Inaliti ye-methohexital: Kutheni le nto uyinikwa ngaphambi kotyando? Masifumane iinkcukacha!

Ukuba kufuneka wenze utyando, oko kukuthi, utyando, kuyinto eqhelekileyo ukuziva usoyika kwaye unexhala ngaphambi kokuba wenze utyando, akunjalo? Usenokucinga izinto ezifana nokuthi "Owu, ingaba kuya kuba buhlungu?", "Andazi ukuba kuza kwenzeka ntoni." Ngoko ke, iyeza elikhethekileyo elibizwa ngokuba yiMethohexital lisetyenziselwa ukukuphumza ngamaxesha anjalo kwaye likunike ubuthongo obuhle okwethutyana. Aliyisusi ngokupheleleyo intlungu yakho, kodwa likunceda ukuba uphumle, ungakhathazeki ngotyando, ungakhumbuli nto, kwaye uhlale ukhululekile. Enyanisweni, uza kulala kamnandi de utyando luphele.

Loluphi uhlobo lonyango olu lweMethohexital?

Ngamafutshane, i-methohexital liyeza elikwiklasi ye-anesthetic . Ungakhumbula ukuba isetyenziselwa "ukukulalisa" ngaphambi kotyando, kwaye yiloo nto isetyenziselwa yona. Umsebenzi wayo ophambili kukuphumza nokukulalisa, nokuba ngaphambi okanye ngexesha lotyando.

Eyona nto ibalulekileyo kukuba le ayisiyonto yokuphelisa iintlungu. Oko kukuthi, eli yeza lodwa alinakunceda ukuphelisa iintlungu zakho. Nangona kunjalo, awuyi kuziva iintlungu kuba ungekho zingqondweni. Ngokwesiqhelo, ezinye iintlungu ziyanikwa kunye nale.

Ngamanye amaxesha, eli yeza lingasetyenziselwa ezinye iinjongo zonyango. Ungabuza ugqirha wakho okanye ikhemisti ngale nto. Igama lebrendi elidumileyo leli yeza yi-`(Brevital)`.

Zeziphi izinto ekufuneka iqela lezonyango likuxelele zona ngaphambi kokuba likunike eli yeza?

Oku kubaluleke kakhulu. Ngaphambi kokuba bakunike eli yeza leMethohexital, oogqirha kufuneka babe nomfanekiso ocacileyo wempilo yakho. Kuba, kulapho kuphela apho banokukunika eli yeza ngokukhuselekileyo. Nazi ezinye izinto ekufuneka ubaxelele zona ukuba unayo:

• Isifo sentliziyo: Ukuba unesifo sentliziyo, kubaluleke kakhulu ukuxelela ugqirha wakho kuba olu hlobo lwe-anesthetics ngamanye amaxesha lunokuchaphazela ukusebenza kwentliziyo.
• Isifo sesibindi: Xa amayeza engena emizimbeni yethu, ayacocwa aze acutshungulwe sisibindi. Ngoko ke ukuba kukho ingxaki esibindini, amayeza anokuhlala emzimbeni ixesha elide aze abangele iziphumo ebezingalindelekanga.
• I-Porphyria: Le yimeko engaqhelekanga. Ngamafutshane, sisiphene sekhemikhali ekuvelisweni kwe-hemoglobin egazini lethu. Abantu abanale meko banokuba ne-allergy kumayeza athile, ingakumbi ii-barbiturates.
• Ukuxhuzula: Ukuba ukhe waxhuzula ngaphambili, khankanya loo nto.
• Iingxaki zokunganyamezelani komzimba:
• Ukuba une-allergy kwiyeza le-methohexital.
• Ukuba une-aleji kwezinye ii-barbiturates.
• Ukuba une-allergies kwezinye iziyobisi, ukutya, iidayi, okanye izithinteli, nceda usixelele ngazo zonke.
• Ukukhulelwa okanye ukuzama ukukhulelwa: Ukuba ukhulelwe okanye unethemba lokukhulelwa, kufuneka uxelele ugqirha wakho.
• Ukuba ungumama oncancisayo: Ukuba uncancisa, kufuneka ukhankanye loo nto.

Khawucinge nje, ngaphambi kokuba utyando lwakho, ugqirha okanye umongikazi uza kuwe aze akubuze imibuzo efana nale. Ngelo xesha , kungcono ukuba ukhuseleke ukuthetha inyani ngaphandle kokufihla nantoni na .

Ulisebenzisa njani eli yeza?

Eli yeza leMethohexital alilonto onokuyithatha ekhaya. Linikwa ngugqirha osebenza esibhedlele okanye eklinikhi . Oko kuthetha ukuba linikwa ngumntu ofana nogqirha okanye ingcali yokuthomalalisa iintlungu.

Kukho iindlela ezahlukeneyo onokunika ngazo eli yeza emzimbeni wakho:

• Ukufakwa kwe-infusion emthanjeni: Le yeyona ndlela ixhaphakileyo esetyenziswayo. I-cannula ifakwa emthanjeni osengalweni yakho, apho iyeza lifakwa khona kancinci emzimbeni wakho.
• Ukutofa kwisihlunu: Le ndlela ikwasetyenziswa nakwezinye iimeko.
• Ngokweengxande njenge-enema: Ngamanye amaxesha, ingakumbi kubantwana abancinci, eli yeza linokwenziwa libe lulwelo kwaye linikwe ngokweengxande.

Ngaba eli yeza linokunikwa abantwana abancinci?

Ewe, kwezinye iimeko ezikhethekileyo, eli yeza linokunikwa iintsana ezineminyaka eyi-1 ubudala. Nangona kunjalo, kufuneka kulandelwe amanyathelo akhethekileyo okhuseleko. Ukuba ufuna ukunika umntwana wakho eli yeza, thetha nogqirha wakho wabantwana ngalo uze ufumane iinkcukacha.

Ndingenza ntoni ukuba ngempazamo ndithathe eli yeza kakhulu?

Ekubeni oku kubonelelwa esibhedlele, phantsi kweliso loogqirha, amathuba okuba oku kwenzeke mancinci kakhulu. Nangona kunjalo, ukuba kwenzeka into efana nale, oko kukuthi, ukuba ucinga ukuba umthamo wamayeza unyukile (i-Overdosage), kufuneka wazise ngokukhawuleza iziko lolawulo lwetyhefu okanye igumbi likaxakeka. Nangona kunjalo, akukho nto unokukhathazeka ngayo, kuba abasebenzi bezonyango bakulungele oko.

Eli yeza lelakho kuphela! Musa ukulinika umhlobo wakho okanye ilungu losapho lwakho. Kuba imeko yempilo yomntu wonke yahlukile.

Yintoni omawuyenze ukuba uphoswe yidosi yeyeza?

Lo mbuzo awubalulekanga apha. Kuba, njengoko bekutshiwo ngaphambili, eli yeza linikwa esibhedlele, phantsi kweliso likagqirha. Ngoko ke akukho ndlela yokuba ungaphoswa yidosi.

Zeziphi ezinye izinto (amayeza, ukutya, neziselo) ezinokudibana nale mithi?

Le yingongoma ebaluleke kakhulu. Ukuba usela amayeza esinye isifo, ukuba usebenzisa amayeza esintu, ukuba usela iivithamini, konke oko kufuneka kuxoxwe nogqirha.Kufuneka kuthethwe, kuba amanye amayeza anokusabela kwi-methohexital aze abe nefuthe elibi.

Izinto ongafanele uzithathe nali yeza:

• Ii-MAOI antidepressants (MAOIs): Imizekelo iquka iCarbex, iEldepryl, iMarplan, iNardil, kunye neParnate. Ukuba uthatha elinye lala mayeza, usenokungakwazi ukuthatha i-methohexital de kube ziiveki ezimbalwa emva kokuba uyekile ukuyisebenzisa.
• I-St. John's wort: Le yimifuno abanye abantu abayithathayo ukuze baphile kakuhle engqondweni.
• I-Voriconazole: Le yimithi yokubola.

Eli yeza linokunxibelelana ne:

• Utywala, i-ethyl alcohol: Ukusela eli yeza kunye notywala kunokubangela ukozela, isiyezi, kwanokulahlekelwa zingqondo. Yiyo loo nto kungavumelekanga ngokupheleleyo.
• ILevodopa: Iyeza elisetyenziselwa ukunyanga isifo sikaParkinson.
• Amayeza okuxhuzula: Umzekelo, i-phenobarbital.
• Ezinye iipilisi zokulala.
• Izinto ezinciphisa igazi: Imizekelo ibandakanya i-warfarin, i-enoxaparin, kunye ne-dalteparin.
• Amayeza eentlungu asetyenziswa xa kusenziwa i-narcotic .
• I-Propylene glycol: Yinto efumaneka kwamanye amayeza.
• Amayeza e-steroid: Umzekelo, i-prednisone okanye i-cortisone.

Olu luhlu aluphelelanga. Ngoko ke, xelela ugqirha wakho malunga nawo onke amayeza owasebenzisayo, kuquka iimveliso zezityalo, iivithamini, amayeza angagunyaziswanga ngugqirha, kunye nezongezo zokutya, kunye nokuba uyatshaya, usela utywala, okanye usebenzisa iziyobisi ezingekho mthethweni. Ezinye izinto zinokuchaphazela amayeza akho.

Ngawaphi amanyathelo akhethekileyo okhuseleko ekufuneka athathwe xa usebenzisa eli yeza?

Xa unikwa eli yeza, abasebenzi bezonyango baya kujonga imeko yakho ngononophelo olukhulu . Baza kujonga rhoqo izinto ezifana nokubetha kwentliziyo yakho, ukuphefumla kwakho, kunye noxinzelelo lwegazi.

Nokuba sele ugqibile ukusebenzisa iyeza, ungaziva ulele okanye unesizungu . Oku kuqhelekile.

• Ngoko ke, musa ukuqhuba imoto ubuncinane iiyure ezisi-8 ukuya kwezili-12 emva kokuthatha eli yeza.
• Kwakhona, musa ukusebenzisa oomatshini okanye wenze nantoni na efuna ingqalelo eninzi ude wazi kakuhle indlela eli yeza elikuchaphazela ngayo.
• Musa ukuphuma ebhedini ngequbuliso okanye ume uhleli phantsi., ingakumbi ukuba umdala. Ukwenza njalo kunokukwenza uzive unesizungu kwaye ungawa.
• Utywala bunokuphazamisana nemiphumo yalo mayeza kwaye bunokwandisa ukozela. Ngoko ke, musa ukusela utywala emva kokusela eli yeza ngaphandle kokuba ugqirha wakho ekuxelele ukuba wenze njalo.

Zithini iziphumo ebezingalindelekanga ezinokubakho zale yeza?

Njengayo nayiphi na iyeza, i-methohexital inokubangela ezinye iziphumo ebezingalindelekanga. Nangona kunjalo, ayinguye wonke umntu ozifumanayo. Ezinye zimbi kakhulu, ngelixa ezinye zincinci.

Musa ukoyika ukuba ubona into efana nale, kodwa kufuneka uyixele kugqirha wakho okanye kumongikazi wakho ngoko nangoko.

• Iimpendulo ze-allergy: Ukurhawuzelela kwesikhumba, ukurhawuzelela okanye ukurhawuzelela, ukudumba kobuso, imilebe okanye ulwimi.
• Iingxaki zokuphefumla .
• Ukubetha kwentliziyo okukhawulezayo okanye okungahambelaniyo .
• Ukuziva utyhafile okanye ungenazintloni, uwile .
• Uxinzelelo lwegazi oluphantsi .
• Ukushukuma kwemisipha .
• Ukuba ndindisholo okanye ukurhawuzelela ezandleni okanye ezinyaweni .
• Intlungu kwindawo apho ijovwe khona .
• Ukuxhuzula .

Iziphumo ebezingalindelekanga ezingezizo ezona zinkulu, kodwa kufuneka zixelwe kugqirha wakho ukuba ziyaqhubeka okanye ziyakhathaza:

• Ixhala okanye ukudideka .
• Ukukhohlela .
• Intloko ebuhlungu .
• Iingxaki .
• Isicaphucaphu, ukuhlanza .

Olu luhlu lusenokungabandakanyi zonke iziphumo ebezingalindelekanga. Ukuba ubona nantoni na engaqhelekanga, thetha nogqirha wakho ngayo. Ukuba uyafuna, ungaxela iziphumo ebezingalindelekanga kwi-FDA (US Food and Drug Administration) ku-1-800-FDA-1088 (nangona oku kusebenza e-US, kubalulekile ukuxela naziphi na iziphumo ebezingalindelekanga kugqirha wakho).

Uligcina phi eli yeza?

Akunyanzelekanga ukuba ukhathazeke ngale nto. Ngenxa yokuba eli yeza leMethohexital linikwa esibhedlele okanye eklinikhi, akufuneki ulithathe uye nalo ekhaya . Liza kugcinwa ngokukhuselekileyo ngabasebenzi bezonyango.

Inqaku elibalulekileyo

Kweli nqaku, sixoxe kuphela ngesishwankathelo sesiyobisi iMethohexital. Oku akunakugubungela lonke ulwazi. Ukuba unemibuzo okanye iinkxalabo malunga nesi yobisi,Musa ukucinga nantoni na, buza ugqirha wakho, ikhemisti, okanye omnye umboneleli wezempilo ngqo. Baya kukuvuyela ukukunceda.

Ngoko ke, izinto ezimbalwa zokugqibela ekufuneka uzikhumbule

Kulungile, masiphinde sichaze ezinye zeengongoma eziphambili koko sithethe ngako, akunjalo?

• I-Methohexital liyeza elinikwa ukukuphumza nokukulalisa ngaphambi kotyando.
• Le ayisiyonto yokubulala iintlungu.
• Qiniseka ukuba uxelela ugqirha wakho yonke into malunga neemeko zakho zempilo kunye nayo nayiphi na eminye imithi oyithathayo.
• Eli yeza linikwa esibhedlele, phantsi kweliso loogqirha.
• Usenokuziva ulele emva kokusela iyeza, ngoko ke kuphephe ukuqhuba okanye ukwenza nantoni na efuna ingqalelo okwethutyana.
• Ukuba ubona naziphi na iziphumo ebezingalindelekanga ezinzulu, yazisa abasebenzi bezonyango ngoko nangoko.
• Ukuba unemibuzo, ungoyiki ukubuza ugqirha.

Ndikunqwenelela impilo entle!

I- Methohexital, i-Anesthesia, utyando, i-Brevital, ii-Barbiturates, iziphumo ebezingalindelekanga, ukusebenzisana kwamayeza