Icyemezo cya Prilocaine na Epinephrine: Ibikoresho, Urutonde rw'imiti, Ingaruka ziterwa n'iyo miti n'ibindi

Icyemezo cya prilocaine na epinephrine ni uruvange rw'imiti ikoreshwa mu kubabaza ahantu hantu mu mubiri wawe mu gihe cyo kuvurwa cyangwa mu gihe cyo kuvura amenyo. Uyu muti ukora ubu byangiza ibimenyetso by'imitsi mu gice cyagenewe, mugihe epinephrine ifasha ingaruka zo kubabaza kuramba kandi igabanya kuva amaraso.

Niba uteganyirijwe gukorerwa uburyo bukeneye anesthesia yaho, umuganga wawe ashobora gukoresha uru ruvange kugirango wumve neza mugihe cyo kuvurwa. Abantu benshi bakira iyi nkingo neza buri munsi kubera uburyo butandukanye bwo kuvura amenyo.

Iki ni iki cyemezo cya Prilocaine na Epinephrine?

Urukingo rukubiyemo ibintu bibiri bikora kugirango bitange anesthesia yaho neza. Prilocaine ni umuti ubabaza ubu byangiza ibimenyetso by'ububabare kugirango bitagera mu bwonko bwawe, mugihe epinephrine ari verisiyo ya sintetike ya adrenaline ifasha kugenzura kuva amaraso no kongera ubumuga.

Abaganga batera uru ruvange mu gice cy'umubiri hakenewe ubumuga. Uyu muti ushyirwa mu cyiciro cya amide-type local anesthetic, bivuze ko akenshi byihanganirwa neza kandi bikora neza kubantu benshi.

Uru ruvange rufatwa nk'umuti ubabaza w'imbaraga ziciriritse. Irusha imbaraga amavuta asanzwe akoreshwa mu kubabaza ariko ntabwo ari imbaraga nk'izindi nkingo zikoreshwa mugihe cyo kubaga.

Iki cyemezo cya Prilocaine na Epinephrine gikoreshwa kubiki?

Urukingo rukoreshwa cyane cyane mu kubabaza ahantu mbere yo gukora uburyo buto bwo kubaga, gukora amenyo, no kuvurwa. Muganga wawe cyangwa muganga w'amenyo bazabikoresha mugihe bakeneye gukora uburyo bushobora gutera kutumva neza ariko ntibakeneye anesthesia rusange.

Ibikoreshwa cyane birimo imikorere yo mu kanwa nk'ukoza amenyo, gukuraho amenyo, na za canal. Ikoreshwa kandi mu bikorwa bito byo ku ruhu, biopsies, no gusana ibikomere aho gucika intege neza bikenewe ahantu runaka.

Urukingo rufasha cyane mu bikorwa bishobora gutera kuva amaraso, kuko igice cya epinephrine gifasha guhagarika imitsi y'amaraso. Ibi bituma birushaho korohereza umuganga wawe kubona ahantu havurirwa neza no gukora neza.

Prilocaine na Epinephrine byo mu nshinge bikora bite?

Igice cya prilocaine gikora gihagarika imiyoboro ya sodium mu ngirangingo zawe z'imitsi, bikabuza kohereza ibimenyetso by'ububabare mu bwonko bwawe. Tekereza nk'aho by'agateganyo "kuzimya" ubutumwa bw'ububabare buva ahantu runaka aho byatewe.

Mugihe, epinephrine ikora ku mitsi yawe y'amaraso, ituma igabanuka ahantu haterwa urukingo. Ibi bifite impamvu ebyiri z'ingenzi: bituma prilocaine ikomeza kwibanda ahantu hagamijwe igihe kirekire, kandi bigabanya kuva amaraso muguhagarika urujya n'uruza rw'amaraso ahantu.

Ubusanzwe iyi mvange itangira gukora nyuma y'iminota 2-5 nyuma yo guterwa urukingo. Ubusanzwe gucika intege bimara iminota 30-60, nubwo ibi bishobora gutandukana bitewe n'urugero, ahantu haterwa urukingo, n'uburyo umuntu ku giti cye yakiriye umuti.

Nagomba kwitegura nte guterwa urukingo rwa Prilocaine na Epinephrine?

Umuganga wawe azaguha amabwiriza yihariye mbere y'igikorwa cyawe, ariko muri rusange, urashobora kurya no kunywa bisanzwe keretse ubwiwe ibindi. Nta myiteguro yihariye y'imirire ikenewe kubikorwa byinshi bikoresha uyu muti waho.

Menyesha umuganga wawe imiti yose urimo gufata, harimo imiti itagurishwa ku isoko, ibiyongera, n'imiti y'ibyatsi. Imwe mu miti irashobora guhura na epinephrine, bityo iyi makuru afasha kurengera umutekano wawe.

Niba ufite indwara z'umutima, umuvuduko ukabije w'amaraso, cyangwa ufata imiti y'izi ndwara, gerageza kubivuga mu gihe cy'ikiganiro mbere yo gukorerwa icyo gikorwa. Muganga wawe ashobora gukenera guhindura uburyo bwo kubikora cyangwa kugukurikiranira hafi.

Bimara Igihe Kingana Giki Uterwa Urushinge rwa Prilocaine na Epinephrine?

Ubusanzwe, ingaruka zo kutumva zitangira mu minota 2-5 zigahura neza mu minota 10-15. Abantu benshi bumva batagira ubwoba rwose mu minota 30-60 nyuma yo guterwa urushinge.

Igihe birambura gishobora gutandukana bitewe n'ibintu bitandukanye, harimo umubare watewe, aho byatewe, n'uburyo umubiri wawe ukora. Abantu bamwe bashobora kubona ko kutumva birambura igihe gito, mu gihe abandi bashobora kumva ubwoba butangira vuba.

Iyo imiti igenda, buhoro buhoro uzasubirana ubwoba muri ako gace. Ibi bikunda kuba buhoro buhoro mu minota 15-30 aho kuba icyarimwe, bityo uzagira umwanya wo kumenyera uko ubwoba busanzwe busubira.

Ni Iyihe Ngaruka Ziterwa no Guterwa Urushinge rwa Prilocaine na Epinephrine?

Abantu benshi bakira neza uru rushinge, ariko nk'imiti yose, ishobora gutera ingaruka. Inkuru nziza ni uko ingaruka zikomeye zitaba cyane iyo urushinge rutanzwe n'abavuzi bafite ubumenyi.

Dore ingaruka zisanzwe ushobora guhura nazo:

• Kutumva kw'agateganyo kurenga ahantu hagenewe
• Ukubyimba guto cyangwa kubabara ahatewe urushinge
• Gusa guhumeka cyangwa kumva uruhuka
• Kuzamuka kw'umuvuduko w'umutima w'agateganyo
• Umutwe muto
• Kumva uhungabanye cyangwa utuje

Izi ngaruka zikunda kuba nto kandi zikivana ubwazo iyo imiti igenda. Abantu benshi bazisanga zishobora gucungwa kandi zikaba z'agateganyo.

Nubwo bidasanzwe, abantu bamwe bashobora guhura n'ingaruka zikomeye zisaba kwitabwaho ako kanya:

• Uburwayi bukomeye bwo kwibasirwa n'umubiri bigaragarira mu guhumeka nabi cyangwa kubyimba
• Urubavu rubabaza cyangwa umutima utera nabi
• Urugero rwo kuribwa cyane cyangwa guta igihagararo
• Ubumuga buhoraho bumara amasaha menshi
• Ibimenyetso byo kwandura ahatewe urushinge

Niba ubonye bimwe muri ibi bimenyetso bikomeye, vugana n'umuganga wawe ako kanya cyangwa ushake ubufasha bwihutirwa bw'ubuvuzi.

Ni bande batagomba gufata urushinge rwa Prilocaine na Epinephrine?

Nubwo uru rushinge rufitiye abantu benshi umutekano, uburwayi n'ibihe bimwe na bimwe bishobora gutuma bitakugirira akamaro. Umuganga wawe azasuzuma amateka yawe y'ubuzima kugira ngo amenye niba ubu bwoko bw'umuti wo gukoresha mu kubaga bukugirira akamaro.

Ugomba kumenyesha umuganga wawe niba ufite kimwe muri ibi biranga:

• Kumenyekana ko ufite allergie kuri prilocaine, epinephrine, cyangwa imiti isa n'iyo yo mu gace kamwe
• Uburwayi bukomeye bw'umutima cyangwa umuvuduko w'amaraso udagenzurwa
• Uburwayi bumwe na bumwe bwo gutera kw'umutima
• Umutsi ukora cyane (hyperthyroidism)
• Uburwayi bukomeye bw'umwijima cyangwa impyiko
• Amateka ya methemoglobinemia (uburwayi bw'amaraso butavugwa cyane)

Abagore batwite kandi bonsa mubisanzwe bashobora guhabwa uru rushinge mu buryo butekanye, ariko umuganga wawe azareba akamaro n'ibibazo byihariye byawe.

Niba ufata imiti imwe na rimwe, cyane cyane iyo ku mutima, umuvuduko w'amaraso, cyangwa agahinda, umuganga wawe ashobora gukenera guhindura uburyo cyangwa guhitamo undi muti wo gukoresha mu kubaga.

Amazina y'ubwoko bwa Prilocaine na Epinephrine

Ubu buryo buhari mu mazina menshi y'ubwoko, aho Citanest Forte ari rimwe mu rimenyerewe cyane. Izindi miterere zishobora kuboneka bitewe n'aho uherereye n'icyo umuganga wawe akunda.

Ubwoko rusange bukora neza nk'ibicuruzwa by'amazina. Umuganga wawe azahitamo icyiza cyane gishingiye ku byo ukeneye byihariye n'ubwoko bw'ibikorwa bikorwa.

Ubwoko butandukanye buraboneka, kandi umuganga wawe azahitamo imbaraga zikwiriye cyane kubikorwa byawe n'amateka yawe y'ubuvuzi.

Izindi nzira za Prilocaine na Epinephrine

Niba uru ruhurirane rudakwiriye kuri wewe, hariho ibindi bisimbura byinshi byo gutera urugimbi. Umuganga wawe ashobora guhitamo mu zindi nzira zishingiye ku byo ukeneye byihariye n'amateka yawe y'ubuvuzi.

Izindi nzira zisanzwe zirimo lidocaine hamwe na epinephrine, ikora kimwe ariko ikoresha ikindi kintu gitera urugimbi. Ku bantu badashobora gukoresha epinephrine, prilocaine isanzwe cyangwa lidocaine idafite epinephrine birashobora gukoreshwa, nubwo ingaruka zo gutera urugimbi zitashobora kumara igihe kirekire.

Mu bihe bimwe na bimwe, izindi nzira zo gutera urugimbi nka articaine, bupivacaine, cyangwa mepivacaine zirashobora kuba zikwiriye kurushaho. Umuganga wawe azaganira ku buryo bwiza kuri wewe.

Ese Prilocaine na Epinephrine biruta Lidocaine na Epinephrine?

Uruhuzanyirizo rwombi ni nzira nziza zo gutera urugimbi, kandi guhitamo hagati yabyo akenshi biterwa n'ibyo ukeneye byihariye n'amateka yawe y'ubuvuzi. Prilocaine ikunda kugira ibyago bike byo kwibasirwa n'uburwayi kandi irashobora kwihanganirwa neza n'abantu bamwe.

Lidocaine hamwe na epinephrine imaze igihe ikoreshwa kandi iraboneka cyane, bituma iba iya mbere mu gukoreshwa mu bikorwa byinshi. Ariko, prilocaine hamwe na epinephrine birashobora gukundwa mu bikorwa by'amenyo cyangwa ku bantu bagiye bagira ibibazo bya lidocaine.

Umuganga wawe azatekereza ibintu nk'ubwoko bw'ibikorwa, amateka yawe y'ubuvuzi, n'ibibazo byose byabayeho byatewe n'inzira zo gutera urugimbi mugihe uhitamo hagati yizo nzira. Zombi zifatwa nkizitunganye kandi zikora neza mugihe zikoreshejwe neza.

Ibibazo Bikunze Kubazwa ku bijyanye no guterwa urushinge rwa Prilocaine na Epinephrine

Ese Prilocaine na Epinephrine bifite umutekano ku bantu barwaye indwara z'umutima?

Abantu barwaye indwara z'umutima akenshi bashobora guterwa uru rushinge mu buryo bwizewe, ariko bisaba ko muganga abanza kubisuzuma neza. Igice cya epinephrine gishobora kugira ingaruka ku mutima n'umuvuduko w'amaraso, bityo muganga wawe azareba ubukana bw'uburwayi bwawe n'imiti urimo gufata.

Ku bantu bafite indwara z'umutima zigenzurwa neza, epinephrine ntoya iba mu nshinge z'umuti wo gukoresha ahantu hato akenshi iba ifite umutekano. Ariko, abafite indwara z'umutima zikomeye cyangwa zitajegajega bashobora gukenera imiti itariho epinephrine.

Nkwiriye gukora iki niba naterwe urushinge rwa Prilocaine na Epinephrine rwinshi mu buryo butunganye?

Niba watewe uru rushinge rwinshi, ushobora kugira ibimenyetso nk'izunguruka ry'umutwe, umutima utera cyane, guhangayika, cyangwa kumva umubiri wose warugaye igihe kirekire. Vugana n'umuganga wawe ako kanya niba ubonye ibimenyetso bibangamiye nyuma yo gukorerwa icyo gikorwa.

Ibikorwa byinshi by'ubuvuzi biteguye neza guhangana n'ibihe byo kurenza urugero rwa imiti kandi bazagukurikiranira hafi niba hari icyo bibazaho. Ingaruka akenshi ziba iz'igihe gito, ariko kwitabwaho n'abaganga vuba bituma umutekano wawe n'umubiri wawe biba byizewe.

Nkwiriye gukora iki niba ububabare butagabanutse nk'uko byari byitezwe?

Nubwo bidasanzwe, rimwe na rimwe ububabare bushobora kumara igihe kirekire kuruta uko byari byitezwe. Ibi akenshi bikemuka byonyine mu masaha make, ariko ugomba kuvugana n'umuganga wawe niba ububabare bumaze amasaha 4-6 nyuma yo gukorerwa icyo gikorwa.

Irinde kurya, kunywa ibintu bishyushye, cyangwa guhekenya ahantu hari ububabare kugeza igihe wumviye neza kugirango wirinde kwangirika ku buryo butunganye. Ibyago byinshi by'ububabare bumara igihe kirekire bikemuka neza nta ngaruka zirambye.

Nshobora kurya no kunywa ryari nyuma yo guterwa uru rushinge?

Ugomba gutegereza kugeza igihe ububabare buvuyeho burundu mbere yo kurya cyangwa kunywa ikintu gishyushye. Ibi bisanzwe bifata amasaha 1-3, ariko igihe nyacyo gitandukana ku muntu ku muntu.

Urashobora kunywa amazi akonje cyangwa ibindi byose bikonje umaze kumva umeze neza kubikora. Witondere cyane ibiryo bishyushye n'ibinyobwa, kuko ushobora kutumva neza ubushyuhe kandi ugashya umunwa cyangwa ururimi rwawe.

Nshobora gutwara imodoka nyuma yo guterwa urushinge rwa Prilocaine na Epinephrine?

Abantu benshi barashobora gutwara imodoka nyuma yo guterwa uru rushinge kubera ibikorwa bito, ariko ugomba gutegereza kugeza igihe isereri cyangwa umutwe bishize. Niba wakiriye imiti igabanya ubwenge hamwe n'umuti waho, uzakenera undi muntu kugutwara akakugeza mu rugo.

Ukurikize umubiri wawe kandi ntugatware imodoka niba wumva utameze neza, ufite isereri, cyangwa utameze neza. Buri gihe ni byiza gutegura uburyo bwo gutwara niba ufite impungenge zerekeye ubushobozi bwawe bwo gutwara neza.