Ingabe uhlelelwe ukuhlinzwa? Noma uke waba nakho muva nje? Ukwesaba okukhulu kubantu abaningi uma kukhulunywa ngokuhlinzwa ubuhlungu obuvela ngemva kokuhlinzwa. Kunezikhathi lapho lobu buhlungu bukwenza kube nzima ukwenza umsebenzi ojwayelekile noma ngisho nokuhamba. Ngakho-ke, kulesi sihloko, sikhuluma ngesisombululo somuthi esikhethekile esikunikeza ukulawula okungcono lobu buhlungu, ngendlela ehluke kancane.
Kalula nje, uyini lo muthi?
Lokhu kuyinhlanganisela yemithi emibili. Leyo yi
-Bupivacaine ne
-Meloxicam . Ake sibone ukuthi kuzokwenzekani ngale mithi emibili.
- I-Bupivacaine : Lokhu kufana nomuthi wokubulala izinzwa owuthola ngaphambi kokukhishwa kwezinyo. Kodwa ngoba ujovwa khona lapho kwenziwa khona ukuhlinzwa, uvala indawo ngokuphelele. Lokhu kuvimbela ubuhlungu ukuthi bungangeni ebuchosheni, futhi uzwa ubuhlungu obuncane kakhulu. Lokhu sikubiza ngokuthi " i-local anesthetic ."
- I-Meloxicam: Lokhu kungokweqembu lama -painkillers abizwa ngokuthi i-NSAID (Nonsteroidal Anti-inflammatory Drug). Isebenza ngokunciphisa ukuvuvukala nokuvuvukala okubangelwa ukuhlinzwa. Uma ukuvuvukala kuncishisiwe, ubuhlungu bulawulwa kakhulu.
Kalula nje, le nhlanganisela yemithi emibili iqeda amandla endaweni ezungeze inxeba lokuhlinzwa futhi inciphise ubuhlungu, kuyilapho futhi inciphisa ukuvuvukala enxebeni futhi ilawule ubuhlungu ngokwengeziwe. Lokhu akuyona iphilisi noma umjovo emthanjeni.
Lokhu kuwuketshezi olufakwa udokotela wakho ohlinzayo enxebeni lokuhlinzwa ekupheleni kokuhlinzwa. Ngakho imiphumela yalo ingahlala izinsuku eziningana.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokukunikeza lo muthi:
Kulungile, lokhu kubaluleke kakhulu. Ngaphambi kokunquma ukuthi lo muthi ukufanele yini, kubalulekile ukuthi udokotela azi imininingwane ephelele yesimo sakho sempilo. Ngoba, abantu abanezimo ezithile zezokwelapha kudingeka baqaphele kakhulu lapho benikeza lo muthi. Uma unakho okulandelayo, kufanele nakanjani utshele udokotela.
| Isifo noma isimo | Kungani kufanele ukhathazeke? (kafushane) |
|---|
| Isifuba somoya | Ama-NSAID angenza kube kubi kakhulu i-asthma kwabanye abantu. |
| Izinkinga zokopha | Lo muthi ungathinta ukujiya kwegazi. |
| Uma unesifo senhliziyo, ukuhlaselwa yinhliziyo, unhlangothi, noma uke wahlinzwa nge-bypass (CABG) | Ama-NSAID angandisa ingozi yesifo senhliziyo. |
| Umfutho wegazi ophakeme | Umfutho wegazi ungase ukhuphuke kakhulu. |
| Isifo sezinso noma sesibindi | Ngenxa yokuthi umuthi ukhishwa emzimbeni ngalezi zitho, ukusebenza kwawo kungathinteka. |
| Izilonda zesisu noma ukopha | Ama-NSAID angabangela ukuthi lezi zimo ziphinde zibuye noma zibe zimbi kakhulu. |
| Imikhuba yokuphuza noma yokubhema | Kwandisa ingozi yokopha esiswini. |
| Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa | Ngesikhathi sokukhulelwa (ikakhulukazi ngemva kwamasonto angama-20), kungaba nemiphumela emibi enganeni. |
| Uma une-allergies kweminye imithi, ukudla noma izinto ezithile | Lokhu akukhuthazwa, ikakhulukazi uma une-allergy ku-aspirin noma eminye imithi ye-NSAID. |
Ngingawusebenzisa kanjani lo muthi futhi ngenzenjani uma ngisebenzisa ngokweqile?
Lona akuwona umuthi ongawuthatha ekhaya. Lona
umuthi osetshenziswa udokotela ohlinzayo esibhedlela noma emtholampilo kuphela . Ngakho-ke, asikho isidingo sokukhathazeka ngokuphuthelwa umthamo noma ukuthi ungawusebenzisa kanjani. Kodwa-ke, uma uhlangabezana nanoma yiziphi izimpawu ezingavamile ngemuva kokuthatha lo muthi, kungaba uphawu lokungabekezelelani nomuthi noma ukudlula ngokweqile. Uma unokungabaza ngento enjalo, kufanele ushayele
i-National Poisons Information Centre ngokushesha e-Colombo National Hospital noma uye
eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
Into ebaluleke kakhulu ukuthi lo muthi unikezwe wena kuphela. Ngisho noma ukhuluma nabanye ngawo, ungatsheli muntu ukuthi awusebenzise ngoba "umuthi omuhle."
Yimiphi eminye imithi engasebenzisana nalo muthi?
Lo muthi ungase uhlangane neminye imithi oyithathayo, okwandisa ingozi yakho yemiphumela emibi. Kubalulekile ukutshela udokotela wakho ngayo yonke imithi oyithathayo, okuhlanganisa amavithamini kanye nemithi yamakhambi. Qaphela kakhulu uma uthatha noma yimuphi wale mithi elandelayo:
Imithi okungafanele ithathwe, ngakho yazisa udokotela wakho nganoma yimiphi eminye imithi oyithathayo ngoba ingabangela ukuhlangana.
| Izinhlobo zezidakamizwa ezingadala izingxabano |
|---|
| I-Cidofovir | I-Ketorolac (enye i-NSAID enamandla) |
| - Izinto zokunciphisa igazi - I-Aspirin kanye nezinye izidakamizwa ezingezona eze-NSAID (isib. I-Ibuprofen, i-Naproxen) - Imithi yomfutho wegazi ophezulu - Eminye imithi yesifo sikashukela - Ama-Steroids (isib. i-Prednisone) | - Eminye imithi yokucindezeleka - Eminye imithi yokwelapha isifo sokuwa - Eminye imithi yokwelapha umdlavuza - Imithi yokwehlisa umfutho wegazi - Ezinye izithasiselo (isib. igalikhi, ijinja) |
Izinto okufanele uziqaphele uma unalo muthi emzimbeni wakho
Ngemva kokuba lo muthi ungeniswe emzimbeni wakho, kunezinto ezimbalwa okudingeka uziqaphele.
Qaphela izingozi ezibangelwa ukungazizwa kahle
Njengoba indawo yokuhlinzwa ingasasebenzi kahle, ngeke uzwe ubuhlungu lapho. Ngakho-ke, kufanele uqaphele ukuthi ungayishayi noma ungayilimazi indawo. Ngisho noma ungazizwa ubuhlungu, lokhu kungaphazamisa ukuphulukiswa kwesilonda.
Gwema ukuthatha eminye imithi yokubulala izinhlungu (ama-NSAID)
Lokhu kubaluleke kakhulu. Lo muthi usuvele uqukethe i-NSAID ebizwa ngokuthi i-Meloxicam. Ngakho-ke,
akufanele neze uthathe amanye ama-NSAID afana ne-Ibuprofen, i-Naproxen, i-Diclofenac ekhemisi ngaphandle kokubuza udokotela wakho. Ukwenza kanjalo kwandisa kakhulu ingozi yemiphumela emibi efana nokopha esiswini kanye nokulimala kwezinso.
Qaphela ukopha esiswini kanye nokulimala.
Ama-NSAID angalimaza ulwelwesi oluvikelayo lwesisu. Ngakho-ke uma uzwa izimpawu ezifana nobuhlungu besisu, indle emnyama, ukuhlanza okufana nokugayiwe kwekhofi, noma ukuhlanza igazi, kungaba uphawu lokopha esiswini. Uma lokhu kwenzeka
, bona udokotela ngokushesha .
Ingozi yokuhlaselwa yinhliziyo kanye nesifo sohlangothi
Ukusetshenziswa isikhathi eside kwama-NSAID kungandisa kancane ingozi yokuqhekeka kwegazi, ukuhlaselwa yinhliziyo, kanye nesifo sohlangothi. Uma usuvele unesifo senhliziyo, kubalulekile ukukhuluma nodokotela wakho ngalokhu. Uma uzwa izimpawu ezifana nobuhlungu besifuba, ubunzima bokuphefumula, noma ukuba ndikindiki kolunye uhlangothi lomzimba wakho, funa iseluleko sezokwelapha ngokushesha.
Ukusabela okukhulu kwesikhumba okungenzeka
Akuvamile kakhulu ukuthi abanye abantu babe nokusabela okukhulu kokungezwani komzimba kulo muthi. Uma uzwa umkhuhlane, izinhlungu zomzimba, ukuqubuka okubomvu, amabhamuza, noma isikhumba esiqhekekayo, kungaba yisimo esibi kakhulu. Ngakho-ke bonana nodokotela ngokushesha.
Yimiphi imiphumela emibi engaba khona?
Njenganoma yimuphi umuthi, lo ungabangela imiphumela emibi kwabanye abantu. Eminye yale miphumela iyingozi, eminye ivamile.
Imiphumela emibi kakhulu okufanele ibikwe kudokotela wakho ngokushesha ivame ukuba mibi kakhulu (kodwa tshela
udokotela wakho uma iqhubeka).
| Uhlobo lomphumela ongemuhle | Izimpawu |
|---|
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi, nobunzima bokuphefumula. |
| Ukopha | Indle emnyama, ukuhlanza igazi noma ikhofi, umchamo obomvu noma onsundu omnyama. |
| Isifo senhliziyo | Ukuqina kwesifuba, ihlombe, ingalo, noma umhlathi, ubunzima bokuphefumula. |
| Isifo sohlangothi | Ukungazweli noma ubuthakathaka ebusweni, engalweni, noma emlenzeni, ubunzima bokukhuluma, ubunzima bokuhamba. |
| Ukulimala kwezinso noma kwesibindi | Ukwehla kokukhishwa komchamo, ukuvuvukala emilenzeni, ukuphuzi kwamehlo noma isikhumba, ubuhlungu engxenyeni ephezulu kwesokudla yesisu. |
| I-Methemoglobinemia (engavamile) | Izindebe noma isikhumba esiluhlaza okwesibhakabhaka, ukukhathala okukhulu, ubunzima bokuphefumula, ukushaya kwenhliziyo okusheshayo. |
| Ukuqunjelwa | Ngokuvamile ingalungiswa ezinsukwini ezimbalwa. |
| Ikhanda elibuhlungu | Kungase kuvele futhi kunyamalale ngamanani amancane. |
| Ukuhlanza | Ngokuvamile okwesikhashana. |
Umlayezo Wokuya Nawe Ekhaya
- I-Bupivacaine ne-Meloxicam uketshezi olukhethekile olufakwa enxebeni lokuhlinzwa ngudokotela ohlinzayo ukulawula ubuhlungu ngemva kokuhlinzwa.
- Ngaphambi kokuba unikezwe lo muthi, qiniseka ukuthi utshela udokotela wakho ngazo zonke izimo zakho zezokwelapha kanye nayo yonke eminye imithi oyithathayo.
- Indawo yokuhlinzwa ayizwakali, ngakho-ke qaphela ukuthi ungayilimazi.
- Ngesikhathi uthatha lo muthi, gwema ukuthatha eminye imithi yokubulala izinhlungu ye-NSAID njenge -Ibuprofen ne-Diclofenac ngaphandle kokubonisana nodokotela wakho.
- Funa usizo lwezokwelapha ngokushesha uma uhlangabezana nanoma yiziphi izimpawu ezinkulu, njengendle emnyama, ubuhlungu besifuba, ubunzima bokuphefumula , noma ukuqubuka kwesikhumba okukhulu.
I-Bupivacaine, i-Meloxicam, ukuhlinzwa, ubuhlungu, izinhlungu zobuhlungu, ukuhlinzwa, imiphumela emibi
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