Ukungafani phakathi kwamaxesha aqhelekileyo asetyenziswayo
Iindidi ezahlukeneyo zonyango zivame ukusetyenziswa kwiiyure kunye neentsuku emva kokuhlinzwa ukulawula intlungu. Ubunzima bubuhlungu kakhulu kwiiyure ezingama-72 emva kokuhlinzwa, okungaqinisekanga kukuba xa izigulane zinokuthi zifumane ukukhululeka kweentlungu.
Uninzi lwamachiza ekunciphiseni ubuhlungu lunikwe njengepilisi okanye nge-intravenously (nge-IV). Ezi zonyango zingenokuba yi-non-steroidal anti-inflammatory (NSAID) kwintsapho efanayo yeziyobisi njenge-ibuprofen, okanye i-opioid-based narcotic medication, efana ne-morphine.
Ixesha elithi opioid libhekisela kwimvelaphi yonyango kwisityalo se-poppy, apho i-opium itholakala khona. Unokuva iintlobo zonyango ezinokuthiwa yi-analgesics, eli lizwi elisetyenziswe ukuchaza imithi esetyenziselwa ukukhululeka kwentlungu.
Kutheni I-IV Imithi Yokuhlunguphaza Isetyenziswa
Kwiiyure zokuqala emva kokuhlinzwa, isigulane sisenokuba ngaphantsi kwefuthe le-anesthesia, kwaye ayikhuselekile ukuthatha imithi yomlomo de ukuba ivuke ngokwaneleyo ukuba igxume ngaphandle kokukhahlela. Ukuba isigulane siphaphekile kwaye sikwanele ukunyamezela ukusela kwamanzi, amayeza abo aya kufakwa kwipilisi, ngaphandle kokuba intlungu ayilawulwa kakubi ngamayeza omlomo. Ukuba isiguli asikwazi ukuthatha imithi yesifo njengepilisi, okanye ifuna imishanguzo eya kusebenza ngokukhawuleza, iiyeza zonyango ze-IV zinganikwa.
Zininzi iziyeza zentlungu ziyafumaneka njengepilisi okanye i-injection kwi-IV. Ezinye zifumaneka kwisiraphu, isiqendu okanye imithi ebeka phantsi phantsi ngolwimi ukuze lufakwe.
Inzuzo eyintloko kwiimvumba zentlungu ye-IV ngalezi ezinye iindidi zonyango kukuba isebenza ngokukhawuleza ngokukhawuleza, rhoqo kwimimitha kuba ihamba ngqo kwigazi. Emva kokukhutshwa esibhedlele, akunakulungele ukusebenzisa iiyeza zentlungu e-IV, njengoko abaninzi abantu bengabuyi ekhaya kunye ne-IV indawo endaweni, kwaye iipilisi okanye olunye uhlobo lweyeza ezingezizo ii-IV ziya kuthi zibekwe.
ImiSebenzi yeeMvama eziqhelekileyo ze-IV
- I-Toradol (ketorolac): Eli liyeza lisekhaya le-NSAID, kwaye lisetyenziselwa ukunyanga iintlungu ezinzima ukuya kwi-intanethi, nazo zineempembelelo ezichasayo.
- I-Ofirmev (i-acetaminophen): Le nyeza, i-NSAID, ngokuyinqobo i-IV Tylenol. Isetyenziswe njenge-agent eyanciphisa i-fever ekwazi ukunyanga intlungu.
- I-Caldolor (ibuprofen): Eli liyeza, kunye ne-NSAID, ngokoqobo IV Advil. Isetyenziselwa ukunciphisa intlungu enokumodareyitha, ukuvuvukala kwaye inokwazi ukunciphisa umkhuhlane.
- I-Morphine: Intlungu yokuhlakulela i-narcotic, i-morphine isetyenziselwa ukunciphisa intlungu ephakathi. I-Morphine isoloko isetyenziselwa intlungu ebuhlungu kunye nobuhlungu obungapheliyo.
- I-dilaudidi (i-hydromorphone): I-tracotic pain reliever, i-Dilaudid inamandla kakhulu kwaye isetyenziselwa ukuphatha intlungu ebuhlungu emva kokuhlinzwa.
- I-Fentanyl: Eli nyanga liyi-opioid yokwenziwa, oku kuthetha ukuba yenziwe ngumntu kwaye ayizange yenziwe kwintlobo ye-poppy njengeminye imichiza yonyango. Isetyenziswa ukulawula intlungu ebuhlungu emva kokuhlinzwa.
- I-Demerol: Eli nyanga, i-opioid analgesic, ayisasetyenziselwa rhoqo njengoko kwakunjalo ngaphambili. I-Demerol ayinakukwazi ukulawula intlungu kwaye iyakwazi ukudala utywala kunye ne-delerium kunezinye iintlobo zemithi yesifo. Ngamanye amaxesha isetyenzisiwe ngaphandle kwileyibhile (ngaphandle kokusetyenziswa ngokuqhelekileyo) ukunceda ukunciphisa ukuthuthumela kwizigulane ezikhuhliweyo, ngenxa yemfiva okanye isidingo sokuxhomekeka kwimizimba njengonyango, kodwa ayisisetyenziselwa ukulawula intlungu.
Iingozi ZeMpawu zoPhulo lwePilisi
- Iimiphumo ezixhasayo: Ezi mpawu zibala ukusuka kumnene (ukuziva ulele) kunzima (kungaphefumli). Ngenxa yomngcipheko wokuguqulwa, la mayeza akufanele athathwe xa eqhuba imoto. Thatha amachiza enhlungu njengoko uqondiswe ekukhuseleni ukugqithisa ngokungenangqondo.
- Ukutyunjwa : Zonke iidakamizwa, nokuba zinikwe iipilisi okanye ijojo, ziyaziwa ukuba zenze ukuqothulwa. Izigulane ezininzi zithatha isithambisi sotshintsha rhoqo imihla ngemihla ukukhusela ukuxhamla xa uthatha imithi yengxolo.
- Umlutha: Ukusetyenziswa kakubi kunye / okanye ukusetyenziswa kweengxaki zonyango kunokukhokelela ekunyangeni komzimba nangokwengqondo. Ukuxhatshazwa kweentlungu ezidakayo kufuneka kungathathi nantoni kunokuba kuyimfuneko.
- Isihluthulelo / Ukuhluthwa: Abanye abantu abayinyamezeli olu hlobo lonyango kakuhle. Kwabanye, ukusetyenziswa kwangaphambili ngemishanguzo yokuchasana ne-nasusia njengeZofran okanye iPhenergan inokuthintela okanye ukunciphisa le mpawu.
- Ukubamba: Ukunyuka kweentlungu zokudabuka kwamagama kuyaziwa ngokubangela ukuba kubangele. Kwabanye, ukutshintsha kwiinkqubo ezahlukeneyo zentlungu kuza kunceda, abanye badinga unyango olwaziwayo ukunciphisa ukutshaya njengeBenadryl okanye iVistaril.