Yini i-Proparacaine: Ukusetshenziswa, Umthamo, Imiphumela Eceleni nokuningi

I-Proparacaine iyithonsi leso elibangela ukuba singazizwa izinhlungu okwesikhashana elenza ukuthi indawo yeso lakho ingazizwa izinhlungu ngesikhathi sokuhlolwa kwezokwelapha. Cabanga ngayo njengendlela enobumnene yokwenza ukuhlolwa kwamehlo nokwelashwa kube lula ngokuvimba izimpawu zobuhlungu isikhashana.

Lo muthi usebenza ngokushesha futhi uyaphela ngokushesha, okwenza ukuthi ulungele izinqubo ezimfushane zezokwelapha. Udokotela wakho wamehlo uyawusebenzisa ukuqinisekisa ukuthi uzizwa ungakhululekile ngesikhathi sokuhlolwa noma ukwelashwa okungenzeka ukuthi kungadala ukushisa noma ukucasuka.

Yini i-Proparacaine?

I-Proparacaine ingeyeqembu lemithi ebizwa ngokuthi ama-anesthetics asekhanda, okusho ukuthi yenza kuphela indawo lapho isetshenziswe khona ingazizwa izinhlungu. Uma ifakwe esweni lakho, ivimba izimpawu zemizwa ezithwala imiyalezo yobuhlungu ebuchosheni bakho.

Lo muthi uza ngesimo samaconsi esweni futhi wenzelwe ngqo ukusetshenziswa endaweni yeso. Yilokho odokotela abakubiza ngokuthi i-“ester-type” local anesthetic, evame ukusebenza ngokushesha kodwa ayihlali isikhathi eside njengeminye imithi yokubangela ukuba singazizwa izinhlungu.

Ngokuvamile uzohlangana nalo muthi ngesikhathi sokuvakasha kukadokotela wakho wamehlo noma i-ophthalmologist. Isetshenziswe ngokuphepha ekunakekelweni kwamehlo iminyaka eminingi futhi ithathwa njengensimbi ejwayelekile yokwenza izinqubo zamehlo zikhululeke kakhulu.

Isetshenziselwani i-Proparacaine?

I-Proparacaine isiza ukwenza izinqubo ezihlukahlukene zamehlo zingabi nobuhlungu futhi zibekezeleleke kalula. Udokotela wakho uzoyisebenzisa ngaphambi kokuhlola amehlo akho noma enze ukwelashwa okungase kubangele ukungakhululeki.

Nawa amazwi amakhulu lapho udokotela wakho wamehlo angasebenzisa khona i-proparacaine ukukusiza ukuthi uzizwe ukhululekile:

• Ukwala umfutho wamehlo (i-tonometry) ukuhlola i-glaucoma
• Ukususa izinto zangaphandle njengothuli noma izinhlayiya ezincane emehlweni akho
• Ukuthatha amasampula ebusweni bamehlo akho ukuze ahlolwe
• Ukuhlola ngemuva kweso lakho ngamathuluzi akhethekile
• Ukwenza izinqubo ezincane zokuhlinzwa ebusweni bamehlo
• Ukulinganisa noma ukususa amalensi okuxhumana ngesikhathi sokuhlolwa kwezokwelapha

Umuthi wenza lezi zinqubo zikhululeke kakhulu ngokuqeda izindlela zemvelo zokuzivikela ezingakwenza ukhanye noma uhlehle. Lokhu kusiza udokotela wakho ukuthi aqedele ukuhlolwa noma ukwelashwa ngokuphepha nangempumelelo.

Isebenza Kanjani I-Proparacaine?

I-Proparacaine isebenza ngokuvimba okwesikhashana imisele ye-sodium emithanjeni yezinzwa zamehlo akho. Lokhu kuvimbela izimpawu zobuhlungu ukuthi zingahambi emehlweni akho ziye ebuchosheni bakho, okudala umphumela wokuba ndikindiki.

Umuthi uthathwa njenge-anesthetic yendawo enamandla aphakathi nendawo eyenzelwe ukusetshenziswa emehlweni. Iqala ukusebenza ngemizuzwana engama-30 kuya kumzuzu ongu-1 ngemuva kokusetshenziswa futhi ngokuvamile inikeza ukuba ndikindiki imizuzu engaba ngu-10 kuya kwengama-20.

Ngokungafani nama-anesthetics aqinile asetshenziselwa ukuhlinzwa, i-proparacaine inikeza ukuba ndikindiki okwanele ukwenza izinqubo zikhululeke ngaphandle kokubangela imiphumela ende. Lokhu kuyenza ilungele izinqubo zamehlo ezisehhovisi lapho udinga ukubuyela emisebenzini ejwayelekile ngokushesha.

Kufanele Ngiyithathe Kanjani I-Proparacaine?

I-Proparacaine isetshenziswa ngqo emehlweni akho nguchwepheshe wezempilo, ngokuvamile udokotela wamehlo noma abasebenzi bezokwelapha abaqeqeshiwe. Ngeke uthathe lo muthi ekhaya, njengoba usetshenziswa kuphela ezindaweni zezokwelapha.

Ngesikhathi sokuqokwa kwakho, uzocelwa ukuthi ubheke endaweni ethile ngenkathi udokotela efaka amaconsi amabili emehlweni akho. Ungase uzwe umuzwa omfushane, omnene wokushisa oqeda ngokushesha njengoba ukuba ndikindiki kuqala ukusebenza.

Udktela wakho uzolinda umzuzu noma emibili ngemva kokufaka ngaphambi kokuqala inqubo ukuqinisekisa ukuthi umuthi usebenze ngokugcwele. Akukho ukulungiselela okukhethekile okudingekayo ngakho, futhi ungadla futhi uphuze ngokujwayelekile ngaphambi kokuqokwa kwakho.

Kufanele Ngithathe Isikhathi Esingakanani I-Proparacaine?

I-Proparacaine isetshenziswa kuphela ngesikhathi sokuqokwa kwakho kwezokwelapha futhi ayinikezwa ukusetshenziswa ekhaya. Umphumela wokuba ndikindiki uvame ukuhlala imizuzu eyi-10 kuya kwengama-20, okuyisikhathi esanele ngokuvamile udokotela wakho ukuqedela inqubo edingekayo.

Uma kudingeka inqubo ende, udokotela wakho angase afake amanye amathonsi. Kodwa-ke, ukusetshenziswa okuphindaphindiwe kulawulwa ngokucophelela ngoba ukusetshenziswa ngokweqile kungalimaza indawo yamehlo akho.

Uma usuhambile ehhovisi likadokotela, umuthi uzophelelwa yisikhathi ngokwemvelo uwedwa. Akudingeki ukuthi wenze lutho olukhethekile ukuze uluqede ohlelweni lwakho.

Yiziphi Imiphumela Eceleni ye-Proparacaine?

Abantu abaningi bathola kuphela imiphumela emincane, yesikhashana eceleni evela ku-proparacaine. Umuthi uvame ukubekezelelwa kahle uma usetshenziswa ngendlela efanele ochwepheshe bezempilo.

Nawa amanye imiphumela ejwayelekile eceleni ongase uyibone ngesikhathi noma ngemva nje kokuqokwa kwakho:

• Ukushaya okufushane noma ukusha lapho amathonsi efakwa okokuqala
• Ukubona okungacacile okwesikhashana imizuzu embalwa
• Ukubomvu kwamehlo okuncane okushabalala ngokushesha
• Ukuzwela okukhulu ekukhanyeni kuze kube yilapho ukuba ndikindiki kuphela
• Umuzwa wokuthi kukhona okuthile emehlweni akho

Le miphumela ivame ukuba mincane futhi ixazululwe njengoba umuthi uphelelwa yisikhathi. Umbono wakho kufanele ubuyele kokujwayelekile phakathi nemizuzu engama-20 kuya kwengama-30 ngemva kwenqubo.

Nakuba kungavamile, abanye abantu bangase bathole ukusabela okuqaphelekayo okudinga ukunakwa:

• Ubuhlungu obukhulu emehlweni noma ukusha okuba kubi kakhulu kunokuba ngcono
• Ukuvuvukala okukhulu kwelidaka leso noma ngaphandle kweso
• Ukuphuma noma ukukhalela okungavamile emehlweni
• Ushintsho oluqhubekayo ekuboneni ngemuva kokuthi ukuba ndikindiki kufanele ngabe kudlulile
• Izimpawu zokungezwani komzimba nezinto ezithile njengokuqubuka noma ubunzima bokuphefumula

Uma uhlangabezana nanoma yiziphi zalezi zimo ezingathi sína, yazisa udokotela wakho ngokushesha. Bangasiza ekutholeni ukuthi ngabe udinga ukunakekelwa okwengeziwe noma ngabe kufanele ukugweme lo muthi esikhathini esizayo.

Ubani Ongafanele Athathe I-Proparacaine?

I-Proparacaine iphephile kubantu abaningi, kodwa zikhona izimo lapho udokotela wakho angakhetha khona indlela ehlukile. Umlando wakho wezokwelapha usiza ekutholeni ukuthi lo muthi ukufanele yini.

Udokotela wakho uzocophelela kakhulu ekusebenziseni i-proparacaine uma une:

• Ukungezwani okwaziwayo ne-proparacaine noma imithi yokubulala izinzwa efanayo
• Izifo zamehlo zamanje noma ukuvuvukala okusebenzayo esweni lakho
• Ukuhlinzwa kwamehlo kwakamuva noma ukulimala okungakalulami ngokugcwele
• I-dry eye syndrome engathi sína noma ezinye izinkinga zamehlo
• Umlando wokungezwani okungavamile nemithi yokubulala izinzwa

Ukuba nalezi zimo akusho ngaso sonke isikhathi ukuthi awukwazi ukuthola i-proparacaine, kodwa udokotela wakho uzohlola izinzuzo ngokumelene nanoma yiziphi izingozi ezingaba khona. Bangase bakhethe ezinye izindlela noma bathathe izinyathelo ezengeziwe ngesikhathi senqubo yakho.

Qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi oyithathayo, okuhlanganisa namaconsi esweni, njengoba ezinye izinhlanganisela zingase zithinte ukuthi i-anesthetic isebenza kahle kangakanani noma zikhuphule ingozi yemiphumela emibi.

Amagama Omkhiqizo we-Proparacaine

I-Proparacaine iyatholakala ngaphansi kwamagama amaningi omkhiqizo, nakuba uzohlangana nayo njengomuthi ojwayelekile ezindaweni zokunakekelwa kwamehlo. Igama lomkhiqizo elaziwa kakhulu yi-Alcaine, esetshenziswa kakhulu emisebenzini ye-ophthalmology.

Amanye amagama omkhiqizo ahlanganisa i-Ophthaine ne-Ocu-Caine, nakuba lawo engabonakali kangako namuhla. Izikhungo eziningi zokunakekelwa kwamehlo zisebenzisa izinguqulo ezivamile ze-proparacaine, ezisebenza kahle njengezinketho zamagama omkhiqizo.

Kungakhathaliseki igama lomkhiqizo, wonke amathonsi amehlo e-proparacaine asebenza ngendlela efanayo futhi anikeze imiphumela efanayo yokuba ndikindiki. Udokotela wakho uzokhetha ngokusekelwe kulokho okutholakalayo nokufaneleka kakhulu inqubo yakho ethile.

Ezinye izindlela ze-Proparacaine

Amathonsi amaningi amanye amehlo okuba ndikindiki angasetshenziswa esikhundleni se-proparacaine, kuye ngezidingo zakho nesimo sakho sezokwelapha. Udokotela wakho angase akhethe enye indlela uma unezifo ezingapheli noma uma umuthi ohlukile usebenza kangcono ngenqubo yakho ethile.

Ezinye izindlela ezivamile zihlanganisa i-tetracaine, enikeza ukuba ndikindiki okufanayo kodwa kungase kuhlale isikhathi eside kancane. I-Lidocaine ingenye inketho esebenza kahle ezinhlotsheni ezithile zezinqubo zamehlo, nakuba isetshenziswa kaningi ekuhlolweni okujwayelekile.

Kwezinye izinqubo, udokotela wakho angase asebenzise i-oxybuprocaine (benoxinate), ethambekele ekubangeni ukushaya okuncane kokuqala kune-proparacaine. Enye indlela ngayinye inezinzuzo zayo kanye nokucatshangelwa, okuzochazwa udokotela wakho uma ukushintshwa kudingeka.

Ingabe i-Proparacaine ingcono kune-Tetracaine?

Kokubili i-proparacaine ne-tetracaine ziyizinto ezisebenzayo zokuba ndikindiki zezinqubo zamehlo, kodwa ngamunye unamathuba ahlukile. I-Proparacaine ithambekele ekubangeni ukungakhululeki okuncane kokuqala uma isetshenziswa, okwenza kube lula ezigulini eziningi.

I-Tetracaine ingase inikeze ukuba ndikindiki okuhlala isikhathi eside kancane, okungaba usizo ezinqubweni eziyinkimbinkimbi. Kodwa-ke, ivame ukubangela ukushaya okwengeziwe uma isetshenziswa okokuqala, okutholakala ezinye iziguli ezingakhululekile.

Odokotela abaningi bamehlo bakhetha i-proparacaine ezinqubweni ezijwayelekile ngoba ithola ibhalansi enhle phakathi kokusebenza kahle nokunethezeka kwesiguli. Ukukhetha kuvame ukwehla ekuhlangenwe nakho kukadokotela wakho kanye nokusabela kwakho ngakunye emithini ehlukene.

Imibuzo Evame Ukubuzwa Mayelana ne-Proparacaine

Q1. Ingabe i-Proparacaine iphephile ezigulini ze-Glaucoma?

Yebo, i-proparacaine ngokuvamile iphephile kubantu abane-glaucoma futhi empeleni ivame ukusetshenziswa ngesikhathi sokuhlolwa kwe-glaucoma. Umuthi awuthinti kakhulu ingcindezi yamehlo futhi usiza ukwenza izilinganiso zengcindezi zikhululeke kakhulu.

Udokotela wakho wamehlo uzosebenzisa i-proparacaine ngaphambi kokuhlola ingcindezi yamehlo akho ngamathuluzi athinta indawo yamehlo akho. Lokhu kuqinisekisa ukufundwa okunembile ngaphandle kokungakhululeki okungase kukwenze ukhanye noma usuke kude nedivayisi.

Q2. Kufanele ngenzeni uma ngithola i-Proparacaine eningi ngengozi?

Uma ngengozi uthola i-proparacaine eyengeziwe emehlweni akho ngesikhathi senqubo yezokwelapha, ungangeni ekuqhumeni. Umuthi wenzelwe ukusetshenziswa emehlweni, ngakho okuncane okwengeziwe ngokuvamile ngeke kubangele ukulimala.

Ungase uzwe ukuba ndikindiki isikhathi eside kancane noma izinguquko zesikhashana embonweni, kodwa lezi zinto zizophela ngokwemvelo. Uma ukhathazekile nganoma yiziphi izimpawu ezingavamile, tshela udokotela wakho ngokushesha ukuze bakwazi ukuqapha isimo sakho.

Q3. Kufanele ngenzeni uma ukuba ndikindiki kungapheli?

Ukuba ndikindiki okuvela ku-proparacaine kufanele kuphele phakathi kwemizuzu engama-20 kuya kwengama-30 ngemuva kwenqubo yakho. Uma usazizwa ukuba ndikindiki okukhulu ngemuva kwehora elilodwa, xhumana nehhovisi likadokotela wakho wamehlo ukuze uthole isiqondiso.

Ngenkathi ukuba ndikindiki isikhathi eside kungavamile, kubalulekile ukuvikela iso lakho ngenkathi lisaba ndikindiki. Gwema ukukhuhla iso lakho noma ukuliveza ezintweni ezingase zicasule kuze kube yilapho imizwa ejwayelekile ibuyela.

Q4. Ngingashayela nini ngemuva kokuthola i-Proparacaine?

Kufanele ulinde kuze kube yilapho umbono wakho ubuyela kokujwayelekile futhi ukuba ndikindiki kuphela ngaphambi kokushayela. Lokhu kuvamile ukuthatha imizuzu engama-20 kuya kwengama-30, kodwa kungahluka kumuntu nomuntu.

Uma uthole i-proparacaine emehlweni womabili noma uma umbono wakho usabona ngale kwemizuzu engama-30, lungiselela omunye umuntu ukuthi akuqhubele ekhaya. Ukuphepha kwakho nokuphepha kwabanye emgwaqweni kufanele kube yinto eza kuqala ngaso sonke isikhathi.

Q5. Ngingazigqoka yini Izilensi Zokuxhumana Ngemva Kwe-Proparacaine?

Linda kuze kube yilapho ukuba ndikindiki kuphela ngaphambi kokufaka izilensi zokuxhumana. Ngenkathi iso lakho linganambitheki, ungase ungazizwa uma ilensi lingabekiwe kahle noma uma libangela ukucasuka.

Udokotela wakho uzokwazisa ukuthi kuphephile nini ukuqhubeka nokugqoka oxhumana nabo, okuyinto ejwayelekile uma imizwa yakho yamehlo ibuyela kokujwayelekile. Lokhu kusiza ekuvikeleni ukulimala kweso lakho ngengozi ngenkathi linganambitheki.