Whakaarohia kei te tata koe, kei te tata rānei tētahi e tata ana ki a koe ki te pokanga. Kei roto pea koe i te wāhanga tiaki nui (ICU) nā tētahi mate hauora. I roto i ēnei āhuatanga, kua rongo pea koe i te kōrero a ngā tākuta mō tētahi rongoā "whakangāwari uaua". He rongoā motuhake te Atracurium e whakamahia ana i roto i ēnei āhuatanga. Ehara tēnei i te rongoā ka taea te hoko mai i te whare rongoā. He werohanga tēnei e hoatu ana i roto i te hōhipera anake, i raro i te tirotiro a ngā tākuta tohunga. Nō reira, me kōrero tātou mō tēnei rongoā me ētahi atu taipitopito, me te tino māmā noa iho.
He aha te momo rongoā o tēnei Atracurium?
He kupu ngāwari noa iho, he rongoā te Atracurium e whakangāwari ana, e whakararuraru rānei i ngā uaua anga o te tinana mō te wā poto. Whakaarohia he rite ki te whakamoe i ngā uaua e whakahaeretia ana e tātou i roto i te hinengaro, pērā i ō tātou ringa, waewae, kaki, me te puku.
Tērā pea kei te whakaaro koe, "He aha koe i whakangāwari ai i ō uaua pēnei?" E rua ngā take matua mō tēnā:
1. I te wā e pokanga ana: I te wā e mahi ana i tētahi pokanga nui, me mahi noa te taote pokanga, me te kore he arai. He uaua ki te mahi i tēnei mena he uaua ngā uaua o te tinana. Ina hoatu te Atracurium, ka tino wātea ngā uaua. Waihoki, i te wā e whakamoea ana, me whakauru he ngongo mā roto i te trachea (intubation). He mea nui kia wātea ngā uaua o te korokoro me te kaki i taua wā.
2. I te wā e whakamahia ana te Pūwero Manawa: I ētahi wā tino kino, ka uaua pea te manawa o te tūroro. Ka whakanohoia pea rātou ki te pūwero manawa, he mīhini manawa. I tēnei wā, ka kikī pea ngā uaua o te uma o te tūroro, ka whakararuraru i te mahi a te mīhini. Ina hoatu te atracurium, ka whakangāwari aua uaua, ka taea ai e te pūwero manawa te mahi i te mahi manawa mā te tūroro.
Ko te mea nui, kia kaua tēnei rongoā e meinga kia kore koe e mōhio. Nō reira, i ngā wā katoa e hoatu ana te Atracurium, ka hoatu tahitia me te rongoā hei whakamoe i a koe (whakamarie) hei rongoā whakamoe rānei (whakamarie).
Ngā mea hei kōrero ki tō tākuta i mua i te hoatutanga o tēnei rongoā
He rongoā te Atracurium me tino tupato. Nō reira, he mea tino nui kia kōrerotia e koe ngā kōrero e whai ake nei me te kore e huna i tetahi mea ina pātai mai te kaiwhakamoe i mua i tō pokanga.
| Te āhuatanga me ripoata e koe | He whakamārama māmā |
|---|---|
| Mate pāwera ki te Atracurium, ki ētahi atu rongoā rānei | Me whakamōhio atu ki tō tākuta mēnā kua pāngia koe e te mate pāwera ki tēnei rongoā i mua, mēnā rānei he mate pāwera koe ki tētahi atu rongoā, kai, tae rānei. |
| Myasthenia Gravis, ētahi atu mate neuromuscular rānei | He mate ēnei e ngoikore ai ngā uaua. Mō ēnei tūroro, ka nui ake pea ngā pānga o te Atracurium. |
| Te mate huango, ētahi atu mate pūkahukahu rānei | Me tino tupato te tuku i tēnei rongoā ki ngā tūroro e uaua ana ki te manawa. |
| Mate Manawa | Mena he mate ngakau tōu, me whakamōhio atu ki tō tākuta. |
| Ngā panonitanga o ngā taumata tote o te tinana (Te Tauritekore o te Irahiko) | Ka pā pea te iti, te teitei rānei o ngā taumata tote pēnei i te konupūmā, te konupora, me te pāhare pāporo i roto i te toto ki te whai huatanga o te rongoā. |
| Ngā wera nui, te matewai rānei | Tērā pea he rerekē te mahi a te rongoā mō te hunga he nui ngā weranga, mō te hunga rānei kua maroke te wai. |
| Te haputanga, te whāngai ū rānei | He mea nui kia whakamōhio atu koe ki tō tākuta mēnā kei te hapu koe, kei te ngana rānei kia hapu, kei te whāngai u rānei. |
Ētahi atu rongoā ka taunekeneke pea me te Atracurium
Ka pāngia pea te mahi a te Atracurium e ētahi rongoā kei te tangohia e koe. Ko te tikanga o tēnei, ka nui rawa atu, ka iti rawa rānei ngā pānga o te Atracurium. Nō reira, me kōrero ki tō tākuta mō ngā rongoā katoa e tangohia ana e koe, tae atu ki ngā huaora, ngā hua otaota, me ngā tāpiringa .
Anei ētahi o ngā mea matua ka pāngia:
- Ētahi paturopi (hei tauira, amikacin, gentamicin)
- Ko ētahi rongoā whakangote whānui (hei tauira, isoflurane, halothane)
- Ritiuma
- Konupūmā
- Ngā rongoā mō ngā mate ngakau pērā i te Quinidine me te Procainamide
- Ētahi atu rongoā e whakamahia ana hei whakangāwari i ngā uaua i te wā e pokanga ana
Rongoā me te Horopeta Nui rawa
Ka tukuna tēnei rongoā hei werohanga ki roto i te uaua, mā te werohanga tote rānei. Ka mahia tēnei i roto i te hōhipera, i raro i te tirotiro a te tīma hauora. Nō reira, kāore koe e manukanuka kei ngaro te horopeta, kei nui rawa rānei te horopeta. Ka whakahaerehia ngā mea katoa i roto i te huarahi tino whakahaeretia. Mena he whakapae kei nui rawa te horopeta, ka mahi te tīma hauora i ngā mahi e tika ana. Mena e hiahiatia ana he mōhiohio mō tēnei āhuatanga paitini, ko te National Poisons Information Centre i te Hōhipera ā-Motu o Colombo te wāhi hei haere atu. I roto i te āhuatanga ohorere, ka tukuna te tūroro ki te Emergency Treatment Unit (ETU) .
He aha ngā pānga taha ka puta?
Pērā i ngā rongoā katoa, ka pā mai ētahi pānga taha ki te Atracurium. Engari kia maumahara, ina hoatu tēnei rongoā ki a koe, ka karapotia koe e ngā tākuta me ngā nēhi. Nō reira, ki te puta he raruraru, ka whakatikahia tonutia e rātou.
| Ngā pānga taha o te Atracurium | |
|---|---|
| Ngā pānga kino nui me ripoata tonu ki te tīma hauora | |
| Ngā Tauhohenga Mate Pāwera | He ponana kiri, he mākūkū kino, he pupuhi o te mata, o ngā ngutu, o te arero rānei. |
| Ngā raruraru manawa | Te poto o te manawa, ngā huringa rerekē o te tere o te manawa. |
| Ngā Tohu o te Toto Toto Iti | Te whanoke nui, te māhunga māmā, me ngā kanohi kikorangi. |
| Ngā Tohu o te Whara Uaua | He mimi pōuri (he rite ki te kōra), he mamae nui o ngā uaua, he uaua ki te mimi. |
| Ētahi atu | Te whero o te mata, te mākūkū, te mate pāwera rānei o ngā kanohi, ngā haurangi. |
| Ngā mea kāore i te tino kino, engari me ripoata mēnā ka mau tonu | |
| Mamae/ngoikore o te uaua | Te mamae, te ngoikore rānei o ngā uaua ahakoa kua memeha haere ngā pānga o te rongoā. |
| Te mamae i te wāhi i werohia ai | Te whero, te mamae, te pupuhi rānei i te wāhi i werohia ai. |
Karere Tangohia ki te Kāinga
- He rongoā motuhake te Atracurium e whakamahia ana hei whakangāwari i ngā uaua mō te wā poto i te wā pokanga me ngā maimoatanga tiaki nui.
- Ka hoatu noa tēnei i roto i te hōhipera, i raro i te tirotiro tino a ngā tākuta tohunga. Kāore koe e hiahia ki te whakamahi i te kāinga.
- He mea nui kia kōrero koe ki tō tākuta mō ō āhuatanga hauora katoa (ina koa ko ngā mate pāwera, te huango, te mate ngakau, te Myasthenia Gravis) me ngā rongoā katoa e tangohia ana e koe.
- Kāore he take e wehi ai koe, nā te mea ka aroturuki tonu te tīma hauora i a koe e hoatu ana tēnei rongoā ki a koe.
- Mēnā ka puta he tohu rerekē, he pānga taha rānei, ka mahi tonu te tīma hauora. Kōrerohia mā te mahorahora ki tō tākuta mō tēnei mea.
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