Kodi munachitapo opaleshoni? Kapena kodi munthu amene mumamudziwa anakhalapo mu chipinda chosamalira odwala kwambiri (ICU) pogwiritsa ntchito makina opumira mpweya? Pazochitika zotere, ndikofunikira kwambiri kumasula minofu yonse ya thupi la wodwalayo ndikuyisunga chete. Izi zimathandiza madokotala kugwira ntchito mosavuta panthawi ya opaleshoni komanso zimathandiza thupi la wodwalayo kuti lisagundane ndi makinawo pamene ali pa makina opumira mpweya. Chifukwa chake, lero tikulankhula za mankhwala omwe amagwiritsidwa ntchito pazochitika zapadera zotere. Amatchedwa Cisatracurium .
Mwachidule, kodi Cisatracurium ndi chiyani?
Cisatracurium ndi mankhwala opumulitsa minofu ya mafupa . Ndi mankhwala omwe amapumulitsa kapena kuletsa kwakanthawi minofu m'thupi lathu yomwe timayilamulira mwadala (monga minofu ya miyendo yathu, minofu ya khosi lathu). Amaperekedwa kwa wodwala ngati jakisoni mwachindunji mumtsempha kapena ngati mankhwala opitilira ngati saline.
Njira ziwiri zazikulu zomwe izi zimagwiritsidwa ntchito ndi izi:
- Pa opaleshoni: Ngati minofu ya wodwala yagwedezeka pa opaleshoni yaikulu, zingakhale zovuta kuti dokotala wa opaleshoni agwire ntchito yake bwino. Mankhwalawa amapumula thupi lonse, zomwe zimapangitsa opaleshoniyo kukhala yotetezeka komanso yosavuta.
- Akalumikizidwa ndi makina opumira/chopumira mpweya: Nthawi zina zoopsa, wodwalayo sangathe kupuma yekha. Panthawiyo, kupuma kumaperekedwa kudzera mu makina opumira mpweya. Komabe, nthawi zina thupi la wodwalayo limatha kulimbana ndi ntchito ya makinawa. Mankhwalawa amathandiza kuyimitsa ndikulola makinawa kupereka mpweya m'mapapo mosavuta.
Chofunika kwambiri ndichakuti mankhwalawa aperekedwe kwa wodwalayo atamupatsa mankhwala oletsa ululu ndikumupangitsa kuti asatuluke konse. Chifukwa izi zimangofooketsa minofu, sizimachititsa kuti munthu asatuluke. Chifukwa chake, ndikofunikira kuti wodwalayo asatuluke kuti asamve kupweteka kulikonse.
Zinthu zomwe muyenera kuuza dokotala wanu musanapereke mankhwala awa
Musanapatsidwe Cisatracurium, dokotala wogonetsa adzakufunsani inu ndi banja lanu za thanzi lanu. Ndikofunikira kwambiri kuwauza za matenda anu onse osabisa chilichonse . Ndikofunikira kwambiri kuwauza izi:
| Nkhani yomwe muyenera kuifotokoza | Chifukwa chiyani? |
|---|---|
| Kutupa kwa mankhwala ena, zakudya, kapena zinthu zina | Ngati munakhalapo ndi vuto la chisplatin kapena mankhwala ena oletsa ululu, zingakhale zoopsa kwa inu. |
| Matenda a Impso kapena Chiwindi | Mankhwalawa amachotsedwa m'thupi ndi impso ndi chiwindi. Ngati ziwalo izi zili zofooka, mphamvu ya mankhwalawa ingakhale nthawi yayitali. |
| Matenda opumira monga mphumu | Mankhwalawa nthawi zina amatha kukhudza dongosolo la kupuma, choncho ndikofunikira kudziwa izi pasadakhale. |
| Matenda a mitsempha monga myasthenia gravis | Anthu omwe ali ndi matendawa amatha kukhala ndi zotsatirapo zabwino kwambiri za mankhwalawa, choncho madokotala ayenera kusamala kwambiri ndi mlingo womwe amapereka. |
| Kusowa madzi m'thupi kapena kusalingana kwa calcium, potaziyamu, kapena magnesium m'magazi | Kusintha kwa kuchuluka kwa mchere ndi madzi m'thupi kumakhudza mwachindunji momwe mankhwalawa amagwirira ntchito. |
| Kuwotcha (Kutentha Kwakukulu) | Mmene thupi limayankhira mankhwala amtunduwu zingasiyane mwa odwala omwe ali ndi vuto la kutentha kwambiri. |
| Mimba kapena kuyamwitsa | Ndikofunikira kuuza dokotala wanu ngati muli ndi pakati, mukufuna kutenga pakati, kapena ngati mukuyamwitsa. |
Momwe mungagwiritsire ntchito mankhwalawa ndi zinthu zina zofunika
Mankhwala awa si omwe mungapite nawo kunyumba. Cisatracurium imaperekedwa kuchipatala kapena ku chipatala kokha ndi dokotala kapena namwino wophunzitsidwa bwino. Chifukwa chake, palibe chiopsezo chosowa mlingo.
Mankhwalawa amaperekedwa kwa ana aang'ono komanso makanda nthawi zina zapadera. Koma amaperekedwa motsogozedwa ndi dokotala wa ana, komanso mosamala kwambiri.
Nanga bwanji ngati mlingo wa mankhwala wawonjezeka? (Kupitirira muyeso)
Popeza izi zimaperekedwa kuchipatala, mwayi woti munthu adwale mopitirira muyeso ndi wochepa kwambiri. Komabe, ngati izi zitachitika, ndi zadzidzidzi. Zikatero, madokotala ku Emergency Treatment Unit (ETU) ya chipatalacho adzakupatsani chithandizo chofunikira. Ngati muli ndi kukayikira kulikonse pa izi, mutha kuyimbiranso National Poisons Information Centre ku Colombo National Hospital kuti akupatseni upangiri.
Mankhwala ena omwe angagwirizane ndi mankhwalawa
Uzani dokotala wanu za mankhwala onse omwe mukumwa, kuphatikizapo mankhwala olembedwa ndi dokotala komanso omwe amagulitsidwa mu sitolo, mankhwala azitsamba, mavitamini, ndi mankhwala azitsamba. Mankhwala ena amatha kuyanjana ndi Cisplatin ndikuwonjezera kapena kuchepetsa mphamvu zake. Mwachitsanzo:
- Maantibayotiki ena - mwachitsanzo amikacin, gentamicin, tetracyclines
- Mankhwala oletsa kupweteka kwa mutu (carbamazepine, phenytoin)
- Lithiamu
- Mankhwala ena omwe amagwiritsidwa ntchito pochiza ululu (`isoflurane`, `halothane`)
- Mankhwala ochepetsa ululu (lidocaine)
- Magnesium
Kodi zotsatirapo zake zomwe zimayembekezeredwa ndi ziti?
Monga mankhwala ena aliwonse, cisplatin ingayambitse zotsatirapo zoyipa. Madokotala ndi anamwino adzakuyang'anirani mosamala mukamamwa mankhwalawa. Ngati muli ndi vuto lililonse, adziwitseni nthawi yomweyo.
| Kugawa zotsatira zoyipa | |
|---|---|
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala kapena namwino nthawi yomweyo: | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo kapena lilime. |
| Kuvuta kupuma | Kuvuta kupuma. |
| Zizindikiro za kuthamanga kwa magazi kotsika | Chizungulire , kumva mutu wopepuka, maso abuluu. |
| Zizindikiro za kuwonongeka kwa minofu | Mkodzo wakuda, kuvutika kukodza, kutopa kwambiri, kupweteka kwa minofu. |
| Zina | Kufiira kwa nkhope, kuyabwa kapena kupsa kwa maso, khunyu. |
| Zotsatirapo zomwe nthawi zambiri sizili zoopsa, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira: | |
| Kupweteka kwa minofu kapena kufooka | Mukamaliza kugwiritsa ntchito mankhwala oletsa ululu ndi mankhwala, mungamve kupweteka kwa minofu kapena kufooka. |
Uthenga Wopita Nawo Kunyumba
- Cisatracurium ndi jakisoni wapadera womwe umaperekedwa kuti upumulitse minofu panthawi ya opaleshoni komanso chithandizo chamankhwala ofunikira.
- Mankhwalawa amaperekedwa kuchipatala kokha, moyang'aniridwa ndi madokotala. Si mankhwala oti munthu atenge kunyumba.
- Ndikofunikira kwambiri kuuza dokotala wanu za matenda anu onse, ziwengo, ndi mankhwala omwe mukumwa musanachite opaleshoni.
- Mudzayang'aniridwa nthawi zonse mukamamwa mankhwalawa, kotero ngati pali zotsatirapo zilizonse, mudzalandira chithandizo nthawi yomweyo.
- Ngati muli ndi mafunso ena okhudza mankhwalawa, musazengereze kufunsa dokotala wanu.
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