Ukuphendulela kwezilwanyana kwi-anesthetics yendawo
I-anesthetics yasekhaya, eyaqala ukuqala ngo-1904, isetyenziswa ngokuqhelekileyo ukukhusela intlungu kwindlela yamazinyo kunye nocando. Ziye zisetyenziswe kwifom yejoza ukunyanga nokukhusela iintliziyo ezingenasiphako, kwifom yezobuqhetseba ukuya kunqanda ulusu (ezifana ne- anti-itch creams , njengeLanacane) kunye nomlomo (njenge-Orajel), kunye neeliso lokunyuka kweso.
Imizekelo ye-anesthetics yendawo iquka i-procaine (iNovocaine), i-lidocaine (i-Xylocaine), i-benzocaine, ne-mepivacaine (i-Carbocaine).
Ziziphi iimpawu ezingenzeka ngeempendulo ze-Anesthetic Local?
Uninzi lweempawu, ngenxa yezilwanyana ezingabonakaliyo kunye nezizathu ezingabonakaliyo, zinokubakho ngenxa yokusetyenziswa kwe-anesthetic yangaphakathi. Ezi zimpawu zingabandakanya:
- Ukuxhalabisa
- Ukuqhuma
- Hyperventilation
- Ukukhawuleza kwentliziyo okanye ukuphala
- Ukuvuvukala, ukuvuthwa, okanye imisundu, zombini kwisayithi yejoyi kunye nakwezinye indawo emzimbeni
- Izimpawu ze-anaphylaxis
- Xhumana nodermititis kwisiza sejoyi okanye isicelo
Yintoni Ebangelwa Ukuphendula Kwi-Anesthetics Yendawo?
Ukuphendulela kwi-anesthetics yendawo yinto eqhelekileyo, nangona kungabalulekanga nje ngenxa yeso sizathu . Izibonakaliso ezenzeka emva kokusetyenziswa kwe-anesthetics zendawo zingabangelwa ngenxa yezizathu ezahlukahlukeneyo, kuquka ukuxhalaba, ukuxhatshazwa kwegazi, iziphumo ezinobungozi zesilonda ngokwawo, i- vaso-vagal reaction , kunye neempendulo kwi-epinephrin, edlalwa rhoqo kwiindawo zokuhlola i-anesthetics zendawo. umphumo ophazamisayo uhlala ixesha elide.
Kwakhona kunokwenzeka ukuba umntu abe nempembelelo yokumelana nezilondolozo ezongezelelweyo kwii-anesthetics zendawo.
I-Methylparabens yizona zilondolozo eziqhelekileyo ezidibeneyo kwizibambiso ezininzi zokusetyenziswa kwezixhobo ze-anesthetics zendawo. I-allergies ukuya kwi-methylparaben, ngelixa liqhelekanga, lixhaphake kakhulu kuneyona nto ihamba ngayo kwi-anesthetics yangaphakathi.
Nangona ukunyaniseka okwenyaniso kwi-anesthetics yendawo kungenzeka, baqhelanqqqqqqqqqu nangona uphando olukhulu lwabantu abaye bafumana impendulo embi emva kokusebenzisa la mayeza.
Ukuvavanywa kwesikhumba kubonisa ukuba phantse bonke aba bantu babubonakali ubungqina bokungabikho komzimba kwi-anesthetics yendawo kwaye babekwazi ukunyamezela iilenki ngala mayeza.
Ubunokwenzeka bokuthi i- latex ye-allergies kufanele iqwalaselwe rhoqo xa umntu ephendulela kwi-anesthetics yendawo, enikezelwa ngokusetyenziswa kweegesi ze-latex kwiinkampani zonyango kunye namazinyo. Amanye amayeza asetshenziselwa i-anesthesia yomgulane anokuqulethe i- sulfites , enye into ekhuselekileyo engabangela ukuphendula .
Ekugqibeleni, kunokwenzeka ukuba ufumane uxhumano lwe-dermatitis kwi-anesthetics yendawo. Ukuhlambalaza, ukugqithisa kwe-brittering kungenzeka kwiziko le-injection okanye isicelo se-anesthetic yendawo.
Ziyintoni i-Allergy to Anesthetics Diagnosed?
Ukuvavanywa kwesikhumba kunokuba luncedo ekuphononongweni kweempendulo ezimbi kula mayeza. Iingcali zezilwanyana zineendlela ezahlukileyo zokusondela kumntu onomlando wempendulo engalunganga kwi-anesthetics yendawo. Uninzi luya kwenza uvavanyo lwesikhumba ngeyona njongo yokunika umntu ubuncinane ubuncwane be-anesthetic yendawo engasetyenziswa kwixesha elizayo.
Uninzi lwezilwanyana zezilwanyana ezivivinywayo kunye nolondolozo lwamahhala (i-methylparaben-free), i-anesthetics yangaphandle ye-epinephrine. Ukuba uvavanyo lwesikhumba luyinto engalunganga, koko i-injection (ngaphantsi kwesikhumba) i-injections iya kwenziwa ngumdlali ongu - allergen usebenzisa loo ndlela yokuzibulala.
Oku kuthiwa "ngumngeni", oko kunika umntu umlinganiselo oqhelekileyo weziyobisi abanokuhlangabezana nazo kwiidokotela wamazinyo okanye xa bethotyana. Ukuba umntu uyanyamezela umngeni ojongene nemithi usebenzisa inkunkuma ethile yendawo, kucingwa ukuba umntu unokusebenzisa le nkunkuma ngexesha elizayo.
Ezinye izigulane ziza kuhlola uvavanyo usebenzisa i-anesthetic yendawo eqhelekileyo ekhoyo-i-lidocaine kunye ne-methylparabens. Uninzi lwabantu luya kuzinzima umngeni ngokusebenzisa le fom ye-anesthetic yangaphakathi, ngoko ke yindlela elula kakhulu yokuba umntu anqobe ileyibhile yokuba "i-antiergic kwi-anesthetics yendawo."
Kwiimeko ezingavamile ukuba uvavanyo lwesikhumba luncedo kwi-anesthetic yendawo, ukuphononongwa kwesikhumba ngokuphindaphindiweyo kusetyenziswe i-methylparaben-free formulation okanye enye i-anesthetic yendawo ingenziwa. I-anesthetics yendawo eqhelekileyo ye-lidocaine iquka i-bupivacaine (marcaine), i-mepivacaine, i-prilocaine ne-etidocaine. Kubaluleke kakhulu ukuhlala usebenzisa i-anesthetics yendawo engenayo i-epinephrine yokuvavanywa kwesikhumba kuba ubukho be-epinephrine bungakhokelela kwisiphumo sovavanyo lwesikhumba esingalunganga.
Abanye abantu baya kujonga impendulo kwisayithi yeeyuneration iiyure kwiintsuku emva kokuvavanywa okanye umngeni kunye ne-anesthetic yendawo. Oku kunokubonisa ubungqina be-dermatitis kwi-anesthetics yendawo, eyona nto ifumaneka ngokusetyenziswa kwe- patch test . Ngokuqhelekileyo, abantu abanxibelelana nomdematitis kwenye indawo ye-anesthetic yendawo bayakubekezelela enye inzala ye-anesthetic yendawo.
Uthando olunjani kwi-Anesthetics yasekhaya?
Ukunyangwa kwe-acute reaction to anesthetic yendawo kufana neyendlela yokusabela kuyo nayiphi na isizathu. Ukuba i-anaphylaxis iyenzeka, unyango lunokuquka i-epinephrin injectable kunye ne- antihistamines , kunye nokusetyenziswa kwamanzi okuxhamla kwixinzelelo lwegazi eliphantsi kunye nokutshitshiswa.
Ukuthintela ukuphendula kwexesha elizayo yinto enye ebalulekileyo yonyango. Ukuvavanywa kwesikhumba kwi-anesthhetics yendawo kufuneka ibe phantsi kolawulo lwe-allergenist. Xa kunesicatshulwa esithile esilungelelaniso sekhaya sitholakale sinyanzeliswa ngumntu, kuphela oku kusebenziselwa i-anesthetic yendawo ethile kwixesha elizayo. Kusenokwenzeka ukuba umntu unokufumana impendulo kwi-anesthetic yendawo eyahlukileyo.
> Imithombo:
> Berkun Y, Ben-Zvi A, Levy Y, et al. Ukuphononongwa kweempembelelo ezimbi kwi-Anesthetics yaseNgingqi: Ukufumana amava angama-236. Ann Annistry Asthma Immunol. 2003; 91: 342-5.
> I-Macy E. I-Anesthetic Impendulo engafanelekanga Iimvavanyo: Umsebenzi we-Allergist. Ann Annistry Asthma Immunol. 2003; 91: 319-20 ..
> Gall H, uKaufmann R, uKalveram CM. Impendulo engalunganga kwi-Anesthetics yaseNgingqi: Uhlalutyo lwe-197 Cases. J Allergy Clin Immunol. 1996; 97: 933-7.
> Mellon MH, Schatz M, Patterson R. Drug Allergy. Ku: Lawlor GJ, Fischer TJ, Adelman DC, ii-eds. Umqulu we-Allergia and Immunology. Wesithathu. I-Boston: Ncinane, > iBrown > kunye neCo; 1995: 262-289