Ngaba ucwangciselwe utyando oluncinci okanye inkqubo yezonyango? Ngamaxesha anjalo, oogqirha basebenzisa amayeza ukuze bakwenze uzive ungeva ntlungu kwaye bakwenze ulale okwethutyana. Elinye iyeza elikhethekileyo elisetyenziswa kwiimeko ezinjalo yi-Etomidate. Namhlanje, siza kuthetha ngale mayeza ngendlela elula onokuyiqonda.
Yintoni i-Etomidate?
Ngamafutshane, i-Etomidate liyeza elikwenza ulahlekelwe zingqondo okwethutyana, okanye likufake ebuthongweni obunzulu. Ngokwezonyango, ezi zibizwa ngokuba zii-anesthetics eziqhelekileyo.
Umsebenzi ophambili wale mayeza kukuthintela imiqondiso yentlungu eya engqondweni yakho. Khawuthelekelele, ukuba ingqondo yakho ibiziva iintlungu ngexesha lotyando, ubungenakukwazi ukuzinyamezela kwaphela. Eli yeza lithintela ezo mpawu zentlungu ukuba zingayi engqondweni yakho. Ke ngoko, awuyi kuva iintlungu okanye ukungakhululeki ngexesha lotyando okanye uvavanyo. Uya kuziva ngathi ulele ubuthongo.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba usebenzise eli yeza
Oku kubaluleke kakhulu. Ukuze ukhuseleke, kubalulekile ukuxelela ugqirha wakho olu lwazi ngaphambi kokuba akunike i-Etomidate. Musa ukufihla nantoni na.
- Ezinye izifo onazo:
- Ukuba une-high blood pressure.
- Ukuba unesifo sezintso.
- Ukuba unesifo sesibindi.
- Ii-aleji onazo:
- Ukuba ukhe waba ne-allergy kwi-Etomidate ngaphambili.
- Sixelele nokuba unayo nayiphi na i-allergies kwamanye amayeza, ukutya, iidayi, okanye izithinteli.
- Ezinye iziganeko ezikhethekileyo:
- Ukuba ukhulelwe okanye uzama ukukhulelwa.
- Ukuba ungumama oncancisa umntwana.
Kubaluleke kakhulu kukhuseleko lwakho nakwimpumelelo yonyango lwakho ukuba unike ugqirha wakho olu lwazi ngokuchanekileyo.
Ulisebenzisa njani eli yeza?
Eli asiloyeza onokulisela ekhaya. I-Etomidate liyeza elinikwa ngokujova emthanjeni esibhedlele okanye ekliniki ngugqirha okanye iqela lezonyango eliqeqeshiweyo. Ngoko ke akufuneki ukhathazeke ngokulisebenzisa. Iqela lezonyango liza kulinyamekela.
Eli yeza lidla ngokunikwa abantwana abaneminyaka engaphezulu kwe-10 ubudala phantsi kweemeko ezithile ezikhethekileyo, kodwa lenziwa ngononophelo olukhulu kunye nokhuseleko olukhethekileyo.
Yintoni omawuyenze ukuba ugqithisile?
Oku kubonelelwa esibhedlele, ngoko ke amathuba okuba oku kwenzeke aphantsi kakhulu. Nangona kunjalo, ukuba ucinga ukuba ulisebenzise kakhulu eli yeza, kufuneka wazise iqela lezonyango ngoko nangoko. Ngaphandle koko, kufuneka wazise iYunithi yoNyango oluNgxamisekileyo (i-ETU) yesibhedlele ngoko nangoko. Kwakhona, eSri Lanka, singafowunela iZiko loLwazi lweTyhefu leSizwe kwiSibhedlele sikaZwelonke saseColombo ukuze sifumane ingcebiso.
Ezinye izinto ezinokusebenzisana nale mithi
I-Etomidate inokunxibelelana namanye amayeza, iimveliso zezityalo, okanye utywala, ngoko ke kubalulekile ukuxelela ugqirha wakho ngawo onke amayeza owasebenzisayo.
Masicacise oku ngakumbi ngetheyibhile engezantsi.
| Into enokubangela iingxaki | Inkcazo |
|---|---|
| I-wort yaseSt. John | Le yimveliso yemifuno esetyenziselwa iimeko ezinje ngokudakumba. Kufuneka ithintelwe nge-Etomidate. |
| Utywala | Ukudityaniswa kotywala kunye ne-Etomidate kunokubangela izifo ezinzulu ezifana nokozela kakhulu kunye nobunzima bokuphefumla. |
| Iipilisi zokuthomalalisa kunye neepilisi zokulala | IiBenzodiazepines (umz. i-alprazolam, i-diazepam), iziphumzi zemisipha, kunye nezinye izithomalalisi zentlungu ezifana nepropofol. |
| Amanye amayeza okudakumba | (ii-MAOI) kunye namayeza afana ne-amitriptyline. |
| Amayeza okubulala iintlungu kunye namayeza okukhwehlela | Iipilisi zokudambisa iintlungu ezinamandla eziqulethe ii-opioids. |
| Amanye amayeza okunyanga isifo sokuwa | Umzekelo, i-phenobarbital. |
Olu luhlu aluphelelanga. Kungoko ke, kubalulekile ukuxelela ugqirha wakho ngazo zonke iivithamini, iimveliso zezityalo, kunye namayeza angengomyalelo kagqirha owasebenzisayo. Kubalulekile nokuxelela ugqirha wakho ukuba uyatshaya, usela utywala, okanye usebenzisa ezinye iziyobisi.
Izinto ekufuneka ziqwalaselwe ngexesha nasemva kokunika iyeza
Ngelixa unikwa eli yeza, iqela lezonyango liza kuhlala lijonga izinga lentliziyo yakho, uxinzelelo lwegazi, kunye nokuphefumla kwakho, ngoko ungakhathazeki ngalo nto.
Nangona kunjalo, usenokuziva ezinye izinto okwethutyana emva kokuba iziphumo zamayeza ziphelile.
- Imiphumo ekucingeni nasekwenzeni izinto: Eli yeza linokuchaphazela ukulinganisela kwakho, amandla okwenza izigqibo ngokukhawuleza, kunye nengqalelo.
- Ziphephe izinto ezinobungozi: Ziphephe izinto ezinobungozi ezifuna ukuphaphama, njengokuqhuba okanye ukusebenzisa oomatshini, ude uzive uphilile ngokupheleleyo.
- Vuka kancinci: Emva kokuba iziphumo zamayeza ziphelile, musa ukuvuka ngequbuliso, musa ukuvuka ebhedini. Ukuba wenza njalo, ungaziva unesiyezi uze uwe. Ngoko ke hlala phantsi kancinci, uze uvuke kancinci.
- Akukho tywala: Ukusela utywala emva kokuthatha amayeza kunokunyusa ezi ziphumo ebezingalindelekanga.
Zithini iziphumo ebezingalindelekanga ezinokubakho?
Njengayo nayiphi na imithi, i-Etomidate inokubangela iziphumo ebezingalindelekanga. Ezinye zazo kufuneka zixelwe kugqirha wakho ngoko nangoko, ngelixa ezinye zihlala zingekho mbi kakhulu.
| Uhlobo lwesiphumo esibi | Iimpawu |
|---|---|
| Iziphumo ebezingalindelekanga ezinzulu ekufuneka zixelwe kugqirha ngoko nangoko | |
| Iimpendulo ze-allergy | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi, okanye umqala. Ezi zinokuba yingozi kakhulu. |
| Iziphumo ebezingalindelekanga ezingaqhelekanga, kodwa kufuneka zixelwe kugqirha ukuba ziyaqhubeka | |
| Ukozela | Kuqhelekile ukuziva ulele okwethutyana emva konyango. |
| Ukuqaqamba kwemisipha | Abanye abantu basenokuziva beshukuma kancinci. |
| Isicaphucaphu kunye nokuhlanza | Emva kwemiphumo yeyeza, isicaphucaphu okanye ukuhlanza kunokwenzeka. |
| Intlungu apho iyeza lifakwe khona | Kunokubakho iintlungu ezincinci, ukubomvu, okanye ukudumba emthanjeni apho iyeza lifakwe khona. |
Ukuba ubona into engaqhelekanga engakhankanywanga kolu luhlu, ungoyiki ukubuza ugqirha wakho ngayo.
Umyalezo Wokuya Ekhaya
- I-Etomidate liyeza lokubulala iintlungu elinikwa ukukwenza ungabikho zingqondweni ixesha elifutshane ngexesha lotyando okanye uvavanyo lwezonyango.
- Ngaphambi kokuba usebenzise eli yeza, qiniseka ukuba uxelela ugqirha wakho ngazo zonke iimeko zakho zempilo, ii-allergies, kunye nazo zonke ezinye iziyobisi ozisebenzisayo.
- Eli liyeza elinikwa esibhedlele kuphela liqela lezonyango eliqeqeshiweyo.
- Emva konyango, phepha imisebenzi eyingozi efana nokuqhuba imoto ude uzive uphilile ngokupheleleyo.
- Ukuba ubona naziphi na iimpawu ze-allergy ezifana nokurhawuzelela kwesikhumba, ukurhawuzelela, okanye ukudumba kobuso, funa ingcebiso kagqirha ngokukhawuleza.
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