Ki te mea kei te haere koe, kei te haere rānei tētahi e tata ana ki a koe ki te pokanga, he mea noa te hiahia ki te mōhio, me te manukanuka pea, mō ngā rongoā ka hoatu i taua wā. I roto i ngā rongoā e hoatu ana i te wā e whakamoea ana, he rongoā tino nui te Rocuronium. Ko tētahi o ōna ingoa waitohu ko Zemuron. Nō reira, i tēnei rā, me kōrero noa tātou mō te aha te Rocuronium, āna mahi, me ngā mea e tika ana kia mōhio tātou mōna.
He aha te Rocuronium? He aha tāna mahi?
He kupu ngāwari noa iho, he rongoā a Rocuronium e whakangāwari ana i ngā uaua angaiwi o tō tinana mō te wā poto.
Whakaarohia, i a koe e mahi pokanga ana, me ngāwari te toro atu o ngā tākuta ki ngā okana o roto i tō tinana. Mō tēnā, kaua e pēhia ō uaua, me tino wātea. Koinei te āwhina a Rocuronium. He rite ki te whakararuraru i ō uaua mō te wā poto. Mā tēnei ka māmā ake te mahi a te taote pokanga me te kore he arai.
Waihoki, i ētahi wā, ina uaua te manawa o te tangata, me hono atu ki tētahi mīhini (he mīhini manawa) hei manawa. I aua wā, ka whakamahia tēnei rongoā hei whakangāwari i ngā uaua manawa, hei āwhina hoki i te mīhini kia mahi tika.
He aha taku e kōrero ai ki te tākuta i mua i te hoatutanga o tēnei rongoā?
He mea tino nui tēnei. I mua i te hoatutanga o te Rocuronium ki a koe, he mea nui kia mōhio tō tīma hauora ki tō āhua hauora. Nā te mea me tino tupato te whakamahi i tēnei rongoā mō ētahi āhuatanga. Nō reira, ki te pāngia koe e tētahi o ngā āhuatanga kua whakarārangihia i raro nei, me whakamōhio atu ki tō tākuta.
| Ngā āhuatanga hauora me pūrongo e koe | He aha te mea nui? |
|---|---|
| Te matewai (te kore wai i roto i te tinana) | Ka pā te toenga wai i roto i te tinana ki te whai huatanga o te rongoā. |
| Tetahi momo mate ngakau | Ka pā pea tēnei rongoā ki te tere o te manawa me te toto toto. |
| Ngā rerekētanga o te taumata o te konupūmā, te konupora, me te pāhare pāporo i roto i te toto | E pā tika ana ngā taumata o ēnei kohuke ki te mahi a te uaua me ngā pānga o te rongoā. |
| Mate whatukuhu, mate ate rānei | Nā te mea kei roto ēnei okana i te tukanga tango rongoā i te tinana, ka taea e ō rātou āhuatanga mate te whakarerekē i te whai huatanga o te rongoā. |
| Ngā mate pūkahukahu pērā i te mate huango | Me tino tupato, nā te mea ka pā ki te pūnaha manawa. |
| Myasthenia Gravis (he mate e ngoikore ai ngā uaua) | Tērā pea ka pāngia ēnei tūroro e te tairongo nui ki te Rocuronium. |
| Mate pāwera ki te rocuronium, te bromide, ki tētahi atu rongoā, kai rānei | He mea nui tēnei hei ārai i tētahi tauhohenga mate pāwera kino (anaphylaxis). |
| Mena kei te hapu koe, kei te ngana rānei kia hapu, kei te whāngai u rānei | Me whai whakaaro te tākuta ki ngā pānga ka pā ki te tamaiti. |
Me pēhea te hoatu i te werohanga Rocuronium?
Kāore e taea te whakamahi i tēnei rongoā i te kāinga. Ka hoatu noa te Rocuronium i roto i te hōhipera, i te whare hauora rānei . Mā te tohunga hauora whakangungu koe e hoatu hei werohanga ki roto i te uaua, hei werohanga rānei ki roto i tō tinana.
Tērā pea ka tohua tēnei rongoā e ngā tākuta mā ngā tamariki nohinohi, tae atu ki ngā pēpi hou, i roto i ngā āhuatanga motuhake. Engari me tino tupato, me te tirotiro motuhake hoki. Ka taea e koe te kōrero ki tō tākuta tamariki mō tēnei.
I te mea ka hoatuhia tēnei rongoā i roto i te hōhipera, i raro i te tirotiro tino a te rata, kāore koe e manukanuka kei ngaro tetahi horopeta, kei nui rawa rānei te horopeta e tangohia ana. Mā te tīma hauora e whakahaere tika ngā mea katoa.
Mena kei te hiahia koe ki ngā kōrero mō tētahi āhuatanga pēnei i te paihana tarukino, ka taea e koe te waea atu ki te National Poisons Information Center i te Colombo National Hospital . Mēnā ka pā mai he āhuatanga ohorere, ka mahi te Emergency Treatment Unit (ETU) o te hōhipera i ngā mahi e tika ana.
Ētahi atu rongoā ka taunekeneke pea me tēnei rongoā (Ngā Taunekeneke Rongoā)
Ko te 'Taunekeneke Rongoā' ko te pānga o tētahi rongoā e tangohia ana e koe ki te whai huatanga o tētahi atu rongoā e tangohia ana e koe. He maha ngā momo rongoā ka taea te taunekeneke me te Rocuronium. Nō reira, he mea tino nui kia kōrero koe ki tō tākuta mō ngā rongoā katoa e tangohia ana e koe.
- Ētahi paturopi: Hei tauira, amikacin, gentamicin, tobramycin, vancomycin, tetracyclines, polymyxins.
- Ko ētahi rongoā e whakamahia ana hei rongoā i ngā āhuatanga pēnei i te mate haurangi (ngā haurangi): hei tauira, carbamazepine, phenytoin.
- Ētahi atu rongoā e whakamahia ana mō te rongoā whakamoe: Ngā hau rongoā whakamoe pērā i te enflurane, isoflurane, halothane.
- Ritiuma: He rongoā e whakamahia ana mō te mate hinengaro.
- Ngā rongoā whakangote ā-rohe: pērā i te lidocaine me te tetracaine.
- Konupūmā
- Ētahi atu rongoā whakangāwari uaua mō te pokanga
- Procainamide me Quinidine (ngā rongoā mō te mate ngakau)
Kāore tēnei rārangi i te katoa. Nō reira, he mea tino nui kia kōrero koe ki tō tākuta mō ngā rongoā katoa e tangohia ana e koe (kua tohua, kua hokona kore rānei), ngā hua otaota, ngā huaora, me ngā tāpiringa e tangohia ana e koe, tae atu ki te mea kei te momi hikareti koe, kei te inu waipiro, kei te whakamahi rānei i ētahi atu rongoā, i mua i tō pokanga.
Ngā pānga taha pea o te tango i te Rocuronium
Pērā i ngā rongoā katoa, ka pā mai ētahi pānga taha ki te Rocuronium. Ka tirotirohia koe e te tīma hauora i a koe e hoatu ana tēnei rongoā. Ka mahi tonu rātou mēnā ka puta he pānga taha. Heoi, he mea nui kia mōhio koe ki ēnei pānga.
| Pānga taha | Whakaahuatanga |
|---|---|
| Ngā pānga taha me ripoata tonu ki te tīma hauora | |
| Ngā uruparenga mate pāwera nui | He ponana kiri, he mākūkū kino, he pupuhi o te mata, o ngā ngutu, o te arero rānei. |
| Te uaua ki te manawa | He uaua ki te manawa mēnā kāore koe e hono atu ki tētahi mīhini manawa. |
| Te tere o te manawa (Tachycardia) | Te āhua nei kei te tere te pao o tō ngākau. |
| Te toto toto iti (hypotension) | Pōuriuri, māuiui te mahunga, me ngā kanohi kikorangi. |
| Ngā tohu o te pakaru o te uaua | Te mimi pouri, te uaua ki te mimi, te ngenge nui, me te mamae o te hope. |
| Ngā pānga taha me pūrongo ki te tākuta mēnā ka mau tonu | |
| Mamae/ngoikore o te uaua | Te mamae o te uaua, te ngoikore rānei, ahakoa kua memeha haere ngā pānga o te rongoā. |
| Te mamae i te wāhi i werohia ai | Te mamae, te whero, te mumura rānei i te wāhi i werohia ai. |
Kāore tēnei rārangi e whakauru i ngā pānga taha katoa. Mēnā ka pāngia koe e tētahi atu āhuatanga rerekē i tua atu i ēnei, kōrero ki tō tākuta mō tēnei.
Karere Tangohia ki te Kāinga
- He rongoā te Rocuronium e whakamahia ana hei whakangāwari i ngā uaua i te wā pokanga me ētahi tikanga hauora.
- Ka tukuna anake tēnei i roto i te hōhipera, e te tohunga hauora whai tohu.
- He mea nui kia whakamōhio koe ki tō tākuta mō ētahi atu mate hauora kei a koe (ina koa ko te mate ngākau, te mate whatukuhu, te mate ate, ngā mate pāwera) me ngā rongoā katoa e tangohia ana e koe i mua i te pokanga.
- Mena ka pāngia koe e ētahi pānga kino pēnei i ngā tohu mate pāwera, te uaua ki te manawa, te tere rānei o te pā o te ngakau, me whakamōhio tonu atu ki te tīma hauora.
- Mena he pātai āu mō tēnei rongoā, kaua e mangere ki te pātai atu ki tō tākuta.
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