If yu ɔ pɔsin we de nia yu go gɛt ɔpreshɔn, i nɔmal fɔ mek yu want fɔ no smɔl, ɛn sɔntɛm yu kin ivin fred, bɔt di mɛrɛsin dɛn we dɛn go gi yu da tɛm de. Pan di mɛrɛsin dɛm we dɛn kin gi we dɛn de anestez, Rokuronium na wan mɛrɛsin we rili impɔtant. Wan pan in brand nem dɛn na Zemuron. So tide, lɛ wi tɔk jɔs bɔt wetin na Rokuroniɔm, wetin i de du, ɛn wetin wi nid fɔ no bɔt am.
Wetin na Rokuroniɔm? Wetin i de du?
Fɔ tɔk am simpul wan, Rocuronium na mɛrɛsin we de mek di skel mɔsul dɛn na yu bɔdi rilaks fɔ sɔm tɛm.
Imajin se we yu de du ɔpreshɔn, di dɔktɔ dɛn nid fɔ ebul fɔ rich to di ɔgan dɛn we de insay yu bɔdi izi wan. Fɔ dat, yu mɔsul dɛn nɔ go ebul fɔ tɛns, dɛn nid fɔ rili rilaks. Na dat Rocuronium de ɛp wit. I tan lɛk se yu de paralayz yu mɔsul dɛn fɔ sɔm tɛm. Dis kin mek i izi fɔ di dɔktɔ we de du di ɔpreshɔn ɛn nɔ gɛt ɛnitin fɔ ambɔg am.
Dɔn bak, sɔntɛnde we pɔsin gɛt prɔblɛm fɔ blo, dɛn kin gɛt fɔ kɔnɛkt am to mashin (ventilator) fɔ mek i blo. Insay dɛn kayn tin dɛn de, dɛn kin yuz dis mɛrɛsin fɔ mek di mɔsul dɛn we de blo rilaks ɛn ɛp di mashin fɔ wok fayn fayn wan.
Wetin a fɔ tɛl di dɔktɔ bifo a gi dis mɛrɛsin?
Dis rili impɔtant. Bifo dɛn gi yu Rocuronium, i impɔtant fɔ mek yu mɛdikal tim no gud gud wan bɔt yu wɛlbɔdi kɔndishɔn. Dis na bikɔs sɔm tin dɛn kin nid spɛshal kia we yu de yuz dis mɛrɛsin. So, if yu gɛt ɛni wan pan di sik dɛn we de dɔŋ ya, mek shɔ se yu tɛl yu dɔktɔ.
| Di wɛlbɔdi kɔndishɔn dɛn we yu fɔ ripɔt | Wetin mek i impɔtant? |
|---|---|
| Di wata we nɔ de na di bɔdi (we nɔ gɛt wata na di bɔdi) . | Di wata we de balans na di bɔdi kin afɛkt di we aw di mɛrɛsin de wok fayn. |
| Ɛni kayn at sik | Dis mɛrɛsin kin afɛkt di at rit ɛn blɔd prɛshɔn. |
| Di nɔmal tin dɛn we de apin na di blɔd we gɛt kalsiɔm, magnɛsiɔm, ɛn potashɔm | di lεvεl dεm fכ dεn minral dεm ya de riliyt to di mכsul dεm we de wok εn di ifekt dεm we di dכg de gi. |
| Kidni sik ɔ liva sik | Bikɔs dɛn ɔgan ya de involv fɔ pul di mɛrɛsin na di bɔdi, di sik we dɛn gɛt kin chenj di we aw di mɛrɛsin de wok. |
| Sɔm sik dɛn we de na di lɔng lɛk asma | Dɛn nid spɛshal kia bikɔs i kin afɛkt di we aw pɔsin de blo. |
| Myasthenia Gravis (na sik we de mek di mɔsul dɛn wik) . | Dɛn sik pipul ya kin gɛt pasmak sɛnsitiv to Rokuronium. |
| Alɛji to rokuroniɔm, bromayd, ɔ ɛni ɔda mɛrɛsin ɔ it | Dis impɔtant fɔ mek yu nɔ gɛt siriɔs alɛji (anaphylaxis). |
| If yu gɛt bɛlɛ, yu de tray fɔ gɛt bɛlɛ, ɔ yu de gi pikin in bɛlɛ | Di dɔktɔ fɔ tink bɔt di tin dɛn we go apin to di pikin. |
Aw dɛn kin gi di Rocuronium injɛkshɔn?
Dis mɛrɛsin nɔto sɔntin we yu kin yuz na os. Na ɔspitul ɔ klinik nɔmɔ dɛn kin gi rokuroniɔm . Wan pɔsin we tren fɔ kia fɔ wɛlbɔdi biznɛs go gi yu am as injɛkshɔn na yu vein ɔ as infushɔn na yu bɔdi.
Dɔktɔ dɛn kin gi dis mɛrɛsin fɔ yɔŋ pikin dɛn, ivin pikin dɛn we dɛn jɔs bɔn, pan spɛshal kes dɛn. Bɔt dɛn kin tek tɛm du am ɛn spɛshal pɔsin de wach am. Yu kin tɔk to yu dɔktɔ we de mɛn pikin dɛn bɔt dis.
Bikɔs dɛn kin gi dis mɛrɛsin na ɔspitul, ɔnda strikt mɛdikal sɔpɔtishɔn, yu nɔ nid fɔ wɔri bɔt fɔ mis wan doz ɔ tek ɔvados. Di mɛdikal tim go de manej ɔltin fayn fayn wan.
If yu nid infɔmeshɔn bɔt sɔntin lɛk fɔ pɔyzin wit drɔgs, yu kin kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital . If ɛnitin apin, di ɔspitul in Imejɛnsi Tritmɛnt Yunit (ETU) go tek di step dɛn we dɛn nid.
Ɔda mɛrɛsin dɛm wae kin miks wit dis mɛrɛsin (Drug Interactions) .
‘Drug Interaction’ na we wan mɛrɛsin we yu de tek afɛkt di ɛfɛktiv we ɔda mɛrɛsin we yu de tek de wok. Bɔrku kayn mɛrɛsin de wae kin intarakt wit Rokuronium. So, i rili impɔtant fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek.
- Sɔm antibayɔtiks: Fɔ ɛgzampul, amikacin, jentamicin, tobramycin, vancomycin, tetracyclines, polymyxins.
- Sɔm mɛrɛsin dɛm wae dɛn kin yuse fɔ trit sik dɛm lɛk ɛpilepsi (seizure): fɔ ɛgzampul, carbamazepine, phenytoin.
- Ɔda mɛrɛsin dɛn we dɛn kin yuz fɔ anestez: Anestetik gas dɛn lɛk enflurane, isoflurane, halothane.
- Lithium: Na drɔg we dɛn kin yuz fɔ mek pɔsin gɛt maynd sik.
- Lokal anestetik: lɛk lidocaine ɛn tetracaine.
- Magnɛsiɔm we dɛn kɔl
- Ɔda tin dɛn we dɛn kin yuz fɔ mek di mɔsul dɛn rilaks fɔ ɔpreshɔn
- Procainamide ɛn Quinidine (mɛrɛsin fɔ at sik) .
Dis list nɔ de ɔlsay. So, i rili impɔtant fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (we dɛn prɛskrib yu ɔ we yu de tek ɔva di kɔwnta), ɛbul prɔdak, vaytamɛn, ɛn sɔpɔtmɛnt dɛn we yu de tek, ɛn bak if yu de smok, drink rɔm, ɔ yuz ɔda drɔgs, bifo dɛn du yu ɔpreshɔn.
Di sayd ɛfɛkt dɛn we pɔsin kin gɛt we i tek Rocuronium
Lɛk ɛni mɛrɛsin, Rocuronium kin mek sɔm sayd ɛfɛkt dɛn. Di mɛdikal tim go wach yu gud gud wan we dɛn de gi yu dis mɛrɛsin. Dɛn go tek akshɔn wantɛm wantɛm if ɛni sayd ɛfɛkt apin. Bɔt, i impɔtant fɔ mek wi no bɔt dɛn.
| Sayd Ifɛkt we i kin gɛt | Tɔk bɔt |
|---|---|
| Sayd ɛfɛkt dɛn we dɛn fɔ ripɔt to di mɛdikal tim wantɛm wantɛm | |
| Siriɔs alɛji riakshɔn dɛn | Skin rash, i de it bad bad wan, yu fes, yu lip ɔ yu tɔng de swel. |
| I nɔ kin izi fɔ yu fɔ blo | I nɔ izi fɔ blo if yu nɔ kɔnɛkt to ventilatɔ. |
| At bit kwik kwik wan (Tachycardia) . | Fɔ fil lɛk se yu at de bit fast fast. |
| Lɔw blɔd prɛshɔn (Hypotension) . | Diziz, fil lɛk layt ed, ɛn blu yay. |
| Di sayn dɛn we de sho se di mɔsul dɛn dɔn pwɛl | urine dak, i nɔ kin izi fɔ pis, i kin taya pasmak, ɛn i kin fil pen na di bɛlɛ. |
| Sayd ɛfɛkt dɛm we dɛn fɔ ripɔt to di dɔktɔ if dɛn kɔntinyu fɔ de | |
| Mɔsul pen/wiknɛs | Mɔsul pen ɔ wik we kin kɔntinyu ivin afta di ifɛkt dɛn we di mɛrɛsin gɛt dɔn west. |
| Pen na di say we dɛn injɛkshɔn | Pen, rɛd, ɔ inflamɛns usay dɛn gi di injɛkshɔn. |
Dis list nɔ de inklud ɔl di sayd ɛfɛkt dɛn we pɔsin kin gɛt. If yu gɛt ɛnitin we nɔ kɔmɔn apat frɔm dɛn tin ya, tɔk to yu dɔktɔ bɔt am.
Mɛsej we dɛn kin kɛr go na os
- Rocuronium na mɛrɛsin we dɛn kin yuz fɔ rilaks di mɔsul dɛn fɔ sɔm tɛm we dɛn de du ɔpreshɔn ɛn sɔm mɛrɛsin dɛn.
- Dis na tin we dɛn kin gi nɔmɔ na ɔspitul, na pɔsin we tren fɔ mɛn pipul dɛn kin gi am.
- I impɔtant fɔ mek yu tɛl yu dɔktɔ bɔt ɛni ɔda mɛrɛsin we yu gɛt (espɛshali at, kidni, liva sik, alɛji) ɛn ɔl ɔda mɛrɛsin dɛn we yu de tek bifo dɛn du yu ɔpreshɔn.
- If yu gɛt ɛni siriɔs sayd ɛfɛkt lɛk alɛji, i nɔ izi fɔ blo, ɔ yu at bit kwik kwik wan, tɛl di mɛdikal tim wantɛm wantɛm.
- If yu gɛt ɛni kwɛstyɔn bɔt dis mɛrɛsin, nɔ shek fɔ aks yu dɔktɔ.
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