Pehea ka lōʻihi o Novocaine?

Anter

• Pehea e hana ai
• Pehea ka lōʻihi o nā hopena o Novocaine?
• Nā kumu e hoʻopili i ka lōʻihi o Novocaine
• Nā pilikia o ka hoʻohana ʻana iā Novocaine
• ʻO ka lawe lawe ʻana

He aha ʻo Novocaine?

ʻO Novocaine, kahi laikini o ka procaine, kahi lāʻau lapaʻau anesthetic kūloko. ʻO kahi anesthetic kūloko kahi lāʻau lapaʻau a i ʻole ʻenehana i hoʻohana ʻia e hoʻopau i kahi ʻāpana kikoʻī o ke kino. ʻAʻole like me ka anesthesia laulā, ʻaʻohe mea anesthetics kūloko e hōʻalo iā ʻoe.

Hiki ke hoʻohana ʻia kahi lāʻau lapaʻau anesthetic kūloko i nā kaʻina hana liʻiliʻi e hiki mai ana:

• he hoʻopiha no ka lua o ka niho
• hemo niho naʻauao
• kahi hana ʻili liʻiliʻi, e like me ka hemo ʻana i ka mole a i ka wart paha
• kekahi ʻano o ka ʻoki ʻana o ka maka, e like me ka hemo ʻana o ka cataract
• kahi biopsy (ke lawe ʻia kahi hāpana o nā kiko mai kahi ʻāpana o kou kino no ka hoʻokolokolo ʻana ma lalo o kahi microscope)

Hoʻomohala ʻia ma 1905, ʻo Novocaine ka mua anesthetic kūloko synthetic i lilo i hoʻohana ākea ma United States. Ma mua o Novocaine, hoʻohana pinepine ʻia ka cocaine ma ke ʻano he anesthetic kūloko. ʻOiai ua hoʻomohala ʻia nā anesthetics kūloko hou hou aku, hoʻohana mau ʻia ʻo Novocaine i kekahi mau manawa i kekahi mau kaʻina hana.

Pehea e hana ai

Hana ʻo Novocaine i ka pale ʻana i nā aʻalolo i kou kino mai ka hoʻouna ʻana i nā hōʻailona ʻeha i kou lolo. Hiki i ke kauka a kauka niho paha ke hoʻohana iā ia e hoʻopau i ka ʻāpana o ke kino a lākou e hana nei no laila ʻaʻole ʻoe e ʻeha i ka wā o ke kaʻina hana.

Pehea ka lōʻihi o nā hopena o Novocaine?

ʻAʻole lōʻihi nā hopena o Novocaine i ke kino. ʻO ka ʻoiaʻiʻo, ʻo Novocaine ka anesthetic injectable pōkole loa. Ma hope o ka injected ʻana o Novocaine, hoʻomaka ʻoe e nū ma hope o 5 a 10 mau minuke. ʻO ka manaʻo numbing mau ka 30 i 60 mau minuke.

ʻOiai ʻo Novocaine kahi manawa pōkole loa o ka hana, hoʻohana pinepine ʻia ia me ka epinephrine (adrenaline) e hoʻolōʻihi iki ai i nā hopena. Inā mālama ʻia ʻo Novocaine me ka epinephrine, 90 mau minuke ka hopena o ka hopena.

Nā kumu e hoʻopili i ka lōʻihi o Novocaine

ʻO ka lōʻihi o ka hopena o nā hopena o Novocaine i ka hopena i lawelawe ʻia e kāu kauka a kauka niho paha. Hoʻololi ka lāʻau ma ke ʻano o ke kaʻina hana āu e loaʻa nei, ka nui o ka wahi e pono ai ka numbed, a me ka helu o nā ʻalolo e pono ke ālai ʻia. Hāʻawi paha kāu kauka iā ʻoe i kahi lāʻau ʻoi aku ke kiʻekiʻe inā makemake lākou e ʻōpala i kahi no kahi manawa lōʻihi e hoʻopau ai i ke kaʻina hana. Hoʻololi iki nā hopena o Novocaine mai kekahi kanaka i kekahi kanaka.

I loko o ke kino, hana ʻia ʻo Novocaine (metabolized) e kahi enzyme i kapa ʻia ʻo pseudocholinesterase. Ma kahi o 1 i kēlā me kēia 5,000 poʻe i loaʻa kahi ʻano genetics i hiki ʻole iā lākou ke haki (hydrolyze) Novocaine a me nā lāʻau like. Kāhea ʻia kēia ʻano he hemahema pseudeocholinesterase. ʻOi aku ka maʻamau i kekahi mau heluna kanaka, e like me ke kaiāulu Iudaio Peresia a me nā ʻōiwi o Alaska. ʻOi aku ka maʻalahi o ka poʻe me kēia hemahema iā Novocaine, a lōʻihi paha ka lōʻihi o nā hopena.

Nā pilikia o ka hoʻohana ʻana iā Novocaine

Manaʻo ʻia ʻo Novocaine he palekana loa. Hiki ke hoʻokahuli i Novocaine, akā e hoʻohana kāu kauka a me kāu kauka niho i nā helu helu akahele e hōʻole ʻole i kēia. ʻO ka hoʻohana ʻana iā Novocaine me ka epinephrine hiki ke kōkua i ka hōʻemi ʻana i ka nui o ka overdose mai ka pono ʻo Novocaine e pono ai e hana i kahi hopena numbing hoʻomau.

Lawe ʻia ʻo Novocaine i loko o ke kino e ka pahu kui, kahi e hōʻoluʻolu ʻole ai ʻeha hoʻi no kekahi poʻe. Hiki paha iā ʻoe ke huhū i ke ahi no kekahi mau kekona ke hoʻopili ʻia ka lāʻau. Ke pau nei nā hopena o Novocaine, ʻike paha ʻoe i kahi ʻano tingling i kahi i ʻino ʻia. ʻEha ʻeha paha ka wahi.

ʻO nā hopena ma Novocaine he ʻoluʻolu loa a hele pinepine aku me ka wikiwiki. Pākuʻi ʻia lākou:

• numbness a i ʻole tingling sensations (e like me nā kui a me nā nila)
• ʻeha poʻo
• ʻūpā
• hiamoe
• ʻili mākala
• ʻeha liʻiliʻi ma ka pūnaewele injection

Hiki ke loaʻa i kahi hopena maʻi kūʻē iā Novocaine, akā he mea maʻamau loa kēia. ʻO nā ʻōuli o ke ʻano ʻino i Novocaine:

• ʻūlili
• hives
• paʻakikī i ka hanu ʻana
• pehu o ka maka a i ʻole nā ​​lima
• nalowale o ka ʻike

ʻO ka lawe lawe ʻana

Hoʻohana nui ʻia ʻo Novocaine no nā kaʻina hana i ʻoi aku ma mua o 90 mau minuke. ʻO kēia no ka mea pōkole nā ​​hopena o Novocaine. ʻO Novocaine ka mea maʻamau ma waena o 30 a 90 mau minuke. Aia ka manawa e pili ana i ke kaʻina hana āu e loaʻa nei a inā e hoʻohana ʻia ka epinephrine me Novocaine.

Eia naʻe, ʻaʻole hoʻohana pinepine ʻia ʻo Novocaine i kēia lā ke hoʻohālikelike ʻia me nā mea anesthetics kūloko. Koho paha kāu kauka a kauka niho paha e hoʻohana i ka lidocaine (Xylocaine). ʻOi aku ka lōʻihi o kēia lāʻau ma mua o Novocaine (ma kahi o 1.5 a 2 mau hola, ke kaukaʻi ʻia inā hoʻohana ʻia ka epinephrine).

Inā he hopohopo a nīnau paha kāu e pili ana i ka anesthetic kūloko i hoʻohana ʻia i ka manawa o kāu kauka a me nā kaʻina hana niho, e nīnau i kāu kauka a kauka niho paha.