Imajin se dɛn fɔ du ɔpreshɔn pan yu. Di dɔktɔ dɛn kin du am bay we dɛn de anestez yu, we min se yu nɔ no natin atɔl. Bɔt wetin go apin if yu mɔsul dɛn twitch ɔ twitch wantɛm wantɛm? Dat kin bi big tin we kin ambɔg di ɔpreshɔn, nɔto so? Tide wi de tɔk bɔt wan spɛshal injɛkshɔn we de stɔp dɛn kayn muvmɛnt ya wantɛm wantɛm ɛn ɛp dɔktɔ dɛn fɔ du dɛn wok sef ɛn izi wan. Dat na pankuroniɔm.
Fɔ tɔk am simpul wan, wetin na Pankuroniɔm?
Pankuroniɔm na wan tin we de mek di mɔsul dɛn rilaks . Di men wok we i de du na fɔ rilaks yu bɔdi in mɔsul dɛn ɔltogɛda ɛn mek dɛn nɔ muv we dɛn de du ɔpreshɔn ɔ ɔda mɛrɛsin.
Imajin se yu bren tan lɛk di bɔsman na wan kɔmni. Yu mɔsul dɛn na yu wokman dɛn. di bכs (di bren) de sεnd nεv signal to di wokman dεm (di mכsul dεm) fכ "kכntrakt" εn "muv." wetin dis pankuroniכm de du na fכ blok di rod we dεn signal dεm de travul fכ sכm tεm. Dɔn, bikɔs di mɔsul dɛn nɔ de gɛt di kɔmand frɔm di bren, dɛn kin rilaks ɔl ɛn dɛn nɔ kin muv. Dis kin mek di dɔktɔ dɛn ebul fɔ du ɔpreshɔn ɛn nɔ gɛt ɛnitin fɔ ambɔg dɛn.
Dɛn kin yuz dis wit anestezi. Sɔntɛnde dɛn kin yuz am bak fɔ ɛp di wan dɛn we gɛt prɔblɛm fɔ blo fɔ blo bay we dɛn kin kɔnɛkt dɛn to mashin (ventilator).
Tin dɛm wae yu fɔ tɛl yu dɔktɔ bifo yu gi dis mɛrɛsin
Dis rili impɔtant. I impɔtant fɔ mek yu dɔktɔ no yu kɔmplit wɛlbɔdi istri bifo i gi yu dis mɛrɛsin. Dis na bikɔs sɔm mɛrɛsin dɛn kin nid spɛshal kia we dɛn de yuz dis mɛrɛsin.
Si di tebul we de dɔŋ ya. If yu gɛt ɛni wan pan dɛn sik ya, mek shɔ se yu tɛl yu dɔktɔ bɔt dɛn.
| Situeshɔn we yu nid fɔ ripɔt | Wetin mek na so i bi? (Simply) |
|---|---|
| Dihaydreshɔn - wata we nɔ de na di bɔdi | We di wata we de na di bɔdi chenj, di we aw di mɛrɛsin dɛn de wok kin chenj bak. |
| At sik | Dis mɛrɛsin kin gɛt sɔm ifɛkt pan di at rit ɛn blɔd prɛshɔn. |
| Kidni sik | If yu kidni nɔ de wok fayn, i go tek lɔng tɛm fɔ mek dis mɛrɛsin kɔmɔt na yu bɔdi. So, di ifɛkt we di mɛrɛsin gɛt kin las fɔ lɔng tɛm. |
| Liva sik | Di liva na di say we bɔku mɛrɛsin dɛn kin brok dɔŋ na di bɔdi. If prɔblɛm de wit di liva, di tin dɛn we di mɛrɛsin kin du kin chenj. |
| Lɔng ɔ brith sik - ɛgz. Asma, we gɛt COPD | Bikɔs dis mɛrɛsin de mek di mɔsul dɛn we de mek pɔsin blo rilaks bak, dɛn fɔ tek spɛshal kia pan pipul dɛn we dɔn ɔlrɛdi gɛt sik dɛn we de mek dɛn nɔ ebul fɔ blo fayn. |
| Myasthenia gravis - na sik we de mek di mɔsul dɛn wik | Pipul wae gɛt dis sik kin gɛt bɔrku sɛnsitiv to mɔsul rilaksant, so dɛn kin nid fɔ tek wan rili smɔl doz. |
| Alɛji dɛn we pɔsin kin gɛt | If yu gɛt alɛji fɔ pankuroniɔm ɔ ɛni ɔda mɛrɛsin, it, ɔ day, mek shɔ se yu tɛl wi. |
| If yu gɛt bɛlɛ ɔ yu de tray fɔ gɛt bɛlɛ | Di dɔktɔ fɔ wɔri bɔt aw di mɛrɛsin go afɛkt di mama ɛn di pikin we gɛt bɛlɛ. |
| If yu na mama we de gi pikin in bɛlɛ | I impɔtant fɔ tink if di mɛrɛsin de pas to di pikin tru in mama in milk. |
Aw yu kin yuz dis mɛrɛsin?
Dis nɔto mɛrɛsin we yu kin yuz na os. Na ɔspitul ɔ klinik nɔmɔ dɔktɔ ɔ tren mɛdikal wokman dɛn kin gi am.
- Dɛn kin gi dis as injɛkshɔn we dɛn kin put insay di bɛlɛ .
- Dɛn kin yuz am pan yɔŋ pikin dɛn, ivin pikin dɛn we dɛn jɔs bɔn, pan spɛshal kes dɛn. Bɔt dɛn fɔ tek tɛm du am ɛn spɛshal dɔktɔ fɔ kia fɔ am.
Wetin a go du if a tek di mɛrɛsin pasmak?
Bikɔs dɛn kin gi dis na ɔspitul, di chans fɔ mek yu gɛt ɔvados kin rili smɔl. Di mɛdikal tim kin rili tek tɛm wit am. Bɔt if sɔntin lɛk dis apin ɔ if ɛni dawt de, dɛn go gi di tritmɛnt we dɛn nid wantɛm wantɛm. If yu tink se yu dɔn it dis kayn mɛrɛsin na do na ɔspitul, yu fɔ go wantɛm wantɛm na di ETU , we min di Imejɛnsi Tritmɛnt Yunit . Yu kin kɔl bak di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital ɛn gɛt advays.
Ɔda mɛrɛsin dɛm wae kin miks wit dis mɛrɛsin
If yu de tek mɛrɛsin fɔ ɔda sik, i rili impɔtant fɔ tɛl yu dɔktɔ bɔt am, bikɔs sɔm mɛrɛsin kin afɛkt di we aw pankuronium de wok.
- Sɔm antibayɔtiks: Fɔ ɛgzampul, amikacin, jentamicin, tobramycin, tetracycline, clindamycin, vancomycin, colistin.
- Mεdikeshכn dεm fכ sik: lεk carbamazepine εn phenytoin.
- Lithium: Na mɛrɛsin we dɛn kin yuz fɔ mek pɔsin gɛt maynd sik.
- Lokal anestetik: lɛk lidokɛyn.
- Magnɛsiɔm sɔpɔtmɛnt dɛn
- Procainamide, Quinidine: Mɛrɛsin fɔ at sik.
Dis list nɔ de ɔlsay. So tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek, lɛk di mɛrɛsin dɛn we yu de tek, di mɛrɛsin dɛn we yu nɔ de bay, tradishɔnal mɛrɛsin dɛn, vaytamɛn dɛn, ɛn if yu de smok ɔ drink rɔm.
Wetin na di bad tin dɛn we kin apin to pɔsin?
Jɔs lɛk ɛni ɔda mɛrɛsin, sɔm sayd ɛfɛkt dɛn de we pɔsin kin gɛt. Bɔt bikɔs yu de ɔnda di ful sɔpɔt fɔ wan mɛdikal tim we yu de tek dis mɛrɛsin, dɛn rɛdi fɔ trit ɛni prɔblɛm kwik kwik wan.
| Di sayd ɛfɛkt dɛn ɛn di we aw dɛn tan | |
|---|---|
| Siriɔs sayd ɛfɛkt dɛn we dɛn fɔ ripɔt to di mɛdikal tim wantɛm wantɛm | |
| Alɛji we pɔsin kin gɛt | Skin rash, it, swel na di fes, lip, tong ɔ trot. |
| At bit we pɔsin de bit | At bit we tu fast ɔ we nɔ de bit ɔltɛm. |
| Blɔd prɛshɔn we de go ɔp | Big big inkris na di blɔd prɛshɔn. |
| Di tɛmpracha na di bɔdi | Yu kin gɛt ay fiva, yu kin swet pasmak, yu kin blo kwik kwik wan, yu mɔsul dɛn kin stif. |
| Sayd ɛfɛkt dɛm wae nɔr kin siriɔs (bɔt dɛn fɔ ripɔt to dɔktɔ if dɛn kɔntinyu fɔ de) . | |
| Di mɔsul dɛn we wik | Sɔm mɔsul dɛn kin wik ivin afta di ifɛkt dɛn we di mɛrɛsin kin gɛt dɔn. |
| Pen na di say we dɛn injɛkshɔn | Pen, rɛd, ɔ sɔm diskɔmfɔt na di say we dɛn injekt. |
If yu gɛt ɛni ɔda kayn sik we nɔ kɔmɔn we dɛn nɔ tɔk bɔt na dis list, duya tɛl di mɛdikal tim bɔt dɛn bak.
Mɛsej we dɛn kin kɛr go na os
- Pankuroniɔm na drɔg we dɛn kin yuz fɔ rilaks di mɔsul dɛn ɔltogɛda we tin dɛn lɛk ɔpreshɔn.
- Dɛn kin gi dis as injɛkshɔn insay wan vein na ɔspitul, ɔnda dɔktɔ in sɔpɔtishɔn. Yu nɔ go ebul fɔ kɛr am go na os.
- I impɔtant fɔ tɛl yu dɔktɔ bɔt ɔl yu mɛrɛsin (espɛshali at, kidni, ɛn liva sik) ɛn ɔl ɔda mɛrɛsin dɛn we yu de tek.
- We dɛn de gi yu dis mɛrɛsin, di mɛdikal tim de wach yu at rit ɛn blɔd prɛshɔn ɔltɛm, so yu sef.
- If siriɔs sayd ɛfɛkt apin, lɛk alɛji ɔ at bit kwik kwik wan, di mɛdikal tim rɛdi fɔ trit am wantɛm wantɛm.
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