Kodi munachitapo opaleshoni? Kapena munawonapo munthu wolumikizidwa ndi makina opumira/chopumira mpweya? Pankhani ngati iyi, tikulankhula za jakisoni wapadera womwe umaperekedwa kuti umasulire minofu yonse ya thupi. Umatchedwa Mivacurium. Ndikofunikira kwambiri kudziwa za izi.
Kodi Mivacurium ndi chiyani?
Mwachidule, Mivacurium ndi mankhwala opumulira minofu ya mafupa . Amapumulitsa kwakanthawi, kapena m'malo mwake, minofu yomwe imalumikizana ndi mafupa m'thupi lathu.
Tsopano mwina mukuganiza kuti, "N'chifukwa chiyani mungachite zimenezo?" Pali zifukwa ziwiri za izi:
1. Pa Opaleshoni: Pochita opaleshoni yaikulu, dokotala amafunika kugwira ntchito yake popanda choletsa chilichonse. N'zovuta kuchita zimenezo ngati minofu yathu yatopa. Mankhwalawa akaperekedwa, minofu imamasuka kwathunthu, kotero madokotala amatha kugwira ntchito yawo mosavuta.
2. Tikalumikizidwa ndi makina opumira/opumira mpweya: Odwala ena odwala kwambiri akamavutika kupuma okha, timawalumikiza ndi makina opumira mpweya. Koma nthawi zina thupi la wodwalayo limayamba "kulimbana" ndi makinawo. Izi zikutanthauza kuti, makinawo akamapuma, minofu ya pachifuwa cha wodwalayo imalimba ndikuyesera kutulutsa mpweya. Mankhwalawa akaperekedwa, minofuyo imamasuka, zomwe zimathandiza makinawo kugwira ntchito yake mosavuta.
Chofunika kwambiri ndichakuti izi zimaperekedwa kuchipatala chokha, moyang'aniridwa ndi katswiri monga dokotala wogonetsa.
Zinthu zomwe muyenera kuuza dokotala wanu musanapereke mankhwala awa
Izi ndizofunikira kwambiri. Dokotala wogonetsa anthu akakufunsani mafunso musanachite opaleshoni, ngati muli ndi chilichonse mwa zinthuzi, muyenera kuwauza . Chifukwa chidziwitso chimenecho chidzatsimikizira mlingo wa mankhwala omwe mudzapatsidwe ndi mtundu wa mankhwala omwe mugwiritse ntchito.
| Nkhani yomwe muyenera kuifotokoza | Kufotokozera |
|---|---|
| Matenda a ziwengo | Onetsetsani kuti mwauza dokotala wanu ngati muli ndi vuto lililonse la Mivacurium kapena mankhwala ena aliwonse, chakudya, kapena utoto. |
| Matenda a Mtima | Ndikofunikira kudziwa vuto lililonse la mtima. |
| Matenda a Impso kapena Chiwindi | Ngati impso kapena chiwindi chanu sichikugwira ntchito bwino, nthawi yomwe imatenga kuti mankhwalawa achoke m'thupi lanu ingasinthe. |
| Mavuto Opuma | Tiuzeni ngati muli ndi matenda aliwonse a m'mapapo monga mphumu. |
| Matenda a mitsempha monga Myasthenia Gravis | Zotsatira za mankhwalawa zimatha kusiyana kwambiri kwa anthu omwe ali ndi matenda okhudzana ndi mitsempha ngati awa. |
| Kusowa Madzi m'thupi kapena Kusalingana kwa Electrolyte | Ngati pali kusowa kwa madzi m'thupi kapena kusintha kwa kuchuluka kwa mchere monga calcium, potaziyamu, ndi magnesium. |
| Kupsa Kwambiri | Ngati gawo lalikulu la thupi latenthedwa, zimenezo zingakhudzenso mphamvu ya mankhwalawa. |
| Mimba kapena kuyamwitsa | Ngati muli ndi pakati, mukufuna kutenga pakati, kapena kuyamwitsa, ndikofunikira kudziwitsa dokotala wanu za izi. |
Kodi mumagwiritsa ntchito bwanji mankhwalawa?
Mankhwalawa amaperekedwa ngati jakisoni mumtsempha.Ndi "jakisoni" kapena "kulowetsedwa", komwe ndi kulowetsedwa kosalekeza ngati saline. Izi zimachitika ndi dokotala, katswiri wa mankhwala oletsa ululu, kapena namwino wophunzitsidwa. Chifukwa chake simuyenera kugwiritsa ntchito kunyumba.
Mankhwalawa amagwiritsidwa ntchito pazochitika zina zapadera kwa ana aang'ono, makamaka omwe ali ndi zaka zoposa 2. Koma amachitidwa mosamala kwambiri komanso pokhapokha ngati dokotala wapereka upangiri.
Kodi mungachite chiyani ngati mlingo wa mankhwala wawonjezeka?
Popeza izi zimaperekedwa kuchipatala, mwayi woti munthu agwiritse ntchito mankhwala mopitirira muyeso ndi wochepa kwambiri. Chifukwa gulu lachipatala nthawi zonse limakuyang'anirani. Koma ngati chinthu chonga ichi chichitika, ndiye kuti, ngati mphamvu ya mankhwala ikukwera kwambiri, chipatalacho chili ndi zipangizo zonse zochizira. Pakagwa mwadzidzidzi, madokotala adzadziwitsa National Poisons Information Center ku National Hospital kapena Emergency Treatment Unit (ETU) ya chipatalacho ndikupeza upangiri wofunikira.
Ndi mankhwala ena ati omwe angagwirizane ndi mankhwalawa?
Inde, mankhwala ena amatha kusintha mphamvu ya Mivacurium. Izi zikutanthauza kuti, amatha kuwonjezera kapena kuchepetsa mphamvu yake. Ndicho chifukwa chake muyenera kuuza dokotala wanu za mankhwala onse omwe mukumwa (kuphatikizapo mavitamini ndi mankhwala achikhalidwe) musanachite opaleshoni.
| Gulu la mankhwala | Zitsanzo |
|---|---|
| Maantibayotiki ena | Mankhwala monga Amikacin, Gentamicin, Tobramycin, Tetracyclines, Clindamycin. |
| Mankhwala Oletsa Kupweteka Kwambiri | Mpweya womwe umagwiritsidwa ntchito poyambitsa chikumbumtima panthawi ya opaleshoni, monga Enflurane, Isoflurane, ndi Halothane. |
| Mankhwala a khunyu | Carbamazepine, Phenytoin. |
| Mankhwala ena | Lithiamu, Magnesium, Quinidine, Procainamide, Steroids (monga Prednisone), MAOIs. |
Mndandandawu sunathe, choncho ndibwino kuuza dokotala wanu za mankhwala onse omwe mumamwa.
Kodi zotsatirapo zake zingakhale zotani?
Monga mankhwala ena aliwonse, Mivacurium ingayambitse mavuto ena. Koma chifukwa chakuti muli pansi pa utsogoleri wa dokotala kuchipatala, iwo ndi okonzeka kuchiza mwamsanga ngati izi zitachitika.
| Zotsatira zoyipa | Kufotokozera |
|---|---|
| Zinthu zoti muuze dokotala kapena namwino wanu nthawi yomweyo | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo kapena lilime, komanso kuvutika kupuma. |
| Kuthamanga kwa Magazi Kochepa | Chizungulire , kumva mutu wopepuka, maso abuluu. |
| Kutsuka nkhope | Kufiira kwa nkhope mwadzidzidzi. |
| Zizindikiro za kuwonongeka kwa minofu | Mkodzo wakuda, kuvutika kukodza, kutopa kwambiri, kupweteka kwa minofu. |
| Zinthu zomwe nthawi zambiri sizili zazikulu, koma ziyenera kunenedwa ngati zikupitirira | |
| Kupweteka kwa minofu/kufooka | Ngati mukumvabe kupweteka kapena kufooka kwa minofu yanu pambuyo poti mankhwala atha. |
| Ululu pamalo obayira jakisoni | Kufiira, kupweteka, kapena kutupa mozungulira malo obayira jakisoni. |
Uthenga Wopita Nawo Kunyumba
- Mivacurium ndi mankhwala apadera omwe amagwiritsidwa ntchito kupumula minofu panthawi ya opaleshoni komanso akalumikizidwa ndi makina opumira.
- Mankhwala awa si omwe mungapite nawo kunyumba. Amagwiritsidwa ntchito kuchipatala kokha, moyang'aniridwa ndi dokotala.
- Ndikofunikira kuti muuze dokotala wanu za matenda aliwonse omwe muli nawo, mankhwala aliwonse omwe mukumwa, komanso ziwengo zilizonse zomwe muli nazo musanachite opaleshoni.
- Pakhoza kukhala zotsatirapo zoyipa, koma simuyenera kuda nkhawa nazo chifukwa muli kuchipatala. Gulu lachipatala likusamalira chilichonse.
- Ngati muli ndi mafunso okhudza mankhwalawa, musaope kufunsa dokotala wanu.
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