Yini i-Bupivacaine kanye ne-Epinephrine Injection: Ukusetshenziswa, Umthamo, Imiphumela Eceleni nokuningi

I-Bupivacaine kanye ne-epinephrine injection iyimithi yokubulala izinzwa yasendaweni evimba izimpawu zobuhlungu ezindaweni ezithile zomzimba wakho ngesikhathi senqubo yezokwelapha. Le mithi ehlanganisiwe isiza ukuba izindawo eziqondiwe zibe ndikindiki ngenkathi igcina ukukhululeka kobuhlungu kuhlala isikhathi eside kunezinto eziningi zokubulala izinzwa zasendaweni.

Cabanga ngayo njengo-"off switch" yesikhashana yezinzwa zobuhlungu endaweni eqondile lapho udokotela wakho edinga ukusebenza khona. Ingxenye ye-bupivacaine ivimba izimpawu zezinzwa ezithwala imiyalezo yobuhlungu ebuchosheni bakho, ngenkathi i-epinephrine isiza imithi ukuthi ihlale isebenza endaweni isikhathi eside futhi inciphisa ukopha.

Isetshenziselwani i-Bupivacaine kanye ne-Epinephrine?

Le mithi isetshenziswa ikakhulukazi ukuhlinzeka ngokuqeda ubuhlungu obuqondiwe ngesikhathi senqubo yokuhlinzwa, umsebenzi wamazinyo, kanye nokuphathwa kobuhlungu bomsebenzi. Umhlinzeki wakho wezempilo uyayijova ngqo endaweni lapho udinga khona ukuba ndikindiki, edala indawo engenabuhlungu yenqubo yezokwelapha.

Ukusetshenziswa okuvame kakhulu kufaka phakathi izindawo ezinomthelela wokuhlinzwa okuncane, izinqubo zamazinyo njengokususa amazinyo noma imisele yezimpande, kanye nemijovo ye-epidural ngesikhathi sokubeletha. Abanye odokotela bayayisebenzisa futhi emabhulokini ezinzwa ukuphatha izimo zobuhlungu ezingapheli noma ukuhlinzeka ngokuqeda ubuhlungu ngemuva kokuhlinzwa okuthile.

Ngaphandle kokusetshenziswa okuyinhloko, le mithi ingasiza ngokuphathwa kobuhlungu ngezindlela ezinjengama-biopsies, ukulungiswa kwamanxeba, noma ngisho nezinqubo zokuhlobisa. Udokotela wakho angase futhi ayincomela ukuphatha ubuhlungu obuvamile ezimweni ezinjengama-herniated discs noma ubuhlungu obungapheli emhlane ngamabhulokhi ezinzwa eziqondiwe.

Isebenza kanjani i-Bupivacaine kanye ne-Epinephrine?

Le mithi isebenza ngokuvimba iziteshi ze-sodium kumaseli akho ezinzwa, okuvimbela izimpawu zobuhlungu ukuthi zingahambi ebuchosheni bakho. Ithathwa njenge-anesthetic yasendaweni eqinile, esebenza isikhathi eside engahlinzeka ngokuba ndikindiki amahora amaningi ngemuva komjovo.

Isici se-bupivacaine sisebenza njengesithiyo esivimbela amaseli ezinzwa ukuthi angathumeli imiyalezo yobuhlungu. Okwamanje, i-epinephrine ibangela imithambo yegazi endaweni ukuthi inciphe, okugcina imithi igxile endaweni okuhlosiwe isikhathi eside futhi kunciphisa ukopha ngesikhathi sezinqubo.

Le nhlanganisela idala umphumela onamandla futhi ohlala isikhathi eside wokuba ndikindiki uma kuqhathaniswa nokusebenzisa i-bupivacaine yodwa. I-epinephrine empeleni isiza i-bupivacaine ukuthi "ihlale endaweni" lapho kuhlonywe khona, ikunikeza ukukhululeka kobuhlungu okweluliwe okungahlala noma yikuphi kusuka emahoreni ama-2 kuya kwayi-8 kuye ngendawo kanye nomthamo.

Ngingalungiselela kanjani ukujovwa kwe-Bupivacaine ne-Epinephrine?

Umhlinzeki wakho wezempilo uzosingatha inqubo yokujova, kodwa ungalungiselela ngokuxoxa ngomlando wakho wezokwelapha nanoma yiziphi izinkathazo kusengaphambili. Ngokungafani nemithi yomlomo, akudingeki ukhathazeke ngokuthatha lokhu ngokudla noma amanzi ngoba kulawulwa ngokuqondile ngokujova.

Ngaphambi kwenqubo yakho, yazisa udokotela wakho ngayo yonke imithi oyithathayo, okuhlanganisa nemithi etholakala ngaphandle kwekhawunta kanye nezithasiselo. Eminye imithi ingasebenzisana ne-epinephrine, ngakho ithimba lakho lezempilo lidinga isithombe esiphelele sokuthi yini esesimeni sakho.

Kufanele futhi wazise udokotela wakho uma unezimo zenhliziyo, umfutho wegazi ophezulu, noma izinkinga ze-thyroid. Isici se-epinephrine singathinta izinga lokushaya kwenhliziyo nomfutho wegazi, ngakho ithimba lakho lezokwelapha lidinga ukwazi ngalezi zimo ukuze liqinisekise ukuphepha kwakho ngesikhathi senqubo.

Ngingalindela isikhathi esingakanani ukuthi imiphumela ihlale?

Imiphumela yokuba ndikindiki ivamise ukuhlala phakathi kwamahora ama-2 kuya kwayi-8, kuye ngokuthi umjovo unikezwe kuphi nokuthi ingakanani imithi esetshenzisiwe. Abantu abaningi bathola ukuqina okuphezulu ngaphakathi kwemizuzu eyi-15 kuya kwengama-30 ngemuva komjovo, nemiphumela iphela kancane kancane emahoreni amaningana.

Ngezindlela zamazinyo, ungase uqaphele ukuba ndikindiki okuthatha amahora angu-3 kuya kwangu-5. Ngemijovo ye-epidural ngesikhathi sokubeletha, imiphumela ingalawulwa futhi ilungiswe kuyo yonke imisebenzi njengoba kudingeka. Izinqubo zokuhlinzwa zingase zidinge imithamo eyengeziwe uma ukuhlinzwa kuthatha isikhathi eside kunokulindelekile.

Ubude besikhathi bungahluka ngokuya ngempendulo yakho ngamunye emuthini, iminyaka yakho, nendawo ethile yomjovo. Ezinye izindawo zomzimba ngokwemvelo zicubungula umuthi ngokushesha kunezinye, yingakho udokotela wakho ezoqondanisa umthamo nesikhathi sezidingo zakho ezithile.

Yiziphi Izimo Ezingezinhle ze-Bupivacaine ne-Epinephrine?

Abantu abaningi bawuthatha kahle lo muthi, kodwa ungase uhlangabezane nemiphumela ethile yesikhashana njengoba umzimba wakho ucubungula umuthi. Imiphumela ejwayelekile ihlobene nendawo yokujova kanye nokuphendula komzimba ku-epinephrine.

Nansi imiphumela engase uyibone, uqala ngaleyo ejwayelekile kakhulu:

• Ukuba ndikindiki kwesikhashana noma ukuluma okudlulela ngaphezu kwendawo okuyiwa kuyo
• Isiyezi esincane noma ukukhathala
• Ukwanda okuncane kwesilinganiso senhliziyo
• Ubuthakathaka besikhashana emisipheni eseduze nendawo yokujova
• Isicanucanu esincane noma ukuphatheka kabi kwesisu
• Ikhanda elivela emahoreni ambalwa ngemuva komjovo
• Ukubona okungacacile kwesikhashana uma kujovwe eduze kwezindawo zobuso

Le miphumela ejwayelekile ngokuvamile iyaxazululwa emahoreni ambalwa njengoba umuthi uphela. Umzimba wakho ngokwemvelo ucubungula futhi uqede umuthi, ubuyisela imizwa yakho esimweni esijwayelekile.

Imiphumela emibi kakhulu ayivamile kodwa idinga ukunakekelwa kwezokwelapha ngokushesha. Lokhu kungabandakanya ukusabela okukhulu komzimba, izinguquko ezinkulu esigqi senhliziyo, noma izimpawu zobuthi bomuthi njengokudideka noma ukuquleka.

Uma uzwa ubuhlungu besifuba, ubunzima bokuphefumula, isiyezi esikhulu, noma yiziphi izimpawu zokungezwani komzimba nezinto ezithile njengama-hives noma ukuvuvukala, funa ukunakekelwa kwezempilo okuphuthumayo ngokushesha. Lezi zimo azivamile kodwa zidinga ukwelashwa ngokushesha.

Ubani Ongafanele Athole i-Bupivacaine ne-Epinephrine?

Ezinye izimo zezokwelapha nezimo zenza lo muthi ungafaneleki noma zidinga izinyathelo zokuphepha ezikhethekile. Udokotela wakho uzobukeza ngokucophelela umlando wakho wezokwelapha ukuze anqume ukuthi lo mjovo uphephile yini kuwe.

Kufanele wazise umhlinzeki wakho wezempilo uma unezinye zalezi zimo:

• Ukungezwani okwaziwayo ne-bupivacaine, epinephrine, noma ama-anesthetics endawo afanayo
• Isifo senhliziyo esibi noma ukushaya kwenhliziyo okungajwayelekile
• Umfutho wegazi ophezulu ongagadiwe
• I-thyroid engasebenzi kahle (i-hyperthyroidism)
• Ezinye izinhlobo ze-glaucoma
• Izinkinga zokukhulelwa ezenza i-epinephrine ibe yingozi
• Ukuhlaselwa yinhliziyo noma unhlangothi olusanda kwenzeka

Ukuqapha okukhethekile kuyadingeka uma uthatha imithi ethile efana ne-MAO inhibitors, ezinye izidambisi zokucindezeleka, noma ama-beta-blockers. Lezi zingasebenzisana ne-epinephrine futhi zibangele imiphumela eyingozi.

Udokotela wakho angase akhethe eminye imithi noma alungise umthamo ngokuya ngesimo sakho esithile. Umgomo uhlala ukuhlinzeka ngokuqeda ubuhlungu okuphephile, okuphumelelayo ngenkathi kunciphisa noma yiziphi izingozi empilweni yakho.

Amagama Omkhiqizo we-Bupivacaine ne-Epinephrine

Le nhlanganisela yomuthi itholakala ngaphansi kwamagama amaningi omkhiqizo, nakuba izikhungo eziningi zezempilo zisebenzisa izinguqulo ezivamile. Amagama ajwayelekile omkhiqizo afaka i-Marcaine ene-Epinephrine, i-Sensorcaine ene-Epinephrine, ne-Vivacaine.

Inguqulo ejwayelekile isebenza ngendlela efanayo nezinketho zegama lomkhiqizo futhi ihlangabezana nezindinganiso ezifanayo zokuphepha nokusebenza kahle. Umhlinzeki wakho wezempilo uzokhetha inguqulo efanele kakhulu ngokusekelwe ezidingweni zakho ezithile nalokho okutholakala esikhungweni sabo.

Ezinye izindlela ze-Bupivacaine ne-Epinephrine

Ezinye izinketho eziningi zokubulala izinzwa zendawo ziyatholakala uma lo muthi ungakulungele. Udokotela wakho angase ancome i-lidocaine ene-epinephrine, esebenza ngokushesha kodwa ayihlali isikhathi eside, noma i-articaine ezinqumweni ezithile zamazinyo.

Kubantu abangakwazi ukuthola i-epinephrine, i-bupivacaine engenayo i-epinephrine iyindlela, nakuba ingase ingahlali isikhathi eside. Ezinye izindlela zihlanganisa i-chloroprocaine ezinqumweni ezimfushane noma i-mepivacaine kubantu abanezimo ezithile zenhliziyo.

Umhlinzeki wakho wezempilo uzokhetha indlela engcono kakhulu ngokusekelwe emlandweni wakho wezokwelapha, uhlobo lwenqubo, nokuthi udinga isikhathi esingakanani ukukhululeka kobuhlungu.

Ingabe i-Bupivacaine ne-Epinephrine Ingcono Kune-Lidocaine?

Yomibili le mithi iyizibulali zendawo ezinhle kakhulu, kodwa inamandla ahlukene okwenza zifanele izimo ezihlukene. I-Bupivacaine ene-epinephrine inikeza ukuba ndikindiki okuhlala isikhathi eside, ngokuvamile amahora angu-4 kuya kwangu-8, kuyilapho i-lidocaine ene-epinephrine ivame ukuhlala amahora angu-2 kuya kwangu-4.

I-Lidocaine isebenza ngokushesha, inikeza ukuba ndikindiki ngemizuzu engu-2 kuya kwengu-5, kuyilapho i-bupivacaine ingase ithathe imizuzu engu-10 kuya kwengu-15 ukufinyelela emiphumeleni ephelele. Ezinqumweni ezinde noma uma kudingeka ukukhululeka kobuhlungu okwengeziwe, i-bupivacaine ivame ukukhethwa.

Ukukhetha kuncike ezidingweni zakho ezithile. Emsebenzini wamazinyo osheshayo, i-lidocaine ingase ilunge. Ezinqumweni eziningi noma uma udinga amahora okukhululeka kobuhlungu ngemva kwalokho, i-bupivacaine ene-epinephrine ngokuvamile iyindlela engcono.

Imibuzo Evame Ukubuzwa Mayelana ne-Bupivacaine ne-Epinephrine

Ingabe i-Bupivacaine ne-Epinephrine Iphephile Kwabesifazane Abakhulelwe?

Lo muthi uvame ukusetshenziswa ngesikhathi sokubeletha ukuze kutholwe i-epidural anesthesia futhi ngokuvamile ithathwa njengephephile uma inikezwa abahlinzeki bezempilo abanolwazi. Imithamo esetshenziselwa ukukhululeka kobuhlungu bomsebenzi ibalwa ngokucophelela ukuze kunikezwe induduzo ngenkathi kuncishiswa noma yiluphi uhlobo lwengozi kuwe noma kumntanakho.

Noma kunjalo, ithimba lakho le-obstetric lizokuqapha wena nomntwana wakho ngokucophelela ngesikhathi nangemva kokunikezwa. Bazolungisa umthamo nesikhathi ngokuya ngokuqhubeka komsebenzi wakho kanye nokuthi bobabili wena nomntwana wakho nisabela kanjani.

Kufanele Ngenzeni Uma Ngithola Imiphumela Emibi Kakhulu?

Funani ukwelashwa ngokushesha uma uhlangabezana nobuhlungu besifuba, ubunzima bokuphefumula, isiyezi esikhulu, ukushaya kwenhliziyo okusheshayo noma okungajwayelekile, noma izimpawu zokungezwani komzimba nezinto ezithile njengama-hives noma ukuvuvukala kobuso. Lezi zimpawu zidinga ukunakekelwa okuphuthumayo.

Ngemiphumela emibi engathí sina njengokucasuka okuncane noma ikhanda elibuhlungu, xhumana nomhlinzeki wakho wezempilo ukuze uthole isiqondiso. Bangeluleka ukuthi ngabe le miphumela ijwayelekile noma ngabe udinga ukuhlolwa okwengeziwe.

Ngizozizwa Yini Ukujovwa?

Kungenzeka uzizwe ukufakwa kweneldi yokuqala, okufana nanoma yikuphi ukujova, kodwa indawo izoba ndikindiki ngokushesha lapho imithi iqala ukusebenza. Abahlinzeki bezempilo abaningi basebenzisa amasu okunciphisa ukungakhululeki, njengokusebenzisa inalidi enhle kakhulu noma ukusebenzisa i-ejenti yokuthambisa yokuqala.

Ukunqamuka okufushane kokujova kuvame ukuba ngaphansi kakhulu kobuhlungu benqubo ekuyivimbayo. Abantu abaningi bathola ukuthi ukushaya kwesikhashana kwenalidi kulawuleka kakhulu uma kuqhathaniswa nempumuzo ekunikezayo.

Ngingashayela Ngemva Kokuthola Lokhu Kujova?

Lokhu kuncike lapho uthole khona ukujova nokuthi uzizwa kanjani ngemva kwalokho. Uma ube nenqubo yamazinyo futhi umlomo wakho kuphela ondikindiki, ngokuvamile ungaqhubeka ngemva kokuzwa ukuthi uqaphile futhi uzinzile.

Kodwa-ke, uma uthole i-epidural noma i-nerve block ethinta imilenze yakho, noma uma uzizwa unesiyezi noma unomuzwa wokukhanya ekhanda, kufanele ube nomunye umuntu okushayelayo ekhaya. Umhlinzeki wakho wezempilo uzokunikeza imiyalelo ethile ngokuya ngesimo sakho.

Kufanele Ngilinde Isikhathi Esingakanani Ngaphambi Kokudla Ngemva Kokujova Kwamazinyo?

Linda kuze kube yilapho ukuqaqamba kuziphela ngokuphelele ngaphambi kokudla, ngokuvamile amahora angu-2 kuya kwangu-4 ngemva kwenqubo yakho yamazinyo. Ukudla ngenkathi umlomo wakho uqaqamba kwandisa ingozi yokuluma ngengozi ulimi lwakho, isihlathi, noma umlomo wakho.

Ungaphuza uketshezi olubandayo ngokucophelela, kodwa gwema iziphuzo ezishisayo kuze kube yilapho imizwa ibuyela. Udokotela wamazinyo wakho uzohlinzeka ngemiyalelo ethile ngokusekelwe enqubweni yakho nokuthi ukuqaqamba kulindeleke ukuthi kuhlale isikhathi esingakanani.