Cabanga nje lapho ukhishwa izinyo, noma inxeba elincane elidinga ukuthungwa, udokotela uqala ngokukunika umjovo omncane ukuze aqede indawo, akunjalo? Lokhu kwenzelwa ukunciphisa ubuhlungu obuzwayo ngaleso sikhathi. Omunye wemithi esetshenziswa kakhulu ezimweni ezinjalo yi-Lidocaine; i-Epinephrine. Lokhu akuyona nje imithi yokuqeda izinhlungu, kodwa umuthi oqeda indawo
ethile okwesikhashana. Ake sixoxe ngalokhu ngemininingwane ethe xaxa futhi namuhla.
Kalula nje, iyini i-Lidocaine; i-Epinephrine?
Lokhu kuyinhlanganisela yemithi emibili. 1.
I-Lidocaine: Lona umuthi oyinhloko wokuqeda izinhlungu. Kwezokwelapha, siwubiza ngokuthi "i-Local Anesthetics". Okusho ukuthi, uqeda izinhlungu endaweni encane yomzimba okwesikhashana. Lokhu kumisa okwesikhashana izimpawu zobuhlungu ezivela kuleyo ndawo ziye ebuchosheni. Kufana nokumisa umuntu ophethe umyalezo. 2.
I-Epinephrine (i-Adrenaline): Umuthi i-Epinephrine owengezwa kulokhu wenza into ebaluleke kakhulu. Ubangela ukuthi imithambo yegazi kuleyo ndawo inciphe kancane. Uma lokhu kwenzeka, kunezinzuzo ezimbili eziyinhloko:
- Ukuba ndikindiki kuhlala isikhathi eside: I-Lidocaine ihlala endaweni isikhathi eside ngenxa yokuncipha kokugeleza kwegazi . Ngakho-ke, ukuba ndikindiki kungahlala amahora amaningana.
- Yehlisa ukopha : I-Epinephrine ilawula kakhulu ukopha ngesikhathi sokuhlinzwa noma sokukhishwa kwezinyo.
Lo muthi uvame ukusetshenziswa ekwelashweni kwamazinyo, ekuhlinzweni okuncane, kanye nasekubopheni amanxeba.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthola lo muthi wokugomela
Ngaphambi kokukunikeza lo muthi, udokotela wakho uzokubuza imibuzo ethile. Kodwa-ke, kufanele futhi umtshele lolu lwazi. Lubaluleke kakhulu ekuphepheni kwakho. Ungafihli lutho, ngisho nento encane kakhulu.
- Ukungezwani komzimba : Uma une-allergy ku-Lidocaine, i-Epinephrine, noma enye i-anesthetic, kufanele utshele udokotela wakho kuqala. Futhi, tshela udokotela wakho uma une-allergy kunoma yimiphi eminye imithi, ukudla, udayi, noma izithasiselo.
- Ezinye izimo zezokwelapha onazo: Uma unalezi zimo zezokwelapha, kubalulekile ukwazisa udokotela wakho.
- Isifo senhliziyo
- Umfutho wegazi ophezulu noma ophansi
- Isifo sesibindi
- Isifo sezinso
- Isifo samaphaphu
- Isimo sofuzo esibizwa ngokuthi ukuntuleka kwe-G6PD
- Ukukhulelwa nokuncelisa: Qiniseka ukuthi utshela udokotela wakho uma ukhulelwe, uzama ukukhulelwa, noma uncelisa.
Ngokusekelwe kulolu lwazi, udokotela uzonquma ukuthi uzokunika lo muthi, asebenzise enye indlela, noma ashintshe umthamo.
Uyisebenzisa kanjani le mithi?
Lona akuwona umuthi ongawuthatha uye nawo ekhaya. Ngakho-ke akukho okufanele ukhathazeke ngawo. Lona umuthi wokugoma onikezwa
ngokuphelele esibhedlela noma emtholampilo, ngudokotela noma uchwepheshe wezempilo oqeqeshiwe . Ngokuvamile ujovwa "ngaphansi kwesikhumba" endaweni edinga ukuncishiswa. Ngisho nezingane, ezingaphezu kweminyaka eyi-1 ubudala, zinikezwa lo muthi kwezinye izimo ezikhethiwe. Kodwa kwenziwa ngokucophelela kakhulu futhi ngaphansi kokuqashwa okukhethekile.
Yini okufanele uyenze uma umthamo wemithi ukhuphuka?
Njengoba lokhu kunikezwa esibhedlela, ingozi yokudlula ngokweqile iphansi kakhulu. Kodwa-ke, uma usola ukuthi kukhona okwenzekile, iya esibhedlela
i-ETU (i-Emergency Treatment Unit) ngokushesha. Noma ungashayela
i-National Poisons Information Centre e-Colombo National Hospital ukuze uthole iseluleko.
Yimiphi eminye imithi engasebenzisana nalo muthi?
Uma uphuza imithi yesinye isimo, kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi yakho (kufaka phakathi amavithamini kanye nemithi yamakhambi). Eminye imithi ingasebenzisana ne-Lidocaine kanye ne-Epinephrine futhi ibangele izinkinga ezingafuneki. Ithebula elingezansi lichaza lokhu kabanzi.
Imithi okungafanele ithathwe ndawonye Eminye imithi engase ihlangane (lolu hlu aluphelele) | Uhlobo lomuthi | Incazelo |
|---|
| I-Dofetilide | Umuthi othinta isigqi senhliziyo. |
| I-Saquinavir | Umuthi osetshenziselwa ukwelapha igciwane lesandulela ngculaza. |
| I-Acetaminophen | Iziqeda-zinhlungu ezifana ne-paracetamol. |
| Ama-antibiotic athile | Isibonelo: i-dapsone, i-nitrofurantoin, ama-sulfonamides. |
| Imithi ethile yokuquleka | Isibonelo: i-phenobarbital, i-phenytoin, i-valproic acid. |
| Ezinye izidakamizwa zokubulala izinzwa zasendaweni | Isibonelo: i-bupivacaine, i-pramoxine. |
| I-Nitroglycerin | Umuthi osetshenziselwa isifo senhliziyo. |
Okubaluleke kakhulu: Nikeza udokotela wakho uhlu oluphelele lwazo zonke izidakamizwa, amavithamini, imikhiqizo yamakhambi, kanye nezithasiselo ozithathayo. Tshela nodokotela wakho uma ubhema noma uphuza utshwala.
Izinto okufanele uziqaphele ngemva kokugonywa
Lena yinto ebaluleke kakhulu okufanele uyinake. Uma nje umuthi usebenza, okungukuthi, uma nje kukhona umuzwa wokucasuka,
leyo ndawo ngeke izwe ubuhlungu. Cabanga ukuthi ukhishwe izinyo futhi lolo hlangothi luyacasuka. Ungadla ngalolo hlangothi bese uluma izindebe noma isihlathi sakho. Kodwa ngenxa yomuzwa wokucasuka, ngeke uzizwe. Ngakho-ke, kungaba ukulimala okukhulu.
Ngakho-ke, kungumthwalo wakho ukunakekela indawo enesithukuthezi ngaphandle kokubangela ukulimala. Landela imiyalelo kadokotela ngqo. Nakekela indawo kuze kube yilapho isithukuthezi sesiphelile ngokuphelele.
Yimiphi imiphumela emibi engaba khona?
Njenganoma yimuphi umuthi, lo ungaba nemiphumela emibi. Kodwa-ke, akuwona wonke umuntu oyitholayo. Eminye imiphumela emibi iyingozi kakhulu futhi kufanele ufune iseluleko sezokwelapha ngokushesha. Eminye ivamile futhi izophela ngemva kwesikhashana.
Imiphumela emibi okufanele ibikwe kudokotela wakho ngokushesha ivame ukuba mibi kakhulu (kodwa tshela
udokotela wakho uma iqhubeka).
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| Izinguquko zesigqi senhliziyo | Ukushaya kwenhliziyo okusheshayo noma okungajwayelekile, isiyezi, ubuhlungu besifuba, ubunzima bokuphefumula. |
| Izinguquko zomfutho wegazi | Ukwanda noma ukwehla komfutho wegazi. Uma wehla, kungase kube nezimpawu ezifana nokuzungeza kanye nokungaboni kahle. |
| Izimpawu ze-Methemoglobinemia | Ikhanda elibuhlungu, ubuthakathaka obungavamile, ubunzima bokuphefumula, isicanucanu, ukuhlanza, ukushaya kwenhliziyo okusheshayo, isikhumba esiluhlaza noma izindebe (isimo esithinta ikhono legazi lokuthwala umoya-mpilo). |
| Imiphumela ohlelweni lwezinzwa oluphakathi (ukucindezeleka kwe-CNS) | Ukuphefumula kancane , ubunzima bokuphefumula, ukozela ngokweqile, ukudideka, ubunzima bokugcina amehlo evulekile. |
| Ukuquleka | Mhlawumbe unesifo sokuwa. |
| Imiphumela yengqondo | Ukukhathazeka, ukwethuka. |
| Ukozela | Ukuzizwa ulele kancane. |
| Isicanucanu nokuhlanza (Isicanucanu, Ukuhlanza) | Ubuhlungu besisu, uzizwa sengathi uhlanza. |
Lolu hlu aluhlanganisi yonke imiphumela emibi engaba khona. Uma uhlangabezana nanoma yiziphi izimpawu ezingavamile, khuluma nodokotela wakho ngazo.
Umlayezo Wokuya Nawe Ekhaya
- I-Lidocaine; I-Epinephrine iwumjovo onikezwa ukuze kuthuntubeze indawo yomzimba okwesikhashana futhi kuncishiswe ubuhlungu. Unikezwa udokotela esibhedlela noma emtholampilo kuphela.
- Qiniseka ukuthi utshela udokotela wakho nganoma yikuphi ukungezwani komzimba onakho, ezinye izimo zezokwelapha (ikakhulukazi isifo senhliziyo, sesibindi, kanye nezinso), kanye nayo yonke imithi oyithathayo.
- Ngemva kokugonywa, kungumthwalo wakho ukuvikela indawo ekulimaleni kuze kube yilapho umuzwa wokucasuka usuphelile ngokuphelele.
- Funa usizo lwezokwelapha ngokushesha uma uhlangabezana nanoma yiziphi izimpawu ezingavamile (ikakhulukazi ubunzima bokuphefumula, ubuhlungu besifuba, isiyezi esikhulu, isikhumba esiluhlaza okwesibhakabhaka).
- Uma unemibuzo mayelana nalomuthi, ungesabi ukubuza udokotela wakho.
I-Lidocaine, i-Epinephrine, Izibulali-zinhlungu, Izibulali-zinhlungu, Imithi Yokugoma, Imiphumela Engemihle, Ukukhishwa Kwamazinyo, I-Anesthesia
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