Wake wadinga ukuhlinzwa, okungukuthi, ukuhlinzwa? Noma wake wadinga ukuhlolwa kusetshenziswa ikhamera efakwe emzimbeni, njenge-endoscopy? Esimweni esinjalo, odokotela basebenzisa umuthi okhethekile ukukulalisa ubuthongo obunzima isikhashana ukuze ungezwa ubuhlungu noma ukungakhululeki, futhi ungakhumbuli ngisho nesenzakalo. Ngolimi lwethu, lokhu yilokho esikubiza ngokuthi "i-analgesia." Kunezinhlobo eziningana zemithi esetshenziswa ukuvusa izinzwa ngale ndlela. Phakathi kwazo, omunye wemijovo esetshenziswa kakhulu futhi ebaluleke kakhulu yi-Propofol. Kulesi sihloko, sizokhuluma ngalokho okudingeka ukwazi ngalo mjovo we-Propofol.
Kalula nje, iyini iPropofol?
I-Propofol iyisidakamizwa esibulala izinzwa esijwayelekile . Ikakhulukazi, iyisidakamizwa esikwenza ulale ubuthongo obuhle ngaphambi kokuhlinzwa noma ezinye izinqubo zezokwelapha. Inikezwa njengomjovo.
Lo muthi usebenza ngendlela exakile kakhulu. Uvimba okwesikhashana izimpawu zobuhlungu ezihamba ngqo ebuchosheni bakho. Cabanga nje, uma uzwa ubuhlungu endaweni ethile emzimbeni wakho, lowo myalezo uhamba ngemizwa uye ebuchosheni bese uzwa ukuthi "O, lokho kubuhlungu." I-Propofol ivimba okwesikhashana lowo myalezo ukuthi ungafinyeleli ebuchosheni. Bese kuthi, ngesikhathi sokuhlinzwa, awuzwa ubuhlungu noma ukungakhululeki. Futhi ngenxa yokuthi usebuthongweni obujulile, awukhumbuli lutho olwenzekayo.
Lo muthi ungase ube namagama emikhiqizo ahlukene. Isibonelo, ungase ubone i-Diprivan noma i-Fresenius Propoven.
Into ebalulekile ukuthi, lokhu akufani nomuthi ovamile wokuqeda izinhlungu. Lona umuthi onamandla kakhulu, futhi unikezwa kuphela yithimba lodokotela abaqeqeshwe, okuhlanganisa nodokotela ababulala izinzwa, endaweni ehlonyiswe ngokugcwele, njengeyunithi yokunakekelwa okujulile esibhedlela.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokukunikeza lo muthi
Ngemva kokunquma ukukunika umjovo we-Propofol, udokotela wezinzwa uzokubuza ngempilo yakho. Kubaluleke kakhulu ekuphepheni kwakho ukunikeza iqiniso ngaphandle kokufihla lutho ngalesi sikhathi. Ngoba abantu abanezifo ezithile noma ukungezwani komzimba kudingeka baqaphele kakhulu lapho benikeza lo muthi.
Uma ulwazi olungezansi lusebenza kuwe, qiniseka ukuthi utshela ithimba lakho lezokwelapha ngalo.
| Isimo/inkinga yempilo | Kungani kufanele wazise? (Incazelo elula) |
|---|---|
| Ukungezwani komzimba | Qiniseka ukuthi usitshela uma une-allergy ku-propofol uqobo, kumaqanda, ku-soy, kuma-peanut, kuma-sulfite, noma kunoma yimuphi omunye umuthi noma ukudla. |
| Isifo senhliziyo | Uma unesifo senhliziyo, odokotela kufanele baqaphele lokhu njengoba lo muthi ungathinta izinga lokushaya kwenhliziyo noma umfutho wegazi. |
| I-Cholesterol Ephezulu | I-Propofol iyi-emulsion yamafutha. Okusho ukuthi, iwuketshezi olunamafutha. Ngakho-ke, kufanele kuqashelwe uma uyinika abantu abane-cholesterol ephezulu noma amazinga aphezulu amafutha egazini. |
| I-Pancreatitis | Sitshele ukuthi uke waba ne-pancreatitis noma okwamanje unesifo sokuvuvukala kwe-pancreas. |
| Isifo Sezinso | Uma ukusebenza kwezinso kuphazamiseka, inqubo yokukhipha imithi emzimbeni ingathinteka. |
| Ukuquleka | Uma unesifo sekhanda esibuhlungu, kubaluleke kakhulu ukwazisa odokotela bakho ngaso. |
| Ukulimala Ekhanda | Uma usanda kulimala ekhanda, odokotela bakhathazekile ngemiphumela ebuchosheni. |
| Ukukhulelwa noma ukulindela umntwana | Uma ukhulelwe noma ulindele umntwana, kubalulekile ukusho kanjalo. |
| Ukuncelisa | Uma ungumama oncelisayo, funa iseluleko sezokwelapha mayelana nokuthi kufanele uyeke ukuncelisa isikhathi esingakanani ngemva kokuhlinzwa. |
Uthola kanjani lo muthi?
Lona akuwona umuthi ongawuthatha uye ekhaya uwusebenzise. I-Propofol inikezwa esibhedlela noma emtholampilo kuphela yithimba lezokwelapha eliqeqeshiwe.
Inikezwa nge-cannula (ukufakwa kwe-intravenous) emthanjeni . Kalula nje, lo muthi unikezwa emzimbeni wakho ngendlela efanayo ne-saline enikezwa ngayo emthanjeni osengalweni yakho. Udokotela wezinzwa uzonquma ukuthi kufanele unikeze umuthi ongakanani nokuthi ushesha kangakanani, kuye ngokuthi udinga ukulala isikhathi esingakanani kanye nohlobo lokuhlinzwa.
Ingabe lo muthi unganikezwa izingane ezincane?
Yebo, kwezinye izimo ezikhethekile, lo muthi unikezwa izingane ezincane njengezinyanga ezimbili. Kodwa wenziwa ngokucophelela okukhulu nangaphansi kokuqashwa okukhethekile. Uma udinga ukunikeza lo muthi ingane, udokotela wakho uzokwazisa ngezinyathelo zokuphepha ezifanele kulokhu.
Kwenzekani uma uphuza umuthi omningi kakhulu?
Lokhu akuyona into ongayilawula. Esibhedlela, ithimba lezokwelapha lizoqhubeka nokuqapha izinga lokushaya kwenhliziyo yakho, umfutho wegazi, kanye nokuphefumula, ngakho-ke amathuba okusebenzisa ngokweqile aphansi kakhulu. Uma usola into efana nale, inqubo ejwayelekile iwukubikela ngokushesha e- Emergency Treatment Unit (ETU) yesibhedlela noma e-National Poisons Information Center e-Colombo National Hospital . Kodwa-ke, njengoba lo muthi unikezwa esibhedlela, ithimba lezokwelapha linesibopho ngokuphelele ngawo.
Ezinye izinto ezingase zihlangane ne-propofol
Eminye imithi oyithathayo ingathinta indlela esebenza ngayo i-propofol. I-Propofol ingashintsha nendlela esebenza ngayo eminye imithi. Ngakho-ke tshela udokotela wakho ngayo yonke imithi oyithathayo, okuhlanganisa amavithamini, izithasiselo zemithi, kanye nemithi yamakhambi .
I-Propofol ingaxhumana nalokhu okulandelayo:
- Utshwala
- Ama-BenzodiazepineImithi yeSigaba I (isib., amaphilisi okulala kanye nemithi yokulwa nokukhathazeka njengeDiazepam kanye neLorazepam)
- Ama-antihistamine athile (imithi yomkhuhlane, ukukhwehlela, kanye nokungezwani komzimba)
- Eminye imithi yokucindezeleka (isib. i-Amitriptyline)
- Eminye imithi esetshenziselwa isifo sokuwa (isb. i-Phenobarbital)
- Eminye imithi enikezwayo ukuze ibangele ubuthongo ngaphambi kokuhlinzwa
- Imithi yokukusiza ulale
- Iziphumuli zemisipha
- Ama-opioid ayimithi enamandla yokudambisa izinhlungu noma yokukhwehlela.
- Imithi ethile yokwelapha isifo sengqondo (isib. i-Chlorpromazine)
- I-Valproate
Kubaluleke kakhulu ukutshela udokotela wakho uma ubhema, uphuza utshwala, noma usebenzisa ezinye izidakamizwa.
Yini okufanele uyiqaphele ngemva kokuthola umuthi?
Ngemva kokuphela kokuhlinzwa futhi i-propofol imisiwe, uzophinde uqaphe kancane kancane. Kodwa-ke, kungathatha amahora amaningana noma usuku ukuthi imiphumela yomuthi iphele ngokuphelele.
- Ukozela: Ungase uzizwe ulele futhi uvilapha isikhashana. Lokhu kuvamile.
- Ikhono lokwenza izinqumo kanye nesenzo: Ukuxhumana kwakho, isikhathi sokusabela, kanye nokwahlulela kungase kuphazamiseke okwesikhashana ngaphansi kwethonya lalo muthi.
- Iseluleko esibaluleke kakhulu: Ngakho-ke, gwema ngokuphelele ukushayela, ukusebenzisa imishini, ukwenza izinqumo ezibalulekile, noma ukusayina amadokhumenti asemthethweni okungenani amahora angama-24 ngemva kokuhlinzwa.
- Ukuzungeza: Ungase uzizwe uzungeza noma uphelelwe amandla uma usukuma ngokuzumayo uhleli noma ulele phansi. Ngakho vuka ngokushesha.
- Utshwala: Ukuphuza utshwala phakathi nalesi sikhathi kungandisa imiphumela emibi engenhla, ngakho-ke kugweme ngokuphelele.
Imiphumela emibi engase ivele ngenxa yemithi
Njenganoma yimuphi umuthi, i-propofol ingabangela imiphumela emibi. Kodwa-ke, akuwona wonke umuntu oyitholayo. Uzoqashwa eduze yithimba lezokwelapha ukuze uma kunenkinga, bakwazi ukuthatha isinyathelo ngokushesha.
| Umphumela ongemuhle | Izimpawu ozibonayo |
|---|---|
| Imiphumela emibi kakhulu okufanele uyibike kudokotela wakho ngokushesha | |
| Ukusabela Kokungezwani Nomzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo, ubunzima bokuphefumula. |
| Ukucindezeleka kwesistimu yezinzwa ephakathi (CNS Depression) | Ukuphefumula kancane kakhulu noma okungajulile, ukuphefumula okuncane, ukuquleka, ukozela ngokweqile, ubunzima bokuhlala uqaphile. |
| Izinguquko Zesigqi Senhliziyo | Ukuzizwa sengathi inhliziyo yakho ishaya ngokushesha noma ngokungajwayelekile, isiyezi, ukuquleka, ubuhlungu besifuba. |
| Umfutho Wegazi Ophansi | Ukuzizwa unesizungu, ukuquleka, ukubona okufiphele. |
| Ukushaya Kwenhliziyo Okuhamba Kancane | Ukuzizwa unesizungu, ukuphelelwa amandla, ubunzima bokuphefumula, ukuzizwa ukhathele ngendlela engavamile. |
| Ukulimala Kwezinso | Ukwehla kokukhishwa komchamo, ukuvuvukala kwamaqakala, izandla, noma izinyawo. |
| Ukulimala Kwesibindi | Ubuhlungu ohlangothini olungaphezulu kwesokudla lwesisu, ukulahlekelwa yisifiso sokudla, isicanucanu, ukuphuzi kwesikhumba noma amehlo, umchamo ophuzi/onsundu omnyama. |
| Ukulimala Kwemisipha | Ukukhathala okungajwayelekile, ubuhlungu bemisipha, umchamo omnyama, ukwehla kokukhishwa komchamo. |
| Izinto ezingavamile ukuba zimbi kakhulu, kodwa okufanele zibikwe kudokotela uma ziqhubeka | |
| Ukozela | Kuvamile ukuzizwa ulele amahora ambalwa ngemva kokuthatha umuthi. |
| Ubuhlungu endaweni yokujova | Kungase kube nobuhlungu obuncane, ukubomvu, noma ukuvuvukala endaweni lapho kufakwe khona i-cannula. |
Ngingayithatha le mithi ngiye nayo ekhaya?
Cha. Lokhu kusobala kakhulu. I-Propofol umuthi onikezwa esibhedlela noma emtholampilo kuphela, ngaphansi kokuqashwa kwezokwelapha. Ngeke uwunikezwe ukuze uwugcine noma uwusebenzise ekhaya nganoma yisiphi isizathu.
Umlayezo Wokuya Nawe Ekhaya
- I-Propofol umuthi obaluleke kakhulu wokubulala izinzwa osetshenziselwa ukunciphisa ubuhlungu nokungakhululeki nokukulalisa ngesikhathi sokuhlinzwa kanye nezinqubo zezokwelapha.
- Lokhu kuhlinzekwa kuphela esibhedlela, yithimba lezokwelapha eliqeqeshiwe.
- Kubalulekile ukuze uphephe ukutshela udokotela wakho ngazo zonke izimo zakho zezokwelapha, ukungezwani komzimba, kanye nayo yonke eminye imithi oyithathayo.
- Gwema ukushayela nokwenza imisebenzi edinga ukugxilisa ingqondo okungenani amahora angama-24 ngemva kokuhlinzwa.
- Uma uhlangabezana nanoma yimiphi imiphumela emibi efana nobunzima bokuphefumula, ubuhlungu besifuba, isiyezi esinzima, noma izimpawu ezinkulu zokungezwani komzimba, funa iseluleko sezokwelapha ngokushesha.
- Uma unemibuzo noma ukukhathazeka ngalo muthi, khuluma nodokotela wakho ngakho ngokukhululekile.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment