Koj puas tau phais dua li? Los yog koj puas tau pom ib tug neeg txuas nrog lub tshuab ua pa/lub tshuab ua pa? Hauv cov xwm txheej zoo li no, peb tab tom tham txog kev txhaj tshuaj tshwj xeeb uas muab rau kom cov leeg ntawm lub cev so tag nrho. Nws hu ua Mivacurium. Nws yog ib qho tseem ceeb heev uas yuav tsum paub txog qhov no.
Mivacurium yog dab tsi?
Hais yooj yim xwb, Mivacurium yog ib yam tshuaj uas ua rau cov leeg nqaij so . Nws ua rau cov leeg nqaij uas txuas rau cov pob txha hauv peb lub cev so ib ntus, lossis ua rau lub cev tsis ua haujlwm.
Tam sim no koj yuav xav tias, "Vim li cas koj thiaj ua li ntawd?" Muaj ob qho laj thawj rau qhov ntawd:
1. Thaum Lub Sijhawm Phais Mob: Thaum ua ib qho kev phais mob loj, tus kws phais mob yuav tsum ua nws txoj haujlwm yam tsis muaj kev cuam tshuam. Nws nyuaj ua li ntawd yog tias peb cov leeg nqaij nruj. Thaum muab cov tshuaj no, cov leeg nqaij yuav so tag nrho, yog li cov kws kho mob tuaj yeem ua lawv txoj haujlwm tau yooj yim.
2. Thaum txuas nrog cov tshuab ua pa/cov tshuab ua pa: Thaum qee tus neeg mob uas mob hnyav heev ua pa nyuaj rau lawv tus kheej, peb txuas lawv rau lub tshuab ua pa. Tab sis qee zaum tus neeg mob lub cev pib "sib ntaus" nrog lub tshuab. Ntawd yog, thaum lub tshuab ua pa nkag, tus neeg mob cov leeg hauv siab yuav nruj thiab sim ua pa tawm. Thaum muab cov tshuaj no, cov leeg ntawd so, ua rau lub tshuab ua nws txoj haujlwm yooj yim dua.
Qhov tseem ceeb tshaj plaws yog qhov no tsuas yog muab rau hauv tsev kho mob xwb, nyob rau hauv kev saib xyuas ntawm tus kws tshwj xeeb xws li tus kws kho mob loog.
Tej yam koj yuav tsum qhia rau koj tus kws kho mob ua ntej muab cov tshuaj no
Qhov no tseem ceeb heev. Thaum tus kws kho mob tshuaj loog nug koj cov lus nug ua ntej koj phais, yog tias koj muaj ib qho ntawm cov no, koj yuav tsum qhia rau lawv paub . Vim tias cov ntaub ntawv ntawd yuav txiav txim siab seb koj yuav tau txais tshuaj ntau npaum li cas thiab hom tshuaj siv.
| Qhov xwm txheej koj yuav tsum tau tshaj tawm | Kev piav qhia |
|---|---|
| Kev ua xua | Nco ntsoov qhia rau koj tus kws kho mob yog tias koj muaj kev tsis haum rau Mivacurium lossis lwm yam tshuaj, khoom noj, lossis xim. |
| Kab mob plawv | Nws yog ib qho tseem ceeb uas yuav tsum paub txog txhua yam mob plawv. |
| Kab mob raum lossis siab | Yog koj lub raum lossis daim siab ua haujlwm tsis zoo, lub sijhawm uas cov tshuaj no siv tawm hauv koj lub cev yuav hloov pauv. |
| Teeb Meem Ua Pa | Qhia rau peb yog tias koj muaj kab mob ntsws xws li mob hawb pob. |
| Cov kab mob ntawm lub paj hlwb xws li Myasthenia Gravis | Cov teebmeem ntawm cov tshuaj no tuaj yeem sib txawv heev rau cov neeg uas muaj cov kab mob ntawm lub paj hlwb. |
| Kev qhuav dej lossis Electrolyte Tsis Sib Npaug | Yog tias lub cev tsis muaj dej txaus los yog muaj kev hloov pauv ntawm cov ntsev xws li calcium, potassium, thiab magnesium. |
| Kub hnyiab loj | Yog tias ib cheeb tsam loj ntawm lub cev raug kub hnyiab, qhov ntawd kuj tuaj yeem cuam tshuam rau qhov ua tau zoo ntawm cov tshuaj no. |
| Cev xeeb tub los yog pub niam mis | Yog tias koj cev xeeb tub, tab tom sim cev xeeb tub, lossis pub niam mis, nws yog ib qho tseem ceeb uas yuav tsum qhia rau koj tus kws kho mob txog qhov no. |
Koj siv cov tshuaj no li cas?
Cov tshuaj no yog muab ua ib qho kev txhaj tshuaj rau hauv cov leeg ntshav.Nws yog ib qho "txhaj tshuaj" lossis "kev txhaj tshuaj", uas yog kev txhaj tshuaj tas li zoo li saline. Qhov no tsuas yog ua los ntawm kws kho mob, kws kho mob anesthesiologist, lossis tus kws tu neeg mob uas tau kawm tiav. Yog li koj tsis tas yuav siv nws hauv tsev.
Cov tshuaj no siv rau qee kis tshwj xeeb rau cov menyuam yaus, tshwj xeeb tshaj yog cov neeg hnub nyoog tshaj 2 xyoos. Tab sis nws yuav tsum ua nrog kev ceev faj heev thiab tsuas yog raws li cov lus qhia ntawm tus kws tshwj xeeb xwb.
Yuav ua li cas yog tias cov tshuaj ntau ntxiv?
Vim tias qhov no yog muab rau hauv tsev kho mob, qhov muaj feem yuav siv tshuaj ntau dhau yog tsawg heev. Vim tias pab pawg kho mob yeej ib txwm saib xyuas koj. Tab sis yog tias muaj qee yam zoo li ntawd tshwm sim, uas yog, yog tias cov tshuaj ua haujlwm ntau dhau, tsev kho mob muaj txhua yam chaw los kho nws. Thaum muaj xwm txheej ceev, cov kws kho mob yuav qhia rau Lub Chaw Qhia Txog Tshuaj Lom Hauv Tebchaws ntawm Tsev Kho Mob Hauv Tebchaws lossis Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) ntawm tsev kho mob thiab tau txais cov lus qhia tsim nyog.
Cov tshuaj twg lwm yam uas yuav cuam tshuam nrog cov tshuaj no?
Yog, qee cov tshuaj tuaj yeem hloov pauv cov nyhuv ntawm Mivacurium. Uas yog, lawv tuaj yeem ua rau nws lub zog nce lossis txo qis. Yog vim li ntawd koj yuav tsum qhia rau koj tus kws kho mob txog txhua yam tshuaj uas koj noj (xws li cov vitamins thiab cov tshuaj ib txwm muaj) ua ntej phais.
| Pawg tshuaj | Piv txwv |
|---|---|
| Qee cov tshuaj tua kab mob | Cov tshuaj xws li Amikacin, Gentamicin, Tobramycin, Tetracyclines, Clindamycin. |
| Kev Siv Tshuaj loog Dav Dav | Cov roj siv los ua kom tsis nco qab thaum phais mob, xws li Enflurane, Isoflurane, thiab Halothane. |
| Cov tshuaj rau kev qaug dab peg | Carbamazepine, Phenytoin. |
| Lwm cov tshuaj | Lithium, Magnesium, Quinidine, Procainamide, Cov tshuaj Steroids (xws li Prednisone), MAOIs. |
Daim ntawv teev npe no tsis tiav, yog li nws yog qhov zoo tshaj plaws los qhia rau koj tus kws kho mob txog txhua yam tshuaj uas koj noj.
Tej yam tshwm sim tsis zoo li cas?
Ib yam li lwm yam tshuaj, Mivacurium tuaj yeem ua rau muaj kev phiv. Tab sis vim tias koj nyob hauv kev saib xyuas ntawm kws kho mob hauv tsev kho mob, lawv npaj kho nws sai sai yog tias muaj qee yam zoo li no tshwm sim.
| Cov teebmeem sab nraud | Kev piav qhia |
|---|---|
| Tej yam uas yuav tsum qhia rau koj tus kws kho mob lossis tus nais 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. |
| Ntshav Siab Qis | Kiv taub hau , xav tias lub taub hau dawb paug, qhov muag xiav. |
| Kev kub hnyiab ntawm lub ntsej muag | Lub ntsej muag liab tam sim ntawd. |
| Cov tsos mob ntawm kev puas tsuaj ntawm cov leeg nqaij | Zis tsaus, tso zis nyuaj, qaug zog heev, mob leeg. |
| 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 | Yog tias koj tseem mob lossis tsis muaj zog hauv koj cov leeg tom qab cov tshuaj tas lawm. |
| Mob ntawm qhov chaw txhaj tshuaj | Liab, mob, lossis o nyob ib ncig ntawm qhov chaw txhaj tshuaj. |
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Mivacurium yog ib yam tshuaj tshwj xeeb uas siv los so cov leeg nqaij thaum lub sijhawm phais thiab thaum txuas nrog lub tshuab ua pa.
- Cov tshuaj no tsis yog ib yam tshuaj uas koj coj mus tsev tau. Tsuas yog siv rau hauv tsev kho mob xwb, nyob rau hauv kev saib xyuas ntawm kws kho mob.
- Nws yog ib qho tseem ceeb uas koj yuav tsum qhia rau koj tus kws kho mob txog txhua yam mob uas koj muaj, txhua yam tshuaj uas koj noj, thiab txhua yam kev ua xua uas koj muaj ua ntej phais.
- Tej zaum yuav muaj tej yam tshwm sim tsis zoo, tab sis koj tsis tas yuav txhawj txog lawv vim koj nyob hauv tsev kho mob. Pawg neeg kho mob tab tom saib xyuas txhua yam.
- Yog koj muaj lus nug txog cov tshuaj no, tsis txhob ntshai 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