Yog koj lossis ib tug neeg hauv koj tsev neeg yuav phais, tus kws kho mob yuav siv ntau yam tshuaj los pab kom koj tsaug zog, ua rau koj tsis mob, thiab ua kom kev phais muaj kev nyab xeeb. Ib qho ntawm cov no yog ib yam tshuaj tshwj xeeb, thiab tseem ceeb heev, hu ua Succinylcholine. Nws ua haujlwm los ntawm kev so koj cov leeg nqaij ib ntus. Yog li, cia peb tham luv luv txog cov tshuaj no, nws ua dab tsi, thiab koj yuav tsum paub dab tsi ua ntej siv nws.
Hauv lwm lo lus, Succinylcholine yog dab tsi?
Succinylcholine yog ib yam tshuaj uas ua rau cov leeg nqaij so . Xav txog seb, qhov no zoo li ib ntus poob qee cov leeg nqaij hauv peb lub cev uas peb tswj hwm hauv peb lub siab, xws li cov leeg nqaij hauv peb txhais ceg, caj dab, thiab plab. Tab sis qhov no yog ib ntus xwb.
Cov tshuaj no feem ntau siv rau hauv ob qho xwm txheej:
1. Thaum lub sijhawm phais: Thaum lub sijhawm phais, tshwj xeeb tshaj yog phais plab, yog tias cov leeg nqaij hauv lub cev nruj, nws nyuaj rau tus kws phais ua qhov phais. Vim tias cov leeg nqaij so tag thaum muab cov tshuaj no, qhov kev phais tuaj yeem ua tau yooj yim thiab muaj kev nyab xeeb. Tsis tas li ntawd, qee zaum nws yuav tsum muab lub raj tso rau hauv caj dab (intubation) los pab nrog kev ua pa. Cov tshuaj no kuj siv rau lub sijhawm ntawd.
2. Thaum txuas nrog lub tshuab ua pa: Thaum ib tug neeg ua pa nyuaj rau lawv tus kheej thiab txuas nrog lub tshuab ua pa, cov leeg nqaij hauv tus neeg ntawd lub cev tuaj yeem cuam tshuam rau kev ua haujlwm ntawm lub tshuab. Hauv cov xwm txheej zoo li no, cov tshuaj no yog muab los ua kom cov leeg nqaij so thiab cia lub tshuab ua pa ua haujlwm tau zoo.
Qhov tseem ceeb tshaj plaws yog tias cov tshuaj no tsis yog cov tshuaj uas koj siv tau hauv tsev. Nws tsuas yog siv rau hauv tsev kho mob, chav saib xyuas neeg mob hnyav, lossis chav phais mob xwb, nyob rau hauv kev saib xyuas ze ntawm cov kws kho mob thiab cov neeg ua haujlwm saib xyuas neeg mob uas tau kawm tiav.
Tej yam koj yuav tsum qhia rau koj tus kws kho mob ua ntej muab cov tshuaj no
Qhov no yog ib feem tseem ceeb heev. Rau koj txoj kev nyab xeeb, nws yog ib qho tseem ceeb uas yuav tsum qhia rau tus kws kho mob txog qee yam mob hauv koj lub cev ua ntej phais. Vim tias raws li cov ntaub ntawv ntawd, kev txiav txim siab yuav raug txiav txim siab seb puas yuav muab cov tshuaj no rau koj lossis tsis muab, lossis seb puas yuav muab lwm yam tshuaj rau koj.
Yog koj muaj ib qho mob hauv qab no, nco ntsoov qhia rau koj tus kws kho mob txog qhov ntawd.
| Koj tus mob lossis tus mob | Vim li cas koj yuav tsum qhia? |
|---|---|
| Kev ua xua | Yog tias koj ua xua rau succinylcholine lossis lwm yam tshuaj, khoom noj, lossis xim zas. |
| Keeb kwm kev kho mob hauv tsev neeg | Yog tias muaj leej twg hauv koj tsev neeg muaj teeb meem ntsig txog kev siv tshuaj loog (piv txwv li, Malignant Hyperthermia). |
| Cov kab mob ntsig txog cov leeg nqaij | Yog koj muaj tus kab mob ua rau cov leeg tsis muaj zog xws li Myasthenia Gravis. |
| Teeb meem qhov muag | Cov mob uas muaj qhov muag siab ntxiv, xws li glaucoma. |
| Cov nqi minerals hauv cov ntshav | Yog tias cov potassium, calcium, lossis magnesium hauv cov ntshav siab lossis qis. |
| Kev raug mob | Raug mob taub hau loj heev, kub hnyiab loj, lossis raug mob rau daim tawv nqaij ntau heev. |
| Cev xeeb tub | Yog tias koj cev xeeb tub, tab tom sim xeeb tub, lossis pub niam mis. |
Cov tshuaj no puas muab tau rau cov menyuam yaus me?
Yog, qee zaum tshwj xeeb, cov tshuaj no tuaj yeem muab rau cov menyuam yaus, pib txij li cov menyuam mos. Tab sis kev ceev faj tshwj xeeb raug ua raws. Qhov kev txiav txim siab no yog ua los ntawm koj tus menyuam tus kws kho mob menyuam yaus thiab tus kws kho mob siv tshuaj loog.
Yuav ua li cas yog tias cov koob tshuaj nce ntxiv?
Qhov no yog muab rau hauv tsev kho mob, nyob rau hauv kev saib xyuas ntawm tus kws kho mob, yog li ntawd qhov muaj feem yuav koj noj tshuaj ntau dhau yog tsawg heev. Cov neeg ua haujlwm kho mob yuav xam cov koob tshuaj kom raug raws li koj qhov hnyav thiab mob thiab muab cov tshuaj. Yog tias qhov no tshwm sim, lawv tau kawm los muab kev kho mob tsim nyog. Yog tias koj xav tau cov ntaub ntawv hais txog qhov no, koj tuaj yeem hu rau Lub Chaw Qhia Txog Tshuaj Lom Hauv Tebchaws ntawm Tsev Kho Mob Hauv Tebchaws Colombo kom paub meej ntxiv. Txawm li cas los xij, thaum muaj xwm txheej ceev, qhov zoo tshaj plaws uas yuav tsum ua yog mus rau Chav Kho Mob Xwm Ceev (ETU) ze tshaj plaws.
Lwm cov tshuaj uas yuav cuam tshuam nrog cov tshuaj no
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 rau lwm yam mob, cov vitamins, cov tshuaj ib txwm muaj, cov tshuaj ntxiv). Qee cov tshuaj tuaj yeem cuam tshuam nrog Succinylcholine, hloov nws cov teebmeem lossis ua rau muaj mob txaus ntshai.
Hauv qab no yog qee cov tshuaj xws li:
- Qee cov tshuaj tua kab mob: piv txwv li, amikacin, gentamicin, clindamycin.
- Lwm cov tshuaj loog: Cov tshuaj loog roj xws li enflurane, isoflurane, halothane.
- Cov tshuaj rau kab mob plawv thiab ntshav siab.
- Cov tshuaj tiv thaiv kev yug menyuam.
- Lithium: Ib yam tshuaj siv rau kev mob hlwb.
- MAOIs: Ib hom tshuaj uas muab rau kev nyuaj siab.
- Cov hom tshuaj steroids: Piv txwv li, prednisone lossis cortisone.
- Cov tshuaj uas muaj magnesium.
- Quinine: Ib yam tshuaj siv rau kev kho mob malaria.
Daim ntawv teev npe no tsis yog tag nrho. Yog li ntawd, qhia koj tus kws kho mob txog txhua yam tshuaj uas koj noj, thiab seb koj haus luam yeeb lossis haus cawv .
Cov tshuaj no tej zaum yuav muaj tej yam tshwm sim tsis zoo li cas?
Ib yam li lwm yam tshuaj, Succinylcholine tuaj yeem ua rau muaj kev phiv. Koj yuav raug saib xyuas ze, yog li ntawd yog tias muaj teeb meem dab tsi, pab pawg kho mob yuav ua haujlwm tam sim ntawd.
| Cov teebmeem sab nraud | Kev piav qhia |
|---|---|
| Tej yam uas yuav tsum qhia rau koj tus kws kho mob lossis cov neeg ua haujlwm saib xyuas neeg 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 | Yog koj tsis siv lub tshuab ua pa, koj yuav xav tias ua tsis taus pa. |
| Kev hloov pauv ntawm lub plawv dhia | Lub plawv dhia qeeb lossis ceev dhau, tsis xwm yeem. Mob hauv siab. |
| Cov tsos mob ntawm cov poov tshuaj ntau | Cov leeg nqaij tsis muaj zog heev, mob hauv siab. |
| Cov tsos mob ntawm kev puas tsuaj ntawm cov leeg nqaij | Zis tsaus, tso zis nyuaj, qaug zog heev, mob leeg. |
| Cov tsos mob ntawm cov ntshav siab qis | Kiv taub hau, qhov muag xiav, tsis muaj zog heev. |
| Tej yam uas feem ntau tsis loj heev, tab sis yuav tsum tau tshaj tawm yog tias lawv tseem muaj | |
| Mob nqaij | Nws yog ib qho ib txwm muaj mob lub cev thiab cov leeg nqaij rau ib lossis ob hnub tom qab cov tshuaj tsis ua haujlwm lawm. |
| Cov leeg tsis muaj zog | Cov leeg nqaij tsis muaj zog ib ntus. |
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Succinylcholine yog ib qho tshuaj ua kom cov leeg nqaij so uas tsuas yog siv hauv tsev kho mob xwb, tshwj xeeb tshaj yog hauv chav phais thiab chav saib xyuas mob hnyav.
- Ua ntej koj muab cov tshuaj no rau koj, nws yog ib qho tseem ceeb uas koj qhia rau koj tus kws kho mob txog koj keeb kwm kev mob nkeeg, kev ua xua, keeb kwm kev mob nkeeg hauv tsev neeg, thiab txhua yam tshuaj uas koj noj.
- Vim tias qhov no yog muab los ntawm cov kws kho mob uas tau kawm tiav, koj tsis tas yuav txhawj txog kev khaws cia lossis kev siv nws.
- Txawm hais tias tej zaum yuav muaj tej yam tshwm sim tsis zoo los xij, pab pawg kws kho mob tuaj yeem tswj tau lawv vim tias koj raug saib xyuas ze hauv tsev kho mob.
- Yog koj muaj lus nug lossis kev txhawj xeeb, tsis txhob ntshai nug tus kws kho mob anesthesiologist lossis koj tus kws kho mob. Koj txoj kev nyab xeeb yog qhov tseem ceeb tshaj plaws rau lawv.
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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