Icyo Lidocaine na Prilocaine ari cyo: Ibikoreshwa, Uburyo Bwo Gukoresha, Ingaruka Ziterwa n'Uko Bikoreshwa n'ibindi

Lidocaine na prilocaine ni umuti ushyirwa ku ruhu ugabanya ububabare, uvanga imiti ibiri igabanya ububabare bw'agateganyo mu mitsi yo ku ruhu rwawe. Uyu muti ushyirwa ku ruhu, uba mu buryo bwa cream cyangwa gel, ukora nk'ugabanya ububabare ku ruhu rwawe, bigatuma imikorere ya muganga irushaho kuba myiza kandi itababaza. Ushobora kuwumenya ku mazina y'ubucuruzi nka EMLA cream, umaze imyaka myinshi ufasha abantu mu kugabanya ububabare mu gihe cyo kuvurwa.

Lidocaine na Prilocaine ni iki?

Lidocaine na prilocaine ni uruvange rw'umuti ugabanya ububabare ushyirwa ku ruhu ukora mu buryo bwo guhagarika by'agateganyo ibimenyetso by'ububabare mu ruhu rwawe. Bitekereze nk'«switch» y'agateganyo ihagarika imyakura y'ububabare mu gice ukoreshejeho uyu muti. Uyu muti urimo imiti ibiri itandukanye igabanya ububabare ikorera hamwe kugira ngo itange ubufasha bwiza mu kugabanya ububabare.

Uyu muti uza mu buryo bwa cream, gel, cyangwa patch ushyirwa ku ruhu rwawe. Bitandukanye n'imiti iterwa mu nshinge, ubu bwoko bukoreshwa ku ruhu bukorera buhoro buhoro kandi bugira ingaruka ku gice cyo hejuru cy'uruhu rwawe. Urugero rwa lidocaine na prilocaine rutuma bikora neza kurusha uko umuti waba uri wenyine.

Lidocaine na Prilocaine bikoreshwa mu iki?

Lidocaine na prilocaine ikoreshwa cyane cyane mu kugabanya ububabare ku ruhu rwawe mbere yo gukora imikorere mito ya muganga. Umuganga wawe ashobora kubikugiraho inama mbere yo gushyira imitsi ya IV, kuvoma amaraso, cyangwa gukora imikorere mito yo kubaga. Uyu muti ufasha kugabanya ububabare n'akababaro ushobora kumva mu gihe cy'ubwo buvuzi bukenewe.

Hagati y'imikorere ya muganga, uru ruvange rushobora gufasha mu bibazo bitandukanye bifitanye isano n'uruhu. Hano hari ibintu bisanzwe aho muganga wawe ashobora gutanga igitekerezo cyo gukoresha uyu muti:

• Mbere y'ibikorwa byo gukoresha urushinge nko gukuramo amaraso, gushyiramo imitsi ya IV, cyangwa inshinge
• Mbere y'ububaguzi buto bwo ku ruhu cyangwa biopsies
• Mbere yo kuvura na laser cyangwa ibikorwa byo kuvura uruhu
• Kubwoko bumwe bwo kubabara kw'imitsi ihoraho ku ruhu
• Mbere yo gushyiramo catheter cyangwa ibindi bikoresho by'ubuvuzi

Muganga wawe azemeza niba uyu muti ukwiriye kubera uko urwaye. Intego ni ukugira ngo ubuvuzi bukenewe bugende neza uko bishoboka kose kuri wowe.

Lidocaine na Prilocaine bikora bite?

Lidocaine na prilocaine bikora mu gihe byataye by'agateganyo imiyoboro ya sodium mu turemangingo twawe tw'imitsi. Iyi miyoboro isa n'inzugi nto zemerera ibimenyetso by'ububabare kuva ku ruhu rwawe bigana mu bwonko bwawe. Iyo umuti ufunze izi nzugi, ibimenyetso by'ububabare ntibishobora kunyuramo, kandi wumva ubuzima aho kumva ububabare.

Ibi bifatwa nk'umuti wo ku ruhu ufite imbaraga ziringaniye utanga ingaruka zo gutuma umubiri wima. Uyu muti winjira mu bice byo hejuru by'uruhu rwawe kugera ku mpera z'imitsi iri munsi. Bitandukanye n'imiti ikomeye ikoreshwa mu kubaga, iyi mvange yateguwe kugira ngo ikore neza ku ruhu rutangiritse itateje ingaruka ku bice byimbitse by'umubiri.

Ingaruka zo gutuma umubiri wima zikunze gutangira nyuma y'iminota 30 kugeza kuri 60 nyuma yo gukoresha. Uyu muti ukomeza gukora amasaha menshi, uha umuganga wawe umwanya mwiza wo gukora ibikorwa bikenewe. Kumva kwawe gusanzwe kugaruka buhoro buhoro uko umubiri wawe usanzwe ukora kandi ukavana uyu muti mu mubiri.

Nkwiriye gufata Lidocaine na Prilocaine nte?

Ukwiye gukoresha lidocaine na prilocaine nk'uko umuganga wawe cyangwa amabwiriza yo ku ipaki abikubwira. Sukuza ahantu neza ukoresheje isabune n'amazi mbere yo gukoresha, hanyuma uhahanagure neza. Shyiraho urwego ruto rw'umuti cyangwa gel kugira ngo utwikire ahantu hose hakeneye gutuma umubiri wima.

Kubona ibisubizo byiza, ugomba gutwikira ahantu havuriweho n'agapapuro ka plastiki cyangwa umwenda wihariye. Iki gitwikira gifasha umuti kwinjira cyane mu ruhu rwawe kandi kirinda ko ushiraho. Reka umuti ugumeho mu gihe cyagenwe, akenshi isaha 1 kugeza ku masaha 2, bitewe n'uburyo urimo kwitegura.

Dore icyo ugomba kumenya ku bijyanye no gukoresha neza:

• Koresha ku ruhu rumeze neza, rwohanutse, rutangiritse gusa
• Koresha amavuta ahagije kugira ngo ukore urwego ruzitse kandi ruringaniye
• Twikira n'agapapuro ka plastiki cyangwa umwenda watanzwe
• Ntukoreshe ku ruhu rwangiritse, rurakaye, cyangwa rwanduye
• Komesha neza intoki zawe nyuma yo gukoresha

Kura umuti n'igitwikira mbere gato y'uburyo bwawe. Umuganga wawe azahanagura amavuta asigaye mbere yo gutangira kuvura.

Nkwiriye Kumara Igihe Kingana Gite Nkoresha Lidocaine na Prilocaine?

Lidocaine na prilocaine akenshi bikoreshwa mu buryo bumwe aho gukoreshwa nk'urugero rukomeza. Ubusanzwe urayisiga rimwe mbere y'uburyo bwihariye bwa muganga hanyuma ukayikuraho igihe uburyo butangiye. Igihe cy'ikoreshwa ryose akenshi ni isaha 1 kugeza ku masaha 2, bitewe n'icyo umuganga wawe agusaba.

Niba muganga wawe agutegeka uyu muti kubera ububabare buhoraho bw'imitsi, bazaguha amabwiriza yihariye yerekeye uburyo ukoresha kenshi. Abantu bamwe bashobora kuyikoresha inshuro nyinshi mu cyumweru, mu gihe abandi bashobora kuyikenera rimwe na rimwe. Ntukoreshe kenshi kuruta uko umuganga wawe abisaba, kuko ibi bishobora kongera ibyago byo kugira ingaruka ziterwa n'umuti.

Kubera indwara zihoraho, muganga wawe azagenzura buri gihe niba ugikenera uyu muti. Bashobora guhindura inshuro cyangwa bagatanga ibindi bisubizo uko indwara yawe ihinduka. Buri gihe jya kwa muganga wawe niba umaze ibyumweru cyangwa amezi ukoresha uyu muti.

Ni Iyihe Ngaruka Ziterwa na Lidocaine na Prilocaine?

Abantu benshi boroherwa na lidokayine na prilocaine, ariko nk'imiti yose, birashoboka ko bitera ingaruka zidakunda. Ingaruka zidakunda zisanzwe zibaho ahantu washyizeho umuti kandi akenshi ziba zoroshye kandi zikamaraho igihe gito. Izi ngaruka zigaragara ahantu honyine zisanzwe zikira zonyine mu masaha make nyuma yo gukuraho iriya mavuta.

Ingaruka zidakunda ushobora guhura nazo zirimo:

• Umutuku cyangwa kurakara ahantu washyizeho umuti
• Gushya gake cyangwa kubabara igihe ubanza gushyiraho umuti
• Guhinduka kw'ibara ry'uruhu ry'igihe gito (gusa cyangwa kwijimira)
• Kubyimba cyangwa gufura ahantu havuriwe
• Kumva ubushye cyangwa uruhu ruto ruto

Izi ngaruka muri rusange ntizikomeye kandi zerekana ko umuti ukora. Ariko, ugomba kuvugana n'umuganga wawe niba ibi bimenyetso bikomeye cyangwa ntibigenda neza nyuma yo gukuraho umuti.

Ingaruka zidakunda zikomeye ni gake ariko zisaba ubufasha bwihutirwa bw'abaganga. Reba ibimenyetso byo kwibasirwa n'umubiri, nk'uruhu ruto ruto rwakwiriye hose, kugorana guhumeka, cyangwa kubyimba mu maso, iminwa, cyangwa umuhogo wawe. Niba wumva isereri, umutima utera nabi, cyangwa wumva urujijo nyuma yo gukoresha uyu muti, shakisha ubufasha bw'abaganga ako kanya.

Gake cyane, abantu bamwe bashobora guhura na methemoglobinemia, uburwayi aho amaraso yawe adashobora gutwara umwuka neza. Ibi bishoboka cyane ku bana bato, abantu bafite uburwayi runaka bwo mu bwoko, cyangwa abakoresha imiti myinshi. Ibimenyetso birimo ibara ry'uruhu ry'ubururu-buseruka, cyane cyane hafi y'iminwa n'inzara, hamwe no kugorana guhumeka.

Ninde utagomba gufata Lidokayine na Prilocaine?

Lidokayine na prilocaine ntibikwiriye kuri buri wese, kandi muganga wawe azareba amateka yawe y'ubuzima mbere yo kubikugiraho inama. Ntugomba gukoresha uyu muti niba ufite allergie kuri lidokayine, prilocaine, cyangwa imiti iyo ari yo yose yo mu gace. Abantu bafite indwara zimwe na zimwe zishingiye ku bisekuruza zikora ku buryo umubiri wabo ukoresha iyi miti bagomba kwirinda ubu buvuzi.

Indwara nyinshi z'ubuzima n'ibihe bisaba kwitonda cyane cyangwa ubuvuzi bundi:

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• Urugero rw'abana bari munsi y'amezi 12 (ibibazo byinshi by'ingaruka zikomeye)
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• Abantu bafite glucose-6-phosphate dehydrogenase (G6PD) deficiency
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• Abafite methemoglobinemia cyangwa amateka y'umuryango y'iyi ndwara
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• Abantu bafata imiti imwe na imwe ikora ku kigero cya ogisijeni mu maraso
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• Abantu bafite ibibazo bikomeye by'umutima, umwijima, cyangwa impyiko
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• Abafite uruhu rwakomeretse, rwanduye, cyangwa rwahagurukiye cyane
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Gusama no konsa bisaba kwitonderwa cyane, nubwo uyu muti muri rusange ufatwa nkutekanye iyo ukoreshejwe nkuko byategetswe. Muganga wawe azagereranya inyungu n'ibishobora kuba byatera ingaruka kuri wowe no ku mwana wawe. Buri gihe menyesha muganga wawe imiti yose ufata, harimo imiti itangwa n'abaganga n'ibyongerera imbaraga.

Amazina y'ubwoko bwa Lidokayine na Prilocaine

Izina rizwi cyane rya lidokayine na prilocaine ni EMLA cream, risobanura

Farumasi yawe ishobora gusimbuza umuti rusange keretse muganga wawe yanditse umuti w'izina ryihariye. Imiti rusange ikubiyemo ibintu bikora kimwe kandi ikora neza nk'imiti y'amazina yihariye. Umufarumasiti wawe ashobora kugufasha gusobanukirwa itandukaniro iryo ariryo ryose riri hagati y'imiti igufitiye.

Uburyo bwo gusimbura Lidocaine na Prilocaine

Hariho ubundi buryo bwinshi bushobora gukoreshwa niba lidocaine na prilocaine bidakwiriye kuri wowe cyangwa bidatanga ubufasha buhagije. Lidocaine yo hejuru yonyine iboneka mu mbaraga zitandukanye kandi ishobora gukwira mu bihe bimwe na bimwe. Ibicuruzwa bishingiye kuri Benzocaine bitanga ubundi buryo, nubwo bikora mu buryo butandukanye kandi ntibishobora gukora neza kuri buri gikorwa.

Ku bantu badashobora gukoresha imiti yo hejuru, umuganga wawe ashobora gutanga ibi bikurikira:

• Spray yo hejuru ikonjesha ituma umubiri wumva ubukonje aho gukoresha imiti
• Ibikoresho binyeganyega bituma ibimenyetso by'imitsi bitaboneka mugihe cy'ibikorwa
• Imiti yo hejuru ikoreshwa n'abaganga ifite ibintu bikora bitandukanye
• Imiti y'inzego zikoreshwa mu bikorwa byinshi
• Imiti yo mu kanwa ifatwa mbere y'ibikorwa

Muganga wawe azagufasha kubona uburyo bwiza bushingiye ku byo ukeneye by'ubuvuzi n'ubwoko bw'igikorwa uri gukora. Rimwe na rimwe guhuza uburyo butandukanye bitanga uburambe bwiza.

Ese Lidocaine na Prilocaine biruta Lidocaine yonyine?

Uhuza rya Lidocaine na prilocaine muri rusange bikora neza kuruta lidocaine yonyine mugihe cyo gukoresha imiti yo hejuru. Guhuza ibintu bibiri bitandukanye bitanga imbaraga nyinshi kandi bigatuma ububabare bugabanuka kurusha uko imiti yombi yageraho yonyine. Ibi bituma bifite agaciro cyane kubikorwa bisaba kwizerwa no guhora bahumeka.

Umuvange wa eutectic (EMLA) utegura umuti wihariye aho imiti yombi ikorera hamwe ku rwego rwa molekile. Ibi bituma uyu muvange winjira mu ruhu rutangiritse neza kurusha ibicuruzwa bikoresha umuti umwe. Ubushakashatsi bwerekanye ko uyu muvange utanga umuvuduko wo gutangira vuba kandi ugatinda.

Ariko, lidocaine yonyine ishobora kuba nziza mu bihe bimwe na bimwe. Abantu bamwe barwanya prilocaine ariko bakabasha kwihanganira lidocaine, bigatuma uyu muti umwe ari wo bafite. Lidocaine yonyine kandi iboneka mu gipimo kinini cyane ku mpamvu zidasanzwe z'ubuvuzi kandi ishobora kuba ihendutse kurusha imiti ivanze.

Umuvuzi wawe azahitamo uburyo bwiza bushingiye ku buryo urwaye, amateka yawe y'ubuvuzi, n'uburyo umubiri wawe witwara ku miti itandukanye. Uburyo bwombi burakora neza iyo bukoreshejwe neza mu bihe bikwiye.

Ibibazo Bikunze Kubazwa Kuri Lidocaine na Prilocaine

Ese Lidocaine na Prilocaine birakwiriye abana?

Lidocaine na prilocaine birashobora kuba byiza ku bana iyo bikoreshejwe neza, ariko bisaba kwitonda cyane no kugenzurwa na muganga. Abana bafite amezi arenga 12 bashobora gukoresha uyu muti neza iyo ukoreshejwe ukurikije amabwiriza yihariye y'abana. Ariko, impinja zifite amezi atarenze 12 zifite ibyago byinshi byo kugira ingaruka zikomeye, harimo methemoglobinemia.

Uburyo bwo gutanga imiti ku bana butandukanye n'abantu bakuru kandi biterwa n'imyaka y'umwana, uburemere, n'ubunini bw'agace kavurwa. Muganga wawe w'abana azabara umubare ukwiye n'igihe cyo gukoresha kugirango agabanye ibyago mugihe atanga uburyo bwo gutangiza neza. Ntukoreshe amabwiriza yo gutanga imiti ku bantu bakuru ku bana, kuko ibi bishobora gutera ingaruka zikomeye.

Nigute nakora niba nkoresheje lidocaine na prilocaine nyinshi?

Niba washyizeho lidocaine na prilocaine nyinshi cyane, vana umuti urenzeho ako kanya ukarabe ahantu hose neza n'isabune n'amazi. Gukoresha nyinshi cyane bishobora kongera ibyago byo kugira ingaruka mbi, harimo kwinjizwa kw'imiti myinshi mu maraso yawe. Kura icyo aricyo cyose cyari gitwikiriye cyangwa cyari gipfutse, hanyuma usukure neza ibimenyetso byose bya cream cyangwa gel.

Reba ibimenyetwa byo kurenza urugero rw'imiti, nk'izunguruka ry'umutwe, urujijo, umutima utera nabi, cyangwa guhumeka bigoranye. Niba ubonye kimwe muri ibyo bimenyetso, gisha ubufasha bw'ubuvuzi ako kanya. Vugana n'umuganga wawe cyangwa ikigo gishinzwe kurwanya uburozi niba ufite impungenge ku bwinshi wakoresheje, cyane cyane niba wayishyize ahantu hanini cyangwa ukayirekaho igihe kirekire kuruta uko byategetswe.

Nkwiriye gukora iki niba nciweho urugero rwa lidocaine na prilocaine?

Kubera ko lidocaine na prilocaine bikoreshwa mbere y'ibikorwa byihariye kuruta uko bikoreshwa buri gihe, gucikanwa n'urugero bisobanura ko ushobora kutagira uburyo buhagije bwo gutuma utumva ububabare ku bikorwa byawe byateguwe. Niba wibagiwe kuyishyiraho mbere yo guhura n'abaganga, vugana n'ibiro by'umuganga wawe vuba bishoboka kugira ngo muganire ku mahitamo yawe.

Umuganga wawe ashobora gusubika ibikorwa byawe kugira ngo habeho umwanya wo gutuma utumva ububabare neza, cyangwa bashobora gukoresha uburyo bundi bwo kugabanya ububabare. Ntugerageze gusimbura ishyirwaho ryacitseho ukoresha imiti yinyongera cyangwa ukayirekaho igihe kirekire kuruta uko byategetswe, kuko ibi bishobora kongera ibyago byo kugira ingaruka mbi.

Nshobora kureka gukoresha lidocaine na prilocaine ryari?

Ushobora kureka gukoresha lidocaine na prilocaine ako kanya utagikeneye ku bikorwa cyangwa kugabanya ububabare. Kubera ko uyu muti ntugenda wiyongera mu mubiri wawe cyangwa ngo utere ubujiji, urashobora kuwuhagarika neza nta buryo bwo kuwuvana buhoro buhoro. Ntukawushyireho ku ikoreshwa ryawe ritaha ryateganyijwe.

Niba muganga wawe yarayiguhaye kugira ngo ivure ububabare buhoraho bw'imitsi, ganira nawe mbere yo kuyihagarika. Ashobora gushaka gusuzuma urwego rw'ububabare bwawe no gutanga izindi nzira zo kuvura niba ukikeneye kuvurwa ububabare. Buri gihe jya kwa muganga wawe niba umaze igihe ukoresha uyu muti buri gihe kubera indwara zihoraho.

Nshobora gukoresha Lidocaine na Prilocaine hamwe n'indi miti?

Lidocaine na prilocaine bishobora gukururana n'indi miti, cyane cyane iyo igira ingaruka ku bushobozi bw'amaraso bwo gutwara umwuka wa oxygen. Imiti nka nitrates, sulfonamides, na zimwe muri antibiotics bishobora kongera ibyago byo kurwara methemoglobinemia iyo bikoreshejwe hamwe n'uyu muti wo gusiga ku ruhu. Buri gihe menyesha muganga wawe ku miti yose urimo gufata.

Ibindi byongerera imiti ku ruhu muri rusange ntibigomba gushyirwa ahantu hamwe icyarimwe keretse niba byategetswe na muganga wawe. Ibi bikubiyemo andi mavuta agabanya ububabare, antibiotics, cyangwa imiti irwanya ibibazo. Muganga wawe cyangwa umufarimasi ashobora kugufasha gusobanukirwa imikoranire iyo ari yo yose ishoboka no gutanga igihe gikwiye niba ukeneye kuvurwa byinshi ku ruhu.