Ikibazo cy'Umuti wa Lidocaine: Ibyo Ukoreshwa, Uburyo Ufatwa, Ingaruka, n'ibindi

Umuti wa Lidocaine ni umuti utuma umuntu atumva ububabare, ukaba ukora mu gihe gito ubuza imitsi gutanga ibimenyetso by'ububabare mu bice bimwe na bimwe by'umubiri wawe. Wibuke ko ari nk'uburyo bwo "kuzimya" ubutumwa bw'ububabare butagera mu bwonko bwawe mu gihe cy'ibikorwa by'ubuvuzi cyangwa gutanga ubufasha ku bibazo bimwe na bimwe by'ububabare.

Uyu muti ukora vuba kandi neza, bigatuma uba umwe mu miti ikoreshwa cyane mu kuvura ububabare mu rwego rw'ubuvuzi. Abaganga bawukoresha mu bintu byose, kuva ku bikorwa bito nk'ukuvana ikimenyetso ku mubiri kugeza ku kubaga bikomeye, kandi ushobora no gufasha mu kuvura indwara zirangwa n'ububabare burambye.

Umuti wa Lidocaine ni iki?

Umuti wa Lidocaine ni umuti wandikirwa na muganga, ukaba ubarirwa mu cyiciro cy'imiti yitwa imiti ivura ububabare. Ukora ubuza imiyoboro ya sodium mu ngirangingo z'imitsi, ibyo bikabuza gutanga ibimenyetso by'ububabare mu bwonko bwawe.

Uyu muti uza mu mbaraga zitandukanye n'uburyo butandukanye, bitewe n'icyo muganga wawe akeneye kuvura. Ubundi bwoko burimo epinephrine, ifasha Lidocaine kumara igihe kirekire kandi ikagabanya kuva amaraso binyuze mu guhagarika imitsi y'amaraso ahantu havurwa.

Bitandukanye na anesthesia rusange ikuryamisha, Lidocaine ituma umubiri wose utumva ahantu hihariye yatewe. Uzakomeza kuba maso kandi wumve neza mu gihe cy'ibikorwa, ariko ntuzumva ububabare ahantu havurwa.

Umuti wa Lidocaine ukoreshwa mu kuvura iki?

Umuti wa Lidocaine ufite akamaro kenshi mu buvuzi, kuva ku bikorwa bisanzwe kugeza ku kuvura indwara zirangwa n'ububabare burambye. Muganga wawe ashobora kuwugusaba igihe akeneye gukora igikorwa cyagutera kutumva neza cyangwa ububabare.

Dore ibihe bisanzwe umuti wa Lidocaine ufasha:

• Ibyo kubaga bito nk'ukuvana ibibyimba byo ku ruhu, ibibara, cyangwa ibibyimba byo mu mubiri
• Imirimo yo mu kanwa harimo gukuramo amenyo no kuvura amenyo
• Gusudira ibikomere cyangwa ibikomere bisaba kubagwa
• Biopsies aho ibizamini by'imitsi bigomba gufatwa
• Inshinge zifatwa mu ngingo kubera kubyimba cyangwa izindi ndwara zifata imitsi
• Anesthesia ya epidural mugihe cyo kubyara cyangwa kubagwa bimwe na bimwe
• Nerve blocks kugirango bacunge ububabare buhoraho
• Ibikorwa byihutirwa ahantu hakorerwa ubuvuzi bwihutirwa

Uburyo butamenyerewe ariko bw'ingenzi burimo kuvura ibibazo bimwe na bimwe by'umutima iyo bitanzwe mu maraso, no gucunga indwara zikomeye zifata imitsi. Umuganga wawe azemeza niba inshinge za lidocaine ari zo zikwiriye kubera ikibazo cyawe.

Lidocaine Injection ikora ite?

Inshinge za Lidocaine zikora zibungabunga by'agateganyo imiyoboro ya sodium mu mitsi y'uturemangingo tw'imitsi. Iyo iyi miyoboro yabujijwe, uturemangingo tw'imitsi ntishobora gukora cyangwa kohereza ibimenyetso by'amashanyarazi ubwonko bwawe busobanura nk'ububabare.

Umuti mubisanzwe utangira gukora mumaminuta 2 kugeza kuri 5 nyuma yo guterwa urushinge, bitewe n'agace kavurwa n'ubwinshi bukoreshwa. Ingaruka zo guta umutwe mubisanzwe zimara hagati y'isaha 1 kugeza kuri 3, nubwo ibi bishobora gutandukana bitewe n'ibintu byinshi harimo urugero, ahantu, niba epinephrine irimo.

Lidocaine ifatwa nk'umuti wo mu rwego rwo hagati. Irakomeye kuruta amavuta amwe yo guta umutwe ariko ntabwo ikomeye nk'imiti mishya ikoreshwa mugihe cyo kubagwa gukomeye. Ibi bituma bitunganye kubikorwa byinshi bisanzwe aho ukeneye ubufasha bwizewe bwububabare nta gihe kirekire.

Nkwiriye kwitegura nte kubera Lidocaine Injection?

Kwitegura lidocaine injection mubisanzwe biroroshye, kandi umuganga wawe azaguha amabwiriza yihariye ashingiye ku bikorwa byawe. Akenshi, ntuzakenera gukora impinduka zikomeye kumurimo wawe wa buri munsi.

Mbere yo guhura na muganga wawe, menyesha muganga wawe imiti yose urimo gufata, harimo imiti itangwa itagombye uruhushya rwa muganga n'ibyongerera imbaraga. Imiti imwe n'imwe irashobora gukururana na lidocaine cyangwa ikagira ingaruka ku buryo umubiri wawe uyikoresha.

Mubisanzwe ntugomba kwirinda kurya cyangwa kunywa amazi mbere yo guterwa inshinge ya lidocaine, keretse niba uri gukorerwa uburyo bukeneye ibyo ku mpamvu zindi. Ariko, ni byiza kurya ifunguro rito mbere y'uko bikorwa kugira ngo wirinde kumva uribwa umutwe igihe bikorwa.

Menyesha umuganga wawe niba ufite allergie, cyane cyane ku miti ikoreshwa mu kwica uburibwe cyangwa imiti isa nayo. Nanone vuga niba waragize ibibazo bidasanzwe mu buvuzi bw'amenyo mu gihe gishize, kuko ibi bikunze gukoresha lidocaine cyangwa imiti isa nayo.

Ni igihe kingana iki ntegerezwa ko ingaruka zigira?

Ingaruka zo kutumva ziterwa n'inshinge ya lidocaine zisanzwe zimara hagati y'isaha imwe n'amasaha atatu, nubwo iki gihe gishobora guhinduka bitewe n'ibintu bitandukanye. Ubwinshi bw'umuti, aho inshinge iterwa, n'uburyo umubiri wawe ukoresha imiti byose bigira uruhare mu gihe uzamara utumva.

Niba inshinge yawe ya lidocaine irimo epinephrine, ushobora kwitega ko ingaruka zimara igihe kirekire, rimwe na rimwe kugeza ku masaha 4 kugeza kuri 6. Epinephrine ifasha kugumisha lidocaine ahantu hantu igihe kirekire binyuze mu guhagarika imitsi y'amaraso, ibi bigatuma umubiri wawe utinda gukurura no gukuraho umuti.

Aho guterwa inshinge hashobora kumva hariho urugero cyangwa kutumva gato amasaha make nyuma y'uko ingaruka z'umuti zishize. Ibi ni ibisanzwe kandi bigomba gusubira mu buryo busanzwe buhoro buhoro. Niba kutumva bikomeje kurenza amasaha 24, hamagara umuganga wawe.

Ni izihe ngaruka ziterwa n'inshinge ya Lidocaine?

Abantu benshi bakoresha inshinge ya lidocaine neza cyane, ingaruka zikaba zoroheje kandi z'igihe gito. Ingaruka zisanzwe ushobora guhura nazo zijyanye n'inshinge ubwayo cyangwa uburyo umubiri usanzwe ukoresha umuti.

Ibi ni ibimenyetso bikunze kugaragara:

• Kutagira ubwumvikane bw'agateganyo cyangwa kumva urugero ahantu batera urushinge
• Ukubura guto cyangwa gukara ahantu urushinge rwashyizwe
• Kumva gushirira guto cyangwa kuruma igihe batera urushinge
• Ubugufi bw'imitsi bw'agateganyo ahantu havurwa
• Kugira umutwe cyangwa kuribwa, cyane cyane niba ufite impungenge z'urushinge

Ibi bimenyetso bisanzwe bikunze gukira byonyine mu masaha make kandi ntibisaba kuvurwa byihariye.

Ibindi bimenyetso bidakunze kugaragara ariko bikomeye birashobora kubaho, nubwo bidakunze kubaho iyo lidocaine ikoreshwa neza. Ibi bishobora kuba birimo:

• Ubwivumbagatanyo bw'umubiri bufite ibimenyetso nk'imivumbi, kuribwa, cyangwa guhumeka bigoranye
• Umutima utera nabi cyangwa kuribwa mu gituza
• Umutwe ukabije cyangwa urujijo
• Kugira ibibazo byo gufatwa (bidakunze kubaho cyane iyo dosiye ikoreshwa neza)
• Kutagira ubwumvikane burambye kurenza amasaha 24

Niba ubonye kimwe muri ibi bimenyetso bikomeye, gisha inama y'abaganga ako kanya. Umuganga wawe azi uburyo bwo gukemura ibi bibazo kandi azagira icyo akora.

Ninde utagomba gufata urushinge rwa Lidocaine?

Nubwo urushinge rwa lidocaine rufitiye abantu benshi umutekano, ibibazo by'ubuzima runaka n'ibihe bisaba kwitonda cyane cyangwa bishobora gutuma bitagira akamaro. Muganga wawe azasuzuma amateka yawe y'ubuzima kugirango yemeze ko lidocaine ifitiye umutekano.

Ugomba kumenyesha umuganga wawe niba ufite kimwe muri ibi bibazo:

• Kumenya allergie kuri lidocaine cyangwa izindi anesthetics zaho
• Ibibazo bikomeye by'umutima cyangwa guhagarara k'umutima
• Indwara ikomeye y'umwijima
• Myasthenia gravis (indwara yo gucika intege kw'imitsi)
• Ibihe runaka bya genetike bigira ingaruka ku buryo umubiri wawe ukoresha imiti

Gusama inda no konsa bisaba kwitondera byihariye, nubwo lidocaine muri rusange ifatwa nk'igifite umutekano iyo ikoreshejwe neza. Muganga wawe azagereranya inyungu n'ibibazo byihariye byawe.

Niba ufata imiti imwe, muganga wawe ashobora gukenera guhindura urugero rwa lidocaine cyangwa akagukurikiranira hafi. Ibi birimo imiti imwe y'umutima, imiti ivura ibibazo byo gufatwa, na antidepressants zimwe.

Amazina y'ubwoko bwa Lidocaine Injection

Lidocaine injection iboneka munsi y'amazina menshi y'ubwoko, nubwo ibigo byinshi by'ubuzima bikoresha verisiyo rusange. Amazina y'ubwoko asanzwe arimo Xylocaine, Lignospan, na Octocaine.

Umutanga serivisi z'ubuzima ashobora gukoresha ubwoko butandukanye cyangwa ibice bitewe n'ibyo ukeneye byihariye n'ubwoko bw'igikorwa gikorerwa. Ibikoresho bikora biracyasa nubwo izina ry'ubwoko ryaba ritandukanye.

Uburyo bumwe buhuza lidocaine na epinephrine kandi bufite amazina y'ubwoko bwihariye nka Xylocaine hamwe na Epinephrine cyangwa Lignospan Standard. Ubu buhuza butoranywa hashingiwe ku gihe umuti wo gukonjesha ukeneye kumara.

Ni izihe nzira zindi zishobora gusimbura Lidocaine Injection?

Hariho izindi nzira zishobora gusimbura lidocaine injection, bitewe n'ibyo ukeneye byihariye n'ubuzima bwawe. Umutanga serivisi z'ubuzima azahitamo uburyo bwiza bushingiye ku bwoko bw'igikorwa, amateka yawe y'ubuzima, n'igihe gihumuriza kigomba kumara.

Izindi nshinge z'umuti wo gukonjesha harimo:

• Bupivacaine (Marcaine) - imara igihe kirekire kurusha lidocaine, akenshi ikoreshwa mu bikorwa bikomeye
• Procaine (Novocaine) - ikora igihe gito, akenshi ikoreshwa mu buvuzi bw'amenyo
• Articaine - akenshi ikoreshwa mu buvuzi bw'amenyo, ishobora gukora neza mu gice cyanduye
• Mepivacaine - isa na lidocaine ariko ntabwo irimo epinephrine

Uburyo butakoresha inshinge bushobora kuba amavuta ashyirwa ku ruhu agabanya ububabare, imiti yo kunywa igabanya ububabare, cyangwa uburyo bwo kubaga bukoreshwa mu gihe cyo kubaga bikomeye. Muganga wawe azaganira kuri izo nzira niba inshinge za lidocaine zitakwiriye mu bihe byawe.

Ese inshinge za Lidocaine ziruta Novocaine?

Inshinge za Lidocaine na Novocaine (procaine) zombi ni imiti igabanya ububabare ikora neza, ariko zifite itandukaniro rikomeye. Lidocaine yagiye isimbura Novocaine mu buryo bwinshi bw'ubuvuzi kuko ikora neza kandi ntigire ibibazo byinshi byo kwibasirwa n'umubiri.

Lidocaine akenshi itanga uburyo bwo gutuma umubiri utumva ububabare burambye kandi burambye kuruta Novocaine. Ikora neza kandi mu gice cyanduye cyangwa cyabyimbye, ibyo bikaba bishobora kuba by'ingenzi mu buryo bumwe na bumwe bwo kubaga. Abantu benshi kandi basanga inshinge za lidocaine zitababaza cyane.

Ariko, Novocaine iracyakoreshwa mu bihe bimwe na bimwe, cyane cyane mu buvuzi bw'amenyo aho igihe gito yakoreshwaga gishobora gukundwa. Umuganga wawe azahitamo uburyo bwiza bushingiye ku byo ukeneye n'ubwoko bw'uburyo burimo gukorwa.

Ibibazo bikunze kubazwa ku bijyanye n'inshinge za Lidocaine

Ese inshinge za Lidocaine zifite umutekano ku bantu barwaye indwara z'umutima?

Inshinge za Lidocaine zishobora kugira umutekano ku bantu barwaye indwara z'umutima, ariko bisaba isuzuma ryitondewe na muganga wawe. Uyu muti ushobora kugira ingaruka ku mutima, bityo muganga wawe azatekereza ku ndwara yawe y'umutima kandi ashobora guhitamo uburyo butarimo epinephrine.

Niba ufite ibibazo bikomeye by'umutima cyangwa umutima uhagarara, muganga wawe ashobora guhitamo undi muti ugabanya ububabare cyangwa agafata ingamba zidasanzwe mu gihe cyo kubaga. Buri gihe menyesha muganga wawe ku bijyanye n'indwara zose z'umutima mbere yo guhabwa inshinge za lidocaine.

Nigute nakora niba mbonye lidocaine nyinshi mu buryo butunganye?

Kurenza lidokayine ni gake iyo itangwa n'abashinzwe ubuzima, ariko niba wumva ibimenyetso nk'igishyika gikabije, urujijo, guhumeka bigoye, cyangwa umutima utera nabi, shakisha ubufasha bw'ubuvuzi bwihuse. Ntukagerageze kwivuza ibyo bimenyetso wenyine.

Abaganga bazi kumenya no kuvura uburozi bwa lidokayine. Bashobora gutanga ubufasha, gukurikirana ibimenyetso byawe by'ingenzi, kandi mu bihe bikomeye, bagakoresha imiti yihariye yo kurwanya ingaruka. Ikintu cy'ingenzi ni ukubona ubufasha bw'ubuvuzi bw'umwuga vuba.

Nkwiriye gukora iki iyo urushinge rwa lidokayine rutagize icyo rutanga?

Niba ukigaragaza kubabara nyuma yo guterwa urushinge rwa lidokayine, menyesha umuganga wawe ako kanya. Bashobora gusuzuma niba ukeneye ikindi kiyobyabwenge cyangwa niba hari indi mpamvu ituma umuti utagira akamaro.

Rimwe na rimwe ibintu nk'indwara, kubyimba, cyangwa itandukaniro ry'umuntu ku giti cye mu gusubiza, bishobora kugira ingaruka ku buryo lidokayine ikora neza. Muganga wawe ashobora gukenera gukoresha uburyo butandukanye, umubare, cyangwa ikindi kiyobyabwenge kugirango wumve umeze neza mugihe cyo kubagwa.

Nzongera kumva neza nyuma yo guterwa urushinge rwa lidokayine ryari?

Abantu benshi bongera kumva neza hagati y'amasaha 2 na 6 nyuma yo guterwa urushinge rwa lidokayine, bitewe n'urugero rwakoreshejwe niba epinephrine yashyizwemo. Ubusanzwe ububabare bugenda bucika buhoro buhoro, kandi ushobora kubona urumuri rugaruka.

Niba ukigaragaza ububabare bukomeye nyuma y'amasaha 24, vugana n'umuganga wawe. Nubwo bidasanzwe, ububabare burambye bushobora kubaho rimwe na rimwe kandi bugomba gusuzumwa. Mu bihe byinshi, kumva neza biragaruka rwose nta ngaruka zirambye.

Nshobora gutwara imodoka nyuma yo guterwa urushinge rwa lidokayine?

Ubusanzwe ushobora gutwara imodoka nyuma yo guterwa urushinge rwa lidokayine, kuko bigira ingaruka gusa ku gice cyaho kandi ntibangiza imikorere yawe yo mu mutwe cyangwa guhuza ibikorwa. Ariko, ibi biterwa naho watewe urushinge n'uko wumva umeze nyuma.

Niba urushinge rwari hafi y'isura yawe cyangwa wumva uribwa umutwe cyangwa wumva utameze neza, birashoboka ko umuntu ugutwara akugeza mu rugo. Wizere uko wumva umutekano wawe n'uko wumva umeze neza bihagije kugirango utware, kandi ntugatinye gusaba ubufasha niba utazi neza.