Icyo Lidocaine na Epinephrine y'urushinge ari cyo: Ibyo ikoreshwa, urugero rwo kuyikoresha, ingaruka zayo, n'ibindi

Urukinge rwa Lidocaine na epinephrine ni uruvange rw'umuti utuma umubiri utumva ububabare rukoreshwa mu gice runaka cy'umubiri wawe mu gihe cyo kuvurwa. Uyu muti urimo lidocaine, ituma ibimenyetso by'ububabare bitagera mu bwonko, na epinephrine, ifasha umuti wo gutuma umubiri utumva ububabare kumara igihe kirekire kandi igabanya amaraso ku gice cy'urushinge.

Abaganga bakoresha cyane uru ruvange mu kuvura amenyo, kubaga ibice bito by'umubiri, no mu bindi byiciro by'ubuvuzi aho ukeneye kuba maso ariko utumva ububabare. Igice cya epinephrine gituma lidocaine ikora neza cyane kubera ko kiyigumisha ahantu havurirwa.

Lidocaine na Epinephrine y'urushinge ikoreshwa mu kuvura iki?

Uyu muti ukoreshwa nk'umuti utuma umubiri utumva ububabare mu gihe cyo kuvurwa bisaba gutuma umubiri utumva ububabare utaguteye gusinzira. Muganga wawe cyangwa muganga w'amenyo arayikoresha mu gice gikeneye gutuma umubiri utumva ububabare.

Ibintu bikoreshwa cyane birimo kuvura amenyo nk'ukuziba amenyo, gukuramo amenyo, no kuvura imizi y'amenyo. Ushobora kandi guhabwa uru rushinge mu kubaga ibice bito by'uruhu, gukora ibizamini by'uruhu, cyangwa mu gihe batera imitsi mu gukata.

Abaganga bamwe barayikoresha mu kuvura ibindi bintu bikomeye nko gukuraho impyisi cyangwa mu kuvura indwara zimwe na zimwe z'abagore. Uru ruvange rukora neza cyane iyo abaganga bakeneye kugenzura amaraso mu gihe batanga ubufasha bwo kugabanya ububabare.

Lidocaine na Epinephrine ikora ite?

Uyu muti ukora ukoresheje uburyo bubiri butanga ubufasha bwo kugabanya ububabare no kongera imikorere. Lidocaine ifunga imiyoboro ya sodium mu ngirangingo z'imitsi yawe, ibabuza kohereza ibimenyetso by'ububabare mu bwonko bwawe.

Epinephrine ikora nk'ikintu gituma imitsi y'amaraso igabanuka, bivuze ko igabanya imitsi y'amaraso ahantu hakoreshejwe urushinge. Ibi bituma lidocaine itakwira vuba mu mubiri wawe kandi bigafasha kuguma ahantu ukeneye cyane.

Epinephrine kandi igabanya amaraso binyuze mu guhagarika imitsi y'amaraso, bituma umuganga wawe abona neza mu gihe cyo kubaga. Ubu buryo buhuza butuma ingaruka zo guhagarika ububabare zikomera kandi zikamarana igihe kirekire kurusha lidocaine yonyine.

Ibi bifatwa nk'umuti uhagarika ububabare ukomeye. Itanga ubufasha bwizewe ku bubabare ku buryo bworoshye kugeza ku buringanire, nubwo bishobora kutaba bihagije ku kubaga gukomeye bisaba anesthesia ikomeye.

Nkwiriye kwitegura nte gutera urushinge rwa Lidocaine na Epinephrine?

Umuganga wawe niwe uzita ku gutegura no gutanga urushinge. Muri rusange ntugomba gufata intambwe zidasanzwe mbere y'igihe, nubwo ugomba kumenyesha muganga wawe imiti yose urimo gufata.

Urashobora kurya no kunywa ibisanzwe mbere yo guhabwa uru rushinge keretse muganga wawe akugiriye izindi nama. Uyu muti ukora ahantu hato, bityo ntuzagira ingaruka ku gifu cyawe cyangwa igogora.

Kora neza umenye umuganga wawe niba ufite allergie, cyane cyane ku miti ihagarika ububabare, sulfites, cyangwa epinephrine. Kandi uvuge niba ufite indwara z'umutima, umuvuduko ukabije w'amaraso, cyangwa ibibazo bya thyroid, kuko ibi bishobora kugira ingaruka ku buryo epinephrine ikora mu mubiri wawe.

Niba ufite impungenge ku bijyanye n'inshinge cyangwa ibikorwa by'ubuvuzi, menyesha ikipe yawe y'ubuvuzi. Bashobora kugufasha kumva umeze neza kandi bashobora gutanga ibitekerezo byo kuruhuka mu gihe cyo gutera urushinge.

Urushinge rwa Lidocaine na Epinephrine rumara igihe kingana gute?

Ingaruka zo guhagarika ububabare mubisanzwe zitangira nyuma y'iminota mike yo gutera urushinge kandi zirashobora kumara hagati y'isaha imwe n'eshatu. Igihe nyacyo giterwa n'aho urushinge rwaterwa, umubare wakoreshejwe, n'uburyo umubiri wawe witwara ku muti.

Mubisanzwe uzabona ahantu hatangiye guhuma mu minota ibiri kugeza kuri itanu nyuma yo gutera urushinge. Ingaruka zikomeye zibaho hafi y'iminota 15 kugeza kuri 30 nyuma yo gutera urushinge, bitanga urwego rwo guhuma rwo hejuru.

Igihe umuti ugenda ushiramo, kumva bigaruka buhoro buhoro mu gice cyavuwe. Ushobora kubanza kumva urumuri mbere yuko kumva bisanzwe bigaruka rwose.

Igice cya epinephrine gifasha kongera igihe cyo kutumva ugereranije na lidocaine yonyine. Hatariho epinephrine, lidocaine isanzwe imara iminota 30 kugeza kuri 60 gusa, ariko iyi mvange ishobora gutanga ubufasha kugeza ku masaha atatu mu bihe bimwe na bimwe.

Ni Ibihe Bikorwa Bigaragara Byo Kwinjiza Lidocaine na Epinephrine?

Abantu benshi bakira neza iyi nshinge, ariko nk'imiti yose, ishobora gutera ibikorwa bigaragara. Inkuru nziza ni uko ibikorwa bikomeye bidakunze kubaho iyo umuti ukoreshwa neza.

Ibikorwa bisanzwe bishobora kukubaho birimo kutumva by'agateganyo bikagera hanze y'agace kavuwe, kubyimba gake cyangwa gukomeretsa ahantu haterwa urushinge, no kumva uburyohe bwa metali mukanwa kawe. Ibi bikorwa mubisanzwe biroroshye kandi bikivana byonyine.

Dore ibikorwa bikunze kugaragara ugomba kumenya:

• Umubare w'umutima wiyongera by'agateganyo cyangwa guhagarara kw'umutima biturutse kuri epinephrine
• Kwigiriza gake cyangwa ubwoba
• Kunyeganyega gake cyangwa guhinda umushyitsi
• Kuzamuka by'agateganyo kw'umuvuduko w'amaraso
• Umutwe
• Kuribwa umutwe cyangwa kumva urumuri

Ibi bimenyetso mubisanzwe bigenda bishira igihe umubiri wawe ukora umuti, mubisanzwe mu masaha make.

Ibikorwa bitakunze kugaragara ariko bikomeye bisaba ubufasha bw'ubuvuzi bwihuse. Ibi birimo ibikorwa bikomeye byo kwanga umuti, nubwo bidakunze kubaho, bishobora guteza akaga iyo bibaye.

Reba ibi bimenyetso byo kwihanangiriza bisaba ubuvuzi bwihuse:

• Kugorana guhumeka cyangwa guhumeka
• Kubyimba mu maso, iminwa, ururimi, cyangwa umuhogo
• Umutima ukubita cyane cyangwa kuribwa mu gituza
• Kuribwa umutwe cyane cyangwa guta igihagararo
• Uruhu rwagutse cyangwa imyatsi
• Kwigiriza cyane cyangwa kumva ubwoba

Niba ubonye kimwe muri ibi bimenyetso, shakisha ubufasha bw'ubuvuzi bwihutirwa ako kanya.

Ninde Utagomba Guterwa Urukingo rwa Lidocaine na Epinephrine?

Abantu bamwe na bamwe bagomba kwirinda uyu muti kubera kwiyongera kw'ibibazo. Muganga wawe azasuzuma amateka yawe y'ubuzima kugira ngo amenye niba uru rukingo rugukwiriye.

Ntabwo ukwiriye guterwa uru rukingo niba ufite allergie izwi kuri lidocaine, epinephrine, cyangwa sulfites. Abantu bafite ibibazo bikomeye by'umuvuduko w'umutima cyangwa indwara zimwe na zimwe z'umutima bashobora no gukenera kwirinda igice cya epinephrine.

Ibyiciro byinshi bisaba kwitonda cyane mugihe utekereza kuri uyu muti:

• Umubyibuho ukabije udakontroliwe neza
• Ibibazo by'umuvuduko w'umutima cyangwa umutima wateye vuba
• Umutsi ukabije (hyperthyroidism)
• Indwara zikomeye zo guhangayika cyangwa indwara yo guhangayika
• Glaucoma ifunganye
• Indwara ikomeye y'umwijima cyangwa impyiko

Muganga wawe azagereranya inyungu n'ibibazo by'ibi byiciro kandi ashobora guhitamo ibindi bisimbura niba bibaye ngombwa.

Kugira inda no konsa nabyo bisaba kwitonda cyane. Nubwo lidocaine isanzwe ifatwa nk'umutekano mugihe cyo gutwita, igice cya epinephrine gishobora gukenera gukurikiranwa byihariye cyangwa ibindi bisubizo.

Amazina ya Lidocaine na Epinephrine

Uku guhuza kuboneka munsi y'amazina menshi y'ubwoko, nubwo ibigo byinshi by'ubuzima bikoresha verisiyo rusange. Amazina asanzwe y'ubwoko arimo Xylocaine hamwe na Epinephrine, Lignospan, na Octocaine.

Umuti uza mubisanzwe bitewe n'icyo ugamije gukoreshwa. Imiterere ya gikinyarwanda isanzwe ikubiyemo 2% ya lidocaine hamwe na 1:100,000 epinephrine, mugihe imikorere ya muganga ishobora gukoresha imibare itandukanye.

Umuvuzi wawe azahitamo ubwoko bukwiye n'umubare bitewe n'imikorere yawe yihariye n'ibikenewe by'ubuvuzi. Ibikoresho bikora kimwe nubwo izina ry'ubwoko ryaba ritandukanye.

Ibindi bisimbura urukingo rwa Lidocaine na Epinephrine

Hari ubundi buryo bushobora gukoreshwa niba udashobora gukoresha lidocaine na epinephrine cyangwa niba umuganga wawe agushyizeho ubundi buryo. Icyemezo gifatwa bitewe n'uburwayi ufite, ubwoko bw'igikorwa, n'uburyo umubiri wawe wakira imiti.

Lidocaine idafite epinephrine itanga uburyo bwo gukora neza ku bantu bakeneye kwirinda epinephrine. Ubu buryo bukora neza ku barwayi bafite indwara z'umutima cyangwa impungenge zikabije, nubwo uburyo bwo gukora bushobora kutamara igihe kirekire.

Izindi miti ikoreshwa mu gukora ni articaine, mepivacaine, na prilocaine. Buri imwe ifite imitungo itandukanye kandi ishobora gukoreshwa neza mu bikorwa byihariye cyangwa ibibazo by'abarwayi.

Ku bantu bafite allergie ku miti ikoreshwa mu gukora, abaganga bashobora gukoresha amavuta akoreshwa mu gukora, imiti ikoreshwa mu guhagarika imitsi hamwe n'indi miti itandukanye, cyangwa mu bihe bimwe na bimwe, anesthesia rusange mu bikorwa bikomeye.

Ese Lidocaine na Epinephrine biruta Lidocaine isanzwe?

Ubufatanye bwa lidocaine na epinephrine butanga inyungu nyinshi kurusha lidocaine isanzwe, ariko niba ari

Ibi biterwa n'uburwayi bw'umutima ufite n'uburemere bwabwo. Abarwayi benshi b'umutima bashobora kwakira iyi nshinge mu buryo bwizewe, ariko muganga wawe agomba kubanza gusuzuma uko ubuzima bwawe buhagaze.

Igice cya epinephrine gishobora kongera umuvuduko w'umutima n'umuvuduko w'amaraso by'agateganyo, ibyo bishobora guhangayikisha abantu bafite uburwayi bw'umutima. Muganga w'umutima wawe n'umuganga ukora ubuvuzi bazakorana kugira ngo bamenye uburyo bwizewe.

Niba ufite indwara y'umutima ifashwe neza, imiti mike y'iyi miti akenshi ifatwa nk'iyizewe mu bikorwa bya ngombwa. Ariko, itsinda ryawe ry'ubuvuzi rishobora guhitamo lidocaine isanzwe cyangwa izindi nzira niba epinephrine iteye akaga kenshi.

Nkwiriye gukora iki niba mfite allergie?

Shaka ubufasha bw'ubuvuzi bwihuse niba ubona ibimenyetso byose bya allergie. Hamagara 911 cyangwa ujye mu cyumba cy'abarwayi cyegereye ako kanya niba ufite ikibazo cyo guhumeka, kubyimba mu maso cyangwa mu muhogo, cyangwa ibimenyetso byo ku ruhu byagutse.

Ibimenyetso byoroheje nk'ukubyimba ahantu hamwe cyangwa gutukura ahantu haterwa urushinge bikwiriye kumenyeshwa umuganga wawe, ariko akenshi ntibisaba ubufasha bwihutirwa.

Buri gihe menyesha abaganga bazaza ku bijyanye na allergie wigeze kugira ku miti yo mu gace. Ibi bisobanuro bibafasha guhitamo izindi nzira zizewe mu bikorwa bizaza.

Nshobora gutwara imodoka nyuma yo kwakira iyi nshinge?

Mu bihe byinshi, urashobora gutwara imodoka nyuma yo kwakira lidocaine na epinephrine, ariko ibi biterwa n'uburyo wakorewe n'uko wumva nyuma yaho.

Umuti ubwawo akenshi ntugira icyo wangiza ku bushobozi bwawe bwo gutwara imodoka, nubwo ushobora kumva utuje cyangwa uhungabanye gato kubera epinephrine mu gihe gito. Niba wakoze imirimo yo mu kanwa, ubugumba mu kanwa kawe ntibwagombye kugira icyo bugira ku bushobozi bwawe bwo gutwara imodoka.

Ariko, niba wakiriye imiti igabanya ubwoba hamwe n'urushinge cyangwa wumva uruka cyangwa utameze neza, teganya ko undi muntu aguha urugendo rugutwara mu rugo. Buri gihe ukurikize amabwiriza yihariye y'umuganga wawe yerekeye gutwara imodoka nyuma yo gukorerwa icyo kizamini.

Nshobora Gutegereza Igihe Kingana Gite Mbere yo Kurya Nyuma yo Gukorerwa Imikorere yo Mu Menyo?

Tegereza kugeza igihe ububabare buvuyeho burundu mbere yo kurya ikintu icyo aricyo cyose, cyane cyane ibiryo bishyushye cyangwa ibinyobwa. Ibi mubisanzwe bifata amasaha abiri kugeza kuri ane nyuma yo gukorerwa imikorere yo mu menyo.

Mugihe umunwa wawe utameze neza, ntushobora kumva ubushyuhe cyangwa ububabare neza, ibyo bikongera ibyago byo kuruma ururimi rwawe, itama, cyangwa iminwa yawe. Ushobora kandi gutwika umunwa wawe n'ibiryo bishyushye utabizi.

Tangira n'ibiryo byoroshye, bikonje igihe ubushobozi bugarutse. Irinda ibintu bikomeye, bikaranuka, cyangwa bishyushye cyane kumunsi wa mbere niba wakorewe imikorere yo mu menyo yagutse.

Nshobora Kureka Guhangayika Ku Ngaruka Ziterwa n'Ibyo?

Inyinshi mu ngaruka ziterwa n'urushinge rwa lidocaine na epinephrine zikemuka mu masaha make igihe umubiri wawe ukora imiti. Kumva utuje biterwa na epinephrine mubisanzwe birashira mu isaha imwe kugeza ku ebyiri.

Niba ugiye kugira allergie, mubisanzwe bibaho mumiminota 30 ya mbere nyuma yo guterwa urushinge. Igihe umaze kurenga iki gihe nta bibazo, ibikorwa bikomeye biragabanuka cyane.

Vugana n'umuganga wawe niba ufite ibimenyetso bikomeza cyangwa bikomeza kwiyongera amasaha arenga 24 nyuma yo guterwa urushinge. Nubwo ibi bidakunze kubaho, burigihe biruta kuganira n'umuganga niba ufite impungenge.