Yini Ukujova Nge-Epinephrine: Ukusetshenziswa, Umthamo, Imiphumela Eceleni Nokunye

Ukujova nge-epinephrine kuyimithi esindisa impilo esheshayo ebuyisa izimo ezinzima zokungezwani komzimba okubizwa ngokuthi i-anaphylaxis. Lo muthi onamandla usebenza ngemizuzu ukuvula imigudu yakho yomoya, uqinise ukushaya kwenhliziyo yakho, futhi ulwe nemiphumela eyingozi yokungezwani komzimba okukhulu okungenzeka ukuthi kungabulala.

Ungase wazi ukujova nge-epinephrine ngegama layo elivamile lomkhiqizo, i-EpiPen, nakuba kukhona ezinye izinhlobo eziningi. Lo muthi uza ngedivayisi yokuzijova ezenzakalelayo eyenzelwe ukusetshenziswa eziphuthumayo uma ungafiki esibhedlela ngokushesha.

Yini Ukujova Nge-Epinephrine?

Ukujova nge-epinephrine kuyinguqulo yokwenziwa ye-adrenaline, i-hormone umzimba wakho oyikhiqiza ngokwemvelo ezimweni ezicindezelayo. Uma inikezwa njengomjovo, isebenza njengomuthi onamandla weziphuthumayo ongabuyisa izimo zokungezwani komzimba ezisongela impilo ngemizuzu.

Lo muthi uza ulayishwe ngaphambili epheni lokuzijova elizenzakalelayo ongahamba nalo. Idivayisi yakhelwe ukuthi wena noma othile okusizayo ningakwazi ukujova ngokushesha umuthi emsipheni wakho wethanga ngesikhathi esiphuthumayo, ngisho nangemva kwezingubo.

I-Epinephrine ithathwa njengomunye wemithi ebaluleke kakhulu eziphuthumayo etholakalayo. Isebenza kahle kakhulu ekwelapheni izimo ezinzima zokungezwani komzimba kangangokuthi amagumbi eziphuthumayo nezimoto eziphuthumayo zihlala zikugcina kutholakala kalula.

Yini Ukujova Nge-Epinephrine Okusetshenziselwa Yona?

Ukujova nge-epinephrine kulapha ukwelapha i-anaphylaxis, okuyisimo esinzima, sokungezwani komzimba emzimbeni wonke okungakubulala ngemizuzu uma kungelashwa. Lokhu akufani nokungezwani komzimba okuncane njengokuthimula noma ukuqubuka okuncane.

I-Anaphylaxis ingenzeka lapho amasosha akho omzimba esabela ngokweqile entweni oyithandayo. Izinto ezivamile ezibangela lokhu zihlanganisa ukudla okuthile okufana namantongomane, amantongomane esihlahla, izinhlanzi ezigobhozayo, noma amaqanda. Ukulunywa izinambuzane ezivela ezinyosini, izintuthwane, noma izintuthwane zomlilo nakho kungabangela lokhu kusabela.

Abanye abantu bathuthukisa i-anaphylaxis evela emithini efana ne-penicillin noma amanye ama-antibiotics. Ngokuvamile, i-latex, amakhemikhali athile, noma ngisho nokuzivocavoca kungabangela lokhu kusabela okuyingozi kubantu abazwelayo.

Umehluko omkhulu phakathi kokungezwani komzimba okujwayelekile kanye ne-anaphylaxis ukuthi kuthinta ngokushesha futhi kanjani umzimba wakho wonke. Ngenkathi ukungezwani komzimba okujwayelekile kungakunika ikhala eligijimayo noma ukucasuka kwesikhumba okuncane, i-anaphylaxis ingabangela umphimbo wakho ukuvuvukala uvale, umfutho wegazi lakho wehle ngendlela eyingozi, futhi ukuphefumula kwakho kube nzima kakhulu.

Isebenza Kanjani I-Epinephrine Injection?

I-Epinephrine injection isebenza ngokulingisa impendulo yomzimba wakho yemvelo yokulwa noma yokubaleka, kodwa ngamandla amakhulu kakhulu kunalokho umzimba wakho ongakukhiqiza ngokwawo. Lokhu kuyenza ibe yimithi enamandla kakhulu futhi esebenza ngokushesha engasindisa impilo yakho.

Uma ujova i-epinephrine, iqala ngokushesha ukusebenza ezinhlelweni eziningana zomzimba ngasikhathi sinye. Iqhuba inhliziyo yakho ukuthi ishaye ngamandla futhi ngokushesha, okusiza ukumpompa igazi ezingxenyeni zakho ezibalulekile lapho umfutho wegazi lakho wehla ngesikhathi se-anaphylaxis.

Umuthi futhi ukhulula imisipha ezungeze imigudu yakho yomoya, uyivule ukuze ukwazi ukuphefumula futhi. Ngesikhathi se-anaphylaxis, le misipha ingaqina kakhulu kangangokuthi awukwazi ukungena emoyeni owanele emaphashini akho.

Ngaphezu kwalokho, i-epinephrine isiza ukuguqula ukuvuvukala okubanzi okwenzeka ngesikhathi sokusabela okukhulu komzimba. Kunciphisa ukuvuvukala emqaleni wakho, ebusweni bakho, nakwezinye izindawo ezingavimba ukuphefumula kwakho noma ukujikeleza kwegazi.

Kufanele Ngiyithathe Kanjani I-Epinephrine Injection?

I-Epinephrine injection kufanele isetshenziswe kuphela ngesikhathi esiphuthumayo lapho uhlangabezana nezimpawu ze-anaphylaxis. Uyiqhubela emsipheni wethanga langaphandle, futhi ungaqhubela ngqo ngengubo uma kunesidingo.

Nansi indlela yokusebenzisa i-auto-injector yakho ngendlela efanele. Okokuqala, susa ikepu lokuphepha ephepheni. Bese, bamba ipeni ngokuqinile emlenzeni wakho ongaphandle, cishe phakathi nendawo phakathi kwezinqulu nedolo lakho. Cindezela kanzima uze uzwe ukuchofoza, okusho ukuthi umjovo uqale.

Bamba ipeni endaweni cishe imizuzwana eyi-10 ukuze uqiniseke ukuthi uthola umthamo ogcwele. Ngemuva kokususa ipeni, gcoba indawo yokujova cishe imizuzwana eyi-10 ukusiza umuthi ukuthi usabalale emsipheni wakho.

Shayela ku-911 ngokushesha ngemuva kokusebenzisa umjovo wakho we-epinephrine, noma ngabe uqala ukuzizwa ungcono. Imiphumela ye-epinephrine ingaphela ngaphambi kokuthi ukusabela komzimba kuqedwe ngokuphelele, futhi ungadinga ukwelashwa okwengeziwe noma ukuqashwa esibhedlela.

Akudingeki ukhathazeke ngokudla noma isikhathi ngomjovo we-epinephrine ngoba usetshenziswa kuphela ezimweni eziphuthumayo. Kodwa-ke, qiniseka ukuthi uhlala uphethe i-auto-injector yakho nawe futhi uhlole usuku lokuphelelwa yisikhathi njalo.

Kufanele Ngithathe Isikhathi Esingakanani Umjovo We-Epinephrine?

Umjovo we-Epinephrine akuyona imithi oyithatha njalo njengepilisi yansuku zonke. Esikhundleni salokho, uyisebenzisa kuphela ezimweni eziphuthumayo lapho unokungezwani komzimba okukhulu.

Imiphumela yomjovo owodwa we-epinephrine ivame ukuhlala phakathi kwemizuzu eyi-10 kuya kwengama-20. Lokhu kuvame ukuba yisikhathi esanele sokuthola usizo lwezokwelapha oluphuthumayo, kepha kwesinye isikhathi ukusabela komzimba kungabuyela njengoba umuthi uphela.

Uma izimpawu zakho zibuyela noma zingathuthuki ngemuva komjovo wokuqala, ungadinga umthamo wesibili. Abantu abaningi banikezwa ama-auto-injectors amabili ngalesi sizathu. Ungazinika umjovo wesibili ngemuva kwemizuzu emi-5 kuya kwengama-15 ngemuva kowokuqala uma kudingeka.

Kufanele uhlale uye esibhedlela ngemuva kokusebenzisa i-epinephrine, noma ngabe uzizwa ungcono ngokuphelele. Odokotela badinga ukukuqapha amahora amaningana ukuze baqiniseke ukuthi ukusabela komzimba akubuyi futhi ukuhlinzeka ngokwelashwa okwengeziwe uma kunesidingo.

Yiziphi Imiphumela Eceleni Yomjovo We-Epinephrine?

Umjovo we-epinephrine ungabangela imiphumela eminingi engemihle, kodwa khumbula ukuthi lezi zinto ngokuvamile azinangozi kangako kunokuphendula kwe-anaphylactic okwelaphayo. Imiphumela eminingi engemihle ihlobene nemiphumela enamandla yomuthi enhliziyweni yakho kanye nohlelo lwakho lwezinzwa.

Imiphumela emibi ejwayelekile abantu abaningi abayizwayo ihlanganisa ukushaya kwenhliziyo okusheshayo, okushaya ngamandla okungase kungakhululeki noma kwesabise. Ungase futhi uzizwe ukhathazekile kakhulu, unovalo, noma uthuthumele, okufana nendlela ongazizwa ngayo ngemva kokuphuza i-caffeine eningi kakhulu.

Nansi imiphumela emibi evame kakhulu ongase uyibone:

• Ukushaya kwenhliziyo okusheshayo, okuqinile ongakuzwa esifubeni sakho
• Ukuzizwa ukhathazekile, unovalo, noma ungaphumuli
• Ukuthuthumela noma ukuzamazama ezandleni zakho
• Ukujuluka okuningi kunokujwayelekile
• Ukuzizwa unesiyezi noma unomuzwa wokukhanya ekhanda
• Ukukhathwa yikhanda
• Ukucasuka noma ukuhlanza
• Ubuhlungu, ukuvuvukala, noma ububomvu endaweni yokujova

Le miphumela emibi ejwayelekile ivame ukunyamalala kungakapheli ihora elilodwa noma amabili njengoba umuthi usuka emzimbeni wakho. Nakuba ingase ingakhululeki, ayinangozi futhi iyimpendulo evamile emuthini.

Imiphumela emibi kakhulu ingenzeka, nakuba ingavamile. Lokhu kungase kuhlanganise ubuhlungu besifuba, ukukhathala ukuphefumula okuhlukile ekuphenduleni kwakho ukungezwani komzimba, noma ukukhathwa yikhanda okukhulu. Ngokuvamile, abanye abantu bangase babe nokushaya kwenhliziyo okungajwayelekile noma umfutho wegazi ophezulu oyingozi.

Uma ngengozi ujova i-epinephrine emunweni wakho noma esandleni sakho esikhundleni sethanga lakho, ungase uqaphele ukuthi leyo ndawo iba mhlophe noma ibe ndindizela. Lokhu kwenzeka ngoba i-epinephrine inciphisa ukuhamba kwegazi kuleyo ndawo, kodwa ngokuvamile kuyisikhashana.

Ubani Ongafanele Athole Umjovo we-Epinephrine?

Cishe wonke umuntu angasebenzisa ngokuphepha umjovo we-epinephrine ngesikhathi sokuphendula komzimba okusongela impilo ngoba izinzuzo zidlula izingozi. Nokho, abanye abantu badinga ukuqapha okwengeziwe noma ukuqapha lapho besebenzisa lo muthi.

Abantu abanezimo zenhliziyo ezithile kufanele basebenzise i-epinephrine uma benokuthuthumela, kodwa bangase badinge ukuqashwa okujulile ngemva kwalokho. Lokhu kuhlanganisa abantu abanesifo semithambo yenhliziyo, ukushaya kwenhliziyo okungajwayelekile, noma umfutho wegazi ophezulu.

Uma unesifo sikashukela, i-epinephrine ingakhuphula amazinga kashukela egazini lakho okwesikhashana. Nakuba lokhu kungabi yingozi esimweni esiphuthumayo, uzofuna ukuqapha ushukela wakho wegazi eduze ngemva kokusebenzisa umuthi.

Abantu abane-hyperthyroidism (ithoyidi elisebenza ngokweqile) bangase babe nemiphumela emibi kakhulu evela ku-epinephrine, kodwa kufanele bayisebenzise ngesikhathi sokuthuthumela. Umuthi ungandisa izimpawu ze-hyperthyroidism okwesikhashana.

Abesifazane abakhulelwe bangasebenzisa ngokuphepha umjovo we-epinephrine ngesikhathi sokuthuthumela. Umuthi ungangena ngaphakathi kwesitho somzimba futhi uthinte okwesikhashana izinga lokushaya kwenhliziyo yomntwana, kodwa lokhu kuphephe kakhulu kunokuvumela ukuthuthumela ukuthi kuqhubeke kungelashwa.

Abantu asebekhulile bangase bazwe kalula imiphumela ye-epinephrine enhliziyweni nomfutho wegazi, kodwa kufanele bayisebenzise ngesikhathi sokusabela okukhulu komzimba. Bangase badinge nje ukuqashwa eduze esibhedlela ngemva kwalokho.

Amagama e-Epinephrine Injection Brand

Izinkampani eziningana zenza ama-auto-injector e-epinephrine, nakuba zonke ziqukethe umuthi ofanayo osebenzayo. Uhlobo olwaziwa kakhulu yi-EpiPen, ebelitholakala iminyaka eminingi futhi yilokho abantu abaningi abakucabangayo uma bezwa ngama-injector e-epinephrine.

Ezinye izinhlobo ezitholakalayo zihlanganisa i-Auvi-Q, eyingqayizivele ngoba ikukhuluma ngenqubo yokujova ngamazwi. Kukhona futhi i-Adrenaclick, esebenza ngendlela efanayo ne-EpiPen kodwa inesakhiwo esihlukile kancane.

Izinhlobo ezivamile zama-auto-injector e-epinephrine nazo ziyatholakala futhi zisebenza kahle njengezinhlobo zegama lomkhiqizo. Lezi zinketho ezivamile zingaba ngentengo ephansi kakhulu ngenkathi zinikeza umuthi ofanayo osindisa impilo.

Zonke lezi zinto ezizenzekelayo zisebenza ngendlela efanayo, kodwa izinyathelo ezithile zokuzisebenzisa zingahluka kancane. Qiniseka ukuthi wena namalungu omndeni wakho niyazi ukuthi ningazisebenzisa kanjani uhlobo lwenu oluthile, futhi cabangela ukucela usokhemisi wakho ukuthi anikhombise inqubo efanele.

Ezinye Izindlela Zokujova I-Epinephrine

Azikho ezinye izindlela zangempela zokujova i-epinephrine zokwelapha i-anaphylaxis ngoba yiwona kuphela umuthi osebenza ngokushesha ngokwanele ukuguqula le mpendulo esongela impilo. Kodwa-ke, kukhona eminye imithi ehlobene ongase isetshenziswe odokotela ezindaweni zasemtholampilo.

Emagumbini eziphuthumayo, odokotela bangakunika i-epinephrine nge-IV esikhundleni sokujova, okungase kusebenze ngokushesha kancane. Bangase futhi basebenzise eminye imithi efana nama-antihistamine, ama-steroid, noma ama-bronchodilator njengemithi eyengeziwe, kodwa lezi zisebenza kancane kakhulu ukuba zibe yindlela yokwelapha eyinhloko.

Abanye abantu bayazibuza ukuthi bangasebenzisa yini ama-antihistamine afana ne-Benadryl esikhundleni se-epinephrine, kodwa lokhu kuyingozi ukucabanga. Ama-antihistamine athatha imizuzu engama-30 kuya ehora ukusebenza, kuyilapho i-anaphylaxis ingakubulala ngemizuzu.

Okungcono kakhulu "enye indlela" yokujova i-epinephrine ukuvimbela. Uma wazi ukuthi yini ebangela ukusabela kwakho okukhulu komzimba, ukugwema lezo zinto ezibangela ngaso sonke isikhathi kuphephe kakhulu kunokuthembela emithini ephuthumayo.

Ingabe Ukujova I-Epinephrine Kungcono Kunezinye Izindlela Zokwelapha Eziphuthumayo?

Ukujova i-epinephrine kuthathwa njengezinga legolide lokwelapha i-anaphylaxis ngoba akukho okunye ukwelapha okusebenza ngokushesha noma ngempumelelo ngalesi simo esiphuthumayo esithile. Izinhlangano zezokwelapha emhlabeni wonke ziyayinciphisa njengendlela yokwelapha yokuqala yokusabela okukhulu komzimba.

Ngenkathi eminye imithi efana nama-antihistamine, ama-steroid, noma ama-bronchodilator ingasiza ekusabeleni komzimba, ayisebenzi ngokushesha ngokwanele ukwelapha i-anaphylaxis. I-Epinephrine isebenza ngemizuzu, kuyilapho le minye imithi ithatha imizuzu engama-30 kuya emahoreni amaningana ukukhombisa imiphumela yayo egcwele.

Imithi emisha ethile iyacwaningwa ukuze ilaphe ukusabela okukhulu komzimba, kodwa akukho neyodwa ebonakale isebenza kangcono kune-epinephrine. Lo muthi usindisa izimpilo amashumi eminyaka futhi usahlala njengokwelashwa okuphuthumayo okuthembeke kakhulu okutholakalayo.

Okuhlukanisa i-epinephrine ukuthi ilapha zonke izici eziyingozi ze-anaphylaxis ngesikhathi esisodwa. Ivula imigudu yakho yomoya, iqinisa inhliziyo yakho, ikhuphula umfutho wegazi lakho, futhi inciphisa ukuvuvukala emzimbeni wakho ngasikhathi sinye.

Imibuzo Evame Ukubuzwa Mayelana Nomjovo we-Epinephrine

Ingabe umjovo we-epinephrine uphephe ngabantu abanezifo zenhliziyo?

Yebo, abantu abanezifo zenhliziyo basafanele basebenzise umjovo we-epinephrine ngesikhathi se-anaphylaxis ngoba ukusabela komzimba okungalungile kuyingozi ngokushesha kunezinto ezenziwa umuthi enhliziyweni. Kodwa-ke, uzodinga ukuqashwa eduze esibhedlela ngemva kwalokho.

I-Epinephrine ingakhuphula okwesikhashana izinga lokushaya kwenhliziyo yakho nomfutho wegazi, okungase kukhathaze uma unezinkinga zenhliziyo. Kodwa i-anaphylaxis ingabangela ukuthi umfutho wegazi lakho wehle ngendlela eyingozi kangangokuthi kumise ukugeleza kwegazi ezingxenyeni zakho ezibalulekile, okuhlanganisa nenhliziyo yakho.

Ngingenzani uma ngizisebenzisa ngengozi i-epinephrine eningi?

Uma ngengozi uzinika umthamo wesibili lapho ungawudingi, noma uma omunye umuntu ngengozi ekujova i-epinephrine yakho, funa usizo lwezokwelapha ngokushesha. Ngenkathi ukweqisa kwe-epinephrine akuvamile ukuba yingozi ekuphileni, kungabangela imiphumela engathandeki futhi engaba yingozi.

Ungase uzwe ukushaya kwenhliziyo okusheshayo kakhulu, ukukhathazeka okukhulu, ukuthuthumela, ukujuluka, noma ikhanda. Ezimweni ezingavamile, i-epinephrine eningi kakhulu ingabangela umfutho wegazi ophezulu kakhulu noma ukushaya kwenhliziyo okungajwayelekile okudinga ukwelashwa kwezokwelapha.

Ngingenzani uma ngiphuthelwa ukusebenzisa umjovo we-epinephrine uma ngiwudinga?

Uma unezimpawu ze-anaphylaxis kodwa ungakayisebenzisi i-injection yakho ye-epinephrine, yisebenzise ngokushesha. Kungcono ukusebenzisa i-epinephrine uma ungaqiniseki ukuthi uyayidinga yini kunokulinda bese ubeka impilo yakho engozini.

Noma ngabe sekudlule isikhathi esithile kusukela ngesikhathi kuqala ukusabela kwakho komzimba, i-epinephrine ingasiza. Shayela ku-911 ngokushesha, sebenzisa i-injection yakho ye-epinephrine, futhi uye esibhedlela ngokushesha ngangokunokwenzeka ukuze uthole ukwelashwa okwengeziwe.

Ngingayeka nini ukuthwala i-injection ye-epinephrine?

Kufanele uqhubeke nokuthwala i-injection ye-epinephrine uma usengozini ye-anaphylaxis. Abantu abaningi abake baba nokusabela okukhulu komzimba basengozini yokusabela okuzayo, ikakhulukazi uma bevezwa kulokho okubangela ukusabela futhi.

Ezinye izinto ezibangela ukungezwani komzimba kwabantu zingashintsha ngokuhamba kwesikhathi, kodwa lokhu kuvame ukwenzeka kancane kancane. Udokotela wakho angase ancome ukuhlolwa kokungezwani komzimba ngezikhathi ezithile ukuze abone ukuthi ukuzwela kwakho kushintshile yini, kodwa akufanele uyeke ukuthwala i-epinephrine ngaphandle kwesiqondiso sezokwelapha.

Ingabe i-injection ye-epinephrine ingaphelelwa yisikhathi, futhi kwenzekani uma ngisebenzisa imithi ephelelwe yisikhathi?

Yebo, i-injection ye-epinephrine iyaphelelwa yisikhathi, futhi kufanele ushintshe i-auto-injector yakho ngaphambi kosuku lokuphelelwa yisikhathi. I-epinephrine ephelelwe yisikhathi iba ngaphansi kokusebenza ngokuhamba kwesikhathi futhi ingase ingasebenzi uma uyidinga kakhulu.

Uma kufanele usebenzise i-epinephrine ephelelwe yisikhathi ngesikhathi esiphuthumayo, kusengcono kunokungasebenzisi lutho nhlobo. Okunye kokusebenza komuthi kuhlala ngisho nangemva kokuphelelwa yisikhathi, nakuba ngeke kube namandla njengomuthi omusha. Qiniseka ukuthi uthola usizo lwezokwelapha ngokushesha futhi wazise odokotela ukuthi usebenzise i-epinephrine ephelelwe yisikhathi.