Yini i-Lidocaine ne-Prilocaine: Ukusetshenziswa, Umthamo, Imiphumela Eceleni nokuningi

I-Lidocaine ne-prilocaine yimithi yokuthambisa esetshenziswa ngaphandle ehlanganisa izidakamizwa ezimbili zendawo ukuze zivimbe okwesikhashana izimpawu zobuhlungu esikhumbeni sakho. Le khilimu noma i-gel idala umphumela wokuthambisa ebusweni besikhumba sakho, okwenza izinqubo zezokwelapha zikhululeke kakhulu futhi zingabi buhlungu. Ungase ukwazi ngamagama omkhiqizo afana ne-EMLA cream, ebelokhu isiza abantu ukuthi balawule ubuhlungu benqubo amashumi eminyaka.

Yini i-Lidocaine ne-Prilocaine?

I-Lidocaine ne-prilocaine yinhlanganisela ye-anesthetic esetshenziswa ngaphandle esebenza ngokuvimba okwesikhashana izimpawu zemizwa esikhumbeni sakho. Cabanga ngayo njengokuthi “inqamula” okwesikhashana kwama-receptors obuhlungu endaweni oyisebenzisayo. Umuthi uqukethe ama-ejenti amabili ahlukene okuthambisa asebenza ndawonye ukuze anikeze ukukhululeka kobuhlungu okusebenzayo.

Lo muthi uza ngesimo sekhilimu, i-gel, noma isiqeshana osisebenzisa ngqo esikhumbeni sakho. Ngokungafani nama-anesthetics ajovwayo, le fomu esetshenziswa ngaphandle isebenza kancane kancane futhi ithinta kuphela izendlalelo ezingaphezulu zesikhumba sakho. Inhlanganisela ye-lidocaine ne-prilocaine yenza ukuthi isebenze kahle kakhulu kunanoma yimuphi umuthi uwedwa.

Yini i-Lidocaine ne-Prilocaine Esetshenziselwa Yona?

I-Lidocaine ne-prilocaine isetshenziswa ikakhulukazi ukuthambisa isikhumba sakho ngaphambi kwezinqubo ezincane zezokwelapha. Umhlinzeki wakho wezempilo angase akutuse ngaphambi kokufaka imigqa ye-IV, ukudweba igazi, noma ukwenza izinqubo ezincane zokuhlinzwa. Umuthi usiza ukunciphisa ubuhlungu nokungakhululeki ongase ukuzwe ngesikhathi sokungenelela kwezokwelapha okudingekayo.

Ngaphandle kwezinqubo zezokwelapha, le nhlanganisela ingasiza ngezinhlobonhlobo zokungakhululeki okuhlobene nesikhumba. Nawa amanye amazwi ajwayelekile lapho udokotela wakho angase asikisele ukusebenzisa lo muthi:

• Ngaphambi kwezinqubo zokufaka inaliti njengokudonswa kwegazi, ukufakwa kwe-IV, noma imijovo
• Ngaphambi kokuhlinzwa okuncane kwesikhumba noma ama-biopsies
• Ngaphambi kokwelashwa nge-laser noma izinqubo ze-dermatological
• Ngezinhlobo ezithile zobuhlungu obungapheli bemizwa ebusweni besikhumba
• Ngaphambi kokufaka ama-catheter noma amanye amadivaysi ezokwelapha

Udokotela wakho uzoqaphela ukuthi ngabe lo muthi ulungile yini esimweni sakho esithile. Umgomo uhlala ukwenza ukunakekelwa kwezempilo okudingekayo kube lula ngangokunokwenzeka kuwe.

Isebenza Kanjani i-Lidocaine ne-Prilocaine?

I-Lidocaine ne-prilocaine isebenza ngokuvimba okwesikhashana iziteshi ze-sodium emangqamuzaneni akho emizwa. Lezi ziteshi zifana neminyango emincane evumela amasignali obuhlungu ukuthi ahambe esikhumbeni sakho aye ebuchosheni bakho. Lapho umuthi uvimba le minyango, amasignali obuhlungu awanakungena, futhi uzwa ukuba ndikindiki esikhundleni sokungakhululeki.

Lokhu kuthathwa njenge-anesthetic yendawo enamandla aphakathi nendawo enikeza imiphumela ethembekile yokuba ndikindiki. Umuthi ungena ngamaleko angaphandle esikhumba sakho ukuze ufinyelele emaphethelweni emizwa ngaphansi. Ngokungafani nama-anesthetics aqinile asetshenziswa ekuhlinzweni, le nhlanganisela yenzelwe ukusebenza ngokuphepha esikhumbeni esingashintshi ngaphandle kokubangela imiphumela ethinta izicubu ezijulile.

Umphumela wokuba ndikindiki uvamise ukuqala phakathi kwemizuzu engama-30 kuya kwengama-60 ngemuva kokufaka. Umuthi uqhubeka nokusebenza amahora amaningi, unikeze umhlinzeki wakho wezempilo iwindi elinethezekile lokwenza izinqubo ezidingekayo. Umuzwa wakho ojwayelekile ubuyela kancane kancane njengoba umzimba wakho ngokwemvelo usebenza futhi uqeda umuthi.

Kufanele Ngiyithathe Kanjani i-Lidocaine ne-Prilocaine?

Kufanele usebenzise i-lidocaine ne-prilocaine ngqo njengoba umhlinzeki wakho wezempilo noma imiyalelo yephakheji iqondisa. Hlanza indawo ngobumnene ngensipho namanzi ngaphambi kokufaka, bese uyomisa ngokuphelele. Faka ungqimba olukhulu lwekhilimu noma i-gel ukumboza yonke indawo edinga ukuba ndikindiki.

Ukuze uthole imiphumela engcono kakhulu, uzodinga ukumboza indawo ephathwayo nge-plastic wrap noma ukugqoka okukhethekile okuvalayo. Lokhu kuvala kusiza umuthi ukuthi ungene shí esikhumbeni sakho futhi kuvimbela ukuthi ungasuli. Shiya umuthi isikhathi esinconyiwe, ngokuvamile amahora angu-1 kuya kwangu-2, kuye ngohlelo olulungiselelayo.

Nakhu okufanele ukwazi mayelana nokusetshenziswa okufanele:

• Sebenzisa esikhumbeni esihlanzekile, esomile, esingalimele kuphela
• Sebenzisa ukhilimu owanele ukudala ungqimba oluqinile, olulinganayo
• Mboza nge-plastic wrap noma ukugqoka okunikeziwe
• Ungasebenzisi esikhumbeni esilimele, esicasukile, noma esithelelekile
• Geza izandla zakho kahle ngemva kokusebenzisa

Susa umuthi nokumboza ngaphambi nje kohlelo lwakho. Umhlinzeki wakho wezempilo uzosula noma yimuphi ukhilimu osele ngaphambi kokuqala ukwelashwa.

Kufanele Ngithathe Isikhathi Esingakanani I-Lidocaine ne-Prilocaine?

I-Lidocaine ne-prilocaine ngokuvamile isetshenziselwa izinqubo ezilodwa kunokwelashwa okuqhubekayo. Ngokuvamile uzoyisebenzisa kanye ngaphambi kwenqubo ethile yezokwelapha bese uyisusa lapho inqubo iqala. Ubude besikhathi sokusebenzisa ngasinye ngokuvamile amahora angu-1 kuya kwangu-2, kuye ngokuthi umhlinzeki wakho wezempilo uncoma ini.

Uma udokotela wakho ekunikeza lo muthi ngenxa yobuhlungu obuqhubekayo bemizwa, uzokunikeza imiyalelo ethile mayelana nokuthi ungawusebenzisa kaningi kangakanani. Abanye abantu bangase bawusebenzise izikhathi eziningana ngesonto, kanti abanye bangase bawudinge ngezikhathi ezithile kuphela. Ungalokothi uwusebenzise kaningi kunokuba umhlinzeki wakho wezempilo encoma, ngoba lokhu kungakhuphula ingozi yakho yemiphumela emibi.

Ezimweni ezingapheli, udokotela wakho uzohlola njalo ukuthi usawudinga yini lo muthi. Bangase balungise imvamisa noma baphakamise ezinye izindlela zokwelapha njengoba isimo sakho sishintsha. Hlala uxhumana nomhlinzeki wakho wezempilo uma ubulokhu usebenzisa lo muthi amasonto amaningana noma izinyanga.

Yiziphi Imiphumela Emibi ye-Lidocaine ne-Prilocaine?

Abantu abaningi bayakwazi ukumelana kahle ne-lidocaine kanye ne-prilocaine, kodwa njengayo yonke imithi, ingabangela imiphumela emibi. Imiphumela emibi evame kakhulu yenzeka ngqo lapho ufaka umuthi futhi ivamise ukuba mnene futhi yesikhashana. Lezi zimo zendawo ngokuvamile zizixazulula zodwa kungakapheli amahora ambalwa ngemva kokukhipha ukhilimu.

Imiphumela emibi evamile ongase uyithole ihlanganisa:

• Ububomvu noma ukucasuka endaweni yokufaka umuthi
• Ukusha okuncane noma ukuluma uma kuqala ukufakwa
• Ushintsho lombala lwesikhashana esikhumbeni (ukukhanya noma ukuba mnyama)
• Ukuvuvukala noma ukuqina endaweni elashwayo
• Ukuluma noma ukuqubuka okuncane

Lezi zimo ngokuvamile azibi kakhulu futhi zibonisa ukuthi umuthi uyasebenza. Kodwa-ke, kufanele uxhumane nomhlinzeki wakho wezempilo uma lezi zimpawu zinzima noma zingathuthuki ngemva kokukhipha umuthi.

Imiphumela emibi engathi sína iyivelakancane kodwa idinga ukunakekelwa kwezokwelapha ngokushesha. Qaphela izimpawu zokungezwani komzimba, njengokuqubuka okusabalalele, ubunzima bokuphefumula, noma ukuvuvukala ebusweni bakho, izindebe, noma umphimbo. Uma uzwa isiyezi, ukushaya kwenhliziyo okungajwayelekile, noma uzizwa udidekile ngemva kokusebenzisa lo muthi, funa usizo lwezokwelapha ngokushesha.

Ngokuvamile, abanye abantu bangase bathole i-methemoglobinemia, isimo lapho igazi lakho lingakwazi ukuthwala umoya-mpilo ngempumelelo. Lokhu kungenzeka kakhulu ezinsaneni, kubantu abanezimo ezithile zofuzo, noma labo abasebenzisa inani elikhulu lomuthi. Izimpawu zihlanganisa umbala wesikhumba oluhlaza okwesibhakabhaka-mpunga, ikakhulukazi ngemilenze nezikhonkwane, kanye nobunzima bokuphefumula.

Obani okungafanele bathathe i-Lidocaine ne-Prilocaine?

ILidocaine ne-prilocaine akulungele wonke umuntu, futhi umhlinzeki wakho wezempilo uzocabangela umlando wakho wezokwelapha ngaphambi kokuyincoma. Akufanele usebenzise lo muthi uma unokungezwani komzimba ne-lidocaine, prilocaine, noma yimiphi imithi yokubulala izinzwa yendawo. Abantu abanezimo ezithile zofuzo ezithinta indlela umzimba wabo oqhubula ngayo le mithi kufanele futhi bagweme lokhu kwelashwa.

Izimo eziningana zezempilo nezimo zidinga ukuqapha okukhethekile noma ukwelashwa okuhlukile:

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• Izinsana ezingaphansi kwezinyanga eziyi-12 ubudala (ingozi enkulu yemiphumela emibi engathi sína)
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• Abantu abanokuntuleka kwe-glucose-6-phosphate dehydrogenase (G6PD).
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• Labo abane-methemoglobinemia noma umlando womndeni waleso simo
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• Abantu abathatha imithi ethile ethinta amazinga omoya-mpilo egazini
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• Abantu abanezinkinga ezinzima zenhliziyo, isibindi, noma izinso
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• Labo abanesikhumba esiphukile, esithelelekile, noma esicasuke kakhulu
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Ukukhulelwa nokuncelisa ngamabele kudinga ukucatshangelwa okukhethekile, nakuba lo muthi ngokuvamile ubhekwa njengophephe uma usetshenziswa njengoba kuqondiswe. Udokotela wakho uzoqaphela izinzuzo ngokumelene nanoma yiziphi izingozi ezingase zibe khona kuwe nomntwana wakho. Njalo yazisa umhlinzeki wakho wezempilo ngayo yonke imithi oyithathayo, okuhlanganisa nemithi etholakala ngaphandle kwe-oda kanye nezithasiselo.

Amagama Omkhiqizo we-Lidocaine ne-Prilocaine

Igama lomkhiqizo elaziwa kakhulu le-lidocaine ne-prilocaine yi-EMLA cream, emelela

Ikhambi lakho lingashintsha ngohlobo olujwayelekile ngaphandle uma udokotela wakho eqoka ngqo igama lomkhiqizo. Izinhlobo ezijwayelekile ziqukethe izithako ezifanayo ezisebenzayo futhi zisebenza ngempumelelo njengemikhiqizo enegama lomkhiqizo. Umuthi wakho wemithi angakusiza ukuthi uqonde noma yiziphi izinto ezingafani phakathi kwemikhiqizo etholakalayo kuwe.

Ezinye izindlela ze-Lidocaine ne-Prilocaine

Kunezindlela eziningana uma i-lidocaine ne-prilocaine ingakulungele noma inganikezi ukukhululeka okwanele. I-Lidocaine yendawo yodwa iyatholakala ngamandla ahlukahlukene futhi ingase ifaneleke kwezinye izimo. Imikhiqizo esekelwe ku-Benzocaine inikeza enye inketho, nakuba isebenza ngendlela ehlukile futhi ingase ingasebenzi kahle kuzo zonke izinqubo.

Kubantu abangakwazi ukusebenzisa ama-anesthetics endawo, umhlinzeki wakho wokunakekelwa kwezempilo angase asikisele:

• Ama-spray okupholisa endawo aqaqa ngokusebenzisa ukubanda kunemithi
• Amadivayisi anezwi aqatha izimpawu zemizwa ngesikhathi sezinqubo
• Ama-anesthetics endawo anamandla okubhala ngemithi anezithako ezahlukene ezisebenzayo
• Ama-anesthetics endawo ajovwayo ezinqubweni eziningi
• Imithi ebuhlungu yomlomo ethathwa ngaphambi kwezinqubo

Udokotela wakho uzokusiza ukuthi uthole enye indlela engcono kakhulu esekelwe ezidingweni zakho ezithile zezokwelapha kanye nohlobo lwenqubo onayo. Ngezinye izikhathi ukuhlanganisa izindlela ezihlukene kunikeza ulwazi olukhululekile kakhulu.

Ingabe i-Lidocaine ne-Prilocaine ingcono kune-Lidocaine yodwa?

Inhlanganisela ye-Lidocaine ne-prilocaine ngokuvamile isebenza kahle kune-lidocaine yodwa ekuthuleni kwendawo. Inhlanganisela yezinhlobo ezimbili ezihlukene zama-ejenti e-anesthetic inikeza ukungena okujulile nokukhululeka okugcwele kobuhlungu kunoma iyiphi imithi engathola yona yodwa. Lokhu kuyenza ibaluleke ikakhulukazi ezinqubweni ezidinga ukuthulisa okuthembekile, okuqhubekayo.

Ingxube ye-eutectic (EMLA) idala ifomula ekhethekile lapho imithi yomibili isebenza ndawonye ezingeni le-molecular. Lokhu kuvumela ukuhlanganiswa ukuthi kungene esikhumbeni esingashintshiwe ngempumelelo enkulu kunemikhiqizo yomuthi owodwa. Ucwaningo lubonise ukuthi le nhlanganisela inikeza ukuqala okusheshayo nemiphumela yokuthulisa isikhathi eside.

Kodwa-ke, i-lidocaine yodwa ingase ikhetheke ezimweni ezithile. Abanye abantu banomzimba wokungezwani nezinto ezithile ku-prilocaine kodwa bangakwazi ukubekezelela i-lidocaine, okwenza inketho yomuthi owodwa ibe yiyo kuphela abanayo. I-Lidocaine yodwa iyatholakala futhi ngamazinga aphezulu okugxilisa izinto ezithile zezokwelapha futhi ingase ibize kancane kunemikhiqizo ehlanganisiwe.

Umhlinzeki wakho wezempilo uzokhetha inketho engcono kakhulu ngokusekelwe kunqubo yakho ethile, umlando wezokwelapha, nokuphendula komuntu ngamunye emithini ehlukene. Zombili izinketho ziyasebenza uma zisetshenziswa ngendlela efanele ezimweni ezifanele.

Imibuzo Evame Ukubuzwa Mayelana ne-Lidocaine ne-Prilocaine

Ingabe i-Lidocaine ne-Prilocaine Kuphephile Ezinganeni?

I-Lidocaine ne-prilocaine kungaba kuphephile ezinganeni uma kusetshenziswa ngendlela efanele, kodwa kudinga ukuqapha okwengeziwe nokuqondiswa kwezokwelapha. Izingane ezingaphezu kwezinyanga eziyi-12 ubudala ngokuvamile zingasebenzisa lo muthi ngokuphepha uma zisetshenziswa ngokulandela imihlahlandlela ethile yezingane. Kodwa-ke, izinsana ezingaphansi kwezinyanga eziyi-12 zinomkhuba omkhulu wemiphumela emibi engathí sina, okuhlanganisa i-methemoglobinemia.

Ukulinganisa kwemithi yezingane kwehlukile kwabadala futhi kuncike eminyakeni yengane, isisindo, nobukhulu bendawo ezelashwayo. Udokotela wakho wezingane uzoqagela inani elifanele nesikhathi sokusebenzisa ukunciphisa izingozi ngenkathi enikeza ukuthulisa okusebenzayo. Ungalokothi usebenzise imiyalelo yokulinganisa abadala ezinganeni, ngoba lokhu kungaholela emiphumeleni emibi eyingozi.

Ngingenzani Uma Ngisebenzisa Ngengozi i-Lidocaine ne-Prilocaine eningi kakhulu?

Uma usebenzise i-lidocaine ne-prilocaine eningi kakhulu, susa imithi eningi ngokushesha ugeze indawo kahle ngensipho namanzi. Ukusebenzisa eningi kakhulu kungakhuphula ingozi yakho yemiphumela emibi, okuhlanganisa ukumuncwa kwemithi eningi egazini lakho. Susa noma yikuphi ukumboza noma ukugqoka bese uhlanza ngobumnene zonke izinhlobo zekhilimu noma i-gel.

Qaphela izimpawu zokweqisa imithi, njengokugajuka, ukudideka, ukushaya kwenhliziyo okungajwayelekile, noma ubunzima bokuphefumula. Uma uhlangabezana nanoma yiziphi zalezi zimpawu, funa usizo lwezokwelapha ngokushesha. Xhumana nomhlinzeki wakho wezempilo noma isikhungo sokulawula ubuthi uma ukhathazekile ngobuningi obusebenzisile, ikakhulukazi uma ukusebenzise endaweni enkulu noma ukushiye isikhathi eside kunokunconywa.

Ngingenzani Uma Ngedlula Umthamo We-Lidocaine ne-Prilocaine?

Njengoba i-lidocaine ne-prilocaine ivame ukusetshenziswa ngaphambi kwezinqubo ezithile kunokuba ngeshejuli ejwayelekile, ukweqa umthamo ngokuvamile kusho ukuthi kungenzeka ungabi nokuzwela okwanele ngenqubo yakho ehleliwe. Uma ukhohlwa ukuyisebenzisa ngaphambi kokuqokwa kwezokwelapha, xhumana nehhovisi lomhlinzeki wakho wezempilo ngokushesha ngangokunokwenzeka ukuze uxoxe ngezinketho zakho.

Umhlinzeki wakho wezempilo angase ahlehlise kabusha inqubo yakho ukuze anikeze isikhathi sokuzwela okufanele, noma angase asebenzise ezinye izindlela zokuphatha ubuhlungu. Ungazami ukwenza ngaphezu kokusebenzisa okungashiywanga ngokusebenzisa imithi eyengeziwe noma ukuyishiya isikhathi eside kunokunconywa, njengoba lokhu kungakhuphula ingozi yakho yemiphumela emibi.

Ngingayeka Nini Ukuthatha I-Lidocaine ne-Prilocaine?

Ungayeka ukusebenzisa i-lidocaine ne-prilocaine ngokushesha nje lapho ungayidingi ngokuqhubekayo ezinqubweni noma ekuphathweni kobuhlungu. Njengoba le mithi ingakhi ezinzini zakho noma ibangele ukuncika, ungasiyeka ngokuphepha ngaphandle kwanoma iyiphi inqubo yokuyeka. Vele ungasisebenzisi ekusetshenzisweni kwakho okulandelayo okuhleliwe.

Uma udokotela wakho ekunikeze umuthi wokwelapha ubuhlungu obuqhubekayo bemizwa, xoxa naye ngaphambi kokuyeka ukusebenzisa umuthi. Bangase bafune ukuhlola amazinga obuhlungu bakho futhi baphakamise ezinye izindlela zokwelapha uma usadinga ukuphathwa kobuhlungu. Njalo xhumana nomhlinzeki wakho wezempilo uma ubulokhu usebenzisa lo muthi njalo ngezimo ezingapheli.

Ngingawasebenzisa yini i-Lidocaine ne-Prilocaine neminye imithi?

I-Lidocaine ne-prilocaine kungase kusebenzisane neminye imithi, ikakhulukazi lezo ezithinta ikhono legazi lakho lokuthwala umoya-mpilo. Imithi efana nama-nitrate, ama-sulfonamides, kanye namanye ama-antibiotics ingakhuphula ingozi yakho yokuthuthukisa i-methemoglobinemia uma isetshenziswa nale anesthetic yendawo. Njalo yazisa umhlinzeki wakho wezempilo ngayo yonke imithi oyithathayo.

Eminye imithi yendawo ngokuvamile akufanele isetshenziswe endaweni efanayo ngesikhathi esifanayo ngaphandle uma kuqondiswe ngqo ngumhlinzeki wakho wezempilo. Lokhu kufaka phakathi ezinye izikhrimu zokuthulisa, ama-antibiotics, noma imithi elwa nokuvuvukala. Udokotela wakho noma usokhemisi angakusiza ukuthi uqonde noma yikuphi ukusebenzisana okungaba khona futhi aphakamise isikhathi esifanele uma udinga ukwelashwa okuningi kwendawo.