Uma wena noma othile omaziyo uzohlinzwa, ungase wesabe kancane noma ube nesifiso sokwazi "nge-analgesia." Empeleni inqubo ephephile kakhulu, eyenziwa ngaphansi kokuqondisa kochwepheshe. Izinhlobo ezahlukene zemithi zisetshenziselwa ukunikeza i-anesthesia (i-analgesia). Namuhla, sizokhuluma ngomuthi okhethekile ophefumulwa emzimbeni futhi osiza ekunciphiseni ubuhlungu futhi ugcine uphilile futhi uphephile.
Kuyini i-Desflurane?
Kalula nje, i-Desflurane iyisidakamizwa esiza ngesimo soketshezi, kodwa uma isetshenziswa, iguqulwa ibe yigesi (umhwamuko) ngedivayisi ekhethekile bese ivunyelwa ukuthi iphefumulelwe. Isetshenziswa kakhulu njengesidakamizwa sokubulala izinzwa. Okusho ukuthi, inikezwa ukuze ikwenze ungazi futhi ungezwa ubuhlungu ngesikhathi sokuhlinzwa noma ukuhlolwa kwezokwelapha. Ungayibona le mithi ngaphansi kwegama lomkhiqizo i-Suprane.
Lona akusiwo nje umuthi onikezwa isilevu. Unikezwa udokotela obulala izinzwa endaweni elawulwayo, njengegumbi lokuhlinza esibhedlela.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokunikeza lo muthi
Lokhu kubaluleke kakhulu ngenxa yokuphepha kwakho. Udokotela wezinzwa uzokubuza ngalezi zinto ngaphambi kokuba uhlinzwe. Ngaleso sikhathi, kubalulekile ukuthi ukhulume iqiniso ngaphandle kokufihla lutho .
| Ingabe unalezi zimo? | Kungani lokho kubalulekile? |
|---|---|
| Umlando womndeni womkhuhlane omkhulu ngesikhathi sokubulala izinzwa (i-Malignant Hyperthermia) | Lokhu kuyindlela engavamile kakhulu kodwa esongela ukuphila ngenxa yokubulala izinzwa. Uma kukhona emndenini wakho oke waba nalokhu, kubalulekile ukumtshela. |
| Isimila sobuchopho noma ingcindezi ekhanda | Njengoba lezi zinhlobo zemithi yokubulala izinzwa zingashintsha ukucindezeleka kobuchopho, udokotela kufanele aqaphele lokhu. |
| Isifo senhliziyo | Ngenxa yokuthi le mithi ingathinta ukusebenza kwenhliziyo, kubalulekile ukuthi udokotela wakho azi ngesimo senhliziyo yakho. |
| Isifo sesibindi | Ngenxa yokuthi isibindi sidlala indima ebalulekile ekususeni izidakamizwa emzimbeni, kubalulekile ukuqaphela izifo zesibindi. |
| Izifo ze-neuromuscular (isib. i-Duchenne Muscular Dystrophy) | Abantu abanalezi zimo bangase basabele ngendlela ehlukile emithini yokubulala izinzwa. |
| Ukungezwani nokudla, umuthi, noma idayi | Uma une-allergy ku-Desflurane noma kunoma iyiphi enye i-anesthetic, kubalulekile ukusazisa. |
| Uma ukhulelwe noma uzama ukukhulelwa | Kufanele kuqashelwe ngokukhethekile lapho kusetshenziswa noma yimuphi umuthi ngesikhathi sokukhulelwa. |
| Uma umntwana enceliswa ibele | Kufanele ukhulume nodokotela wakho mayelana nokuthi umuthi udlulela enganeni yakho ngobisi lwebele yini. |
Ngingawusebenzisa kanjani lo muthi futhi kwenzekani ngemva kwalokho?
Lona akuwona umuthi owuthatha uye ekhaya uwusebenzise wedwa. Unikezwa esibhedlela noma emtholampilo ngudokotela wezinzwa kanye nabasebenzi abaqeqeshiwe . Uphefumula lo moya, ngokuvamile ngemaski ebusweni bakho. Ngemva kwesikhashana, uzolala futhi ungezwa lutho kuze kube yilapho ukuhlinzwa kuphelile.
Ingabe lo muthi unganikezwa izingane?
Yebo, kwezinye izimo, lo muthi unikezwa ngisho nezinsana ezisanda kuzalwa. Kodwa kuthathwa izinyathelo zokuphepha ezikhethekile. Uma ingane yakho izohlinzwa, xoxa ngalokhu nodokotela wezingane kanye nodokotela wezinzwa.
Into ebaluleke kakhulu ukuthi izinga lokushaya kwenhliziyo yakho, umfutho wegazi, kanye nokuphefumula kuhlale kubhekwa yimishini phakathi nokuhlinzwa. Ngakho-ke asikho isizathu sokwesaba.
Eminye imithi engasebenzisana ne-Desflurane
Eminye imithi oyithathayo ingase ihlangane nale mithi yokubulala izinzwa. Ngakho-ke, kufanele utshele udokotela wakho wezinzwa ngayo yonke imithi oyithathayo, ngisho namavithamini .
Izinhlobo eziyinhloko zemithi okufanele ukhathazeke ngayo yilezi:
- Imithi yezifo zengqondo ezifana nokucindezeleka nokukhathazeka.
- Amaphilisi okulala.
- Eminye imithi enamandla yokudambisa izinhlungu, ikakhulukazi imithi yezidakamizwa.
- Imithi enikezwa ukuphumuza imisipha ngesikhathi sokuhlinzwa (ama-neuromuscular blockers).
Futhi, uma usebenzisa utshwala, ugwayi, noma ezinye izidakamizwa, qiniseka ukuthi utshela udokotela wakho ngakho.
Yimiphi imiphumela emibi engingayithola?
Njenganoma yimuphi umuthi, i-Desflurane ingabangela imiphumela emibi. Iningi lale miphumela lingokwesikhashana. Kodwa-ke, kunezinto ezithile okufanele uziqaphele. Lolu lwazi aluhloselwe ukukwesabisa, kodwa ukukufundisa.
| Umphumela/izimpawu ezingemuhle | Incazelo nokuthi yini okufanele uyenze |
|---|---|
| Izimpawu okufanele uzibike kudokotela wakho noma kumhlengikazi ngokushesha | |
| Ukusabela okukhulu kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, noma ulimi. Lokhu kufanele kubikwe ngokushesha. |
| Ubunzima bokuphefumula | Ubunzima bokuphefumula, ukuphelelwa umoya, njll. |
| Izimpawu zokulimala kwesibindi | Umchamo omnyama, ukuphuzi kwamehlo noma isikhumba (i-jaundice), ubuhlungu ohlangothini oluphezulu kwesokudla lwesisu, kanye nokuzizwa ushisa. |
| Izinguquko ekushayeni kwenhliziyo | Ukuzizwa sengathi inhliziyo yakho ishaya ngokushesha noma ngokungajwayelekile. |
| Isiyezi noma i-vertigo | Ukuzizwa ubuthakathaka, isiyezi, kanye nokuquleka. |
| Izimpawu ezivame ukungabi zimbi kakhulu, kodwa okufanele zibikwe kudokotela uma ziqhubeka | |
| Ukukhwehlela | Ukukhwehlela kwesikhashana okungenzeka ngemva kokubulala izinzwa. |
| Ukozela | Kuvamile ukuzizwa ulele usuku olulodwa noma ezimbili ngemva kokuhlinzwa. |
| Isicanucanu nokuhlanza | Lona umphumela ovamile wecala. Odokotela bazokunikeza imithi edingekayo. |
Okubalulekile: Uma uhlangabezana nanoma yimiphi imiphumela emibi engenhla ngemuva kokubuyela ekhaya usuka esibhedlela, hamba ngokushesha eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze. Uma ungabaza, ungashayela neNational Poisons Information Centre eColombo National Hospital ukuze uthole iseluleko.
Umlayezo Wokuya Nawe Ekhaya
- I-Desflurane iyisidakamizwa sokubulala izinzwa esiphefumulayo esisetshenziselwa ukuqeda ubuhlungu ngesikhathi sokuhlinzwa.
- Lokhu kunikezwa esibhedlela kuphela, ngaphansi kokuqondisa kukadokotela obulala izinzwa.
- Ngaphambi kokuhlinzwa, qiniseka ukuthi utshela udokotela wakho ngazo zonke izimo zakho zezokwelapha kanye nayo yonke imithi oyiphuzayo.
- Ngemva kokusebenzisa i-anesthesia, gwema ukushayela noma ukusebenzisa imishini, ngoba kungase kube nobuthongo kanye nesiyezi. Gwema utshwala ngokuphelele.
- Ngemva kokuphuma esibhedlela, uma kuvela izimpawu ezinkulu ezifana nobunzima bokuphefumula, ukusabela okukhulu kokungezwani komzimba, noma ukuphuzi kwesikhumba, funa iseluleko sezokwelapha ngokushesha noma uye ku-ETU eseduzane.
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