Ese wigeze ukorerwa operasiyo? Cyangwa hari umuntu uzi wigeze kubagwa mu cyumba cy’indembe (ICU) akoresheje icyuma gifasha guhumeka? Muri ibyo bihe, ni ngombwa cyane kuruhuka imitsi y’umubiri w’umurwayi no kuyigumana ituje. Ibi bifasha abaganga gukora byoroshye mu gihe cyo kubagwa kandi binafasha umubiri w’umurwayi kudahura n’icyuma mu gihe bari kuri icyo cyuma gifasha guhumeka. Uyu munsi rero turimo kuvuga ku muti ukoreshwa mu bihe nk’ibi byihariye. Witwa Cisatracurium .
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Mu magambo make, Cisatracurium ni iki?
Cisatracurium ni umuti ugabanya imitsi y'amagufwa . Ni umuti ugabanya cyangwa uhagarika by'agateganyo imitsi yo mu mubiri wacu tugenzura (urugero, imitsi yo mu maguru yacu, imitsi yo mu ijosi ryacu). Uhabwa umurwayi nk'urushinge mu mitsi cyangwa nk'umuti ukomeza guterwa nk'umunyu.
Uburyo bubiri bw'ingenzi ibi bikoreshwamo ni ubu:
- Mu gihe cyo kubagwa: Iyo imitsi y'umurwayi igoranye mu gihe cyo kubagwa gukomeye, bishobora kugora umuganga ubaga gukora akazi ke neza. Uyu muti uruhura umubiri wose, bigatuma kubagwa birushaho kuba byiza kandi byoroshye.
- Iyo ihujwe n'icyuma gihumeka/icyuma gihumeka: Mu bihe bimwe na bimwe bikomeye, umurwayi ntashobora guhumeka wenyine. Muri icyo gihe, guhumeka bitangwa binyuze mu cyuma gihumeka. Ariko, hari igihe umubiri w'umurwayi ushobora kurwanya ibikorwa by'iyi mashini. Uyu muti ufasha kuyihagarika no gutuma imashini itanga umwuka mu bihaha byoroshye.
Igikuru ni uko uyu muti uhabwa umurwayi nyuma yo kumuha imiti igabanya ububabare no kumutera guta ubwenge burundu. Kubera ko ibi bigabanya imitsi gusa, ntibitera guta ubwenge. Kubwibyo, ni ngombwa gutuma umurwayi ata ubwenge kugira ngo atagira ikibazo na kimwe.
Ibintu ugomba kubwira muganga wawe mbere yo gutanga uyu muti
Mbere yo guhabwa Cisatracurium, umuganga w’ikinya azabaza wowe n’umuryango wawe ibijyanye n’ubuzima bwawe. Ni ngombwa cyane kubabwira indwara zawe zose nta kintu na kimwe ubahisha . Ni ngombwa cyane kubabwira ibi bikurikira:
| Ikibazo ugomba gutangaza | Kuki gusa? |
|---|---|
| Kurwara ubwivumbure ku yindi miti, ibiryo, cyangwa ibindi bintu | Niba warigeze kugira ikibazo cy’ubwivumbure kuri cisplatin cyangwa ikindi kintu icyo ari cyo cyose kigabanya ububabare, bishobora gushyira ubuzima mu kaga. |
| Indwara y'Impyiko cyangwa Umwijima | Uyu muti uvanwa mu mubiri n'impyiko n'umwijima. Iyo izi ngingo zidakomeye, ingaruka z'umuti zishobora kumara igihe kirekire. |
| Indwara z'ubuhumekero nka asima | Uyu muti rimwe na rimwe ushobora kugira ingaruka ku myanya y'ubuhumekero, bityo ni ngombwa kubimenya mbere y'igihe. |
| Indwara z'imitsi nka myasthenia gravis | Abantu bafite ibi bibazo bashobora kugira ingaruka nziza z'uyu muti, bityo abaganga bagomba kwitondera cyane urugero batanga. |
| Kubura amazi cyangwa kutagera ku rugero rwa kalisiyumu, potasiyumu, cyangwa manyeziyumu mu maraso | Impinduka mu rugero rw'umunyu n'amazi mu mubiri zigira ingaruka zitaziguye ku buryo uyu muti ukora. |
| Ubushye Bunini) | Uburyo umubiri witabira ubwo bwoko bw'imiti bushobora gutandukana ku barwayi bafite ubushye bukabije. |
| Gutwita cyangwa konsa | Ni ngombwa kubwira muganga wawe niba utwite, ugerageza gutwita, cyangwa wonsa. |
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Check Availability →Uburyo bwo gukoresha uyu muti n'ibindi bintu by'ingenzi
Uyu si umuti ushobora kujyana mu rugo. Cisatracurium itangwa mu bitaro cyangwa mu ivuriro gusa na muganga cyangwa umuforomo wabyigiye. Kubwibyo, nta ngaruka zo kubura dose.
Uyu muti uhabwa abana bato ndetse n'impinja mu bihe bimwe na bimwe byihariye. Ariko ukorwa munsi y'ubugenzuzi bukomeye bwa muganga w'abana, kandi witonze cyane.
Bite ho niba urugero rw'umuti rwiyongereye? (Ingano irenze urugero)
Kubera ko ibi bitangwa mu bitaro, amahirwe yo kurwara ibirenze urugero aba make cyane. Ariko, iyo habayeho ikintu nk'iki, ni ikibazo cyihutirwa. Muri icyo gihe, abaganga bo mu ishami rishinzwe kuvura byihutirwa (ETU) ry’ibitaro bazatanga ubuvuzi bukenewe. Niba ufite gushidikanya kuri ibi, ushobora kandi guhamagara Ikigo cy’Igihugu gishinzwe gutanga amakuru ku burozi mu bitaro by’igihugu bya Colombo kugira ngo bakugire inama.
Indi miti ishobora kugira ingaruka kuri uyu muti
Bwira muganga wawe imiti yose ufata, harimo imiti yandikiwe na muganga n'indi igurishwa mu kigo, imiti ikomoka ku bimera, vitamine, n'imiti ikomoka ku bimera. Imiti imwe n'imwe ishobora gukorana na Cisplatin no kongera cyangwa kugabanya ingaruka zayo. Urugero:
- Amwe mu matibayotike - urugero: amikacin, gentamicin, tetracyclines
- Imiti igabanya ububabare bw'imitsi (carbamazepine, phenytoin)
- Lithiyumu
- Indi miti ikoreshwa mu gusinziriza (isoflurane, halothane)
- Umuti wo kuvura indwara z'imitsi (lidocaine)
- Manyeziyumu
Ni izihe ngaruka mbi zitezweho?
Kimwe n'umuti uwo ari wo wose, cisplatin ishobora gutera ingaruka mbi. Abaganga n'abaforomo bazagukurikiranira hafi mu gihe ufata uyu muti. Niba ufite ikibazo, babimenyeshe ako kanya.
| Gushyira mu byiciro ingaruka mbi | |
|---|---|
| Ingaruka mbi zikomeye zigomba kumenyeshwa muganga wawe cyangwa umuforomo wawe ako kanya: | |
| Indwara zo kwangirika kw'umubiri | Uruhu rushyushye, kuribwa, kubyimba mu maso, ku minwa cyangwa ku rurimi. |
| Ingorane zo guhumeka | Kugorwa no guhumeka. |
| Ibimenyetso by'umuvuduko w'amaraso uri hasi | Kuzungera , kumva ufite umutwe mwiza, amaso y'ubururu. |
| Ibimenyetso by'ibyangiritse by'imitsi | Inkari zijimye, kugorwa no kunyara, umunaniro ukabije, ububabare bw'imitsi. |
| Ibindi | Gutukura mu maso, kuribwa cyangwa gushya mu maso, gucika intege. |
| Ingaruka mbi ubusanzwe zitari zikomeye, ariko zigomba kumenyeshwa muganga mu gihe zikomeje: | |
| Ububabare bw'imitsi cyangwa intege nke | Nyuma y'uko imiti n'imiti birangiye, ushobora kumva ububabare bw'imitsi cyangwa intege nke. |
Ubutumwa bwo kujyana mu rugo
- Cisatracurium ni urushinge rwihariye rutangwa kugira ngo imitsi iruhure mu gihe cyo kubagwa no kuvurwa mu buryo bw’inyongera.
- Iyi miti itangwa mu bitaro gusa, iyobowe n'abaganga. Uyu si umuti wo kujyana mu rugo.
- Ni ingenzi cyane kubwira muganga wawe indwara zawe zose, ubwivumbure bwawe, n'imiti ufata mbere yo kubagwa.
- Uzakomeza gukurikiranwa mu gihe ufata uyu muti, bityo nihagira ingaruka mbi, uzahita ubona ubuvuzi.
- Niba ufite ikindi kibazo kuri uyu muti, ntutindiganye kubaza muganga wawe.
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