Zomwe zimachititsa kuti anthu asagwiritse ntchito mankhwala osokoneza bongo
Mankhwala opatsirana am'deralo, omwe anayamba kumangidwa mu 1904, amagwiritsidwa ntchito popewera kupweteka kwa mano ndi opaleshoni. Amagwiritsidwanso ntchito popanga jekeseni kuti asamalidwe ndi kupeweratu zipsinjo za mtima, mu mawonekedwe apamwamba kuti asokoneze khungu (monga mitundu yambiri yotsutsa , monga Lanacane) ndi pakamwa (monga Orajel), ndi m'maso mwa diso la opaleshoni.
Zitsanzo za anesthetics kumaloko ndi procaine (Novocaine), lidocaine (Xylocaine), benzocaine, ndi mepivacaine (Carbocaine).
Ndi Zizindikiro Ziti Zingachitike ndi Zochitika Zakale Zam'mimba?
Zizindikiro zambiri, chifukwa cha mankhwala osokoneza bongo komanso osayanjanitsika, zikhoza kuchitika chifukwa cha kugwiritsira ntchito mankhwala osokoneza bongo. Zizindikiro izi zingaphatikizepo izi:
- Nkhawa
- Flushing
- Hyperventilation
- Kuthamanga kwa mtima mwamsanga kapena mapiritsi
- Kutupa, kuyabwa, kapena ming'oma, zonse pa malo a jekeseni ndi kwina kulikonse thupi
- Zizindikiro za anaphylaxis
- Lumikizani dermatitis pamalo a jekeseni kapena ntchito
N'chiyani Chimachititsa Kuti Anthu Azivutika Kwambiri Ndi Amuna Ambiri?
Zomwe zimachitika kwa anesthetics zowonongeka zimakhala zachilendo, ngakhale zimakhala zosawerengeka chifukwa cha zomwe zimayambitsa . Zizindikiro zochitika pambuyo pogwiritsidwa ntchito kwa anesthetics kumalo angakhale chifukwa cha zifukwa zosiyanasiyana, kuphatikizapo nkhawa, hyperventilation, zotsatira zoopsa za mankhwala enieni, vaso-vagal zomwe zimachitika , komanso zomwe zimachitika ku epinephrine, zomwe kawirikawiri zimaphatikizidwanso ndi anesthetics kuti apange zotsatira zopweteka zimatha nthawi yayitali.
N'zotheka kuti munthu awonongeke kwa mankhwala osungirako mankhwala omwe akuwonjezeredwa ku anesthetics akumeneko.
Methylparabens ndiwo omwe amadziwika bwino kwambiri omwe amagwiritsidwa ntchito kumagwiritsidwe ntchito kosiyanasiyana a antiesthetics. Kuthamanga kwa methylparaben, pamene sikunali kozolowereka, ndizofala kwambiri kuposa zowona zowopsa kwa anesthetics komweko.
Ngakhale kuti chifuwa chenicheni cha mankhwala am'deralo chikhoza kuchitika, ndizosawerengeka kwambiri ngakhale kuti pali ziphunzitso zambiri za anthu omwe adakumana ndi mavutowa atagwiritsa ntchito mankhwalawa.
Kuyeza kwa khungu kunawonetsa kuti pafupifupi anthu onsewa sanasonyeze umboni wotsutsana ndi mankhwala am'deralo ndipo amatha kulekerera jekeseni ndi mankhwalawa.
Zomwe zimachitika kuti nthawi yambiri ikhale yochepetsetsa , nthawi zonse ziyenera kuganiziridwa ngati munthu atha kugwiritsira ntchito mankhwala opatsirana pogonana, pogwiritsa ntchito magulu a latex m'mafakitale ndi zamano. Mankhwala ena omwe amagwiritsidwa ntchito m'kati mwa anesthesia a msana amakhala ndi sulfites , yodzitetezera ina yomwe ingayambitse matenda .
Pomalizira, n'zotheka kuti mukumane ndi matenda otsekemera kwa anesthetics. Kuthamanga, kuthamanga kwa phokoso kumachitika pa siteti ya jekeseni kapena kugwiritsa ntchito mankhwala operewera.
Kodi Kupatsirana Kwachilendo kwa Anesthetics Kwambiri Kumapezeka Bwanji?
Kuyezetsa khungu kungakhale kothandiza poyesa kutsutsidwa kwa mankhwalawa. Ogwiritsira ntchito njira zosiyana siyana ali ndi njira zosiyanasiyana zofikira munthu yemwe ali ndi mbiri ya zovuta zowonongeka kwa anesthetics. Ambiri adzachita kuyesedwa khungu ndi cholinga chachikulu chopatsa munthu mankhwala osachepera amodzi omwe angagwiritsidwe ntchito m'tsogolomu.
Matenda ambiri a khungu la khungu lokhala ndi khungu lokhala osasamala (methylparaben-free), mankhwala osokoneza bongo a epinephrine opanda pakhomo. Ngati kuyesedwa khungu kulibe, ndiye kuti jekeseni (pansi pa khungu) pansi pa khungu lidzachitidwa ndi wotsutsa ntchito pogwiritsa ntchito mankhwalawa.
Izi zimatchedwa "vuto", zomwe zimapatsa munthu mankhwala omwe angakumane nawo kwa madokotala kapena pamene akuchitidwa opaleshoni yaying'ono. Ngati munthu akulekerera vuto lomwe likuyang'aniridwa ndi mankhwala pogwiritsa ntchito mankhwala osokoneza bongo, amalingalira kuti munthuyo akhoza kugwiritsa ntchito mankhwalawa mtsogolo.
Zina zowononga ziweto zikhoza kuyesa khungu pogwiritsa ntchito mankhwala omwe amapezeka m'madera ambiri omwe alipo - lidocaine ndi methylparabens. Anthu ambiri amalephera kuthana ndi vutoli pogwiritsa ntchito mawonekedwe am'derali, choncho ndi njira yosavuta kuti munthu agonjetse chizindikiro chokhala "wotsutsana ndi mankhwala am'deralo."
Mkhalidwe wosazolowereka kuti khungu lachikopa limakhala lolimbikitsa ku thupi lopweteketsa, kumayesanso khungu mobwerezabwereza pogwiritsa ntchito mankhwala a methylparaben kapena mankhwala ena am'deralo. Mankhwala osokoneza bongo omwe amapezeka m'deralo a lidocaine ndi bupivacaine (marcaine), mepivacaine, prilocaine, ndi etidocaine. Ndikofunika kwambiri kugwiritsa ntchito mankhwala osokoneza bongo omwe alibe epinephrine pofuna kuyezetsa khungu chifukwa kupezeka kwa epinephrine kungapangitse zotsatira zowononga khungu.
Anthu ena amadziwa zomwe zimachitika pa tsamba la jekeseni kwa masiku angapo atayesedwa kapena kutsutsidwa ndi kuchepetsa thupi. Izi zikhoza kusonyeza kukhalapo kwa dermatitis kukhudzana ndi anesthetics kumidzi, yomwe imapezeka bwino pogwiritsa ntchito kuyesera kwa patch . Kawirikawiri, anthu okhala ndi dermatitis kumalo amodzi amatsitsimutso am'deralo amalekerera chilakolako china chakumidzi.
Kodi Kupatsirana Kwachilendo kwa Anesthetics Kwawo Kumaphatikizidwa Bwanji?
Chithandizo cha mankhwala omwe amachititsa kuti thupi lawo likhale lopweteketsa ndi lofanana ndi lachithupi china. Ngati anaphylaxis imapezeka, mankhwala angaphatikizepo jekeseni epinephrine ndi antihistamines , komanso kugwiritsira ntchito madzi amtundu wambiri chifukwa cha kuthamanga kwa magazi komanso mantha.
Kupewa zochitika zamtsogolo ndi mbali ina yofunikira ya chithandizo. Kuyezetsa khungu kwa anesthetics kumaloko ayenera kukhala pansi pa chitsogozo cha wotsutsa. Kamodzi kake kachitidwe ka anesthetic kamene kamapezeka kuti kakulekerera ndi munthuyo, kokha mankhwalawa amatha kugwiritsidwa ntchito m'tsogolomu. Ndikotheka kuti munthuyo akhoza kuchitapo kanthu ndi mankhwala osiyana siyana am'deralo.
> Zotsatira:
> Berkun Y, Ben-Zvi A, Levy Y, et al. Kuwona Zotsatira Zowopsya Kwa Anesthetics Kumidzi: Zochitika ndi Odwala 236. Ann Zozizira Nthenda Immunol. 2003; 91: 342-5.
> Macy E. Anesthetic Zotsatira Zolakwika Zofunika: Udindo wa Wosegistanti. Ann Zozizira Nthenda Immunol. 2003; 91: 319-20 ..
> Gall H, Kaufmann R, Kalveram CM. Zotsatira Zoipa Kwa Anesthetics Kumidzi: Kufufuza kwa Milandu 197. J Zachilombo Zamtundu wa Immunol. 1996; 97: 933-7.
> Mellon MH, Schatz M, Patterson R. Drug Zozizira. Mu: Lawlor GJ, Fischer TJ, Adelman DC, eds. Manual of Allergy ndi Immunology. 3rd ed. Boston: Little, > Brown > ndi Co 1995: 262-289