Tekereza ko uteganijwe kubagwa bikomeye. Muri icyo gihe, abaganga batera ikinya bazaruhura imitsi yawe kandi bagutegurire kugira ngo kubagwa bikorwe byoroshye. Muri ibyo bihe, ni ukuvuga mu gihe cyo kubagwa cyangwa iyo uhujwe n'icyuma gihumeka, hari ubwoko bwihariye bw'imiti itangwa kugira ngo iruhure imitsi yawe by'agateganyo. Uwo tuvuga uyu munsi ni Mivacurium.
Mivacurium ni iki mu by'ukuri?
Muri make, Mivacurium ni umuti ugabanya imitsi . Uterwa nk'urushinge. Iyo urimo kubagwa, imitsi yawe igomba kuruhuka bihagije kugira ngo umuganga ubaga abashe gukora akazi ke nta kibazo. Ibyo nibyo urushinge rwa Mivacurium rukora.
Nanone, mu bihe bimwe na bimwe by’ubuhumekero bukomeye, umurwayi agomba gushyirwa ku cyuma gihumeka (ventilator). Uyu muti ukoreshwa kugira ngo imitsi y’umurwayi ikomeze kuruhuka muri icyo gihe. Ubusanzwe uboneka ku izina rya Mivacron.
Ibintu ugomba kubwira muganga wawe mbere yo gutanga uyu muti
Nubwo uyu ari umuti utangwa mu bitaro, uyobowe n'abaganga b'inzobere, ni ngombwa cyane ko itsinda ry'abaganga rimenya indwara zimwe na zimwe ziri mu mubiri wawe. Kuko ayo makuru azagena ingano y'umuti uhabwa, n'uburyo ukurikiranwa.
Wibuke ko nta kintu na kimwe uhisha muganga wawe. Ndetse n'amakuru make cyane utanga ashobora kuba ingenzi cyane ku mutekano wawe.
Niba ufite kimwe mu bibazo biri mu mbonerahamwe iri hepfo, menya neza ko wabibwiye muganga wawe.
| Ikibazo ugomba gutangaza | Kuki ibyo ari ingenzi? |
|---|---|
| Indwara y'impyiko cyangwa umwijima | Izi ngingo zifite inshingano zo gukura imiti mu mubiri. Iyo imikorere yazo yangiritse, hari ibyago byo kuba umuti umara igihe kirekire mu mubiri. |
| Indwara z'umutima | Mivacurium ishobora kugabanya umuvuduko w'amaraso gato, bityo ishobora kugira ingaruka ku bantu bafite indwara z'umutima mu buryo butandukanye. |
| Indwara z'ibihaha cyangwa iz'ubuhumekero , nka asima | Uyu muti rimwe na rimwe ushobora kugira ingaruka ku buryo bw'ubuhumekero, bityo ni ngombwa kubimenya mbere y'igihe. |
| Indwara z'imitsi nka myasthenia gravis | Abantu bafite ibi bibazo bashobora kuba bakunze cyane imiti igabanya imitsi, bityo n'iyo batanze dose ntoya cyane ishobora kuba ihagije. |
| Kubura amazi cyangwa kutagera ku rugero rwa kalisiyumu, potasiyumu, cyangwa manyeziyumu mu maraso | Ingano y'amashanyarazi mu mubiri igira ingaruka zitaziguye ku mikorere y'uyu muti. |
| Uduce tunini tw'uruhu rwahiye | Abarwayi bahiye bashobora kwakira ubwo bwoko bw'imiti mu buryo butandukanye. |
| Gutwita, kugerageza gutwita, cyangwa konsa | Mu gihe nk'iki, muganga ahangayikishijwe cyane n'ingaruka zishobora kugira ku mubyeyi n'umwana. |
| Kugira allergie kuri Mivacurium cyangwa undi muti cyangwa ibiryo ibyo ari byo byose | Niba warigeze kugira allergie mbere, kuyigaragaza bishobora gufasha gukumira allergie ikomeye (anaphylaxis). |
Uyu muti ukoreshwa ute?
Uyu si umuti ushobora kujyana mu rugo. Mivacurium itangwa mu mitsi mu bitaro cyangwa mu ivuriro n'inzobere mu by'ubuzima zabihuguriwe. Inzobere mu by'imiti cyangwa umuganga w'ivuriro ryihariye azasuzuma indwara yawe, aguhe urugero rukwiye, hanyuma aguhe umuti. Mu gihe uhabwa uyu muti, umuvuduko w'umutima wawe, umuvuduko w'amaraso, no guhumeka bizakurikiranwa cyane n'itsinda ry'abaganga.
Ese ibi urabikoresha ku bana?
Yego. Ndetse no ku bana barengeje imyaka 2, uyu muti ushobora kwandikirwa mu bihe bimwe na bimwe. Ariko, ingamba zihariye zigomba gukurikizwa. Ibi bizagenwa n'umuganga w'abana n'inzobere mu gutera ikinya.
Bite ho niba ingano y'imiti yiyongereye?
Kubera ko ibi bikorerwa mu bitaro, bigenzurwa n'abaganga, amahirwe yo kunywa ibirenze urugero aba make cyane. Ariko, niba hari amakenga ko hari ikintu nk'iki cyabaye, itsinda ry'abaganga rihita rifata ingamba zikenewe. Ubusanzwe, muri icyo gihe, bahamagara Ikigo cy'Igihugu gishinzwe gutanga amakuru ku burozi mu bitaro by'igihugu bya Colombo kugira ngo babagire inama, cyangwa bahita batangira ubuvuzi bukenewe mu Ishami rishinzwe Ubuvuzi bwihutirwa (ETU) .
Indi miti ishobora kugira ingaruka kuri Mivacurium
Mivacurium ishobora kugira ingaruka ku yindi miti ufata. Kubwibyo, ugomba kumenyesha muganga wawe imiti yose ufata, harimo n'iyo muganga wawe yandikiye, imiti igurishwa mu kigo, imiti y'ibimera, vitamine, n'inyongeramusaruro.
Izi ni zimwe mu miti ishobora kugira ingaruka kuri Mivacurium:
- Amwe mu ma antibiyotike: Urugero, imiti nka amikacin, gentamicin, tobramycin, tetracyclines, na clindamycin.
- Imiti igabanya ububabare rusange: Imyuka igabanya ububabare nka enflurane, isoflurane, na halothane.
- Imiti ivura igicuri: imiti nka carbamazepine na phenytoin.
- Imiti ivura indwara z'umutima: Imiti nka quinidine na procainamide.
- Imiti ivura indwara zo mu mutwe: Lithium, na MAOIs.
- Imiti igabanya ububabare mu gace: Imiti ikoreshwa mu gutinza ahantu, nka lidocaine na tetracaine.
- Izindi miti ziruhura imitsi
- Steroids: Ibiyobyabwenge nka prednisone na cortisone.
- Imiti irimo manyeziyumu .
- Ibinini byo kuboneza urubyaro
Uru rutonde ntirwuzuye, bityo rero ku bw'umutekano wawe, ni byiza kubwira muganga wawe ibyo ufata byose.
Ni izihe ngaruka mbi zishobora guterwa n'uyu muti?
Kimwe n'indi miti iyo ari yo yose, Mivacurium ishobora gutera ingaruka zimwe na zimwe. Inyinshi muri zo zigaragazwa kandi zigacungwa n'itsinda ry'abaganga mu gihe imiti itangwa.
| Ingaruka mbi | Ibisobanuro |
|---|---|
| Ingaruka mbi zikomeye zigomba kumenyeshwa abakozi b'abaganga ako kanya | |
| Indwara zikomeye z'ubwivumbure | Uruhu rushyushye, kuribwa, kubyimba mu maso, ku minwa cyangwa ku rurimi. |
| Ibibazo byo guhumeka | Guhumeka bigoranye, igituza gifunganye. (Ibi bishobora kumenyekana vuba kuko uri gukurikiranwa). |
| Ibimenyetso by'umuvuduko w'amaraso uri hasi | Kuzungera, intege nke, umunaniro ukabije. |
| Ibimenyetso by'imvune z'imitsi | Inkari zijimye, kugorwa no kunyara, kubabara imitsi cyane, kubabara umugongo. |
| Gusukura mu maso | Guturika mu maso bitunguranye no kumva ushyushye. |
| Ibintu ubusanzwe bitari biteje akaga, ariko bigomba kumenyeshwa niba bikomeje | |
| Ububabare bw'imitsi cyangwa intege nke | Kumva ububabare cyangwa intege nke mu mitsi ndetse na nyuma y’uko ingaruka z’imiti zirangiye. |
| Ububabare aho umuntu atewe urushinge | Ugutukura, ububabare, cyangwa kubyimba ku mitsi aho bateye urushinge. |
Ubutumwa bwo kujyana mu rugo
- Mivacurium ni urushinge rutangwa kugira ngo imitsi iruhure by'agateganyo mu gihe cyo kubagwa no ku barwayi bari ku byuma bifasha guhumeka.
- Mbere yo guhabwa uru rukingo, ni ngombwa kumenyesha muganga wawe indwara zawe zose, imiti ufata, ndetse n'ubwivumbure.
- Uyu ni umuti utangwa mu bitaro gusa n'itsinda ry'abaganga bahuguwe, bityo ntugomba kuwubika cyangwa kuwukoresha mu rugo.
- Ntabwo ugomba guhangayikishwa n'ingaruka mbi zishobora kubaho kuko indwara yawe izakurikiranirwa hafi mu gihe ufata imiti. Ariko ni ngombwa kubimenya.
- Niba ufite ikindi kibazo kuri uyu muti, ntutindiganye kubaza muganga wawe.
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