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October 10, 2025
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I-Lidocaine kanye ne-epinephrine injection yinhlanganisela ye-anesthetic yendawo enqamula izindawo ezithile zomzimba wakho ngesikhathi sezinqubo zezokwelapha. Lo muthi uqukethe i-lidocaine, evimba izimpawu zobuhlungu, kanye ne-epinephrine, esiza ukuthi umphumela wokunqamula uhlale isikhathi eside futhi unciphise ukopha endaweni yokujova.
Abahlinzeki bezempilo bavame ukusebenzisa le nhlanganisela emsebenzini wamazinyo, ukuhlinzwa okuncane, kanye nezinqubo ezihlukahlukene zezokwelapha lapho udinga ukuhlala uqaphele kodwa ungenabo ubuhlungu. Ingxenye ye-epinephrine yenza i-lidocaine isebenze ngempumelelo ngokuyigcina igxilile endaweni yokwelashwa.
Lo muthi usebenza njenge-anesthetic yendawo ezinqubweni ezidinga ukunqamula ngaphandle kokukulalisa. Udokotela wakho noma udokotela wamazinyo uyayijova ngqo endaweni edinga ukunqanyulwa.
Ukusetshenziswa okuvame kakhulu kufaka phakathi izinqubo zamazinyo njengokugcwaliswa, ukukhishwa, kanye nemisele yezimpande. Ungase futhi uthole lo mjovo wokuhlinzwa kwesikhumba okuncane, ama-biopsies, noma uma uthola imithungo yokusika.
Abanye abahlinzeki bezempilo bayawusebenzisela izinqubo eziningi njengokususa ama-hemorrhoid noma ukwelashwa okuthile kwe-gynecological. Inhlanganisela isebenza kahle ikakhulukazi lapho odokotela bedinga ukulawula ukopha ngenkathi benikeza ukukhululeka kobuhlungu obusebenzayo.
Lo muthi usebenza ngohlelo olunamacala amabili olunikeza kokubili ukukhululeka kobuhlungu nokuthuthukiswa kokusebenza kahle. I-Lidocaine ivimba iziteshi ze-sodium emangqamuzaneni akho ezinzwa, ivimbela ukuthi angathumeli izimpawu zobuhlungu ebuchosheni bakho.
I-Epinephrine isebenza njenge-vasoconstrictor, okusho ukuthi inciphisa imithambo yegazi endaweni yokujova. Lokhu kuvimbela i-lidocaine ukuthi ingasabalali ngokushesha kakhulu emzimbeni wakho futhi kuyisiza ukuthi ihlale igxilile lapho uyidinga kakhulu.
I-epinephrine inciphisa nokopha ngokunciphisa imithambo yegazi, inikeze umhlinzeki wakho wezempilo ukubonakala okungcono ngesikhathi sokuhlinzwa. Le nhlanganisela yenza umphumela wokuba ndikindiki uqine futhi uhlale isikhathi eside kunelidocaine yodwa.
Lokhu kuthathwa njenge-anesthetic yendawo ephakathi nendawo. Inikeza ukukhululeka kobuhlungu obuthembekile ezinhlobonhlobo ezincane kuya kweziphakathi nendawo, nakuba kungenzeka kunganele ngemisebenzi emikhulu edinga i-anesthesia ejulile.
Umhlinzeki wakho wezempilo uzosingatha ukulungiswa nokunikezwa komjovo. Ngokuvamile akudingeki ukuthi uthathe noma yiziphi izinyathelo ezikhethekile ngaphambili, nakuba kufanele wazise udokotela wakho ngayo yonke imithi oyithathayo.
Ungadla futhi uphuze ngokujwayelekile ngaphambi kokuthola lo mjovo ngaphandle uma udokotela wakho ekunikeza imiyalelo ethile ngenye indlela. Umuthi usebenza endaweni, ngakho ngeke uthinte isisu sakho noma ukugaya.
Qiniseka ukuthi utshela umhlinzeki wakho wezempilo uma unezinto ezithile ozithandayo, ikakhulukazi kuma-anesthetics endawo, ama-sulfites, noma i-epinephrine. Futhi shono uma unezimo zenhliziyo, umfutho wegazi ophezulu, noma izinkinga ze-thyroid, njengoba lezi zingase zithinte indlela i-epinephrine esebenza ngayo emzimbeni wakho.
Uma ukhathazekile ngamajubane noma izinqubo zezokwelapha, yazisa ithimba lakho lezempilo. Bangakusiza ukuthi uzizwe ukhululekile futhi bangase baphakamise amasu okuphumula ngesikhathi somjovo.
Umphumela wokuba ndikindiki ngokuvamile uqala ngemizuzu embalwa yokujova futhi ungahlala noma yikuphi kusuka ehora elilodwa kuya kwamathathu. Isikhathi esiqondile sincike endaweni yokujova, inani elisetshenzisiwe, kanye nokuphendula kwakho komuntu siqu emuthini.
Ngokuvamile uzoqaphela ukuthi indawo iba ndikindiki ngemizuzu emibili kuya kwemihlanu ngemva komjovo. Umphumela ophezulu wenzeka cishe ngemizuzu eyi-15 kuya kwengama-30 ngemva komjovo, unikeza izinga elijule kakhulu lokuba ndikindiki.
Njengoba umuthi usuphela amandla, ukuzwa kubuyela kancane kancane endaweni ephathwayo. Ungase uqale uqaphele ukuzwa kokuluma ngaphambi kokuba ukuzwa okuvamile kubuye ngokuphelele.
Ingxenye ye-epinephrine isiza ukwelula isikhathi sokuba ndikindiki uma kuqhathaniswa ne-lidocaine yodwa. Ngaphandle kwe-epinephrine, i-lidocaine ivame ukuhlala imizuzu engama-30 kuya kwengama-60 kuphela, kodwa le nhlanganisela ingahlinzeka ngokuphumula kuze kube amahora amathathu kwezinye izimo.
Abantu abaningi bawuthola kahle lo mjovo, kodwa njengayo yonke imithi, ingabangela imiphumela emibi. Izindaba ezinhle ukuthi ukusabela okukhulu akuvamile uma umuthi usetshenziswa ngendlela efanele.
Imiphumela emibi ejwayelekile ongase uyithole ihlanganisa ukuba ndikindiki kwesikhashana okudlulela ngaphandle kwendawo yokwelashwa, ukuvuvukala okuncane noma ukulimala endaweni yokujova, nokunambitheka kwensimbi emlonyeni wakho. Le miphumela ivame ukuba mncane futhi izixazulule yona.
Nazi izimo ezingezinhle ezivame kakhulu okufanele uzazi:
Lezi zimpawu zivame ukushabalala njengoba umzimba wakho usebenza ngomuthi, ngokuvamile kungakapheli amahora ambalwa.
Imiphumela emibi engavamile kodwa ebucayi idinga ukunakekelwa kwezokwelapha ngokushesha. Lokhu kufaka phakathi ukusabela okukhulu komzimba, okuthi nakuba kungavamile, kungaba yingozi ekuphileni uma kwenzeka.
Qaphela lezi zimpawu zokuxwayisa ezidinga ukunakekelwa kwezokwelapha ngokushesha:
Uma uthola noma yiziphi zalezi zimpawu, funa usizo lwezokwelapha oluphuthumayo ngokushesha.
Abantu abathile kufanele bagweme lo muthi ngenxa yengozi eyengeziwe yezinkinga. Umhlinzeki wakho wezempilo uzobuyekeza umlando wakho wezokwelapha ukuze anqume ukuthi lo mjovo uphephile yini kuwe.
Akufanele uthole lo mjovo uma wazi ukuthi unokungezwani komzimba ne-lidocaine, epinephrine, noma ama-sulfite. Abantu abanezinkinga ezinzima zokushaya kwenhliziyo noma izinhlobo ezithile zesifo senhliziyo nabo bangase badinge ukugwema ingxenye ye-epinephrine.
Izimo eziningana zidinga ukuqapha okukhethekile lapho kucatshangelwa lo muthi:
Udokotela wakho uzohlola izinzuzo ngokumelene nezingozi zalezi zimo futhi angase akhethe ezinye izindlela zokubulala izinzwa uma kudingeka.
Ukukhulelwa nokuncelisa nazo zidinga ukucatshangelwa ngokucophelela. Ngenkathi i-lidocaine ngokuvamile ithathwa njengephephile ngesikhathi sokukhulelwa, ingxenye ye-epinephrine ingase idinge ukuqapha okukhethekile noma ezinye izinketho.
Le nhlanganisela iyatholakala ngaphansi kwamagama amaningana omkhiqizo, nakuba izikhungo eziningi zezempilo zisebenzisa izinguqulo ezivamile. Amagama ajwayelekile omkhiqizo afaka i-Xylocaine ene-Epinephrine, i-Lignospan, ne-Octocaine.
Umuthi uza ngamazinga ahlukene ngokuya ngokusetshenziswa okuhlosiwe. Amafomula emazinyo ngokuvamile aqukethe i-2% lidocaine ene-1:100,000 epinephrine, kuyilapho izinqubo zezokwelapha zingase zisebenzise izilinganiso ezihlukene.
Umhlinzeki wakho wezempilo uzokhetha umkhiqizo ofanele kanye nokugxila okusekelwe kunqubo yakho ethile nezidingo zezokwelapha. Izithako ezisebenzayo zisebenza ngendlela efanayo kungakhathaliseki igama lomkhiqizo.
Kukhona ezinye izindlela uma ungenakukwazi ukusebenzisa i-lidocaine ne-epinephrine noma uma umhlinzeki wakho wezempilo encoma indlela ehlukile. Ukukhetha kuncike esimweni sakho sezempilo, uhlobo lwenqubo, kanye nokuphendula kwakho emithini.
I-Lidocaine ngaphandle kwe-epinephrine inikeza ukuthula okusebenzayo kubantu okudingeka bagweme ingxenye ye-epinephrine. Le nketho isebenza kahle ezigulini ezinemibandela yenhliziyo noma ukukhathazeka okukhulu, nakuba umphumela wokuthula kungenzeka ungahlali isikhathi eside.
Ezinye izidakamizwa zendawo zihlanganisa i-articaine, i-mepivacaine, ne-prilocaine. Ngamunye unempahla ehlukene futhi angase afaneleke kangcono ezinqubweni ezithile noma izimo zesiguli.
Kubantu abanezifo zokungezwani komzimba nezidakamizwa zendawo, odokotela bangase basebenzise ama-creams athulisa ngaphandle, ama-nerve blocks ngemithi ehlukene, noma kwezinye izimo, i-anesthesia ejwayelekile ezinqubweni ezibanzi.
Inhlanganisela ye-lidocaine ne-epinephrine inikeza izinzuzo eziningi ngaphezu kwe-lidocaine elula, kodwa ukuthi
Lokhu kuncike esimweni senhliziyo yakho esithile nobukhulu baso. Iziguli eziningi zenhliziyo zingathola ngokuphepha lo mjovo, kodwa udokotela wakho udinga ukuhlola isimo sakho kuqala.
Ingxenye ye-epinephrine ingakhuphula okwesikhashana izinga lokushaya kwenhliziyo nomfutho wegazi, okungase kukhathaze abantu abanezimo ezithile zenhliziyo. Udokotela wakho wenhliziyo nodokotela owenza inqubo bazosebenzisana ukuthola indlela ephephe kunazo zonke.
Uma unesifo senhliziyo esilawulwa kahle, amanani amancane alolu hlobo lomuthi avame ukubhekwa njengaphephile ezinqubweni ezidingekayo. Kodwa-ke, ithimba lakho lezempilo lingase likhethe i-lidocaine elula noma ezinye izindlela uma i-epinephrine ibeka ingozi enkulu kakhulu.
Funani ukwelashwa ngokushesha uma uhlangabezana nanoma yiziphi izimpawu zokuphendula komzimba okungalungile. Shayela u-911 noma uye egumbini eliphuthumayo eliseduze ngokushesha uma unenkinga yokuphefumula, ukuvuvukala kobuso bakho noma umphimbo, noma ukusabela kwesikhumba okusabalale kabanzi.
Ukusabela okuncane njengokuvuvukala kwendawo noma ububomvu endaweni yokujova kufanele kubikwe kumhlinzeki wakho wezempilo, kodwa ngokuvamile akudingi ukunakekelwa okuphuthumayo.
Njalo yazisa abahlinzeki bezempilo abazayo mayelana nanoma yikuphi ukusabela komzimba okungalungile okuke kwenzeka emithini yokubulala izinzwa yendawo. Lolu lwazi lubasiza ukuthi bakhethe ezinye izindlela eziphephe kakhulu ezinqubweni ezizayo.
Ezimweni eziningi, ungashayela ngemva kokuthola umjovo we-lidocaine ne-epinephrine, kodwa lokhu kuncike enqutsheni obuyenzile nokuthi uzizwa kanjani ngemva kwalokho.
Umuthi ngokwawo ngokuvamile awukwazi ukuthinta ikhono lakho lokushayela, nakuba ungase uzizwe unovalo oluncane noma unovalo oluvela ku-epinephrine isikhashana. Uma usebenze emazinyweni, ukuba ndikindiki emlonyeni wakho akufanele kuthinte ikhono lakho lokushayela.
Kodwa-ke, uma uthole imithi yokulalisa kanye nomjovo noma uma uzizwa unesiyezi noma ungazizwa kahle, lungiselela omunye umuntu ukuthi akuqhubele ekhaya. Njalo landela imiyalelo eqondile yomhlinzeki wakho wezempilo mayelana nokushayela ngemva kwenqubo yakho.
Linda kuze kube yilapho ukuba ndikindiki kuphela ngaphambi kokudla noma yini, ikakhulukazi ukudla okushisayo noma iziphuzo. Lokhu kuvame ukuthatha amahora amabili kuya kwamane ngemva kwenqubo yakho yamazinyo.
Ngenkathi umlomo wakho unesiyezi, awukwazi ukuzwa izinga lokushisa noma ubuhlungu kahle, okwandisa ingozi yakho yokuluma ngengozi ulimi lwakho, isihlathi, noma izindebe. Ungase futhi ushise umlomo wakho ngokudla okushisayo ngaphandle kokuqaphela.
Qala ngokudla okuthambile, okupholile lapho imizwa ibuya. Gwema izinto eziqinile, ezinama-crunchy, noma ezishisa kakhulu ngosuku lokuqala uma ubenomsebenzi omkhulu wamazinyo.
Imiphumela eminingi emibi evela ku-lidocaine kanye nomjovo we-epinephrine ixazululwa emahoreni ambalwa njengoba umzimba wakho uqhubekisa imithi. Ukuzizwa unovalo oluvela ku-epinephrine ngokuvamile kuyanyamalala phakathi nehora elilodwa kuya kwamabili.
Uma uzoba nokusabela komzimba, kuvame ukwenzeka ngemizuzu engama-30 yokuqala ngemva komjovo. Uma usudlule leli windi ngaphandle kwezinkinga, ukusabela okungathi sína kuba mancane kakhulu.
Xhumana nomhlinzeki wakho wezempilo uma uhlangabezana nezimpawu eziqhubekayo noma eziqhubukayo ezingaphezu kwamahora angama-24 ngemva komjovo wakho. Nakuba lokhu kungavamile, kungcono njalo ukuhlola nochwepheshe wezempilo uma ukhathazekile.
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