Ngaba wakha watyandwa, oko kukuthi, utyando? Okanye wakha wavavanywa kusetyenziswa ikhamera efakwe emzimbeni, njenge-endoscopy? Kwimeko enjalo, oogqirha basebenzisa iyeza elikhethekileyo ukukulalisa ubuthongo obunzulu okwethutyana ukuze ungabi nantlungu okanye ukungakhululeki, kwaye ungakhumbuli nesiganeko. Ngolwimi lwethu, oku sikubiza ngokuba yi-"analgesia." Kukho iintlobo ezahlukeneyo zamayeza asetyenziselwa ukukhuthaza i-anesthetics ngale ndlela. Phakathi kwazo, enye yezona naliti zisetyenziswa kakhulu nezibalulekileyo yiPropofol. Kweli nqaku, siza kuthetha ngento ekufuneka uyazi malunga nale injection yePropofol.
Ngamafutshane, yintoni iPropofol?
I-Propofol sisithomalalisi sokudambisa iintlungu . Ngokukodwa, liyeza elikwenza ulale kamnandi ngaphambi kotyando okanye ezinye iinkqubo zonyango. Linikwa njengenaliti.
Eli yeza lisebenza ngendlela engaqhelekanga. Lithintela okwethutyana imiqondiso yentlungu ehamba ngqo engqondweni yakho. Khawuthelekelele, xa uziva iintlungu kwindawo ethile emzimbeni wakho, loo myalezo uhamba ngemithambo-luvo uye engqondweni uze uzive "Owu, oko kubuhlungu." I-Propofol iyawuthintela okwethutyana loo myalezo ukuba ungafikeleli engqondweni. Emva koko, ngexesha lotyando, awuziva ntlungu okanye ukungakhululeki. Kwaye ngenxa yokuba ulele ubuthongo obunzulu, awukhumbuli nantoni na eyenzekayo.
Eli yeza linokuba phantsi kwamagama eempawu ezahlukeneyo. Umzekelo, ungabona iDiprivan okanye iFresenius Propoven.
Into ebalulekileyo kukuba, oku akufani neyeza eliqhelekileyo lokubulala iintlungu. Eli liyeza elinamandla kakhulu, kwaye linikwa kuphela liqela loogqirha abaqeqeshiweyo, kuquka neengcali zokubulala iintlungu, kwindawo exhotyiswe ngokupheleleyo, njengeyunithi yokhathalelo oluphezulu esibhedlele.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba ukunike eli yeza
Emva kokugqiba ekubeni akunike inaliti yePropofol, ingcali yokubulala iintlungu iza kukubuza ngempilo yakho. Kubaluleke kakhulu kukhuseleko lwakho ukunika inyaniso ngaphandle kokufihla nantoni na ngeli xesha. Kuba abantu abanezifo ezithile okanye ii-aleji kufuneka balumke kakhulu xa benika eli yeza.
Ukuba ulwazi olungezantsi luyasebenza kuwe, qiniseka ukuba uxelela iqela lakho lezonyango ngalo.
| Imeko/ingxaki yempilo | Kutheni ufanele wazise? (Ingcaciso elula) |
|---|---|
| Ii-aleji | Qiniseka ukuba uyasixelela ukuba une-allergy kwi-propofol ngokwayo, kumaqanda, kwi-soy, kwi-peanuts, kwi-sulfites, okanye nakweyiphi na enye iyeza okanye ukutya. |
| Isifo sentliziyo | Ukuba unesifo sentliziyo, oogqirha kufuneka baqaphele oku kuba eli yeza linokuchaphazela izinga lentliziyo yakho okanye uxinzelelo lwegazi. |
| I-Cholesterol ephezulu | I-Propofol yi-emulsion yamafutha. Oko kukuthi, lulwelo olunamafutha. Ngoko ke, kufuneka kuqatshelwe xa uyinika abantu abane-cholesterol ephezulu okanye amanqanaba aphezulu amafutha egazini. |
| I-Pancreatitis | Sixelele ukuba wakha waba nayo okanye unayo ngoku i-pancreatitis, ukudumba kwe-pancreas. |
| Isifo sezintso | Ukuba ukusebenza kwezintso kuphazamiseka, inkqubo yokususa amayeza emzimbeni inokuchaphazeleka. |
| Ukuxhuzula | Ukuba unentloko ebuhlungu, kubaluleke kakhulu ukwazisa oogqirha bakho ngayo. |
| Ukwenzakala entloko | Ukuba usandul’ ukwenzakala entloko, oogqirha baxhalabile ngemiphumo enokuba nayo engqondweni. |
| Ukukhulelwa okanye ukulindela umntwana | Ukuba ukhulelwe okanye ulindele umntwana, kubalulekile ukutsho njalo. |
| Ukuncancisa | Ukuba ungumama oncancisayo, funa ingcebiso kagqirha malunga nokuba kufuneka uyeke ukuncancisa ixesha elingakanani emva kotyando. |
Ulifumana njani eli yeza?
Eli asiloyeza onokulithatha uye nalo ekhaya ulisebenzise. I-Propofol inikwa kuphela esibhedlele okanye ekliniki liqela lezonyango eliqeqeshiweyo.
Inikwa nge-cannula (i-intravenous infusion) kwimithambo yegazi. Ngamafutshane, eli yeza linikwa emzimbeni wakho ngendlela efanayo ne-saline enikwa ngayo kwimithambo yegazi engalweni yakho. Ingcali ye-anesthesiologist iya kugqiba ukuba kufuneka inikwe amayeza angakanani kwaye ikhawuleze kangakanani, kuxhomekeke kubungakanani bokulala obufunekayo kunye nohlobo lotyando.
Ngaba eli yeza linokunikwa abantwana abancinci?
Ewe, kwezinye iimeko ezikhethekileyo, eli yeza linikwa abantwana abaneminyaka engaphantsi kweenyanga ezimbini. Kodwa lenziwa ngononophelo olukhulu kwaye phantsi kweliso elikhethekileyo. Ukuba kufuneka unike umntwana eli yeza, ugqirha wakho uya kukwazisa malunga namanyathelo afanelekileyo okuzikhusela kulo mba.
Kuza kwenzeka ntoni ukuba uthatha amayeza amaninzi kakhulu?
Oku akuyonto onokuyilawula. Esibhedlele, iqela lezonyango liza kujonga rhoqo izinga lentliziyo yakho, uxinzelelo lwegazi, kunye nokuphefumla, ngoko ke amathuba okuba udlule kwi-overdose aphantsi kakhulu. Ukuba ukrokrela into efana nale, inkqubo eqhelekileyo kukuyixela ngoko nangoko kwi- Emergency Treatment Unit (ETU) yesibhedlele okanye kwi-National Poisons Information Center kwi-Colombo National Hospital . Nangona kunjalo, ekubeni eli yeza linikwa esibhedlele, iqela lezonyango linoxanduva olupheleleyo lwalo.
Ezinye izinto ezinokuchaphazela ipropofol
Amanye amayeza owasebenzisayo anokuchaphazela indlela esebenza ngayo ipropofol. Ipropofol inokutshintsha nendlela esebenza ngayo amanye amayeza. Ngoko ke xelela ugqirha wakho ngawo onke amayeza owasebenzisayo, kuquka iivithamini, izongezo zezityalo, kunye namayeza ezityalo .
I-Propofol inokunxibelelana nezi zinto zilandelayo:
- Utywala
- IiBenzodiazepinesAmayeza eKlasi loku-1 (umz., iipilisi zokulala kunye namayeza okulwa nokuxhalaba afana neDiazepam kunye neLorazepam)
- Ii-antihistamine ezithile (amayeza omkhuhlane, ukukhwehlela, kunye ne-allergies)
- Amanye amayeza okudakumba (umz. i-Amitriptyline)
- Amanye amayeza asetyenziselwa isifo sokuwa (umz. iPhenobarbital)
- Amanye amayeza anikwayo ukuze abangele ubuthongo ngaphambi kotyando
- Amayeza okukunceda ulale
- Iziphumzi zemisipha
- Ii-opioids ziziyobisi ezinamandla zokuthomalalisa iintlungu okanye amayeza okukhwehlela.
- Amayeza athile okugula ngengqondo (umz. iChlorpromazine)
- I-Valproate
Kubaluleke kakhulu ukuxelela ugqirha wakho ukuba uyatshaya, usela utywala, okanye usebenzisa ezinye iziyobisi.
Yintoni omele uyilumkele emva kokufumana iyeza?
Emva kokuba utyando luphelile kwaye i-propofol iyekiwe, uya kubuyela engqondweni kancinci kancinci. Nangona kunjalo, kungathatha iiyure ezininzi okanye usuku ukuba iziphumo zeyeza ziphele ngokupheleleyo.
- Ukozela: Usenokuziva ulele kwaye ucotha okwethutyana. Oku kuqhelekile.
- Ukwazi ukwenza izigqibo kunye nokukwazi ukuthatha amanyathelo: Ukulungelelanisa kwakho, ixesha lokuphendula, kunye nokugweba kwakho kunokuphazamiseka okwethutyana ngenxa yempembelelo yale mayeza.
- Icebiso elibaluleke kakhulu: Ngoko ke, kuphephe ngokupheleleyo ukuqhuba, ukusebenzisa oomatshini, ukwenza izigqibo ezibalulekileyo, okanye ukusayina amaxwebhu asemthethweni ubuncinane iiyure ezingama-24 emva kotyando.
- Ukudinwa: Usenokuziva unesizungu okanye uphelelwe ngamandla xa uphakama ngequbuliso uhleli okanye ulele. Ngoko vuka ngokukhawuleza.
- Utywala: Ukusela utywala ngeli xesha kunokunyusa iziphumo ebezingalindelekanga ezichazwe apha ngasentla, ngoko ke kuphephe ngokupheleleyo.
Iziphumo ebezingalindelekanga ezinokubakho ngenxa yamayeza
Njengalo naliphi na iyeza, ipropofol inokubangela iziphumo ebezingalindelekanga. Nangona kunjalo, ayinguye wonke umntu ozifumanayo. Uza kuhlolwa ngokusondeleyo liqela lezonyango ukuze ukuba kukho ingxaki, bakwazi ukwenza into ngokukhawuleza.
| Imiphumela | Iimpawu ozifumanayo |
|---|---|
| Iziphumo ebezingalindelekanga ezinzulu ekufuneka uzixele kugqirha wakho ngoko nangoko | |
| Iimpendulo ze-Allergic | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi okanye umqala, ubunzima bokuphefumla. |
| Ukudakumba kwenkqubo yemithambo-luvo ephakathi (uxinzelelo lwe-CNS) | Ukuphefumla kancinci kakhulu okanye kancinci, ukuphefumla kancinci, ukuquleka, ukozela kakhulu, ubunzima bokuhlala uphaphile. |
| Utshintsho lwesingqisho sentliziyo | Ukuziva ngathi intliziyo yakho ibetha ngokukhawuleza okanye ngokungacwangciswanga, isiyezi, ukuquleka, iintlungu zesifuba. |
| Uxinzelelo lwegazi oluphantsi | Ukudinwa, ukuquleka, ukubona izinto ezingaqondakaliyo. |
| Ukubetha kwentliziyo okucothayo | Ukudinwa, ukuquleka, ubunzima bokuphefumla, ukuziva udiniwe ngendlela engaqhelekanga. |
| Ukulimala Kwezintso | Ukuncipha kokuphuma komchamo, ukudumba kwamaqatha, izandla, okanye iinyawo. |
| Ukulimala kwesibindi | Intlungu kwicala eliphezulu lasekunene lesisu, ukungabi namdla wokutya, isicaphucaphu, ukutyheli kolusu okanye amehlo, umchamo otyheli/omdaka omnyama. |
| Ukulimala Kwemisipha | Ukudinwa okungaqhelekanga, iintlungu zemisipha, umchamo omnyama, ukuncipha kokuphuma komchamo. |
| Izinto ezingaqhelekanga ukuba zimbi, kodwa kufuneka zixelwe kugqirha ukuba ziyaqhubeka | |
| Ukozela | Kuqhelekile ukuba uzive ulele iiyure ezimbalwa emva kokuthatha iyeza. |
| Intlungu kwindawo yokutofa | Kunokubakho iintlungu ezincinci, ukubomvu, okanye ukudumba kwindawo apho i-cannula ifakwe khona. |
Ndingayisa eli yeza ekhaya?
Hayi. Oku kucacile. I-Propofol liyeza elinikwa esibhedlele okanye eklinikhi kuphela, phantsi kweliso likagqirha. Awuyi kunikwa eli chiza ukuba uligcine okanye ulisebenzise ekhaya nangasiphi na isizathu.
Umyalezo Wokuya Ekhaya
- I -Propofol liyeza elibaluleke kakhulu lokunciphisa iintlungu nokungonwabi kwaye likulalise ngexesha lotyando kunye neenkqubo zonyango.
- Oku kubonelelwa kuphela kwindawo yesibhedlele, liqela lezonyango eliqeqeshiweyo.
- Kubalulekile ukuxelela ugqirha wakho ngazo zonke iimeko zakho zempilo, ii-allergies, kunye nazo zonke ezinye iziyobisi ozisebenzisayo ukuze ukhuseleke.
- Kuphephe ukuqhuba imoto nokwenza imisebenzi efuna ukugxininiswa ubuncinane iiyure ezingama-24 emva kotyando.
- Ukuba ufumana naziphi na iziphumo ebezingalindelekanga ezinje ngobunzima bokuphefumla, iintlungu zesifuba, isiyezi esiqatha, okanye iimpawu ze-allergy ezinzima, funa ingcebiso kagqirha ngoko nangoko.
- Ukuba unemibuzo okanye unenkxalabo malunga nale mithi, thetha nogqirha wakho ngayo ngokukhululekileyo.
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