Ikibazo cy'Umuti wa Prilocaine: Ibyo Ukoreshwa, Uburyo Ufatwa, Ingaruka Zishobora Kugaragara n'ibindi

Umuti wa prilocaine ni umuti utuma umuntu atumva ububabare ukoreshwa mu gihe gito, ugahagarika ibimenyetso by'imitsi kugira ngo wirinde ububabare mu gihe cy'ubuvuzi. Utekereze nk'umuti utuma umuntu atumva ububabare ukoreshwa n'abaganga kugira ngo bavure abarwayi baboroheje.

Uyu muti ubarirwa mu itsinda ry'imiti yitwa amide local anesthetics, bivuze ko ukora uhagarika imitsi yoherereza ubwonko ubutumwa bw'ububabare. Ubusanzwe ukoreshwa mu buvuzi bw'amenyo, mu kubaga ibintu bito, no mu bindi bikorwa aho ukeneye kugabanya ububabare mu gice runaka cy'umubiri wawe.

Prilocaine ikoreshwa mu kuvura iki?

Umuti wa prilocaine ukoreshwa nk'umuti ugabanya ububabare mu bikorwa bitandukanye by'ubuvuzi n'ubuvuzi bw'amenyo. Muganga wawe azawukoresha igihe akeneye guhagarika ububabare mu gice runaka cy'umubiri wawe.

Uyu muti ukoreshwa cyane mu buvuzi bw'amenyo nk'ukurandura iryinyo, kuziba amenyo, no kuvura amenyo. Bifasha kandi mu kubaga ibintu bito ku ruhu, nko gukuraho ibintu bito byakuze cyangwa kudoda ibikomere.

Mu bindi bihe, abaganga bakoresha prilocaine mu bikorwa byihariye nk'imitsi ihagarika ububabare, aho bakeneye gutuma ibice binini cyangwa inzira zihariye z'imitsi zitumva ububabare. Abaganga bo mu bitaro byihutirwa bashobora no kuyikoresha mu kuvura ibikomere bikeneye gukaraba cyangwa kudodwa.

Prilocaine ikora ite?

Prilocaine ikora ihagarika imiyoboro ya sodium mu ngirangingo z'imitsi, ibyo bikabuza kohereza ibimenyetso by'ububabare mu bwonko bwawe. Ifatwa nk'umuti ugabanya ububabare ufite imbaraga ziringaniye, ukomeye kurusha izindi ariko woroshye kurusha izindi.

Iyo muganga wawe atereye prilocaine, bitwara iminota 2 kugeza kuri 4 kugira ngo itangire gukora neza. Ingaruka zo kutumva ububabare zikunze kumara hagati y'isaha 1 kugeza kuri 3, bitewe n'urugero rwakoreshejwe n'aho yatewe.

Umuti uguma aho watewe, bivuze ko ntugenda mu mubiri wawe wose nk'uko byagenda kuri anesthesia rusange. Ubu buryo bwihariye butuma biba byiza ku bantu benshi kandi bugatuma uguma maso kandi wumva neza mu gihe cyo kuvurwa kwawe.

Nkwakira nte inshinge ya Prilocaine?

Inshinge ya Prilocaine ihabwa buri gihe n'umuganga wizeye mu rwego rw'ubuvuzi. Nta kintu na kimwe ugomba gutegura mbere, kandi ushobora kurya no kunywa ibisanzwe mbere yo kujya kwa muganga.

Umuzamu wawe azahanagura neza aho inshinge igomba guterwa kandi ashobora gushyiraho amavuta agabanya ububabare mbere kugira ngo inshinge ubwayo yorohere. Bazakoresha urushinge ruto batera umuti mu gice cy'umubiri ukeneye kutumva.

Uburyo bwo gutera inshinge busanzwe bufata amasegonda make, nubwo ushobora kumva ububabare buke cyangwa gushya igihe umuti winjira. Ubu bubabare ni ibisanzwe kandi burashira vuba igihe ingaruka zo kutumva zitangiye.

Mvuzwa Prilocaine igihe kingana iki?

Prilocaine isanzwe itangwa nk'urushinge rumwe mbere gato yo gutangira kuvurwa kwawe. Bitandukanye n'imiti ufata buri munsi, ubu ni ubuvuzi bumwe butanga kutumva by'igihe gito mu gihe cyo kuvurwa kwawe kwa muganga cyangwa kw'amenyo.

Ingaruka zirashira mu isaha imwe kugeza ku masaha atatu nta bundi buvuzi bukenewe. Ntugomba guhangayika no guhagarika umuti cyangwa kuwuvamo buhoro buhoro, kuko umubiri wawe ubwawo uwukoresha wose.

Niba ukeneye kuvurwa byinshi, umuganga wawe azaguha inshinge nshya buri gihe aho gukoresha urugero rumwe ku buvuzi butandukanye.

Ni izihe ngaruka ziterwa na Prilocaine?

Abantu benshi bakira neza inshinge ya prilocaine, ariko nk'undi muti uwo ari wo wose, ushobora gutera ingaruka zimwe na zimwe. Inkuru nziza ni uko ingaruka zikomeye zibaho gake cyane iyo ikoreshejwe neza n'abantu babihuguriwe.

Ibi ni bimwe mu ngaruka zisanzwe zishobora kukubaho:

• Kugira ububabare bw'igihe gito burambye kurusha uko byari byitezwe
• Ukubura guto cyangwa gutukura ahatewe urushinge
• Ubwiza buto ahatewe urushinge
• Uburyohe bw'icyuma mu kanwa kawe
• Kuribwa umutwe cyangwa kumva uruhuka

Izi ngaruka zikunda kuba nto kandi zikivana mu masaha make. Ububabare burambye rimwe na rimwe bushobora gutuma bigorana kurya cyangwa kuvuga neza, bityo witondere iyo unywa ibinyobwa bishyushye cyangwa urya ibiryo.

Hariho n'izindi ngaruka zitavugwa cyane ariko zikomeye zishobora kubaho, nubwo bidakunze kubaho:

• Ubwivumbagatanyo bukomeye bw'umubiri butuma ugorwa no guhumeka cyangwa kubura
• Umutima utera nabi cyangwa kubabara mu gituza
• Kugira ibibazo byo gufatwa cyangwa kuvurungana
• Kuribwa umutwe cyane cyangwa kugwa igihumure
• Imbere y'iminwa cyangwa inzara zifite ibara ry'ubururu (indwara idakunze kubaho yitwa methemoglobinemia)

Niba ubonye kimwe muri ibi bimenyetso bikomeye, gisha ubufasha bwihutirwa bw'abaganga. Itsinda ryawe ry'ubuzima ryatojwe kumenya no kuvura ibi bibazo bidakunze kubaho vuba.

Ninde utagomba gufata Prilocaine?

Nubwo prilocaine ifitiye abantu benshi umutekano, abantu bamwe bagomba kuyirinda cyangwa bakayikoresha bafite ubwitonzi bwinshi. Umuganga wawe azareba amateka yawe y'ubuzima mbere yo kuguha uyu muti.

Ugomba kumenyesha umuganga wawe niba ufite kimwe muri ibi bibazo:

• Kumenya allergie kuri prilocaine cyangwa izindi ntero z'agace
• Ibibazo by'umutima cyangwa indwara ikomeye y'umutima
• Indwara y'umwijima cyangwa imikorere y'umwijima yagabanutse
• Indwara idasanzwe ya genetike yitwa glucose-6-phosphate dehydrogenase (G6PD) deficiency
• Methemoglobinemia (indwara yo mu maraso)

Abagore batwite kandi bonka bashobora gufata prilocaine mu buryo bwizewe, ariko umuganga wawe azagereranya inyungu n'ibishobora kuba byose. Abana n'abantu bakuze bashobora gukenera doze zihinduka bitewe n'imyaka yabo n'ubuzima muri rusange.

Buri gihe ujye ubwira umuganga wawe ku bijyanye n'imiti yose urimo gufata, harimo imiti itangwa nta cyangombwa cy'umuganga na za supplements, kuko imwe ishobora kugirana imikoranire na prilocaine.

Amazina y'ubwoko bwa Prilocaine

Umuti wa prilocaine uterwa mu nshinge uboneka mu mazina y'ubwoko butandukanye, nubwo ibigo byinshi by'ubuzima bikoresha uwo mu bwoko rusange. Izina ry'ubwoko risanzwe ni Citanest, ikoreshwa cyane mu buvuzi bw'amenyo n'ubuvuzi muri rusange.

Ushobora kandi guhura na prilocaine ivanze n'izindi anesthetics mu bicuruzwa nka EMLA cream, nubwo iyi ari uburyo butandukanye bukoreshwa ku ruhu rwo hejuru aho gutangwa mu nshinge. Umuganga wawe azahitamo uburyo bukwiye cyane kuri gahunda yawe yihariye.

Ubwoko rusange bukora neza kimwe n'ubwoko bw'amazina, bityo ntugire impungenge niba umuganga wawe akoresha kimwe muri byo. Byombi birimo ikintu kimwe gikora kandi bitanga inyungu zimwe zo gucika intege.

Izindi nzira zishobora gusimbura Prilocaine

Izindi anesthetics zaho zishobora gutanga ingaruka zimwe zo gucika intege niba prilocaine itagukwiriye. Umuganga wawe ashobora guhitamo indi nzira bitewe n'amateka yawe y'ubuvuzi, ubwoko bwa gahunda, cyangwa igihe gito cyo gucika intege gikenewe.

Izindi nzira zisanzwe zirimo lidocaine, ikora vuba gato ariko ntitinda, na bupivacaine, itanga gucika intege birambye ariko bifata igihe kirekire kugirango bitangire gukora. Mepivacaine ni indi nzira isa na prilocaine mu gutangira no kumara igihe.

Buri yindi nzira ifite inyungu zayo n'ibitekerezo, bityo wizere umuganga wawe guhitamo uburyo bwiza kuri gahunda yawe yihariye. Bazatekereza ibintu nk'amateka yawe y'ubuvuzi, uburebure bwa gahunda, n'uburwayi bwose ushobora kugira.

Ese Prilocaine iruta Lidocaine?

Prilocaine na lidocaine zombi zifite ubushobozi bwo gutera uburwayi bwiza, ariko zifite imiterere itandukanye ituma buri imwe ikwiriye neza mu bihe runaka. Nta na imwe iruta iyindi.

Prilocaine ikunda kumara igihe kirekire kurusha lidocaine, bituma ikwiriye neza mu bikorwa bifata igihe kirekire. Nanone itera kwaguka guke kw'imitsi y'amaraso, ibyo bishobora gufasha mu bice aho kugenzura amaraso ari ngombwa.

Lidocaine ikora vuba kurusha prilocaine, itangira gutera uburwayi mu minota 1 kugeza kuri 2 ugereranije na prilocaine imara iminota 2 kugeza kuri 4. Ariko, ingaruka za lidocaine zikunda gushira vuba, akenshi mu isaha 1 kugeza kuri 2.

Umuvuzi wawe azahitamo bitewe n'ibyo ukeneye byihariye, ubwoko bw'igikorwa, n'amateka yawe y'ubuvuzi. Imiti yombi ifite umutekano mwiza iyo ikoreshejwe neza.

Ibibazo Bikunze Kubazwa Kuri Prilocaine

Ese Prilocaine irakwiriye abarwayi b'umutima?

Prilocaine irashobora kuba ikwiriye abarwayi benshi b'umutima, ariko bisaba ko umuvuzi wawe abitekerezaho neza. Uyu muti ushobora kugira ingaruka ku mutima mu bihe bidasanzwe, bityo muganga wawe azasuzuma uko umutima wawe umeze mbere yo gukomeza.

Niba ufite indwara y'umutima ifashwe neza, umuvuzi wawe ashobora gukoresha urugero ruto cyangwa agahitamo undi muti uterwa. Buri gihe menyesha ikipe yawe y'ubuvuzi ku bijyanye n'imiti y'umutima urimo gufata, kuko imwe ishobora kugirana imikoranire n'imiti iterwa.

Nigute nakora niba nahawe prilocaine nyinshi mu buryo butunganye?

Kurenza urugero rwa prilocaine ni gake cyane kuko abaganga bita ku byo bakora kandi bagatanga imiti neza. Ariko, niba ubonye ibimenyetso nk'izunguzungu rikomeye, guhumeka bigoye, cyangwa imirimo idasanzwe y'umutima, menyesha ikipe yawe y'ubuvuzi ako kanya.

Itsinda ryawe ry'abaganga ryatojwe kumenya no kuvura ibibazo byose biterwa na prilocaine nyinshi. Bafite imiti n'ibikoresho byiteguye guhangana n'ibi bibazo bidasanzwe mu buryo bwizewe kandi neza.

Nigute ububabare bwa Prilocaine bumara igihe kingana iki?

Ubusanzwe ububabare bwa prilocaine bumara amasaha hagati ya 1 na 3, nubwo ibi bishobora gutandukana bitewe n'urugero, aho byatewe, n'uburyo wowe ubwawe wakiriye umuti. Ububabare buzagenda bugabanuka uko umubiri wawe ukora kuri uyu muti wo gukiza.

Mugihe utegereje ko ububabare bushira, witonze mugihe urya, unywa, cyangwa ukora ahantu hari ububabare. Ushobora kuruma ururimi rwawe cyangwa umusaya utabizi, bityo ukaguma kurya ibiryo byoroshye n'ibinyobwa bishyushye.

Nshobora kurya ryari nyuma yo guhabwa Prilocaine?

Ushobora kurya igihe ububabare bumaze gushira burundu, akenshi bishobora gufata isaha imwe kugeza kuri 3 nyuma y'igikorwa cyawe. Kurya mugihe ukiri mu bubabare byongera ibyago byo kuruma ururimi rwawe, umusaya, cyangwa umunwa.

Gerageza kumva mu kanwa kawe ukora gahoro ahantu hari ububabare ukoresheje ururimi rwawe. Igihe ushoboye kumva ibintu bisanzwe bigaruka, birizewe kurya ibiryo bisanzwe.

Nshobora gutwara imodoka nyuma yo guhabwa inshinge ya Prilocaine?

Abantu benshi bashobora gutwara neza nyuma yo guhabwa inshinge ya prilocaine, kuko ubusanzwe ntibitera gusinzira cyangwa guhagarika imikorere yawe yo mu mutwe. Ariko, niba wumva uribwa umutwe cyangwa ufite umutwe woroshye, ni byiza ko undi muntu akugendera akagusubiza mu rugo.

Icyemezo giterwa nuko wumva nyuma y'igikorwa cyawe kandi niba wahawe izindi miti. Niba utazi neza ubushobozi bwawe bwo gutwara neza, saba umuganga wawe ubuyobozi cyangwa utegure uburyo bwo gutwara butandukanye.