Kodi munachitapo opaleshoni ? Kapena munachitapo mayeso enaake pansi pa mankhwala oletsa ululu ? Lero tikambirana za mankhwala apadera omwe amathandiza madokotala kumasula minofu m'thupi lanu ndikuchita opaleshoni kapena kuyesa mosamala komanso mosavuta. Dzina la mankhwalawa ndi Atracurium.
Mwachidule, kodi Atracurium ndi chiyani?
Atracurium ndi mankhwala omwe amaperekedwa kuti apumule minofu m'thupi lanu panthawi ya opaleshoni, monga opaleshoni. Nthawi zambiri amaperekedwa ngati jakisoni.
Tangoganizirani dokotala akuchita opaleshoni yaying'ono pamimba panu. Kodi sizingakhale zovuta kuchita opaleshoniyo ngati minofu ya m'mimba mwanu inali yolimba? Panthawi yotere, mankhwala awa akaperekedwa, amatseka kwakanthawi zizindikiro za mitsempha kuchokera ku ubongo zomwe zimauza minofu kuti "igwire". Zili ngati kuzimitsa switch pa nyali. Kenako minofu imapumula kwathunthu. Izi zikutanthauza kuti thupi lanu siligwedezeka kapena kusuntha konse. Kenako gulu lachipatala limatha kugwira ntchito yawo popanda choletsa chilichonse, mosamala kwambiri.
Chofunika ndichakuti, iyi si mankhwala omwe mungagwiritse ntchito kunyumba. Iyi ndi mankhwala omwe amaperekedwa kuchipatala kapena ku chipatala chokha, ndi gulu lachipatala lophunzitsidwa bwino .
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa
Musanachite opaleshoni kapena opaleshoni yoletsa kupweteka, dokotala wanu adzakufunsani mafunso ambiri okhudza thanzi lanu. Ndikofunikira kwambiri kuti muyankhe mafunso onse moona mtima. Makamaka musanapatsidwe mankhwala monga Atracurium, muyenera kuuza dokotala wanu ngati muli ndi vuto lililonse lomwe latchulidwa pansipa.
| Mkhalidwe womwe mungakhale nawo | N’chifukwa chiyani kudziwitsa ena n’kofunika? |
|---|---|
| Ngati thupi lasowa madzi m'thupi (Dehydration) | Madzi akachepa m'thupi, momwe mankhwala amagwirira ntchito zimatha kusintha. Chifukwa chake, izi ndizofunikira kwambiri posintha mlingo wa mankhwala. |
| Ngati muli ndi matenda a mtima | Mankhwalawa nthawi zina amatha kukhudza kuthamanga kwa magazi pang'ono. Anthu omwe ali ndi matenda a mtima ayenera kusamala kwambiri nawo. |
| Matenda a m'mapapo kapena kupuma (monga mphumu, COPD) | Popeza Atracurium imakhudzanso njira yopumira, ndikofunikira kuti madokotala adziwe ngati pali vuto lililonse la kupuma lomwe lilipo. |
| Matenda a mitsempha monga myasthenia gravis | Izi ndi matenda omwe amafooketsa minofu. Choncho muyenera kusamala kwambiri mukamapereka mankhwala opumulitsa minofu. |
| Ngati muli ndi vuto la atracurium kapena mankhwala ena aliwonse, zakudya, kapena utoto. | Ngati munakhalapo ndi vuto la ziwengo kale, kuuza wina za izi kungakuthandizeni kupulumutsa moyo wanu. |
| Ngati muli ndi pakati kapena mukufuna kutenga mimba | Chidziwitsochi n'chofunikira kwambiri kuti mudziwe ngati mankhwalawo angakhudze mwana wosabadwayo kapena ayi. |
| Ngati mwana akuyamwitsa | Dokotala ayenera kudziwa izi kuti aganizire ngati mankhwala enaake angapite kwa mwana kudzera mu mkaka wa m'mawere. |
Kodi mankhwalawa amaperekedwa bwanji komanso amathandizidwa bwanji?
Mankhwalawa amalowetsedwa m'mitsempha yanu (m'mitsempha). Amachitidwa kuchipatala ndi munthu wophunzitsidwa bwino, monga dokotala kapena katswiri wa mankhwala oletsa ululu. Choncho simuyenera kuda nkhawa nazo.
- Kwa ana aang'ono: Nthawi zina, mankhwalawa amaperekedwa kwa makanda aang'ono ngati mwezi umodzi. Koma amachitidwa mosamala kwambiri komanso moyang'aniridwa mwapadera.
- Mlingo Wopitirira Muyeso: Popeza izi zimaperekedwa kuchipatala, mlingo wake umasankhidwa ndi gulu lachipatala . Chifukwa chake, simuyenera kuda nkhawa ndi kumwa mankhwala opitirira muyeso. Ngati mukuganiza kuti mwapatsidwa poizoni ndi mankhwala mwanjira iliyonse, muyenera kuuza nthawi yomweyo Chipatala cha Emergency Treatment Unit (ETU). Ku Sri Lanka, mutha kuyimbira National Poison Information Center ku Colombo National Hospital kuti mudziwe zambiri zokhudza poizoni wotere. Komabe, ngati muli kuchipatala, gulu lachipatala lidzasamalira nkhani zonse.
Mankhwala ena omwe angagwirizane ndi Atracurium
Ngati mukumwa mankhwala a matenda ena, ndikofunikira kwambiri kuuza dokotala wanu za izi. Chifukwa mankhwala ena amatha kusintha momwe Atracurium imagwirira ntchito. Izi zikutanthauza kuti amatha kuchepetsa kapena kuwonjezera mphamvu zake.
| Gulu la mankhwala | Zitsanzo |
|---|---|
| Maantibayotiki ena | amikacin, gentamicin, tobramycin, tetracycline, clindamycin, vancomycin, colistin |
| Mankhwala ena a mutu waching'alang'ala | carbamazepine, phenytoin |
| Lithiamu | Amagwiritsidwa ntchito pa matenda amisala. |
| Mankhwala oletsa ululu am'deralo | Lidocaine |
| Zakudya zowonjezera za magnesium | Magnesium imaperekedwa ku thupi. |
| Procainamide ndi Quinidine | Amagwiritsidwa ntchito pa matenda a mtima. |
Mndandandawu suli wokwanira, choncho onetsetsani kuti mwauza dokotala wanu za mankhwala onse omwe mumamwa (kuphatikizapo mavitamini, mankhwala azitsamba, ndi zowonjezera ) musanachite opaleshoni yanu. Komanso, uzani dokotala wanu ngati mumasuta kapena kumwa mowa.
Kodi zotsatirapo zake zingakhale zotani chifukwa cha mankhwalawo?
Monga mankhwala ena aliwonse, Atracurium ikhoza kukhala ndi zotsatirapo zake . Koma kumbukirani kuti muli pansi pa kuyang'aniridwa kwathunthu ndi gulu lachipatala kuchipatala. Choncho ngati pali vuto, adzalichiza mwachangu.
| Zotsatira zoyipa | Kufotokozera |
|---|---|
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa gulu lanu lachipatala nthawi yomweyo | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi, komanso kuvutika kupuma. |
| Kugunda kwa mtima mofulumira kapena kosasinthasintha | Kuwonjezeka mwadzidzidzi kwa kugunda kwa mtima kapena kusintha kwa kayendedwe ka mtima. |
| Kutentha kwa thupi, thukuta kwambiri, kuuma kwa minofu | Izi zitha kukhala zizindikiro za matenda osowa koma oopsa otchedwa Malignant Hyperthermia. |
| Kuthamanga kwa magazi kotsika | Kumva chizungulire, mutu wopepuka, kapena kusawona bwino. |
| Kugwidwa ndi khunyu | Thupi limayamba kunjenjemera. |
| Zotsatirapo zomwe nthawi zambiri sizili zoopsa, koma ziyenera kunenedwa ngati zikupitirira | |
| Kutsuka | Kufiira, makamaka pankhope ndi pakhosi. |
| Kufooka kwa minofu | Kumva ngati munthu wopanda moyo ngakhale mphamvu ya mankhwala itachepa. |
| Ululu kapena kufiira pamalo omwe jakisoni adayikidwa | Kupweteka pang'ono kapena kufiira komwe kanula inayikidwa. |
Mndandandawu sukuphatikizapo zotsatirapo zonse zomwe zingachitike. Ngati mukumana ndi vuto lililonse lachilendo, uzani gulu lanu lachipatala nthawi yomweyo.
Uthenga Wopita Nawo Kunyumba
- Atracurium ndi jakisoni wapadera womwe umaperekedwa kuchipatala kokha kuti upumule minofu panthawi ya opaleshoni monga opaleshoni.
- Musanapatsidwe mankhwalawa, ndikofunikira kuti muuze dokotala wanu za mbiri yanu yonse ya thanzi, ziwengo zilizonse zomwe muli nazo, ndi mankhwala ena onse omwe mukumwa.
- Mudzayang'aniridwa ndi gulu lachipatala nthawi ya mankhwala awa komanso pambuyo pake, kotero palibe chifukwa chodera nkhawa.
- Ngati pachitika zotsatirapo zoyipa kwambiri, monga kusagwirizana ndi zakudya, kupuma movutikira, kapena kusintha kwa kugunda kwa mtima, ndikofunikira kudziwitsa gulu lachipatala nthawi yomweyo.
- Mankhwalawa sanakonzedwe kuti atengedwe kunyumba kapena kusungidwa. Choncho musadandaule nawo. Funsani dokotala wanu ngati muli ndi mafunso.
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