Wake wadinga ukuhlinzwa? Noma uhlela ukuba nokuhlinzwa esikhathini esizayo? Ukwesaba okukhulu esinakho ngezikhathi ezinjalo ubuhlungu obuvela ngemva kokuhlinzwa. Kodwa manje, ngenxa yentuthuko kwesayensi yezokwelapha, kunezindlela eziningi zokulawula lobu buhlungu. Namuhla sikhuluma ngomuthi okhethekile olawula ubuhlungu obuvela ngemva kokuhlinzwa izinsuku ezimbalwa.
Iyini le Bupivacaine implant?
Kalula nje, lo umuthi wokuqeda izinhlungu onikezwa ukuqeda ubuhlungu obuvela ngemva kokuhlinzwa. Njengokuqeda izinsini zakho izinhlungu ngaphambi kokukhishwa kwezinyo, lo muthi uqeda isikhumba nezicubu ezizungezile indawo yokuhlinzwa. Kodwa awufani nomjovo ovamile wokubulala izinzwa.
Lo muthi (i-Liposomal Bupivacaine) uza 'njengokufakelwa' okuncane, okuthambile. Cabanga ukuthi uhlinzwa i-hernia. Udokotela ohlinzayo ufaka lo muthi ngaphakathi kwesilonda ngemva kokuhlinzwa futhi ngaphambi kokuba inxeba lithungwe. Into ekhethekile ngalokhu ukuthi kancane kancane ukhipha umuthi wokubulala izinhlungu emzimbeni esikhathini esiyizinsuku eziningana. Lokhu kusho ukuthi uthola impumuzo enkulu ebuhlungwini bokuhlinzwa izinsuku ezingu-2-3 zilandelana. Amanye amagama emikhiqizo yalokhu yi-'Xaracoll'.
Izinto udokotela wakho okudingeka azazi ngaphambi kokukunikeza lo muthi
Nakuba lo umuthi unikezwa esibhedlela, kubaluleke kakhulu ukunikeza udokotela incazelo ephelele yesimo sakho sempilo, njengoba lo muthi ungase ungahambisani nezinye izimo zezokwelapha.
Qiniseka ukuthi utshela udokotela wakho ngalezi zinto:
- Uma uke waba nokusabela kokungezwani komzimba ne-Bupivacaine noma yimuphi omunye umuthi wokubulala izinzwa.
- Uma unesifo senhliziyo, isifo sesibindi, noma isifo sezinso.
- Uma unesifo segazi esifana nokuntuleka kwe-G6PD.
- Uma unezifo zokuphefumula ezifana ne-asthma.
- Uma une-blood pressure ephansi.
- Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa.
Kubaluleke kakhulu ukuze uphephe ukutshela udokotela wakho ngaphandle kokufihla lolu lwazi, ngoba udinga ukuqaphela kakhulu uma usebenzisa lo muthi kulezi zinhlobo zezimo zezokwelapha.
Ungayisebenzisa kanjani le mithi?
Lona akuwona umuthi ongawuthatha ekhaya. Lona into ebekwa endaweni yokuhlinzwa ngudokotela ngesikhathi sokuhlinzwa esibhedlela noma emtholampilo . Ngakho akudingeki ukhathazeke ngokulahlekelwa umthamo noma ukuthatha umthamo omningi kakhulu.
Uma uzizwa ngokuzumayo ukuthi uke wabhekana nanoma yisiphi isimo esingavamile ngenxa yalo muthi, yazisa udokotela noma umhlengikazi ngokushesha. Uma usola ukuthi umuthi uphuze ngokweqile, ezweni lakithi, kufanele ushayele iNational Poison Information Center eColombo National Hospital ngqo. Futhi, uma usesibhedlela, into engcono kakhulu ongayenza ukuya ngokushesha e-Emergency Treatment Unit (ETU) .
Ingabe kungaba nezinkinga ngeminye imithi? (Ukusebenzisana kwezidakamizwa)
Yebo, eminye imithi ingasebenzisana ne-Bupivacaine. Ngakho-ke, kufanele wazise udokotela wakho ngayo yonke imithi oyithathayo, hhayi nje leyo oyinikezwe udokotela wakho, kodwa nemithi ethengiswa ngaphandle kwemithi kadokotela, amavithamini, kanye nemikhiqizo yamakhambi, ngaphambi kokuhlinzwa kwakho.
| Isigaba sezidakamizwa | Izibonelo |
|---|---|
| Eminye imithi yokwehlisa izimpawu | I-Lidocaine, i-Tetracaine |
| Amanye ama-antibiotic | I-Dapsone, i-Nitrofurantoin, i-Sulfonamides |
| Imithi yokuquleka | I-Phenobarbital, i-Phenytoin |
| Ama-Painkiller | I-Acetaminophen (i-Paracetamol) |
| Imithi yesifo senhliziyo | I-Nitroglycerin, i-Nitroprusside |
| Eminye imithi | I-Chloroquine, i-Quinine, i-Metoclopramide, i-Sulfasalazine |
Izinto okufanele uziqaphele lapho uthatha umuthi
Kudingeka uqaphele kakhulu ngenkathi lo muthi usebenza, okungukuthi, ngenkathi indawo lapho ukuhlinzwa kwenziwe khona ingasasebenzi. Cabanga ukuthi uhlinzwe esiswini sakho futhi lo muthi wanikezwa wona. Ngenxa yokuthi leyo ndawo ayisasebenzi, awuzwa lutho olushaya, olucindezelayo, noma olulimazayo lapho. Ngakho-ke, kungumthwalo wakho ukunakekela leyo ndawo ukuze ingalimali noma ibangele noma yimuphi umonakalo.
Yiziphi imiphumela emibi?
Njenganoma yimuphi umuthi, lo ungabangela imiphumela emibi. Eminye iyingozi, eminye ivamile.
| Imiphumela emibi kakhulu okufanele ibikwe kudokotela wakho noma ku-ETU ngokushesha | |
|---|---|
| Ukusabela Kokungezwani Nomzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe noma ulimi, ubunzima bokuphefumula. |
| Izinguquko ekushayeni kwenhliziyo | Ubuhlungu besifuba, isiyezi, ukushaya kwenhliziyo okusheshayo noma okungajwayelekile, ukuquleka. |
| Izinkinga zesistimu yezinzwa | Ukuquleka , ukuthuthumela. |
| Izimpawu ze-Methemoglobinemia | Isikhumba esimpunga, esimpunga noma esiluhlaza okwesibhakabhaka, ikhanda elibuhlungu, ukushaya kwenhliziyo okusheshayo, ubunzima bokuphefumula, ukukhathala okukhulu. |
| Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela uma iqhubeka | |
| Ezinye izici | Ikhanda elibuhlungu, umkhuhlane, ukungahlaliseki, ukushintsha kokunambitheka emlonyeni, izinguquko embonweni. |
Umlayezo Wokuya Nawe Ekhaya
- I-Bupivacaine implant iwumuthi okhethekile obekwa eduze kwesilonda ngesikhathi sokuhlinzwa futhi ulawula ubuhlungu izinsuku eziningana.
- Lona akusiwo umuthi ongawuthatha uye nawo ekhaya. Usetshenziswa udokotela esibhedlela.
- Kubalulekile ukuthi utshele udokotela wakho ngazo zonke izimo zakho zezokwelapha kanye nayo yonke eminye imithi oyiphuzayo ngaphambi kokuhlinzwa.
- Uma uhlangabezana nezimpawu ezifana nokusabela okukhulu kokungezwani komzimba, ubunzima bokuphefumula, ukuxhuzula , noma ukushaya kwenhliziyo okungavamile, funa iseluleko sezokwelapha ngokushesha.
- Uma ingxenye yomzimba wakho ingasasebenzi kahle ngenxa yemiphumela yomuthi, qaphela kakhulu ukuthi uvikele leyo ndawo ekulimaleni.
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