Yini i-Local Anesthetic (Indlela ye-Parenteral): Ukusetshenziswa, Umthamo, Imiphumela Eceleni nokuningi

I-Local anesthetic enikezwe ngendlela ye-parenteral isho umuthi wokuthulisa ozofakwa ngqo emzimbeni wakho ngentonga noma umugqa we-IV. Le ndlela iletha imithi ngqo lapho idingeka khona ukuvimba izimpawu zobuhlungu ezindaweni ezithile zomzimba wakho.

Ngokungafani nama-creams okuthulisa aphezulu ongawafaka esikhumbeni sakho, ama-anesthetics endawo e-parenteral asebenza ngaphakathi nangaphandle. Zisetshenziswa kakhulu ngesikhathi sezinqubo zezokwelapha, ukuhlinzwa, kanye nomsebenzi wamazinyo ukuze uqinisekise ukuthi uhlala ukhululekile ngenkathi odokotela bekusebenzela.

Yini i-Local Anesthetic (Indlela ye-Parenteral)?

I-Local anesthetic ngendlela ye-parenteral ngumuthi wokuthulisa olethwa ngqo emzimbeni wakho ngejojo, i-IV, noma ezinye izindlela ezisekelwe entongeni. Igama elithi "parenteral" limane lisho ukuthi umuthi udlula ngohlelo lwakho lokugaya ukudla futhi uqonde ngqo ezicutshini zakho noma egazini.

Cabanga ngayo njengendlela eqondiwe yokukhulula ubuhlungu esebenza ngqo lapho udokotela wakho ekudinga khona. Umuthi uvimba izimpawu zemizwa endaweni ethile, ngakho ngeke uzwe ubuhlungu ngesikhathi sezinqubo zezokwelapha. Udokotela wakho ulawula ngqo ukuthi ungakanani umuthi owutholayo nokuthi uya kuphi emzimbeni wakho.

Le ndlela ivumela ukulinganisa okunembile kanye nomphumela osheshayo. Umuthi uqala ukusebenza ngemizuzu futhi ungahlala noma yikuphi kusukela kumizuzu engama-30 kuya emahoreni ambalwa, kuye ngohlobo oluthile olusetshenzisiwe.

Yini i-Local Anesthetic (Indlela ye-Parenteral) Esetshenziselwa Yona?

I-Local anesthetic injections isetshenziswa noma nini lapho odokotela bedinga ukuthulisa ingxenye ethile yomzimba wakho ngezindlela zezokwelapha. Uzohlangana nalolu hlobo lokukhululeka kobuhlungu ezimweni eziningi ezivamile zezokwelapha.

Nawa amazwi amakhulu lapho umhlinzeki wakho wokunakekelwa kwempilo angase asebenzise khona ama-anesthetics endawo e-parenteral:

• Izinqubo zokuhlinzwa ezincane njengokususa izilonda zesikhumba noma ukuthunga amanxeba
• Umsebenzi wamazinyo okuhlanganisa ukukhipha amazinyo kanye nemisele yezimpande
• Imijovo ye-Epidural yokukhulula ubuhlungu ngesikhathi sokubeletha
• Izithiyo zemizwa zokuphatha ubuhlungu obungapheli
• Ama-Biopsies lapho kuthathwa amasampula ezicubu
• Imijovo yamalunga yokwelapha i-arthritis noma ukulimala
• Izinqubo zegumbi eliphuthumayo njengokuhlanza amanxeba ajulile

Udokotela wakho ukhetha le ndlela ngoba inikeza ukukhululeka kobuhlungu okuthembekile, okuqondiwe ngaphandle kokuthinta umzimba wakho wonke. Lokhu kusho ukuthi ungaqhubeka uvukile futhi uqaphile ngesikhathi sezinqubo ngenkathi uhlala ukhululekile ngokuphelele endaweni yokwelapha.

Isebenza Kanjani I-Local Anesthetic (Parenteral Route)?

Imijovo ye-anesthetic yendawo isebenza ngokuvimba okwesikhashana iziteshi ze-sodium kumaseli akho emizwa. Lokhu kuvimbela izimpawu zobuhlungu ukuthi zingahambi zisuka endaweni yokujova ziye ebuchosheni bakho, ngakho awuzizwa nje okwenzekayo kuleyo ndawo.

Lapho udokotela wakho ejova umuthi, usabalala ezicutshini ezizungeze indawo yokujova. Umuthi uthola iziphetho zemizwa futhi empeleni "uzicisha" isikhathi esithile. Usazoba nomuzwa ojwayelekile kuyo yonke enye indawo emzimbeni wakho.

Le mithi ithathwa njengeqinile ngokulinganisela futhi isebenza kahle kakhulu ngenjongo yayo. Ukuqala kuyashesha, ngokuvamile kungakapheli imizuzu engu-5-15, futhi imiphumela iyaphela kancane kancane njengoba umzimba wakho uqeda umuthi. Izinhlobo ezahlukene zama-anesthetics endawo zinamandla ahlukene nobude besikhathi sokusebenza.

Ngingalungiselela Kanjani I-Local Anesthetic (Parenteral Route)?

Ukulungiselela kwakho kuncike enqubweni ethile onayo, kodwa imijovo eminingi ye-anesthetic yendawo idinga ukulungiswa okuncane. Umhlinzeki wakho wezempilo uzokunikeza imiyalelo ethile ngokusekelwe esimweni sakho.

Ngokuvamile, ungadla futhi uphuze ngokujwayelekile ngaphambi kokuthola imijovo ye-anesthetic yendawo. Ngokungafani ne-anesthesia ejwayelekile, akudingeki ukuthi uzile ukudla ngaphambi kwalokho. Kodwa-ke, ezinye izinqubo zingase zibe nezidingo ezithile zokudla, ngakho-ke landela njalo imiyalelo yodokotela wakho.

Yazisa umhlinzeki wakho wezempilo ngayo yonke imithi oyithathayo, okuhlanganisa nemithi etholakala ngaphandle kwekhawunta kanye nezithasiselo. Abanye abanciphisi igazi bangase badinge ukumiswa okwesikhashana ngaphambi kwezinqubo ezithile. Futhi bazise ngazo zonke izinto ozithandayo, ikakhulukazi emithini yokubulala ubuhlungu noma izinto ezigcina ukudla.

Gqoka izingubo ezikhululekile, ezixekile ezivumela ukufinyelela kalula endaweni yokwelashwa. Uma wenza umsebenzi wamazinyo, gwema ukugqoka izimonyo ezinzima noma ubucwebe obungase buphazamise inqubo.

Ingabe i-Anesthetic Yendawo (Indlela ye-Parenteral) Ihlala Isikhathi Esingakanani?

Isikhathi sokusebenza kwemiphumela ye-anesthetic yendawo siyahluka ngokuya ngemithi ethile esetshenzisiwe nendawo yomjovo. Ama-anesthetics endawo asetshenziswa kakhulu ahlala phakathi kwamahora angu-1-4, nakuba amanye engahlinzeka ngobuthuntu kuze kufike emahoreni angu-8.

Ama-anesthetics asebenza ngokushesha afana ne-lidocaine ngokuvamile anikeza ubutuntu amahora angu-1-2. Izinketho ezisebenza isikhathi eside njenge-bupivacaine zingahlala amahora angu-4-8. Udokotela wakho ukhetha uhlobo olufanele ngokuya ngokuthi inqubo yakho izothatha isikhathi esingakanani nokuthi uzodinga kangakanani ukunethezeka ngemva kwenqubo.

Uzoqaphela ukuthi ubutuntu buyaphela kancane kancane njengoba imizwa ejwayelekile ibuyela. Abanye abantu bazwa ukuzwa kokuluma njengoba imithi iphela, okujwayelekile ngokuphelele. Indawo yomjovo ingase izizwe ithambile kancane usuku olulodwa noma ezimbili ngemva kwalokho.

Yiziphi Imiphumela Eceleni ye-Anesthetic Yendawo (Indlela ye-Parenteral)?

Abantu abaningi bayakubekezelela kahle imijovo ye-anesthetic yendawo, nemiphumela emibi ngokuvamile ibuthakathaka futhi yesikhashana. Imiphumela evame kakhulu yenzeka ngqo endaweni yomjovo futhi ixazululwe ngokushesha.

Nawa amanye amiphumela emibi ongase uyithole:

• Ukuqaqamba okwesikhashana okuhlala isikhathi eside kunokulindelekile
• Ukuqina okuncane noma ukuvuvukala endaweni yokujova
• Ukuqaqamba okuncane lapho kufakwe inaliti
• Ubuthakathaka besikhashana endaweni eqeqeshwe
• Isiyezi esincane uma uzwela emuthini

Le miphumela ejwayelekile ngokuvamile iyanyamalala phakathi kwamahora angu-24-48 futhi ayidingi ukwelashwa okukhethekile. Umzimba wakho ngokwemvelo usebenzisa umuthi, futhi imizwa ejwayelekile ibuyela kancane kancane.

Imiphumela emibi engavamile kodwa ebucayi idinga ukunakekelwa kwezokwelapha ngokushesha. Nakuba kungavamile, kubalulekile ukuqaphela lezi zimpawu:

• Ukuphendula okukhulu komzimba okunzima ukuthatha umoya noma ukuvuvukala
• Ukushaya kwenhliziyo okungajwayelekile noma ubuhlungu besifuba
• Isiyezi esikhulu noma ukuquleka
• Ukuqaqamba okuqhubekayo okuhlala amahora angaphezu kwama-24
• Izimpawu zokutheleleka endaweni yokujova

Xhumana nomhlinzeki wakho wezempilo ngokushesha uma uhlangabezana nanoma yiziphi zalezi zimpawu ezibucayi. Bangahlinzeka ngemithi efanele futhi baqinisekise ukuphepha kwakho.

Ubani Ongafanele Athole I-Local Anesthetic (Indlela ye-Parenteral)?

Ngenkathi imijovo ye-anesthetic yendawo iphephile kubantu abaningi, izimo ezithile nezimo zidinga ukucatshangelwa okukhethekile noma izindlela ezingezinye. Udokotela wakho uzobuyekeza ngokucophelela umlando wakho wezokwelapha ngaphambi kokuqhubeka.

Kufanele wazise umhlinzeki wakho wezempilo uma unezimo ezilandelayo:

• Ukungezwani okwaziwayo kuma-anesthetics endawo noma izilondolozi
• Umlando wokuphendula okukhulu kuma-ejenti aqeqeshayo amazinyo noma ezokwelapha
• Izinkinga ezithile zesigqi senhliziyo
• Isifo esibi sesibindi noma sezinso
• Ukutheleleka okusebenzayo endaweni yokujova ehleliwe
• Izifo zokuphuma igazi noma ukusetshenziswa kwamanje kwama-blood thinners

Ukuba nalezi zimo akukuqedi ngokuzenzakalelayo ukuthola i-anesthetic yendawo, kodwa udokotela wakho angase adinge ukusebenzisa imithi ehlukile noma athathe izinyathelo ezengeziwe zokuphepha. Bazosebenza nawe ukuthola indlela ephephe kakhulu yesimo sakho esithile.

Ukukhulelwa nokuncelisa nazo zidinga ukucatshangelwa okukhethekile, nakuba ama-anesthetics amaningi endawo athathwa njengaphephile ngalezi zikhathi. Umhlinzeki wakho wezempilo uzokhetha inketho efanele kakhulu kuwe nomntwana wakho.

Amagama Omkhiqizo We-Anesthetic Yendawo

Imikhiqizo eminingi eyaziwayo ikhiqiza ama-anesthetics endawo ukuze asetshenziswe ngomjovo. Umhlinzeki wakho wezempilo uzokhetha okufanele kakhulu ngokusekelwe ezidingweni zakho ezithile kanye nenqubo eyenziwayo.

Amagama ajwayelekile omkhiqizo afaka i-Xylocaine (lidocaine), i-Marcaine (bupivacaine), kanye ne-Carbocaine (mepivacaine). Ngamunye unempahla ehlukile kancane mayelana nokuthi basebenza ngokushesha kangakanani nokuthi bahlala isikhathi esingakanani. Udokotela wakho ukhetha inketho engcono kakhulu ngokusekelwe esikhathini senqubo kanye nezidingo zakho.

Izinhlobo ezivamile zale mithi zisebenza ngempumelelo njengamagama omkhiqizo. Isikhungo sakho sezempilo ngokuvamile sizogcina noma iyiphi inguqulo enikeza inhlanganisela engcono kakhulu yokusebenza kahle, ukuphepha, kanye nokuphumelela kwezindleko ezigulini zabo.

Ezinye Izindlela Zokwelapha I-Anesthetic Yendawo

Uma ungenakuthola imijovo ye-anesthetic yendawo yendabuko, ezinye izindlela ezingase zikunikeze ukukhululeka kobuhlungu ngesikhathi sezinqubo zezokwelapha. Umhlinzeki wakho wezempilo angaxoxa ngalezi zinketho ngokusekelwe esimweni sakho esithile kanye nezidingo zezokwelapha.

Okokhilimu noma ama-gel okubulala ubuhlungu angasebenza kahle ezinqubweni ezincane zesikhumba, nakuba zingangeni ngokujula njengemijovo. Izindlela ze-anesthesia zesifunda njengamabhuloki emizwa zingabulala izindawo ezinkulu zisebenzisa izindawo ezihlukene zokujova. Kwezinye izinqubo, ukuthuliswa kwengqondo okuhambisana nemithi yokwelapha ubuhlungu kungase kufanele.

Ezimweni ezingavamile lapho zonke izinketho zokubulala izinzwa zendawo zingafaneleki, udokotela wakho angase ancome ukubulawa izinzwa okujwayelekile ngezindlela ezinabile. Bazohlala besebenza nawe ukuthola indlela ephephe kakhulu futhi enethezekile esimweni sakho esithile.

Ingabe i-Local Anesthetic (Indlela ye-Parenteral) Ingcono Kune-Topical Anesthetics?

Ukujova kwe-local anesthetic kanye nezidakamizwa zokubulala izinzwa zendawo ngazinye zinamandla azo, futhi ukukhetha okungcono kuncike enqubweni yakho ethile nezidingo. Akukho ngisho nokukodwa okungcono kunomunye.

I-Parenteral local anesthetics inikeza ukuba ndikindiki okujulile, okuthembekile futhi isebenza ngokushesha kunezinketho zendawo. Zibalulekile ezinqubweni ezingena ngaphansi kobuso besikhumba noma ezidinga ukuqedwa okuphelele kobuhlungu. Imiphumela nayo iyabikezeleka kakhulu futhi ihlala isikhathi eside.

I-Topical anesthetics inobungane futhi ayidingi izinaliti, okwenza zifaneleke ezinqubweni zendawo noma ezigulini ezesaba izinaliti. Kodwa-ke, zenza kuphela ukuba ndikindiki izendlalelo eziphezulu zesikhumba futhi zithatha isikhathi eside ukusebenza. Ezinqubweni ezijulile, ukujova kuhlala kuyizinga legolide lokulawula ubuhlungu obuthembekile.

Umhlinzeki wakho wezempilo uzoncoma inketho efanele kakhulu ngokusekelwe ekujuleni kwenqubo yakho, izinga lakho lokunethezeka ngezinaliti, nomlando wakho wezokwelapha.

Imibuzo Evame Ukubuzwa Mayelana ne-Local Anesthetic (Indlela ye-Parenteral)

Ingabe i-Local Anesthetic (Indlela ye-Parenteral) Iphephile Ezigulini Zezinhliziyo?

Ukujova kwe-local anesthetic ngokuvamile kuphephile kubantu abanezimo zenhliziyo, nakuba udokotela wakho ezothatha izinyathelo ezengeziwe zokuphepha. Ama-local anesthetics anamuhla akhiwe ukunciphisa imiphumela enhliziyweni yakho, futhi imithamo esetshenziswayo ngokuvamile iphansi kakhulu kunezo ezingabangela izinkinga zenhliziyo.

Udokotela wakho wenhliziyo kanye nomhlinzeki wokunakekelwa kwezempilo owenza inqubo yakho bazoxhumana ukuqinisekisa ukuphepha kwakho. Bangase bakhethe izinhlobo ezithile zama-anesthetics endawo athambile enhliziyweni yakho noma balungise umthamo ngokufanele. Njalo yazisa bonke abahlinzeki bakho bezempilo ngesimo senhliziyo yakho ngaphambi kwanoma iyiphi inqubo.

Kufanele Ngenzeni Uma Ngithola I-Anesthetic Yendawo Engaphezu Kakhulu Ngengozi?

Ukweqisa kwe-anesthetic yendawo akuvamile ngoba abahlinzeki bezempilo babala ngokucophelela imithamo efanele, kodwa kubalulekile ukuqaphela izimpawu. Izimpawu zingabandakanya isiyezi esibi, ukushaya kwenhliziyo okungajwayelekile, ubunzima bokuphefumula, noma ukozela okungajwayelekile.

Uma uhlangabezana nanoma yiziphi lezi zimpawu ngesikhathi noma ngemva kokuthola i-anesthetic yendawo, tshela umhlinzeki wakho wezempilo ngokushesha. Banamakhambi nemishini yokwelapha ukusabela kwe-anesthetic ngokushesha nangempumelelo. Ungazami ukuzelapha lezi zimpawu wena uqobo - funa ukunakekelwa kwezempilo ngokushesha.

Kufanele Ngenzeni Uma Ukuba ndikindiki Kungapheli Njengoba Bekulindelekile?

Ngezikhathi ezithile, ukuba ndikindiki okuvela emijovweni ye-anesthetic yendawo kungahlala isikhathi eside kunokulindelekile, nakuba lokhu kungavamile. Ukuba ndikindiki okuningi okweluliwe kulungiswa phakathi kwamahora angu-24-48 njengoba umzimba wakho uqeda ukucubungula imithi.

Xhumana nomhlinzeki wakho wezempilo uma ukuba ndikindiki kuqhubeka ngaphezu kwamahora angu-24 noma uma uba nezimpawu ezintsha njengobuhlungu obukhulu noma izimpawu zokutheleleka. Bangahlola ukuthi lokhu kuyahluka okujwayelekile noma kudinga ukwelashwa. Ezimweni eziningi, ukuba ndikindiki okweluliwe kulungiswa ngokuphelele ngaphandle kwemiphumela ehlala njalo.

Ngingakwazi Nini Ukuqala Imisebenzi Ejwayelekile Ngemva Komjovo We-Anesthetic Yendawo?

Ngokuvamile ungaqala kabusha imisebenzi eminingi ejwayelekile ngokushesha ngemva kokuthola i-anesthetic yendawo, nakuba kufanele uqaphele ngendawo engandikindiki kuze kube yilapho imizwa ibuyela. Gwema imisebenzi engase ilimaze indawo engandikindiki ngoba ngeke uzwe ubuhlungu obuvamile obukuvikelayo.

Ngezindlela zamazinyo, gwema ukudla okushisayo neziphuzo kuze kube yilapho ukuba ndikindiki kuphela ukuvimbela ukuzishisa ngengozi. Uma uthole imijovo ezandleni zakho noma ezinyaweni, qaphela kakhulu ngemisebenzi edinga ukulawulwa okuncane noma ibhalansi kuze kube yilapho imizwa ephelele ibuyela.

Ngingashayela ngemva kokuthola i-Local Anesthetic (Parenteral Route)?

Ukushayela ngemva kwemijovo ye-local anesthetic kuncike endaweni kanye nobubanzi bokuba ndikindiki, kanye nanoma yimiphi eminye imithi oyitholile. Uma indawo encane kuphela eyayindindindiki futhi uzizwa uqaphile futhi ukhululekile, ukushayela kuvame ukuphepha.

Nokho, gwema ukushayela uma uthole i-sedation kanye ne-local anesthetic, uma uzizwa unesiyezi noma ungazizwa kahle, noma uma ukuba ndikindiki kuthinta ikhono lakho lokusebenzisa izilawuli zemoto ngokuphepha. Uma ungabaza, lungiselela omunye umuntu ukuthi akuqhubele ekhaya futhi ulinde kuze kube yilapho uzizwa ujwayelekile ngokuphelele ngaphambi kokushayela futhi.