Ngaba ucwangciselwe utyando? Okanye ngaba kukho umntu kusapho lwakho olungiselela utyando? Isizathu esiphambili sokoyika utyando yintlungu eza emva kotyando. Kodwa ungakhathazeki, isayensi yezonyango yanamhlanje iphucuke kakhulu. Kukho iindlela ezilungileyo nezikhuselekileyo zokulawula le ntlungu. Namhlanje sithetha ngeyeza elikhethekileyo elisetyenziselwa ukulawula loo ntlungu.
Yintoni kanye kanye iBupivacaine?
Ngamafutshane, iBupivacaine liyeza elinikwa ukuphelisa okanye ukunciphisa iintlungu emva kotyando okanye inkqubo yezonyango. Likudidi lwamayeza abizwa ngokuba yi- 'local anesthetics'.
Khawuthelekelele ukuba kukho iintambo ezincinci zemithambo-luvo emzimbeni wakho ezithwala 'iimpawu zentlungu' ukusuka kwindawo apho uziva khona iintlungu eziya engqondweni. Okwenziwa leli yeza kukuba liya kwindawo efanelekileyo kuphela, oko kukuthi, kwindawo apho kwenziwe khona utyando, kwaye 'liyenza buthathaka' imithambo-luvo ethwala ezo mpawu zentlungu okwethutyana. Kufana 'nokucima' ucingo lombane okwethutyana. Emva koko intlungu ayihambi engqondweni, ukuze ungayiva intlungu. Oku akuwuvali umzimba wonke, ngokungathi ulele, kodwa kuyenza buthathaka indawo apho iintlungu zikhona.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba usebenzise eli yeza
Nangona iBupivacaine iliyeza elikhuselekileyo kakhulu, kubalulekile ukuba ugqirha wakho azi kakuhle imeko yakho yempilo. Oku kungenxa yokuba kufuneka kuthathwe unonophelo olukhethekileyo xa unika eli yeza kubantu abaneengxaki ezithile zezempilo. Ke ngoko, ukuba unezinye zezi meko zezempilo ezidweliswe ngezantsi, qiniseka ukuba uxelele ugqirha wakho.
| Isifo okanye imeko | Kutheni kubalulekile ukwazisa ugqirha? |
|---|---|
| Ukunqongophala kwee-enzyme ezifana nokungabikho kwe-G6PD | Le yimeko yegazi ebangelwa lilifa enokubangela iziphumo ezingalunganga kumayeza athile. |
| Isifo sentliziyo | Kuba inokuchaphazela ukusebenza kwentliziyo. |
| Isifo sezintso | Kuba izintso zibandakanyeka kwinkqubo yokususa amayeza emzimbeni. |
| Isifo sesibindi | Kuba isibindi sibalulekile ekuqhekezeni amayeza emzimbeni. |
| Uxinzelelo lwegazi oluphantsi | Eli yeza linokubangela ukuba uxinzelelo lwegazi lwakho lwehle ngakumbi. |
| Isifo semiphunga | Kuba inokuchaphazela ukusebenza kwenkqubo yokuphefumla. |
| Ii-aleji kwi-Bupivacaine okanye kwamanye amayeza, ukutya, okanye iidayi | Oku kubaluleke kakhulu ukuthintela ukusabela kwe-allergy. |
| Ukuba ukhulelwe okanye uzama ukukhulelwa | Ukuqwalasela ukuba ingaba kukho na impembelelo kumntwana osesiswini. |
| Ukuba ungumama oncancisayo | Ukuqwalasela ukuba ingaba iyeza lidlulela ebantwaneni ngobisi lwebele. |
Ndingakunika njani eli yeza?
Eli asiloyeza onokulithatha uye nalo ekhaya. Linikwa njengenaliti, apho kukho intlungu khona. Linikwa esibhedlele okanye ekliniki ngugqirha wakho okanye iqela lezonyango eliqeqeshiweyo. Ngoko ke akukho nto unokukhathazeka ngayo.
Eyona nto ibalulekileyo kukuba eli yeza lelakho wedwa. Ungaze wabelane ngeli yeza nabanye abantu, nokuba baneempawu ezifana nezakho.
Yintoni omawuyenze ukuba ugqithisile?
Ekubeni oku kubonelelwa esibhedlele, umngcipheko wokusebenzisa i-overdose uphantsi kakhulu. Nangona kunjalo, ukuba ucinga ukuba usenokuba usebenzise i-overdose, ungoyiki kwaye wazise iqela lezonyango ngoko nangoko. Kungenjalo, kufuneka utsalele umnxeba iZiko loLwazi lweePoisons kwiSibhedlele sikaZwelonke saseColombo ngoko nangoko, okanye uye kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele esikufutshane.
Amanye amayeza anokusebenzisana neBupivacaine
Amanye amayeza owasebenzisayo anokusebenzisana neBupivacaine. Oku kuthetha ukuba xa la mayeza mabini esetyenziswa kunye, ukusebenza kwelinye kunokutshintsha okanye iziphumo ebezingalindelekanga zinokwanda.
Ngoko ke, nika ugqirha wakho uluhlu olupheleleyo lwamayeza owasebenzisayo, nokuba anikwe ngugqirha, athengiswa ngaphandle kwemvume kagqirha, iivithamini, amayeza esintu, amayeza e-Ayurvedic, okanye nantoni na oyisebenzisayo . Mxelele ugqirha wakho ukuba uyatshaya okanye usela utywala.
Amanye amayeza anokusebenzisana neBupivacaine aquka:
- I-Acetaminophen (i-paracetamol)
- Ezinye iintlobo zee-antibiotics
- Amanye amayeza asetyenziswa ukunyanga izifo ezifana nokuxhuzula (umz. i-phenobarbital, i-phenytoin)
- Amayeza anjengeNitroglycerin yesifo sentliziyo
- Ezinye iintlobo ze-anesthetics zasekuhlaleni ezifana neLidocaine, iTetracaine
- Amanye amayeza amaninzi...
Olu luhlu aluphelelanga. Yiyo loo nto kubalulekile ukuxelela ugqirha wakho ngayo yonke into oyithathayo.
Izinto ekufuneka uzilumkele emva kokuthatha iyeza
Iqela lakho lezonyango liza kujonga imeko yakho ngokusondeleyo ngelixa ufumana la mayeza, kodwa kukho into ebalulekileyo ekufuneka uyiqaphele.
Oko kukuthi, awuziva ntlungu kuloo ndawo kuba indawo apho amayeza anikwe khona ayisebenzi. Khawuthelekelele ukuba unikwe eli yeza lotyando lwedolo. Ngelo xesha, idolo lakho lalingasebenzi kakuhle ngoko awuzivanga ntlungu. Ke ngoko, ukuba loo ndawo itshayiwe, yenzakele, okanye ivakalelwa kushushu, awuqondi. Ke ngoko, kufuneka ulumke kakhulu de kube yilapho ukungaziva kakuhle kuphelile. Qinisekisa ukuba akukho ngozi kuloo ndawo.
Iziphumo ebezingalindelekanga ezinokubakho ngenxa yamayeza
Njengayo nayiphi na iyeza, iBupivacaine inokubangela iziphumo ebezingalindelekanga. Nangona kunjalo, ayinguye wonke umntu ozifumanayo. Ezinye zinzima, ngelixa ezinye zincinci. Eyona nto ibalulekileyo kukwazi ezi mpawu kwaye uxelele ugqirha okanye umongikazi wakho ngokukhawuleza ukuba ubona into enzulu.
| Iziphumo ebezingalindelekanga ekufuneka zixelwe kwiqela lakho lezonyango ngoko nangoko | |
|---|---|
| Imiphumela | Inkcazo |
| Iimpendulo ze-allergy | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi okanye umqala, ubunzima bokuphefumla. |
| Utshintsho kwisantya sentliziyo | Ukuziva ngathi intliziyo yakho ibetha ngokukhawuleza okanye ngokungacwangciswanga, isiyezi, iintlungu zesifuba, ubunzima bokuphefumla. |
| Ukuxhuzula | Ukungcangcazela komzimba, ukulahlekelwa zingqondo. |
| Utshintsho kuxinzelelo lwegazi | Uxinzelelo lwegazi oluphezulu okanye oluphantsi (isiyezi, umbono ofipheleyo, ukuziva utyhafile). |
| Iimpawu zeMethemoglobinemia | Esi sisifo esingaqhelekanga apho amandla egazi okuthwala ioksijini ephazamiseka khona. Iimpawu ziquka intloko ebuhlungu, ukudinwa kakhulu, ukuphefumla kancinci, isicaphucaphu, ukubetha kwentliziyo ngokukhawuleza, kunye nolusu okanye imilebe eluhlaza okwesibhakabhaka. |
| Ukuncipha komsebenzi wenkqubo ye-nervous central (uxinzelelo lwe-CNS) | Ukuphefumla kancinci okanye kancinci, ukozela kakhulu, ubunzima bokuhlala uphaphile, ukudideka. |
| Izinto ezingaqhelekanga ukuba zimbi, kodwa kufuneka zixelwe kwiqela lezonyango ukuba ziyaqhubeka | |
| Isicaphucaphu | Ukuziva ngathi uhlanza. |
| Ukuhlanza | - |
| Ukozela | - |
| Ixhala okanye uvalo | - |
Olu luhlu lusenokungabandakanyi zonke iziphumo ebezingalindelekanga. Ukuba kukho into engaqhelekanga ocinga ukuba ibangelwa leli yeza, thetha nogqirha wakho ngayo.
Umyalezo Wokuya Ekhaya
- I-Bupivacaine sisithomalalisi sentlungu esisetyenziselwa ukulawula iintlungu emva kotyando.
- Eli yeza linikwa liqela lezonyango esibhedlele, ngoko ke akukho nto unokukhathazeka ngayo.
- Kubaluleke kakhulu ukuxelela ugqirha wakho ngazo naziphi na ezinye iimeko zempilo onazo kunye nawo onke amayeza owasebenzisayo.
- Ekubeni indawo iya kuba ndindisholo emva kokuba unikwe iyeza, lumka kakhulu ungenzi monakalo kuloo ndawo de indindisholo iphele.
- Ukuba ufumana naziphi na iziphumo ebezingalindelekanga ezinje ngobunzima bokuphefumla, iintlungu zesifuba, okanye ukudumba kobuso, yazisa iqela lezonyango ngoko nangoko .
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