Kodi munachitapo opaleshoni? Kapena munachitapo mayeso a zachipatala pogwiritsa ntchito mankhwala oletsa ululu ? Lero tikambirana za mankhwala apadera omwe madokotala amagwiritsa ntchito kuti minofu yanu isasunthe mwadzidzidzi. Amatchedwa Vecuronium. Zingamveke zoopsa pang'ono kumva za mankhwalawa, koma ndi ofunika kwambiri pa chitetezo chanu. Tiyeni tikambirane mwatsatanetsatane.
Kodi Vecuronium ndi chiyani?
Mwachidule, vecuronium ndi mankhwala omwe amamasula minofu yanu kwakanthawi . Tangoganizirani kuti mukuchitidwa opaleshoni yovuta kwambiri. Ngati minofu m'thupi lanu ikugwedezeka mwadzidzidzi, ikhoza kukhala chopinga chachikulu kwa dokotala wa opaleshoni . Ndipo ikhozanso kukhala yoopsa kwa inu.
Vecuronium imagwiritsidwa ntchito kuletsa mayendedwe adzidzidziwa. Mankhwalawa amaletsa kwakanthawi zizindikiro za mitsempha kuchokera muubongo wanu zomwe zimauza minofu yanu kuti "isunthe." Monga momwe zimayimitsira kwakanthawi chizindikiro kuchokera pafoni yanu, mankhwalawa amaletsa zizindikiro kuchokera muubongo wanu kupita ku minofu yanu. Izi zikutanthauza kuti minofu yanu sigwedezeka kapena kusuntha mwadzidzidzi. Izi zimathandiza madokotala kuti agwire ntchito yawo mosamala komanso popanda kusokonezedwa kulikonse.
Zinthu zomwe muyenera kuuza dokotala wanu musanapereke mankhwala awa
Izi ndizofunikira kwambiri. Popeza vecuronium ndi mankhwala amphamvu, ndikofunikira kuti gulu lachipatala lidziwe zonse zokhudza thanzi lanu. Ngati mwafunsidwa mafunso awa, nenani zoona popanda kubisa chilichonse. Izi ndi za chitetezo chanu.
| Matenda omwe muyenera kunena | N’chifukwa chiyani zimenezo n’zofunika? |
|---|---|
| Kusowa madzi m'thupi, zikutanthauza ngati palibe madzi okwanira m'thupi. | Kusowa madzi m'thupi kungasinthe momwe mankhwala amagwirira ntchito m'thupi. |
| Ngati muli ndi matenda a mtima . | Madokotala ayenera kusamala kwambiri ndi mankhwalawa, chifukwa angayambitse zotsatira zosiyana kwa munthu amene ali ndi matenda a mtima. |
| Ngati muli ndi matenda a impso kapena chiwindi . | Impso ndi chiwindi ndi ziwalo zomwe zimachotsa mankhwala m'thupi. Ngati ziwalozi sizikugwira ntchito bwino, mankhwalawa amatha kukhala m'thupi kwa nthawi yayitali. |
| Matenda a m'mapapo (monga mphumu, COPD). | Popeza mankhwalawa amakhudzanso minofu yomwe imakhudzidwa ndi kupuma, chisamaliro chapadera chiyenera kuperekedwa kwa anthu omwe ali ndi matenda a m'mapapo. |
| Ngati muli ndi matenda ofooka a minofu monga myasthenia gravis . | Anthu omwe ali ndi matendawa akhoza kukhala ndi vuto la vecuronium, zomwe zikutanthauza kuti ngakhale mlingo wochepa kwambiri ungakhale ndi zotsatirapo zazikulu. |
| Matenda a ziwengo : Izi zikutanthauza ngati muli ndi vuto la ziwengo ku vecuronium, mankhwala ena, zakudya, kapena utoto. | Izi ndizofunikira kwambiri kuti tipewe vuto lalikulu la ziwengo. |
| Ngati muli ndi pakati kapena mukufuna kutenga mimba . | Izi ndizofunikira poganizira zotsatira zomwe zingachitike pa mwana m'mimba. |
| Ngati ndinu mayi woyamwitsa . | Izi ndizofunikira poganizira ngati mankhwalawa amapita kwa mwana kudzera mu mkaka kapena ayi. |
Kodi mumagwiritsa ntchito bwanji mankhwalawa?
Mankhwalawa si chinthu chomwe mungagwiritse ntchito kunyumba. Ndi jakisoni wolowetsedwa m'mitsempha . Amaperekedwa ndi gulu lachipatala lophunzitsidwa bwino kuchipatala kapena ku chipatala. Choncho simuyenera kuchita kapena kuganiza chilichonse chokhudza mankhwalawa.
Nthawi zina zapadera, mankhwalawa angagwiritsidwe ntchito pa ana aang'ono, ngakhale makanda. Koma ayenera kuchitidwa mosamala kwambiri komanso moyang'aniridwa ndi dokotala wapadera.
Kodi mungachite chiyani ngati mwamwa mankhwala ochulukirapo?
Popeza izi zimaperekedwa kuchipatala, mwayi woti munthu agwiritse ntchito mankhwala mopitirira muyeso ndi wochepa kwambiri. Chifukwa chilichonse chimachitika motsogozedwa ndi gulu lachipatala kuphatikizapo dokotala wogonetsa. Koma ngati chinachake chachitika mwadzidzidzi, ali okonzeka kupereka chithandizo chofunikira. Chifukwa chake mulibe chodetsa nkhawa nacho. Ponena za chidziwitso, ngati mwapatsidwa poizoni ndi mankhwala, nthawi zambiri muyenera kulankhulana ndi National Poison Information Center ku Colombo National Hospital . Pakagwa mwadzidzidzi, mumatumizidwa ku Emergency Treatment Unit (ETU) yapafupi.
Mankhwala ena omwe angagwirizane ndi Vecuronium
Mankhwala ena omwe mukumwa angakhudze momwe vecuronium imagwirira ntchito. Chifukwa chake, ndikofunikira kwambiri kuuza dokotala wanu za mankhwala onse omwe mukumwa, kuphatikizapo zitsamba, mavitamini, ndi mankhwala osaperekedwa ndi dokotala. Mankhwala ena amatha kuwonjezera mphamvu ya vecuronium, pomwe ena amatha kuchepetsa.
Nazi mitundu ikuluikulu ya mankhwala omwe angayambitse mavuto:
- Maantibayotiki ena (zitsanzo: amikacin, gentamicin, tobramycin, tetracycline, clindamycin, vancomycin, colistin)
- Mankhwala ena operekedwa kwa odwala matenda a chimfine (zitsanzo: carbamazepine, phenytoin)
- Lithiamu
- Mankhwala oletsa ululu am'deralo (chitsanzo: lidocaine)
- Zakudya zowonjezera za magnesium
- Procainamide
- Quinidine
Kumbukirani, iyi si mndandanda wathunthu, choncho ndi bwino kuuza dokotala wanu za mankhwala onse omwe mumamwa.
Zotsatirapo zomwe zingachitike ndi mankhwalawa
Monga mankhwala ena aliwonse, vecuronium ingayambitse zotsatirapo zoyipa. Koma nthawi zambiri, izi sizichitika. Ndipo chifukwa chakuti gulu lachipatala lidzakhala likukuyang'anirani nthawi zonse pamene mukupatsidwa mankhwala awa, amatha kuchiza mavuto aliwonse mwachangu ngati abuka.
| Mtundu wa zotsatira zoyipa | Makhalidwe |
|---|---|
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa gulu lachipatala nthawi yomweyo | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Zizindikiro zina zazikulu | Malungo aakulu, thukuta kwambiri, kupuma mofulumira kapena pang'ono, kugunda kwa mtima mofulumira kapena kosakhazikika, kuuma kwa minofu kapena kugwedezeka. |
| Kawirikawiri palibe chodetsa nkhawa nacho, koma ngati chikupitirira, pali zinthu zoti munene. | |
| Kufooka kwa minofu | Kumva kufooka pang'ono m'minofu ngakhale pambuyo poti mankhwala atha. |
| Kusamva bwino pamalo obayira jakisoni | Ululu, kufiira, kapena kusasangalala pamalo omwe jakisoni amaperekedwa. |
Mndandandawu suli ndi zotsatirapo zonse zoyipa. Ngati muwona china chilichonse chachilendo, lankhulani ndi dokotala wanu za izi.
Kodi mankhwalawo mumasunga kuti?
Izi sizidzakhala vuto kwa inu. Chifukwa simudzaloledwa kutenga mankhwala awa kunyumba. Amagwiritsidwa ntchito ndikusungidwa kuchipatala kapena kuchipatala chokha. Chifukwa chake simuyenera kuganizira momwe mungasungire.
Uthenga Wopita Nawo Kunyumba
- Vecuronium ndi mankhwala omwe amagwiritsidwa ntchito kupumula minofu panthawi ya opaleshoni komanso njira zachipatala. Izi ndizofunikira kwambiri pa chitetezo chanu.
- Mankhwalawa amaperekedwa kuchipatala kokha, ndi gulu lachipatala lophunzitsidwa bwino, kotero mulibe chodetsa nkhawa nacho.
- Ndikofunikira kuti muuze dokotala wanu za matenda aliwonse omwe muli nawo komanso mankhwala aliwonse omwe mukumwa (kuphatikizapo mavitamini ndi zitsamba) musanachite opaleshoni.
- Munthawi ya kumwa mankhwala komanso mutatha kumwa mankhwala, gulu lachipatala lidzayang'anira thanzi lanu mosamala. Adzakhala okonzeka kuthana ndi mavuto aliwonse omwe angabwere.
- Ngati muli ndi mafunso okhudza mankhwalawa, musaope kufunsa dokotala wanu.
💬 Comments (0)
Palibe ndemanga zomwe zatumizidwa pano. Onjezani ndemanga yanu pano koyamba.
Onjezani ndemanga yanu