Miiri k’a filɛ, opereli fitinin dɔ kɛra i la, i n’a fɔ ɲin bɔli walima farilaji bɔli. O kɔ, dɔgɔtɔrɔ bɛ opereli kɛ yɔrɔ min na, a bɛ o yɔrɔ sɔgɔsɔgɔ ani ka baara kɛ walasa dimi kana kɛ i la, tiɲɛ tɛ? Bi an bɛna kuma fura kɛrɛnkɛrɛnnen dɔ kan min bɛ kɛ o ko suguw la. Nin ye fura ye min ka teli ka di dɔgɔtɔrɔso walima dɔgɔtɔrɔso la, dɔgɔtɔrɔw bɛ min kɛ. O la, a nafa ka bon kosɛbɛ ka an janto o ko la.
Nin anestezi in ye mun ye? (Bupivacaïne; Epinephrine) .
N’an y’a fɔ cogo nɔgɔman na, nin ye sigida lafiyalan ye, o kɔrɔ ye ko a bɛ pikiri kɛ yɔrɔ min na ani a lamini yɔrɔ bɛ sɔgɔsɔgɔ waati dɔɔni, k’a sɔrɔ a ma farikolo bɛɛ sɔgɔsɔgɔ. O kɔrɔ ye ko aw tɛna dimi foyi sɔrɔ.
Nin boloci suguya fila de bɛ yen:
1. Bupivacaine (Bupivacaine) : O de bɛ fari lajɔ, o kɔrɔ ye ko dimi tɛ i la.
2. Epinefirini : O bɛ fara a kan kun fila de kosɔn. Kelen ye ka sɔgɔsɔgɔninjɛ kɛ ka mɛn. Tɔɔ kelen ye ka joli sira misɛnniw gɛrɛgɛrɛ pikiri kɛyɔrɔ la, o bɛ dɔ bɔ joli bɔli la opereli waati.
O la, o fila bɛɛ faralen ɲɔgɔn kan, dɔgɔtɔrɔ bɛ se ka aw furakɛ lafiya la, k’a sɔrɔ a ma dimi foyi lase aw ma.
Fɛn minnu ka kan ka fɔ dɔgɔtɔrɔ ye sani aw ka fura di aw ma
Sani aw ka nin boloci in di aw ma, aw ka dɔgɔtɔrɔ bɛna aw ka kɛnɛyako ɲininka. Nka, ni nin bana ninnu dɔ bɛ aw la, aw ye aw jija ka o fɔ aw ka dɔgɔtɔrɔ ye. O nafa ka bon kosɛbɛ aw ka lakana kama.
- Sukarodunbana walima sukaro hakɛ cayalenba.
- G6PD dɛsɛ : Nin ye bana ye min bɛ sɔrɔ cɛya la, mɔgɔ dɔw bɛ bange ni min ye.
- Dusukunnabana suguya o suguya .
- Tansiyɔn jiginni .
- tansiyɔn jiginni .
- Sugunɛ walima sugunɛbana o bana.
- Fogonfogonlabanaw (i n’a fɔ sɔgɔsɔgɔninjɛ walima Ɲɛgɛnɛsiraw).
- sɔgɔsɔgɔninjɛ bana .
- ni aw kɔnɔma don walima ni aw b' a ɲini ka kɔnɔ ta .
- Ni aw ye sin di denba ye .
- Ni faritanabana bɛ aw la fura in na walima fura wɛrɛ la, dumuni, kalali, walima a tangalan.
Ni aw ka kɛnɛyako tariku dafalen don, a bɛna se ka aw furakɛ ka ɲɛ.
Aw bɛ fura in ta cogo di?
Nin tɛ fura ye aw bɛ se ka taa ni min ye so walima ka a san furafeereso la.
Nin ye boloci ye min bɛ kɛ dɔgɔtɔrɔso la walima dɔgɔtɔrɔso la tuma bɛɛ dɔgɔtɔrɔ ŋana dɔ fɛ walima kɛnɛyabaarakɛla ŋana dɔ fɛ, o la aw man kan ka hami a tali la.
- Denmisɛnw ta la: A bɛ kɛ ko kɛrɛnkɛrɛnnen dɔw la denmisɛnni fitiniw na minnu si tɛmɛna san 12 kan. Nka a bɛ kɛ ni hakilijagabɔba ye ani ni fɛɛrɛ kɛrɛnkɛrɛnnenw ye.
- Mɔgɔkɔrɔbaw ta la: Mɔgɔ minnu si tɛmɛna san 65 kan, olu bɛ se ka fura in nɔ fanga bonya dɔɔni. O la, a ka ca a la dɔgɔtɔrɔ bɛ fura tata hakɛ min di u ma, a bɛ o dɔgɔya.
Ni ne ye fura caman ta do?
Ikomi o bɛ kɛ dɔgɔtɔrɔso la, a tata hakɛ caya kojugu farati ka dɔgɔn kosɛbɛ. Nka, ni o kɛra cogo dɔ la walima ni aw hakili la ko aw ye fura caman ta, aw bɛ dɔgɔtɔrɔso baarakɛlaw ladɔnniya joona. Ni kɔrɔtɔko dɔ kɛra, aw ka kan ka taa furakɛli kɔrɔtɔlen yɔrɔ la (ETU) . Ni aw mago bɛ laadilikanw na baga dɔ kan, aw bɛ se ka jamana ka baga kunnafonidiso wele Kolonbɔ jamana dɔgɔtɔrɔso la walasa ka kunnafoni wɛrɛw sɔrɔ.
Fɛn wɛrɛ minnu bɛ se ka kɛ ni fura in ye (Interactions) .
Ni aw bɛ fura ta bana wɛrɛw kama, a nafa ka bon kosɛbɛ aw ka o fɔ aw ka dɔgɔtɔrɔ ye. Sabula fura dɔw bɛ se ka ɲɔgɔn sɔrɔ ni dimimadafura in ye, ka kɔlɔlɔw lase mɔgɔ ma minnu man ɲi. Tablo min bɛ duguma, o bɛ fura dɔw jira minnu bɛ se ka ɲɔgɔn sɔrɔ o cogo la.
| Dɔrɔgu suguya | Misaliw ni ɲɛfɔliw |
|---|---|
| Dimimadafura ni banakisɛfagalanw | Fura dɔw i n’a fɔ asetaminofɛni, dapsone, ani nitrofurantoïne. |
| Dusukunnabana ni tansiyɔn furaw | Fura suguya minnu bɛ kɛ ka dusukun tantanni ni tansiyɔn kunbɛn. (Misali la: Nitroglycérine) . |
| Fura minnu bɛ kɛ hakili kɛnɛya kama | Fura minnu bɛ kɛ bana dɔw la i n’a fɔ degun ni jɔrɔnanko, kɛrɛnkɛrɛnnenya la MAOI furaw. |
| Fura minnu bɛ kɛ ka kirinni furakɛ | Fura minnu bɛ kɛ i n’a fɔ fenobarbitali ni fenitoyini. |
| Anestezi ni fura wɛrɛw | Anestezi fura wɛrɛ minnu bɛ kɛ opereli senfɛ, olu ye ɔkisizɛni azote ye, ani sigida lafiyalan wɛrɛw i n’a fɔ lidokayini. |
Nin lisi in ma dafa. O la, aw bɛ furaw, witaminiw, furabuluw ani furakisɛw bɛɛ fɔ aw ka dɔgɔtɔrɔ ye. Aw bɛ a fɔ u ye fana ni aw bɛ sigarɛti min walima ni aw bɛ dɔlɔ min.
Fɛn minnu ka kan ka kɔlɔsi fura tali kɔfɛ
Aw kɛlen kɔ ka nin pikiri in kɛ, aw ka kan ka aw janto dɔɔni yɔrɔ la min bɛ sɔgɔsɔgɔ. Ikomi aw tɛ dimi ye, aw bɛ se ka o yɔrɔ jogin k’a sɔrɔ aw ma a dɔn.
Misali la, ni aw ye ɲin bɔ, ni aw ɲinw bɛ dimi, aw ka kan ka aw janto aw kana aw ɲɛda kin walima ka minfɛn sumalenw min fo dimi ka ban pewu. Ani fana, ni joginda dɔ bɛ aw fari la, aw bɛ o yɔrɔ tanga a kana gosi walima ka sɔgɔsɔgɔ.
A kɔlɔlɔ jumɛnw bɛ se ka sɔrɔ?
I n’a fɔ fura tɔw bɛɛ, nin fura in bɛ se ka kɔlɔlɔ lase mɔgɔ dɔw ma. Olu dɔw ye ko juguw ye, dɔw ka ca. A nafa ka bon ka i janto ninnu na.
| Kɔnɔnatumu juguman minnu ka kan ka fɔ dɔgɔtɔrɔ walima dɔgɔtɔrɔso baarakɛla ye joona | |
|---|---|
| Farikoloɲɛnajɛ minnu bɛ mɔgɔ la | Faridimi, nɛ, ɲɛda, dawolo, kan walima dawolo fununi. |
| Yɛlɛma donna dusukun tantanni na | Ni aw bɛ a ye ko aw dusukun bɛ ka wuli joona walima ka kɛ cogo la min tɛ kɛ tuma bɛɛ, ɲɛnamini, disidimi, ninakili gɛlɛya. |
| A bɛ nɔ minnu bila farikolo cɛmancɛ la | Ninakili bεε bε bεn ka bεn Bamako, MaliSuma bεε bε bεn ka bεn Slow ka baara slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow kaSuma bεε bε bεn ka bεn Slow ka baara slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow kaSuma bεε bε bεn ka bεn Slow ka baara slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow kaSuma bεε bε bεn ka bεn Slow ka baara slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow kaSuma bεε bε bεn ka bεn Slow ka baara slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow kaSuma bεε bε bεn ka bεn Slow ka baara slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow kaSuma bεε bε bεn ka bεn Slow ka baara slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow kaSuma bεε bε bεn ka bεn Slow ka baara slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow kaSuma bεε bε bεn ka bεn Absent -mindedness, . ɲaamili. |
| Mɛtimoglobinɛmi (méthémoglobinemie). | Ninakili gɛlɛya; kunkolodimi; dawolo, wuluwulu walima fari jɛman, nɛrɛmuguma walima bulama; sɛgɛn kojugu. |
| Kɔnɔboli | Kɔnɔnatumu barikamaw. |
| Kɔnɔnatumu minnu ka teli ka juguya, nka u ka kan ka fɔ dɔgɔtɔrɔ ye ni u bɛ to sen na | |
| Jɔrɔ walima lafiyabaliya | Jɔrɔnanko kabakoma dɔ sɔrɔli. |
| Sunɔgɔbaliya | Aw bɛ se ka sunɔgɔ dɔɔni. |
| Dusukunnata ni fɔɔnɔ | Kɔnɔdimi, kɔnɔboli, walima fɔɔnɔ. |
Ni aw ye taamasiɲɛ wɛrɛw sɔrɔ minnu tɛ deli ka kɛ, minnu ma fɔ nin lisi in kɔnɔ, aw bɛ kuma aw ka dɔgɔtɔrɔ fɛ o fana kan.
Take-Home cikan
- Bupivakayini (bupivacaine) ; Epinephrine ye sigida lafiyalan pikiri ye min bɛ kɛ dɔgɔtɔrɔ dɔrɔn fɛ dɔgɔtɔrɔso walima dɔgɔtɔrɔso la walasa ka dimi mada.
- Sani aw ka nin boloci in ta, aw bɛ aw ka furakɛli cogoyaw bɛɛ fɔ aw ka dɔgɔtɔrɔ ye (i n’a fɔ sukarodunbana, dusukunnabana) ani aw bɛ fura minnu ta.
- Pikiri kɛlen kɔfɛ, aw bɛ aw jija ka yɔrɔ tanga joginni ma. Ikomi dimi tɛ aw la, aw bɛ se ka aw yɛrɛ jogin k’a sɔrɔ aw ma a dɔn.
- Aw bɛ taa dɔgɔtɔrɔso la joona ni kɔlɔlɔ juguman dɔw bɛ aw la i n’a fɔ ɲɛda fununi, ninakili gɛlɛya, walima disidimi.
- Ni ɲininkali walima haminanko dɔ bɛ aw la fura in kan, aw kana siga abada ka dɔgɔtɔrɔ ɲininka o ko la.
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