Imajin se yu ɔ pɔsin we de nia yu de kam fɔ du ɔpreshɔn. Ɔ yu kin de na di intensiv kia yunit (ICU) bikɔs ɔf sɔm mɛdikal kɔndishɔn. Na dɛn kayn tin ya, yu go dɔn yɛri se dɔktɔ dɛn kin gi yu wan "muscle relaxant" drɔg. Atracurium na spɛshal mɛrɛsin we dɛn kin yuz pan dɛn kayn tin ya. Dis nɔto drɔg we yu kin bay na famasi. Dis na injɛkshɔn we dɛn kin gi na ɔspitul nɔmɔ, ɔnda spɛshal dɔktɔ dɛn we de kia fɔ am. So, lɛ wi tɔk bɔt dis drɔg smɔl mɔ, rili simpul.
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Us kayn mɛrɛsin na dis Atracurium?
Fɔ tɔk am simpul wan, Atracurium na drɔg we de rilaks ɔ paralayz di skel mɔsul dɛn na wi bɔdi fɔ sɔm tɛm. Tink bɔt am lɛk fɔ put di mɔsul dɛn we wi de kɔntrol na wi maynd, lɛk di wan dɛn we de na wi an, leg, nɛk, ɛn bɛlɛ fɔ slip fɔ sɔm tɛm.
Naw yu go de wɔnda se, "Wetin mek yu de rilaks yu mɔsul dɛn da we de?" Tu men rizin dɛn de fɔ dat:
1. We dɛn de du di ɔpreshɔn: We di dɔktɔ de du big ɔpreshɔn, i nid fɔ wok fri wan ɛn nɔ gɛt ɛnitin fɔ ambɔg am. I nɔ kin izi fɔ du dis if di mɔsul dɛn na di bɔdi tɛns. we dεn gi Atracurium, di mכsul dεm de rilaks kכmplit wan. כlso, we dεn de anεsthεsia, dεn nid fכ put wan tכb tru di trakya (intubeshכn). I impɔtant fɔ mek di mɔsul dɛn na di trot ɛn nɛk rilaks da tɛm de.
2. We yu de pan Ventilator: Insay sɔm bad bad kes dɛm, di pɔsin kin gɛt prɔblɛm fɔ blo fɔ insɛf. Dɛn kin put dɛn pan ventilator, mashin fɔ blo. Insay dis tɛm, di pɔsin in chɛst mɔsul dɛn kin tayt, ɛn dis kin mek di mashin nɔ wok. We dɛn gi am atracurium, dɛn mɔsul dɛn de kin rilaks, ɛn dis kin mek di ventilator ebul fɔ du di wok fɔ blo fɔ di pɔsin.
Di impɔtant tin na dat dis mɛrɛsin nɔ de mek yu nɔ no natin. So, ɛnitɛm we dɛn gi yu Atracurium, dɛn kin gi yu wit mɛrɛsin we de mek yu slip (sɛdativ) ɔ anestetik (anɛstɛtik).
Tin dɛm fɔ tɛl yu dɔktɔ bifo yu gi dis mɛrɛsin
Atracurium na mɛrɛsin we yu fɔ tek tɛm yuz. So, i rili impɔtant fɔ mek yu tɛl dɛn tin ya we de dɔŋ ya ɛn nɔ ayd ɛnitin we di dɔktɔ we de anestez aks yu kwɛstyɔn bifo dɛn du yu ɔpreshɔn.
| Situeshɔn we yu nid fɔ ripɔt | Wan simpul ɛksplen |
|---|---|
| Alɛji to Atracurium ɔ ɔda mɛrɛsin dɛn | Mek shɔ se yu tɛl yu dɔktɔ if yu dɔn gɛt alɛji fɔ dis mɛrɛsin bifo, ɔ if yu alɛji to ɛni ɔda mɛrɛsin, it, ɔ day. |
| Myasthenia Gravis ɔ ɔda nyuromɔskular sik dɛn | Dis na sik dɛn we kin mek di mɔsul dɛn wik. Na dɛn kayn sik pipul ya, di ifɛkt dɛm we Atracurium kin gɛt kin bɔku. |
| Asma ɔ ɔda sik dɛn we kin kam pan pɔsin in lɔng | Dɛn fɔ tek tɛm spɛshal we dɛn de gi dis mɛrɛsin to di wan dɛn we nɔ ebul fɔ blo fayn. |
| At sik we pɔsin kin gɛt | If yu gɛt at sik, tɛl yu dɔktɔ bɔt am. |
| di chenj dεm we de apin na di bכdi sכlt lεvεl (Electrolyte Imbalance) . | If yu nɔ gɛt bɔku sɔl lɛk kalsiɔm, magnɛsiɔm, ɛn potashɔm na di blɔd, dat kin afɛkt di we aw di mɛrɛsin de wok fayn. |
| Big big bɔn ɔ we yu nɔ gɛt wata na yu bɔdi | Di we aw di mɛrɛsin de wok kin difrɛn fɔ pipul dɛn we gɛt bɔku bɔku bɔn ɔ di wan dɛn we nɔ gɛt wata na dɛn bɔdi. |
| Bɛlɛ ɔ we yu de gi pikin in bɛlɛ | I impɔtant fɔ tɛl yu dɔktɔ if yu gɛt bɛlɛ, yu de tray fɔ gɛt bɛlɛ, ɔ yu de gi pikin in bɛlɛ. |
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Sɔm mɛrɛsin dɛn we yu dɔn ɔlrɛdi de tek kin afɛkt di we aw Atracurium de wok. Dis min se di ifekt dɛm we Atracurium gɛt kin bɔku ɔ dɔŋ tumɔs. So, tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek, lɛk vaytamɛn dɛn, ɛbul prɔdak dɛn, ɛn sɔpɔtmɛnt dɛn .
Na sɔm pan di men tin dɛm wae kin afɛkt:
- Sɔm antibayɔtiks (e.g. amikacin, gentamicin) .
- Sɔm jenɛral anestetik dɛn (e.g. isoflurane, halothane) .
- Litiɔm we dɛn kɔl
- Magnɛsiɔm we dɛn kɔl
- Mɛrɛsin fɔ at sik lɛk Quinidine ɛn Procainamide
- Ɔda mɛrɛsin dɛn we dɛn kin yuz fɔ rilaks di mɔsul dɛn we dɛn de du ɔpreshɔn
Medikeshɔn ɛn Ɔvados
Dɛn kin gi dis mɛrɛsin as injɛkshɔn insay wan vein ɔ tru wan salin infushɔn. Dɛn kin du dis na ɔspitul, ɔnda di sɔpɔtishɔn fɔ wan mɛdikal tim. So yu nɔr nid fɔ wɔri bɔt fɔ mis wan doz ɔr gɛt ɔvados. Ɔltin kin apin di we we dɛn kin rili kɔntrol. If ɛnitin de we dɛn tink se dɛn dɔn tek am pasmak, di mɛdikal tim kin du di tin dɛn we dɛn nid. If dɛn nid infɔmeshɔn bɔt dis kayn pɔyzin sityueshɔn, di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital na di ples fɔ go. If ɛnitin apin, dɛn kin sɛn pɔsin we sik to di Imejɛnsi Tritmɛnt Yunit (ETU) .
Wetin na di bad tin dɛn we kin apin to pɔsin?
Lɛk ɛni mɛrɛsin, Atracurium kin mek sɔm sayd ɛfɛkt. Bɔt mɛmba se we dɛn gi yu dis mɛrɛsin, dɔktɔ ɛn nɔs dɛn kin de rawnd yu. So if ɛni prɔblɛm kam, dɛn go tek kia ɔf am wantɛm wantɛm.
| Di sayd ɛfɛkt dɛn we Atracurium kin gɛt | |
|---|---|
| Siriɔs sayd ɛfɛkt dɛn we dɛn fɔ ripɔt to di mɛdikal tim wantɛm wantɛm | |
| Alɛji Riakshɔn dɛn | Skin rash, i de it bad bad wan, yu fes, yu lip ɔ yu tɔng de swel. |
| Prɔblɛm dɛn we pɔsin kin gɛt we i de blo | Short brith, abnכmal chenj dεm na di brith rεt. |
| Di sayn dɛn we pɔsin kin gɛt we i gɛt Lɔw Blɔd Prɛshɔn | Diziz bad bad wan, fil lɛk yu ed layt, ɛn yu yay de blu. |
| Di sayn dɛn we de sho se pɔsin in mɔsul injuri | Dak urine (kola-kɔlɔ), siriɔs mɔsul pen, i nɔ kin izi fɔ pis. |
| Ɔda | Di fes we de rɛd, di yay we de it ɔ we gɛt alɛji, we yu de siz. |
| Tin dɛm wae nɔr kin siriɔs, bɔt dɛn fɔ ripɔt if dɛn kɔntinyu fɔ de | |
| Mɔsul pen/wiknɛs | Fɔ fil pen ɔ wik na di mɔsul dɛm ivin afta di ifɛkt dɛm we di mɛrɛsin gɛt dɔn west. |
| Pen na di say we dɛn injɛkshɔn | Rɛd, pen, ɔ swel na di say we dɛn injekt. |
Mɛsej we dɛn kin kɛr go na os
- Atracurium na spɛshal mɛrɛsin we dɛn kin yuz fɔ rilaks di mɔsul dɛn fɔ sɔm tɛm we dɛn de du ɔpreshɔn ɛn di tritmɛnt dɛn we dɛn de kia fɔ dɛn bad bad wan.
- Dɛn kin jɔs gi dis na ɔspitul, ɔnda spɛshal dɔktɔ dɛn we de kia fɔ am. Yu nɔ nid fɔ yuz am na os.
- I impɔtant fɔ tɛl yu dɔktɔ bɔt ɔl yu mɛrɛsin (espɛshali alɛji, asma, at sik, Myasthenia Gravis) ɛn ɔl ɔda mɛrɛsin dɛn we yu de tek.
- Nɔ nid fɔ fred bikɔs di mɛdikal tim go de wach yu ɔltɛm we dɛn de gi yu dis mɛrɛsin.
- If ɛni ɔda kayn sik ɔ sayd ɛfɛkt apin, di mɛdikal tim go tek akshɔn wantɛm wantɛm. Tɔk opin wan wit yu dɔktɔ bɔt am.
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