Ngati inu kapena munthu wina wapafupi nanu mukufuna kuchitidwa opaleshoni, n'zachibadwa kukhala ndi chidwi pang'ono, komanso mwina mantha, za mankhwala omwe adzaperekedwa panthawiyo. Pakati pa mankhwala omwe amaperekedwa panthawi ya opaleshoni, Rocuronium ndi mankhwala ofunikira kwambiri. Limodzi mwa mayina ake ndi Zemuron. Lero, tiyeni tikambirane mwachidule za Rocuronium, zomwe imachita, komanso zomwe tifunika kudziwa za iyo.
Kodi Rocuronium ndi chiyani? Imagwira ntchito bwanji?
Mwachidule, Rocuronium ndi mankhwala omwe amapumula kwakanthawi minofu ya mafupa m'thupi lanu.
Tangoganizirani kuti mukamachita opaleshoni, madokotala amafunika kuti athe kufikira ziwalo zomwe zili mkati mwa thupi lanu mosavuta. Pachifukwa ichi, minofu yanu siingakhale yolimba, imafunika kumasuka kwambiri. Ndicho chimene Rocuronium imathandizira nacho. Zili ngati kupumitsa minofu yanu kwakanthawi. Izi zimapangitsa kuti dokotala wa opaleshoniyo azitha kuchita opaleshoni mosavuta popanda choletsa chilichonse.
Komanso, nthawi zina munthu akamavutika kupuma, amafunika kulumikizidwa ndi makina (ventilator) kuti apume. Pazochitika zimenezo, mankhwalawa amagwiritsidwa ntchito kumasula minofu yopumira ndikuthandiza makinawo kugwira ntchito bwino.
Kodi ndiyenera kumuuza chiyani dokotala ndisanapereke mankhwala awa?
Izi ndizofunikira kwambiri. Musanapatsidwe Rocuronium, ndikofunikira kuti gulu lanu lachipatala lidziwe bwino za thanzi lanu. Izi zili choncho chifukwa matenda ena amafunika chisamaliro chapadera mukamagwiritsa ntchito mankhwalawa. Chifukwa chake, ngati muli ndi vuto lililonse lomwe latchulidwa pansipa, onetsetsani kuti mwadziwitsa dokotala wanu.
| Matenda omwe muyenera kunena | N’chifukwa chiyani n’kofunika? |
|---|---|
| Kusowa madzi m'thupi (kusowa madzi m'thupi) | Kuchulukana kwa madzi m'thupi kumakhudza kugwira ntchito kwa mankhwala. |
| Matenda a mtima amtundu uliwonse | Mankhwalawa amatha kukhudza kugunda kwa mtima ndi kuthamanga kwa magazi. |
| Kusakhazikika kwa calcium, magnesium, ndi potaziyamu m'magazi | Kuchuluka kwa mchere umenewu kumagwirizana mwachindunji ndi ntchito ya minofu ndi zotsatira za mankhwala. |
| Matenda a impso kapena matenda a chiwindi | Popeza ziwalo zimenezi zimagwira ntchito yochotsa mankhwala m'thupi, matenda awo amatha kusintha mphamvu ya mankhwalawo. |
| Matenda a m'mapapo monga mphumu | Kusamala kwambiri kumafunika chifukwa kungakhudze dongosolo la kupuma. |
| Myasthenia Gravis (matenda omwe amayambitsa kufooka kwa minofu) | Odwala awa akhoza kukhala ndi vuto la Rocuronium. |
| Matenda a rocuronium, bromide, kapena mankhwala ena aliwonse kapena chakudya | Izi ndizofunikira kwambiri kuti tipewe vuto lalikulu la ziwengo (anaphylaxis). |
| Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena mukuyamwitsa | Dokotala ayenera kuganizira za zotsatira zomwe zingachitike pa mwana. |
Kodi jakisoni wa Rocuronium amaperekedwa bwanji?
Mankhwalawa si chinthu chomwe mungagwiritse ntchito kunyumba. Rocuronium imaperekedwa kuchipatala kapena ku chipatala chokha . Katswiri wazachipatala wodziwa bwino ntchito adzakupatsani jakisoni m'mitsempha kapena ngati mankhwala olowetsedwa m'thupi lanu.
Madokotala angapereke mankhwalawa kwa ana aang'ono, ngakhale makanda obadwa kumene, pazochitika zapadera. Koma izi zimachitika mosamala kwambiri komanso moyang'aniridwa mwapadera. Mutha kulankhula ndi dokotala wanu wa ana za izi.
Popeza mankhwalawa amaperekedwa kuchipatala, motsogozedwa ndi dokotala, simuyenera kuda nkhawa kuti mwaphonya mlingo kapena kumwa mankhwala opitirira muyeso. Gulu lachipatala lidzayang'anira chilichonse bwino.
Ngati mukufuna kudziwa zambiri zokhudza vuto monga kupha mankhwala osokoneza bongo, mutha kuyimbira National Poisons Information Center ku Colombo National Hospital . Ngati pachitika ngozi, Emergency Treatment Unit (ETU) ya chipatalacho idzachitapo kanthu kofunikira.
Mankhwala ena omwe angagwirizane ndi mankhwalawa (Kuyanjana kwa Mankhwala)
'Kuyanjana ndi Mankhwala' ndi pamene mankhwala ena omwe mukumwa amakhudza mphamvu ya mankhwala ena omwe mukumwa. Pali mitundu ingapo ya mankhwala omwe angagwirizane ndi Rocuronium. Chifukwa chake, ndikofunikira kwambiri kuuza dokotala wanu za mankhwala onse omwe mukumwa.
- Maantibayotiki ena: Mwachitsanzo, amikacin, gentamicin, tobramycin, vancomycin, tetracyclines, polymyxins.
- Mankhwala ena omwe amagwiritsidwa ntchito pochiza matenda monga khunyu (kukomoka): mwachitsanzo, carbamazepine, phenytoin.
- Mankhwala ena omwe amagwiritsidwa ntchito pochiza ululu: Mpweya woletsa ululu monga enflurane, isoflurane, halothane.
- Lithium: Mankhwala ogwiritsidwa ntchito pa matenda amisala.
- Mankhwala oletsa ululu am'deralo: monga lidocaine ndi tetracaine.
- Magnesium
- Mankhwala ena opumulira minofu ochitidwa opaleshoni
- Procainamide ndi Quinidine (mankhwala a matenda a mtima)
Mndandanda uwu si wokwanira. Chifukwa chake, ndikofunikira kwambiri kuuza dokotala wanu za mankhwala onse omwe mukumwa (omwe mwapatsidwa ndi dokotala kapena omwe mumagula pasadakhale), mankhwala azitsamba, mavitamini, ndi zowonjezera zomwe mukumwa, komanso ngati mukusuta fodya, kumwa mowa, kapena kugwiritsa ntchito mankhwala ena, musanachite opaleshoni.
Zotsatirapo zomwe zingakhalepo chifukwa chotenga Rocuronium
Monga mankhwala ena aliwonse, Rocuronium ingayambitse zotsatira zina. Gulu lachipatala lidzakuyang'anirani mosamala pamene mukupatsidwa mankhwalawa. Adzachitapo kanthu nthawi yomweyo ngati zotsatirapo zilizonse zichitika. Komabe, ndikofunikira kudziwa za izo.
| Zotsatira Zam'mbali | Kufotokozera |
|---|---|
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa gulu lachipatala nthawi yomweyo | |
| Matenda oopsa a ziwengo | Kutupa pakhungu, kuyabwa kwambiri, kutupa kwa nkhope, milomo kapena lilime. |
| Kuvuta kupuma | Kuvuta kupuma ngati simunalumikizidwe ndi makina opumulira mpweya. |
| Kugunda kwa mtima mwachangu (Tachycardia) | Kumva ngati mtima wako ukugunda mofulumira. |
| Kuthamanga kwa magazi pang'ono (Hypotension) | Chizungulire, kumva mutu wopepuka, ndi maso abuluu. |
| Zizindikiro za kuwonongeka kwa minofu | Mkodzo wakuda, kuvutika kukodza, kutopa kwambiri, ndi kupweteka m'chiuno. |
| Zotsatirapo zomwe ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Kupweteka kwa minofu/kufooka | Kupweteka kwa minofu kapena kufooka komwe kumapitirira ngakhale zotsatira za mankhwala zitatha. |
| Ululu pamalo obayira jakisoni | Ululu, kufiira, kapena kutupa komwe kunabayidwa jakisoni. |
Mndandandawu suli ndi zotsatirapo zonse zomwe zingachitike. Ngati mukukumana ndi vuto linalake lachilendo kuwonjezera pa izi, lankhulani ndi dokotala wanu za izi.
Uthenga Wopita Nawo Kunyumba
- Rocuronium ndi mankhwala omwe amagwiritsidwa ntchito kupumula minofu kwakanthawi panthawi ya opaleshoni komanso njira zina zamankhwala.
- Izi zimaperekedwa kuchipatala kokha, ndi katswiri wazachipatala wophunzitsidwa bwino.
- Ndikofunikira kuti mudziwitse dokotala wanu za matenda ena aliwonse omwe muli nawo (makamaka mtima, impso, matenda a chiwindi, ziwengo) ndi mankhwala ena onse omwe mukumwa musanachite opaleshoni.
- Ngati mukukumana ndi mavuto ena aakulu monga zizindikiro za ziwengo, kupuma movutikira, kapena kugunda kwa mtima mofulumira, dziwitsani gulu lachipatala nthawi yomweyo.
- Ngati muli ndi mafunso okhudza mankhwalawa, musazengereze kufunsa dokotala wanu.
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