If yu ɔ sɔmbɔdi na yu famili go gɛt ɔpreshɔn, di dɔktɔ we de anestez go yuz difrɛn mɛrɛsin dɛn fɔ mek yu slip, mek yu nɔ fil pen, ɛn mek di ɔpreshɔn sef. Wan pan dɛn tin ya na spɛshal, ɛn rili impɔtant, mɛrɛsin we dɛn kɔl Succinylcholine. I de wok bay we i de rilaks yu mɔsul dɛn fɔ sɔm tɛm. So, lɛ wi tɔk smɔl bɔt dis mɛrɛsin, wetin i de du, ɛn wetin yu nid fɔ no bifo yu yuz am.
Fɔ tɔk am simpul wan, wetin na Succinylcholine?
Succinylcholine na wan tin we de mek di skel mɔsul dɛn rilaks . Imajin, dis tan lɛk we wi lɔs sɔm pan di mɔsul dɛn na wi bɔdi we wi de kɔntrol na wi maynd fɔ sɔm tɛm, lɛk di wan dɛn we de na wi an ɛn fut, nɛk, ɛn bɛlɛ. Bɔt dis na fɔ shɔt tɛm nɔmɔ.
Dɛn kin yuz dis mɛrɛsin mɔ pan tu tin dɛn:
1. We dɛn de du ɔpreshɔn: We dɛn de du ɔpreshɔn, mɔ di bɛlɛ ɔpreshɔn, if di mɔsul dɛn na di bɔdi tɛns, i nɔ kin izi fɔ mek di dɔktɔ du di ɔpreshɔn. Bikɔs di mɔsul dɛn kin rilaks ɔlsay we dɛn gi dɛn dis mɛrɛsin, dɛn kin du di ɔpreshɔn izi wan ɛn sef wan. כlso, sכmtεm i nid fכ put tכb tru di nεk (intubeshכn) fכ εp fכ brith. Dɛn kin yuz dis mɛrɛsin bak da tɛm de.
2. We dɛn kɔnɛkt am to ventilatɔ: We pɔsin gɛt prɔblɛm fɔ blo fɔ insɛf ɛn dɛn kɔnɛkt am to ventilatɔ, di mɔsul dɛn na da pɔsin de in bɔdi kin ambɔg di wok we di mashin de du. If na so i bi, dɛn kin gi dis mɛrɛsin fɔ mek di mɔsul dɛn rilaks ɛn fɔ mek di ventilator wok fayn.
Di tin we impɔtant pas ɔl na dat dis nɔto mɛrɛsin we yu kin yuz na os. Dɛn kin jɔs yuz am na ɔspitul, intensiv kia yunit, ɔ ɔpreshɔn rum, ɔnda di klos we di dɔktɔ dɛn we dɔn tren ɛn di wan dɛn we de wok fɔ di nɔs dɛn kin wach am.
Tin dɛm we yu fɔ rili tɛl yu dɔktɔ bifo yu gi dis mɛrɛsin
Dis na pat we rili impɔtant. Fɔ mek yu sef, i impɔtant fɔ tɛl di dɔktɔ we de anestez bɔt sɔm tin dɛn we de apin na yu bɔdi bifo dɛn du di ɔpreshɔn. Bikɔs bay da infɔmeshɔn de, dɛn go disayd if dɛn fɔ gi yu dis mɛrɛsin ɔ nɔ gi yu, ɔ if dɛn fɔ gi yu difrɛn mɛrɛsin.
If yu gɛt ɛni wan pan di sik dɛn we de dɔŋ ya, mek shɔ se yu tɛl yu dɔktɔ bɔt am.
| Yu mɛdikal kɔndishɔn ɔ kɔndishɔn | Wetin mek yu fɔ tɛl pipul dɛn? |
|---|---|
| Alɛji dɛn we pɔsin kin gɛt | If yu gɛt alɛji to succinylcholine ɔ ɛni ɔda mɛrɛsin, it, ɔ day. |
| Famili mɛdikal istri | If ɛnibɔdi na yu famili dɔn gɛt prɔblɛm we gɛt fɔ du wit anestezi (e.g., Malignant Hyperthermia). |
| Sik dɛn we gɛt fɔ du wit di mɔsul dɛn | If yu gɛt sik we de mek yu mɔsul wik lɛk Myasthenia Gravis. |
| Prɔblɛm dɛn we gɛt fɔ du wit di yay | Kɔndishɔn dɛn we gɛt ay prɛshɔn we de go ɔp, lɛk glaukoma. |
| Minral lɛvɛl dɛn na di blɔd | If di potashɔm, kalsiɔm, ɔ magnɛsiɔm na di blɔd bɔku ɔ smɔl. |
| Injuri dɛn we pɔsin kin gɛt | Siriɔs injuri na in ed, big big bɔn, ɔ bɔku bɔku skin damej. |
| We uman gɛt bɛlɛ | If yu gɛt bɛlɛ, yu de tray fɔ gɛt bɛlɛ, ɔ yu de gi pikin in bɛlɛ. |
Yu tink se dɛn kin gi dis mɛrɛsin to smɔl pikin dɛn?
Yɛs, insay sɔm spɛshal kes dɛm, dɛn kin gi dis mɛrɛsin to pikin dɛm, bigin frɔm pikin dɛm we dɛn jɔs bɔn. Bɔt dɛn de fala spɛshal tin dɛn fɔ tek tɛm wit. Na yu pikin in dɔktɔ we de mɛn pikin dɛn ɛn di dɔktɔ we de anestez kin disayd fɔ du dis togɛda.
Wetin fɔ du if di doz go ɔp?
Dɛn kin gi dis na ɔspitul, ɔnda dɔktɔ in sɔpɔtishɔn, so di chans fɔ mek yu tek ɔvados kin rili smɔl. Di mɛdikal wokman dɛm go kɔl di kɔrɛkt doz bay yu wet ɛn kɔndishɔn ɛn gi yu di mɛrɛsin. If dis apin, dɛn kin tren dɛn fɔ gi dɛn di tritmɛnt we dɛn nid. If yu nid ɛni infɔmeshɔn bɔt dis, yu kin kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital fɔ di ditel dɛn. Bɔt if ɛni imejensi, di bɛst tin fɔ du na fɔ go na di Imejɛnsi Tritmɛnt Yunit (ETU) we de nia yu .
Ɔda mɛrɛsin dɛm wae kin miks wit dis mɛrɛsin
I rili impɔtant fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (mɛrɛsin fɔ ɔda kɔndishɔn, vaytamɛn, tradishɔnal mɛrɛsin, sɔpɔtmɛnt). Sɔm mɛrɛsin kin miks wit Succinylcholine, chenj in ifɛkt ɔ mek yu gɛt denja.
Dis dɔŋ ya na sɔm pan dɛn kayn drɔgs ya:
- Sɔm antibayɔtik dɛn: fɔ ɛgzampul, amikacin, gentamicin, clindamycin.
- Ɔda mɛrɛsin dɛn we de mek pɔsin nɔ fil fayn: Gas anestetik lɛk enflurane, isoflurane, halothane.
- Mɛrɛsin fɔ at sik ɛn ay blɔd prɛshɔn.
- Pils dɛn we dɛn kin yuz fɔ kɔntrol pikin.
- Lithium: Na mɛrɛsin we dɛn kin yuz fɔ mek pɔsin gɛt maynd sik.
- MAOIs: Na wan kayn mɛrɛsin wae dɛn kin gi fɔ pwɛl hat.
- Di kayn stɛroyd dɛn: Fɔ ɛgzampul, prɛdnisɔn ɔ kɔtizɔn.
- Mɛrɛsin dɛn we gɛt magnɛsiɔm.
- Kwinin: Na mɛrɛsin we dɛn kin yuz fɔ mɛn malaria.
Dis list nɔ de ɔlsay. So, tɔk tru to yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek, ɛn if yu de smok ɔ drink rɔm .
Wetin na di sayd ɛfɛkt dɛm we di mɛrɛsin kin gɛt?
Jɔs lɛk ɛni mɛrɛsin, Succinylcholine kin mek yu gɛt sayd ɛfɛkt. Dɛn go de wach yu gud gud wan, so if ɛni prɔblɛm de, di mɛdikal tim go tek akshɔn wantɛm wantɛm.
| Sayd ɛfɛkt we pɔsin kin gɛt | Tɔk bɔt |
|---|---|
| Tin dɛn fɔ tɛl yu dɔktɔ ɔ di wan dɛn we de wok na di nɔs wantɛm wantɛm | |
| Alɛji we pɔsin kin gɛt | Skin rash, it, swel na di fes, lip ɔ tong. |
| I nɔ kin izi fɔ yu fɔ blo | If yu nɔ de pan ventilator, fil fɔ blo shɔt. |
| Di chenj dɛn we de apin na di at rit | At nɔ kin slo ɔ fast, i nɔ kin bit ɔltɛm. Chɛst de pen. |
| Di sayn dɛn we de sho se pɔsin gɛt bɔku potashɔm | Di mɔsul dɛn kin wik bad bad wan, di chɛst kin pen. |
| Di sayn dɛn we de sho se di mɔsul dɛn dɔn pwɛl | Dak urine, i nɔ kin izi fɔ pis, i kin taya pasmak, i kin gɛt mɔsul dɛn pen. |
| Di sayn dɛn we de sho se pɔsin in blɔd prɛshɔn dɔn dɔŋ | Diziz, blu yay, wik pasmak. |
| Tin dɛm wae nɔr kin siriɔs, bɔt dɛn fɔ ripɔt if dɛn kɔntinyu fɔ de | |
| Mɔsul dɛn kin pen | I nɔmal fɔ mek yu gɛt pen na yu bɔdi ɛn yu mɔsul fɔ wan ɔ tu dez afta di tin dɛn we di mɛrɛsin de du dɔn dɔn. |
| Di mɔsul dɛn we wik | Di mɔsul dɛn kin wik fɔ sɔm tɛm. |
Mɛsej we dɛn kin kɛr go na os
- Succinylcholine na pawaful mכsul rilaksant we dεn kin yus כnli na כspitul, εspεshali na כpεrayshכn εn intensiv kεriכn yunit dεm.
- Bifo dɛn gi yu dis mɛrɛsin, i impɔtant fɔ mek yu tɛl yu dɔktɔ bɔt yu kɔmplit mɛdikal istri, alɛji, famili mɛdikal histri, ɛn ɔl ɔda mɛrɛsin dɛn we yu de tek.
- Bikɔs na dɔktɔ dɛn we tren de gi dis, yu nɔ nid fɔ wɔri bɔt aw fɔ kip am ɔ gi am.
- Pan ɔl we di sayd ɛfɛkt dɛn kin apin, di mɛdikal tim kin ebul fɔ kɔntrol dɛn bikɔs dɛn de wach yu gud gud wan na di ɔspitul.
- If yu gɛt ɛnitin fɔ wɔri bɔt ɔ kwɛstyɔn, nɔ ɛva fred fɔ aks di dɔktɔ we de mɛn yu ɔ di dɔktɔ we de trit yu. Yu sef na dɛn tɔp prayoritɛt bak.
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