Cabanga ukuthi kufanele uhlinzwe kancane noma uhlolwe i-endoscopy. Ngaleso sikhathi, odokotela basebenzisa umuthi ukunciphisa ukwesaba nokukhathazeka kwakho, ukukuthulisa kancane, nokukulalisa kancane. Umuthi okhethekile osetshenziswa ngezikhathi ezinjalo ubizwa ngokuthi i-Remimazolam. Lo muthi uvame ukunikezwa njengomjovo. Ake sixoxe ngalokhu kalula.
Iyini i-Remimazolam?
Kalula nje, i-Remimazolam umuthi okusiza ukuthi uhlale uzolile futhi ulele ngaphambi nangesikhathi sokuhlolwa noma ukuhlinzwa. Ingowesigaba semithi ebizwa ngokuthi i-benzodiazepines . Le mithi isebenza ngokunciphisa ukusebenza kobuchopho bethu, ukunciphisa ukukhathazeka nokwesaba, futhi isenze sizizwe sikhululekile futhi silele.
Lo muthi ungaba ngaphansi kwamagama emikhiqizo ehlukahlukene eSri Lanka nasemhlabeni jikelele. Isibonelo, kusetshenziswa igama elithi BYFAVO. Kodwa udokotela uzochaza lokhu uma ekunika lo muthi.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
Ngaphambi kokukunikeza lo muthi, udokotela uzokubuza ngempilo yakho. Ngaleso sikhathi , kufanele umtshele ngezinto ezilandelayo ngaphandle kokufihla lutho .
- Uma unesifo sesibindi: Uma unesifo sesibindi, kuzothatha isikhathi eside ukuthi le mithi iphume emzimbeni wakho. Ngakho-ke, kubaluleke kakhulu ukuthi udokotela wakho azi ngalokhu.
- Isifo samaphaphu noma izinkinga zokuphefumula: Uma unesifo sokuphefumula njenge-asthma noma i-COPD, lo muthi ungenza kube nzima ukuphefumula. Ngakho-ke sitshele ngalokhu kusenesikhathi.
- Ukungezwani komzimba: Sitshele uma uke waba nanoma yikuphi ukungezwani komzimba, hhayi nje nge-Remimazolam, kodwa nanoma yimiphi eminye imithi, ukudla, noma udayi.
- Uma ukhulelwe noma uzama ukukhulelwa: Kudingeka uqaphele kakhulu ngokusebenzisa imithi ngesikhathi sokukhulelwa, ngakho qiniseka ukuthi ukhuluma nodokotela wakho ngalokhu.
- Uma ungumama oncelisayo: Inani elincane lalo muthi lingadlulela obisini lwebele. Ngakho-ke, kufanele utshele udokotela wakho uma ungumama oncelisayo.
Ukunikeza lolu lwazi ngokunembile kubaluleke kakhulu ukuze uphephe, njengoba udokotela ezokunqumela ukwelashwa okufanele nokuphephile kakhulu ngokusekelwe olwazini olunikezayo.
Uyisebenzisa kanjani le mithi?
Lona akuwona umuthi ongawuthatha uye ekhaya uwusebenzise. I-Remimazolam umuthi onikezwa esibhedlela noma emtholampilo kuphela ngudokotela noma abasebenzi bezokwelapha abaqeqeshiwe .
- Yibo lomuthi.Inikezwa njengomjovo emthanjeni.
- Ngemva kokunikeza umuthi, bazoqhubeka nokuqapha isimo sakho, njengokushaya kwenhliziyo yakho, umfutho wegazi, kanye nokuphefumula.
Kuthiwani uma umthamo womuthi ukhuphuka (ukudlula umthamo)?
Njengoba lokhu kunikezwa ngaphansi kokuqashwa kwezokwelapha, amathuba okusebenzisa ngokweqile aphansi kakhulu. Kodwa-ke, uma usola ukuthi kukhona okwenzekile nganoma iyiphi indlela, kufanele wazise abasebenzi bezokwelapha ngokushesha. Ngaphandle kwalokho, ungashayela iNational Poison Information Center eColombo National Hospital . Kubalulekile futhi ukuya ngokushesha e-Emergency Treatment Unit (ETU) eseduze.
Ezinye izinto ezingase zihlangane nalo muthi
I-Remimazolam ingasebenzisana neminye imithi nezinto ezithile. Ngakho-ke, tshela udokotela wakho ngayo yonke imithi oyithathayo, amavithamini, nokuthi ubhema noma uphuza utshwala yini. Ngezansi ezinye zezinto ezingase zihlangane nalo muthi.
| Uhlobo lomuthi/into ethile | Incazelo elula nezibonelo |
|---|---|
| Utshwala | Ukuthatha lo muthi notshwala kungabangela ukozela ngokweqile, ubunzima bokuphefumula, kanye nezinye izinkinga ezinkulu. Ngakho-ke gwema ngokuphelele . |
| Ama-antihistamine athile (imithi esetshenziselwa ukungezwani komzimba) | Isibonelo, imithi efana nePiriton ingabangela ukozela. Uma ithathwa kanye nalo muthi, ukozela kunganda ngendlela eyingozi. |
| Imithi ethile yokucindezeleka | Isibonelo: i-Amitriptyline, i-Trazodone. Lokhu kwandisa ukozela. |
| Eminye imithi enikezwayo yokwelapha ukuquleka | Isibonelo: I-Phenobarbital, i-Primidone. Lokhu kulawula nokusebenza kobuchopho, ngakho-ke kungasebenzisana ne-Remimazolam. |
| Ama-opioid (amaphilisi okudambisa izinhlungu anamandla kanye neminye imithi yokukhwehlela) | Ukuthatha lo muthi kanye nemithi yokwelapha izinhlungu efana neTramadol kanye neMorphine kungabangela ukucindezeleka okukhulu kokuphefumula. |
| Eminye imithi ekulolu hlobo olufanayo (Amanye ama-benzodiazepine) | Isibonelo: i-Alprazolam, i-Diazepam, i-Lorazepam. Ukusebenzisa lokhu ndawonye kwandisa imiphumela emibi. |
Izinto okufanele uziqaphele ngemva kokuthatha umuthi
Ngemva kokuhlinzwa noma ukuhlolwa, udokotela kanye nabasebenzi bobuhlengikazi bazokunikeza isethi yemiyalelo. Kubaluleke kakhulu ukuyilandela yonke ngqo.
- Ukushayela nokusebenzisa imishini: Lo muthi ungathinta ukugxilisa ingqondo kwakho, ikhono lakho lokwenza izinqumo, kanye nokulinganisela kuze kube yilapho uphela. Ngakho-ke, gwema ukushayela noma ukusebenzisa imishini kuze kube yilapho usuqaphile ngokuphelele futhi udokotela wakho ekutshelile ukuthi wenze kanjalo. Ngokuvamile kuyalulekwa ukuthi ugweme le misebenzi okungenani amahora angama-24.
- Ukujuluka nokuquleka: Imiphumela yomuthi ingakwenza uzizwe ujuluka uma usukuma. Ngakho-ke, vuka kancane uma uvuka embhedeni noma uhleli.
- Utshwala: Gwema utshwala ngokuphelele usuku olulodwa kuya kwezimbili ngemva kokuthatha umuthi.
Yimiphi imiphumela emibi engaba khona?
Njengayo yonke imithi, i-Remimazolam ingabangela eminye imiphumela emibi, yize kungebona bonke abantu abayitholayo. Ngezansi kuneminye yemiphumela emibi engaba khona.
| Izimpawu okufanele zibikwe kubasebenzi bezokwelapha noma kudokotela wakho ngokushesha: | |
|---|---|
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo, ubunzima bokuphefumula. |
| Ukucindezeleka kwesistimu yezinzwa ephakathi (ukucindezeleka kwe-CNS) | Ukuphefumula kancane noma kancane, ubunzima bokuphefumula, ukozela ngokweqile, ukulahlekelwa ukwazi, ukozela okungenakuvuswa, ukudideka. |
| Izinguquko zomfutho wegazi | Ukwenyuka noma ukwehla kwengcindezi yegazi ngokuzumayo. Uma umfutho wegazi wakho wehla, ungase ube nezimpawu ezifana nokuzumeka, ukuquleka, kanye nokungaboni kahle. |
| Izimpawu ezivame ukungabi zimbi kakhulu, kodwa okufanele zibikwe kudokotela uma ziqhubeka | |
| Isiyezi | Lesi simo sizodlula ngesikhathi esifushane. |
| Ukozela | Isimo esivamile esibangelwa imiphumela yemithi. |
| Ikhanda elibuhlungu | Isimo esivamile esingase senzeke ngemva kokuhlinzwa. |
| Isicanucanu | Ukuzizwa 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-Remimazolam umuthi osetshenziselwa ukukuthulisa ngaphambi kokuhlinzwa noma ukuhlolwa kwezokwelapha.
- Ngaphambi kokuthatha lo muthi, tshela udokotela wakho ngazo zonke izimo zakho zezokwelapha, ukungezwani komzimba, kanye neminye imithi oyithathayo.
- Lona umuthi onikezwa kuphela ngaphansi kokuqondisa kwezokwelapha esibhedlela.
- Ngemva kokuthatha umuthi, gwema ukushayela nokusebenzisa imishini kuze kube yilapho udokotela wakho ekunike imvume.
- Uma uhlangabezana nanoma yimiphi imiphumela emibi kakhulu, njengobunzima bokuphefumula noma ukusabela okukhulu kokungezwani komzimba, funa iseluleko sezokwelapha ngokushesha.
- Landela yonke imiyalelo enikezwe udokotela ngokucophelela ngemva kokuhlinzwa.
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