Tangoganizani kuti muyenera kuchitidwa opaleshoni. Madokotala amachita izi mwa kukugonetsani, zomwe zikutanthauza kuti simunadziwe kalikonse. Koma chimachitika ndi chiyani ngati minofu yanu mwadzidzidzi ikugwedezeka kapena kugwedezeka? Zimenezo zingakhale chopinga chachikulu pa opaleshoniyo, sichoncho? Lero tikulankhula za jakisoni wapadera womwe umaletsa kuyenda mwadzidzidzi koteroko ndikuthandiza madokotala kuchita ntchito yawo mosamala komanso mosavuta. Imeneyo ndi pancuronium.
Mwachidule, kodi Pancuronium ndi chiyani?
Pancuronium ndi mankhwala opumulira minofu . Ntchito yake yayikulu ndikupumulitsa minofu yonse ya thupi lanu ndikuiletsa kuti isasunthe panthawi ya opaleshoni kapena njira zina zamankhwala.
Tangoganizani kuti ubongo wanu uli ngati bwana wa kampani. Minofu yanu ndi antchito anu. Bwana (ubongo) amatumiza zizindikiro za mitsempha kwa antchito (minofu) kuti "ichepetse" ndi "kusuntha." Chomwe pancuronium iyi imachita ndikutseka kwakanthawi njira yomwe zizindikirozo zimadutsa. Kenako, popeza minofuyo silandira malamulo ochokera ku ubongo, imakhala yomasuka kwathunthu ndipo siyenda. Izi zimathandiza madokotala kuchita opaleshoni popanda choletsa chilichonse.
Izi nthawi zambiri zimagwiritsidwa ntchito limodzi ndi mankhwala oletsa ululu. Nthawi zina zimagwiritsidwanso ntchito pothandiza odwala omwe akuvutika kupuma kupuma mwa kuwalumikiza ku makina (ventilator).
Zinthu zomwe muyenera kuuza dokotala wanu musanapereke mankhwala awa
Izi ndizofunikira kwambiri. Ndikofunikira kuti dokotala wanu adziwe mbiri yonse ya thanzi lanu asanakupatseni mankhwala awa. Izi zili choncho chifukwa matenda ena amafunika chisamaliro chapadera mukamagwiritsa ntchito mankhwalawa.
Onani tebulo ili m'munsimu. Ngati muli ndi vuto lililonse mwa izi, onetsetsani kuti mwauza dokotala wanu za vutoli.
| Nkhani yomwe muyenera kuifotokoza | Chifukwa chiyani zili choncho? (Mwachidule) |
|---|---|
| Kusowa madzi m'thupi - kusowa kwa madzi m'thupi | Pamene madzi m'thupi asintha, momwe mankhwala amagwirira ntchito zingasinthenso. |
| Matenda a mtima | Mankhwalawa akhoza kukhudza kugunda kwa mtima ndi kuthamanga kwa magazi. |
| Matenda a impso | Ngati impso zanu sizikugwira ntchito bwino, zimatenga nthawi yayitali kuti mankhwalawa achoke m'thupi lanu. Chifukwa chake, mphamvu ya mankhwalawa ingakhale yayitali. |
| Matenda a chiwindi | Chiwindi ndi komwe mankhwala ambiri amawonongeka m'thupi. Ngati pali vuto ndi chiwindi, zotsatira za mankhwalawa zimatha kusintha. |
| Matenda a m'mapapo kapena kupuma - mwachitsanzo, mphumu, COPD | Popeza mankhwalawa amathandizanso kumasula minofu yopumira, chisamaliro chapadera chiyenera kuperekedwa kwa anthu omwe ali kale ndi matenda opumira. |
| Myasthenia gravis - matenda omwe amayambitsa kufooka kwa minofu | Anthu omwe ali ndi vutoli akhoza kukhala ndi vuto la kusagwirizana kwambiri ndi mankhwala opumulira minofu, kotero angafunike mlingo wochepa kwambiri. |
| Matenda a ziwengo | Ngati muli ndi vuto la pancuronium kapena mankhwala ena aliwonse, chakudya, kapena utoto, onetsetsani kuti mwatiuza. |
| Ngati muli ndi pakati kapena mukufuna kutenga mimba | Dokotala ayenera kuda nkhawa ndi zotsatira za mankhwalawa pa mayi wapakati ndi mwana. |
| Ngati ndinu mayi woyamwitsa | Ndikofunikira kuganizira ngati mankhwalawo amaperekedwa kwa mwana kudzera mu mkaka wa m'mawere. |
Kodi mumagwiritsa ntchito bwanji mankhwalawa?
Mankhwala awa si omwe mungagwiritse ntchito kunyumba. Amaperekedwa kuchipatala kapena ku chipatala kokha ndi dokotala kapena ogwira ntchito zachipatala ophunzitsidwa bwino.
- Izi zimaperekedwa ngati jakisoni wa mtsempha .
- Ingagwiritsidwe ntchito pa ana aang'ono, ngakhale makanda obadwa kumene, pazochitika zapadera. Koma iyenera kuchitidwa mosamala kwambiri komanso moyang'aniridwa ndi dokotala wapadera.
Nanga bwanji ngati nditamwa mopitirira muyeso?
Popeza izi zimaperekedwa kuchipatala, mwayi woti mutenge mankhwala ochulukirapo ndi wochepa kwambiri. Gulu lachipatala limasamala kwambiri za izi. Koma ngati chinthu chonga ichi chichitika kapena ngati pali kukayikira kulikonse, apereka chithandizo chofunikira nthawi yomweyo. Ngati mukuganiza kuti mwamwa mankhwala otere kunja kwa chipatala, muyenera kupita ku ETU nthawi yomweyo, kutanthauza Chipatala Chothandizira Padzidzidzi . Muthanso kuyimbira National Poisons Information Center ku Chipatala Chadziko Lonse cha Colombo kuti mukalandire upangiri.
Mankhwala ena omwe angagwirizane ndi mankhwalawa
Ngati mukumwa mankhwala a matenda ena, ndikofunikira kwambiri kuuza dokotala wanu za izi, chifukwa mankhwala ena amatha kusintha momwe pancuronium imagwirira ntchito.
- Maantibayotiki ena: Mwachitsanzo, amikacin, gentamicin, tobramycin, tetracycline, clindamycin, vancomycin, colistin.
- Mankhwala a khunyu: monga carbamazepine ndi phenytoin.
- Lithium: Mankhwala ogwiritsidwa ntchito pa matenda amisala.
- Mankhwala oletsa ululu am'deralo: monga lidocaine.
- Zakudya zowonjezera za magnesium
- Procainamide, Quinidine: Mankhwala a matenda a mtima.
Mndandanda uwu si wokwanira. Choncho uzani dokotala wanu za mankhwala onse omwe mumamwa, kuphatikizapo mankhwala olembedwa ndi dokotala, mankhwala ogulitsidwa kunja kwa chipatala, mankhwala achikhalidwe, mavitamini, komanso ngati mumasuta kapena kumwa mowa.
Kodi zotsatirapo zake zingakhale zotani?
Monga mankhwala ena aliwonse, pali zotsatirapo zina zomwe zingachitike. Komabe, popeza mumayang'aniridwa ndi gulu lachipatala mukamatenga mankhwalawa, iwo ndi okonzeka kuchiza vuto lililonse mwachangu.
| Zotsatirapo zake ndi chikhalidwe chake | |
|---|---|
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa gulu lachipatala nthawi yomweyo | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Kugunda kwa mtima | Kugunda kwa mtima komwe kumakhala kofulumira kwambiri kapena kosasinthasintha. |
| Kuthamanga kwa magazi kowonjezeka | Kuwonjezeka kwakukulu kwa kuthamanga kwa magazi. |
| Kutentha kwa thupi | Malungo aakulu, thukuta kwambiri, kupuma mofulumira, kuuma kwa minofu. |
| Zotsatirapo zomwe nthawi zambiri sizili zoopsa (koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira) | |
| Kufooka kwa minofu | Kufooka kwina kwa minofu kumapitirirabe ngakhale zotsatira za mankhwala zitatha. |
| Ululu pamalo obayira jakisoni | Ululu, kufiira, kapena kusapeza bwino pamalo omwe jakisoni amaperekedwa. |
Ngati mukukumana ndi zizindikiro zina zachilendo zomwe sizinatchulidwe pamndandandawu, chonde dziwitsani gulu lachipatala za zizindikirozo.
Uthenga Wopita Nawo Kunyumba
- Pancuronium ndi mankhwala omwe amagwiritsidwa ntchito kupumula minofu kwathunthu panthawi ya opaleshoni.
- Izi zimaperekedwa ngati jakisoni m'mitsempha kuchipatala, moyang'aniridwa ndi dokotala. Simungathe kuzitenga kupita nazo kunyumba.
- Ndikofunikira kuuza dokotala wanu za matenda anu onse (makamaka matenda a mtima, impso, ndi chiwindi) ndi mankhwala ena onse omwe mukumwa.
- Pamene mukupatsidwa mankhwalawa, kugunda kwa mtima wanu ndi kuthamanga kwa magazi nthawi zonse zimayang'aniridwa ndi gulu lachipatala, kotero muli otetezeka.
- Ngati pachitika zotsatirapo zoyipa kwambiri, monga kusagwirizana ndi thupi kapena kugunda kwa mtima mwachangu, gulu lachipatala limakhala lokonzeka kuchiza nthawi yomweyo.
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