Ngaba wakha watyandwa? Okanye wakha watyandwa kakhulu? Kuqhelekile ukuba uzive uxhalabile kwaye uxhalabile ngamaxesha anjalo. Ngoko ke, kukho amayeza akhethekileyo asetyenziswa ngoogqirha ukukuthomalalisa, akwenze uzive ulele kancinci, kwaye akuncede uqhubeke nale nkqubo ngokulula. Namhlanje siza kuthetha ngenye inaliti enjalo, iDexmedetomidine, esetyenziswa kuphela ezibhedlele.
Ngamafutshane, yintoni iDexmedetomidine?
I-Dexmedetomidine (i-DEX-mede-tom-deen) liyeza elizolisa inkqubo yakho yemithambo-luvo kwaye likwenze ulale. Lidla ngokusetyenziselwa ukukugcina uphumle ngaphambi nangexesha lenkqubo yezonyango. Linikwa njengenaliti emthanjeni. Asiloyeza onokulithenga kwikhemesti uze ulithathe uye nalo ekhaya. Linikwa kuphela esibhedlele okanye eklinikhi, phantsi kweliso likagqirha. Ngamanye amaxesha ungalibona eli yeza phantsi kwegama lebrendi i-Precedex.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba usebenzise eli yeza
Ngaphambi kokuba ugqibe ekubeni unike eli yeza, ugqirha wakho uya kufuna ukwazi imbali yakho epheleleyo yempilo. Qiniseka ukuba ubaxelela ngayo nayiphi na kwezi meko zilandelayo, ingakumbi:
| Imeko yakho yempilo | Kutheni isaziso sibalulekile? |
|---|---|
| Isifo Seswekile (iDiabetes Mellitus) | Eli yeza linokuthi lichaphazele amanqanaba eswekile egazini. |
| Isifo sentliziyo | Kuba kusenokwenzeka ukuba isantya sentliziyo kunye noxinzelelo lwegazi sehle. |
| Igazi elonyukayo | Kuba utshintsho olukhawulezileyo kuxinzelelo lwegazi lunokwenzeka. |
| Isifo sesibindi | Kuba inkqubo yokususa iyeza esibindini ingacothiswa. |
| Ii-aleji | Ukuba une-aleji kwi-dexmedetomidine okanye nayiphi na eminye imithi, ukutya, okanye iidayi. |
| Ukukhulelwa okanye ukulindela umntwana | Ukuqwalasela impembelelo enokubakho kwimveku engekazalwa. |
| Ukuncancisa | Ukuqwalasela ukuba ingaba iyeza lingadluliselwa na kumntwana ngobisi lwebele. |
Eyona nto ibalulekileyo kukuthetha nogqirha ngayo nantoni na ekucingayo, nokuba incinci kangakanani na. Musa ukufihla nantoni na.
Indlela yokusebenzisa amayeza kunye nezinto ezikhethekileyo ekufuneka ziqwalaselwe
Eli yeza linikwa ngetyhubhu efakwe emthanjeni (umgca we-intravenous). Lenziwa ngugqirha okanye umongikazi oqeqeshiweyo esibhedlele.
- Kubantwana: Kufuneka unonophelo olukhethekileyo ukuba eli yeza linikwa abantwana. Umlinganiselo kunye nokubekwa esweni kwahlukile kweyabantu abadala.
- Abantu abangaphezu kweminyaka engama-65 ubudala: Abantu abadala banokuziva kakhulu iziphumo zale yeza, ngoko ke badla ngokunikwa idosi ephantsi.
- Kuthekani ukuba idosi inyusiwe? (I-Overdose): Ekubeni oku kunikwa esibhedlele, ithuba lokuba idosi iphoswe liphantsi kakhulu. Nangona kunjalo, ukuba ucinga ukuba ufumene amayeza amaninzi kakhulu, kufuneka wazise abasebenzi bezonyango ngoko nangoko. Okanye, banokwazisa iZiko loLwazi lweePoison kwiSibhedlele sikaZwelonke saseColombo okanye iYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele.
Amanye amayeza anokusebenzisana nalo mayeza (Intsebenziswano)
Amanye amayeza owasebenzisayo anokuchaphazela indlela esebenza ngayo iDexmedetomidine. Ngoko ke, xelela ugqirha wakho ngawo onke amayeza owasebenzisayo (amiselwe ngabanye oogqirha, athengwe kwikhemesti, amayeza esintu, iivithamini, iimveliso zezityalo). Eli yeza linokuchaphazela ngakumbi oku kulandelayo:
| Uhlobo lwesithako/isiyobisi esinokubangela iingxaki | Imizekelo |
|---|---|
| Utywala | Naluphi na uhlobo lotywala. |
| Iipilisi zokuthomalalisa kunye neepilisi zokulala | IiBenzodiazepines ezifana neAlprazolam, Diazepam, Lorazepam, kunye nePropofol. |
| Amanye amayeza okudakumba | I-Amitriptyline, iTrazodone. |
| Amayeza okubulala iintlungu kunye namayeza okukhwehlela | I-Tramadol, iMorphine, njl. (ii-opioids) . |
| Amanye amayeza okunyanga isifo sokuwa | I-Phenobarbital, i-Primidone. |
| Amanye amayeza okulwa nee-allergy (ii-Antihistamines) | Iintlobo ezibangela ukozela. |
Iziphumo ebezingalindelekanga ezinokubakho xa uthatha iyeza
Njengalo naliphi na iyeza, iDexmedetomidine inokubangela iziphumo ebezingalindelekanga. Iqela lezonyango liza kuhlala likujongile ngelixa usesibhedlele. Kodwa ukuba uziva ungakhululekanga, ungoyiki ukubaxelela ngoko nangoko.
| Iziphumo ebezingalindelekanga ekufuneka zixelwe kugqirha okanye kumongikazi ngoko nangoko | |
|---|---|
| Imiphumela | Iimpawu |
| Iimpendulo ze-allergy | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi okanye umqala, ubunzima bokuphefumla. |
| Uxinzelelo lwegazi oluphantsi | Ukudinwa, ukuquleka, ukubona izinto ezingaqondakaliyo. |
| Ukubetha kwentliziyo okucothayo | Ukudinwa, ukuquleka, ubunzima bokuphefumla, ukudinwa kakhulu. |
| Ifiva | Umkhuhlane ongapheliyo, ukuphefumla ngokukhawuleza okanye ukubetha kwentliziyo, ukudinwa. |
| Izinto ezingaqhelekanga ukuba zinzulu, kodwa kufuneka zixelwe ukuba ziyaqhubeka | |
| Ukungazinzi | Uxhalabile, unomsindo. |
| Umlomo owomileyo | Ukuziva ngathi amathe omile emlonyeni. |
Ukuba ufumana naziphi na ezinye iimpawu ezingaqhelekanga ezingakhankanywanga kolu luhlu, nceda wazise ugqirha wakho ngazo.
Izinto ekufuneka uzilumkele emva kokuthatha iyeza
Ngenxa yempembelelo yale mithi, ibhalansi yomzimba wakho, isantya sokusabela, kunye nokukwazi ukwenza izigqibo kunokuchaphazeleka.
- Kuphephe ukuqhuba okanye ukusebenzisa oomatshini de ugqirha wakho akuxelele ukuba kukhuselekile ukuphinda wenze njalo.
- Xa uvuka ehleli okanye elele, vuka kancinci . Ukuba uvuka ngequbuliso, ungaziva unesiyezi uze uwe.
- Musa utywala ngokupheleleyo kangangeentsuku ezimbalwa emva kokusebenzisa eli yeza. Utywala bunokunyusa iziphumo ebezingalindelekanga.
Umyalezo Wokuya Ekhaya
- I-Dexmedetomidine liyeza elinikwa esibhedlele kuphela ukuze likwenze uzive ulambile kwaye likwenze ulale ngaphambi kokuba kwenziwe unyango.
- Ngaphambi kokuba usebenzise eli yeza, qiniseka ukuba uxelela ugqirha wakho ngazo zonke iimeko zakho zempilo kunye nazo zonke ezinye iziyobisi ozisebenzisayo.
- Eli yeza linikwa phantsi kweliso elingqongqo lezonyango. Imeko yakho iya kuhlolwa rhoqo.
- Yazisa abasebenzi bezonyango ngokukhawuleza ukuba ufumana naziphi na iziphumo ebezingalindelekanga ezinje ngobunzima bokuphefumla, isiyezi esiqatha, okanye iimpawu zokunganyamezelani komzimba.
- Ekubeni eli liyeza lingeyonto omawuyithathe uye nayo ekhaya, akufuneki ukhathazeke ngokuligcina.
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