Sɛ wo anaa obi a ɔbɛn wo rebɛyɛ oprehyɛn a, ɛyɛ ade a ɛfata sɛ wobɛpɛ sɛ wuhu nnuru a wɔde bɛma wo saa bere no ho asɛm kakra, na ebia wo ho yeraw wo mpo. Wɔ nnuru a wɔde ma bere a wɔde aduru a ɛma obi dwensɔ no mu no, Rocuronium yɛ aduru a ɛho hia yiye. Ne din a wɔde frɛ no no biako ne Zemuron. Enti ɛnnɛ, momma yɛnka nea Rocuronium yɛ, nea ɛyɛ, ne nea ɛsɛ sɛ yehu fa ho no ho asɛm kɛkɛ.
Dɛn ne Rocuronium? Dɛn na ɛyɛ?
Sɛ yɛbɛka no tiawa a, Rocuronium yɛ aduru a ɛma nnompe mu ntini a ɛwɔ wo nipadua mu no dwo bere tiaa bi.
Fa no sɛ, sɛ woreyɛ oprehyɛn a, ɛsɛ sɛ nnuruyɛfo no tumi du akwaa a ɛwɔ wo nipadua mu no ho ntɛm. Ɛno nti, wo ntini ntumi nyɛ den, ɛsɛ sɛ ɛyɛ ahomegye kɛse. Ɛno ne nea Rocuronium boa wɔ ho. Ɛte sɛ nea wo ntini mu yɛ mmerɛw bere tiaa bi. Eyi ma ɛyɛ mmerɛw kɛse ma oduruyɛfo a ɔyɛ oprehyɛn no sɛ ɔbɛyɛ oprehyɛn no a biribiara nsiw no kwan.
Afei nso, ɛtɔ da bi a, sɛ ɛyɛ den ma obi sɛ ɔbɛhome a, ɛsɛ sɛ wɔde no bata afiri (ventilator) ho na ama watumi ahome. Wɔ saa tebea horow no mu no, wɔde saa aduru yi ma ɔhome ntini ahorow no dwo na ɛboa ma afiri no yɛ adwuma yiye.
Dɛn na ɛsɛ sɛ meka kyerɛ oduruyɛfo no ansa na mede saa aduru yi ama no?
Eyi ho hia paa. Ansa na wɔbɛma wo Rocuronium no, ɛho hia sɛ w’aduruyɛfo kuw no hu w’akwahosan tebea no yiye. Eyi te saa efisɛ tebea horow bi hwehwɛ sɛ wɔhwɛ yiye titiriw bere a wɔde aduru yi redi dwuma no. Enti, sɛ wowɔ tebea horow a wɔabobɔ din wɔ ase ha no bi a, hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo.
| Akwahosan tebea horow a ɛsɛ sɛ wobɔ ho amanneɛ | Dɛn nti na ɛho hia? |
|---|---|
| Nsu a ɛho ntew (nsu a enni nipadua no mu) . | Nsu a ɛkari pɛ wɔ nipadua no mu no ka sɛnea aduru no yɛ adwuma yiye. |
| Koma mu yare biara | Saa aduru yi betumi aka koma a ɛbɔ ne mogya mmoroso. |
| Calcium, magnesium, ne potassium dodow a ɛwɔ mogya mu a ɛnteɛ | Saa nnuru yi dodow ne ntini ahorow no dwumadi ne nea aduru no de ba no wɔ abusuabɔ tẽẽ. |
| Asaabo mu yare anaa mmerɛbo mu yare | Esiane sɛ saa akwaa ahorow yi ka ho bi na woyi nnuru fi nipadua no mu nti, wɔn yare tebea betumi asakra sɛnea aduru no yɛ adwuma yiye. |
| Ahurututu mu nyarewa te sɛ ayamtu | Ahwɛyiye titiriw ho hia efisɛ ebetumi aka ɔhome nhyehyɛe no. |
| Myasthenia Gravis (yare bi a ɛma ntini mu yɛ mmerɛw) . | Ebia ayarefo yi ho yɛ den dodo wɔ Rocuronium ho. |
| Rocuronium, bromide, anaa aduru anaa aduan foforo biara ho akisikuru | Eyi ho hia na wɔasiw akisikuru a emu yɛ den (anaphylaxis) ano. |
| Sɛ woanyinsɛn, worebɔ mmɔden sɛ wubenyinsɛn, anaa worema nufu a | Ɛsɛ sɛ oduruyɛfo no susuw nkɛntɛnso a ebetumi aba abofra no so no ho. |
Ɔkwan bɛn so na wɔde Rocuronium aduru no ma?
Saa aduru yi nyɛ biribi a wubetumi de adi dwuma wɔ fie. Wɔde rocuronium ma wɔ ayaresabea anaa ayaresabea nkutoo . Akwahosan ho ɔbenfo a wɔatete no de bɛma wo sɛ nea wɔde bɛhyɛ ntini bi mu anaasɛ wɔde bɛhyɛ wo nipadua mu.
Nnuruyɛfo betumi akyerɛw saa aduru yi ama mmofra nkumaa, mmofra a wɔawo wɔn foforo mpo, wɔ nsɛm titiriw bi mu. Nanso wɔde ahwɛyiye kɛse na ɛyɛ wɔ ɔhwɛ titiriw ase. Wubetumi ne wo mmofra oduruyɛfo akasa afa eyi ho.
Esiane sɛ wɔde saa aduru yi ma wɔ ayaresabea, wɔ aduruyɛfo hwɛ a emu yɛ den ase nti, enhia sɛ wohaw wo ho sɛ wobɛyera dodow bi anaasɛ wobɛnom boro so. Aduruyɛ kuw no bedi biribiara ho dwuma yiye.
Sɛ wuhia tebea bi te sɛ nnubɔne mu awuduru ho nsɛm a, wubetumi afrɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea . Sɛ biribi si ntɛm a, ayaresabea no Emergency Treatment Unit (ETU) no bɛyɛ nneɛma a ɛho hia.
Nnuru afoforo a ebetumi ne saa aduru yi adi nkitaho (Drug Interactions) .
‘Nnuru Nkitahodi’ ne bere a aduru biako a worenom no nya aduru foforo a worenom no mmɔdenbɔ so nkɛntɛnso. Nnuru ahorow pii wɔ hɔ a ebetumi ne Rocuronium adi nkitaho. Enti, ɛho hia paa sɛ wobɛka nnuru a worenom nyinaa ho asɛm kyerɛ wo duruyɛfo.
- Nnuru bi a ekum ɔyare mmoawa: Sɛ nhwɛso no, amikacin, gentamicin, tobramycin, vancomycin, tetracyclines, polymyxins.
- Nnuru bi a wɔde sa tebea horow te sɛ akisikuru (akisikuru): sɛ nhwɛso no, carbamazepine, phenytoin.
- Nnuru afoforo a wɔde yɛ aduru a ɛma obi dwensɔ: Mframa a ɛma obi dwensɔ te sɛ enflurane, isoflurane, halothane.
- Lithium: Aduru a wɔde sa adwenemyare.
- Nnuru a wɔde kum nipadua no wɔ mpɔtam hɔ: te sɛ lidocaine ne tetracaine.
- Magnesium a wɔde yɛ adwuma
- Nnuru afoforo a ɛma ntini mu dwo a wɔde yɛ oprehyɛn
- Procainamide ne Quinidine (nnuru a wɔde sa komayare) .
Saa nsɛm a wɔahyehyɛ yi nyɛ nea edi mũ. Enti, ɛho hia paa sɛ wobɛka nnuru a worenom (wɔakyerɛw ama wo anaa nea wɔmfa nnuru nhyɛ mu), nhabannuru, vitamin, ne nnuru a wɔde ka wo ho a worenom, ne sɛ wonom sigaret, wonom nsa, anaa wode nnuru foforo di dwuma a, ansa na wɔayɛ wo oprehyɛn no ho asɛm kyerɛ wo duruyɛfo.
Nneɛma bɔne a ebetumi afi Rocuronium a wɔnom mu aba
Te sɛ aduru biara no, Rocuronium betumi de ɔhaw ahorow bi aba. Aduruyɛ kuw no bɛhwɛ wo yiye bere a wɔde saa aduru yi rema wo no. Sɛ nneɛma bɔne bi ba a, wɔbɛyɛ ho biribi ntɛm ara. Nanso, ɛho hia sɛ wohu wɔn.
| Nkɛntɛnso a Ɛfa Ho | Nkyerɛmu |
|---|---|
| Nneɛma bɔne a ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ nnuruyɛfo kuw no ntɛm ara | |
| Nneɛma a ɛma obi ho yɛ no hyew a emu yɛ den | Honam ani akisikuru, ɛyaw a emu yɛ den, anim, ano anaa tɛkrɛma a ɛho ahonhon. |
| Ɔhome a ɛyɛ den | Sɛ woamfa mframa afiri a ɛma mframa nkɔ mu a, ɛyɛ den sɛ wobɛhome a. |
| Koma a ɛbɔ ntɛmntɛm (Tachycardia) . | Sɛ wote nka sɛ wo koma rebɔ ntɛmntɛm. |
| Mogya mmoroso a ɛba fam (Hypotension) . | Adwene a ɛyɛ basaa, te nka sɛ ne ti yɛ hare, ne aniwa a ɛyɛ bruu. |
| Ntini a asɛe ho sɛnkyerɛnne | Nsu a ɛyɛ sum, ɛyɛ den sɛ wobɛtow, ɔbrɛ a ɛtra so, ne ɛyaw a ɛba akyi berɛmo mu. |
| Nsunsuanso bɔne a ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo no sɛ ɛkɔ so a | |
| Ntini mu yaw/mmerɛwyɛ | Ntini mu yaw anaa mmerɛwyɛ a ɛkɔ so bere a aduru no nkɛntɛnso asɛe mpo no. |
| Ɛyaw a ɛba baabi a wɔde aduru no guu no | Ɛyaw, kɔkɔɔ, anaa ɔfe wɔ baabi a wɔde aduru no guu no. |
Saa nsɛm a wɔahyehyɛ yi nka nsunsuanso bɔne a ebetumi aba nyinaa ho. Sɛ wuhyia biribi a ɛyɛ soronko ka eyinom ho a, wo ne wo duruyɛfo nka ho asɛm.
Nkrasɛm a Wɔde Kɔ Fie
- Rocuronium yɛ aduru a wɔde ma ntini ahorow no dwo bere tiaa bi bere a wɔreyɛ oprehyɛn ne aduruyɛ mu akwan bi.
- Wɔde eyi ma wɔ ayaresabea tebea mu nkutoo, a oduruyɛfo a wɔatete no na ɔde ma.
- Ɛho hia sɛ wobɔ wo duruyɛfo amanneɛ wɔ aduruyɛ mu tebea foforo biara a wowɔ (titiriw koma, asaabo, mmerɛbo mu yare, akisikuru) ne nnuru afoforo a wonom nyinaa ho ansa na wɔayɛ wo oprehyɛn.
- Sɛ wunya ɔhaw biara a emu yɛ den te sɛ akisikuru ho sɛnkyerɛnne, ahome a ɛyɛ den, anaa koma a ɛbɔ ntɛmntɛm a, bɔ nnuruyɛfo kuw no amanneɛ ntɛm ara.
- Sɛ wowɔ nsɛmmisa bi fa saa aduru yi ho a, ntwentwɛn wo nan ase sɛ wubebisa wo duruyɛfo.
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