Cabanga ukuthi uhlinzwa kancane, njengokukhishwa kwezinyo noma ukususwa kwesimila sesikhumba. Udokotela ube esevala indawo lapho kwenziwa khona ukuhlinzwa bese enza umsebenzi ukuze ungezwa ubuhlungu, akunjalo? Namuhla sizokhuluma ngomuthi okhethekile osetshenziswa ezimweni ezinjalo. Lo muthi uvame ukunikezwa esibhedlela noma emtholampilo futhi usetshenziswa odokotela. Ngakho-ke, kubaluleke kakhulu ukuqaphela lokhu.
Iyini le mithi yokubulala izinzwa? (Bupivacaine; Epinephrine)
Kalula nje, lokhu kuyisidakamizwa sokudambisa ubuhlungu sendawo, okusho ukuthi senza indawo lapho kujovwa khona kanye nendawo ezungezile kube nesiyezi okwesikhashana, ngaphandle kokwenza umzimba wonke ube nesiyezi. Lokhu kusho ukuthi ngeke uzwe ubuhlungu.
Kunezinhlobo ezimbili eziyinhloko zalo muthi wokugomela:
1. I-Bupivacaine: Yilokhu okwenza isikhumba sibe buhlungu, okusho ukuthi awuzizwa ubuhlungu.
2. I-Epinephrine: Lokhu kwengezwa ngezizathu ezimbili. Esinye ukwenza ukuhlaba kuhlale isikhathi eside. Esinye ukucindezela imithambo yegazi emincane endaweni yokujova, ukunciphisa ukopha ngesikhathi sokuhlinzwa.
Ngakho-ke, ngenxa yokuhlanganiswa kwakho kokubili, udokotela angakwelapha ngokuphephile ngaphandle kokukubangela ubuhlungu.
Izinto okufanele uzitshele udokotela wakho ngaphambi kokukunikeza imithi
Ngaphambi kokukunikeza lo muthi wokugomela, udokotela wakho uzobuza ngempilo yakho. Kodwa-ke, uma unezinye zezimo ezilandelayo, qiniseka ukuthi uyamtshela udokotela wakho. Lokhu kubaluleke kakhulu ekuphepheni kwakho.
- Isifo sikashukela noma amazinga aphezulu kashukela egazini.
- Ukuntuleka kwe-G6PD: Lesi yisimo esizuzwa njengefa abanye abantu abazalwa naso.
- Noma yiluphi uhlobo lwesifo senhliziyo .
- Umfutho wegazi ophakeme .
- Umfutho wegazi ophansi .
- Noma yisiphi isifo sesibindi noma sezinso .
- Izifo zamaphaphu (njenge-asthma noma i-COPD).
- Isifo se-thyroid .
- Uma ukhulelwe noma uzama ukukhulelwa .
- Uma ungumama oncelisayo .
- Uma une -allergies kulo muthi noma kunoma yimuphi omunye umuthi, ukudla, udayi, noma isilondolozi.
Uma umlando wakho wezempilo uphelele, kulapho ezokwazi ukukwelapha khona ngokuphepha.
Uyisebenzisa kanjani le mithi?
Lona akusiwo umuthi ongawuthatha ekhaya noma uwuthenge ekhemisi.
Lona umuthi wokugoma ohlala unikezwa esibhedlela noma emtholampilo ngudokotela oqeqeshiwe noma uchwepheshe wezempilo oqeqeshiwe, ngakho akudingeki ukhathazeke ngokuwusebenzisa.
- Ezinganeni: Isetshenziswa kwezinye izimo ezikhethekile ezinganeni ezincane ezingaphezu kweminyaka eyi-12 ubudala. Kodwa yenziwa ngokucophelela okukhulu kanye nezinyathelo zokuphepha ezikhethekile.
- Kwabadala: Abantu abangaphezu kweminyaka engama-65 bangase bazizwe imiphumela yalo muthi inamandla kancane. Ngakho-ke, udokotela uvame ukwehlisa umthamo abawunikwayo.
Kuthiwani uma ngiphuza umuthi omningi kakhulu?
Njengoba lokhu kunikezwa esibhedlela, ingozi yokudlula ngokweqile iphansi kakhulu. Kodwa-ke, uma lokhu kwenzeka nganoma iyiphi indlela noma uma ucabanga ukuthi uthole imithi eminingi kakhulu, yazisa abasebenzi bezokwelapha ngokushesha. Uma kwenzeka isimo esiphuthumayo, kufanele uye ngqo e-Emergency Treatment Unit (ETU) . Uma udinga iseluleko mayelana noshevu, ungashayela i-National Poisons Information Centre e-Colombo National Hospital ukuthola imininingwane.
Ezinye izinto ezingase zihlangane nalo muthi (Ukusebenzisana)
Uma uphuza imithi yezinye izimo, kubaluleke kakhulu ukutshela udokotela wakho ngayo. Ngoba eminye imithi ingasebenzisana nale mithi yokuqeda izinhlungu futhi ibangele imiphumela emibi engafuneki. Ithebula elingezansi libonisa eminye imithi engase ihlanganyele ngale ndlela.
| Isigaba sezidakamizwa | Izibonelo nezincazelo |
|---|---|
| Ama-painkiller nama-antibiotic | Eminye imithi efana ne-acetaminophen, i-dapsone, ne-nitrofurantoin. |
| Izifo zenhliziyo kanye nemithi yokucindezeleka kwegazi | Imithi ehlukahlukene esetshenziswa ukulawula izinga lokushaya kwenhliziyo kanye nomfutho wegazi. (Isibonelo: i-Nitroglycerin) |
| Imithi yempilo yengqondo | Imithi yokwelapha izimo ezinjengokucindezeleka nokukhathazeka, ikakhulukazi imithi ye-MAOI. |
| Imithi yokwelapha ukuxhuzula | Imithi efana ne-phenobarbital ne-phenytoin. |
| Eminye imithi yokubulala izinzwa nemithi | Ezinye izibulala-zinhlungu ezisetshenziswa ngesikhathi sokuhlinzwa zifaka phakathi i-nitrous oxide, kanye nezinye izibulala-zinhlungu zendawo ezifana ne-lidocaine. |
Lolu hlu aluphelele. Ngakho-ke tshela udokotela wakho ngayo yonke imithi, amavithamini, imikhiqizo yamakhambi, kanye nezithasiselo ozithathayo. Mtshele futhi uma ubhema noma uphuza utshwala.
Izinto okufanele uziqaphele ngemva kokuthatha umuthi
Ngemva kokuthola lo mjovo, kudingeka uqaphele kancane ngendawo engenalutho. Ngenxa yokuthi awuzizwa ubuhlungu, ungalimaza leyo ndawo ngaphandle kokuqaphela.
Isibonelo, uma ukhishwe amazinyo futhi izinsini zakho zibuhlungu, kufanele uqaphele ukuthi ungalumi isihlathi sakho noma uphuze iziphuzo ezishisayo kuze kube yilapho ubuhlungu sebuphelile ngokuphelele. Futhi, uma unesilonda esikhumbeni sakho, vikela leyo ndawo ekushayweni noma ekuklwebhekeni.
Yimiphi imiphumela emibi engaba khona?
Njenganoma yimuphi umuthi, lo ungabangela imiphumela emibi kwabanye abantu. Eminye yale miphumela iyingozi, eminye ivamile. Kubalulekile ukuqaphela lokhu.
| Imiphumela emibi kakhulu okufanele ibikwe kudokotela noma kumhlengikazi ngokushesha | |
|---|---|
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| Izinguquko ekushayeni kwenhliziyo | Ukuzizwa sengathi inhliziyo yakho ishaya ngokushesha noma ngokungajwayelekile, isiyezi, ubuhlungu besifuba, nobunzima bokuphefumula. |
| Imiphumela ohlelweni lwezinzwa oluphakathi | Ukuphefumula kancane ...Kancane kancane ...Kancane kancane ...Kancane kancane ...Kancane kancane ...Kancane kancane ...Kancane kancane ...Kancane kancane ...Kancane kancane ...Ukungacabangi kahle , ukudideka . |
| I-Methemoglobinemia | Ubunzima bokuphefumula; Ikhanda elibuhlungu; Izindebe, izinzipho, noma isikhumba siphenduka sibe mhlophe, sibe mpunga, noma sibe luhlaza okwesibhakabhaka; Ukukhathala okukhulu. |
| Ukuquleka | Ukuxhuzula okungazelelwe. |
| Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela uma iqhubeka | |
| Ukukhathazeka noma ukungahlaliseki | Ukuzizwa ukhathazekile ngendlela engavamile. |
| Ukozela | Ungase uzizwe ulele kancane. |
| Isicanucanu nokuhlanza | Ukuphazamiseka kwesisu, isicanucanu, noma ukuhlanza. |
Uma uhlangabezana nanoma yiziphi ezinye izimpawu ezingavamile ezingashiwongo kulolu hlu, khuluma nodokotela wakho ngazo futhi.
Umlayezo Wokuya Nawe Ekhaya
- I-Bupivacaine; I-Epinephrine iwumjovo wendawo wokubulala izinzwa onikezwa udokotela kuphela esibhedlela noma emtholampilo ukuze kuncishiswe ubuhlungu.
- Ngaphambi kokuthola lo muthi wokugomela, tshela udokotela wakho ngazo zonke izimo zakho zezokwelapha (njengesifo sikashukela, isifo senhliziyo) kanye nayo yonke imithi oyithathayo.
- Ngemva komjovo, qiniseka ukuthi uvikela indawo ekulimaleni. Njengoba ungazizwa ubuhlungu, ungazilimaza ngengozi.
- Funa usizo lwezokwelapha ngokushesha uma uhlangabezana nanoma yimiphi imiphumela emibi efana nokuvuvukala kobuso, ubunzima bokuphefumula, noma ubuhlungu besifuba.
- Uma unemibuzo noma ukukhathazeka ngalo muthi, ungalokothi unqikaze ukubuza udokotela wakho ngawo.
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