Wali olina okulongoosebwa? Oba omuntu gw’omanyi abadde mu ddwaaliro ly’abalwadde abayi (ICU) ku kyuma ekissa? Mu mbeera ng’ezo, kikulu nnyo okuwummuza ddala ebinywa by’omubiri gw’omulwadde n’okubikuuma nga bisirise. Kino kiyamba abasawo okukola obulungi nga balongoosebwa era kiyamba n’omubiri gw’omulwadde obutatomera kyuma nga bali ku kyuma ekissa. Kale, leero twogera ku ddagala erikozesebwa mu mbeera ez’enjawulo bwe zityo. Kiyitibwa Cisatracurium .
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Mu ngeri ennyangu, Cisatracurium kye ki?
Cisatracurium ddagala eriwummuza ebinywa by'amagumba . Lino ddagala eriwummuza oba okuyimiriza okumala akaseera ebinywa mu mubiri gwaffe bye tufuga mu kumanya (okugeza, ebinywa mu bitundu byaffe, ebinywa mu bulago bwaffe). Kiweebwa omulwadde oba ng’empiso butereevu mu musuwa oba ng’okufuyira obutasalako ng’omunnyo.
Enkozesa bbiri enkulu eza kino ze zino:
- Mu kiseera ky’okulongoosebwa: Singa ebinywa by’omulwadde biba binywezeddwa mu kiseera ky’okulongoosebwa okw’amaanyi, kiyinza okukaluubirirwa omusawo alongoosa okukola obulungi omulimu gwe. Eddagala lino liwummuza omubiri gwonna, ne lifuula okulongoosa okubeera okw’obukuumi era okwangu.
- Bw’oyungiddwa ku kyuma ekissa/ekyuma ekissa: Mu mbeera ezimu ez’amaanyi, omulwadde aba tasobola kussa ku lulwe. Mu kiseera ekyo, okussa kuweebwa nga bayita mu kyuma ekissa. Kyokka oluusi omubiri gw’omulwadde gusobola okulwanyisa ekikolwa ky’ekyuma kino. Eddagala lino liyamba okugiyimiriza n’okusobozesa ekyuma okugatuusa empewo mu mawuggwe mu ngeri ennyangu.
Ekisinga obukulu ddagala lino liweebwa omulwadde oluvannyuma lw’okumuwa eddagala eribudamya n’okuzirika ddala. Olw’okuba kino kisannyalaza binywa byokka, tekireeta kubulwa birowoozo. N’olwekyo, kyetaagisa okuzirika omulwadde aleme kuwulira buzibu bwonna.
Ebintu by’olina okubuulira omusawo nga tonnaba kuwa ddagala lino
Nga tonnaweebwa Cisatracurium, omusawo ajja kukubuuza n’ab’omu maka go ku bulamu bwo. Kikulu nnyo okubabuulira embeera zo zonna ez'obujjanjabi nga tokwese kintu kyonna . Kikulu nnyo naddala okubabuulira bino wammanga:
| Embeera gy’olina okuloopa | Simply lwaki? |
|---|---|
| Alergy eri eddagala eddala, emmere oba ebintu | Bw’oba wali olina alergy ku cisplatin oba eddagala eddala lyonna eribudamya, kiyinza okukutta obulamu. |
| Obulwadde bw’ekibumba oba ekibumba | Eddagala lino liggyibwa mu mubiri ensigo n’ekibumba. Singa ebitundu bino binafu, ebiva mu ddagala lino biyinza okumala ebbanga eddene. |
| Endwadde z’okussa nga asima | Eddagala lino oluusi liyinza okukosa enkola y’okussa, n’olwekyo kikulu okukimanya nga bukyali. |
| Endwadde z’obusimu nga myasthenia gravis | Abantu abalina embeera zino bayinza okufuna ekikolwa ekinene eky’eddagala lino, n’olwekyo abasawo balina okwegendereza naddala ku ddoozi gye bawandiika. |
| Okubulwa amazzi oba obutakwatagana mu miwendo gya calcium, potassium oba magnesium mu musaayi | Enkyukakyuka mu munnyo n’amazzi mu mubiri zikwata butereevu ku ngeri eddagala lino gye likola. |
| Okwokya Okunene) . | Engeri omubiri gye gukwatamu eddagala ery’ekika kino eyinza okwawukana mu balwadde abayokebwa ennyo. |
| Okufuna olubuto oba okuyonsa | Kikulu nnyo okutegeeza omusawo wo bw’oba oli lubuto, ng’ogezaako okufuna olubuto oba ng’oyonsa. |
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Check Availability →Engeri y’okukozesaamu eddagala lino n’ebintu ebirala ebikulu
Lino si ddagala ly’osobola okutwala awaka. Cisatracurium eweebwa mu ddwaaliro oba mu ddwaaliro lyokka omusawo oba nnansi omutendeke. N’olwekyo, tewali bulabe bwa kusubwa ddoozi.
Eddagala lino liweebwa abaana abato n’abaana abawere mu mbeera ezimu ez’enjawulo. Naye kikolebwa nga balabirirwa nnyo omusawo w’abaana, era n’obwegendereza bungi.
Watya singa eddagala lyongerwako? (Okukozesa eddagala erisukkiridde)
Okuva bwe kiri nti kino kiweebwa mu ddwaaliro, emikisa gy’okunywa eddagala erisukkiridde giri mutono nnyo. Kyokka ekintu nga kino bwe kibaawo, kiba kya mangu. Mu mbeera ng’eno, abasawo mu kitongole ky’eddwaaliro ekikola ku bujjanjabi obw’amangu (ETU) be bagenda okuwa obujjanjabi obwetaagisa. Bw’oba olina okubuusabuusa ku nsonga eno, osobola n’okukubira essimu mu National Poisons Information Center mu ddwaaliro ly’eggwanga erya Colombo National Hospital okufuna amagezi.
Eddagala eddala eriyinza okukwatagana n’eddagala lino
Buulira omusawo wo ku ddagala lyonna ly’omira, omuli eddagala eriwandiikiddwa omusawo n’eryatali ku ddagala, ebiva mu muddo, vitamiini, n’ebiva mu muddo. Eddagala erimu lisobola okukwatagana ne Cisplatin ne lyongera oba okukendeeza ku bikolwa byayo. Okugeza nga:
- Eddagala erimu eritta obuwuka - e.g. amikacin, gentamicin, ebirungo ebiyitibwa tetracyclines
- Eddagala eriweweeza ku kuzimba (carbamazepine, phenytoin) .
- Lithium
- Eddagala eddala erikozesebwa mu kubudamya (isoflurane, halothane)
- Eddagala eriweweeza ku bulwadde (lidocaine) .
- Magnesium ) nga
Biki ebisuubirwa okuvaamu?
Okufaananako n’eddagala lyonna, eddagala lya cisplatin liyinza okuleeta ebizibu. Abasawo ne ba nurse bajja kukulondoola nnyo ng’omira eddagala lino. Bw’oba olina ekizibu kyonna, bategeeze mangu.
| Okugabanya ebizibu ebivaamu | |
|---|---|
| Ebizibu eby’amaanyi ebirina okuloopebwa eri omusawo oba nnansi wo mu bwangu: | |
| Ebintu Ebiva mu Allergy | Okusiiyibwa ku lususu, okusiiwa, okuzimba mu maaso, emimwa oba olulimi. |
| Obuzibu mu kussa | Okukaluubirirwa okussa. |
| Obubonero bwa puleesa okukka | Okuziyira , okuwulira ng’omutwe gutangaala, amaaso ga bbululu. |
| Obubonero bw’okwonooneka kw’ebinywa | Omusulo omuddugavu, okukaluubirirwa okufulumya omusulo, obukoowu obuyitiridde, okulumwa ebinywa. |
| Lala | Okumyuuka mu maaso, okusiiwa oba okwokya amaaso, okukonziba. |
| Ebizibu ebitera obutaba bya maanyi, naye nga birina okuloopebwa eri omusawo singa bibaawo: | |
| Obulumi mu binywa oba obunafu | Oluvannyuma lw’okubudamya n’eddagala okuggwaawo, oyinza okuwulira obulumi mu binywa oba obunafu. |
Obubaka Obutwala Awaka
- Cisatracurium mpiso ya njawulo eweebwa okuwummuza ebinywa nga balongoosebwa n’obujjanjabi obw’amaanyi.
- Kino kiweebwa mu ddwaaliro lyokka, nga balabirirwa abasawo. Lino si ddagala lya kutwala waka.
- Kikulu nnyo okubuulira omusawo wo ku mbeera zo zonna ez’obujjanjabi, alergy, n’eddagala ly’omira nga tonnalongoosebwa.
- Ojja kulondoolwa buli kiseera ng’omira eddagala lino, kale singa wabaawo ebizibu byonna ebikukwatako, ojja kufuna obujjanjabi obw’amangu.
- Bw’oba olina ekibuuzo ekirala kyonna ku ddagala lino, tolwawo kubuuza musawo wo.
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