Tangoganizani kuti mwakonzekera kuchitidwa opaleshoni yaikulu. Pa nthawi yotereyi, madokotala ogonetsa adzamasula minofu yanu ndikukukonzekeretsani kuti opaleshoniyo ichitike mosavuta. Pa nthawi yotereyi, kutanthauza kuti, panthawi ya opaleshoni kapena mukalumikizidwa ndi chopumira, pali gulu lapadera la mankhwala omwe amaperekedwa kuti athetse minofu yanu kwakanthawi. Amene tikukamba lero ndi Mivacurium.
Kodi Mivacurium ndi chiyani kwenikweni?
Mwachidule, Mivacurium ndi mankhwala opumulira minofu ya mafupa . Amaperekedwa ngati jakisoni. Mukachitidwa opaleshoni, minofu yanu iyenera kumasuka mokwanira kuti dokotala wa opaleshoni agwire ntchito yake popanda vuto lililonse. Ndicho chimene jakisoni wa Mivacurium amachita.
Komanso, m'mavuto ena owopsa opumira, wodwalayo ayenera kulumikizidwa ndi makina opumira (ventilator). Mankhwalawa amagwiritsidwa ntchito kuti minofu ya wodwalayo ikhale yomasuka panthawiyo. Nthawi zambiri amapezeka pansi pa dzina la Mivacron.
Zinthu zomwe muyenera kuuza dokotala wanu musanapereke mankhwala awa
Ngakhale kuti mankhwalawa amaperekedwa kuchipatala, motsogozedwa ndi madokotala apadera, ndikofunikira kwambiri kuti gulu lachipatala lidziwe za matenda enaake m'thupi lanu. Chifukwa chidziwitso chimenecho chidzatsimikizira mlingo wa mankhwala omwe mwapatsidwa, komanso momwe mukuyang'aniridwa.
Kumbukirani, musabise chilichonse kwa dokotala wanu. Ngakhale chidziwitso chochepa chomwe mungapereke chingakhale chofunikira kwambiri pa chitetezo chanu.
Ngati muli ndi vuto lililonse lomwe lili patebulo ili m'munsimu, onetsetsani kuti mwadziwitsa dokotala wanu.
| Nkhani yomwe muyenera kuifotokoza | N’chifukwa chiyani zimenezo n’zofunika? |
|---|---|
| Matenda a impso kapena chiwindi | Ziwalo zimenezi ndi zomwe zimachotsa mankhwala m'thupi. Ngati ntchito yawo yasokonekera, pali chiopsezo chakuti mankhwalawo akhalebe m'thupi kwa nthawi yayitali. |
| Matenda a mtima | Mivacurium imatha kuchepetsa kuthamanga kwa magazi pang'ono, kotero ingakhudze anthu omwe ali ndi matenda a mtima mosiyana. |
| Matenda a m'mapapo kapena kupuma , 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 vutoli akhoza kukhala ndi vuto la kusagwirizana ndi mankhwala opumulira minofu, kotero ngakhale mlingo wochepa kwambiri ukhoza kukhala wokwanira. |
| Kusowa madzi m'thupi kapena kusalingana kwa calcium, potaziyamu, kapena magnesium m'magazi | Kuchuluka kwa ma electrolyte m'thupi kumakhudza mwachindunji momwe mankhwalawa amagwirira ntchito. |
| Madera akuluakulu a khungu lopsa | Odwala omwe apsa mtima angayankhe mosiyana ndi mitundu iyi ya mankhwala. |
| Kukhala ndi pakati, kuyesa kutenga pakati, kapena kuyamwitsa | Pazochitika zotere, dokotalayo amada nkhawa kwambiri ndi momwe mayi ndi mwana angakhudzire mwanayo. |
| Kukhala ndi vuto la Mivacurium kapena mankhwala ena aliwonse kapena chakudya | Ngati munakhalapo ndi vuto la ziwengo m'mbuyomu, kuulula kungathandize kupewa vuto lalikulu la ziwengo (anaphylaxis). |
Kodi mankhwalawa angagwiritsidwe ntchito bwanji?
Mankhwala awa si omwe mungapite nawo kunyumba. Mivacurium imaperekedwa kudzera m'mitsempha kuchipatala kapena ku chipatala ndi katswiri wodziwa bwino ntchito zachipatala. Dokotala wanu wogonetsa anthu ogonetsa kapena dokotala wa chipinda chosamalira odwala kwambiri adzayesa vuto lanu, kudziwa mlingo woyenera, ndikukupatsani mankhwalawo. Pamene mukupatsidwa mankhwalawa, kugunda kwa mtima wanu, kuthamanga kwa magazi, ndi kupuma kwanu kudzayang'aniridwa mosamala ndi gulu lachipatala.
Kodi mumagwiritsa ntchito izi kwa ana?
Inde. Ngakhale kwa ana opitirira zaka ziwiri, mankhwalawa amatha kuperekedwa nthawi zina. Komabe, njira zapadera zodzitetezera ziyenera kutsatiridwa. Izi zidzasankhidwa ndi dokotala wa ana ndi dokotala wa opaleshoni.
Nanga bwanji ngati mlingo wa mankhwala ukuwonjezeka?
Popeza izi zimaperekedwa kuchipatala, moyang'aniridwa ndi dokotala, mwayi woti munthu agwiritse ntchito mopitirira muyeso ndi wochepa kwambiri. Komabe, ngati pali kukayikira kulikonse kuti chinthu chonga ichi chachitika, gulu lachipatala lidzachitapo kanthu nthawi yomweyo. Nthawi zambiri, pankhaniyi, adzayimbira National Poisons Information Centre ku Colombo National Hospital kuti akalandire upangiri, kapena nthawi yomweyo adzayamba kulandira chithandizo chofunikira ku Emergency Treatment Unit (ETU) .
Mankhwala ena omwe angagwirizane ndi Mivacurium
Mivacurium ingagwirizane ndi mankhwala ena omwe mukumwa. Chifukwa chake, muyenera kudziwitsa dokotala wanu za mankhwala onse omwe mukumwa, kuphatikizapo omwe dokotala wanu wakupatsani, mankhwala ogulitsidwa kunja kwa chipatala, mankhwala azitsamba, mavitamini, ndi zowonjezera.
Nazi zina mwa mankhwala omwe angagwirizane ndi Mivacurium:
- Maantibayotiki ena: Mwachitsanzo, mankhwala monga amikacin, gentamicin, tobramycin, tetracyclines, ndi clindamycin.
- Mankhwala oletsa ululu: Mpweya woletsa ululu monga enflurane, isoflurane, ndi halothane.
- Mankhwala a khunyu: mankhwala monga carbamazepine ndi phenytoin.
- Mankhwala a matenda a mtima: Mankhwala monga quinidine ndi procainamide.
- Mankhwala a matenda amisala: Lithium, ndi MAOIs.
- Mankhwala oletsa ululu am'deralo: Mankhwala omwe amagwiritsidwa ntchito pochotsa dzanzi pamalopo, monga lidocaine ndi tetracaine.
- Mankhwala ena opumulira minofu
- Ma Steroid: Mankhwala monga prednisone ndi cortisone.
- Mankhwala okhala ndi magnesium .
- Mapiritsi oletsa kubereka
Mndandandawu sunathe, kotero kuti mukhale otetezeka, ndi bwino kuuza dokotala wanu zonse zomwe mukumwa.
Kodi zotsatirapo zake zingakhale zotani chifukwa cha mankhwalawa?
Monga mankhwala ena aliwonse, Mivacurium ingayambitse zotsatira zina zoyipa. Zambiri mwa izi zimazindikirika ndikuthandizidwa ndi gulu lachipatala pamene mankhwalawo akuperekedwa.
| Zotsatira zoyipa | Kufotokozera |
|---|---|
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa ogwira ntchito zachipatala nthawi yomweyo | |
| Zotsatira zoopsa za ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo kapena lilime. |
| Mavuto opuma | Kuvuta kupuma, kulimba pachifuwa. (Izi zitha kudziwika mwachangu chifukwa mukuyang'aniridwa). |
| Zizindikiro za kuthamanga kwa magazi kotsika | Chizungulire, kufooka, kutopa kwambiri. |
| Zizindikiro za kuvulala kwa minofu | Mkodzo wakuda, kuvutika kukodza, kupweteka kwambiri kwa minofu, kupweteka kwa msana. |
| Kutsuka nkhope | Kufiira kwa nkhope mwadzidzidzi komanso kumva kutentha. |
| Zinthu zomwe nthawi zambiri sizili zoopsa, koma ziyenera kunenedwa ngati zikupitirira | |
| Kupweteka kwa minofu kapena kufooka | Kumva kupweteka kapena kufooka kwa minofu ngakhale pambuyo poti mankhwala atha. |
| Ululu pamalo obayira jakisoni | Kufiira, kupweteka, kapena kutupa m'mitsempha yomwe adabayidwa. |
Uthenga Wopita Nawo Kunyumba
- Mivacurium ndi jakisoni yomwe imaperekedwa kuti ipumulitse minofu kwakanthawi panthawi ya opaleshoni komanso kwa odwala omwe ali ndi makina opumulira.
- Musanalandire katemerayu, ndikofunikira kudziwitsa dokotala wanu za matenda anu onse, mankhwala omwe mukumwa, ndi ziwengo.
- Mankhwala awa amaperekedwa kuchipatala kokha ndi gulu lachipatala lophunzitsidwa bwino, kotero simuyenera kuwasunga kapena kuwagwiritsa ntchito kunyumba.
- Simuyenera kuda nkhawa ndi zotsatirapo zake chifukwa vuto lanu lidzayang'aniridwa mosamala mukamamwa mankhwalawo. Koma ndikofunikira kudziwa za izi.
- Ngati muli ndi mafunso ena okhudza mankhwalawa, musazengereze kufunsa dokotala wanu.
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