Ingabe uhlelelwe ukuhlinzwa? Noma ingabe othile emndenini wakho ulungiselela ukuhlinzwa? Isizathu esiyinhloko sokwesaba ukuhlinzwa ubuhlungu obuvela ngemva kokuhlinzwa. Kodwa ungakhathazeki, isayensi yezokwelapha yanamuhla ithuthuke kakhulu. Kunezindlela ezinhle kakhulu neziphephile zokulawula lobu buhlungu. Namuhla sikhuluma ngomuthi okhethekile osetshenziselwa ukulawula ubuhlungu obunjalo.
Iyini ngempela i-Bupivacaine?
Kalula nje, i-Bupivacaine umuthi onikezwa ukuqeda noma ukunciphisa ubuhlungu ngemva kokuhlinzwa noma inqubo yezokwelapha. Ingowesigaba semithi ebizwa ngokuthi ' i-local anesthetics'.
Cabanga ukuthi kunezintambo ezincane zemizwa emzimbeni wakho ezithwala 'izibonakaliso zobuhlungu' kusukela lapho uzwa khona ubuhlungu buya ebuchosheni. Lo muthi okwenziwa yilo muthi uya endaweni efanele kuphela, okungukuthi, endaweni lapho kwenziwa khona ukuhlinzwa, futhi 'uqeda' okwesikhashana imizwa ethwala lezo zibonakaliso zobuhlungu. Kufana 'nokucima' ucingo lukagesi isikhashana. Khona-ke ubuhlungu abuyi ebuchosheni, ukuze ungabuzwa ubuhlungu. Lokhu akuwuqedi umzimba wonke, njengokungathi ulele, kumane kuqede indawo lapho ubuhlungu bukhona.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
Nakuba i-Bupivacaine ingumuthi ophephile kakhulu, kubalulekile ukuthi udokotela wakho azi kahle ngesimo sakho sezokwelapha. Lokhu kungenxa yokuthi kufanele kuthathwe ukunakekelwa okukhethekile lapho unikeza lo muthi kubantu abanezimo ezithile zezokwelapha. Ngakho-ke, uma unezinye zezimo zezokwelapha ezibalwe ngezansi, qiniseka ukuthi uyamtshela udokotela wakho.
| Ukugula noma isimo | Kungani kubalulekile ukwazisa udokotela? |
|---|---|
| Ukuntuleka kwama-enzyme njengokuntuleka kwe-G6PD | Lesi yisifo segazi esidluliselwa ngofuzo esingabangela ukusabela okungekuhle emithini ethile. |
| Isifo senhliziyo | Ngoba kungathinta ukusebenza kwenhliziyo. |
| Isifo sezinso | Ngoba izinso zihilelekile enqubweni yokukhipha imithi emzimbeni. |
| Isifo sesibindi | Ngoba isibindi sibalulekile ekuhlukaniseni imithi emzimbeni. |
| Umfutho wegazi ophansi | Lo muthi ungabangela ukwehla komfutho wegazi lakho nakakhulu. |
| Isifo samaphaphu | Ngoba kungathinta ukusebenza kohlelo lokuphefumula. |
| Ukungezwani komzimba ne-Bupivacaine noma eminye imithi, ukudla, noma udayi | Lokhu kubaluleke kakhulu ukuvimbela ukusabela kokungezwani komzimba. |
| Uma ukhulelwe noma uzama ukukhulelwa | Ukucabangela ukuthi kungaba khona yini umthelela enganeni esibelethweni. |
| Uma ungumama oncelisayo | Ukucabanga ukuthi umuthi udlulela enganeni ngobisi lwebele. |
Ngingakunika kanjani lo muthi?
Lona akuwona umuthi ongawuthatha ekhaya. Unikezwa njengomjovo, lapho ubuhlungu bukhona khona. Unikezwa esibhedlela noma emtholampilo ngudokotela wakho noma ithimba lezokwelapha eliqeqeshiwe. Ngakho-ke awunalutho okufanele ukhathazeke ngalo.
Into ebaluleke kakhulu ukuthi lo muthi ungowakho wedwa. Ungalokothi wabelane ngalo muthi nanoma ubani, noma ngabe unezimpawu ezifana nezakho.
Yini okufanele uyenze uma uphuza ngokweqile?
Njengoba lokhu kunikezwa esibhedlela, ingozi yokudlula ngokweqile iphansi kakhulu. Kodwa-ke, uma ucabanga ukuthi kungenzeka ukuthi uke wadlula ngokweqile, ungesabi futhi wazise ithimba lezokwelapha ngokushesha. Ngaphandle kwalokho, kufanele ushayele iNational Poisons Information Centre eColombo National Hospital ngokushesha, noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Eminye imithi engasebenzisana ne-Bupivacaine
Eminye imithi oyithathayo ingase ihlangane ne-Bupivacaine. Lokhu kusho ukuthi uma le mithi emibili ithathwa ndawonye, ukusebenza kahle komunye kungashintshwa noma imiphumela emibi inganda.
Ngakho-ke, nikeza udokotela wakho uhlu oluphelele lwazo zonke izidakamizwa ozithathayo, kungakhathaliseki ukuthi uzinikezwe udokotela, uzithenge ngaphandle kwemithi kadokotela, amavithamini, imithi yendabuko, imithi ye-Ayurvedic, noma yini enye oyisebenzisayo . Tshela udokotela wakho futhi uma ubhema noma uphuza utshwala.
Eminye imithi engasebenzisana ne-Bupivacaine ifaka:
- I-Acetaminophen (i-paracetamol)
- Ezinye izinhlobo zama-antibiotic
- Eminye imithi esetshenziswa ukwelapha izimo ezifana nokuquleka (isb. i-phenobarbital, i-phenytoin)
- Imithi efana ne-Nitroglycerin yesifo senhliziyo
- Ezinye izinhlobo zemithi yokubulala izinzwa yendawo njenge-Lidocaine, i-Tetracaine
- Eminye imithi eminingi...
Lolu hlu aluphelele. Yingakho kubalulekile ukutshela udokotela wakho ngakho konke okuthathayo.
Izinto okufanele uziqaphele ngemva kokuthatha umuthi
Ithimba lakho lezokwelapha lizoqapha isimo sakho eduze ngenkathi uthola lo muthi, kodwa kukhona okubalulekile okufanele ukuqaphele.
Okusho ukuthi, awuzizwa ubuhlungu kuleyo ndawo ngoba indawo lapho umuthi unikezwe khona ayizwakali. Cabanga ukuthi unikezwe lo muthi wokuhlinzwa edolweni. Ngaleso sikhathi, idolo lakho lalizwakali ngakho awuzwanga ubuhlungu. Ngakho-ke, uma leyo ndawo ishaywa, ilimele, noma izwa ukushisa, awuqondi. Ngakho-ke, udinga ukuqaphela kakhulu kuze kube yilapho ukungazwakali sekuphelile ngokuphelele. Qiniseka ukuthi akukho ngozi kuleyo ndawo.
Imiphumela emibi engase ivele ngenxa yemithi
Njenganoma yimuphi umuthi, i-Bupivacaine ingabangela imiphumela emibi. Kodwa-ke, akuwona wonke umuntu oyitholayo. Eminye iyingozi, kanti eminye imnene. Into ebaluleke kakhulu ukuqaphela lezi zimpawu bese utshela udokotela noma umhlengikazi wakho ngokushesha uma ubona noma yini eyingozi.
| Imiphumela emibi okufanele ibikwe eqenjini lakho lezokwelapha ngokushesha | |
|---|---|
| Umphumela ongemuhle | Incazelo |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo, ubunzima bokuphefumula. |
| Izinguquko ekushayeni kwenhliziyo | Ukuzizwa sengathi inhliziyo yakho ishaya ngokushesha noma ngokungajwayelekile, isiyezi, ubuhlungu besifuba, nobunzima bokuphefumula. |
| Ukuquleka | Ukuthuthumela komzimba, ukulahlekelwa ukwazi. |
| Izinguquko ekucindezelweni kwegazi | Umfutho wegazi ophezulu noma ophansi (isiyezi, ukubona okufiphele, ukuzizwa uphelelwe amandla). |
| Izimpawu ze-Methemoglobinemia | Lesi yisimo esingavamile lapho ikhono legazi lokuthwala umoya-mpilo liphazamiseka khona. Izimpawu zifaka phakathi ikhanda elibuhlungu, ukukhathala okukhulu, ukuphefumula kanzima, isicanucanu, ukushaya kwenhliziyo okusheshayo, kanye nesikhumba noma izindebe eziluhlaza okwesibhakabhaka. |
| Ukwehla komsebenzi wesimiso sezinzwa esiyinhloko (ukucindezeleka kwe-CNS) | Ukuphefumula kancane noma kancane, ukozela ngokweqile, ubunzima bokuhlala uqaphile, ukudideka. |
| Izinto ezingavamile ukuba zimbi kakhulu, kodwa okufanele zibikwe eqenjini lezokwelapha uma ziqhubeka | |
| Isicanucanu | Ukuzizwa sengathi uhlanza. |
| Ukuhlanza | - |
| Ukozela | - |
| Ukukhathazeka noma ukwethuka | - |
Lolu hlu lungase lungabi nayo yonke imiphumela emibi. Uma unemiphumela emibi engavamile ocabanga ukuthi ingase ibangelwe yilo muthi, khuluma nodokotela wakho ngakho.
Umlayezo Wokuya Nawe Ekhaya
- I-Bupivacaine iyisidakamizwa sokudambisa ubuhlungu sendawo esisetshenziselwa ukulawula ubuhlungu ngemva kokuhlinzwa.
- Lo muthi unikezwa yithimba lezokwelapha esibhedlela, ngakho-ke awunalutho okufanele ukhathazeke ngalo.
- Kubaluleke kakhulu ukutshela udokotela wakho nganoma yiziphi ezinye izimo zezokwelapha onazo kanye nayo yonke imithi oyiphuzayo.
- Njengoba indawo izoba ndikindiki ngemva kokunikezwa umuthi, qaphela kakhulu ukuthi ungalimazi indawo kuze kube yilapho indikindiki iphela.
- Uma uhlangabezana nanoma yimiphi imiphumela emibi efana nobunzima bokuphefumula, ubuhlungu besifuba, noma ukuvuvukala kobuso, yazisa ithimba lezokwelapha ngokushesha .
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