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October 10, 2025
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I-Lidocaine ne-prilocaine gingival iyikhambi lokuthoba elisetshenziswa ngqo emazinyweni akho ngaphambi kwezinqubo zamazinyo. Le anesthetic esetshenziswa ngaphandle ihlanganisa izinto ezimbili ezinamandla zokuthoba ukuvimba izimpawu zobuhlungu ezingafinyeleli ebuchosheni bakho, okwenza umsebenzi wamazinyo ukhululeke kakhulu kuwe.
Uma wake wayesaba ukuya kudokotela wamazinyo ngenxa yobuhlungu obungase bube khona, lo muthi ungashintsha ngempela umdlalo. Yenzelwe ngqo izicubu ezibucayi zamazinyo emlonyeni wakho, inikeza usizo oluqondiwe lapho uludinga khona kakhulu.
I-Lidocaine ne-prilocaine gingival iyi-anesthetic esetshenziswa ngaphandle kadokotela eza ngesimo se-gel noma isiqeshana esenzelwe ngqo izicubu zamazinyo. Iqukethe ama-anesthetics amabili endawo asebenza ndawonye ukuthoba okwesikhashana indawo lapho isetshenziswe khona.
Umuthi wenziwe ukuthi unamathele emazinyweni akho futhi unikeze ukuthoba okujule kunama-anesthetics ajwayelekile asetshenziswa ngaphandle. Cabanga ngayo njengokwelashwa okukhethekile kokuthoba okunamandla kakhulu kunezinketho ezingaphezu kwe-counter ongazithola ekhemisi.
Udokotela wamazinyo wakho noma umhlanzi wamazinyo uzosebenzisa lo muthi ngqo emgqeni wakho wamazinyo ngaphambi kwezinqubo ezinjengokuhlanza okujulile, ukuhlinzwa kwamazinyo, noma ukwelashwa kwe-periodontal. Inhlanganisela ye-lidocaine ne-prilocaine yenza kube ngcono kunokusebenzisa noma yimuphi umuthi uwedwa.
Lo muthi usetshenziswa ikakhulukazi ukuthoba amazinyo akho ngaphambi kwezinqubo zamazinyo ezingase zibangele ukungakhululeki. Kusiza ukwenza ukwelashwa okufana nokulinganisa nokuhlela impande, ama-biopsies amazinyo, nokuhlinzwa kwe-periodontal kube ngcono kakhulu.
Ochwepheshe bamazinyo bavame ukuyisebenzisa lapho kudingeka basebenze ngaphansi komugqa wamazinyo noma benze izinqubo ezingase zingafinyeleli ngempumelelo izindlela zokuthoba zendabuko. Nazi izimo eziyinhloko lapho udokotela wamazinyo wakho engase ancome lo muthi:
Lo muthi ulusizo ikakhulukazi ezigulini ezinamagumede azwelayo noma ukukhathazeka mayelana nezinqubo zamazinyo. Ungasetshenziswa futhi lapho ama-anesthetics ajovwayo engalungile noma lapho kudingeka ukuba nenhlanganisela yokuba ndikindiki ngaphezu kwalokho okuhlinzekwa imijovo.
Lo muthi usebenza ngokuvimba iziteshi ze-sodium emangqamuzaneni akho ezinzwa, okuvimbela izimpawu zobuhlungu ukuthi zingahambi ebuchosheni bakho. Uma isetshenziswa emagumedeni akho, kokubili i-lidocaine ne-prilocaine zingena ezicutshini futhi zakhe umphumela wokuba ndikindiki ongahlala amahora amaningi.
Le nhlanganisela ithathwa njenge-anesthetic enamandla aphakathi nendawo, enamandla kunezinketho ezinomuthi owodwa kodwa ethambile kune-anesthetics ejovwayo. I-Lidocaine ivamise ukusebenza ngokushesha, kuyilapho i-prilocaine inikeza ukuba ndikindiki okuhlala isikhathi eside, ikunikeza okungcono kakhulu kwemithi yomibili.
Umuthi uqala ukusebenza ngemizuzu emi-5 kuya kweli-10 ngemuva kokusetshenziswa futhi ufinyelela ekusebenzeni kwawo okuphezulu ngemizuzu engaba ngu-15 kuya kwengama-20. Lesi sikhathi sivumela uchwepheshe wakho wamazinyo ukuthi aqhubeke nenqubo ehleliwe uma sekutholakele ukuba ndikindiki okwanele.
Lo muthi usetshenziswa kuphela ochwepheshe bamazinyo abaqeqeshiwe endaweni yomtholampilo, ngakho ngeke uwuthathe ekhaya. Udokotela wamazinyo wakho noma inhlanzeki yamazinyo izosebenzisa i-gel noma isiqeshana ngqo endaweni ethile yamagumede akho edinga ukuba ndikindiki.
Ngaphambi kokusetshenziswa, uchwepheshe wakho wamazinyo cishe uzohlanza futhi omise indawo yokwelashwa ukuze aqinisekise ukuthi umuthi unamathela kahle. Bazosebenzisa ungqimba oluncane lwe-gel noma babeke isiqeshana ngqo lapho inqubo izokwenziwa khona.
Akudingeki ukuthi udle noma uphuze noma yini ekhethekile ngaphambi kokuqokwa kwakho, kodwa ngokuvamile kunconywa ukuthi ugweme ukudla cishe imizuzu engama-30 ngaphambi kokwelashwa. Lokhu kusiza ukuqinisekisa ukuthi umlomo wakho uhlanzekile futhi imithi ingasebenza ngempumelelo.
Ngemuva kokufaka, kuzodingeka ulinde buthule ukuthi imithi isebenze. Uchwepheshe wakho wamazinyo uzohlola indawo ukuze aqinisekise ukuthi ayinambali ngokwanele ngaphambi kokuqala noma iyiphi inqubo.
Le mithi isetshenziswa kuphela ngesikhathi sokuqokwa kwamazinyo okukodwa futhi akuyona into oyithatha isikhathi eside. Ukusetshenziswa ngakunye kuklanyelwe ukuhlinzeka ngokunambalisa ngenqubo eyodwa ethile noma iseshini yokwelashwa.
Imiphumela ngokuvamile ihlala amahora angu-1 kuya kwangu-3 ngemuva kokufaka, kuye ngobuningi obusetshenzisiwe nokuphendula kwakho ngakunye. Iningi lezinqubo zamazinyo ziqedwa kahle ngaphakathi kwalesi sikhathi, ngakho ukusetshenziswa okwengeziwe akuvamile ukudingeka.
Uma udinga ukwelashwa kwamazinyo okuningi, udokotela wamazinyo angase asebenzise imithi futhi ekuqokweni okuzayo. Kodwa-ke, ngokuvamile kunesikhathi sokulinda phakathi kokusetshenziswa ukuvumela izicubu zakho ukuthi zibuyele kokujwayelekile.
Abantu abaningi bayayibekezelela kahle le mithi, nemiphumela emibi ngokuvamile iba mnene futhi yesikhashana. Izimo ezivamile kakhulu zenzeka ngqo endaweni yokufaka futhi zixazululwa zodwa njengoba imithi iphela.
Nansi imiphumela emibi ongase uyithole, uqala ngalezo ezivamile kakhulu:
Lezi zimo ezivamile azivamile ukukhathaza futhi kufanele ziphele emahoreni ambalwa. Nokho, kufanele uthinte udokotela wamazinyo wakho uma ziqhubeka noma ziba zimbi.
Imiphumela emibi engavamile kodwa ebucayi ingabandakanya ukusabela okukhulu komzimba, nakuba lokhu kungavamile. Qaphela izimpawu ezinjengobunzima bokuphefumula, ukuvuvukala okukhulu, noma ukuqubuka okubanzi, futhi funa ukwelashwa ngokushesha uma lokhu kwenzeka.
Abanye abantu bangase babe ne-methemoglobinemia, isimo esingavamile lapho igazi lakho lingathwali umoya-mpilo ngendlela efanele. Lokhu kungenzeka uma unezimo ezithile zezokwelapha noma usebenzisa imithi ethile, yingakho udokotela wamazinyo wakho ehlola umlando wakho wezokwelapha ngaphambi kokuthi kwenzeke.
Ngenkathi le mithi iphephile kubantu abaningi, abantu abathile kufanele bayigweme noma bayisebenzise ngokuqapha okukhethekile. Udokotela wamazinyo wakho uzobuyekeza umlando wakho wezokwelapha nemithi yamanje ukuze anqume ukuthi ilungele yini wena.
Akufanele usebenzise le mithi uma wazi ukuthi unokungezwani ne-lidocaine, prilocaine, noma noma yimaphi ama-anesthetics endawo afanayo. Abantu abanezifo ezithile zegazi, ikakhulukazi lezo ezithinta i-hemoglobin, bangase badinge nokugwema le mithi.
Nazi izimo eziyinhloko lapho le mithi ingase ingafaneleki khona:
Uma usebenzisa imithi ethile, ikakhulukazi leyo yezimo zenhliziyo noma umfutho wegazi, udokotela wamazinyo wakho angase adinge ukulungisa umthamo noma akhethe enye indlela. Njalo yazisa ithimba lakho lamazinyo ngayo yonke imithi nezithasiselo ozithathayo.
Izingane neziguli ezindala ngokuvamile zingathola lo muthi, kodwa zingadinga imithamo elungisiwe nokuqapha okuseduze ngesikhathi sokwelashwa.
Le nhlanganisela yomuthi itholakala ngaphansi kwamagama amaningi omkhiqizo, i-Oraqix iyona efomulwa esetshenziswa kakhulu emahhovisi odokotela bamazinyo. I-Oraqix iza njenge-gel efakwa ngqo emaphaketheni ezinzwa ngesisebenzisi esikhethekile.
Ezinye izindlela zokwakheka zingase zitholakale njengenguqulo ejwayelekile noma ngaphansi kwamagama omkhiqizo ahlukene, kodwa zonke ziqukethe izithako ezifanayo ezisebenzayo. Udokotela wamazinyo wakho uzokhetha ukwakheka okufanele kakhulu ngokuya ngenqubo yakho ethile nezidingo zakho.
Igama lomkhiqizo alithinti ngendlela ebalulekile ukuthi umuthi usebenza kahle kangakanani, kodwa izindlela zokwakheka ezihlukene zingase zibe nezindlela zokusebenzisa ezihlukile kancane noma ukugxila.
Uma ungenakukwazi ukusebenzisa i-lidocaine ne-prilocaine gingival, udokotela wamazinyo wakho unezinye izinketho eziningi zokuthulisa ezitholakalayo. Izidakamizwa zendawo ezijovwayo njenge-lidocaine yodwa noma i-articaine ziyizindlela ezivamile ezinikeza ukuthulisa okuhle kakhulu ezinqubweni zamazinyo.
Izidakamizwa eziphezulu eziqukethe i-lidocaine kuphela noma i-benzocaine zingasetshenziswa ezinqubweni ezincane, nakuba zingase zinganikezi ukujula okufanayo kokuthulisa. Ezinqubweni eziningi, udokotela wamazinyo wakho angase ancome ukuthuliswa okwaziwayo noma i-anesthesia ejwayelekile.
Ezinye iziguli zizuzwa nge-nitrous oxide (igesi yokuhleka) ehlanganiswe nezidakamizwa eziphezulu, ikakhulukazi uma benokukhathazeka kwamazinyo. Udokotela wamazinyo wakho uzosebenza nawe ukuthola inketho enethezekile nephumelelayo esimweni sakho esithile.
I-Lidocaine ne-prilocaine gingival inikeza izinzuzo eziningi ngaphezu kwe-lidocaine ejwayelekile yodwa, ikakhulukazi ezinqubweni ezihlobene nezinsini. Inhlanganisela inikeza ukuthuthwa okuningi ngoba imithi emibili isebenza ngendlela ehlukile futhi iyazuzisana.
I-lidocaine ejwayelekile isebenza ngokushesha kodwa ingase ingahlali isikhathi eside, kuyilapho i-prilocaine inikeza ukuthuthwa okuqhubekayo. Ngokubambisana, bakha umphumela wokuthuthwa osebenzayo futhi ohlala isikhathi eside kunanoma iyiphi imithi esetshenziswa yodwa.
Ezinqubweni zezinsini ngokuqondile, le nhlanganisela ivame ukuba ngcono ngoba yakhelwe ukunamathela ezicutshini zezinsini futhi ingene emaphaketheni e-periodontal lapho ama-anesthetics ajwayelekile angase angafinyeleli ngempumelelo.
Nokho, i-lidocaine ejovwayo ingase isafaneleke kakhulu ezinqubweni ezijulile noma lapho ukuthuthwa kudingeka kunwele ngaphezu kobuso bezinsini. Udokotela wamazinyo wakho uzokhetha inketho engcono kakhulu ngokusekelwe ezidingweni zakho zokwelashwa ezithile.
Lo muthi ngokuvamile ungasetshenziswa ngokuphepha kubantu abanokugula kwenhliziyo, kodwa udokotela wamazinyo wakho uzodinga ukubukeza isimo sakho esithile nemithi kuqala. Ukusetshenziswa kwendawo kusho ukuthi umuthi omncane kakhulu ungena egazini lakho uma kuqhathaniswa nama-anesthetics ajovwayo.
Uma unezinkinga ezinzima zokushaya kwenhliziyo noma usebenzisa imithi ethile yenhliziyo, udokotela wamazinyo wakho angase akhethe enye inketho yokuthuthwa noma alungise umthamo. Njalo yazisa ithimba lakho lamazinyo ngesimo senhliziyo yakho futhi ulethe uhlu lwazo zonke izidakamizwa zakho ekuqokweni kwakho.
Inani elincane lalo muthi ongase uligwinye ngengozi ngesikhathi sokwelashwa ngokuvamile aliyingozi. Umuthi wenzelwe ukuthi usetshenziswe emlonyeni, ngakho ukumuncwa okuncane ngokugwinya kulindelekile futhi kuphephile.
Kodwa-ke, uma ugwinya inani elikhulu, ungase uzwe ukuba ndikindiki kwesikhashana emqaleni wakho noma olimini, okungase kuthinte ukugwinya. Xhumana nodokotela wamazinyo wakho noma umhlinzeki wezempilo uma uba nobunzima bokugwinya, izinkinga zokuphefumula, noma uzizwa ungazizwa kahle ngemva kokungenisa imithi ngengozi.
Umphumela wokuba ndikindiki ngokuvamile uyaphela phakathi kwehora elingu-1 kuya kwelingu-3, kodwa ngezinye izikhathi ungase uhlale isikhathi eside kwabanye abantu. Lokhu kuba ndikindiki okweluliwe ngokuvamile akuyona ingozi, kodwa kufanele uqaphele ukuthi ungalumi ulimi lwakho, izindebe, noma izihlathi ngenkathi indawo isandikindiki.
Gwema ukudla ukudla okushisayo noma iziphuzo kuze kube yilapho umuzwa ubuyela ngokuphelele ukuze uvimbele ukusha ngengozi. Uma ukuba ndikindiki kuqhubeka ngaphezu kwamahora angu-6 noma uma uba nezinye izimpawu ezikhathazayo, xhumana nodokotela wamazinyo wakho ukuze uthole isiqondiso.
Kufanele ulinde kuze kube yilapho ukuba ndikindiki kuphela ngaphambi kokudla, okuthatha amahora angu-1 kuya kwangu-3 ngemva kokwelashwa. Ukudla ngenkathi umlomo wakho undikindiki kwandisa ingozi yokuluma ulimi lwakho, izindebe, noma izihlathi ngengozi.
Uma uqala ukudla futhi, qala ngokudla okuthambile, okufudumele futhi uhlafune ngokucophelela. Gwema ukudla okushisa kakhulu noma okunezinongo amahora ambalwa okuqala, njengoba izicubu zakho ezinomuzwa ongase zihluleke ukuthola izinga lokushisa kahle futhi zingalimala.
Yebo, ngokuvamile ungaqhubeka nokushayela ngemva kokuthola lo muthi, njengoba uthinta kuphela indawo okusetshenziswe kuyo futhi akubangeli ukozela noma ukuphazamisa amakhono akho emoto. Ngokungafani nezinye izinketho zokuthulisa amazinyo, ama-anesthetics angaphezulu awuthinti umthamo wakho wokusebenzisa imoto.
Kodwa-ke, uma uthole imithi eyengeziwe yokukhathazeka noma ukuphatha ubuhlungu ngesikhathi sokuqokwa kwakho, kufanele ulungiselele omunye umuntu ukuthi akuqhubela ekhaya. Uma ungabaza, buza udokotela wamazinyo wakho ngesimo sakho ngaphambi kokushayela.
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