Ngaba wena okanye umntu kusapho lwakho wakha waphelelwa ngumphefumlo ngequbuliso, waqina esifubeni, waza wavakala ngathi "whoosh.. whoosh.." ekhala? Eli liva elixhaphakileyo nelingathandekiyo kumntu onesifo esifana nesifuba. Namhlanje, siza kuthetha ngonyango olusetyenziswa ngamaxesha anje kwaye lunika isiqabu ngokukhawuleza. Elo liyeza i-epinephrine, elinikwa nge-nebulizer.
Lithini eli yeza libizwa ngokuba yi-Epinephrine?
Ngamafutshane, i-epinephrine liyeza elisetyenziselwa ukunyanga iimeko ezibangela ubunzima bokuphefumla emiphungeni. Ingakumbi kwizifo ezifana ne-asthma, ukuncitshiswa kweendlela zomoya (i-bronchi) ezithwala umoya ukuya emiphungeni yethu kwenzeka. Ngokwezonyango, oku sikubiza ngokuba yi-'(Bronchospasm)'.
Khawucinge nje ukuba xa umbhobho wamanzi ubhajwe embindini, kuba nzima ukuba amanzi adlule kuwo. Xa le migudu yomoya ivaliwe, kuba nzima kakhulu kuthi ukuphefumla. Oko kwenziwa yi-epinephrine kukuvula nokuvula le migudu yomoya ixineneyo nexineneyo. Kufana nokukhulula ityhubhu evalekileyo. Emva koko umoya unokungena nokuphuma kwimiphunga ngokulula, kwaye ukuphefumla kuba lula kwakhona.
Eli yeza ngamanye amaxesha lingafumaneka kwimarike ngamanye amagama. Umzekelo ngu `(Adrenalin)`. Kodwa isithako esisebenzayo siyafana.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba usebenzise eli yeza
Ngaphambi kokuba usebenzise naliphi na iyeza, kubalulekile ukuxelela ugqirha wakho imbali yakho epheleleyo yezonyango. Kuba elinye iyeza linokuchaphazela elinye. Ngaphambi kokuba usebenzise i-epinephrine, qiniseka ukuba uxelela ugqirha wakho ukuba unenye yezi meko zilandelayo.
| Imeko yakho yempilo | Kutheni ufanele uxelele? |
|---|---|
| Isifo seswekile | I-Epinephrine inokunyusa amanqanaba eswekile egazini. |
| I-Glaucoma | Kukho ithuba lokunyuka koxinzelelo lwamehlo. |
| Isifo sentliziyo | Inganyusa isantya sentliziyo kunye noxinzelelo lwegazi, nto leyo enokubangela uxinzelelo olungakumbi entliziyweni. |
| Igazi elonyukayo | Eli yeza linokunyusa uxinzelelo lwegazi ngakumbi. |
| Isifo sikaParkinson | Iimpawu, ingakumbi ukungcangcazela, zinokwanda. |
| Isifo se-thyroid | Iimpawu zinokuba mandundu ukuba i-thyroid gland isebenza kakhulu. |
| Ezinye izinto ezibangela ukuba umntu angabi naso i-aleji | Ukuba une-allergies kwi-epinephrine, amanye amayeza, ukutya, okanye izithinteli. |
| Ukuba ukhulelwe okanye ulindele umntwana | Kubalulekile ukubonisana nogqirha malunga nokusetyenziswa kwamayeza ngexesha lokukhulelwa. |
| Ukuba ungumama oncancisayo | Ufanele uthethe nogqirha wakho malunga nokuba amayeza anokuthi adluliselwe kumntwana wakho ngobisi lwebele. |
Ulisebenzisa njani kanye kanye eli yeza?
Eli yeza lisetyenziswa nesixhobo esibizwa ngokuba yi-nebulizer . Oku kuguqula eli yeza, elikwimo yolwelo, libe yi-mist encinci (i-aerosol) onokuphefumla kuyo. Emva koko uphefumlela le mist emiphungeni yakho, nokuba ngomlomo okanye ngemaski egquma umlomo nempumlo yakho.
Okona kubaluleke kakhulu: Soloko ulandela imiyalelo kagqirha wakho okanye ebhalwe kwileyibhile yamayeza ngokuchanekileyo . Musa ukuwasela rhoqo okanye ngeedosi eziphezulu kunezo zimiselweyo.
Eli yeza linikwa abantwana abancinci, ingakumbi abo baneminyaka engaphezu kwemi-4 ubudala, kwiimeko ezithile ezikhethekileyo. Kodwa lenziwa ngononophelo olukhulu phantsi kweliso likagqirha.
Ungenza ntoni ukuba uthatha amayeza amaninzi kakhulu?
Ukuba ucinga ukuba uthathe ngaphezu kwedosi emiselweyo, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele esikufutshane ngoko nangoko . Okanye utsalele umnxeba iZiko loLwazi lweePoison kwiSibhedlele sikaZwelonke saseColombo ukuze ufumane ingcebiso.
Khumbula, eli yeza limiselwe wena wedwa. Ungaze ulinike omnye umntu.
Amanye amayeza anokusebenza kunye nale mayeza
Amanye amayeza anokusebenzisana xa esetyenziswa kunye. Oku kuthetha ukuba ukusebenza kakuhle kwelinye iyeza kunokwanda, kunciphe, okanye kubangele iziphumo ebezingalindelekanga. Ngoko ke, kubaluleke kakhulu ukuxelela ugqirha wakho ngawo onke amayeza owasebenzisayo (amayeza amiselweyo, athengiswa ngaphandle kwemvume kagqirha, amayeza esintu, kwaneevithamini).
Ingakumbi musa ukuthatha i-epinephrine kunye namayeza alandelayo:
- Ezinye iintlobo zeegesi ezisetyenziselwa ukubangela ubuthongo ngexesha lotyando (`(Ii-anesthetics eziqhelekileyo)`)
La mayeza alandelayo anokusebenzisana ne-epinephrine:
- Amanye amayeza okunyanga ii-allergies, ukukhwehlela, kunye nomkhuhlane (`(Antihistamines)`)
- Amayeza oxinzelelo lwegazi, isifo sentliziyo, kunye neengxaki zesingqisho sentliziyo
- Amanye amayeza okudakumba okanye ukuxhalaba
- Amanye amayeza esifo sikaParkinson
- I-Digoxin
- I-Diuretics (amayeza asusa amanzi emzimbeni)
- I-Thyroxine `(Levothyroxine)`
- Ii-antidepressants zohlobo lwe-MAOI
- Amayeza ohlobo lwe-steroid (umz. i-prednisone)
- Amanye amayeza avuselelayo
Olu luhlu aluphelelanga. Ngoko ke xelela ugqirha wakho ngazo zonke iziyobisi ozisebenzisayo. Kwakhona, mxelele ukuba uyatshaya okanye usela utywala.
Izinto ekufuneka uzilumkele xa usebenzisa iyeza
Bona ugqirha wakho rhoqo ukuze ujonge iimpawu zakho. Ukuba iimpawu zakho ziya zisiba mandundu, okanye kufuneka usebenzise eli yeza rhoqo kunesiqhelo, tsalela umnxeba ugqirha wakho ngoko nangoko . Oku kunokuthetha ukuba isifuba sakho asilawuleki kwaye unyango lwakho lunokufuneka lutshintshwe.
Sebenzisana nogqirha wakho ukuze wenze "iSicwangciso sokuSebenza seSifo soBulwelwe" esilungele wena. Cacisa ngento omawuyenze xa iimpawu zakho zingabi nkulu (iMthubi) nento omawuyenze xa kukho imeko engxamisekileyo (iMthubi).
Zithini iziphumo ebezingalindelekanga?
Njengayo nayiphi na iyeza, i-epinephrine inokubangela iziphumo ebezingalindelekanga. Ezinye zazo zimbi kakhulu, ezinye zixhaphakile.
| Iziphumo ebezingalindelekanga ekufuneka zixelwe kugqirha ngoko nangoko | |
|---|---|
| Iimpendulo ze-allergy | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi okanye umqala. |
| Iimpawu zokuhlaselwa yintliziyo | Ukuqina okanye iintlungu esifubeni, emagxeni, ezingalweni, okanye emhlathini, isicaphucaphu, ubunzima bokuphefumla, ukubila okubandayo, ukuquleka. |
| Utshintsho kwisantya sentliziyo | Ukubetha kwentliziyo ngokukhawuleza okanye ngokungangqalanga, isiyezi, ukuquleka, iintlungu zesifuba. |
| Uxinzelelo lwegazi olunyukileyo | Intloko ebuhlungu kakhulu, utshintsho lombono. |
| Ngokwesiqhelo ayisiyongxaki inzulu (kodwa xelela ugqirha wakho ukuba iyaqhubeka) | |
| Ixhala, ukungazinzi | Intloko ebuhlungu |
| Isiyezi | Ukuziva ukubetha kwentliziyo ngokukhawuleza |
| Isicaphucaphu okanye ukuhlanza | Uloyiko |
| Ukubila | Ulusu olukhanyayo |
Ukuba ufumana naziphi na ezinye iimpawu ezingaqhelekanga ezingakhankanywanga kolu luhlu, buza ugqirha wakho ngazo.
Umyalezo Wokuya Ekhaya
- I-epinephrine nebulizer liyeza elivula iindlela zomoya ezivalekileyo kwaye lenze kube lula ukuphefumla kwiimeko ezifana ne-asthma.
- Soloko ulandela idosi kunye nemiyalelo echazwe ngugqirha wakho ngokuchanekileyo . Ungaze usebenzise ngaphezu komlinganiselo omiselweyo.
- Kubalulekile ukwazisa ugqirha wakho ngazo naziphi na ezinye iimeko zempilo onazo (ezifana nesifo seswekile, isifo sentliziyo) kunye nazo zonke ezinye iziyobisi ozisebenzisayo.
- Ukuba ufumana isiphumo esibi kakhulu esifana neentlungu zesifuba, ubunzima obukhulu bokuphefumla, okanye i-allergy enzima, yiya kwigumbi longxamiseko (ETU) ngokukhawuleza.
- Ukuba iimpawu zakho ziya zisiba mandundu okanye kufuneka usebenzise amayeza rhoqo, oko kuthetha ukuba imeko yakho ayilawulwa kakuhle. Bonana nogqirha wakho ngoko nangoko.
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