Ukuba uza kutyandwa kungekudala, enye yezona zinto zinkulu oyoyikayo yintlungu eza kubakho emva kwayo. "Owu, gqirha, ingaba iza kuba buhlungu kakhulu emva koko?" Sonke siyabuza, akunjalo? Elo loyiko lifanelekile. Kodwa, ngethamsanqa, namhlanje, ngenxa yokuqhubela phambili kwesayensi yezonyango, kukho iindlela ezininzi ezilungileyo zokulawula intlungu eyenzeka emva kotyando. Ngoko ke namhlanje siza kuthetha ngamayeza akhethekileyo asetyenziswa ngoogqirha ukulawula le ntlungu. Libizwa ngokuba yiBupivacaine.
Yintoni le Bupivacaine?
Ngamafutshane, iBupivacaine liyeza lokubulala iintlungu elinikwa ukubulala iintlungu kwindawo ejikeleze inxeba lotyando ngexesha okanye emva kotyando. Lifana neyeza lokubulala iintlungu olinika iintsini zakho ngaphambi kokukhupha izinyo, kodwa luhlobo olukhethekileyo nolunamandla olusetyenziselwa amanxeba otyando.
Oku kufakwa ngqo kwindawo apho kwenziwe khona utyando, oko kukuthi, kwizicwili ezijikeleze inxeba. Oku kunciphisa imithambo-luvo kuloo ndawo okwethutyana kwaye kuthintele imiqondiso yentlungu ukuba ingangeni engqondweni. Oku kuthetha ukuba akuyi kuva iintlungu zingako kangangeeyure ezimbalwa emva kotyando. Oku kuthetha ukuba uya kukhululeka ngakumbi ngexesha lokuchacha kwakho.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba unike eli yeza
Ngaphambi kokuba akunike eli yeza, ugqirha wakho kuya kufuneka azi imbali yakho epheleleyo yezonyango. Oku kungenxa yokuba ezinye iimeko zonyango zifuna unonophelo olukhethekileyo xa usebenzisa eli yeza. Ke ngoko, ukuba unezinye zezi meko zidweliswe ngezantsi, qiniseka ukuba uxelela ugqirha wakho ngalo. Musa ukulityeshela, kuba ukhuseleko lwakho yeyona nto ibalulekileyo.
| Isifo okanye imeko | Kutheni ufanele uxelele? |
|---|---|
| Ukunganyamezelani neBupivacaine okanye elinye iyeza lokunciphisa iintloko (umz. iLidocaine) | Ukuthintela ukubangela i-allergy enkulu. |
| Isifo sentliziyo | Abantu abanesifo sentliziyo badinga ingqalelo ekhethekileyo kuba iziphumo zale mithi zinokwahluka. |
| Isifo sesibindi okanye sezintso | Kuba inokuchaphazela inkqubo yokususa iziyobisi emzimbeni. |
| Uxinzelelo lwegazi oluphantsi | Kuba eli yeza linokuhlisa uxinzelelo lwegazi nangakumbi. |
| Izifo zemiphunga (umz. i-asthma, i-COPD) | Ukwazi umngcipheko weengxaki zokuphefumla. |
| Ukunqongophala kwe-G6PD | Le yimeko engaqhelekanga enxulumene negazi efuna ukhathalelo olukhethekileyo. |
| Ukukhulelwa, ukuzama ukukhulelwa, okanye ukuncancisa | Ukuqwalasela iziphumo ezinokubakho emntwaneni nokwenza isigqibo esifanelekileyo. |
Ulisebenzisa njani eli yeza?
Into ebalulekileyo kukuba, eli ayiloyeza onokulithatha ekhaya. Inaliti yeBupivacaine inikwa kuphela esibhedlele okanye ekliniki ngugqirha oqeqeshiweyo okanye abasebenzi bomongikazi.
Idla ngokufakwa kwithishu ejikeleze inxeba lotyando ngexesha okanye emva kotyando, ngoko ke akufuneki ukhathazeke ngokuphoswa yidosi.
Ukuba kukho ingxaki ngequbuliso yokugqithisa eli yeza, kuya kwenzeka esibhedlele kwaye abasebenzi bezonyango baya kuthatha amanyathelo ngoko nangoko. Kwimeko enjalo, banokufowunela iZiko loLwazi lweePoison kwiSibhedlele sikaZwelonke saseColombo baze bafumane ingcebiso efunekayo. Kwakhona, isigulana siya kungeniswa kwiYunithi yoNyango oluNgxamisekileyo (ETU) kwaye unyango olufunekayo luya kunikwa.
Amanye amayeza anokusebenzisana neBupivacaine
Ukuba usebenzisa amanye amayeza, kubalulekile ukuxelela ugqirha wakho ngawo. Amanye amayeza anokusebenzisana neBupivacaine aze abangele iziphumo ezingafunekiyo. Xelela ugqirha wakho ngawo onke amayeza owasebenzisayo, kungekuphela nje lawo achazwe ngugqirha wakho, kodwa kunye namayeza okudambisa iintlungu, iivithamini, kunye namayeza emifuno owathengayo kwikhemesti.
Zithini iziphumo ebezingalindelekanga ezinokubakho?
Njengayo nayiphi na iyeza, iBupivacaine inokubangela iziphumo ebezingalindelekanga kwabanye abantu. Nangona kunjalo, ayinguye wonke umntu ozifumanayo. Ezinye ziyingozi kwaye kufuneka zixelwe ngoko nangoko. Ezinye ziqhelekile kwaye ziyanyamalala emva kwexesha elithile. Masibone ukuba ziyintoni na.
| Imiphumela | Inkcazo |
|---|---|
| Iziphumo ebezingalindelekanga ekufuneka uzixele kugqirha okanye kumongikazi wakho ngoko nangoko: | |
| Iimpendulo ezinzulu 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. |
| Ukudakumba kwenkqubo yemithambo-luvo ephakathi (ukudakumba kwe-CNS) | Ukuphefumla kancinci okanye kancinci, ukozela kakhulu, kunye nokudideka. |
| Ukuxhuzula | Umzimba uyaqhaqhazela, uyashukuma. |
| I-Methemoglobinemia | Ubunzima bokuphefumla, umbala oluhlaza okwesibhakabhaka/ongwevu emlonyeni, ezinzipho, okanye kulusu, ukudinwa kakhulu, intloko ebuhlungu. (Le yimeko engaqhelekanga kodwa imbi kakhulu). |
| Izinto ezingaqhelekanga ukuba zimbi, kodwa kufuneka zixelwe kugqirha ukuba ziyaqhubeka | |
| Isiyezi, intloko ebuhlungu | Kusenokwenzeka ukuba yinto yexeshana, kodwa ndixelele ukuba iyaqhubeka. |
| Ukugabha, isicaphucaphu | Oku kunokwenzeka rhoqo emva kotyando. |
| Utshintsho kwincasa emlonyeni | Ukuva incasa yesinyithi emlonyeni. |
| Ukukhala ezindlebeni | Ukuva isandi esikhalayo ezindlebeni. |
Lumka kwindawo engenanto!
Oku kubaluleke kakhulu. Ekubeni indawo apho utyando lwakho lwenziwe khona ivalwe yinaliti yeBupivacaine, awuyi kuva ntlungu kuloo ndawo. Ngenxa yoko, kukho amathuba aphezulu okwenzakala okanye ingozi kuloo ndawo. Umzekelo, usenokungaziva ntlungu ukuba ubetheka, unqunyulwe, okanye utshiswe naphi na kuloo ndawo. Ngoko ke, kufuneka ulumke kakhulu ngaloo ndawo de kube kuphele ukuba buhlungu. Lumka ngaloo nto.
Umyalezo Wokuya Ekhaya
- I-Bupivacaine yinaliti ebangela ukuba umntu angakwazi ukuzibamba enikwa esibhedlele kuphela ukuze kuncitshiswe iintlungu emva kotyando.
- Qiniseka ukuba uxelela ugqirha wakho ngazo zonke iimeko zakho zempilo (ingakumbi intliziyo, isibindi, nesifo sezintso) kunye nawo onke amayeza owasebenzisayo.
- Khusela indawo engasebenzi kakuhle kwimiphumo yeyeza ekonzakaleni. Lumka kakhulu kuba awuyi kuva ntlungu.
- Yazisa abasebenzi bezonyango ngokukhawuleza ukuba ubona naziphi na iziphumo ebezingalindelekanga ezinje ngobunzima bokuphefumla, iintlungu zesifuba, okanye ukudumba kobuso.
- Ukuba unemibuzo okanye iinkxalabo malunga nale mithi okanye imeko yakho, ungoyiki ukuthetha nogqirha wakho okanye umongikazi.
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