Wake wadinga ukuhlinzwa? Noma wake wadinga ukuhlinzwa okukhulu kwezokwelapha? Kuvamile ukuzizwa ukhathazekile kancane ngezikhathi ezinjalo. Ngakho-ke, kunemithi ekhethekile odokotela abayisebenzisayo ukukuthulisa, bakwenze uzizwe ulele kancane, futhi bakusize udlule kule nqubo kalula. Namuhla sizokhuluma ngomjovo owodwa onjalo, i-Dexmedetomidine, esetshenziswa kuphela ezibhedlela.
Kalula nje, iyini i-Dexmedetomidine?
I-Dexmedetomidine (i-DEX-mede-tom-deen) umuthi othulisa uhlelo lwakho lwezinzwa futhi ukwenze ulale. Ngokuvamile isetshenziselwa ukukugcina uphumule ngaphambi nangesikhathi senqubo yezokwelapha. Inikezwa njengomjovo emthanjeni. Akuyona umuthi ongawuthenga ekhemisi bese uwuthatha uye nawo ekhaya. Inikezwa esibhedlela noma emtholampilo kuphela, ngaphansi kokuqondisa kukadokotela. Ngezinye izikhathi ungase uwubone lo muthi ngaphansi kwegama lomkhiqizo i-Precedex.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
Ngaphambi kokuba unqume ukukunikeza lo muthi, udokotela wakho uzofuna ukwazi umlando wakho wezempilo ophelele. Qiniseka ukuthi ubatshela nganoma yiziphi izimo ezilandelayo, ikakhulukazi:
| Isimo sakho sempilo | Kungani isaziso sibalulekile? |
|---|---|
| Isifo Sikashukela (i-Diabetes Mellitus) | Lo muthi ungathinta amazinga kashukela egazini. |
| Isifo senhliziyo | Ngoba kungenzeka ukuthi kwehlise izinga lokushaya kwenhliziyo kanye nomfutho wegazi. |
| Umfutho wegazi ophakeme | Ngoba kungenzeka izinguquko ezisheshayo ekucindezelweni kwegazi. |
| Isifo sesibindi | Ngoba inqubo yokususa umuthi esibindini ingase yehliswe ijubane. |
| Ukungezwani komzimba | Uma une-allergy ku-dexmedetomidine noma eminye imithi, ukudla, noma udayi. |
| Ukukhulelwa noma ukukhulelwa | Ukucabangela umthelela ongaba khona embungwini. |
| Ukuncelisa | Ukucabanga ukuthi umuthi ungadluliselwa enganeni ngobisi lwebele. |
Into ebaluleke kakhulu ukukhuluma nodokotela nganoma yini esemqondweni wakho, kungakhathaliseki ukuthi incane kangakanani. Ungafihli lutho.
Indlela yokusebenzisa umuthi kanye nezinto ezibalulekile okufanele uzicabangele
Lomuthi unikezwa ngepayipi elifakwe emthanjeni (umugqa we-intravenous). Wenziwa udokotela noma umhlengikazi oqeqeshiwe esibhedlela.
- Ezinganeni: Kudingeka ukunakekelwa okukhethekile uma lo muthi unikezwa izingane. Umthamo kanye nokuqapha kuhlukile kokwabantu abadala.
- Abantu abangaphezu kweminyaka engama-65: Abantu asebekhulile bangase bazizwe kakhulu ngemiphumela yalo muthi, ngakho-ke bavame ukunikezwa umthamo ophansi.
- Kuthiwani uma umthamo ukhushulwa? (Ukweqisa umthamo): Njengoba lokhu kunikezwa esibhedlela, amathuba okuthi umthamo uphuthelwe aphansi kakhulu. Kodwa-ke, uma ucabanga ukuthi uthole umuthi omningi kakhulu, kufanele wazise abasebenzi bezokwelapha ngokushesha. Ngaphandle kwalokho, bangazisa iNational Poisons Information Centre eColombo National Hospital noma i -Emergency Treatment Unit (ETU) yesibhedlela.
Eminye imithi engase ihlangane nalo muthi (Ukusebenzisana)
Eminye imithi oyithathayo ingathinta indlela esebenza ngayo i-Dexmedetomidine. Ngakho-ke, tshela udokotela wakho ngayo yonke imithi oyithathayo (eyalelwe abanye odokotela, ethengwe ekhemisi, imithi yendabuko, amavithamini, imikhiqizo yamakhambi). Lo muthi ungasebenzisana ikakhulukazi nalokhu okulandelayo:
| Uhlobo lwento/isidakamizwa esingadala izinkinga | Izibonelo |
|---|---|
| Utshwala | Noma yiluphi uhlobo lotshwala. |
| Amaphilisi okulala kanye nemithi yokudambisa ubuthongo | Ama -Benzodiazepine afana ne-Alprazolam, i-Diazepam, i-Lorazepam, ne-Propofol. |
| Eminye imithi yokucindezeleka | I-Amitriptyline, iTrazodone. |
| Iziqeda-zinhlungu kanye nemithi yokukhwehlela | I-Tramadol, i-Morphine, njll. (Ama-opioid) . |
| Eminye imithi yokwelapha isithuthwane | I-Phenobarbital, i-Primidone. |
| Eminye imithi yokungezwani komzimba (ama-Antihistamine) | Izinhlobo ezibangela ukozela. |
Imiphumela emibi engaba khona lapho uthatha umuthi
Njenganoma yimuphi umuthi, i-Dexmedetomidine ingabangela imiphumela emibi. Ithimba lezokwelapha lizokuqapha eduze ngenkathi usesibhedlela. Kodwa uma uzizwa ungakhululekile, ungesabi ukubatshela ngokushesha.
| Imiphumela emibi okufanele ibikwe kudokotela noma kumhlengikazi ngokushesha | |
|---|---|
| Umphumela ongemuhle | Izici |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo, ubunzima bokuphefumula. |
| Umfutho wegazi ophansi | Ukuzizwa unesizungu, ukuquleka, ukubona okufiphele. |
| Ukushaya kwenhliziyo okuhamba kancane | Ukuzizwa unesizungu, ukuquleka, ubunzima bokuphefumula, ukukhathala okukhulu. |
| Imfiva | Umkhuhlane oqhubekayo, ukuphefumula okusheshayo noma ukushaya kwenhliziyo, ukukhathala. |
| Izinto ezingavamile ukuba bucayi, kodwa okufanele zibikwe uma ziqhubeka | |
| Ukungahlaliseki | Ukukhathazeka, ukucasuka. |
| Umlomo owomile | Ukuzwa sengathi amathe omile emlonyeni. |
Uma uhlangabezana nanoma yiziphi ezinye izimpawu ezingavamile ezingashiwongo kulolu hlu, sicela wazise udokotela wakho ngazo.
Izinto okufanele uziqaphele ngemva kokuthatha umuthi
Ngenxa yemiphumela yalo muthi, ibhalansi yomzimba wakho, isivinini sokusabela, kanye nekhono lokwenza izinqumo kungathinteka. Ngakho-ke,
- Gwema ukushayela noma ukusebenzisa imishini kuze kube yilapho udokotela wakho ekutshela ukuthi kuphephile ukwenza kanjalo futhi.
- Uma uvuka ekuhlaleni noma ekulaleni, vuka kancane . Uma uvuka ngokuzumayo, ungase uzizwe unesiyezi bese uwe.
- Gwema utshwala ngokuphelele izinsuku ezimbalwa ngemva kokuthatha lo muthi. Utshwala bungandisa imiphumela emibi.
Umlayezo Wokuya Nawe Ekhaya
- I-Dexmedetomidine umuthi onikezwa esibhedlela kuphela ukuze uthule futhi ulale ngaphambi kwenqubo yezokwelapha.
- Ngaphambi kokuthatha lo muthi, qiniseka ukuthi utshela udokotela wakho ngazo zonke izimo zakho zempilo kanye nayo yonke eminye imithi oyithathayo.
- Lo muthi unikezwa ngaphansi kokuqashwa okuqinile kwezokwelapha. Isimo sakho sizoqashwa njalo.
- Yazisa abasebenzi bezokwelapha ngokushesha uma uhlangabezana nanoma yimiphi imiphumela emibi efana nobunzima bokuphefumula, isiyezi esinzima, noma izimpawu zokungezwani komzimba.
- Njengoba lokhu kungeyona imithi okufanele uyithathe uye nayo ekhaya, akudingeki ukhathazeke ngokuyigcina.
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