Wake wadinga ukuhlinzwa okuncane noma okukhulu? Noma uhlela ukukwenza esikhathini esizayo? Uma kunjalo, kuyinto evamile ukwesaba kancane ubuhlungu obuvela ngemva kokuhlinzwa. Kodwa ungakhathazeki, umuthi wanamuhla usuthuthuke kakhulu. Odokotela basebenzisa izindlela ezahlukene ukulawula lobu buhlungu. Namuhla, sikhuluma ngesisombululo esikhethekile sezokwelapha esisetshenziswa enxebeni lokuhlinzwa uqobo futhi sisetshenziselwa ukuvimbela ubuhlungu amahora amaningana.
Uyini lo muthi? (Bupivacaine; Meloxicam)
Kalula nje, lokhu kuyinhlanganisela yemithi emibili. Ithengiswa ngaphansi kwegama elithi ``ZYNRELEF''. Iqukethe imithi emibili, i-Bupivacaine ne -Meloxicam .
Cabanga ngakho njengenaliti udokotela akunika yona ngaphambi kokukhipha izinyo. Lokho kuyayiqeda indawo, akunjalo? I-Bupivacaine kulokhu yiyo eqeda okwesikhashana imizwa lapho uhlinzwe khona. Khona-ke leyo mizwa ayibe isathumela izimpawu zobuhlungu ebuchosheni, bese uzizwa ubuhlungu buncane.
Umuthi wesibili yi -Meloxicam . Lo umuthi wokuqeda izinhlungu futhi umuthi onciphisa ukuvuvukala. Kwezokwelapha, siwubiza ngokuthi `(NSAID - Non-Steroidal Anti-Inflammatory Drug)`. Lo muthi ulawula ukuvuvukala kanye nokubomvu kwesilonda ngemva kokuhlinzwa. Ngakho-ke, ukuhlanganiswa kwale mithi emibili kuzokunikeza impumuzo enkulu ebuhlungwini bokuhlinzwa cishe amahora angama-72.
Into ebalulekile ukuthi, lokhu akuyona imithi ongayithatha uye nayo ekhaya. Kuyisisombululo esikhethekile udokotela asifaka enxebeni ngesikhathi sokuhlinzwa esibhedlela noma emtholampilo.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokunikeza lo muthi
Ngaphambi kokunquma ukuthi lo muthi ukulungele yini, udokotela wakho kuzodingeka azi umlando wakho wezempilo ophelele. Qiniseka ukuthi utshela udokotela wakho uma unezinye zezimo ezilandelayo:
| Isimo sempilo noma umkhuba | Incazelo |
|---|---|
| Izifo zokuphefumula | Uma unezifo zamaphaphu njenge-asthma. |
| Izinkinga zokopha | Uma unesifo sokopha. |
| Ukuhlinzwa kwenhliziyo | Uma usanda (phakathi kwamasonto amabili) uke wahlinzwa i-heart bypass (i-Coronary Artery Bypass Graft - CABG). |
| Isifo senhliziyo kanye nomfutho wegazi | Izimo ezifana nesifo senhliziyo, umfutho wegazi ophezulu noma ophansi. |
| Izinkinga zesisu namathumbu | Uma uke waba nezilonda esiswini noma ukopha esikhathini esidlule. |
| Isifo sezinso noma sesibindi | Uma unesimo sezempilo esihlobene nokusebenza kwezinso noma kwesibindi. |
| Eminye imikhuba nezimo | Uma uphuza utshwala nsuku zonke, ubhema, noma unesifo sokuntuleka kwe-G6PD. |
| Ukungezwani komzimba | Uma une-allergies ku-Bupivacaine, i-Meloxicam, i-Aspirin noma amanye ama-NSAID, eminye imithi, ukudla, noma udayi. |
| Ukukhulelwa | Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa. |
Kuthiwani uma kukhona ukweqisa lo muthi?
Njengoba lo muthi unikezwa udokotela esibhedlela, ingozi yokudlula ngokweqile iphansi kakhulu. Kodwa-ke, uma ucabanga ukuthi kungenzeka ukuthi uke wadlula ngokweqile, kufanele ushayele iNational Poison Information Centre ngokushesha eNational Hospital , noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
Ukusebenzisana nezinye izidakamizwa
Lo muthi ungabangela izinkinga uma uthathwa neminye imithi, ngakho-ke kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi oyithathayo, okuhlanganisa amavithamini, imikhiqizo yamakhambi, kanye nezithasiselo .
I-ZYNRELEF akufanele isetshenziswe kanye nale mithi ikakhulukazi:
- I-Cidofovir
- I-Ketorolac (esinye isiqeda-zinhlungu esinamandla)
Ngaphezu kwalokho, izinkinga zingavela futhi ngemithi elandelayo:
- Amanye amaphilisi okudambisa izinhlungu (isib. i-Aspirin, i-Ibuprofen, i-Naproxen)
- Imithi evimbela ukujiya kwegazi (isib. i-Warfarin)
- Eminye imithi yokwelapha umfutho wegazi ophakeme kanye nesifo senhliziyo
- Izinhlobo eziningana zama-antibiotic
- Imithi yokuhlanza
- Imithi yokucindezeleka (SSRIs, SNRIs)
- Izinhlobo zemithi enikezwayo yokwelapha isifo sokuwa
- Eminye imithi ethile efana neLithium, iMethotrexate
Lolu hlu aluphelele, ngakho-ke kungcono ukutshela udokotela wakho ngayo yonke imithi oyithathayo ngaphambi kokuhlinzwa.
Izinto okufanele uziqaphele ngemva kokuthatha lo muthi
1. Qaphela indawo enesithukuthezi: Njengoba indawo lapho ukuhlinzwa kwenziwe khona isithukuthezi, ngeke uzwe ubuhlungu. Ngakho-ke, kufanele uqaphele ukuthi ungayilimazi, ungayilimazi, noma uyishise indawo.
2. Yazisa abanye odokotela: Uma udinga ukuhlinzwa noma ukwelashwa okunye zingakapheli izinsuku ezi-4 kusukela uphuze lo muthi, tshela udokotela ukuthi uwutholile lo muthi.
3. Qaphela ukopha esiswini: I-Meloxicam (i-NSAID) kulo muthi ngezinye izikhathi ingabangela izilonda zesisu noma ukopha. Ukubhema, ukuphuza utshwala, ukuguga, nokuba nempilo embi kungandisa le ngozi. Uma unezinhlungu zesisu ezingazelelwe, ukuhlanza okufana nekhofi, noma indle emnyama, ephuzile , funa iseluleko sezokwelapha ngokushesha.
Imiphumela emibi engaba khona
Njenganoma yimuphi umuthi, lo ungaba nemiphumela emibi. Eminye iyingozi, eminye ivamile.
| Umphumela ongemuhle | Izimpawu |
|---|---|
| Imiphumela emibi kakhulu okufanele ibikwe kudokotela wakho noma ku-ETU ngokushesha | |
| Ukusabela okukhulu kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo, ubunzima bokuphefumula. |
| Ukopha | Indle emnyama, ukuhlanza okufana nekhofi eligayiwe, umchamo obomvu/onsundu omnyama, amabala abomvu/onsomi esikhumbeni. |
| Isifo senhliziyo | Ukuqina/ubuhlungu esifubeni, ehlombe, engalweni, noma emhlathini, isicanucanu, ubunzima bokuphefumula. |
| Isifo sohlangothi | Ukungazweli/ubuthakathaka ebusweni, engalweni, noma emlenzeni, ubunzima bokukhuluma, ukudideka, ubunzima bokuhamba. |
| Ukulimala kwezinso noma kwesibindi | Ukwehla kokuphuma komchamo, ukuvuvukala kwamaqakala/izandla/izinyawo, ukuphuzi kwamehlo/isikhumba, ubuhlungu ohlangothini olungaphezulu kwesokudla lwesisu. |
| I-Methemoglobinemia | Ikhanda elibuhlungu, ukukhathala okukhulu, ukuphelelwa umoya, ukushaya kwenhliziyo okusheshayo, isikhumba esiluhlaza noma izindebe (lesi yisimo esithinta amandla okuthwala umoya-mpilo egazini). |
| Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela uma iqhubeka | |
| Ukuqunjelwa | Ubunzima bokuya endlini yangasese. |
| Ikhanda elibuhlungu | Ikhanda elibuhlungu. |
| Ukuhlanza | Ukuhlanza okubangelwa isicanucanu. |
Umlayezo Wokuya Nawe Ekhaya
- I-`ZYNRELEF` iyisisombululo esikhethekile sezokwelapha esisetshenziswa ngqo enxebeni lokuhlinzwa ukulawula ubuhlungu ngemva kokuhlinzwa.
- Ngaphambi kokuba unikezwe lo muthi, qiniseka ukuthi utshela udokotela wakho ngazo zonke izimo zakho zezokwelapha kanye nayo yonke imithi oyithathayo.
- Njengoba indawo yokuhlinzwa izoba ndikindiki ngemva kokunikezwa umuthi, kungumthwalo wakho wemfanelo ukuqaphela ukuthi ungayilimazi indawo.
- Uma uhlangabezana nanoma yiziphi izimpawu zomphumela omubi kakhulu njengokuphuma kwegazi esiswini, ukuhlaselwa yinhliziyo, ukukhubazeka, noma ukusabela okukhulu kokungezwani komzimba, funa iseluleko sezokwelapha ngokushesha ngaphandle kokulibala noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
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