Ni iki cyitwa Umuti Uvura Ububabare (Uburyo bwa Parenteral): Ibikoresho, Urutonde rw'imiti, Ingaruka ziterwa n'ibindi

Umuti uvura ububabare utangwa hakoreshejwe uburyo bwa parenteral bisobanura umuti uvura ububabare uterwa mu mubiri wawe unyuze mu rusinga cyangwa umuyoboro wa IV. Ubu buryo butanga umuti neza aho ukenewe kugira ngo uhagarike ibimenyetso by'ububabare mu bice byihariye by'umubiri wawe.

Bitandukanye na za marume zivura ububabare ushobora kwisiga ku ruhu rwawe, imiti ivura ububabare ya parenteral ikora kuva imbere hanze. Bikoreshwa cyane mugihe cyo kubaga, kubaga, no kuvura amenyo kugirango wemeze ko uguma wumva neza mugihe abaganga bakuvura.

Umuti uvura ububabare (Uburyo bwa Parenteral) ni iki?

Umuti uvura ububabare unyuze mu nzira ya parenteral ni umuti uvura ububabare utangwa mu mubiri wawe unyuze mu nshinge, IV, cyangwa izindi nzira zishingiye ku rusinga. Ijambo "parenteral" risobanura gusa ko umuti utanyura mu nzira yo mu gifu cyawe ahubwo ukajya mu bice byawe cyangwa mu maraso.

Tekereza nk'uburyo bwo kugabanya ububabare bukora neza aho muganga wawe abukeneye. Uyu muti uhagarika ibimenyetso by'imitsi muri ako gace, bityo ntuzumva ububabare mugihe cyo kuvurwa. Muganga wawe agenzura neza umuti ubona n'aho ujya mu mubiri wawe.

Ubu buryo butuma habaho urutonde rw'imiti neza kandi rugahita rutanga umusaruro. Umuti utangira gukora mumunota muke kandi urashobora kumara iminota 30 kugeza kumasaaanga menshi, bitewe n'ubwoko bwihariye bukoreshwa.

Umuti uvura ububabare (Uburyo bwa Parenteral) ukoreshwa kubiki?

Inshinge z'imiti ivura ububabare zikoreshwa igihe cyose abaganga bakeneye guhumuriza igice cyihariye cy'umubiri wawe mugihe cyo kuvurwa. Uzasanga ubu bwoko bwo kugabanya ububabare mubibazo byinshi bisanzwe byubuvuzi.

Hano hari ibibazo nyamukuru aho umuganga wawe ashobora gukoresha imiti ivura ububabare ya parenteral:

• Ibyo kubaga bito nk'ukuvana ibibyimba byo ku ruhu cyangwa kudoda ibikomere
• Ibyo mu menyo birimo gukuramo iryinyo na za 'root canals'
• Inshinge za epidural kugira ngo zigabanye ububabare mu gihe cyo kubyara
• 'Nerve blocks' zo gucunga ububabare buhoraho
• 'Biopsies' aho bafata uduce tw'umubiri
• Inshinge mu ngingo zo kuvura 'arthritis' cyangwa imvune
• Ibyo gukora mu cyumba cy'abarwayi b'igitaraganya nk'isuku y'ibikomere byimbitse

Muganga wawe ahitamo ubu buryo kuko butanga ubufasha bwizewe kandi bugamije kugabanya ububabare hatabangamiwe umubiri wawe wose. Ibi bivuze ko ushobora gukomeza kuba maso kandi witeguye mu gihe cyo gukorerwa ibyo bikorwa kandi ukaba wumva umeze neza rwose mu gace kavurirwamo.

Ni gute umuti wo mu bwoko bwa 'Local Anesthetic' (inzira ya 'Parenteral') ukora?

Inshinge za 'Local anesthetic' zikora zibungabunga by'agateganyo imiyoboro ya sodium mu ngirangingo zawe z'imitsi. Ibi bituma ibimenyetso by'ububabare bitajya kuva aho batera urushinge bigera mu bwonko bwawe, bityo ntukumve ibiri kuba muri ako gace.

Iyo muganga wawe atereye umuti urushinge, ukwirakwira mu duce tw'umubiri twegereye aho batera urushinge. Uwo muti usanga imyitso y'imitsi maze ukayihagarika by'agateganyo. Uzakomeza kumva uko umubiri wawe wose wumva.

Iyi miti ifatwa nk'ifite imbaraga ziringaniye kandi ifite akamaro kanini ku cyo igenewe. Itangira vuba, akenshi mu minota 5-15, kandi ingaruka zayo zigenda zishira buhoro buhoro uko umubiri wawe ukoresha uwo muti. Ubwoko butandukanye bwa 'local anesthetics' bufite imbaraga zitandukanye n'igihe bukora.

Nagomba kwitegura nte ku bijyanye na 'Local Anesthetic' (inzira ya 'Parenteral')?

Kwitegura kwawe biterwa n'igikorwa runaka ugomba gukorerwa, ariko inyinshi mu nshinge za 'local anesthetic' zisaba kwitegura gake. Umuganga wawe azaguha amabwiriza asobanutse bitewe n'uko ubuzima bwawe buhagaze.

Muri rusange, urashobora kurya no kunywa bisanzwe mbere yo guterwa inshinge zifasha kubabara. Bitandukanye na anesthésie rusange, ntugomba kwiyiriza mbere. Ariko, ibikorwa bimwe na bimwe bishobora kugira ibisabwa byihariye byo kurya, bityo buri gihe ukurikize amabwiriza yihariye ya muganga wawe.

Menyesha umuganga wawe imiti yose ufata, harimo imiti igurishwa idakeneye uruhushya rwa muganga n'ibyongerera imbaraga. Imwe mu miti ikoreshwa mu gutuma amaraso atavura ishobora gukenerwa guhagarikwa by'agateganyo mbere y'ibikorwa bimwe na bimwe. Nanone ubabwire ibyo ufite byose, cyane cyane ku miti ifasha kubabara cyangwa ibibungabunga.

Jyana imyenda yoroshye, yagutse ituma ugera ahantu havurirwa byoroshye. Niba uri gukorerwa imirimo yo mu menyo, irinde kwambara amavuta menshi cyangwa imitako ishobora kubangamira igikorwa.

Ni igihe kingana iki anesthésie yaho (inzira ya parenterale) imara?

Igihe ingaruka za anesthésie yaho zimara ziragendana n'umuti wihariye wakoreshejwe n'ahantu inshinge zatewe. Anesthésie yaho ikoreshwa cyane imara hagati y'isaha imwe n'4, nubwo zimwe zishobora gutanga ubumuga kugeza ku masaha 8.

Anesthésie ikora mu gihe gito nka lidocaine isanzwe itanga ubumuga mu isaha imwe n'2. Ibintu bikora igihe kirekire nka bupivacaine bishobora kumara amasaha 4-8. Muganga wawe ahitamo ubwoko bukwiye hashingiwe ku gihe igikorwa cyawe kizamara n'uburyo bwinshi bwo gufasha nyuma y'igikorwa uzakenera.

Uzabona ubumuga bugenda bushira buhoro buhoro uko kumva bisanzwe bigaruka. Abantu bamwe barumva kumva gutitira uko umuti ugenda ushiramo, ibyo bisanzwe rwose. Ahantu inshinge zatewe hashobora kumva harimo ububabare bucye mu munsi umwe cyangwa ibiri nyuma.

Ni izihe ngaruka ziterwa na anesthésie yaho (inzira ya parenterale)?

Abantu benshi bafata neza inshinge za anesthésie yaho, hamwe n'ingaruka zikaba zoroheje kandi z'agateganyo. Ingaruka zisanzwe zibaho ahantu inshinge zatewe kandi zikemuka vuba.

Dore ingaruka zisanzwe ushobora guhura nazo:

• Ubumuga bw'agateganyo bumara igihe kirekire kurusha uko byari byitezwe
• Uduheri duke cyangwa kubyimba ahantu batera urushinge
• Urubavu ruto ahantu urushinge rwashyizwe
• Ubugufi bw'agateganyo mu gice cyagizwe ubumuga
• Umutwe muke niba wumva ubushyuhe bw'umuti

Ibi bimenyetso bisanzwe bikunda gukira mu masaha 24-48 kandi ntibisaba ubuvuzi bwihariye. Umubiri wawe usanzwe ukoresha umuti, kandi kumva bisanzwe bigaruka buhoro buhoro.

Ingaruka zitabaho kenshi ariko zikomeye zisaba ubuvuzi bwihutirwa. Nubwo bitabaho kenshi, ni ngombwa kumenya ibi bimenyetso:

• Ubwivumbagatanyo bukomeye bw'umubiri hamwe no guhumeka bigoye cyangwa kubyimba
• Umutima utagenda neza cyangwa kuribwa mu gituza
• Umutwe mwinshi cyangwa kugwa igihumure
• Ubumuga buhoraho bumara amasaha arenga 24
• Ibimenyetso by'ubwandu ahantu batera urushinge

Vugana n'umuganga wawe ako kanya niba ubonye kimwe muri ibi bimenyetso bikomeye. Bashobora gutanga ubuvuzi bukwiye kandi bagashimangira umutekano wawe.

Ninde utagomba guhabwa umuti wo mu gace (inzira ya parenterale)?

Nubwo inshinge z'imiti yo mu gace zifite umutekano ku bantu benshi, ibintu bimwe na bimwe n'ibihe bisaba gutekereza byihariye cyangwa uburyo bundi. Muganga wawe azasuzuma neza amateka yawe y'ubuvuzi mbere yo gukomeza.

Ugomba kumenyesha umuganga wawe niba ufite kimwe muri ibi biranga:

• Kumenya allergie ku miti yo mu gace cyangwa ibibungabunga
• Amateka y'ubwivumbagatanyo bukomeye ku miti yo mu kanwa cyangwa yo mu buvuzi
• Uburwayi bumwe na bumwe bwo mu mutima
• Uburwayi bukomeye bw'umwijima cyangwa impyiko
• Ubwoko bw'ubwandu bukora ahantu hateganyijwe guterwa urushinge
• Uburwayi bwo kuva amaraso cyangwa gukoresha imiti ituma amaraso ataguma

Kugira ibyo bibazo ntibigutera guhagarikwa mu buryo bwikora bwo kwakira umuti wica ububabare, ariko muganga wawe ashobora gukenera gukoresha imiti yindi cyangwa gufata ingamba zidasanzwe. Bazakorana nawe kugirango babone uburyo bwizewe cyane kubibazo byawe byihariye.

Gusama no konsa nabyo bisaba kwitonderwa byihariye, nubwo imiti myinshi yica ububabare ifatwa nk'iyizewe muri ibyo bihe. Umuganga wawe azahitamo uburyo bukwiye cyane kuri wowe no kumwana wawe.

Amazina y'ubwoko bw'imiti yica ububabare

Ubwoko butandukanye buzwi cyane bukora imiti yica ububabare yo gukoreshwa mu buryo bwo guterwa. Umuganga wawe azahitamo iyikwiye cyane hashingiwe kubyo ukeneye byihariye no kumikorere iri gukorwa.

Amazina asanzwe y'ubwoko arimo Xylocaine (lidocaine), Marcaine (bupivacaine), na Carbocaine (mepivacaine). Buri kimwe gifite imitungo itandukanye gato mu buryo gikoreramo vuba no kumara igihe kirekire. Muganga wawe ahitamo uburyo bwiza cyane hashingiwe kumikorere y'igihe ndetse nibyo ukeneye.

Ubwoko bwa rusange bwiyi miti ikora neza nk'amazina y'ubwoko. Ikigo cyawe cy'ubuzima kizakunda kubika ubwo bwoko butanga uruvange rwiza rw'ubushobozi, umutekano, n'igiciro cyiza kubarwayi babo.

Uburyo bwo gusimbuza imiti yica ububabare

Niba udashobora kwakira inshinge zisanzwe zica ububabare, uburyo butandukanye bushobora gutanga ubufasha bwo kurwanya ububabare mugihe cyo gukora imirimo y'ubuvuzi. Umuganga wawe ashobora kuganira kuri izi nzira hashingiwe kubibazo byawe byihariye nibyo ukeneye mubuvuzi.

Amavuta cyangwa amavuta yo hanze yica ububabare ashobora gukora neza kubikorwa bito byo kumubiri, nubwo atinjira cyane nk'inshinge. Uburyo bwo gukoresha anesthesia y'akarere nk'inzitizi z'imitsi bishobora gutuma ahantu hanini humura hakoreshejwe ahantu hatandukanye batera inshinge. Kubikorwa bimwe na bimwe, gukoresha imiti igabanya ububabare hamwe nimiti igabanya ububabare birashobora gukwiriye.

Mu gihe kitajyenda kibaho aho imiti yose y'ibanze yo gukoresha itabasha gukora, muganga wawe ashobora kugusaba gukoresha imiti rusange yo kubaga mu gihe cy'ibikorwa birebire. Bazahora bakorana nawe kugirango babone uburyo bwizewe kandi bwiza bujyanye n'ikibazo cyawe.

Ese imiti y'ibanze yo gukoresha (inzira yo gutera) iruta imiti yo gukoresha ku ruhu?

Inshinge z'imiti y'ibanze yo gukoresha n'imiti yo gukoresha ku ruhu bifite imbaraga zabyo, kandi guhitamo neza biterwa n'igikorwa cyawe n'ibyo ukeneye. Nta na kimwe cyiza kuruta ikindi.

Imiti y'ibanze yo gukoresha itanga uburyo bwo gucika intege bwoherejwe kandi bwizewe kandi bukora vuba kuruta uburyo bwo gukoresha ku ruhu. Ni ngombwa mu bikorwa biva munsi y'uruhu cyangwa bisaba gukuraho ububabare rwose. Ibyo bikorwa birashobora kumenyekana kandi birambye.

Imiti yo gukoresha ku ruhu iroroshye kandi ntisaba inshinge, bituma iba nziza mu bikorwa byo hejuru cyangwa abarwayi batinya inshinge. Ariko, bacika intege gusa ibice byo hejuru by'uruhu kandi bitwara igihe kirekire kugirango bikore. Mu bikorwa birebire, inshinge ziguma kuba urwego rwa zahabu rwo kugenzura ububabare bwizewe.

Umuvuzi wawe azagusaba uburyo bukwiye bushingiye ku burebure bw'igikorwa cyawe, urwego rwawe rwo kwishimira inshinge, n'amateka yawe y'ubuvuzi.

Ibikunze kubazwa ku bijyanye n'imiti y'ibanze yo gukoresha (inzira yo gutera)

Ese imiti y'ibanze yo gukoresha (inzira yo gutera) irakwiriye abarwayi b'umutima?

Inshinge z'imiti y'ibanze yo gukoresha muri rusange zirakwiriye abantu bafite indwara z'umutima, nubwo muganga wawe azagira ingamba zidasanzwe. Imiti y'ibanze yo gukoresha ya none itegurwa kugirango igabanye ingaruka ku mutima wawe, kandi doze zikoreshwa muri rusange ziri hasi cyane kuruta izo zishobora gutera ibibazo by'umutima.

Umuvuzi w'umutima wawe n'umuganga ukora icyo gikorwa bazakorana kugira ngo barebe ko umutekano wawe wubahirizwa. Bashobora guhitamo ubwoko bwihariye bw'imiti ituma umubiri utagira ububabare itagira ingaruka ku mutima wawe cyangwa bagahindura urugero rwayo uko bikwiye. Buri gihe ujye umenyesha abaganga bose bakuvura ibyerekeye uburwayi bw'umutima wawe mbere y'igikorwa icyo aricyo cyose.

Nkwiriye gukora iki niba mbonye umuti utuma umubiri utagira ububabare mwinshi mu buryo butunganye?

Kurenza urugero rw'umuti utuma umubiri utagira ububabare ntibikunda kubaho kuko abaganga babara neza urugero rukwiye, ariko ni ngombwa kumenya ibimenyetso. Ibimenyetso bishobora kuba isereri rikomeye, umutima utera nabi, guhumeka bigoye, cyangwa gusinzira cyane mu buryo budasanzwe.

Niba ubonye kimwe muri ibi bimenyetso mugihe cyangwa nyuma yo guhabwa umuti utuma umubiri utagira ububabare, bimenyeshe umuganga wawe ako kanya. Bafite imiti n'ibikoresho byo kuvura ibimenyetso byo kwanga uwo muti vuba kandi neza. Ntugerageze kwivura ibi bimenyetso wenyine - shakisha ubufasha bw'ubuvuzi ako kanya.

Nkwiriye gukora iki niba ububabare butagabanutse nkuko byari byitezwe?

Rimwe na rimwe, ububabare buturutse ku nshinge z'umuti utuma umubiri utagira ububabare bushobora kumara igihe kirekire kuruta uko byari byitezwe, nubwo ibi bidakunze kubaho. Ububabare bwinshi bumara amasaha 24-48 umubiri wawe umaze gukoresha neza uwo muti.

Vugana n'umuganga wawe niba ububabare bumaze amasaha 24 cyangwa niba ubonye ibimenyetso bishya nk'ububabare bukomeye cyangwa ibimenyetso by'ubwandu. Bashobora gusuzuma niba iyi ari impinduka isanzwe cyangwa ikeneye kuvurwa. Mu bihe byinshi, ububabare bumara igihe kirekire bukira rwose nta ngaruka zirambye.

Nshobora gusubira mu bikorwa bisanzwe ryari nyuma yo guterwa urushinge rw'umuti utuma umubiri utagira ububabare?

Muri rusange ushobora gusubira mu bikorwa byinshi bisanzwe ako kanya nyuma yo guhabwa umuti utuma umubiri utagira ububabare, nubwo ukwiriye kwitonda ahantu hatagira ububabare kugeza igihe ububabare bugarukiye. Irinde ibikorwa bishobora gukomeretsa ahantu hatagira ububabare kuko ntuzumva ububabare busanzwe bugukingira.

Mu gihe cyo kuvura amenyo, irinde kurya ibiryo bishyushye cyane cyangwa kunywa ibinyobwa bishyushye kugeza igihe ububabare bugabanuka kugira ngo wirinde kwitwika. Niba waratewe inshinge mu ntoki cyangwa mu birenge, witondere cyane ibikorwa bisaba ubushobozi bwo kugenzura neza cyangwa kubona uburinganire kugeza igihe wumva neza.

Ese nshobora gutwara imodoka nyuma yo guterwa umuti wica uburibwe (inzira ya parenterale)?

Gutwara imodoka nyuma yo guterwa inshinge zica uburibwe biterwa n'ahantu ububabare buri, n'uburyo bumeze, ndetse n'imiti yindi wahawe. Niba ahantu hato gusa hari ububabare kandi wumva umeze neza kandi wishimye, gutwara imodoka mubisanzwe biratekanye.

Ariko, irinde gutwara imodoka niba waraherekejwe no guhagarika ubwenge hamwe n'umuti wica uburibwe, niba wumva uruka cyangwa utameze neza, cyangwa niba ububabare bugira ingaruka ku bushobozi bwawe bwo kugenzura imodoka neza. Mu gihe ushidikanya, teganya ko undi muntu aguheka mu rugo kandi utegereze kugeza wumva umeze neza rwose mbere yo kongera gutwara imodoka.