Kodi munachitapo opaleshoni? Kapena munachitapo mayeso enaake pansi pa mankhwala oletsa ululu? Pazochitika zotere, madokotala amagwiritsa ntchito mankhwala apadera otchedwa rocuronium kuti athetse minofu ya thupi lanu ndikupangitsa kuti njirayi ikhale yotetezeka komanso yosavuta. Tiyeni tikambirane izi mosavuta.
Kodi Rocuronium ndi chiyani?
Mwachidule, rocuronium ndi mankhwala opumulitsa minofu . Nthawi zambiri amaperekedwa kwa inu panthawi yochita opaleshoni musanachite opaleshoni. Imatseka kwakanthawi zizindikiro kuchokera ku mitsempha yanu kupita ku minofu yanu.
Tangoganizirani, chingachitike n’chiyani ngati minofu m’thupi lanu ikugwedezeka mwadzidzidzi pamene dokotala akuchita opaleshoni yovuta kwambiri? Zimenezo zingakhale zoopsa kwambiri. Ntchito yaikulu ya mankhwalawa ndikuletsa kuyenda mwadzidzidzi koteroko ndikuthandiza gulu la opaleshoni kuchita ntchito yawo popanda choletsa chilichonse.
Chofunika kwambiri ndichakuti, mankhwalawa sakupangitsani kugona. Amachita zimenezo ndi mankhwala oletsa ululu. Amangomasula minofu.
Zinthu zomwe muyenera kuuza dokotala wanu musanapereke mankhwala awa
Musanapatsidwe rocuronium, dokotala wogonetsa adzakufunsani za matenda anu. Ndikofunikira kwambiri kuwauza za matenda anu onse osabisa chilichonse .
| Nkhani yomwe muyenera kuifotokoza | N’chifukwa chiyani zimenezo n’zofunika? |
|---|---|
| Kusowa madzi m'thupi | Thupi likapanda madzi okwanira m'thupi, momwe mankhwala amagwirira ntchito zimatha kusintha. |
| Matenda a mtima | Ntchito ya mtima ingakhudzidwe. |
| Matenda a impso kapena chiwindi | Ziwalo zimenezi ndi zomwe zimachotsa mankhwala m'thupi. Ngati ntchito yawo yachepa, zotsatira za mankhwalawa zitha kukhala nthawi yayitali. |
| Matenda a kupuma (monga mphumu, COPD) | Chidziwitsochi n'chofunikira chifukwa mankhwalawa amakhudza dongosolo la kupuma. |
| Myasthenia Gravis | Popeza iyi ndi matenda ofooketsa minofu, zotsatira za rocuronium zitha kuwonjezeka kwambiri. |
| Ziwengo zina | Onetsetsani kuti mwauza dokotala wanu ngati muli ndi vuto lililonse la rocuronium kapena mankhwala ena aliwonse, chakudya, kapena utoto. |
| Mimba kapena kuyamwitsa | Ndikofunikira kwambiri kutiuza ngati muli ndi pakati, mukufuna kutenga pakati, kapena ngati mukuyamwitsa. |
Ndingakupatseni bwanji mankhwala awa?
Mankhwala awa si omwe mungamwe kunyumba. Rocuronium imaperekedwa ngati jakisoni m'mitsempha ndi gulu lachipatala kuchipatala kapena ku chipatala. Nthawi zambiri imaperekedwa kwa inu ndi dokotala wogonetsa kapena namwino wophunzitsidwa bwino.
Mankhwalawa amaperekedwa kwa ana aang'ono, ngakhale makanda, nthawi zina zapadera. Koma amachitidwa mosamala kwambiri komanso mosamala kwambiri.
Nanga bwanji ngati mlingo wa mankhwalawo wawonjezeka?
Popeza izi zimaperekedwa kuchipatala, moyang'aniridwa ndi madokotala, mwayi woti munthu agwiritse ntchito mankhwala mopitirira muyeso ndi wochepa kwambiri. Komabe, ngati pali kukayikira kulikonse kuti chinthu chonga ichi chachitika, gulu lachipatala lidzachitapo kanthu kofunikira. Kuti mudziwe zambiri, ngati munthu agwiritsa ntchito mankhwala mopitirira muyeso, choyamba kuchita ndikupita ku Emergency Treatment Unit (ETU) ya chipatala kapena kuyimbira foni National Poisons Information Centre ku Colombo National Hospital .
Mankhwala ena omwe angagwirizane ndi Rocuronium
Mankhwala ena omwe mukumwa angakhudze momwe mankhwalawa amagwirira ntchito. Chifukwa chake, muyenera kuuza dokotala wanu za mankhwala onse omwe mukumwa, kuphatikizapo mankhwala olembedwa ndi dokotala, mankhwala ogulitsidwa kunja kwa chipatala, mavitamini, komanso mankhwala azitsamba.
| Mtundu wa mankhwala | Zitsanzo |
|---|---|
| Maantibayotiki ena | amikacin, gentamicin, tobramycin, tetracycline, clindamycin, vancomycin, colistin |
| Mankhwala ena a khunyu | carbamazepine, phenytoin |
| Lithiamu | - |
| Mankhwala ena omwe amagwiritsidwa ntchito pochiza malo otupa (mankhwala oletsa ululu am'deralo) | Lidocaine |
| Zakudya zowonjezera za magnesium | - |
| Procainamide, Quinidine | - |
Mndandandawu sunathe. Ndikofunikanso kuuza dokotala wanu ngati mukusuta fodya, kumwa mowa, kapena kugwiritsa ntchito mankhwala ena osokoneza bongo.
Momwe mungayang'anire vuto lanu mukumwa mankhwala
Mukamalandira mankhwala awa komanso mukamaliza kumwa, thanzi lanu lidzayang'aniridwa ndi gulu lachipatala. Kugunda kwa mtima wanu, kuthamanga kwa magazi, kuchuluka kwa mpweya, ndi kupuma kwanu zidzayang'aniridwa nthawi zonse pogwiritsa ntchito makina. Chifukwa chake muli pamalo otetezeka kwathunthu.
Kodi zotsatirapo zake zingakhale zotani?
Monga mankhwala ena aliwonse, rocuronium ingayambitse zotsatira zina zoyipa, koma nthawi zambiri izi sizimachitika kawirikawiri.
| Zotsatira zoyipa | Kufotokozera |
|---|---|
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa gulu lachipatala nthawi yomweyo | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi, komanso kuvutika kupuma. |
| Malungo aakulu ndi zizindikiro zina | Malungo aakulu, thukuta kwambiri, kupuma mofulumira kapena pang'ono, kugunda kwa mtima mofulumira kapena kosakhazikika, kuuma kwa minofu kapena kunjenjemera. |
| Mavuto pamalo obayira jakisoni | Ululu, kutupa, kufiira, matuza kapena zilonda pakhungu pamalo omwe panabayidwa jakisoni. |
| Kawirikawiri sikoopsa (koma uzani dokotala ngati zikupitirira) | |
| Kufooka kwa minofu | Kufooka pang'ono kwa minofu kungapitirirebe ngakhale zotsatira za mankhwala zitatha. |
| Ululu pamene anabayidwa jakisoni | Kupweteka pang'ono, kufiira, kapena kusasangalala pamalo omwe jakisoni amaperekedwa. |
Ngati mukukumana ndi zizindikiro zina zachilendo zomwe sizinatchulidwe pamndandandawu, chonde dziwitsani gulu lachipatala za zizindikirozo.
Uthenga Wopita Nawo Kunyumba
- Rocuronium ndi jakisoni wapadera womwe umaperekedwa kuchipatala kokha kuti upumule minofu panthawi ya opaleshoni.
- Musanapereke mankhwalawa kwa inu, ndikofunikira kuti muuze dokotala wanu zoona zonse zokhudza matenda anu onse ndi mankhwala ena onse omwe mukumwa.
- Simuyenera kuda nkhawa ndi chitetezo chanu chifukwa gulu lachipatala lidzakuyang'anirani mosamala kwambiri mukamakupatsirani mankhwalawo.
- Zotsatirapo zoyipa kwambiri sizichitika kawirikawiri, ndipo gulu lachipatala lili okonzeka kupereka chithandizo mwachangu ngati zitachitika.
- Ngati muli ndi mafunso ena okhudza mankhwalawa, musazengereze kufunsa dokotala wanu.
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