Koj puas tau phais mob dua li? Los yog koj puas tau muaj ib tug neeg uas koj paub nyob hauv chav saib xyuas mob hnyav (ICU) uas siv lub tshuab ua pa? Hauv cov xwm txheej zoo li no, nws yog ib qho tseem ceeb heev uas yuav tsum so cov leeg ntawm tus neeg mob lub cev kom tag thiab ua kom lawv nyob twj ywm. Qhov no pab cov kws kho mob ua haujlwm tau yooj yim thaum lub sijhawm phais mob thiab tseem pab tus neeg mob lub cev kom tsis txhob sib tsoo nrog lub tshuab thaum lawv siv lub tshuab ua pa. Yog li, hnub no peb tab tom tham txog cov tshuaj uas siv rau hauv cov xwm txheej tshwj xeeb no. Nws hu ua Cisatracurium .
Hauv lwm lo lus, Cisatracurium yog dab tsi?
Cisatracurium yog ib yam tshuaj uas ua rau cov leeg nqaij so . Nws yog ib yam tshuaj uas ua rau cov leeg nqaij hauv peb lub cev so lossis nres ib ntus uas peb tswj hwm (piv txwv li, cov leeg nqaij hauv peb txhais ceg, cov leeg nqaij hauv peb lub caj dab). Nws raug muab rau tus neeg mob ua ib qho kev txhaj tshuaj ncaj qha rau hauv cov leeg ntshav lossis ua ib qho kev txhaj tshuaj tas mus li zoo li saline.
Ob qho kev siv tseem ceeb ntawm qhov no yog:
- Thaum lub sijhawm phais: Yog tias tus neeg mob cov leeg nqaij nruj thaum lub sijhawm phais loj, nws yuav nyuaj rau tus kws phais ua lawv txoj haujlwm kom raug. Cov tshuaj no ua rau tag nrho lub cev so, ua rau kev phais muaj kev nyab xeeb thiab yooj yim dua.
- Thaum txuas nrog lub tshuab ua pa/lub tshuab ua pa: Hauv qee kis mob hnyav, tus neeg mob tsis tuaj yeem ua pa tau lawv tus kheej. Lub sijhawm ntawd, kev ua pa yog muab los ntawm lub tshuab ua pa. Txawm li cas los xij, qee zaum tus neeg mob lub cev tuaj yeem tawm tsam qhov kev ua haujlwm ntawm lub tshuab no. Cov tshuaj no pab kom nres nws thiab cia lub tshuab muab cua rau lub ntsws yooj yim dua.
Qhov tseem ceeb tshaj plaws yog tias cov tshuaj no raug muab rau tus neeg mob tom qab muab tshuaj loog rau nws thiab ua rau nws tsis nco qab kiag li. Vim tias qhov no tsuas yog ua rau cov leeg nqaij tsis ua haujlwm xwb, nws tsis ua rau tsis nco qab. Yog li ntawd, nws yog ib qho tseem ceeb uas yuav tsum ua kom tus neeg mob tsis nco qab kom nws tsis hnov mob dab tsi.
Tej yam koj yuav tsum qhia rau koj tus kws kho mob ua ntej muab cov tshuaj no
Ua ntej koj yuav tau txais Cisatracurium, tus kws kho mob yuav nug koj thiab koj tsev neeg txog koj txoj kev noj qab haus huv. Nws yog ib qho tseem ceeb heev uas yuav tsum qhia rau lawv txog koj tej mob yam tsis zais dab tsi . Nws yog ib qho tseem ceeb heev uas yuav tsum qhia rau lawv txog cov hauv qab no:
| Qhov xwm txheej koj yuav tsum tau tshaj tawm | Tsuas yog vim li cas? |
|---|---|
| Kev ua xua rau lwm yam tshuaj, khoom noj, lossis cov tshuaj | Yog tias koj tau muaj kev tsis haum tshuaj rau cisplatin lossis lwm yam tshuaj loog ua ntej, nws tuaj yeem ua rau tuag taus. |
| Kab mob raum lossis siab | Cov tshuaj no raug tshem tawm ntawm lub cev los ntawm lub raum thiab lub siab. Yog tias cov kab mob no tsis muaj zog, cov tshuaj yuav ua haujlwm ntev dua. |
| Cov kab mob ua pa xws li mob hawb pob | Cov tshuaj no qee zaum tuaj yeem cuam tshuam rau lub cev ua pa, yog li nws yog ib qho tseem ceeb uas yuav tsum paub txog qhov no ua ntej. |
| Cov kab mob ntawm cov leeg nqaij xws li myasthenia gravis | Cov neeg uas muaj cov mob no yuav muaj kev phiv ntau dua ntawm cov tshuaj no, yog li cov kws kho mob yuav tsum ceev faj tshwj xeeb txog qhov ntau npaum li cas uas lawv sau ntawv kom noj. |
| Lub cev qhuav dej lossis tsis sib npaug ntawm cov calcium, potassium, lossis magnesium hauv cov ntshav | Kev hloov pauv ntawm cov ntsev thiab dej hauv lub cev ncaj qha cuam tshuam rau txoj kev ua haujlwm ntawm cov tshuaj no. |
| Kub hnyiab (Kub hnyiab loj) | Cov neeg mob uas muaj mob kub hnyiab ntau heev yuav txawv li cas lub cev teb rau cov tshuaj no. |
| Cev xeeb tub los yog pub niam mis | Nws yog ib qho tseem ceeb heev 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. |
Yuav siv cov tshuaj no li cas thiab lwm yam tseem ceeb
Cov tshuaj no tsis yog ib yam tshuaj uas koj coj mus tsev tau. Cisatracurium tsuas yog muab rau hauv tsev kho mob lossis chaw kho mob los ntawm tus kws kho mob lossis tus nais maum uas tau kawm tiav xwb. Yog li ntawd, tsis muaj kev pheej hmoo ntawm kev tsis nco qab noj ib koob tshuaj.
Cov tshuaj no yog muab rau cov menyuam yaus me thiab cov menyuam mos hauv qee kis tshwj xeeb. Tab sis nws yog ua nyob rau hauv kev saib xyuas nruj ntawm tus kws kho mob menyuam yaus, thiab nrog kev ceev faj heev.
Yuav ua li cas yog tias qhov koob tshuaj ntawm cov tshuaj raug nce ntxiv? (Overdose)
Vim tias qhov no yog muab rau hauv tsev kho mob, qhov muaj feem yuav siv tshuaj ntau dhau yog tsawg heev. Txawm li cas los xij, yog tias muaj qee yam zoo li no tshwm sim, nws yog xwm txheej ceev. Hauv qhov xwm txheej zoo li no, cov kws kho mob ntawm chav kho mob ceev (ETU) ntawm tsev kho mob yuav muab kev kho mob tsim nyog. Yog tias koj muaj kev tsis ntseeg txog qhov no, koj tuaj yeem hu rau Lub Chaw Qhia Txog Tshuaj Lom Hauv Tebchaws ntawm Tsev Kho Mob Colombo National kom tau txais lus qhia.
Lwm cov tshuaj uas yuav cuam tshuam nrog cov tshuaj no
Qhia rau koj tus kws kho mob txog txhua yam tshuaj uas koj noj, suav nrog cov tshuaj uas koj yuav tsum tau kev tso cai thiab cov tshuaj uas koj yuav tsis tas yuav muaj kev tso cai, cov tshuaj ntsuab, cov vitamins, thiab cov tshuaj ntsuab. Qee cov tshuaj tuaj yeem cuam tshuam nrog Cisplatin thiab ua rau nws cov teebmeem ntau dua lossis tsawg dua. Piv txwv li:
- Qee cov tshuaj tua kab mob - piv txwv li amikacin, gentamicin, tetracyclines
- Cov tshuaj tiv thaiv kev qaug dab peg (carbamazepine, phenytoin)
- Lithium
- Lwm cov tshuaj siv rau kev siv tshuaj loog (`isoflurane`, `halothane`)
- Tshuaj loog (lidocaine)
- Magnesium
Cov kev mob tshwm sim uas xav tias yuav muaj yog dab tsi?
Ib yam li lwm yam tshuaj, cisplatin tuaj yeem ua rau muaj kev phiv. Cov kws kho mob thiab cov kws tu mob yuav saib xyuas koj ze thaum koj noj cov tshuaj no. Yog tias koj muaj teeb meem dab tsi, qhia rau lawv paub tam sim ntawd.
| Kev faib tawm ntawm cov kev mob tshwm sim | |
|---|---|
| Cov kev mob tshwm sim loj uas yuav tsum tau qhia rau koj tus kws kho mob lossis tus kws saib mob tam sim ntawd: | |
| Kev Ua Xua | Tawv nqaij ua pob khaus, khaus, o ntawm lub ntsej muag, daim di ncauj lossis tus nplaig. |
| Ua pa nyuaj | Ua pa nyuaj. |
| Cov tsos mob ntawm cov ntshav siab qis | Kiv taub hau , xav tias lub taub hau dawb paug, qhov muag xiav. |
| Cov tsos mob ntawm kev puas tsuaj ntawm cov leeg nqaij | Zis tsaus, tso zis nyuaj, qaug zog heev, mob leeg. |
| Lwm yam | Lub ntsej muag liab, khaus lossis kub hnyiab ntawm lub qhov muag, qaug dab peg. |
| Cov kev mob tshwm sim uas feem ntau tsis loj heev, tab sis yuav tsum tau qhia rau tus kws kho mob yog tias lawv tseem muaj: | |
| Mob nqaij los yog tsis muaj zog | Tom qab siv tshuaj loog thiab tshuaj tas lawm, tej zaum koj yuav mob nqaij lossis qaug zog. |
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Cisatracurium yog ib qho tshuaj txhaj tshwj xeeb uas muab rau kom cov leeg so 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 ntawm cov kws kho mob. Qhov no tsis yog tshuaj coj mus tsev.
- Nws yog ib qho tseem ceeb heev uas yuav tsum qhia rau koj tus kws kho mob txog tag nrho koj cov mob, kev ua xua, thiab cov tshuaj uas koj noj ua ntej phais.
- Koj yuav raug saib xyuas tas li thaum noj cov tshuaj no, yog li ntawd yog tias muaj kev phiv tshwm sim, koj yuav tau txais kev kho mob tam sim ntawd.
- Yog tias koj muaj lus nug ntxiv txog cov tshuaj no, tsis txhob yig nug koj tus kws kho mob.
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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