Uma uzohlinzwa maduze nje, okunye kokwesaba kwakho okukhulu ubuhlungu obuzolandela. "O, dokotela, ingabe kuzobuhlungu kakhulu ngemva kwalokho?" Sonke siyabuza, akunjalo? Lokho kwesaba kuyafaneleka. Kodwa, ngenhlanhla, namuhla, ngenxa yentuthuko yesayensi yezokwelapha, kunezindlela eziningi ezinhle zokulawula ubuhlungu obuvela ngemva kokuhlinzwa. Ngakho-ke namuhla sizokhuluma ngomuthi okhethekile osetshenziswa odokotela ukulawula lobu buhlungu. Ubizwa ngokuthi i-Bupivacaine.
Iyini le Bupivacaine?
Kalula nje, i-Bupivacaine umuthi wokwenza izinzwa zingasebenzi kahle onikezwa ukuze unciphise indawo ezungeze isilonda sokuhlinzwa ngesikhathi noma ngemva kokuhlinzwa. Kufana nomuthi wokwenza izinzwa zingasebenzi kahle owunika izinsini zakho ngaphambi kokukhipha izinyo, kodwa uhlobo olukhethekile nolunamandla olusetshenziswa emanxebeni okuhlinzwa.
Lokhu kufakwa ngqo endaweni lapho kwenziwa khona ukuhlinzwa, okungukuthi, ezicutshini ezizungeze inxeba. Lokhu kuqeda imizwa okwesikhashana kuleyo ndawo futhi kuvimbele izimpawu zobuhlungu ukuthi ziye ebuchosheni. Lokhu kusho ukuthi uzozwa ubuhlungu obuncane kakhulu amahora ambalwa ngemva kokuhlinzwa. Lokhu kusho ukuthi uzokhululeka kakhulu ngesikhathi sokululama kwakho.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokunikeza lo muthi
Ngaphambi kokukunikeza lo muthi, udokotela wakho kuzodingeka azi umlando wakho wezokwelapha ophelele. Lokhu kungenxa yokuthi ezinye izimo zezokwelapha zidinga ukunakekelwa okukhethekile lapho usebenzisa lo muthi. Ngakho-ke, uma unezinye zezimo ezibalwe ngezansi, qiniseka ukuthi utshela udokotela wakho ngakho. Ungakushayi indiva, ngoba ukuphepha kwakho kuyinto ebaluleke kakhulu.
| Ukugula noma isimo | Kungani kufanele unikeze ulwazi? |
|---|---|
| Ukungezwani komzimba ne-Bupivacaine noma eminye imithi yokwehlisa izimpawu (isib. i-Lidocaine) | Ukugwema ukubangela ukusabela okukhulu kokungezwani komzimba. |
| Isifo senhliziyo | Abantu abanesifo senhliziyo badinga ukunakwa okukhethekile ngoba imiphumela yalo muthi ingase ihluke. |
| Isifo sesibindi noma sezinso | Ngoba kungathinta inqubo yokususa izidakamizwa emzimbeni. |
| Umfutho wegazi ophansi | Ngoba lo muthi unganciphisa umfutho wegazi kakhulu. |
| Izifo zamaphaphu (isib. i-asthma, i-COPD) | Ukuqaphela ingozi yezinkinga zokuphefumula. |
| Ukuntuleka kwe-G6PD | Lesi yisimo esingavamile esihlobene negazi esidinga ukunakekelwa okukhethekile. |
| Ukukhulelwa, ukuzama ukukhulelwa, noma ukuncelisa | Ukucabangela imiphumela engaba khona enganeni bese kuthathwa isinqumo esingcono kakhulu. |
Uyisebenzisa kanjani le mithi?
Into ebalulekile ukuthi, lo muthi awusiwo umuthi ongawuthatha ekhaya. Imijovo ye-Bupivacaine inikezwa esibhedlela noma emtholampilo kuphela ngudokotela oqeqeshiwe noma abasebenzi abahlengikazi.
Ngokuvamile ifakwa ezicutshini ezizungeze isilonda sokuhlinzwa ngesikhathi noma ngemva kokuhlinzwa, ngakho akudingeki ukhathazeke ngokulahlekelwa umthamo.
Uma kunenkinga engazelelwe yokudlula lo muthi ngokweqile, kuzokwenzeka esibhedlela futhi abasebenzi bezokwelapha bazothatha isinyathelo ngokushesha. Esimweni esinjalo, bangashayela neNational Poisons Information Centre eColombo National Hospital bathole iseluleko esidingekayo. Futhi, isiguli sizolaliswa ngokushesha e-Emergency Treatment Unit (ETU) futhi kuzonikezwa ukwelashwa okudingekayo.
Eminye imithi engasebenzisana ne-Bupivacaine
Uma uthatha eminye imithi, kubalulekile ukutshela udokotela wakho ngayo. Eminye imithi ingasebenzisana ne-Bupivacaine futhi ibangele imiphumela engafuneki. Tshela udokotela wakho ngayo yonke imithi oyithathayo, hhayi nje leyo enqunywe udokotela wakho, kodwa futhi nemithi yokubulala izinhlungu, amavithamini, kanye nemithi yamakhambi oyithenga ekhemisi.
Yimiphi imiphumela emibi engaba khona?
Njenganoma yimuphi umuthi, i-Bupivacaine ingabangela imiphumela emibi kwabanye abantu. Kodwa-ke, akuwona wonke umuntu oyitholayo. Eminye iyingozi futhi idinga ukubikwa ngokushesha. Eminye ivamile futhi iyanyamalala ngemva kwesikhashana. Ake sibone ukuthi iyini.
| Umphumela ongemuhle | Incazelo |
|---|---|
| Imiphumela emibi okufanele uyibike kudokotela wakho noma kumhlengikazi ngokushesha: | |
| Ukusabela okukhulu kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo, ubunzima bokuphefumula. |
| Izinguquko ekushayeni kwenhliziyo | Ukuzwa sengathi inhliziyo yakho ishaya ngokushesha noma ngokungajwayelekile, isiyezi, ubuhlungu besifuba. |
| Ukucindezeleka kwesistimu yezinzwa ephakathi (ukucindezeleka kwe-CNS) | Ukuphefumula kancane noma kancane, ukozela ngokweqile, kanye nokudideka. |
| Ukuquleka | Umzimba uyathuthumela, uyaqhaqhazela. |
| I-Methemoglobinemia | Ubunzima bokuphefumula, ukushintsha kombala womlomo, izinzipho, noma isikhumba, ukukhathala okukhulu, ikhanda elibuhlungu. (Lesi yisimo esingavamile kodwa esibucayi). |
| Izinto ezingavamile ukuba zimbi kakhulu, kodwa okufanele zibikwe kudokotela uma ziqhubeka | |
| Isiyezi, ikhanda elibuhlungu | Kungenzeka ukuthi kungokwesikhashana, kodwa ngazise uma kuqhubeka. |
| Ukuhlanza, isicanucanu | Lokhu kungenzeka futhi ngemva kokuhlinzwa. |
| Ukushintsha kokunambitheka emlonyeni | Ukuzwa ukunambitheka kwensimbi emlonyeni. |
| Ukukhala ezindlebeni | Ukuzwa umsindo wokukhala ezindlebeni. |
Nakekela indawo engenalutho!
Lokhu kubaluleke kakhulu. Njengoba indawo lapho ukuhlinzwa kwakho kwenziwe khona ivalwe yi-Bupivacaine injection, ngeke uzwe ubuhlungu kuleyo ndawo. Ngakho-ke, kunethuba elikhulu lokulimala noma ingozi kuleyo ndawo. Isibonelo, ungase ungazizwa ubuhlungu uma ushaywa, usikeka, noma ushiswe noma kuphi kuleyo ndawo. Ngakho-ke, kufanele uqaphele kakhulu ngaleyo ndawo kuze kube yilapho ukungabi nabuhlungu sekuphelile ngokuphelele. Qaphela ngalokho.
Umlayezo Wokuya Nawe Ekhaya
- I-Bupivacaine iwumjovo oqeda izinhlungu onikezwa esibhedlela kuphela ukuze kuncishiswe ubuhlungu ngemva kokuhlinzwa.
- Qiniseka ukuthi utshela udokotela wakho ngazo zonke izimo zakho zezokwelapha (ikakhulukazi isifo senhliziyo, sesibindi, kanye nesezinso) kanye nayo yonke imithi oyiphuzayo.
- Vikela indawo engasebenzi kahle emiphumeleni yomuthi ekulimaleni. Qaphela kakhulu ngoba ngeke uzwe ubuhlungu.
- Yazisa abasebenzi bezokwelapha ngokushesha uma ubona noma yimiphi imiphumela emibi efana nobunzima bokuphefumula, ubuhlungu besifuba, noma ukuvuvukala kobuso.
- Uma unemibuzo noma ukukhathazeka ngalo muthi noma ngesimo sakho, ungesabi ukukhuluma nodokotela wakho noma umhlengikazi.
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