Mepivacaine ni iki: Ibikoreshwa, Urutonde rw'imiti, Ingaruka ziterwa n'iyo miti n'ibindi

Mepivacaine ni umuti utuma umuntu atagira ububabare w'agateganyo, ubuza ibimenyetso by'imitsi kugera mu bwonko kugira ngo ukureho ububabare mu bice by'umubiri wawe. Bitekereze nk'“ikimara” cy'agateganyo ku mitsi yo mu gice cyinjijwemo, gituma imirimo ya muganga ikorwa neza kandi umuntu atagira ububabare.

Uyu muti ukomoka mu muryango w'imiti ituma umuntu atagira ububabare yitwa amide local anesthetics. Ikora vuba kurusha indi miti ituma umuntu atagira ububabare kandi itanga ubufasha bwizewe ku bubabare mu mirimo itandukanye ya muganga n'amenyo.

Mepivacaine ikoreshwa mu iki?

Mepivacaine ifasha abaganga n'abavuzi b'amenyo gukora imirimo bataguteye ikibazo. Ikoreshwa cyane iyo ukeneye umuti utuma umuntu atagira ububabare ukora vuba kandi ukamara igihe gito.

Ushobora gukoreshwa n'umuganga wawe mu mirimo yo mu kanwa nk'ukuziba amenyo, kuyakuramo, cyangwa gukora imirimo yo mu mizi y'amenyo. Ikoreshwa kandi mu mirimo mito yo kubaga, guhagarika imitsi, no gutera inshinge za epidural mu gihe cyo kubyara.

Uyu muti ufasha cyane abantu bakeneye umuti utuma batagira ububabare neza ariko bashobora kugira ibibazo by'indi miti ituma umuntu atagira ububabare. Itanga ubufasha bwiza ku bubabare mu gihe igatuma muganga wawe akora neza mu gice cyagenewe.

Mepivacaine ikora ite?

Mepivacaine ikora mu buryo bwo guhagarika by'agateganyo imiyoboro ya sodium mu ngirangingo z'imitsi yawe. Iyo iyi miyoboro ihagaze, imitsi ntishobora kohereza ibimenyetso by'ububabare mu bwonko bwawe, bityo ntugire ikibazo mu gice kivurwa.

Uyu muti ufatwa nk'umuti utuma umuntu atagira ububabare ufite imbaraga ziringaniye. Ufite imbaraga kurusha izindi nka procaine ariko ntabwo ufite imbaraga nka bupivacaine, bigatuma uba uburyo bwiza bwo gukoreshwa mu mirimo myinshi.

Ingaruka zo kutagira ububabare zikunze gutangira mu minota 3 kugeza kuri 5 nyuma yo guterwa urushinge. Umuganga wawe azategereza ko umuti ukora neza mbere yo gutangira umurimo uwo ari wo wose kugira ngo yemeze ko wumva umeze neza.

Nkwiriye gufata Mepivacaine nte?

Mepivacaine ihabwa buri gihe n'urushinge n'umuganga watojwe. Ntabwo uzajya ufata uyu muti mu rugo cyangwa ngo wiyihere.

Muganga wawe cyangwa muganga w'amenyo azatera urushinge rw'uyu muti mu gice kigomba guhumurwa. Aho urushinge ruzaterwa n'umubare w'umuti biterwa n'uburyo buri gukorwa.

Mbere yo gukorerwa ubuvuzi, menyesha umuganga wawe niba umaze kurya. Ku buryo bumwe na bumwe, ushobora gukenera kwirinda kurya mu gihe runaka, nubwo ibi bitandukanye bitewe n'ubwoko bw'ubuvuzi uri guhabwa.

Nta kintu na kimwe ugomba gukora kugira ngo witegure guterwa urushinge. Umuganga wawe azahanagura ahantu urushinge ruzaterwa kandi ashobora kubanza gukoresha umuti muto wo guhumuriza kugira ngo urushinge rube rworoshye.

Mepivacaine Ngomba Kuyifata Igihe Kingana Gite?

Mepivacaine akenshi ihabwa nk'urushinge rumwe cyangwa urukurikirane rw'inshinge mu gihe cyo kuvurwa. Ntabwo uzagomba gufata uyu muti iminsi cyangwa ibyumweru nk'indi miti.

Uburyo bwo guhumuriza busanzwe bumara amasaha 2 kugeza kuri 4, bitewe n'urugero n'ahantu urushinge rwaterwa. Ibi biha umuganga wawe igihe gihagije cyo kurangiza uburyo bwinshi bwo kuvura mugihe ugumye wumva umeze neza.

Niba uri gukorerwa uburyo burebure, muganga wawe ashobora kuguha inshinge zindi uko bikenewe. Bazagenzura uko wumva umeze kandi bamenye neza ko ukomeza kumva umeze neza mu gihe cyose cyo kuvurwa.

Ni Iyihe Miterere Mibi ya Mepivacaine?

Abantu benshi bafata mepivacaine neza cyane, ariko nk'indi miti yose, irashobora gutera ingaruka zimwe. Kumva ibyo byitezwe birashobora kugufasha kumva witeguye kandi ufite icyizere ku buvuzi bwawe.

Ingaruka zisanzwe zikunze kuba zoroshye kandi z'agateganyo. Izi zirimo kubyimba gake cyangwa kubabara ahantu urushinge rwaterwa, guhumurwa by'agateganyo kumara igihe kirekire kuruta uko byari byitezwe, cyangwa guhinda umushyitsi gake.

Dore ingaruka zisanzwe ushobora guhura nazo:

• Ubumuga bw'agateganyo cyangwa kumva urugingo rumeze nk'urushye birenze ahantu havuriwe
• Ukubyimba guto cyangwa gukwega ku gice cyateweho urushinge
• Kugorana kuvuga cyangwa guhekenya by'agateganyo niba byatewe hafi y'umunwa wawe
• Kugira umutwe cyangwa kuribwa gake
• Ubugwari bw'agateganyo mu mikaya yo mu maso niba byakoreshejwe mu buvuzi bw'amenyo

Ibi bikorwa mubisanzwe bikemuka iyo imiti igenda, mubisanzwe mu masaha make. Umuganga wawe azaguha amabwiriza arambuye y'ibyo witegura n'igihe cyo kubavugisha.

Ingaruka zitagaragara kenshi ariko zikomeye zisaba ubufasha bw'ubuvuzi bwihuse. Izi zirimo ibimenyetso bikomeye byo kwivumbura, kugorana guhumeka, umutima utera cyane, cyangwa kuribwa cyane.

Ibimenyetso bisaba ubufasha bw'ubuvuzi bwihuse birimo:

• Ukubyimba gukabije mu maso, iminwa, ururimi, cyangwa umuhogo
• Kugorana guhumeka cyangwa kumira
• Umutima utera cyane cyangwa utajegajega
• Kuribwa cyane cyangwa guta ubwenge
• Uruhu rwakwiriye cyangwa imyatsi
• Kugira ibibazo byo mu mutwe cyangwa guhinda umushyitsi

Nubwo ibi bikorwa bikomeye bidasanzwe, ni ngombwa gushaka ubufasha bw'ubuvuzi bwihuse niba ubonye kimwe muri ibi bimenyetso. Umuganga wawe yatojwe guhangana n'ibi bibazo nibibaye.

Ninde utagomba gufata Mepivacaine?

Mepivacaine ni nziza ku bantu benshi, ariko ibibazo by'ubuzima cyangwa ibihe runaka bishobora gutuma bitakugirira akamaro. Umuganga wawe azasuzuma amateka yawe y'ubuzima mbere yo gukoresha uyu muti.

Ugomba kubwira muganga wawe niba ufite allergie kuri mepivacaine cyangwa izindi miti y'ububabare bw'agace. Abantu bafite ibibazo by'umutima runaka, indwara zikomeye z'umwijima, cyangwa indwara zidasanzwe z'amaraso bashobora gukenera ubuvuzi butandukanye.

Ibibazo bishobora kugira ingaruka ku ikoreshwa rya mepivacaine birimo:

• Uburwayi bukomeye bwo kwanga imiti yitwa amide-type local anesthetics
• Uburwayi bukomeye bwo mu mutima butuma umutima utera nabi
• Uburwayi bukomeye bwo mu mwijima
• Uburwayi bumwe na bumwe bwo mu maraso butuma amaraso ataguma
• Uburwayi bukomeye bwo mu mpyisi
• Uburwayi bwihariye bwo mu bwonko

Niba utwite cyangwa wonka, bimenyeshe umuganga wawe. Mepivacaine irashobora gukoreshwa mugihe cyo gutwita mugihe bibaye ngombwa, ariko muganga wawe azagereranya inyungu n'ibibazo byihariye byawe.

Umuganga wawe azatekereza kandi ku miti yose urimo gufata, kuko imiti imwe n'imwe ishobora gukururana na mepivacaine. Ibi birimo imiti imwe na rimwe y'umutima, imiti ituma amaraso ataguma, n'indi miti ituma umuntu atumva.

Amazina ya Mepivacaine

Mepivacaine iboneka munsi y'amazina menshi y'ubwoko, nubwo abaganga benshi bakoresha verisiyo rusange. Amazina asanzwe y'ubwoko arimo Carbocaine, Polocaine, na Scandonest.

Umuti ni umwe nubwo izina ry'ubwoko ryaba ritandukanye. Umuganga wawe azahitamo uburyo bukwiye bushingiye kubyo ukeneye byihariye n'uburyo burimo gukorwa.

Ubwoko bumwe na bumwe bwa mepivacaine burimo ibindi bintu nk'epinephrine kugirango bifashe umuti kumara igihe kirekire cyangwa kugabanya kuva amaraso. Muganga wawe azahitamo ubwoko bukwiye kubyo urimo gukora.

Uburyo bwo gusimbuza Mepivacaine

Izindi miti myinshi ituma umuntu atumva irashobora gukoreshwa mu mwanya wa mepivacaine niba bibaye ngombwa. Umuganga wawe ashobora guhitamo indi miti ishingiye ku mateka yawe y'ubuvuzi, ubwoko bw'uburyo, cyangwa igihe umuntu akeneye kutumva.

Lidocaine birashoboka ko ariyo ikoreshwa cyane. Ikora kimwe na mepivacaine ariko irashobora kumara igihe gito cyangwa ikagira ingaruka zitandukanye kubantu bamwe.

Izindi nzira zirimo:

• Lidokayine - ikoreshwa kenshi mu buryo nk'ubwo, ikunze gukoreshwa cyane
• Bupivakayine - itanga ubumuga burambye
• Prilokayine - indi nzira ifite igihe gito
• Artikayine - ikoreshwa cyane mu buvuzi bw'amenyo
• Prokayine - ikora igihe gito, rimwe na rimwe ikoreshwa mu buryo bwihariye

Umuvuzi wawe azaganira nawe ku zindi nzira niba mepivakayine idakwiriye mu bihe byawe. Bazatekereza ibintu nk'igihe ukeneye guhumiriza, amateka yawe y'ubuvuzi, n'uburyo bwihariye uri gukora.

Ese Mepivakayine iruta Lidokayine?

Zose mepivakayine na lidokayine ni imiti myiza yo mu gace, kandi nta n'imwe iruta iyindi. Guhitamo hagati yazo akenshi biterwa n'ibyo ukeneye byihariye n'icyo umuvuzi wawe akunda.

Mepivakayine ishobora gukundwa iyo ukeneye guhumiriza neza nta epinephrine, umuti rimwe na rimwe wongerwa mu miti yo mu gace. Abantu bamwe boroherwa na mepivakayine niba baragize ibibazo ku yindi miti yo mu gace.

Lidokayine iboneka cyane kandi imaze imyaka myinshi ikoreshwa ifite amateka meza y'umutekano. Ishobora guhitwamo iyo umuvuzi wawe ashaka igihe kigaragara cyane cyo gukora.

Imiti yombi ikora vuba kandi neza mu buryo bwinshi. Umuvuzi wawe azahitamo iyo ikwiriye neza mu bihe byawe byihariye, azirikana ibintu nk'amateka yawe y'ubuvuzi n'ubwoko bw'uburyo uri gukora.

Ibikunze Kubazwa Kuri Mepivakayine

Ese Mepivakayine irakwiriye indwara z'umutima?

Mepivakayine akenshi ishobora gukoreshwa neza ku bantu bafite indwara z'umutima, ariko ibi biterwa n'ubwoko bwihariye n'uburemere bw'uburwayi bwawe. Umuvuzi wawe azasuzuma neza ubuzima bw'umutima wawe mbere yo gukoresha uyu muti.

Niba ufite ibibazo by'umutima runaka cyangwa indwara ikomeye y'umutima, muganga wawe ashobora guhitamo umuti utandukanye wo kubaga cyangwa gufata ingamba zidasanzwe. Bashobora kandi guhitamo uburyo butarimo epinephrine, rimwe na rimwe yongerwa mu miti yo kubaga yaho.

Buri gihe menyesha umuganga wawe ibijyanye n'indwara z'umutima, imiti y'umutima, cyangwa ibibazo by'umutima byabayeho mbere yo guhabwa mepivacaine. Noneho barashobora gufata icyemezo cyiza cyane kubera uko ubuzima bwawe bumeze.

Nkwiriye gukora iki niba nshobora kwihutisha mepivacaine nyinshi?

Kurenza urugero rwa mepivacaine ni gake cyane kuko itangwa n'abakozi b'ubuzima bafite imyitozo bagenzura neza urugero rukwiye. Ariko, niba ubonye ibimenyetso bidasanzwe nyuma yo guterwa urushinge, menyesha umuganga wawe ako kanya.

Ibimenyetso byo gufata imiti myinshi birimo kuribwa cyane, isesemi, kugorana kuvuga, cyangwa imirimo idasanzwe y'umutima. Umuganga wawe yatojwe kumenya no kuvura ibi bibazo nibibaye.

Niba uri murugo kandi ukagira ibimenyetso bibangamiye amasaha nyuma yo kubagwa, hamagara umuganga wawe cyangwa usabe ubufasha bwihutirwa. Ntukegere niba uhangayikishijwe n'ibimenyetso byawe.

Nkwiriye gukora iki niba ububabare buvuyeho kare cyane?

Niba wumva ububabare busubira muri gahunda, menyesha umuganga wawe ako kanya. Barashobora kuguha mepivacaine yinyongera kugirango usubize ububabare bworoshye.

Rimwe na rimwe imiti ntabwo imara igihe kirekire nkuko byitezwe bitewe n'itandukaniro ry'umuntu ku giti cye mu buryo umubiri wawe ukoresha imiti. Ibi ni ibisanzwe kandi birashobora gukemurwa byoroshye no guterwa inshinge zinyongera.

Umuganga wawe yashaka kuguha imiti myinshi kuruta kugira ngo wumve ububabare. Ntukazuyaze kuvuga niba utangiye kumva ububabare muri gahunda.

Nshobora kurya ryari nyuma yo guhabwa mepivacaine?

Niba wakoresheje mepivacaine mu kuvura amenyo, tega kugeza igihe ububabare buvuyeho burundu mbere yo kurya cyangwa kunywa ibinyobwa bishyushye. Ibi bisanzwe bifata amasaha 2 kugeza kuri 4 ariko birashobora gutandukana.

Kurya wumva ububabare birashobora guteza akaga kuko ushobora kuruma ururimi rwawe, itama, cyangwa iminwa utabizi. Ntabwo kandi ushobora gucira urubanza neza ubushyuhe bw'ibiryo cyangwa ibinyobwa.

Tangira n'ibiryo byoroshye, bikonje igihe wumva ubuzima busubiye mu buryo busanzwe. Umuganga wawe azaguha amabwiriza yihariye ashingiye ku buryo wakoreweho n'imimerere yawe bwite.

Nshobora gutwara imodoka nyuma yo guhabwa Mepivacaine?

Abantu benshi bashobora gutwara imodoka nyuma yo guhabwa mepivacaine, ariko ibi biterwa n'aho wakorewe inshinge n'uko wumva umeze. Niba wakoze akazi ko mu kanwa, ugomba kuba umeze neza gutwara imodoka igihe wumva wumva wumva ubushishozi kandi wumva umeze neza.

Ariko, niba wakoresheje mepivacaine kubera uburyo burambuye cyangwa niba wumva uruka cyangwa utameze neza, teganya ko undi muntu akutwara mu rugo. Umutekano wawe ni wo mutima w'ingenzi.

Umuganga wawe azakugira inama yo gutwara imodoka ashingiye ku buryo wakoreweho n'uko wumva umeze. Mu gihe ushidikanya, buri gihe biruta kugira undi muntu ukutwara.