Cabanga nje ukuthi ngesikhathi edla into efana noshizi nomngane wakho, ngokuzumayo uba nobunzima bokuphefumula, umzimba wakhe wonke uphenduka ube bomvu, nezindebe zakhe zivuvukale. Noma uhlaselwe yi-asthma enzima futhi uyacinana. Esimweni esiphuthumayo esisongela ukuphila kangaka, umuthi obaluleke kakhulu osetshenziswa odokotela ubizwa ngokuthi i-epinephrine. Abanye abantu bawubiza nangokuthi i-adrenaline. Ake sixoxe ngalokhu kalula nangokucacile namuhla.

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Kuyini i-Epinephrine?

Kalula nje, i-epinephrine umuthi osetshenziselwa ukwelapha ukusabela okukhulu kokungezwani komzimba, njenge-anaphylaxis, noma ukuhlaselwa yi-asthma okungazelelwe. Ngezinye izikhathi isetshenziselwa ukwelapha izimo ezifana nomfutho wegazi ophansi kanye nokushaya kwenhliziyo okuhamba kancane.

Lo muthi ulawula ngokushesha izimpawu zokungezwani komzimba, njengobunzima bokuphefumula, ukuvuvukala kobuso nezindebe. Uphinde wandise ukushaya kwenhliziyo futhi unciphise imithambo yegazi, okwenza umfutho wegazi ube sezingeni elizinzile. Lona umuthi osindisa impilo ngempela.

Yini okufanele udokotela ayazi ngaphambi kokusebenzisa lo muthi?

Ngaphambi kokuthi uthole lo muthi wokugomela, ithimba lakho lezokunakekelwa kwempilo kuzodingeka lazi ngempilo yakho. Qiniseka ukuthi utshela udokotela wakho uma unezinye zezimo ezilandelayo:

Isifo Sikashukela (i-Diabetes Mellitus)
Isimo se-Glaucoma
Noma yiluphi uhlobo lwesifo senhliziyo
Umfutho wegazi ophakeme
Isifo sezinso
Isifo sikaParkinson
Isimo esibizwa ngokuthi i-Pheochromocytoma
Isifo se-thyroid
Uma une-allergies ku-epinephrine noma kunoma yimuphi omunye umuthi, ukudla, noma udayi
Uma ukhulelwe noma uzama ukukhulelwa
Uma ungumama oncelisa ingane

Uyisebenzisa kanjani le mithi?

Lokhu kubaluleke kakhulu. I-Epinephrine akuyona imithi ongayisebenzisa ekhaya. Inikezwa kuphela yithimba lakho lokunakekela esibhedlela noma emtholampilo. Bazoyijova emthanjeni, ngaphansi kwesikhumba, noma emsipheni.

Ingabe ninikeza izingane lo muthi?

Yebo, kwezinye izimo eziphuthumayo ezikhethiwe, lo muthi wokugoma unikezwa nezingane. Kodwa udokotela kuphela onqumayo ngawo, ngezinyathelo zokuphepha ezikhethekile ezihambisana nawo. Ngakho khuluma nodokotela wakho ngawo.

Kuthiwani uma ngiphuza umuthi omningi kakhulu?

Njengoba lokhu kunikezwa esibhedlela, amathuba okuba lokhu kwenzeke mancane kakhulu. Kodwa uma kwenzeka into efana nale noma ungaqiniseki ngayo, thola usizo lwezokwelapha ngokushesha.Okuwukuphela kwento okudingeka yenziwe ukwazisa iNational Poisons Information Centre eColombo National Hospital noma ukungeniswa e-Emergency Treatment Unit (ETU) .

Khumbula, lo muthi ungowakho wedwa. Ungalokothi uwuhlanganyele nanoma ubani omunye, ngaphandle komuntu owunikwe udokotela.

Yimiphi eminye imithi engasebenzisana ne-epinephrine?

Yebo, eminye imithi ingasebenzisana ne-epinephrine, ngakho-ke kubalulekile ukutshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini, amakhambi, kanye nezithasiselo).

Ithebula elingezansi lingachaza lokhu kabanzi.

Isigaba sezidakamizwa	Incazelo / Izibonelo
Izinzwa ezivamile	Ezinye izinhlobo zamagesi asetshenziswa ukudambisa ubuhlungu lapho kuhlinzwa (isb., i-desflurane, i-isoflurane). I-Epinephrine ayinikezwa kanye nalezi.
Imithi yokwelapha ukungezwani komzimba, ukukhwehlela, kanye nomkhuhlane (Ama-antihistamine)	Izinhlobo eziningi zama-antihistamine.
Imithi yokucindezeleka kwegazi nesifo senhliziyo	Izigaba ezifana nama-beta-blockers kanye nama-ACE inhibitors.
Imithi yokucindezeleka, ukukhathazeka	Amaqembu afana nama-antidepressant e-tricyclic kanye nama-MAOI.
Eminye imithi	I-Digoxin, i-Diuretics, i-Levothyroxine, i-Oxytocin, i-Theophylline, ama-Steroids (njenge-prednisone)

Lolu hlu lungase lungaphelele, ngakho-ke ukuze uphephe, sicela wazise udokotela wakho ngayo yonke imithi oyithathayo.

Yimiphi imiphumela emibi engaba khona?

Njenganoma yimuphi umuthi, i-epinephrine ingabangela eminye imiphumela emibi. Kodwa akuwona wonke umuntu oyitholayo. Eminye iyingozi kakhulu, kanti eminye ijwayelekile. Kubalulekile ukuqaphela lokhu.

Umphumela ongemuhle	Incazelo
Izinto okufanele uzibike eqenjini lakho lezokwelapha ngokushesha
Ukusabela kokungezwani komzimba	Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi, umphimbo.
Izimpawu zokuhlaselwa yinhliziyo	Ubuhlungu noma ukuqina kwesifuba, ubuhlungu emahlombe, ezingalweni, endaweni yomhlathi, isicanucanu, ubunzima bokuphefumula, ukujuluka ngokweqile.
Izinguquko zesigqi senhliziyo	Ukushaya kwenhliziyo okusheshayo noma okungajwayelekile, isiyezi, ukuquleka, ubuhlungu besifuba, ubunzima bokuphefumula.
Ukulimala kwezinso	Ukwehla kokukhishwa komchamo, ukuvuvukala kwamaqakala, izandla nezinyawo.
Ubuhlungu endaweni yokujova	Ubuhlungu, ukubomvu, noma ukuvuvukala endaweni yokujova.
Izinto ezingavamile ukuba zimbi kakhulu, kodwa okufanele zibikwe kudokotela uma ziqhubeka
Izinkinga zengqondo	Ukukhathazeka, ukungahlaliseki.
Ezinye izici ezincane	Isiyezi , ikhanda elibuhlungu, ukushaya kwenhliziyo, ubuthakathaka bemisipha, isicanucanu, ukuphaphatheka, ukujuluka, ukuthuthumela, nokuhlanza.

Umlayezo Wokuya Nawe Ekhaya

I-Epinephrine umuthi obaluleke kakhulu, osindisa impilo osetshenziswa ezimweni ezisongela impilo ezifana nokungezwani komzimba okukhulu (i-anaphylaxis) kanye nokuhlaselwa yi-asthma.
Lo muthi wokugoma unikezwa kuphela yithimba lezokwelapha esibhedlela noma emtholampilo. Akusiwo umuthi okufanele usetshenziswe noma ugcinwe ekhaya.
Kubalulekile ukwazisa udokotela wakho nganoma yiziphi ezinye izimo zezokwelapha onazo kanye nayo yonke imithi oyiphuzayo.
Uma uhlangabezana nanoma yimiphi imiphumela emibi kakhulu, njengobuhlungu besifuba noma ubunzima obukhulu bokuphefumula, yazisa ithimba lezokwelapha ngokushesha.
Uma unemibuzo mayelana nalomuthi, ungangabazi ukubuza udokotela wakho.