Bw’oba ggwe oba omuntu mu maka go agenda kulongoosebwa, omusawo ajja kukozesa eddagala ery’enjawulo okukusuza, okukuleetera okuwulira obulumi, n’okulongoosebwa okutali kwa bulabe. Ekimu ku bino ddagala lya njawulo, era ddene nnyo, eriyitibwa Succinylcholine. Kikola nga kiwummuza ebinywa byo okumala akaseera. Kale, ka twogere mu bufunze ku ddagala lino, bye likola, ne by’olina okumanya nga tonnalikozesa.
Mu ngeri ennyangu, Succinylcholine kye ki?
Succinylcholine ddagala eriwummuza ebinywa by'amagumba . Teebereza, kino kiringa okufiirwa ebimu ku binywa mu mubiri gwaffe bye tufuga mu birowoozo okumala akaseera, gamba ng’ebyo ebiri mu bitundu byaffe eby’omubiri, mu bulago ne mu lubuto. Naye kino kya kaseera buseera.
Eddagala lino lisinga kukozesebwa mu mbeera bbiri:
1. Mu kiseera ky’okulongoosebwa: Mu kulongoosa naddala olubuto, singa ebinywa mu mubiri biba binywezeddwa, kizibu omusawo okulongoosa. Okuva ebinywa bwe biba biwummudde ddala ng’eddagala lino liweereddwa, okulongoosa kuyinza okukolebwa mu ngeri ennyangu era nga tewali bulabe. Ekirala, oluusi kyetaagisa okuteeka ttanka okuyita mu bulago (intubation) okuyamba mu nkola y’okussa. Eddagala lino nalyo likozesebwa mu kiseera ekyo.
. Mu mbeera ng’ezo eddagala lino liweebwa okuwummuza ebinywa n’okusobozesa ekyuma ekissa okukola obulungi.
Ekisinga obukulu, lino si ddagala ly’osobola okukozesa awaka. Kikozesebwa mu ddwaaliro lyokka, mu kifo awajjanjabirwa abalwadde abayi, oba mu kisenge omulongoosebwa, nga kilabirirwa ennyo abasawo abatendeke n’abakozi ba ba nnamusa.
Ebintu by’osaanidde okutegeeza omusawo wo nga tonnaba kuwa ddagala lino
Kino kitundu kikulu nnyo. Ku lw’obukuumi bwo, kyetaagisa okutegeeza omusawo akendeeza ku mbeera ezimu mu mubiri gwo nga tonnalongoosebwa. Kubanga okusinziira ku mawulire ago, okusalawo kujja kukolebwa oba eddagala lino bagenda kukuwa oba nedda, oba bakuwa eddagala ery’enjawulo.
Bw’oba olina emu ku mbeera zino wammanga, kakasa nti otegeeza omusawo wo.
| Embeera oba embeera yo ey’obujjanjabi | Lwaki wandibadde otegeeza? |
|---|---|
| Obulwadde bwa alergy | Bw’oba olina alergy ku succinylcholine oba eddagala eddala lyonna, emmere oba langi. |
| Ebyafaayo by’obujjanjabi bw’amaka | Singa omuntu yenna mu maka go abadde n‟ekizibu ekikwatagana n‟okubudamya (e.g., Malignant Hyperthermia). |
| Endwadde ezeekuusa ku binywa | Bw’oba olina obulwadde obunafuya ebinywa nga Myasthenia Gravis. |
| Ebizibu by’amaaso | Embeera ezirimu puleesa y’amaaso okweyongera, gamba ng’obulwadde bwa glaucoma. |
| Emiwendo gy’eby’obuggagga eby’omu ttaka mu musaayi | Singa ekirungo kya potassium, calcium oba magnesium mu musaayi kiba kinene oba kitono. |
| Ebisago | Obuvune obw’amaanyi ku mutwe, okwokya ennyo, oba okwonooneka kw’olususu okunene. |
| Okufuna olubuto | Bw’oba oli lubuto, ng’ogezaako okufuna olubuto, oba ng’oyonsa. |
Eddagala lino liyinza okuweebwa abaana abato?
Yee, mu mbeera ezimu ez’enjawulo, eddagala lino liyinza okuweebwa abaana, okutandika n’abalongo. Naye okwegendereza okw’enjawulo kugobererwa. Okusalawo kuno kukolebwa wamu omusawo w’abaana n’omusawo asumulula omwana wo.
Watya singa ddoozi yeeyongera?
Kino kiweebwa mu ddwaaliro, ng’olabirirwa abasawo, kale emikisa gy’okunywa ekisukkiridde giba mitono nnyo. Abasawo bajja kubala ddoozi entuufu okusinziira ku buzito bwo n’embeera gy’olimu era bakuwe eddagala. Kino bwe kibaawo, batendekebwa okusobola okuwa obujjanjabi obwetaagisa. Bw’oba weetaaga amawulire gonna ku nsonga eno, osobola okukuba essimu mu National Poisons Information Center mu ddwaaliro ly’eggwanga erya Colombo okumanya ebisingawo. Wabula mu mbeera yonna ey’amangu, ekisinga obulungi kwe kugenda mu kitongole ekijjanjaba abalwadde ab’amangu ekikuli okumpi (ETU) .
Eddagala eddala eriyinza okukwatagana n’eddagala lino
Kikulu nnyo okubuulira omusawo wo ku ddagala lyonna ly’omira (eddagala eriwonya embeera endala, vitamiini, eddagala ly’ekinnansi, eddagala eriweweeza ku bulwadde). Eddagala erimu liyinza okukwatagana ne Succinylcholine, okukyusa ebikolwa byayo oba okuleeta embeera ez’obulabe.
Wansi waliwo eddagala ery’engeri eno:
- Eddagala erimu eritta obuwuka: okugeza, amikacin, gentamicin, clindamycin.
- Eddagala eddala eriweweeza ku bulwadde: Eddagala eriweweeza ku ggaasi nga enflurane, isoflurane, halothane.
- Eddagala eriwonya endwadde z’omutima ne puleesa.
- Empeke z’okuziyiza okuzaala.
- Lithium: Eddagala erikozesebwa ku bulwadde bw’obwongo.
- MAOIs: Ekika ky’eddagala eriweebwa ku kweraliikirira.
- Ebika by’eddagala eriyitibwa steroids: Okugeza, prednisone oba cortisone.
- Eddagala eririmu ekirungo kya magnesium.
- Quinine: Eddagala erikozesebwa ku musujja.
Olukalala luno terujjuvu. N’olwekyo, beera mwesimbu eri omusawo wo ku ddagala lyonna ly’omira, era oba onywa sigala oba onywa omwenge .
Biki ebiyinza okuva mu ddagala lino?
Nga bwe kiri ku ddagala lyonna, Succinylcholine asobola okuleeta ebizibu. Ojja kulondoolwa nnyo, kale bwe wabaawo obuzibu bwonna, ttiimu y’abasawo ejja kubaako ky’okolawo mu bwangu.
| Side effect | Okunnyonnyola |
|---|---|
| Ebintu by’olina okubuulira omusawo wo oba abakozi ba ba nnamusa mu bwangu | |
| Obulwadde bwa alergy | Okusiiyibwa ku lususu, okusiiwa, okuzimba mu maaso, emimwa oba olulimi. |
| Okukaluubirirwa okussa | Bw’oba toli ku kyuma ekissa, ng’owulira ng’omukka gukutte. |
| Enkyukakyuka mu kukuba kw’omutima | Omutima gukuba mpola oba mu bwangu mu ngeri etaali ya bulijjo. Obulumi mu kifuba. |
| Obubonero bw’ekirungo kya potassium ekingi | Obunafu bw’ebinywa obuyitiridde, okulumwa mu kifuba. |
| Obubonero bw’okwonooneka kw’ebinywa | Omusulo omuddugavu, okukaluubirirwa okufulumya omusulo, obukoowu obuyitiridde, okulumwa ebinywa. |
| Obubonero bwa puleesa okukka | Okuziyira, amaaso aga bbululu, obunafu obuyitiridde. |
| Ebintu ebitera obutaba bya maanyi, naye nga birina okuloopebwa singa bisigala | |
| Obulumi mu binywa | Kya bulijjo okulumwa omubiri n’ebinywa okumala olunaku lumu oba bbiri oluvannyuma lw’ebiva mu ddagala okuggwaawo. |
| Obunafu bw’ebinywa | Okunafuwa kw’ebinywa okumala akaseera. |
Obubaka Obutwala Awaka
- Succinylcholine ddagala lya maanyi eriwummuza ebinywa erikozesebwa mu malwaliro gokka naddala mu bifo ebilongoosebwa n’abalwadde abayi.
- Nga tonnaba kuweebwa ddagala lino, kyetaagisa okutegeeza omusawo wo ku byafaayo byo byonna eby’obujjanjabi, alergy, ebyafaayo by’obujjanjabi bw’amaka, n’eddagala eddala lyonna ly’omira.
- Olw’okuba kino kiweebwa abasawo abatendeke, tolina kweraliikirira kukitereka oba kukigaba.
- Wadde ng’ebizibu ebivaamu bisoboka, ttiimu y’abasawo esobola okubiddukanyizibwa kubanga otunuuliddwa nnyo mu ddwaaliro.
- Bw’oba olina ekikweraliikiriza oba ekibuuzo kyonna, totya kubuuza musawo akola ku by’okubudamya oba omusawo akujjanjaba. Obukuumi bwo bwe businga okukulembeza nga bwe kiri.
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