Icyo Bupivacaine na Epinephrine Injection ari cyo: Ibikoreshwa, Uburyo Bupimwa, Ingaruka Ziterwa n'ibindi

Bupivacaine na epinephrine injection ni umuti utuma umubiri utumva ububabare ukoreshwa mu guhagarika ibimenyetso by'ububabare mu bice by'umubiri wawe mu gihe cy'ibikorwa by'ubuvuzi. Uyu muti uvanga ufasha gutuma ibice byagenewe gutumva ububabare mu gihe cyose cyo kuvura, mu gihe ugabanya ububabare kurusha imiti myinshi ituma umubiri utumva ububabare.

Bitekereze nk'“ikizimya” cy'agateganyo ku mitsi ituma umubiri utumva ububabare ahantu nyabwo umuganga wawe akeneye gukorera. Igice cya bupivacaine gihagarika ibimenyetso by'imitsi itwara ubutumwa bw'ububabare mu bwonko bwawe, mu gihe epinephrine ifasha umuti gukomeza gukora mu gace kandi igabanya kuva amaraso.

Bupivacaine na Epinephrine bikoreshwa mu iki?

Uyu muti ukoreshwa cyane cyane mu gutanga ubufasha bw'ububabare mu gihe cy'ibikorwa byo kubaga, akazi ko mu menyo, no gucunga ububabare mu gihe cyo kubyara. Umuganga wawe akoresha urushinge arushyira mu gace ukeneye kutumva, akarema ahantu hatariho ububabare mu bikorwa by'ubuvuzi.

Ibikoreshwa cyane harimo gutuma ibice bitumva ububabare mu kubaga guto, ibikorwa byo mu menyo nk'ukuvana iryinyo cyangwa imizi y'amenyo, no gutera inshinge za epidural mu gihe cyo kubyara. Abaganga bamwe kandi barabikoresha mu guhagarika imitsi kugira ngo bacunge indwara zidakira cyangwa batange ubufasha nyuma yo kubagwa runaka.

Usibye ibi bikoreshwa by'ibanze, uyu muti ushobora gufasha mu gucunga ububabare mu bikorwa nk'ibizamini, gukora ibikomere, cyangwa ndetse no mu bikorwa byo kwisiga. Umuganga wawe ashobora kandi kubikugiraho inama yo gucunga ububabare buturuka ku ndwara nka disiki yamenetse cyangwa ububabare budakira bwo mu mugongo binyuze mu guhagarika imitsi yagenewe.

Bupivacaine na Epinephrine bikora bite?

Uyu muti ukora uhagarika imiyoboro ya sodium mu ngirangingo zawe, bituma ibimenyetso by'ububabare bitajya mu bwonko bwawe. Ifatwa nk'umuti ukomeye, ukora igihe kirekire utuma umubiri utumva ububabare ushobora gutanga kutumva mu masaha menshi nyuma yo guterwa urushinge.

Igice cya bupivacaine gikora nk'inzitizi ibuza selile z'imitsi kohereza ubutumwa bw'ububabare. Hagati aho, epinephrine ituma imitsi y'amaraso muri ako gace ifunga, ibyo bigatuma umuti ukomeza kwibanda mu gace kagenewe igihe kirekire kandi bikagabanya kuva amaraso mu gihe cy'ibikorwa.

Ubu buhuza butanga ingaruka nziza kandi zirambye zo kutumva ugereranije no gukoresha bupivacaine yonyine. Epinephrine ifasha bupivacaine "kuguma" ahantu hakozwe inshinge, ikaguha ubufasha burambye ku bubabare bushobora kumara amasaha hagati ya 2 na 8 bitewe n'ahantu hakozwe inshinge n'urugero rw'umuti.

Nkwiriye kwitegura nte inshinge ya Bupivacaine na Epinephrine?

Umuvuzi wawe azakora uburyo bwo gukora inshinge, ariko urashobora kwitegura uvugana na we ku mateka yawe y'ubuvuzi n'ibibazo byose mbere y'igihe. Bitandukanye n'imiti ifatirwa mu kanwa, ntugomba guhangayika ku bijyanye no gufata uyu muti hamwe n'ibiryo cyangwa amazi kuko utangwa mu buryo bwo guterwa inshinge.

Mbere yo gukora igikorwa cyawe, menyesha muganga wawe imiti yose ufata, harimo imiti itagurishwa ku gasoko n'ibyongerera imbaraga. Imwe mu miti ishobora guhura na epinephrine, bityo ikipe yawe y'ubuvuzi ikeneye ishusho yuzuye y'ibiri mu mubiri wawe.

Ugomba kandi kumenyesha muganga wawe niba ufite indwara iyo ari yo yose y'umutima, umuvuduko mwinshi w'amaraso, cyangwa ibibazo bya tiroyide. Igice cya epinephrine gishobora kugira ingaruka ku mutima wawe n'umuvuduko w'amaraso, bityo ikipe yawe y'ubuvuzi ikeneye kumenya ibyo bibazo kugira ngo yemeze umutekano wawe mu gihe cy'igikorwa.

Nkwiriye kwitega ko ingaruka zimara igihe kingana gute?

Ingaruka zo kutumva zikunze kumara hagati y'amasaha 2 na 8, bitewe n'ahantu inshinge iterewe n'urugero rw'umuti wakoreshejwe. Abantu benshi bagira kutumva cyane mu minota 15 kugeza kuri 30 nyuma yo guterwa inshinge, ingaruka zigenda zigabanuka buhoro buhoro mu masaha menshi.

Ku bijyanye n'ibikorwa byo mu kanwa, ushobora kubona ububabare bumara amasaha 3 kugeza kuri 5. Ku bijyanye n'inkingo za epidural mu gihe cyo kubyara, ingaruka zirashobora gucungwa no guhindurwa mu gihe cyose cyo kubyara uko bikwiye. Ibikorwa byo kubaga bishobora gusaba doze zinyongera niba umurimo umaze igihe kirekire kuruta uko byari byitezwe.

Igihe bishobora gutandukana bitewe n'uburyo umuntu ku giti cye yakiriye umuti, imyaka yawe, n'ahantu nyirizina inkingo zikorerwa. Ahantu hamwe na hamwe mu mubiri bisanzwe bitunganya umuti vuba kuruta ahandi, niyo mpamvu muganga wawe azahindura doze n'igihe ukurikije ibyo ukeneye.

Ni Iyihe Ngaruka Ziterwa na Bupivacaine na Epinephrine?

Abantu benshi bakira neza uyu muti, ariko ushobora guhura n'ingaruka zimwe z'igihe gito mu gihe umubiri wawe utunganya umuti. Ingaruka zisanzwe ni izijyanye n'ahantu inkingo zikorerwa n'uburyo umubiri wakiriye epinephrine.

Dore ingaruka ushobora kubona, dutangiriye ku zisanzwe:

• Ububabare bw'igihe gito cyangwa kuribwa bikwira hanze y'ahantu hagenewe
• Urugero ruto rwo kuribwa umutwe cyangwa kumva umutwe utameze neza
• Kuzamuka guto kw'umuvuduko w'umutima
• Ubugufi bw'igihe gito mu misitsi hafi y'ahantu inkingo zikorerwa
• Isesemi rito cyangwa kutumva neza mu gifu
• Umutwe ugaragara nyuma y'amasaha make inkingo zikozwe
• Kureba nabi kw'igihe gito niba inkingo zikozwe hafi y'ahantu ho mu maso

Izi ngaruka zisanzwe zikunda gukira mu masaha make umuti umaze gushira. Umubiri wawe bisanzwe utunganya kandi ugakuraho umuti, ukagarura ibyiyumvo byawe mu buryo busanzwe.

Ingaruka zikomeye ni gake ariko zisaba ubufasha bwihutirwa bw'abaganga. Izi zishobora kuba zirimo ibimenyetso bikomeye by'uburwayi, impinduka zikomeye mu mutima, cyangwa ibimenyetso by'uburozi bw'imiti nk'urujijo cyangwa ibyuririzi.

Niba wumva ububabare mu gituza, ugahumeka nabi, ukagira isereri rikomeye, cyangwa ibimenyetso byose byo kwibasirwa n'umubiri nk'imivumbi cyangwa kubyimba, genda kwa muganga ako kanya. Ibi byiyumvo ntibisanzwe ariko bikenera kuvurwa vuba.

Ninde utagomba guhabwa Bupivacaine na Epinephrine?

Uburwayi runaka n'ibihe bituma uyu muti udakwiriye cyangwa bisaba ingamba zidasanzwe. Muganga wawe azasuzuma neza amateka yawe y'ubuzima kugira ngo amenye niba iyi nshinge ikwiriye kuri wowe.

Ugomba kumenyesha umuganga wawe niba ufite kimwe muri ibi bikurikira:

• Kumenya allergie kuri bupivacaine, epinephrine, cyangwa imiti isa n'iyi yo mu gice cy'umubiri
• Uburwayi bukomeye bw'umutima cyangwa umutima utera nabi
• Umubyigisho udakira w'amaraso
• Umutsi w'umubiri ukora cyane (hyperthyroidism)
• Ubwoko runaka bwa glaucoma
• Ingorane zo gutwita zituma epinephrine iba akaga
• Umutima wa vuba cyangwa sitiroke

Ukwitonda bidasanzwe birakenewe niba ufata imiti runaka nka MAO inhibitors, imwe mu miti ivura depression, cyangwa beta-blockers. Iyi miti irashobora gukorana na epinephrine kandi igatuma habaho ingaruka ziteje akaga.

Muganga wawe ashobora guhitamo indi miti cyangwa guhindura urugero rwawo bitewe n'uko ubuzima bwawe bumeze. Intego ni ukugira ngo itange ubufasha bwiza kandi bwizewe mu kurwanya ububabare mu gihe bigabanya ibyago byose ku buzima bwawe.

Amazina y'ubwoko bwa Bupivacaine na Epinephrine

Uyu muti uvura ububabare uboneka mu mazina menshi y'ubwoko, nubwo ibigo byinshi by'ubuvuzi bikoresha ubwoko bwa generic. Amazina asanzwe y'ubwoko arimo Marcaine hamwe na Epinephrine, Sensorcaine hamwe na Epinephrine, na Vivacaine.

Ubwoko bwa generic bukora kimwe n'ubwoko bw'amazina kandi bukurikiza amategeko y'umutekano n'ubushobozi. Umuganga wawe azahitamo ubwoko bukwiye cyane bitewe n'ibyo ukeneye n'ibiboneka mu kigo cyabo.

Uburyo bwo gusimbuza Bupivacaine na Epinephrine

Hariho izindi nshuti zishobora gukoreshwa niba uyu muti utagukwiriye. Muganga wawe ashobora kugusaba lidocaine hamwe na epinephrine, ikora vuba ariko ntimara igihe kirekire, cyangwa articaine kubikorwa bimwe byo mu menyo.

Kubarwayi batabasha gufata epinephrine, bupivacaine isanzwe idafite epinephrine ni amahitamo, nubwo bishobora kutamara igihe kirekire. Izindi nshuti zirimo chloroprocaine kubikorwa bigufi cyangwa mepivacaine kubarwayi bafite indwara zimwe zo mumutima.

Umutanga serivisi z'ubuzima azahitamo igisubizo cyiza hashingiwe ku mateka yawe y'ubuvuzi, ubwoko bw'igikorwa, n'igihe ukeneye ko ububabare bumara.

Ese Bupivacaine na Epinephrine biruta Lidocaine?

Imiti yombi ni imiti myiza y'ububabare, ariko ifite imbaraga zitandukanye zituma zikwiriye ibihe bitandukanye. Bupivacaine hamwe na epinephrine bitanga ubumuga burambye, mubisanzwe amasaha 4 kugeza kuri 8, mugihe lidocaine hamwe na epinephrine isanzwe imara amasaha 2 kugeza kuri 4.

Lidocaine ikora vuba, itanga ubumuga mumiminota 2 kugeza kuri 5, mugihe bupivacaine bishobora gufata iminota 10 kugeza kuri 15 kugirango bigere ku ngaruka zuzuye. Kubikorwa birebire cyangwa iyo ukeneye ubufasha burambye bwububabare, bupivacaine akenshi irahabwa agaciro.

Icyemezo giterwa nibyo ukeneye byihariye. Kubikorwa byo mumaso byihuse, lidocaine irashobora kuba itunganye. Kubikorwa birambuye cyangwa iyo ukeneye amasaha yo gufashwa nububabare nyuma, bupivacaine hamwe na epinephrine akenshi nicyemezo cyiza.

Ibikunze Kubazwa Kuri Bupivacaine na Epinephrine

Ese Bupivacaine na Epinephrine birinzwe kubagore batwite?

Uyu muti ukoreshwa cyane mugihe cyo kubyara kubijyanye na epidural anesthesia kandi muri rusange bifatwa nkibidasanzwe iyo bitanzwe nabaganga bafite uburambe. Doses zikoreshwa mugufasha kubabara kw'umurimo zibarwa neza kugirango zitange ihumure mugihe zigabanya ibyago byose kuri wowe cyangwa umwana wawe.

Ariko, itsinda ryawe ryita ku buzima bw'umubyeyi rizajya rikugenzura wowe n'umwana wawe neza mu gihe cyo gutanga umuti no nyuma yaho. Bazahindura urugero rw'umuti n'igihe cyo kuwutanga bitewe n'uko umurimo wo kubyara urimo gutera imbere n'uko wowe n'umwana wawe murimo mwitwara.

Nkwiriye gukora iki niba ngize ingaruka zikomeye?

Shaka ubufasha bwihuse bw'abaganga niba wumva ububabare mu gituza, ugahura n'ingorane zo guhumeka, ugahungabana cyane, umutima wawe ugahora utera cyangwa utagenda neza, cyangwa ibimenyetso byo kwibasirwa n'umubiri nk'imitsi cyangwa kubyimba mu maso. Ibi bimenyetso bisaba ubufasha bwihutirwa.

Ku ngaruka zoroheje nk'isuka ryoroheje cyangwa kubabara umutwe, vugana n'umuganga wawe kugira ngo akugire inama. Barashobora kukubwira niba izi ngaruka zisanzwe cyangwa niba ukeneye isuzuma ryongereweho.

Nzajya numva urushinge ruri gutangwa?

Birashoboka ko uzumva urushinge rwa mbere rushyizweho, kimwe n'urundi rwo guterwa, ariko ahantu hose hazahita gusa n'aho nta cyo kumva igihe umuti utangiye gukora. Abaganga benshi bakoresha uburyo bwo kugabanya kutumva neza, nk'uko bakoresha urushinge ruto cyane cyangwa bakabanza gukoresha umuti wo gutuma ahantu hatagira icyo kumva.

Uko kutumva neza kw'urushinge muri make, akenshi biba bike cyane ugereranyije n'ububabare bw'igikorwa kirimo kubuza. Abantu benshi basanga urushinge rw'agateganyo rwo guterwa rworoshye cyane ugereranyije n'ubutabazi rutanga.

Nshobora gutwara imodoka nyuma yo guterwa uru rushinge?

Ibi biterwa n'aho watewe urushinge n'uko wumva nyuma yaho. Niba wakoze igikorwa cyo mu menyo kandi akanwa kawe gusa ariko katagira icyo kumva, mubisanzwe urashobora gutwara imodoka umaze kumva neza kandi utuje.

Ariko, niba watewe epidural cyangwa nerve block bigira ingaruka ku maguru yawe, cyangwa niba wumva uhungabana cyangwa wumva umutwe, ugomba kugira undi muntu ukugendera. Umuganga wawe azaguha amabwiriza yihariye ashingiye ku miterere yawe.

Nkwiriye gutegereza igihe kingana iki mbere yo kurya nyuma yo guterwa urushinge mu menyo?

Tegereza kugeza igihe uburyaryate buvuyeho burundu mbere yo kurya, akenshi amasaha 2 kugeza kuri 4 nyuma yo kuvurwa amenyo. Kurya mu gihe umunwa wawe utameze neza byongera ibyago byo kuruma ururimi rwawe, itama, cyangwa umunwa ku buryo butunguranye.

Urashobora kunywa ibinyobwa bikonje witonze, ariko wirinde ibinyobwa bishyushye kugeza igihe wumva neza. Muganga w'amenyo azatanga amabwiriza yihariye ashingiye ku buryo wavuweho n'igihe uburyaryate buzamara.