Yog tias koj yuav phais sai sai no, ib qho ntawm koj qhov kev ntshai loj tshaj plaws yog qhov mob uas yuav los tom qab nws. "Auj, kws kho mob, nws puas yuav mob heev tom qab?" Peb txhua tus nug, puas yog? Qhov kev ntshai ntawd yog qhov raug. Tab sis, hmoov zoo, niaj hnub no, ua tsaug rau kev nce qib ntawm kev tshawb fawb kho mob, muaj ntau txoj hauv kev zoo los tswj qhov mob uas tshwm sim tom qab phais. Yog li hnub no peb yuav tham txog cov tshuaj tshwj xeeb uas cov kws kho mob siv los tswj qhov mob no. Nws hu ua Bupivacaine.
Cov tshuaj Bupivacaine no yog dab tsi?
Hais yooj yim xwb, Bupivacaine yog ib yam tshuaj uas ua rau loog uas muab rau thaj chaw ib puag ncig qhov txhab phais thaum lub sijhawm lossis tom qab phais. Nws zoo li cov tshuaj uas koj muab rau koj cov pos hniav ua ntej rho hniav, tab sis nws yog ib hom tshuaj tshwj xeeb, muaj zog dua uas siv rau cov qhov txhab phais.
Qhov no raug txhaj ncaj qha rau hauv thaj chaw uas tau ua phais, uas yog, rau hauv cov nqaij mos uas nyob ib puag ncig qhov txhab. Qhov no ua rau cov hlab ntsha hauv thaj chaw ntawd tsis muaj zog ib ntus thiab tiv thaiv cov cim mob kom tsis txhob mus rau lub hlwb. Qhov no txhais tau tias koj yuav hnov mob tsawg dua rau ob peb teev tom qab phais. Qhov no txhais tau tias koj yuav so kom txaus thaum koj rov zoo.
Tej yam koj yuav tsum qhia rau koj tus kws kho mob ua ntej muab cov tshuaj no
Ua ntej koj muab cov tshuaj no rau koj, koj tus kws kho mob yuav tsum paub txog koj keeb kwm kev kho mob tag nrho. Qhov no yog vim qee yam mob yuav tsum tau saib xyuas tshwj xeeb thaum siv cov tshuaj no. Yog li ntawd, yog tias koj muaj ib qho ntawm cov mob teev hauv qab no, nco ntsoov qhia rau koj tus kws kho mob txog nws. Tsis txhob tsis quav ntsej nws, vim tias koj txoj kev nyab xeeb yog qhov tseem ceeb tshaj plaws.
| Kev mob nkeeg los yog mob nkeeg | Vim li cas koj yuav tsum qhia? |
|---|---|
| Kev ua xua rau Bupivacaine lossis lwm yam tshuaj loog (piv txwv li Lidocaine) | Yuav kom tsis txhob ua rau muaj kev tsis haum tshuaj loj heev. |
| Kab mob plawv | Cov neeg uas muaj kab mob plawv xav tau kev saib xyuas tshwj xeeb vim tias cov txiaj ntsig ntawm cov tshuaj no yuav txawv. |
| Kab mob siab los yog mob raum | Vim tias nws tuaj yeem cuam tshuam rau cov txheej txheem ntawm kev tshem tawm cov tshuaj tawm ntawm lub cev. |
| Ntshav siab qis | Vim tias cov tshuaj no tuaj yeem txo cov ntshav siab ntxiv. |
| Cov kab mob ntsws (piv txwv li mob hawb pob, COPD) | Yuav tsum paub txog qhov kev pheej hmoo ntawm teeb meem ua pa. |
| G6PD tsis txaus | Qhov no yog ib qho mob ntshav tsawg tsawg uas xav tau kev saib xyuas tshwj xeeb. |
| Cev xeeb tub, sim cev xeeb tub, lossis pub niam mis | Yuav tsum xav txog tej yam uas yuav tshwm sim rau tus menyuam thiab txiav txim siab qhov zoo tshaj plaws. |
Koj siv cov tshuaj no li cas?
Qhov tseem ceeb yog, qhov no tsis yog tshuaj uas koj tuaj yeem coj mus tsev. Cov tshuaj txhaj Bupivacaine tsuas yog muab rau hauv tsev kho mob lossis chaw kho mob los ntawm tus kws kho mob lossis cov neeg ua haujlwm saib xyuas neeg mob uas tau kawm tiav.
Feem ntau nws raug txhaj rau hauv cov nqaij mos nyob ib puag ncig qhov txhab phais thaum lub sijhawm lossis tom qab phais, yog li koj tsis tas yuav txhawj txog kev nco ib koob tshuaj.
Yog tias muaj teeb meem tam sim ntawd ntawm kev siv tshuaj no ntau dhau, nws yuav tshwm sim hauv tsev kho mob thiab cov neeg ua haujlwm kho mob yuav ua haujlwm tam sim ntawd. Hauv qhov xwm txheej zoo li no, lawv kuj tuaj yeem hu rau Lub Chaw Qhia Txog Tshuaj Lom Hauv Tebchaws ntawm Tsev Kho Mob Hauv Tebchaws Colombo thiab tau txais cov lus qhia tsim nyog. Tsis tas li ntawd, tus neeg mob yuav raug xa mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) tam sim ntawd thiab kev kho mob tsim nyog yuav muab.
Lwm cov tshuaj uas yuav cuam tshuam nrog Bupivacaine
Yog tias koj noj lwm yam tshuaj, nws yog ib qho tseem ceeb uas yuav tsum qhia rau koj tus kws kho mob txog lawv thiab. Qee cov tshuaj tuaj yeem cuam tshuam nrog Bupivacaine thiab ua rau muaj kev phiv tsis xav tau. Qhia rau koj tus kws kho mob txog txhua yam tshuaj uas koj noj, tsis yog cov uas koj tus kws kho mob tau sau ntawv xwb, tab sis kuj tseem muaj cov tshuaj tua kab mob, cov vitamins, thiab cov tshuaj ntsuab uas koj yuav los ntawm lub tsev muag tshuaj.
Tej yam tshwm sim tsis zoo li cas?
Ib yam li lwm yam tshuaj, Bupivacaine tuaj yeem ua rau muaj kev phiv rau qee tus neeg. Txawm li cas los xij, tsis yog txhua tus neeg yuav muaj. Qee qhov yog qhov hnyav thiab yuav tsum tau tshaj tawm tam sim ntawd. Lwm tus yog qhov ib txwm muaj thiab ploj mus tom qab ib pliag. Cia peb saib seb lawv yog dab tsi.
| Cov teebmeem sab nraud | Kev piav qhia |
|---|---|
| Cov kev mob tshwm sim uas koj yuav tsum qhia rau koj tus kws kho mob lossis tus kws saib mob tam sim ntawd: | |
| Kev ua xua hnyav heev | Tawv nqaij ua pob khaus, khaus, o ntawm lub ntsej muag, daim di ncauj, tus nplaig lossis caj pas, ua pa nyuaj. |
| Kev hloov pauv ntawm lub plawv dhia | Zoo li koj lub plawv dhia ceev lossis tsis xwm yeem, kiv taub hau, mob hauv siab. |
| Kev nyuaj siab ntawm lub paj hlwb hauv nruab nrab (CNS depression) | Ua pa qeeb los yog tsis tob, tsaug zog ntau dhau, thiab tsis meej pem. |
| Qaug dab peg | Lub cev tshee hnyo, co. |
| Methemoglobinemia | Ua pa nyuaj, qhov ncauj, rau tes, lossis daim tawv nqaij xiav/grey, qaug zog heev, mob taub hau. (Qhov no yog ib qho mob tsis tshua muaj tab sis mob hnyav heev). |
| Tej yam uas feem ntau tsis loj heev, tab sis yuav tsum tau qhia rau kws kho mob yog tias lawv tseem muaj | |
| Kiv taub hau, mob taub hau | Tej zaum nws tsuas yog ib ntus xwb, tab sis qhia rau kuv paub yog tias nws tseem muaj. |
| Ntuav, xeev siab | Qhov no kuj tseem tuaj yeem tshwm sim tom qab phais. |
| Kev hloov pauv ntawm saj hauv qhov ncauj | Hnov ib qho saj hlau hauv qhov ncauj. |
| Suab nrov hauv pob ntseg | Hnov ib lub suab nrov hauv pob ntseg. |
Saib xyuas qhov chaw loog!
Qhov no tseem ceeb heev. Vim tias thaj chaw uas koj phais tau ua tiav lawm yog loog los ntawm kev txhaj tshuaj Bupivacaine, koj yuav tsis hnov mob hauv thaj chaw ntawd. Yog li ntawd, muaj feem ntau ntawm kev raug mob lossis kev sib tsoo hauv thaj chaw ntawd. Piv txwv li, koj yuav tsis hnov mob yog tias koj raug ntaus, txiav, lossis kub hnyiab qhov twg hauv thaj chaw ntawd. Yog li ntawd, koj yuav tsum ceev faj heev nrog thaj chaw ntawd kom txog thaum qhov loog ploj mus tag. Ceev faj txog qhov ntawd.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Bupivacaine yog ib qho tshuaj txhaj tshuaj loog uas tsuas yog muab rau hauv tsev kho mob kom txo qhov mob tom qab phais.
- Nco ntsoov qhia rau koj tus kws kho mob txog txhua yam mob uas koj muaj (tshwj xeeb yog mob plawv, mob siab, thiab mob raum) thiab txhua yam tshuaj uas koj noj.
- Tiv thaiv qhov chaw uas loog ntawm cov tshuaj los ntawm kev raug mob. Ceev faj ntxiv vim koj yuav tsis hnov mob.
- Qhia rau cov neeg ua haujlwm kho mob tam sim ntawd yog tias koj pom muaj tej yam mob hnyav xws li ua pa nyuaj, mob hauv siab, lossis o ntsej muag.
- Yog tias koj muaj lus nug lossis kev txhawj xeeb txog cov tshuaj no lossis koj tus mob, tsis txhob ntshai tham nrog koj tus kws kho mob lossis tus nais maum.
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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