Yini Ukujova i-Prilocaine: Ukusetshenziswa, Umthamo, Imiphumela Eceleni nokuningi

Ukujova i-Prilocaine yimithi yokubulala izinzwa yasendaweni evimba okwesikhashana izimpawu zemizwa ukuvimbela ubuhlungu ngesikhathi sokwelashwa. Cabanga ngayo njenge-ejenti yokuthulisa izinzwa abahlinzeki bezempilo abayisebenzisayo ukwenza ukwelashwa kube lula kuwe.

Le mithi ingeyeqembu elibizwa ngokuthi ama-amide local anesthetics, okusho ukuthi isebenza ngokuvimbela amaseli emizwa ukuthi angathumeli imiyalezo yobuhlungu ebuchosheni bakho. Ivame ukusetshenziswa emsebenzini wamazinyo, ukuhlinzwa okuncane, nezinye izinqubo lapho udinga khona ukukhululeka kobuhlungu obuqondiwe endaweni ethile.

Yini i-Prilocaine Esetshenziselwa Yona?

Ukujova i-Prilocaine kusebenza njengomuthi wokuthulisa izinzwa wezinqubo ezihlukahlukene zezokwelapha nezamazinyo. Umhlinzeki wakho wezempilo uzoyisebenzisa uma kudingeka avimbele ubuhlungu endaweni ethile yomzimba wakho.

Lo muthi uvame ukusetshenziswa ngesikhathi sezinqubo zamazinyo njengokususa amazinyo, ukugcwaliswa kwemigodi, nokwelashwa kwamagumede. Kuyasiza futhi ezinqubweni zokuhlinzwa ezincane esikhumbeni, njengokususa ukukhula okuncane noma ukuthunga ukusikeka.

Kwezinye izimo, odokotela basebenzisa i-prilocaine ezinqubweni ezikhethekile njengama-nerve blocks, lapho kudingeka bathulise izindawo ezinkulu noma izindlela zemizwa ethile. Odokotela begumbi lezimo eziphuthumayo bangase futhi bayisebenzise lapho belapha amanxeba adinga ukuhlanjululwa noma ukuthungwa.

Isebenza Kanjani i-Prilocaine?

I-Prilocaine isebenza ngokuvimba iziteshi ze-sodium kumaseli akho emizwa, okuwavimbela ukuthi angathumeli izimpawu zobuhlungu ebuchosheni bakho. Ithathwa njenge-anesthetic yasendaweni enamandla aphakathi nendawo, enamandla kunezinye izinketho kodwa ithambile kunezinye.

Lapho umhlinzeki wakho wezempilo ejova i-prilocaine, kuthatha imizuzu engaba ngu-2 kuya ku-4 ukuthi iqale ukusebenza ngempumelelo. Umphumela wokuthulisa izinzwa uvame ukuhlala phakathi kwehora elingu-1 kuya kwamahora ama-3, kuye ngomthamo nokuthi ijelwe kuphi.

Umuthi uhlala endaweni yokujova, okusho ukuthi awuhambi emzimbeni wakho wonke njengoba i-anesthesia ejwayelekile ingenza. Le ndlela eqondiswe ngqo yenza iphephe kakhulu kubantu abaningi futhi ikuvumela ukuthi uhlale uqaphele futhi uqaphile ngesikhathi senqubo yakho.

Kufanele Ngithole Kanjani Umjovo we-Prilocaine?

Umjovo we-Prilocaine unikezwa njalo nguchwepheshe wezempilo oqeqeshiwe endaweni yezokwelapha. Ngeke kudingeke ukuthi ulungiselele lutho olukhethekile ngaphambili, futhi ngokuvamile ungadla futhi uphuze ngokujwayelekile ngaphambi kokuqokwa kwakho.

Umhlinzeki wakho uzohlanza indawo yokujova ngokucophelela futhi angase asebenzise ukhilimu wokuthambisa ngaphandle kuqala ukuze umjovo uqobo ukhululeke kakhulu. Bazosebenzisa inaliti encane ukujova umuthi ngqo esicutshini lapho udinga khona ukuba ndikindiki.

Inqubo yokujova ngokuvamile ithatha imizuzwana embalwa nje, nakuba ungase uzwe ukuchofoza okufushane noma ukusha njengoba umuthi ungena. Lokhu kungakhululeki kuvamile futhi kuyanyamalala ngokushesha njengoba umphumela wokuthambisa uqala.

Kufanele Ngithole Isikhathi Esingakanani I-Prilocaine?

I-Prilocaine ngokuvamile inikezwa njengomjovo owodwa ngaphambi nje kokuthi inqubo yakho iqale. Ngokungafani nemithi oyithatha nsuku zonke, lokhu kuyindlela yokwelapha yesikhathi esisodwa enikeza ukundikindiki kwesikhashana ngesikhathi somsebenzi wakho wezokwelapha noma wamazinyo.

Imiphumela iyaphela ngokwemvelo phakathi kwamahora angu-1 kuya kwangu-3 ngaphandle kokwelashwa okwengeziwe okudingekayo. Akudingeki ukhathazeke ngokuyeka umuthi noma ukuwuyeka kancane kancane, njengoba umzimba wakho uwucubungula ngokuphelele uwedwa.

Uma udinga izinqubo eziningi, umhlinzeki wakho wezempilo uzokunikeza imijovo emisha ngaso sonke isikhathi kunokusebenzisa umthamo owodwa wokwelashwa okuningi.

Yiziphi Imiphumela Eceleni ye-Prilocaine?

Abantu abaningi bayayibekezelela kahle kakhulu i-injection ye-prilocaine, kodwa njenganoma imuphi umuthi, ingabangela eminye imiphumela emibi. Izindaba ezinhle ukuthi ukusabela okukhulu akuvamile uma kusetshenziswa ngendlela efanele ngabachwepheshe abaqeqeshiwe.

Nawa amanye amaphutha avamile ongase uhlangabezane nawo:

• Ukuqaqamba okwesikhashana okuhlala isikhathi eside kunokulindelekile
• Ukuvuvukala okuncane noma ububomvu endaweni yokujova
• Ukulimala okuncane lapho inaliti yangena khona
• Ukunambitheka kwensimbi emlonyeni wakho
• Isiyezi noma ukukhathala

Le miphumela ivamise ukuba mncane futhi izixazululela yona emva kwamahora ambalwa. Ukuqaqamba okuhlala isikhathi eside ngezinye izikhathi kungenza kube nzima ukudla noma ukukhuluma kahle, ngakho qaphela lapho uphuza iziphuzo ezishisayo noma uhlafuna ukudla.

Ezinye izinto ezingavamile kodwa ezingathi sína zingenzeka, nakuba zingavamile:

• Ukungezwani okukhulu okunzima ukuphefumula noma ukuvuvukala
• Ukushaya kwenhliziyo okungajwayelekile noma ubuhlungu besifuba
• Ukushaywa yisithuthwane noma ukudideka
• Isiyezi esikhulu noma ukuquleka
• Izindebe noma izinzipho eziluhlaza okwesibhakabhaka (isimo esingavamile esibizwa ngokuthi i-methemoglobinemia)

Uma uhlangabezana nanoma yiziphi izimpawu ezinzima, funa ukunakekelwa kwezempilo ngokushesha. Ithimba lakho lezempilo liqeqeshwe ukubona nokwelapha lezi zinkinga ezingavamile ngokushesha.

Ubani Ongafanele Athole I-Prilocaine?

Ngenkathi i-prilocaine iphephile kubantu abaningi, abanye abantu kufanele bayigweme noma bayisebenzise ngokuqapha okwengeziwe. Umhlinzeki wakho wezempilo uzobuyekeza umlando wakho wezokwelapha ngaphambi kokukunika lo muthi.

Kufanele wazise umhlinzeki wakho uma unanoma yiziphi zalezi zimo:

• Ukungezwani okwaziwayo ne-prilocaine noma ezinye izidakamizwa zendawo
• Izinkinga zesigqi senhliziyo noma isifo senhliziyo esibi
• Isifo sesibindi noma ukusebenza kwesibindi okuncishisiwe
• Isimo esingavamile sezakhi zofuzo esibizwa ngokuthi ukuntula kwe-glucose-6-phosphate dehydrogenase (G6PD).
• I-Methemoglobinemia (isifo segazi)

Abesifazane abakhulelwe nabancelisayo ngokuvamile bangathola i-prilocaine ngokuphepha, kodwa umhlinzeki wakho uzohlola izinzuzo ngokumelene nanoma yiziphi izingozi ezingaba khona. Izingane kanye nabantu abadala bangase badinge imithamo elungisiwe ngokusekelwe eminyakeni yabo kanye nempilo yonke.

Njalo tshela umhlinzeki wakho wezempilo ngayo yonke imithi oyithathayo, okuhlanganisa nemithi etholakala ngaphandle kwemvume kadokotela kanye nezithasiselo, njengoba ezinye zingase zisebenzisane ne-prilocaine.

Amagama Omkhiqizo we-Prilocaine

Umjovo we-Prilocaine uyatholakala ngaphansi kwamagama amaningi omkhiqizo, nakuba izikhungo eziningi zezempilo zisebenzisa inguqulo ejwayelekile. Igama lomkhiqizo elivame kakhulu yi-Citanest, esetshenziswa kabanzi emazinyweni nasezindaweni zezokwelapha.

Ungase futhi uhlangane ne-prilocaine ehlanganiswe nezinye izidakamizwa zokubulala izinzwa emikhiqizweni efana ne-EMLA cream, nakuba lokhu kuyindlela ehlukile esetshenziswa ebusweni besikhumba kunokuba kube umjovo. Umhlinzeki wakho wezempilo uzokhetha inketho efanele kakhulu inqubo yakho ethile.

Inguqulo ejwayelekile isebenza ngempumelelo njengezinketho zegama lomkhiqizo, ngakho-ke ungakhathazeki uma umhlinzeki wakho esebenzisa enye. Zombili ziqukethe isithako esifanayo esisebenzayo futhi zinikeza izinzuzo ezifanayo zokuba ndikindiki.

Ezinye izindlela ze-Prilocaine

Ezinye izidakamizwa eziningi zokubulala izinzwa zendawo zingahlinzeka ngemiphumela efanayo yokuba ndikindiki uma i-prilocaine ingakulungele. Umhlinzeki wakho wezempilo angase akhethe enye indlela esekelwe emlandweni wakho wezokwelapha, uhlobo lwenqubo, noma ukuthi ukuba ndikindiki kudingeka isikhathi esingakanani.

Ezinye izindlela ezivamile zihlanganisa i-lidocaine, esebenza ngokushesha kancane kodwa ayihlali isikhathi eside, kanye ne-bupivacaine, enikeza ukuba ndikindiki okuhlala isikhathi eside kodwa kuthatha isikhathi esiningi ukuqala ukusebenza. I-Mepivacaine enye inketho efana ne-prilocaine kokubili ekuqaleni nasekuqhubekeni.

Ngayinye enye indlela inezinzuzo zayo kanye nokucatshangelwa kwayo, ngakho-ke themba umhlinzeki wakho wezempilo ukuthi akhethe inketho engcono kakhulu esimweni sakho esithile. Bazocabangela izici ezinjengomlando wakho wezokwelapha, ubude benqubo, nanoma yikuphi ukungezwani komzimba okungenzeka ube nakho.

Ingabe i-Prilocaine ingcono kune-Lidocaine?

Kokubili i-prilocaine ne-lidocaine zingama-anesthetic endawo amahle kakhulu, kodwa zinezici ezihlukile kancane ezenza ngasinye sifaneleke kangcono ezimweni ezithile. Akukho noyedwa 'ongcono' kunomunye.

I-Prilocaine ivame ukuhlala isikhathi eside kune-lidocaine, okuyenza ilungele izinqubo ezithatha isikhathi eside ukuqedwa. Futhi ibangela ukunwetshwa okuncane kwemithambo yegazi, okungasiza ezindaweni lapho ukulawulwa kokopha kubalulekile.

I-Lidocaine isebenza ngokushesha kune-prilocaine, iqala ukuba ndikindiki ngemizuzu engu-1 kuya kwengu-2 uma iqhathaniswa nemizuzu engu-2 kuya kwengu-4 ye-prilocaine. Kodwa-ke, imiphumela ye-lidocaine ivamise ukunyamalala ngokushesha, ngokuvamile kungakapheli ihora elingu-1 kuya kwangu-2.

Umhlinzeki wakho wezempilo uzokhetha ngokusekelwe ezidingweni zakho ezithile, uhlobo lwenqubo, kanye nomlando wakho wezokwelapha. Zombili lezi zithako zinezici zokuphepha ezinhle kakhulu uma zisetshenziswa ngendlela efanele.

Imibuzo Evame Ukubuzwa Mayelana ne-Prilocaine

Ingabe i-Prilocaine iphephile ezigulini zenhliziyo?

I-Prilocaine ingaphepha ezigulini eziningi zenhliziyo, kodwa idinga ukucatshangelwa ngokucophelela ngumhlinzeki wakho wezempilo. Umuthi ungathinta ukushaya kwenhliziyo ezimweni ezingavamile, ngakho udokotela wakho uzobuyekeza isimo sakho senhliziyo ngaphambi kokuqhubeka.

Uma unesifo senhliziyo esilawulwa kahle, umhlinzeki wakho angasebenzisa umthamo omncane noma akhethe enye i-anesthetic ngokuphelele. Njalo yazisa ithimba lakho lezempilo mayelana nanoma yimiphi imithi yenhliziyo oyithathayo, njengoba eminye ingasebenzisana nama-anesthetic endawo.

Ngingenzani uma ngithola i-Prilocaine eningi ngengozi?

Ukweqisa kwe-Prilocaine akuvamile kakhulu ngoba ochwepheshe bezempilo babala ngokucophelela futhi banikeze imithamo. Kodwa-ke, uma uhlangabezana nezimpawu ezinjengokugidagida okukhulu, ubunzima bokuphefumula, noma ukushaya kwenhliziyo okungavamile, yazisa ithimba lakho lezempilo ngokushesha.

Iqembu lakho lezokwelapha liqeqeshwe ukubona nokwelapha noma yiziphi izinkinga ezivela ku-prilocaine engaphezu kwemithamo. Banemithi nemishini etholakalayo kalula ukuphatha lezi zimo ezingavamile ngokuphepha nangempumelelo.

Kuthatha Isikhathi Esingakanani Ukuba Ubuvila Buka-Prilocaine Buhlale?

Ubuvila buka-Prilocaine ngokuvamile buhlala phakathi kwehora elingu-1 kuya kwamahora ama-3, nakuba lokhu kungahluka ngokuya ngomthamo, indawo yokujova, nokuphendula kwakho komuntu siqu emuthini. Ubuvila buzonyamalala kancane kancane njengoba umzimba wakho usebenza ngemithi yokubulala izinzwa.

Ngesikhathi ulinde ukuthi ubuvila buphele, qaphela lapho udla, uphuza, noma uthinta indawo ebuhlayo. Ungase ulume ulimi lwakho noma isihlathi ngengozi ngaphandle kokukuqaphela, ngakho-ke namathela ekudleni okuthambile naseziphuzweni ezifudumele.

Ngingadla Nini Ngemva Kokuthola I-Prilocaine?

Ungadla uma ubuvila sebuqedwe ngokuphelele, okuthatha amahora angu-1 kuya kwangu-3 ngemva kwenqubo yakho. Ukudla ngenkathi usahlayile kwandisa ingozi yakho yokuluma ulimi lwakho, isihlathi, noma umlomo ngengozi.

Hlola umuzwa emlonyeni wakho ngokuthinta ngobumnene indawo ebuhlayo ngaphambili ngolimi lwakho. Uma usuzwa umuzwa ojwayelekile ubuyela, kuphephile ukudla ukudla okuvamile futhi.

Ngingashayela Ngemva Kokuthola Umjovo We-Prilocaine?

Abantu abaningi bangashayela ngokuphepha ngemva kokuthola umjovo we-prilocaine, njengoba ngokuvamile akubangeli ukozela noma ukuphazamisa ukusebenza kwengqondo yakho. Kodwa-ke, uma uzizwa unesiyezi noma unomuzwa wokukhanya ekhanda, kungcono ukuba omunye umuntu akuqhubele ekhaya.

Isinqumo sincike ekutheni uzizwa kanjani ngemva kwenqubo yakho nokuthi ngabe uthole eminye imithi. Uma ungaqiniseki ngamandla akho okushayela ngokuphepha, cela umhlinzeki wakho wezempilo isiqondiso noma ulungiselele ezinye izindlela zokuthutha.