Imithi Yobuhlungu Ngemva Kokuhlinzwa: Singaxoxa ngalokhu?

Uma uhlela ukuhlinzwa , noma usanda kuhlinzwa, le ndaba izoba yinto ebaluleke kakhulu kuwe. Bheka, uma kukhulunywa ngokuhlinzwa, kungakhathaliseki ukuthi kuhleliwe noma kwenziwa ngemva kwengozi, kuyinto evamile ukuzwa ubuhlungu obuthile. Lobo buhlungu buvela ekuhlinzweni ngokwako, kanye nasekuphulukisweni komzimba. Ngakho-ke, ukuphatha lobu buhlungu kuyingxenye ebaluleke kakhulu yenqubo yokululama. Ake sixoxe ngalokhu ngokuningiliziwe, akunjalo?

Sihlela kanjani ukulawula ubuhlungu ngaphambi kokuhlinzwa?

Uma wazi ukuthi uzohlinzwa, kungumqondo omuhle ukukhuluma nodokotela wakho ohlinzayo mayelana nokuphathwa kobuhlungu kusengaphambili. Ngale ndlela ungabuza noma yimiphi imibuzo onayo futhi wazi ukuthi yini ongayilindela. Ungabuza udokotela wakho mayelana nalokhu:

• Kufanele ngilindele ubuhlungu obungakanani? Akuzona zonke izinhlobo zokuhlinzwa ezifanayo, ngakho buza ngokuhlinzwa kwakho okukhethekile.
• Kuyini ukubekezelela kwakho ubuhlungu ngokwemvelo? (Ikakhulukazi uma uke wahlinzwa ngaphambili.) Abanye abantu bazizwa ubuhlungu kakhulu, abanye buncane.
• Ingabe kukhona ukungezwani komzimba noma ukusabela kunoma yimiphi imithi? Lokhu kubaluleke kakhulu, njengoba eminye imithi yokwelapha izinhlungu ingase ingakulungeli.
• Yimiphi imithi noma izithasiselo ezitholakala ngaphandle kwemithi kadokotela ozithathayo njengamanje? Eminye imithi ingasebenzisana nemithi yokubulala izinhlungu.
• Ingabe unenkinga yokusebenzisa izidakamizwa? Ingabe unenkinga yokusebenzisa izidakamizwa ? Uma kunjalo, kubaluleke kakhulu ukutshela udokotela wakho.
• Yimiphi imiphumela emibi noma izinkinga ezingaba khona ngenxa yemithi yokubulala izinhlungu?

Udokotela wakho ohlinzayo uzoncoma inhlanganisela yezindlela zokulawula ubuhlungu ukuze akusize uhlale ukhululekile futhi uphephile ngemva kokuhlinzwa. Kubantu abaningi, lokhu kuzofaka okungenani uhlobo olulodwa lwemithi.

Yiziphi izinhlobo zobuhlungu ezenzeka ngemva kokuhlinzwa?

Umzimba wakho wokuhlinzwa Indlela osabela ngayo incike ezintweni eziningi. Uhlobo lokuhlinzwa olwenzayo, ukubekezelela kwakho ubuhlungu ngokwemvelo, kanye nobudala bakho konke kungathinta indlela ozizwa ngayo ngemva kokuhlinzwa. Ungase ulindele ubuhlungu obuthile endaweni lapho uhlinzwe khona, kodwa ungase ubhekane nokunye kwalokhu okulandelayo:

• Ubuhlungu bemisipha:Ungase uzwe ubuhlungu emisipheni eyahlukahlukene emzimbeni wakho. Kungaba ngenxa yokuhlinzwa ngokwako, kodwa abantu abaningi baqinisa imisipha yabo ngokungazi lapho bezwa ubuhlungu noma ingcindezi.
• Ubuhlungu bomphimbo: Umphimbo wakho ungase uzwe ubuhlungu noma uklwebheka, ikakhulukazi uma ufakwe ipayipi ngesikhathi sokuhlinzwa.
• Ubuhlungu bokunyakaza: Ukuhlala uqonde, ukuhamba, nokukhwehlela kubalulekile ngemva kokuhlinzwa. Kodwa-ke, ukwenza lezi zinto kungandisa ubuhlungu.

Ubuhlungu bungazwakala ngezindlela ezahlukene. Kungaba:

• Kufana nokusika ngommese obukhali .
• Njengokugwaza .
• Njengokushaya ngamandla , njengokushaya kwenhliziyo .
• Njengobuhlungu , njengobuhlungu emzimbeni.
• Njengokushiswa "okuvuthayo" .

Tshela ithimba lakho lezokwelapha ukuthi ubuhlungu bukuphi nokuthi ubuhlungu buzwakala kanjani. Lokhu kuzobasiza baqonde ukuthi kwenzekani emzimbeni wakho futhi kubasize balawule ubuhlungu.

Yimuphi umuthi wokuqeda izinhlungu ongcono kakhulu ngemva kokuhlinzwa? Ingabe umuthi ofanayo ulungele wonke umuntu?

Akukho ngempela umuthi "ongcono kakhulu" wokuqeda ubuhlungu kuwo wonke umuntu. Umzimba wakho, impilo yakho, kanye nokululama kwakho ngemva kokuhlinzwa kuhlukile kuwe. Ngakho-ke, okusebenzela wena kungase kungasebenzi komunye umuntu.

Kunezinhlobo eziningana zemithi yobuhlungu udokotela wakho angakunika yona ngemva kokuhlinzwa. Uma uhlala esibhedlela, ungase unikezwe imithi yokwelapha ngemithambo yegazi (IV). Kodwa isikhathi esiningi, imithi yobuhlungu eyinhloko oyoyidingayo kuyoba amaphilisi omlomo.

Izinhlobo eziyinhloko zemithi yobuhlungu enikezwa ngemva kokuhlinzwa

Nazi ezinye zezinhlobo ezivame ukusetshenziswa kakhulu zama-painkiller:

Ayini ama-NSAID?

Ama-NSAID awuhlobo lomuthi oqeda ubuhlungu futhi unciphise ukuvuvukala . Udokotela wakho angase ancome ukuthi usebenzise ama-NSAID ngaphandle kokuthenga imithi kadokotela (OTC) noma uhlobo olunamandla kadokotela.

Ama-NSAID avame kakhulu yile:

• I-'Aspirin' (itholakala ngaphansi kwamagama anjengeBayer®, St. Joseph®)
• I-Ibuprofen (eyaziwa nangokuthi i-Motrin®, i-Advil®)
• `I-Naproxen sodium` (itholakala ngaphansi kwegama lomkhiqizo i-Aleve®)
• I-Indomethacin (Indocin®)
• `I-Ketorolac` (i-Toradol®)

Okubalulekile: Lo muthi ungabangela izinkinga zesisu kwabanye abantu, ngakho-ke kufanele usetshenziswe kuphela njengoba udokotela eqondisile.

Ama-opioid (amaphilisi okudambisa ubuhlungu ezidakamizwa)

Ama-opioid (ngezinye izikhathi abizwa ngokuthi ama-narcotic) yimithi kadokotela ebopha kuma-receptor ebuchosheni nasemzimbeni anciphisa izimpawu zobuhlungu. Anamandla kakhulu okubulala izinhlungu futhi angaba umlutha. Ngenxa yalokho, odokotela abaningi manje sebenikeza ama-opioid kaningi noma ngemithamo ephansi ukuze banciphise imiphumela yawo emibi. Kunezinhlobo ezingaphezu kwe-100 zama-opioid, ezinye izibonelo zifaka:

• I-Hydrocodone (i-Vicodin®)
• I-Oxycodone (OxyContin®, Percocet®)
• `I-Codeine`
• `I-Fentanyl`
• `I-Methadone`

Uma usebenzisa lezi, kufanele uzithathe njengoba nje udokotela wakho ezincoma, ngenani nangesikhathi esinqunyiwe. Akuyona neze into enhle ukushintsha umthamo ngendlela obona ngayo, noma ukuwunika abanye.

Imithi Yokubulala Izinzwa Engaphandle - Imithi eqeda ubulukhuni besikhumba

Imithi yokubulala izinzwa ethinta indawo ethile yomzimba wakho. Odokotela ngezinye izikhathi bayibiza ngokuthi “imithi yokubulala izinzwa yendawo.” Udokotela wakho ohlinzayo angase akunike umuthi wokubulala izinzwa othinta indawo ezungeze ukuhlinzwa ukuze usize ekuthinteni indawo ezungeze ukuhlinzwa. Lokhu kungasetshenziswa esikhumbeni njengama-patches, ama-cream, noma amafutha okugcoba. Izibonelo ezivamile zifaka:

• `I-Lidocaine`
• `Benzocaine`
• `I-Dibucaine`
• `I-Phenol`
• `I-Pramoxine` (i-Pramoxine)

Ezinye izindlela zokunciphisa ubuhlungu kanye nezindlela

Udokotela wakho angase asikisele eminye imithi ngaphezu kwaleyo ebalwe ngenhla. Isibonelo, kungadingeka ukuthi uphuze i-acetaminophen (eyaziwa ngokuthi i-Tylenol®) noma i-muscle relaxer, ongayithenga ekhemisi noma ngomuthi kadokotela.

Uma uhlala esibhedlela ngemva kokuhlinzwa okukhulu, ithimba lezokwelapha lingasebenzisa izindlela ezikhethekile zokusiza ubuhlungu ezifana nalezi:

• Ukuvimba kwemizwa: Ukuphazamiseka kwesikhashana kwemizwa ethwala ubuhlungu endaweni ethile.
• I-anesthesia yangemva kokuhlinzwa: Izindlela ezikhethekile zokusiza ubuhlungu ezinikezwa udokotela wezinzwa.
• Iphampu yokunciphisa ubuhlungu elawulwa yisiguli (iphampu ye-PCA): Uhlelo oluvumela isiguli ukuthola inani elinqunyiwe lemithi yobuhlungu ngokucindezela inkinobho.
• Ama-Epidural: Uhlobo olukhethekile lomuthi wobuhlungu onikezwa ngomgogodla, oluvame ukusetshenziswa ngesikhathi sokubeletha, kodwa futhi lusetshenziselwa ukuhlinzwa okuthile.

Yiziphi izinzuzo zokusebenzisa imithi yokubulala izinhlungu?

Lokhu kungase kubonakale kuyinto elula, kodwa inzuzo enkulu yokusebenzisa imithi yobuhlungu ngemva kokuhlinzwa ukuthi inciphisa ubuhlungu obuzwayo. Lokhu akugcini nje ngokukwenza ukhululeke kakhudlwana, kodwa futhi kuyingxenye ebalulekile yokulawula ubuhlungu. Kodwa-ke,Umzimba wakho uphulukiswa ngokushesha uma ungenazo izinhlungu. Ukunciphisa ubuhlungu bakho empeleni kungasheshisa inqubo yakho yokuphulukiswa.

Ukulawula ubuhlungu kunganciphisa nengozi yezinkinga ngemva kokuhlinzwa. Uma ubuhlungu bulawulwa kahle, kuzoba lula ngawe ukuhamba, ukuhambahamba, nokuphefumula ngokujulile. Lokhu kunciphisa ingozi yezinye izinkinga, njenge-pneumonia kanye namahlule egazi.

Ingabe ikhona imiphumela emibi kanye nezingozi zemithi yokubulala izinhlungu enikezwa ngemva kokuhlinzwa?

Noma yimuphi umuthi ungabangela imiphumela emibi. Eminye yemiphumela emibi evame kakhulu yemithi yokubulala izinhlungu yile:

• Isicanucanu nokuhlanza
• Ukozela
• Isiyezi
• Ukuluma
• Ukopha kwangaphakathi (isib. okuvela esiswini) (`Ukopha kwangaphakathi / ukopha`)
• Ukulimala kwesibindi (ikakhulukazi uma uthatha umuthi ongaphezu kwesilinganiso esinconywayo njenge-acetaminophen)

Ama-opioid angaba umlutha futhi angabangela i-Opioid Use Disorder. Uma uphuza kakhulu ngesikhathi esisodwa (noma kaningi kakhulu), ungathola i-Opioid Overdose, okungaba yingozi. Udokotela wakho ohlinzayo uzobuyekeza umlando wakho wezokwelapha kanye nengozi yokuba umlutha ngaphambi kokukunikeza ama-Opioids. Uma wena noma omunye umuntu emndenini wakho enomlando wokusebenzisa kabi izidakamizwa, kubalulekile ukutshela udokotela wakho.

Ithimba lakho lezokwelapha lizokuchazela imiphumela emibi kanye nezingozi zezinkinga zanoma yimuphi umuthi owudingayo. Uma ukhathazekile ngengozi ethile noma ungaqiniseki ngokuthi uzosabela kanjani emuthini, batshele. Bazokusiza ukuthola izinketho eziphephile nezisebenzayo zokuphatha ubuhlungu bakho.

Ngizozizwa ngingcono ngokushesha kangakanani ngemva kokuthatha imithi yokubulala izinhlungu?

Isikhathi esithathwayo ukuze umuthi wokuqeda izinhlungu uqale ukusebenza singahluka. Imithi eminingi kufanele iqale ukunciphisa ubuhlungu phakathi nehora noma amabili. Buza ithimba lakho lezempilo ukuthi umuthi wakho uzosebenza ngokushesha kangakanani. Bazokutshela ukuthi yini ongayilindela.

Ungathatha kangaki imithi yokubulala izinhlungu?

Udokotela wakho ohlinzayo uzokunikeza imiyalelo eqondile mayelana nokuthatha imithi yokubulala izinhlungu. Uzokutshela ukuthi ungathatha imithi engakanani nokuthi kuphephile kangaki ukuyithatha.

Ungase ungazizwa ubuhlungu kaningi njengoba uvunyelwe ukuphuza imithi yakho. Kulungile. Uma ungazizwa ubuhlungu, ngokuvamile kuphephile ukweqa umthamo bese ulinda kuze kube yilapho ubuhlungu bube bubi kakhulu noma kuze kube yilapho kufanele uthathe umthamo olandelayo. Kodwa-ke, buza udokotela wakho ukuthi kuphephile yini ukweqa umthamo uma ungenabuhlungu.

Futhi, udokotela wakho angase asikisele ukuthi uphuze imithi yakho ngesimiso esijwayelekile, kungakhathaliseki ukuthi uzwa ubuhlungu obukhulu noma cha. Lokhu kungakusiza "uhlale uphambi kobuhlungu" ngokuvimbela ukuqubuka okungazelelwe.

Buza udokotela wakho ukuthi yiluphi uhlelo lokulawula ubuhlungu olungcono kakhulu olusekelwe ekuhlinzweni okwenzile kanye nemithi oyiphuzayo.

Ngingacela eminye imithi yokubulala izinhlungu?

Uma uzwa ubuhlungu obukhulu kunalokho ocabanga, khuluma nodokotela wakho ohlinzayo ngakho. Bangase bakwazi ukulungisa umthamo wakho. Ungalokothi uthathe imithi yokunciphisa ubuhlungu ethengiswa ngaphandle kwemvume kadokotela (ikakhulukazi ama-opioid) ngaphandle kweseluleko sikadokotela wakho. Imithi ozoyinikwa ngemva kokuhlinzwa ingaba nokuxhumana okuyinkimbinkimbi nemithi oyiphuzayo ekhaya.

Udokotela wakho ohlinzayo angase ashintshe nohlobo lwemithi yobuhlungu oyithathayo. Eminye imithi (ikakhulukazi ama-opioid) inikezwa ngemithamo elinganiselwe, futhi ungase ungakwazi ukuphuza eminye ngemva kokuphela kwenkambo yokuqala.

Ungabi namahloni okukhuluma nethimba lakho lezempilo noma ukukhuluma nalo uma uzizwa ubuhlungu. Abanye abantu bacabanga ukuthi ukubuza imibuzo "kuyabakhathaza". Ungabi namahloni. Kuhlale kulungile ukubuza udokotela wakho le mibuzo. Odokotela bakho bakhona ukukusiza, kungakhathaliseki ukuthi kwenzekani. Kubalulekile kubo ukuqinisekisa ukuthi uyalulama.

Ungalokothi uthathe imithi eminingi kunalokho okushiwo yithimba lakho lezokwelapha. Uma uthatha umuthi wokuqeda izinhlungu kakhulu, kungenzeka ukuthi ube nezinkinga ezinkulu.

Ungalawula kanjani ubuhlungu ekhaya?

Ngemva kokuphuma esibhedlela noma esikhungweni sokuhlinzwa, iningi lokuphathwa kobuhlungu bakho lizokwenzeka ekhaya. Cishe uzothatha imithi njengengxenye yohlelo lwakho lokuphathwa kobuhlungu, kodwa ungenza nalezi zinto:

• Phumula ngokwanele. Ukulala kubaluleke kakhulu ukuze umzimba wakho ululame. Uma unenkinga yokulala ngemva kokuhlinzwa, khuluma nodokotela wakho.
• Zenze ukhululeke. Hlela kusengaphambili ukubeka imicamelo, imicamelo, noma amanye amadivayisi okusekela ezindaweni lapho uchitha khona isikhathi sakho esiningi emini. Kungase kudingeke ukuthi ujwayele indawo ehlukile kunendlela olala noma ohlala kuyo njalo. Ungazijwayeza lezi zindawo ezintsha ngaphambi kokuhlinzwa, okuzosiza umzimba wakho ukuthi ujwayele izinguquko.
• Phuza amaphilisi obuhlungu ngaphambi kwemisebenzi noma ngaphambi kokulala. Ungase ube nokuguquguquka okuthile ohlelweni lwakho lokuqeda ubuhlungu. Kungcono ukuthatha amaphilisi obuhlungu ngaphambi kokuba wenze noma yimuphi umsebenzi onzima, ukuzivocavoca, noma omunye umsebenzi womzimba. Ukuthatha imithi yakho ngaphambi kokulala kungakusiza ukuthi ulale kalula. Khumbula, ungalokothi uthathe eminye imithi ngaphandle kokuthi ithimba lakho lezokwelapha lithi kuphephile.
• Sebenzisa izindlela zokuqeda ubuhlungu ngaphandle kwemithi.Ukuzivocavoca ngokuphefumula, ukuzindla, ukulalela umculo oduduzayo, nokubuka i-movie ezolisayo noma uhlelo lwe-TV kungasiza ekulawuleni ubuhlungu. Ithimba lakho lezempilo lingasikisela ukwelashwa ngokushisa noma ukwelashwa ngokubandayo. Bangakubonisa ukuthi ungawasebenzisa kanjani ngokuphephile amabhodlela amanzi ashisayo, amaphakethe eqhwa, noma ama-cooling pad. Ukushisa noma iqhwa kungaba yindlela enhle yokulawula ubuhlungu phakathi kwemithamo yemithi.

Ngingambona nini udokotela?

Udokotela wakho ohlinzayo uzokutshela ukuthi udinga ukubona udokotela kangaki ('ukuvakasha okulandelayo'). Uzohlola ukuthi uphulukiswa kahle nokuthi inqubo yakho yokuphulukiswa ihamba kahle.

Uma ubona noma yiziphi zalezi zimpawu, shayela udokotela wakho noma ithimba lezokwelapha ngokushesha :

• Uma inxeba lakho lokuhlinzwa liphuma igazi.
• Uma uzwa ukushisa noma ukufudumala eduze kwesilonda.
• Uma kukhona uketshezi, ubomvu, noma iphunga elibi eliphuma esilondeni.
• Uma unesikhumba esishintsha umbala noma ukubomvu okuzungeze isilonda sakho sokuhlinzwa.
• Uma umuthi wakho ubanga imiphumela emibi kakhulu.

Izinto ezibaluleke kakhulu okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Ukuhlinzwa kuyabuhlungu. Kodwa, ukuthi nje ungase uzwe ubuhlungu ngemva kokuhlinzwa akusho ukuthi kufanele ubhekane nakho kuze kube yilapho usululama. Udokotela wakho ohlinzayo uzokunikeza imithi yobuhlungu ukuze akusize uhlale ukhululekile. Bazokutshela ukuthi ungayithatha kanjani, ukuthi kuphephile kangakanani ukuyithatha, nokuthi kulungile nini ukuyithatha eyengeziwe. Yonke imithi ingaba nemiphumela emibi, kodwa udokotela wakho ohlinzayo uzochaza zonke izingozi kuwe kusenesikhathi.

Buza ithimba lakho lezokwelapha noma yimiphi imibuzo ongase ube nayo ngaphambi nangemva kokuhlinzwa. Bazochaza konke okudingeka ukwazi. Kungaba usizo ukuba nomuntu omthandayo nawe ukuze abhale phansi izinto. Ungaphrinta njalo imiyalelo neziqondiso ukuze ukwazi ukuzibhekisela kuzo kamuva. Khumbula, inhlalakahle yakho iyona nto ebaluleke kakhulu!

Ubuhlungu bangemva kokuhlinzwa, izinhlungu zobuhlungu, ubuhlungu bokuhlinzwa, ukuphathwa kobuhlungu, ukuhlinzwa, imithi, imiphumela emibi