Wake wadinga ukuhlinzwa kwesikhumba okuncane noma inqubo encane ngaphansi kwesikhumba? Kungenzeka ukuthi uke wabona udokotela efaka ukhilimu wokwenza isikhumba sibe nezimpawu esikhumbeni ukuze enze indawo ibe nezimpawu. Kuphela ngemva kokuba indawo isibe nezimpawu imizuzu embalwa lapho wenza noma yini. Kulesi sihloko, sizokhuluma ngokhilimu okhethekile wezokwelapha osetshenziselwa ukwenza isikhumba sibe nezimpawu.
Iyini ngempela le Lidocaine; ukhilimu weTetracaine?
Lokhu kuyinhlanganisela yemithi emibili. I -Lidocaine ne -Tetracaine . Zombili lezi zibizwa ngokuthi 'imithi yokubulala izinzwa yendawo'. Kalula nje, umsebenzi wazo ukuvimba okwesikhashana izimpawu zobuhlungu ukuthi zingathunyelwa ebuchosheni ngemizwa endaweni ethile yomzimba.
Ake sithi udinga ukususwa isimila esincane engalweni yakho. Esikhundleni sokufaka wonke umzimba wakho izinzwa, udokotela angasebenzisa lo khilimu kuphela esimila, afake izinzwa kuleyo ndawo. Ngemuva kwalokho ungenza ukuhlinzwa ngaphandle kokuzwa ubuhlungu. Lokhu kuyindlela eyinhloko yokusebenzisa lo khilimu. Ngokuvamile usetshenziselwa ukulungisa isikhumba ngaphambi kwenqubo yezokwelapha.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokusebenzisa lo muthi
Kubaluleke kakhulu ukwazisa udokotela wakho ngomlando wakho wezempilo ophelele ngaphambi kokusebenzisa lo khilimu. Ikakhulukazi uma unezinye zezimo ezilandelayo, kufanele nakanjani umtshele.
| Isimo sempilo noma inkinga | Kungani lokho kubalulekile? |
|---|---|
| Ukungezwani komzimba ne-Lidocaine, i-Tetracaine noma eminye imithi yokubulala izinzwa | Uma uke waba nokusabela kokungezwani komzimba kulolu hlobo lomuthi ngaphambili, ungase ube nokusabela okubi futhi. |
| Ukuntuleka kwe-G6PD (ukuntuleka kwe-glucose-6-phosphate dehydrogenase) | Lesi yisimo esidluliselwa ngofuzo esithinta amangqamuzana abomvu egazi egazini. Kukhona ingozi yezinkinga ezivela kulo muthi. |
| I-Methemoglobinemia | Lesi yisimo esithinta ikhono legazi lokuthwala umoya-mpilo, futhi lo muthi ungenza isimo sibe sibi kakhulu. |
| Ukukhulelwa noma ukuzama ukukhulelwa | Kubalulekile ukufuna iseluleko sezokwelapha ngaphambi kokusebenzisa noma yimuphi umuthi ngesikhathi sokukhulelwa. |
| Ukuba ngumama oncelisayo | Kufanele ukhulume nodokotela wakho mayelana nokwenzeka kokuthi umuthi udluliselwe enganeni yakho ngobisi lwebele. |
Into ebaluleke kakhulu ukunikeza udokotela uhlu oluphelele lwazo zonke izidakamizwa ozithathayo (ezinqunywe abanye odokotela, ezithengwe ekhemisi), amavithamini, kanye nemithi yendabuko.
Indlela yokusebenzisa lo khilimu nokuthi yini okufanele uyiqaphele
Lona akuwona umuthi ongawuthatha ekhaya uwusebenzise. Lona ungowokusetshenziswa kwangaphandle kuphela. Ngokuvamile ufakwa esikhumbeni sakho ngudokotela noma umhlengikazi oqeqeshiwe esibhedlela noma emtholampilo.
- Ukusetshenziswa ezinganeni ezincane: Lo muthi unganconywa ezinganeni ezincane kwezinye izimo ezikhethekile. Kodwa-ke, kufanele kulandelwe izinyathelo zokuphepha ezikhethekile. Ngakho-ke, uma usebenzisa lokhu enganeni yakho, khuluma nodokotela wezingane ngakho.
- Ukweqisa: Lokhu kusetshenziswa nguchwepheshe wezokwelapha, ngakho-ke amathuba okusebenzisa ngokweqile aphansi. Kodwa-ke, uma ucabanga ukuthi kungenzeka ukuthi uthathe umuthi omningi kakhulu, xhumana ne -National Poisons Information Centre eColombo National Hospital ngokushesha. Noma uye e -Emergency Unit (ETU) yesibhedlela esiseduze.
Gwema ukuthintana namehlo!
Lokhu kubaluleke kakhulu. Lo khilimu ungaba yingozi kakhulu emehlweni. Uma ungena emehlweni akho ngengozi, wageze kahle ngamanzi ahlanzekile ngokushesha. Bese uvikela amehlo akho uze uthole umuzwa, okungukuthi, kuze kube yilapho umuzwa wokuhlaba uphela.
Nakekela isikhumba esibuthakathaka
Indawo lapho kufakwa khona lo khilimu izoba ndikindiki futhi indikindiki isikhashana. Ngeke uzwe ubuhlungu phakathi nalesi sikhathi. Ngakho-ke, kunethuba elikhulu lokulimala kuleyo ndawo.Gwema ukuklwebha, ukuhlikihla, noma ukubeka isikhumba ekushiseni okukhulu noma ekubandeni kuze kube yilapho umuzwa wokucasuka usuphelile ngokuphelele futhi ubuyele esimweni esijwayelekile.
Yimiphi imiphumela emibi engaba khona?
Njenganoma yimuphi umuthi, lo ungabangela imiphumela emibi kwabanye abantu. Eminye yayo idinga ukunakekelwa kwezokwelapha ngokushesha, kanti eminye ayibi kakhulu.
| Imiphumela emibi okufanele ibikwe kudokotela wakho ngokushesha | |
|---|---|
| • Ukusabela okukhulu kokungezwani komzimba (ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso/izindebe/ulimi) | • Ubunzima bokuphefumula |
| • Ubuhlungu besifuba | • Ukushaya kwenhliziyo okungajwayelekile (okusheshayo, okuhamba kancane , noma okungajwayelekile) |
| • Isiyezi esikhulu, uzizwa sengathi ungase uphelelwe amandla | • Ukuquleka |
| • Ukudideka kwengqondo noma ukungaphumuli okukhulu | • Izinguquko embonweni |
| • Ukuthuthumela noma ukukhathala okukhulu | • Ukucanuzela noma ukuhlanza |
| Ngokuvamile akuyona into embi kangako (kodwa tshela udokotela wakho uma iqhubeka) | |
| • Ungase uzwe umuzwa ongavamile, njengokubomvu, ukuvuvukala okuncane noma ukuba ndikindiki, lapho kufakwe khona ukhilimu. (Lokhu kuvame ukuphela ngemva kwesikhashana) | |
Lolu hlu aluhlanganisi yonke imiphumela emibi engaba khona. Ngaphezu kwalokho, uma uhlangabezana nanoma yiziphi izimpawu ezingavamile, khuluma nodokotela wakho ngazo.
Ingabe lo muthi ungasebenzisana neminye imithi?
Yebo. Eminye imithi ingathinta indlela lo khilimu osebenza ngayo. Yingakho kubalulekile ukutshela udokotela wakho ngayo yonke imithi oyithathayo. Lokhu kungasebenzisana nezinhlobo ezilandelayo zemithi ikakhulukazi.
- I-Acetaminophen
- Ezinye izinhlobo zama-antibiotic : isib. `dapsone`, `nitrofurantoin`, `sulfasalazine`
- Eminye imithi yokuxhuzula : isibonelo, `phenobarbital`, `phenytoin`
- I-Nitroglycerin
- I-Chloroquine
- Ezinye izinhlobo zemithi yokubulala izinzwa yendawo
Lolu hlu aluphelele, ngakho qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi oyithathayo.
Umlayezo Wokuya Nawe Ekhaya
- I-Lidocaine; I-Tetracaine ukhilimu wemithi osetshenziswa odokotela ukuqeda ubuhlungu esikhumbeni ngaphambi kwenqubo yezokwelapha.
- Lona akuyona imithi okufanele uyisebenzise ekhaya. Kufanele isetshenziswe njalo nguchwepheshe wezokwelapha.
- Kubalulekile ukutshela udokotela wakho ngazo zonke izimo zakho zezokwelapha, ukungezwani komzimba, kanye nayo yonke eminye imithi oyithathayo.
- Uma isikhumba sesiphelelwe amandla ngemva kokusebenzisa ukhilimu, vikela indawo ekuklwebhekeni, ekulimaleni, nasekushiseni ngokweqile.
- Uma uhlangabezana nanoma yimiphi imiphumela emibi efana nobunzima bokuphefumula, ubuhlungu besifuba, noma isiyezi esinzima, funa iseluleko sezokwelapha ngokushesha.
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