Singakhuluma ngomjovo we-Bupivacaine oqeda ubuhlungu? (Umjovo we-Bupivacaine)

Wake wahlinzwa kancane, wakhishwa izinyo, noma wasikwa emzimbeni wakho okwakudinga ukuthungwa? Uyakhumbula umjovo udokotela akunike wona ukuze aqede indawo? Asizwa ubuhlungu ngaleso sikhathi, akunjalo? Namuhla sizokhuluma ngomuthi okhethekile osetshenziselwa ukuvimba ubuhlungu okwesikhashana engxenyeni ethile yomzimba. Igama lawo yiBupivacaine.

Kalula nje, iyini i-Bupivacaine?

I-Bupivacaine uhlobo lomuthi olubizwa ngokuthi i-local anesthetic. Kalula nje, iqeda okwesikhashana indawo ethile yomzimba wakho. Lokhu kuvimbela izimpawu zobuhlungu ezivela emithanjeni ekuleyo ndawo ukuthi ziye ebuchosheni isikhashana. Yingakho ungazizwa ubuhlungu. Cabanga ngesimiso sethu sezinzwa njengenethiwekhi yezintambo zocingo. Uma silimala ndawana thize, umlayezo uhamba ngaleyo ntambo uye ebuchosheni uthi, "Kubuhlungu lapha." Okwenziwa umjovo we-Bupivacaine ukuya endaweni yalowo myalezo bese unqamula okwesikhashana lokho kuxhumana. Ngemuva kwalokho, umlayezo awufiki ebuchosheni, ngakho asizizwa ubuhlungu. Ngokuvamile usetshenziswa uku:

• Faka izinombolo endaweni ngaphambi kokuhlinzwa okuncane.
• Khipha amazinyo noma welaphe amazinyo.
• Thunga inxeba.
• Njenge- epidural enikezwa umama osezobeletha umntwana ukuze anciphise ubuhlungu.
• Ngezinye izikhathi isetshenziselwa ukulawula ubuhlungu ngemva kokuhlinzwa.

Izinto okudingeka uzitshele udokotela wakho ngaphambi kokukunikeza lo muthi

Kulungile, manje ngaphambi kokukunikeza lo muthi, udokotela uzokubuza ngesimo sakho sempilo. Lokhu kubaluleke kakhulu. Ngoba ukuphepha kwakho kuza kuqala. Ngakho-ke, uma unezinye zezimo ezilandelayo, kufanele nakanjani utshele udokotela ngaphandle kokukufihla.

• Ukungezwani komzimba : Sitshele uma une-allergies, hhayi nje nge- Bupivacaine , kodwa nanoma yimuphi omunye umuthi (ikakhulukazi eminye imithi yokubulala izinzwa), ukudla, udayi, noma isilondolozi.
• Isifo senhliziyo : Uma unesifo senhliziyo.
• Isifo sesibindi noma sezinso : Uma kukhona inkinga ngokusebenza kwalezi zitho.
• Umfutho wegazi ophansi: Uma umfutho wegazi ophansi.
• Isifo samaphaphu: Uma unesifo esihlobene nokuphefumula.
• Ukuntuleka kwe-G6PD: Lokhu ukuntuleka kwe-enzyme okuzuzwe njengefa okuthinta amangqamuzana ethu abomvu egazi. Uma wazi ukuthi unalesi simo, qiniseka ukuthi utshela udokotela wakho.
• Ukukhulelwa noma ukuncelisa: Kubalulekile ukwazisa udokotela wakho uma ukhulelwe, uzama ukukhulelwa, noma uncelisa .

Ngokwazi lezi zinto ngokunembile, udokotela wakho anganquma ngokuphephile ukuthi akunike lo muthi, asebenzise enye indlela, noma ashintshe umthamo.

Uyisebenzisa kanjani le mithi?

Lona akuwona umuthi ongawuthenga ekhemisi bese uwuthatha uwuyise ekhaya. I-Bupivacaine umuthi onikezwa kuphela njengomjovo esibhedlela noma emtholampilo ngudokotela oqeqeshiwe noma abasebenzi bezokwelapha abaqeqeshiwe . Lokhu kungenxa yokuthi izinga lokushaya kwenhliziyo yakho, umfutho wegazi, kanye nokuphefumula kudinga ukubhekwa ngenkathi kunikezwa lo muthi.

Ingabe lokhu nikunikeza izingane?

Izingane ezingaphezu kweminyaka eyi-12 zingasebenzisa lo muthi ezimweni ezithile ezikhethekile. Kodwa kufanele kwenziwe ngokucophelela okukhulu nangaphansi kokuqashwa okukhethekile kwezokwelapha.

Wenzani uma umthamo ukhuphuka?

Lokhu kunikezwa esibhedlela, ngakho-ke amathuba okuba lokhu kwenzeke mancane kakhulu. Abasebenzi bezokwelapha bazokwazi kahle umthamo ofanele wena. Kodwa-ke, uma kukhona okusolakala ukuthi uthathe umuthi omningi kakhulu, abasebenzi bezokwelapha bazothatha izinyathelo ezidingekayo ngokushesha. Ngakho-ke akudingeki wesabe. Uma unezinkinga ngaphandle kwesibhedlela, iya e -Emergency Treatment Unit (ETU) yesibhedlela esiseduze ngokushesha. Uma usola ukuthi kukhona ubuthi, shayela i-National Poisons Information Centre e-National Hospital .

Yiziphi imiphumela emibi? Ingabe kufanele ngesabe?

Njenganoma yimuphi umuthi, i-Bupivacaine inethuba elincane lokubangela imiphumela emibi. Kodwa-ke, lokhu akuvamile. Futhi, njengoba ungaphansi kokuqashwa kwezokwelapha uma unikezwa lo muthi, noma yiziphi izinkinga zingalashwa ngokushesha. Kodwa-ke, kubalulekile ukuthi uqaphele lezi. Ake sihlukanise lezi miphumela emibi zibe yizigaba ezimbili. Eminye iyingozi futhi kufanele ibikwe ngokushesha. Eminye ivame ukuba yingozi kakhulu futhi iphele ngemva kwesikhashana.

Imiphumela Engemihle ye-Bupivacaine Izimpawu okufanele zibikwe kudokotela noma kumhlengikazi ngokushesha Izimpawu ezivame ukungabi zimbi kakhulu, kodwa okufanele zibikwe kudokotela uma ziqhubeka

Ukusabela kokungezwani komzimba	Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo, ubunzima bokuphefumula.
Izinguquko zesigqi senhliziyo	Ukuzwa sengathi inhliziyo yakho ishaya ngokushesha noma ngokungajwayelekile, isiyezi, ubuhlungu besifuba.
Umfutho wegazi ophansi	Isiyezi esikhulu, amehlo aluhlaza okwesibhakabhaka, ukungakwazi ukuma.
Imiphumela ohlelweni lwezinzwa (ukucindezeleka kwe-CNS)	Ukuphefumula kancane, ukozela ngokweqile, ukuncipha kokuqwasha, ukudideka.
Ukuquleka	Ukuthuthumela komzimba, ukulahlekelwa ukwazi.
I-Methemoglobinemia	Lesi yisimo esingavamile. Izimpawu zifaka phakathi isikhumba noma izindebe eziluhlaza okwesibhakabhaka, ubunzima bokuphefumula, ukukhathala okukhulu, ikhanda elibuhlungu, isicanucanu, ukuhlanza, kanye nokushaya kwenhliziyo okusheshayo.
Isicanucanu nokuhlanza (Isicanucanu, Ukuhlanza)	Ubuhlungu besisu noma ukuhlanza.
Ukozela	Ukuzizwa ulele kancane ngenxa yemiphumela yomuthi.
Ukukhathazeka noma ukwethuka	Ukuzizwa ukwesaba okungajwayelekile kanye nokungakhululeki.

Izinto okufanele uziqaphele ngemva kokuthatha umuthi

Lena yinto ebaluleke kakhulu okufanele uyinake. Ngemva komjovo we-Bupivacaine, indawo izoba ndikindiki amahora ambalwa.

Into ebaluleke kakhulu ukuvikela indawo ekulimaleni ngesikhathi ingasebenzi kahle. Njengoba ungazizwa ubuhlungu, indawo inamathuba amaningi okusikwa, ukulinyazwa, noma ukushiswa.

Isibonelo, ake sithi unikezwe lo muthi wokukhipha izinyo. Uma nje isihlathi sakho nodebe lwakho kulolo hlangothi kuyaluma, kungenzeka ukuthi ulume leyo ndawo, uphuze itiye elishisayo bese ushisa umlomo wakho. Ngakho-ke, qaphela kakhulu ukuthi udlani futhi uphuzani kuze kube yilapho ukuluma sekuphelile ngokuphelele. Futhi, uma unendawo yokuluma engalweni noma emlenzeni wakho, kufanele uvikele leyo ndawo ekushayweni yinoma yini ebukhali noma eshisayo. Ngoba awuzizwa ngisho noma kubuhlungu.

Ingabe kungaba nezinkinga ngeminye imithi?

Yebo, impela. I-Bupivacaine ingasebenzisana neminye imithi. Yingakho kubalulekile ukutshela udokotela wakho ngayo yonke imithi oyithathayo, okuhlanganisa amavithamini, imikhiqizo yamakhambi, kanye nemithi yokunciphisa ubuhlungu . Kubaluleke kakhulu ukutshela udokotela wakho uma uthatha noma yimuphi wale mithi elandelayo:

• I-Acetaminophen (njenge-paracetamol)
• Ezinye izinhlobo zama-antibiotic (isib. i-dapsone, i-sulfonamides)
• Imithi yokulwa nesifo sokuwa (isib. i-phenobarbital, i-phenytoin)
• Eminye imithi yokwehlisa izimpawu (isib. i-lidocaine)
• Eminye imithi yesifo senhliziyo (isib. i-nitroglycerin)

Lolu hlu aluphelele, ngakho-ke kungcono ukutshela udokotela wakho ngakho konke okuthathayo. Futhi, mtshele uma ubhema noma uphuza utshwala.

Umlayezo Wokuya Nawe Ekhaya

• I-Bupivacaine umuthi ophephile oqeda ubuhlungu okwesikhashana futhi uqede indawo ethile yomzimba.
• Lomuthi unikezwa esibhedlela noma emtholampilo kuphela, ngaphansi kokuqashwa kwezokwelapha. Lomuthi akuwona owokuya nawo ekhaya.
• Qiniseka ukuthi utshela udokotela wakho ngazo zonke izimo zezokwelapha, ukungezwani komzimba, kanye nemithi oyiphuzayo.
• Kungumthwalo wakho ukuvikela indawo ethinteke yimithi ekulimaleni (ukusikeka, imihuzuko, ukusha) kuze kube yilapho ukungezwani komzimba kuphelile.
• Imiphumela emibi kakhulu ayivamile. Kodwa-ke, uma uhlangabezana nanoma yiziphi izimpawu ezingavamile (ubunzima bokuphefumula, ubuhlungu besifuba, ukuxhuzula), yazisa abasebenzi bezokwelapha ngokushesha.

Umjovo we-Bupivacaine, isibulala-zinhlungu, umuthi wokuqeda izinhlungu, isibulala-zinhlungu sendawo, ukuhlinzwa, imiphumela emibi, i-bupivacaine sinhala