Yini Ukujova Nge-Lidocaine: Ukusetshenziswa, Umthamo, Imiphumela Eceleni Nokuningi

Ukujova nge-Lidocaine ngumuthi wokubulala izinzwa wasendaweni ovinjelwa okwesikhashana izimpawu zemizwa ukuvimbela ubuhlungu ezindaweni ezithile zomzimba wakho. Cabanga ngayo njengendlela "yokuvala" imiyalezo yobuhlungu ukuthi ingafinyeleli ebuchosheni bakho ngesikhathi senqubo yezokwelapha noma ukuhlinzeka ngokuqeda ubuhlungu ezimweni ezithile ezibuhlungu.

Lo muthi usebenza ngokushesha nangempumelelo, okwenza ube ngomunye wemithi yokubulala izinzwa yasendaweni esetshenziswa kakhulu ezindaweni zezokwelapha. Abahlinzeki bezempilo bayawusebenzisa kukho konke kusukela ezinqubweni ezincane njengokususa imvukuzane kuya ekuhlinzeni okuyinkimbinkimbi, futhi kungasiza nokuphatha izimo zobuhlungu ezingapheli.

Yini Ukujova Nge-Lidocaine?

Ukujova nge-Lidocaine ngumuthi kadokotela ongaphansi kohlu lwemithi ebizwa ngokuthi imithi yokubulala izinzwa yasendaweni. Isebenza ngokuvimba iziteshi ze-sodium emangqamuzaneni emizwa, okuwavimbela ukuthi angathumeli izimpawu zobuhlungu ebuchosheni bakho.

Lo muthi uza ngamandla ahlukene kanye nokwakheka, kuye ngokuthi udokotela wakho udinga ukwelapha ini. Ezinye izinhlobo ziqukethe i-epinephrine, esiza i-lidocaine ukuthi ihlale isikhathi eside futhi inciphisa ukopha ngokunciphisa imithambo yegazi endaweni yokwelapha.

Ngokungafani ne-anesthesia ejwayelekile ekulalisa, i-lidocaine imane nje idumbaze indawo ethile lapho ijovwa khona. Uzohlala uvukile futhi uqaphile ngesikhathi sezinqubo, kodwa ngeke uzwe ubuhlungu endaweni ewelashwayo.

Yini Ukujova Nge-Lidocaine Okusetshenziselwa Yona?

Ukujova nge-Lidocaine kunemisebenzi eminingi ekunakekelweni kwezempilo, kusukela ezinqubweni ezijwayelekile kuya ekuphatheni izimo zobuhlungu ezingapheli. Udokotela wakho angase akutuse uma edinga ukwenza inqubo ebingaba ngaphandle kwalokho ingakhululeki noma ibuhlungu.

Nazi izimo ezivamile lapho ukujova nge-lidocaine kufakazela ukuthi kuyasiza:

• Izinqubo zokuhlinza ezincane njengokususa izilimo zesikhumba, izinduna, noma ama-cyst
• Umsebenzi wamazinyo okuhlanganisa ukukhipha amazinyo nezinqubo zamagumede
• Ukuthunga ukusikeka noma amanxeba adinga ukulungiswa ngokuhlinzwa
• Ama-biopsy lapho amasampula ezicubu kudingeka ukuthi athathwe
• Ukujova amalunga ngenxa ye-arthritis noma ezinye izimo zokuvuvukala
• I-anesthesia ye-epidural ngesikhathi sokuzala noma ukuhlinzwa okuthile
• Ama-nerve block wokuphatha ubuhlungu obungapheli
• Izinqubo eziphuthumayo ezindaweni zokunakekelwa okuphuthumayo

Ezinye izinto ezingavamile kodwa ezibalulekile zihlanganisa ukwelapha izinkinga ezithile zesigqi senhliziyo uma zinikezwa ngomthambo, nokuphatha izimo zobuhlungu obukhulu bemizwa. Umhlinzeki wakho wokunakekelwa kwezempilo uzoqoka ukuthi ukujova i-lidocaine kuyindlela efanele yesimo sakho esithile.

Isebenza Kanjani I-Lidocaine Injection?

Ukujova i-Lidocaine kusebenza ngokuvimba okwesikhashana imisele ye-sodium emembraneni yamaseli emizwa. Uma le misele ivaliwe, amaseli emizwa awakwazi ukukhiqiza noma ukudlulisa amasignali kagesi ubuchopho bakho obuqonda njengobuhlungu.

Umuthi uvamise ukuqala ukusebenza phakathi kwemizuzu emi-2 kuya kwemi-5 ngemuva kokujova, kuye ngendawo ezelashwayo kanye nokugxila okusetshenzisiwe. Umphumela wokuba ndikindiki uvame ukuhlala phakathi kwehora elingu-1 kuya kwama-3, nakuba lokhu kungahluka ngokuya ngezinto eziningana ezihlanganisa umthamo, indawo, nokuthi i-epinephrine ifakiwe yini.

I-Lidocaine ithathwa njenge-anesthetic yendawo enamandla amaphakathi. Inamandla kunezinto ezithile zokugcoba ezinomphumela wokuba ndikindiki kodwa ayinamandla njengezinye izinto ezintsha zokubulala izinzwa ezisetshenziselwa ukuhlinzwa okukhulu. Lokhu kuyenza ilungele izinqubo eziningi ezivamile lapho udinga khona ukukhululeka kobuhlungu okuthembekile ngaphandle kwesikhathi eside.

Kufanele Ngilungiselele Kanjani Ukujova I-Lidocaine?

Ukulungiselela ukujova i-lidocaine kuvame ukuba lula, futhi umhlinzeki wakho wokunakekelwa kwezempilo uzokunikeza imiyalelo ethile esekelwe enqubweni yakho. Ezikhathini eziningi, ngeke kudingeke ukuthi wenze izinguquko ezinkulu emsebenzini wakho.

Ngaphambi kokuba uqokwe, yazisa udokotela wakho ngemithi oyithathayo, okuhlanganisa nemithi etholakala ngaphandle kwemvume kadokotela kanye nezithasiselo. Eminye imithi ingase ihlangane ne-lidocaine noma ithinte indlela umzimba wakho oyicubungula ngayo.

Ngokuvamile akudingeki ukuthi ugweme ukudla noma amanzi ngaphambi kokuthola umjovo we-lidocaine, ngaphandle kokuthi wenza inqubo edinga lokho ngenxa yezinye izizathu. Kodwa-ke, kuyasiza ukudla ukudla okulula ngaphambi kwesikhathi ukuze ugweme ukuzizwa unesiyezi ngesikhathi senqubo.

Qiniseka ukuthi wazisa umhlinzeki wakho wezempilo uma unezinto ozwelayo kuzo, ikakhulukazi kuma-anesthetics endawo noma imithi efanayo. Futhi shono uma uke waba nokusabela okungajwayelekile emsebenzini wamazinyo esikhathini esidlule, njengoba lokhu kuvame ukubandakanya i-lidocaine noma imithi efanayo.

Ngizolindela Isikhathi Esingakanani Imiphumela?

Imiphumela yokuba ndikindiki yomjovo we-lidocaine ngokuvamile ihlala phakathi kwehora elingu-1 kuya kwangu-3, nakuba lo mgomo wesikhathi ungahluka ngokuya ngezinto eziningana. Ukugxila komuthi, indawo yomjovo, kanye nokucubungula komuntu ngamunye konke kunendima ekutheni uzozizwa isikhathi esingakanani ungazizwa.

Uma umjovo wakho we-lidocaine uqukethe i-epinephrine, ungalindela ukuthi imiphumela ihlale isikhathi eside, ngezinye izikhathi kufika emahoreni angu-4 kuya kwangu-6. I-Epinephrine isiza ukugcina i-lidocaine endaweni isikhathi eside ngokunciphisa imithambo yegazi, okunciphisa ukuthi umzimba wakho uyimunca ngokushesha kangakanani futhi uqede imithi.

Indawo ingase izizwe inezinhlayiya noma ingazizwa isindiki kancane amahora ambalwa ngemva kokuthi umphumela omkhulu we-anesthetic usuphelile. Lokhu kujwayelekile ngokuphelele futhi kufanele kubuyele kancane kancane emuzweni ovamile. Uma ukuba ndikindiki kuqhubeka ngaphezu kwamahora angu-24, xhumana nomhlinzeki wakho wezempilo.

Yiziphi Izimo Ezingezinhle Zomjovo We-Lidocaine?

Abantu abaningi bayawubekezelela kahle umjovo we-lidocaine, nemiphumela emibi ngokuvamile iba mncane futhi yesikhashana. Imiphumela evame kakhulu ongase uyithole ihlobene nomjovo ngokwawo noma impendulo ejwayelekile yomzimba emuthini.

Nawa amanye amaphutha ongahlangana nawo:

• Ukuba ndikindiki okwesikhashana noma ukuzwa ukugweda endaweni yokujova
• Ukuvuvukala okuncane noma ukulimala lapho kufakwe inaliti
• Ukusha okuncane noma ukuzwa ubuhlungu ngesikhathi sokujova
• Ubuthakathaka bemisipha okwesikhashana endaweni elashwayo
• Ukuqhaqhazela noma isiyezi, ikakhulukazi uma ukhathazekile ngamanaliti

Le miphumela ejwayelekile ngokuvamile iyazilungisa yona ngaphakathi kwamahora ambalwa futhi ayidingi ukwelashwa okukhethekile.

Imiphumela engavamile kodwa ebucayi ingenzeka, yize ingavamile uma i-lidocaine isetshenziswa ngendlela efanele. Lokhu kungabandakanya:

• Ukungezwani komzimba nezinto ezithile ezinemiphumela efana namabala, ukuluma, noma ubunzima bokuphefumula
• Ukushaya kwenhliziyo okungajwayelekile noma ubuhlungu besifuba
• Isiyezi esikhulu noma ukudideka
• Ukushaywa yisithuthwane (okungavamile kakhulu ngemithamo efanele)
• Ukuba ndikindiki okuqhubekayo okuhlala amahora angaphezu kwama-24

Uma uhlangabezana nanoma yiziphi zalezi zimpawu ezingathi sína, funa usizo lwezokwelapha ngokushesha. Umhlinzeki wakho wezempilo uyazi ukuthi angazisingatha kanjani lezi zimo futhi uzothatha isinyathelo esifanele.

Ubani Ongafanele Athole Umjovo we-Lidocaine?

Ngenkathi umjovo we-lidocaine uphephile kubantu abaningi, izimo ezithile zezokwelapha nezimo zidinga ukuqapha okwengeziwe noma zingakwenza kungafaneleki. Udokotela wakho uzobuyekeza umlando wakho wezokwelapha ukuze aqinisekise ukuthi i-lidocaine iphephile kuwe.

Kufanele wazise umhlinzeki wakho wezempilo uma unezimo ezilandelayo:

• Ukungezwani okwaziwayo ne-lidocaine noma ezinye izidambisi zokuzwa zendawo
• Izinkinga ezinkulu zesigqi senhliziyo noma ukuvinjelwa kwenhliziyo
• Isifo sesibindi esibi kakhulu
• I-Myasthenia gravis (ukuphazamiseka kobuthakathaka bemisipha)
• Izimo ezithile zofuzo ezithinta indlela umzimba wakho oqhubula ngayo imithi

Ukukhulelwa nokuncelisa kudinga ukucatshangelwa okukhethekile, nakuba i-lidocaine ngokuvamile ithathwa njengephephile uma isetshenziswa ngendlela efanele. Udokotela wakho uzohlola izinzuzo nezingozi zesimo sakho esithile.

Uma uthatha imithi ethile, udokotela wakho kungadingeka alungise umthamo we-lidocaine noma akuqaphele eduze. Lokhu kufaka phakathi imithi ethile yenhliziyo, imithi yokulwa nokuthuthumela, kanye nemithi ethile yokucindezeleka.

Amagama Omkhiqizo Wokujova I-Lidocaine

Ukujova i-Lidocaine kutholakala ngaphansi kwamagama amaningi omkhiqizo, nakuba izikhungo eziningi zezempilo zisebenzisa izinguqulo ezivamile. Amagama omkhiqizo avamile afaka i-Xylocaine, i-Lignospan, ne-Octocaine.

Umhlinzeki wakho wezempilo angasebenzisa amagama omkhiqizo ahlukene noma ukugxila ngokuya ngezidingo zakho ezithile kanye nohlobo lwenqubo eyenziwayo. Isithako esisebenzayo sihlala sifana kungakhathaliseki igama lomkhiqizo.

Ezinye izindlela zokwakheka zihlanganisa i-lidocaine ne-epinephrine futhi zinamagama omkhiqizo athile afana ne-Xylocaine ene-Epinephrine noma i-Lignospan Standard. Lezi zinhlanganisela zikhethwa ngokusekelwe ekutheni umphumela wokuba ndikindiki udinga ukuhlala isikhathi esingakanani.

Ziyini Ezinye Izindlela Zokujova I-Lidocaine?

Kunezindlela eziningana zokujova i-lidocaine, ngokuya ngezidingo zakho ezithile kanye nesimo sezokwelapha. Umhlinzeki wakho wezempilo uzokhetha inketho engcono kakhulu ngokusekelwe ohlotsheni lwenqubo, umlando wakho wezokwelapha, nokuthi imbangela yokukhululeka ebuhlungu idingeka isikhathi esingakanani.

Ezinye izijovo zokubulala izinzwa zendawo zifaka:

• Bupivacaine (Marcaine) - ihlala isikhathi eside kune-lidocaine, ivame ukusetshenziselwa izinqubo ezinkulu
• Procaine (Novocaine) - isebenza isikhathi esifushane, ivame ukusetshenziswa emsebenzini wamazinyo
• Articaine - ivame ukusetshenziswa emazinyweni, ingasebenza kangcono ezicutshini ezinomkhuhlane
• Mepivacaine - ifana ne-lidocaine kodwa ayiqukethe i-epinephrine

Ezinye izindlela ezingafaki ukujova zingabandakanya okokugcoba okubulala izinzwa, imithi yomlomo yokunciphisa ubuhlungu, noma i-anesthesia ejwayelekile ezinqumweni ezinkulu. Udokotela wakho uzoxoxa ngalezi zinketho uma ukujova i-lidocaine kungafaneleki esimweni sakho.

Ingabe ukujova i-Lidocaine kungcono kune-Novocaine?

Ukujova i-Lidocaine ne-Novocaine (procaine) kokubili kuyizinto ezibulala izinzwa ezisebenzayo, kodwa zinezinye izinto ezibalulekile ezingafani. I-Lidocaine isithathe indawo ye-Novocaine ezindaweni eziningi zezokwelapha ngoba ivame ukusebenza ngokwethembeka futhi inezinambitheko ezimbalwa zokungezwani komzimba.

I-Lidocaine ngokuvamile inikeza ukuba ndikindiki okuqhubekayo futhi ihlala isikhathi eside kune-Novocaine. Iphinda isebenze kangcono ezicutshini ezinomkhuhlane noma ezivuvukile, okungaba kubalulekile ezinqumweni ezithile. Abantu abaningi futhi bathola ukuthi ukujova i-lidocaine akukhululeki kangako.

Noma kunjalo, i-Novocaine isasetshenziswa kwezinye izimo, ikakhulukazi emazinyweni lapho ubude bayo obufushane bungase buthandwe. Umhlinzeki wakho wezempilo uzokhetha inketho engcono kakhulu ngokusekelwe ezidingweni zakho ezithile kanye nohlobo lwenqubo eyenziwayo.

Imibuzo Evame Ukubuzwa Mayelana Nokujova i-Lidocaine

Ingabe ukujova i-Lidocaine kuphephile kubantu abanezifo zenhliziyo?

Ukujova i-Lidocaine kungaba kuphephile kubantu abanezifo zenhliziyo, kodwa kudinga ukuhlolwa ngokucophelela ngumhlinzeki wakho wezempilo. Umuthi ungathinta isigqi senhliziyo, ngakho udokotela wakho uzocabangela isimo sakho senhliziyo esithile futhi angakhetha ifomula ngaphandle kwe-epinephrine.

Uma unezinkinga ezinzima zesigqi senhliziyo noma ukuvinjelwa kwenhliziyo, udokotela wakho angase akhethe i-anesthetic enye noma athathe izinyathelo ezikhethekile ngesikhathi senqubo. Njalo yazisa umhlinzeki wakho wezempilo nganoma yiziphi izimo zenhliziyo ngaphambi kokuthola ukujova i-lidocaine.

Ngingenzani uma ngithola i-Lidocaine eningi ngengozi?

Ukweqisa kwe-Lidocaine akuvamile uma kuphathwa ochwepheshe bezempilo, kodwa uma uhlangabezana nezimpawu ezinjengokugajeka okukhulu, ukudideka, ubunzima bokuphefumula, noma ukushaya kwenhliziyo okungajwayelekile, funa usizo lwezokwelapha ngokushesha. Ungazami ukuzelapha lezi zimpawu wena.

Abahlinzeki bezempilo baqeqeshwe ukubona nokwelapha ubuthi be-lidocaine. Bangase banikeze ukunakekelwa okusekelayo, baqaphe izimpawu zakho ezibalulekile, futhi ezimweni ezinzima, basebenzise imithi ethile ukuze baqede imiphumela. Okubalulekile ukuthola usizo lwezokwelapha ngokushesha.

Kufanele Ngenzeni Uma Umjovo We-Lidocaine Ungasebenzi?

Uma usazizwa ubuhlungu ngemuva kokuthola umjovo we-lidocaine, yazisa umhlinzeki wakho wezempilo ngokushesha. Bangahlola ukuthi ngabe udinga i-anesthetic eyengeziwe noma ngabe kunesinye isizathu sokuthi imithi ingasebenzi kahle.

Ngezinye izikhathi izinto ezinjengokutheleleka, ukuvuvukala, noma ukuhlukahluka komuntu ngamunye ekuphenduleni kungathinta ukuthi i-lidocaine isebenza kahle kangakanani. Udokotela wakho angase adinge ukusebenzisa enye indlela, ukugxila, noma enye i-anesthetic ukuze aqinisekise ukuthi uzizwa ukhululekile ngesikhathi senqubo.

Ngizobuyiselwa nini Ukuzwa Okugcwele Ngemuva Komjovo We-Lidocaine?

Abantu abaningi babuyiselwa ukuzwa okugcwele phakathi kwamahora angu-2 kuya kwangu-6 ngemuva komjovo we-lidocaine, kuye ngomthamo nokuthi ngabe i-epinephrine yayifakiwe yini. Ukuba ndikindiki ngokuvamile kuyaphela kancane kancane, futhi ungase uqaphele ukuzwa ukuluma njengoba ukuzwa kubuya.

Uma usaba nokuba ndikindiki okukhulu ngemuva kwamahora angu-24, xhumana nomhlinzeki wakho wezempilo. Nakuba kungavamile, ukuba ndikindiki isikhathi eside kwesinye isikhathi kungenzeka futhi kufanele kuhlolwe. Ezimweni eziningi, ukuzwa kubuya ngokuphelele ngaphandle kwemiphumela ehlala njalo.

Ngingashayela Ngemuva Kokuthola Umjovo We-Lidocaine?

Ngokuvamile ungaqhubeka nokushayela ngemuva kokuthola umjovo we-lidocaine, njengoba ithinta kuphela indawo ethile futhi ayithinti ukusebenza kwengqondo yakho noma ukuxhumana. Kodwa-ke, lokhu kuncike lapho uthole khona umjovo nokuthi uzizwa kanjani ngemuva kwalokho.

Uma umjovo wawuseduze nobuso bakho noma uma uzizwa unesiyezi noma ukhathele, kuphephe kakhulu ukuthi omunye umuntu akuqhubele ekhaya. Thembela emizweni yakho mayelana nokuthi uzizwa uphephile futhi uqaphile ngokwanele ukushayela, futhi unganqikazi ukucela usizo uma ungaqiniseki.