Ihlala Isikhathi Eside Kangakanani I-Novocaine?

-Delile

• Isebenza kanjani
• Ihlala isikhathi esingakanani imiphumela yeNovocaine?
• Izici ezithinta ukuthi i-Novocaine ihlala isikhathi esingakanani
• Izingozi zokusebenzisa iNovocaine
• Ukuthatha

Yini i-Novocaine?

INovocaine, uhlobo lwe-procaine, isidakamizwa sendawo sokubulala izinzwa. I-anesthetic yendawo umuthi noma inqubo esetshenziselwa ukuqaqamba ingxenye ethile yomzimba. Ngokungafani ne-anesthesia ejwayelekile, i-anesthetics yendawo ayikwenzi ulahlekelwe ukwazi.

Umuthi wasendaweni wokubulala izinzwa ungasetshenziswa phakathi kwezinqubo ezincane ezilandelayo:

• ukugcwaliswa komgodi wamazinyo
• ukuhlakanipha ukususwa kwamazinyo
• inqubo yesikhumba encane, njengokukhipha imvukuzane noma insumpa
• izinhlobo ezithile zokuhlinzwa kwamehlo, njengokukhishwa kwe-cataract
• i-biopsy (lapho isampula lezicubu likhishwa engxenyeni yomzimba wakho ukuze lihlolwe ngaphansi kwesibonakhulu)

Ithuthukiswe ngo-1905, iNovocaine yaba yi-anesthetic yendawo yokuqala yokusetshenziswa kakhulu e-United States. Ngaphambi kukaNovocaine, i-cocaine yayivame ukusetshenziswa emtholampilo njenge-anesthetic yendawo. Ngenkathi ama-anesthetics amaningi endawo esanda kwenziwa, iNovocaine isasetshenziswa kwesinye isikhathi phakathi kwezinqubo ezithile.

Isebenza kanjani

INovocaine isebenza ngokuvimba izinzwa emzimbeni wakho ekuthumeleni amasiginali ezinhlungu ebuchosheni bakho. Udokotela noma udokotela wamazinyo angayisebenzisa ukunqikaza ingxenye yomzimba abasebenza kuyo ukuze ungezwa buhlungu ngesikhathi senqubo.

Ihlala isikhathi esingakanani imiphumela yeNovocaine?

Imiphumela yeNovocaine imvamisa ayihlali isikhathi eside emzimbeni. Eqinisweni, iNovocaine iyinhlangano yokubulala izinzwa ejojelwa emfushane kunazo zonke. Ngemuva kokujovwa kweNovocaine, uzoqala ukuzizwa undikindiki ngemuva kwemizuzu emi-5 kuya kwengu-10. Imizwa yokundikindiki ihlala imizuzu engama-30 kuye kwengama-60.

Njengoba iNovocaine ngokwayo inesikhathi esifushane kakhulu sokusebenza, ijwayele ukusetshenziswa ngokuhlangana ne-epinephrine (adrenaline) ukwenza imiphumela ihlale isikhashana. Uma i-Novocaine iphathwa nge-epinephrine, imiphumela ihlala cishe imizuzu engama-90.

Izici ezithinta ukuthi i-Novocaine ihlala isikhathi esingakanani

Impela ukuthi imiphumela yeNovocaine ihlale isikhathi eside kangakanani futhi kuya ngomthamo ophethwe ngudokotela noma udokotela wamazinyo. Umthamo uyehluka ngohlobo lwenqubo onayo, ubukhulu bendawo okudingeka ukuthi benziwe izinzwa, kanye nenani lezinzwa ezidinga ukuvinjwa. Udokotela wakho futhi angakunikeza umthamo ophakeme uma efisa ukugcwala indawo isikhathi eside ukuze uqedele inqubo. Imiphumela yeNovocaine nayo yehluka kancane kumuntu nomuntu.

Emzimbeni, iNovocaine iyacutshungulwa (ihlanganiswe umzimba) ne-enzyme eyaziwa ngokuthi i-pseudocholinesterase. Cishe umuntu oyedwa kwabangu-5 000 unesimo sofuzo esibenza bangakwazi ukwephula (i-hydrolyze) iNovocaine nemithi efanayo. Lesi simo sibizwa ngokushoda kwepseudeocholinesterase. Kuvame kakhulu kubantu abathile, kufaka phakathi umphakathi wamaPheresiya wamaJuda nama-Alaska Natives. Abantu abanale nkinga bazwela kakhulu kwiNovocaine, futhi imiphumela yayo ingahlala isikhathi eside kakhulu.

Izingozi zokusebenzisa iNovocaine

INovocaine ibhekwa njengephephe kakhulu. Kungenzeka ukweqisa ngokweqile ku-Novocaine, kodwa udokotela nodokotela wakho wamazinyo bazosebenzisa izibalo eziqikelelwayo ukuqinisekisa ukuthi lokhu akwenzeki. Sebenzisa i-Novocaine kanye ne-epinephrine nakho kungasiza ekwehliseni amathuba okweqisa ngokweqile ngoba kuyadingeka i-Novocaine encane ukukhiqiza umphumela wokuqina wokuqina.

INovocaine ifakwa emzimbeni ngomjovo, okungaba okungathandeki noma okubuhlungu kwabanye abantu. Ungazizwa ushisa okwemizuzwana embalwa njengoba umuthi ujovwa. Njengoba imiphumela yeNovocaine iphela, ungazizwa unomsindo endaweni lapho wafakwa khona. Indawo nayo ingazizwa ibuhlungu.

Imiphumela emibi evela kuNovocaine imvama imnene kakhulu futhi imane isuke ngokushesha. Zingafaka:

• ukuphazamiseka noma ukuzwa ukuzwa (njengezikhonkwane nezinaliti)
• ikhanda
• isiyezi
• ukozela
• imisipha eshwibayo
• ubuhlungu obuncane endaweni yomjovo

Kungenzeka ukuthi kube nokungezwani komzimba neNovocaine, kepha lokhu akuvamile kakhulu. Izimpawu zokuphendula okweqile ku-Novocaine zifaka:

• ukulunywa
• isifuba
• ukuphefumula kanzima
• ukuvuvukala kobuso noma izandla
• ukulahlekelwa ukwazi

Ukuthatha

INovocaine isetshenziselwa izinqubo ezihlala ngaphansi kwemizuzu engama-90. Lokhu kungenxa yokuthi imiphumela yeNovocaine ihlala isikhashana. INovocaine iyohlala phakathi kwemizuzu engama-30 nengama-90. Isikhathi esihlala ngaso sincike kwinqubo onayo nokuthi i-epinephrine isetshenziswa yini neNovocaine.

Kodwa-ke, iNovocaine ayisetshenziswa kaningi namuhla uma iqhathaniswa namanye ama-anesthetics endawo. Udokotela wakho noma udokotela wamazinyo angakhetha ukusebenzisa i-lidocaine (i-Xylocaine). Lesi sidakamizwa sivame ukuhlala isikhathi eside kune-Novocaine (cishe amahora angu-1.5 kuya kwangu-2, kuya ngokuthi i-epinephrine isetshenziswa noma cha).

Uma unanoma ikuphi ukukhathazeka noma imibuzo mayelana ne-anesthetic yendawo esetshenziswe ngesikhathi senqubo yakho yezokwelapha noma yamazinyo, buza udokotela wakho noma udokotela wamazinyo.