha ngokukhawuleza.
Iziphumo ebezingalindelekanga ezinokubakho
Njengayo nayiphi na iyeza, eli linokuba nemiphumo emibi. Eminye iyingozi, eminye ixhaphakile.
| Imiphumela | Iimpawu |
|---|---|
| Iziphumo ebezingalindelekanga ezinzulu ekufuneka zixelwe kugqirha wakho okanye kwi-ETU ngoko nangoko | |
| Iimpendulo ezinzulu ze-allergy | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi okanye umqala, ubunzima bokuphefumla. |
| Ukopha | Indle emnyama, ukuhlanza okufana nekofu egayiweyo, umchamo obomvu/omdaka omnyama, amabala abomvu/omfusa eluswini. |
| Ukuhlaselwa yintliziyo | Ukuqina/intlungu esifubeni, emagxeni, engalweni, okanye kumhlathi, isicaphucaphu, ubunzima bokuphefumla. |
| Istroke | Ukuba ndindisholo/ubuthathaka ebusweni, engalweni, okanye emlenzeni, ubunzima bokuthetha, ukudideka, ubunzima bokuhamba. |
| Ukonakala kwezintso okanye kwesibindi | Ukuphuma komchamo okunciphileyo, ukudumba kwamaqatha/izandla/iinyawo, ukutyheli kwamehlo/ulusu, iintlungu kwicala eliphezulu lasekunene lesisu. |
| I-Methemoglobinemia | Intloko ebuhlungu, ukudinwa kakhulu, ukuphefumla kancinci, ukubetha kwentliziyo ngokukhawuleza, ulusu okanye imilebe eluhlaza okwesibhakabhaka (le yimeko echaphazela amandla okuthwala ioksijini egazini). |
| Iziphumo ebezingalindelekanga ezingaqhelekanga, kodwa kufuneka zixelwe kugqirha ukuba ziyaqhubeka | |
| Ukuqhinwa | Ubunzima bokuya kwindlu yangasese. |
| Intloko ebuhlungu | Intloko ebuhlungu. |
| Ukuhlanza | Ukuhlanza kunye nesicaphucaphu. |
Umyalezo Wokuya Ekhaya
- I-`ZYNRELEF` sisisombululo esikhethekileyo sonyango esisetyenziswa ngqo kwinxeba lotyando ukulawula iintlungu emva kotyando.
- Ngaphambi kokuba unikwe eli yeza, qiniseka ukuba uxelela ugqirha wakho ngazo zonke iimeko zakho zempilo kunye nawo onke amayeza owasebenzisayo.
- Ekubeni indawo yotyando iza kuba ndindisholo emva kokuba iyeza linikwe, luxanduva lwakho ukuqaphela ukuba ungayonzakalisi indawo leyo.
- Ukuba ufumana naziphi na iimpawu zesiphumo esibi esifana nokopha esiswini, ukuhlaselwa yintliziyo, ukukhubazeka, okanye i-allergy eqatha, funa ingcebiso yezonyango ngokukhawuleza ngaphandle kokulibazisa okanye uye kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane.
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho