Ingabe uhlelelwe ukuhlinzwa okuncane noma inqubo yezokwelapha? Ngezikhathi ezinjalo, odokotela basebenzisa imithi ukuze bakwenze uzizwe ubuhlungu obuncane futhi bakwenze ulale isikhashana. Umuthi owodwa okhethekile osetshenziswa ezimweni ezinjalo yi-Etomidate. Namuhla, sizokhuluma ngalomuthi ngendlela elula ongayiqonda.
Kuyini i-Etomidate?
Kalula nje, i-Etomidate iyisidakamizwa esenza ulahlekelwe ingqondo isikhashana, noma sikufake ebuthongweni obukhulu. Ngokwezokwelapha, lokhu sikubiza ngokuthi imithi yokubulala izinzwa ejwayelekile.
Umsebenzi oyinhloko walo muthi ukuvimba izimpawu zobuhlungu eziya ebuchosheni bakho. Cabanga nje, ukube ubuchopho bakho bebuzwa ubuhlungu ngesikhathi sokuhlinzwa, ubungeke ukwazi ukububekezelela nhlobo. Lo muthi uvimba lezo zimpawu zobuhlungu ukuthi zingayi ebuchosheni bakho. Ngakho-ke, ngeke uzwe ubuhlungu noma ukungakhululeki ngesikhathi sokuhlinzwa noma ukuhlolwa. Uzozizwa sengathi ulele ubuthongo obukhulu.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
Lokhu kubaluleke kakhulu. Ukuze uphephe, kubalulekile ukutshela udokotela wakho lolu lwazi ngaphambi kokuba akunike i-Etomidate. Ungafihli lutho.
- Ezinye izifo onazo:
- Uma une-high blood pressure.
- Uma unesifo sezinso.
- Uma unesifo sesibindi.
- Ukungezwani komzimba onakho:
- Uma uke waba nokusabela kokungezwani komzimba ne-Etomidate ngaphambilini.
- Sitshele futhi uma une-allergies kunoma yimiphi eminye imithi, ukudla, udayi, noma izithasiselo.
- Eminye imicimbi ekhethekile:
- Uma ukhulelwe noma uzama ukukhulelwa.
- Uma ungumama oncelisa ingane.
Kubaluleke kakhulu ngokuphepha kwakho kanye nempumelelo yokwelashwa kwakho ukuthi unikeze udokotela wakho lolu lwazi ngokunembile.
Uyisebenzisa kanjani le mithi?
Lona akuwona umuthi ongawuthatha ekhaya. I-Etomidate umuthi onikezwa ngomjovo emthanjeni esibhedlela noma emtholampilo ngudokotela noma ithimba lezokwelapha eliqeqeshiwe. Ngakho-ke akudingeki ukhathazeke ngokuwusebenzisa. Ithimba lezokwelapha lizowunakekela.
Lo muthi uvame ukunikezwa izingane ezingaphezu kweminyaka eyi-10 ubudala ngaphansi kwezimo ezithile ezikhethekile, kodwa wenziwa ngokucophelela okukhulu kanye nezinyathelo zokuphepha ezikhethekile.
Yini okufanele uyenze uma uphuza ngokweqile?
Lokhu kunikezwa esibhedlela, ngakho-ke amathuba okuba lokhu kwenzeke mancane kakhulu. Kodwa-ke, uma ucabanga ukuthi uphuze kakhulu lo muthi, kufanele wazise ithimba lezokwelapha ngokushesha. Ngaphandle kwalokho, kufanele wazise i -Emergency Treatment Unit (ETU) yesibhedlela ngokushesha. Futhi, eSri Lanka, singashayela i-National Poison Information Centre eColombo National Hospital ukuze sithole iseluleko.
Ezinye izinto ezingase zihlangane nalo muthi
I-Etomidate ingasebenzisana neminye imithi, imikhiqizo yamakhambi, noma utshwala, ngakho-ke kubalulekile ukutshela udokotela wakho ngayo yonke imithi oyiphuzayo.
Ake sichaze lokhu kabanzi ngethebula elingezansi.
| Into engabangela izinkinga | Incazelo |
|---|---|
| I-wort kaSt. John | Lona umkhiqizo wezitshalo osetshenziselwa izimo ezinjengokucindezeleka. Kufanele ugwenywe nge-Etomidate. |
| Utshwala | Ukuhlanganiswa kotshwala ne-Etomidate kungabangela izimo ezingathi sína njengobuthongo obukhulu kanye nobunzima bokuphefumula. |
| Amaphilisi okulala kanye nemithi yokudambisa ubuthongo | Ama-Benzodiazepine (isib. i-alprazolam, i-diazepam), iziphumuli zemisipha, kanye neminye imithi yokubulala izinzwa efana ne-propofol. |
| Eminye imithi yokucindezeleka | (MAOIs) kanye nemithi efana ne-amitriptyline. |
| Iziqeda-zinhlungu kanye nemithi yokukhwehlela | Amaphilisi okudambisa ubuhlungu anamandla aqukethe ama-opioid. |
| Eminye imithi yokwelapha isithuthwane | Isibonelo, i-phenobarbital. |
Lolu hlu aluphelele. Ngakho-ke, kubalulekile ukutshela udokotela wakho ngawo wonke amavithamini, imikhiqizo yamakhambi, kanye nemithi ongayisebenzisi kadokotela. Kubalulekile futhi ukutshela udokotela wakho uma ubhema, uphuza utshwala, noma usebenzisa ezinye izidakamizwa.
Izinto okufanele uzicabangele ngesikhathi nangemva kokunikeza umuthi
Ngesikhathi unikezwa lo muthi, ithimba lezokwelapha lizohlala liqapha izinga lokushaya kwenhliziyo yakho, umfutho wegazi, kanye nokuphefumula kwakho, ngakho ungakhathazeki ngakho.
Kodwa-ke, ungase uzizwe ezinye izinto okwesikhashana ngemva kokuba imiphumela yomuthi isiphelile.
- Imiphumela ekucabangeni nasekwenzeni: Lo muthi ungathinta ibhalansi yakho, ikhono lokwenza izinqumo ngokushesha, kanye nokunaka.
- Gwema imisebenzi eyingozi: Gwema imisebenzi eyingozi edinga ukuqapha, njengokushayela noma ukusebenzisa imishini, uze uzizwe ululame ngokuphelele.
- Vuka kancane: Ngemva kokuba imiphumela yomuthi isiphelile, ungavuki ngokuzumayo, ungaphumi embhedeni. Uma wenza kanjalo, ungase uzizwe unesiyezi bese uwe. Ngakho hlala phansi kancane, bese uvuka kancane.
- Utshwala abuvunyelwe: Ukuphuza utshwala ngemva kokuthatha umuthi kungandisa le miphumela emibi.
Yimiphi imiphumela emibi engaba khona?
Njenganoma yimuphi umuthi, i-Etomidate ingabangela imiphumela emibi. Eminye yayo kufanele ibikwe kudokotela wakho ngokushesha, kanti eminye ngokuvamile ayibi kakhulu.
| Uhlobo lomphumela ongemuhle | Izici |
|---|---|
| Imiphumela emibi kakhulu okufanele ibikwe kudokotela ngokushesha | |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi, noma umphimbo. Lokhu kungaba yingozi kakhulu. |
| Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela uma iqhubeka | |
| Ukozela | Kuvamile ukuzizwa ulele isikhashana ngemva kokwelashwa. |
| Ukuqaqamba kwemisipha | Abanye abantu bangase bazizwe beshukuma kancane imisipha. |
| Isicanucanu Nokuhlanza | Isicanucanu noma ukuhlanza kungase kwenzeke ngemva kwemiphumela yomuthi. |
| Ubuhlungu lapho umuthi wawufakwe khona | Kungase kube nobuhlungu obuncane, ukubomvu, noma ukuvuvukala emthanjeni lapho umuthi ujovwe khona. |
Uma ubona noma yini engavamile engashiwongo kulolu hlu, ungesabi ukubuza udokotela wakho ngayo.
Umlayezo Wokuya Nawe Ekhaya
- I-Etomidate umuthi wokubulala izinzwa onikezwa ukukwenza ungazi lutho isikhathi esifushane ngesikhathi sokuhlinzwa noma ukuhlolwa kwezokwelapha.
- Ngaphambi kokuthatha lo muthi, qiniseka ukuthi utshela udokotela wakho ngazo zonke izimo zakho zezokwelapha, ukungezwani komzimba, kanye nayo yonke eminye imithi oyithathayo.
- Lona umuthi onikezwa esibhedlela kuphela yithimba lezokwelapha eliqeqeshiwe.
- Ngemva kokwelashwa, gwema imisebenzi eyingozi njengokushayela uze uzizwe ululame ngokuphelele.
- Uma ubona noma yiziphi izimpawu zokungezwani komzimba njengokuqubuka kwesikhumba, ukulunywa, noma ukuvuvukala kobuso, funa iseluleko sikadokotela ngokushesha.
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