Yog tias koj lossis ib tug neeg ze koj yuav phais, nws yog ib qho ib txwm muaj kev xav paub me ntsis, thiab tej zaum txawm tias ntxhov siab, txog cov tshuaj uas yuav muab rau lub sijhawm ntawd. Ntawm cov tshuaj uas muab thaum lub sijhawm siv tshuaj loog, Rocuronium yog ib qho tshuaj tseem ceeb heev. Ib qho ntawm nws cov npe lag luam yog Zemuron. Yog li hnub no, cia peb tham txog Rocuronium yog dab tsi, nws ua dab tsi, thiab peb yuav tsum paub dab tsi txog nws.
Rocuronium yog dab tsi? Nws ua dab tsi?
Hais yooj yim xwb, Rocuronium yog ib yam tshuaj uas ua rau cov leeg nqaij hauv koj lub cev so ib ntus.
Xav txog tias thaum koj phais, cov kws kho mob yuav tsum tau yooj yim ncav cuag cov kab mob hauv koj lub cev. Rau qhov ntawd, koj cov leeg nqaij yuav tsum tsis txhob nruj, lawv yuav tsum tau so kom txaus. Qhov ntawd yog qhov uas Rocuronium pab nrog. Nws zoo li ua rau koj cov leeg nqaij tuag tes tuag taw ib ntus. Qhov no ua rau nws yooj yim dua rau tus kws phais mob ua qhov phais yam tsis muaj kev cuam tshuam.
Tsis tas li ntawd xwb, qee zaum thaum ib tug neeg ua pa nyuaj, lawv yuav tsum txuas nrog lub tshuab (lub tshuab ua pa) kom ua pa tau. Hauv cov xwm txheej ntawd, cov tshuaj no yog siv los so cov leeg nqaij ua pa thiab pab lub tshuab ua haujlwm kom zoo.
Ua ntej kuv muab cov tshuaj no rau koj, kuv yuav tsum qhia rau koj tus kws kho mob li cas?
Qhov no tseem ceeb heev. Ua ntej koj yuav tau txais Rocuronium, nws yog ib qho tseem ceeb uas koj pab neeg kho mob yuav tsum paub txog koj tus mob. 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.
| Cov mob nkeeg uas koj yuav tsum tau tshaj tawm | Vim li cas nws thiaj tseem ceeb? |
|---|---|
| Kev qhuav dej (tsis muaj dej hauv lub cev) | Qhov sib npaug ntawm cov kua dej hauv lub cev cuam tshuam rau qhov ua tau zoo ntawm cov tshuaj. |
| Txhua hom kab mob plawv | Cov tshuaj no tuaj yeem cuam tshuam rau lub plawv dhia thiab ntshav siab. |
| Kev tsis zoo ntawm cov calcium, magnesium, thiab potassium hauv cov ntshav | Cov theem ntawm cov zaub mov no muaj feem cuam tshuam ncaj qha rau cov leeg nqaij ua haujlwm thiab cov teebmeem ntawm cov tshuaj. |
| Kab mob raum los yog kab mob siab | Vim tias cov kab mob no koom nrog hauv cov txheej txheem tshem tawm cov tshuaj ntawm lub cev, lawv cov mob tuaj yeem hloov pauv qhov ua tau zoo ntawm cov tshuaj. |
| Cov kab mob ntsws xws li mob hawb pob | Yuav tsum tau saib xyuas tshwj xeeb vim nws tuaj yeem cuam tshuam rau lub cev ua pa. |
| Myasthenia Gravis (ib yam kab mob uas ua rau cov leeg tsis muaj zog) | Cov neeg mob no yuav ua rau lawv tsis haum tshuaj rau Rocuronium. |
| Kev ua xua rau rocuronium, bromide, lossis lwm yam tshuaj lossis khoom noj | Qhov no yog qhov tseem ceeb kom tiv thaiv tau qhov ua xua loj heev (anaphylaxis). |
| Yog tias koj cev xeeb tub, tab tom sim cev xeeb tub, lossis pub niam mis | Tus kws kho mob yuav tsum xav txog tej yam uas yuav ua rau tus menyuam raug mob. |
Yuav muab tshuaj Rocuronium txhaj li cas?
Cov tshuaj no tsis yog ib yam dab tsi uas koj siv tau hauv tsev. Rocuronium tsuas yog muab rau hauv tsev kho mob lossis chaw kho mob xwb . Ib tus kws kho mob uas tau kawm tiav yuav muab rau koj ua ib qho kev txhaj tshuaj rau hauv cov leeg ntshav lossis ua ib qho kev txhaj tshuaj rau hauv koj lub cev.
Cov kws kho mob yuav sau cov tshuaj no rau cov menyuam yaus, txawm tias cov menyuam mos, rau qee kis tshwj xeeb. Tab sis nws yuav tsum ua nrog kev ceev faj heev thiab nyob rau hauv kev saib xyuas tshwj xeeb. Koj tuaj yeem tham nrog koj tus kws kho mob menyuam yaus txog qhov no.
Vim tias cov tshuaj no yog muab rau hauv tsev kho mob, nyob rau hauv kev saib xyuas ntawm kws kho mob nruj heev, koj tsis tas yuav txhawj txog kev tsis nco qab noj ib koob tshuaj lossis noj ntau dhau. Pawg kws kho mob yuav tswj txhua yam kom zoo.
Yog tias koj xav tau cov ntaub ntawv hais txog qhov xwm txheej xws li kev lom tshuaj, koj tuaj yeem hu rau Lub Chaw Qhia Txog Kev Lom Tshuaj Hauv Tebchaws ntawm Tsev Kho Mob Colombo National . Yog tias muaj xwm txheej ceev, Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) ntawm tsev kho mob yuav ua cov kauj ruam tsim nyog.
Lwm cov tshuaj uas yuav cuam tshuam nrog cov tshuaj no (Kev Sib Cuam Tshuam Tshuaj)
Ib qho 'Kev Sib Cuam Tshuam Tshuaj' yog thaum ib yam tshuaj uas koj noj cuam tshuam rau qhov ua tau zoo ntawm lwm yam tshuaj uas koj noj. Muaj ntau hom tshuaj uas tuaj yeem sib cuam tshuam nrog Rocuronium. Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum qhia rau koj tus kws kho mob txog txhua yam tshuaj uas koj noj.
- Qee cov tshuaj tua kab mob: Piv txwv li, amikacin, gentamicin, tobramycin, vancomycin, tetracyclines, polymyxins.
- Qee cov tshuaj siv los kho cov mob xws li qaug dab peg (qaug dab peg): piv txwv li, carbamazepine, phenytoin.
- Lwm cov tshuaj siv rau kev siv tshuaj loog: Cov pa tshuaj loog xws li enflurane, isoflurane, halothane.
- Lithium: Ib yam tshuaj siv rau kev mob hlwb.
- Cov tshuaj loog hauv zos: xws li lidocaine thiab tetracaine.
- Magnesium
- Lwm cov tshuaj so cov leeg rau kev phais
- Procainamide thiab Quinidine (tshuaj kho mob plawv)
Daim ntawv teev npe no tsis yog tag nrho. Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum qhia rau koj tus kws kho mob txog txhua yam tshuaj uas koj noj (tshuaj uas tau sau ntawv kom noj lossis tshuaj uas yuav tsis tas yuav muaj ntawv qhia), cov tshuaj ntsuab, cov vitamins, thiab cov tshuaj ntxiv uas koj noj, thiab yog tias koj haus luam yeeb, haus cawv, lossis siv lwm yam tshuaj, ua ntej koj phais.
Tej zaum yuav muaj cov kev mob tshwm sim ntawm kev noj Rocuronium
Ib yam li lwm yam tshuaj, Rocuronium tuaj yeem ua rau muaj qee yam kev mob tshwm sim. Pawg kws kho mob yuav saib xyuas koj ze thaum koj noj cov tshuaj no. Lawv yuav ua haujlwm tam sim ntawd yog tias muaj kev mob tshwm sim. Txawm li cas los xij, nws yog ib qho tseem ceeb uas yuav tsum paub txog lawv.
| Cov teebmeem sab | Kev piav qhia |
|---|---|
| Cov kev mob tshwm sim uas yuav tsum tau tshaj tawm rau pab pawg kho mob tam sim ntawd | |
| Kev ua xua hnyav heev | Tawv nqaij ua pob khaus, khaus heev, o ntawm lub ntsej muag, daim di ncauj lossis tus nplaig. |
| Ua pa nyuaj | Ua pa nyuaj yog tias koj tsis txuas nrog lub tshuab ua pa. |
| Lub plawv dhia ceev ceev (Tachycardia) | Zoo li koj lub plawv dhia ceev. |
| Ntshav siab qis (Hypotension) | Kiv taub hau, xav tias lub taub hau dawb paug, thiab qhov muag xiav. |
| Cov tsos mob ntawm kev puas tsuaj ntawm cov leeg nqaij | Cov zis tsaus, tso zis nyuaj, qaug zog heev, thiab mob lub duav. |
| Cov kev mob tshwm sim uas yuav tsum tau qhia rau tus kws kho mob yog tias lawv tseem muaj | |
| Mob nqaij/tsis muaj zog | Mob nqaij lossis qaug zog uas tseem muaj txawm tias cov tshuaj no tsis ua haujlwm lawm los xij. |
| Mob ntawm qhov chaw txhaj tshuaj | Mob, liab, lossis o ntawm qhov chaw txhaj tshuaj. |
Daim ntawv teev npe no tsis suav nrog txhua yam kev mob tshwm sim uas yuav tshwm sim. Yog tias koj muaj tej yam txawv txawv ntxiv rau cov no, nrog koj tus kws kho mob tham txog qhov ntawd.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Rocuronium yog ib yam tshuaj uas siv los so cov leeg nqaij ib ntus thaum lub sijhawm phais thiab qee cov txheej txheem kho mob.
- Qhov no tsuas yog muab rau hauv tsev kho mob, los ntawm tus kws kho mob uas tau kawm tiav.
- Nws yog ib qho tseem ceeb heev uas koj yuav tsum qhia rau koj tus kws kho mob txog lwm yam mob uas koj muaj (tshwj xeeb tshaj yog mob plawv, mob raum, mob siab, ua xua) thiab txhua yam tshuaj uas koj noj ua ntej phais.
- Yog tias koj muaj tej yam kev mob tshwm sim loj xws li ua xua, ua pa nyuaj, lossis lub plawv dhia ceev, qhia rau pab neeg kho mob tam sim ntawd.
- Yog koj muaj lus nug 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