Xav txog tias koj lossis ib tug neeg ze koj yuav raug phais. Los yog koj yuav nyob hauv chav saib xyuas mob hnyav (ICU) vim muaj mob. Hauv cov xwm txheej zoo li no, koj yuav tau hnov tias cov kws kho mob tau sau tshuaj "tshuaj so cov leeg". Atracurium yog ib yam tshuaj tshwj xeeb uas siv rau hauv cov xwm txheej zoo li no. Qhov no tsis yog tshuaj uas koj tuaj yeem yuav los ntawm lub tsev muag tshuaj. Qhov no yog ib qho tshuaj txhaj uas tsuas yog muab rau hauv tsev kho mob, nyob rau hauv kev saib xyuas ntawm cov kws kho mob tshwj xeeb. Yog li, cia peb tham txog cov tshuaj no kom meej me ntsis, yooj yim heev.
Cov tshuaj Atracurium no yog hom tshuaj dab tsi?
Hais yooj yim xwb, Atracurium yog ib yam tshuaj uas ua rau cov leeg nqaij ntawm peb lub cev so lossis ua rau lub cev tsis muaj zog ib ntus. Xav txog nws zoo li muab cov leeg nqaij uas peb tswj hwm hauv peb lub siab, xws li cov leeg nqaij hauv peb txhais tes, ceg, caj dab, thiab plab, pw tsaug zog ib ntus.
Tam sim no tej zaum koj yuav xav tias, "Vim li cas koj thiaj so koj cov leeg nqaij li ntawd?" Muaj ob qho laj thawj tseem ceeb rau qhov ntawd:
1. Thaum Lub Sijhawm Phais: Thaum ua ib qho kev phais loj, tus kws phais yuav tsum ua haujlwm ywj pheej thiab tsis muaj kev cuam tshuam. Nws nyuaj rau ua qhov no yog tias cov leeg ntawm lub cev nruj. Thaum muab Atracurium, cov leeg yuav so tag nrho. Tsis tas li ntawd, thaum lub sijhawm siv tshuaj loog, yuav tsum muab ib lub raj tso rau hauv lub trachea (intubation). Nws yog ib qho tseem ceeb uas cov leeg ntawm lub caj pas thiab caj dab yuav tsum so thaum ntawd.
2. Thaum siv lub tshuab ua pa: Qee zaum mob hnyav, tus neeg mob yuav ua pa nyuaj rau lawv tus kheej. Lawv yuav raug muab tso rau hauv lub tshuab ua pa, uas yog lub tshuab ua pa. Thaum lub sijhawm no, cov leeg ntawm tus neeg mob lub hauv siab yuav nruj, uas tuaj yeem cuam tshuam rau kev ua haujlwm ntawm lub tshuab. Thaum muab atracurium, cov leeg ntawd so, cia lub tshuab ua pa ua haujlwm rau tus neeg mob.
Qhov tseem ceeb yog tias cov tshuaj no tsis ua rau koj tsis nco qab. Yog li ntawd, thaum twg muab Atracurium, nws raug muab nrog cov tshuaj uas ua rau koj tsaug zog (sedative) lossis anesthetic (anesthetic).
Tej yam yuav tsum qhia rau koj tus kws kho mob ua ntej muab cov tshuaj no
Atracurium yog ib yam tshuaj uas yuav tsum tau siv nrog kev ceev faj heev. Yog li ntawd, nws yog ib qho tseem ceeb heev uas koj yuav tsum qhia cov ntaub ntawv hauv qab no yam tsis zais dab tsi thaum tus kws kho mob tshuaj loog nug koj ua ntej koj phais.
| Qhov xwm txheej koj yuav tsum tau tshaj tawm | Ib qho lus piav qhia yooj yim |
|---|---|
| Kev ua xua rau Atracurium lossis lwm yam tshuaj | Nco ntsoov qhia rau koj tus kws kho mob yog tias koj tau muaj kev tsis haum tshuaj rau cov tshuaj no ua ntej, lossis yog tias koj ua xua rau lwm yam tshuaj, khoom noj, lossis xim. |
| Myasthenia Gravis lossis lwm yam kab mob ntawm cov leeg nqaij | Cov no yog cov kab mob uas ua rau cov leeg tsis muaj zog. Rau cov neeg mob zoo li no, cov teebmeem ntawm Atracurium yuav nce ntxiv heev. |
| Mob ntsws asthma lossis lwm yam kab mob ntsws | Yuav tsum tau ceev faj tshwj xeeb thaum muab cov tshuaj no rau cov neeg mob uas muaj teeb meem ua pa. |
| Kab mob plawv | Yog koj muaj kab mob plawv, qhia rau koj tus kws kho mob paub. |
| Kev hloov pauv ntawm cov ntsev hauv lub cev (Electrolyte Imbalance) | Cov ntsev xws li calcium, magnesium, thiab potassium tsawg lossis ntau hauv cov ntshav tuaj yeem cuam tshuam rau qhov ua tau zoo ntawm cov tshuaj. |
| Kub hnyiab loj los yog qhuav dej | Txoj kev ua haujlwm ntawm cov tshuaj yuav txawv rau cov neeg uas muaj mob kub hnyiab loj lossis cov neeg uas lub cev qhuav dej. |
| Cev xeeb tub los yog pub niam mis | Nws yog ib qho tseem ceeb uas yuav tsum qhia rau koj tus kws kho mob yog tias koj cev xeeb tub, tab tom sim cev xeeb tub, lossis pub niam mis. |
Lwm cov tshuaj uas yuav cuam tshuam nrog Atracurium
Qee cov tshuaj uas koj twb noj lawm yuav cuam tshuam rau txoj kev ua haujlwm ntawm Atracurium. Qhov no txhais tau tias cov teebmeem ntawm Atracurium yuav nce lossis txo ntau dhau. Yog li ntawd, qhia rau koj tus kws kho mob txog txhua yam tshuaj uas koj noj, suav nrog cov vitamins, cov khoom siv tshuaj ntsuab, thiab cov tshuaj ntxiv .
Nov yog qee yam tseem ceeb uas yuav cuam tshuam tau:
- Qee cov tshuaj tua kab mob (piv txwv li amikacin, gentamicin)
- Qee cov tshuaj loog dav dav (piv txwv li isoflurane, halothane)
- Lithium
- Magnesium
- Cov tshuaj rau kab mob plawv xws li Quinidine thiab Procainamide
- Lwm cov tshuaj siv los so cov leeg thaum lub sijhawm phais
Tshuaj thiab Overdose
Cov tshuaj no yog muab los ntawm kev txhaj tshuaj rau hauv cov leeg ntshav lossis los ntawm kev txhaj tshuaj saline. Qhov no ua tiav hauv tsev kho mob, nyob rau hauv kev saib xyuas ntawm pab pawg kws kho mob. Yog li koj tsis tas yuav txhawj txog kev nco ib koob tshuaj lossis tau txais kev noj tshuaj ntau dhau. Txhua yam tshwm sim hauv txoj kev tswj hwm zoo heev. Yog tias muaj kev xav tias muaj kev noj tshuaj ntau dhau, pab pawg kws kho mob ua cov kauj ruam tsim nyog. Yog tias xav tau cov ntaub ntawv txog qhov xwm txheej lom no, Lub Chaw Qhia Txog Tshuaj Lom Hauv Tebchaws ntawm Tsev Kho Mob Colombo National yog qhov chaw mus. Thaum muaj xwm txheej ceev, tus neeg mob raug xa mus rau Chav Kho Mob Ceev (ETU) .
Tej yam tshwm sim tsis zoo li cas?
Ib yam li lwm yam tshuaj, Atracurium tuaj yeem ua rau muaj qee yam kev mob tshwm sim. Tab sis nco ntsoov, thaum koj tau txais cov tshuaj no, koj yuav muaj cov kws kho mob thiab cov kws tu mob nyob ib puag ncig koj. Yog li ntawd, yog tias muaj teeb meem tshwm sim, lawv yuav kho nws tam sim ntawd.
| Cov kev mob tshwm sim ntawm Atracurium | |
|---|---|
| Cov kev mob tshwm sim loj heev uas yuav tsum tau tshaj tawm rau pab pawg kho mob tam sim ntawd | |
| Kev Ua Xua | Tawv nqaij ua pob khaus, khaus heev, o ntawm lub ntsej muag, daim di ncauj lossis tus nplaig. |
| Teeb Meem Ua Pa | Ua tsis taus pa, kev hloov pauv ntawm kev ua pa ceev tsis zoo li qub. |
| Cov tsos mob ntawm ntshav siab qis | kiv taub hau heev, xav tias lub taub hau dawb paug, thiab qhov muag xiav. |
| Cov tsos mob ntawm kev raug mob ntawm cov leeg | Zis tsaus (xim zoo li cola), mob nqaij heev, tso zis nyuaj. |
| Lwm yam | Lub ntsej muag liab, qhov muag khaus lossis ua xua, qaug dab peg. |
| Tej yam uas feem ntau tsis loj heev, tab sis yuav tsum tau tshaj tawm yog tias lawv tseem muaj | |
| Mob nqaij/tsis muaj zog | Txawm tias cov tshuaj no twb tsis zoo li qub lawm los xij, tseem muaj mob los yog tsis muaj zog hauv cov leeg nqaij. |
| Mob ntawm qhov chaw txhaj tshuaj | Liab, mob, lossis o ntawm qhov chaw txhaj tshuaj. |
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Atracurium yog ib yam tshuaj tshwj xeeb uas siv los so cov leeg nqaij ib ntus thaum lub sijhawm phais thiab kev kho mob hnyav.
- Qhov no tsuas yog muab rau hauv tsev kho mob xwb, nyob rau hauv kev saib xyuas nruj ntawm cov kws kho mob tshwj xeeb. Koj tsis tas yuav siv nws hauv tsev.
- Nws yog ib qho tseem ceeb uas yuav tsum qhia rau koj tus kws kho mob txog txhua yam mob uas koj muaj (tshwj xeeb yog kev ua xua, mob hawb pob, mob plawv, Myasthenia Gravis) thiab txhua yam tshuaj uas koj noj.
- Tsis tas yuav ntshai vim pab neeg kho mob yuav saib xyuas koj tas li thaum koj noj cov tshuaj no.
- Yog tias muaj tej yam tsos mob txawv txawv lossis tej yam mob tshwm sim, pab neeg kho mob yuav ua tam sim ntawd. Tham nrog koj tus kws kho mob txog qhov ntawd.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus