Tekereza ko ugomba kubagwa. Abaganga babikora bagutera ikinya, bivuze ko batazi neza. Ariko se bigenda bite iyo imitsi yawe ihinahina cyangwa ihinahina mu buryo butunguranye? Ibyo bishobora kuba imbogamizi ikomeye ku kubagwa, sibyo? Uyu munsi turimo kuvuga ku inshinge zidasanzwe zihagarika ingendo nk'izo zitunguranye kandi zigafasha abaganga gukora akazi kabo mu mutekano no mu buryo bworoshye. Iyo ni pancuronium.
Mu magambo make, Pancuronium ni iki?
Pancuronium ni umuti ugabanya imitsi . Inshingano yayo nyamukuru ni ukuruhura imitsi y'umubiri wawe no kuyirinda kugenda mu gihe cyo kubagwa cyangwa ubundi buryo bwo kwa muganga.
Tekereza ko ubwonko bwawe bumeze nk'umuyobozi w'ikigo. Imitsi yawe ni abakozi bawe. Umuyobozi (ubwonko) yohereza ibimenyetso by'imitsi ku bakozi (imitsi) kugira ngo "ifatanye" kandi "igende." Icyo iyi pancuronium ikora ni ugufunga by'agateganyo inzira iyo mitsi inyuramo. Hanyuma, kubera ko imitsi idahabwa amabwiriza ava mu bwonko, iraruhuka rwose kandi nta n'ingirabuzima ndende igira. Ibi bituma abaganga bababaga nta mbogamizi.
Ibi bikunze gukoreshwa hamwe n'ikinya. Hari n'igihe bikoreshwa mu gufasha abarwayi bafite ikibazo cyo guhumeka guhumeka babihuza n'imashini (ventilator).
Ibintu ugomba kubwira muganga wawe mbere yo gutanga uyu muti
Ibi ni ingenzi cyane. Ni ngombwa ko muganga wawe amenya amateka y’ubuzima bwawe mbere yo kuguha uyu muti. Ibi biterwa nuko hari indwara zimwe na zimwe zisaba kwitabwaho by’umwihariko iyo ukoresha uyu muti.
Reba imbonerahamwe iri hepfo. Niba ufite kimwe muri ibi bibazo, menya neza ko wabibwiye muganga wawe.
| Ikibazo ugomba gutangaza | Kuki ari ibyo? (Mu buryo bworoshye) |
|---|---|
| Kubura amazi mu mubiri - kubura amazi mu mubiri | Iyo imiterere y'amazi mu mubiri ihindutse, uburyo imiti ikora nabwo bushobora guhinduka. |
| Indwara z'umutima | Uyu muti ushobora kugira ingaruka ku muvuduko w'umutima n'umuvuduko w'amaraso. |
| Indwara y'impyiko | Niba impyiko zawe zidakora neza, bizatwara igihe kirekire kugira ngo uyu muti uve mu mubiri wawe. Bityo, ingaruka z'umuti zishobora kumara igihe kirekire. |
| Indwara y'umwijima | Umwijima niho imiti myinshi ivunjwa mu mubiri. Iyo hari ikibazo ku mwijima, ingaruka z'umuti zishobora guhinduka. |
| Indwara z'ibihaha cyangwa indwara zo guhumeka - urugero: Asima, COPD | Kubera ko uyu muti unaruhura imitsi yo mu myanya y'ubuhumekero, abantu basanzwe bafite indwara z'ubuhumekero bagomba kwitabwaho cyane. |
| Myasthenia gravis - indwara itera intege nke z'imitsi | Abantu bafite iyi ndwara bashobora kuba bakunze cyane imiti igabanya imitsi, bityo bakaba bakeneye dose nke cyane. |
| Allergie | Niba ufite allergie kuri pancuronium cyangwa undi muti uwo ari wo wose, ibiryo, cyangwa irangi, menya neza ko ubitumenyesha. |
| Niba utwite cyangwa ugerageza gutwita | Umuganga agomba guhangayikishwa n'ingaruka z'umuti ku mubyeyi utwite no ku mwana. |
| Niba uri umubyeyi wonsa | Ni ngombwa gusuzuma niba umuti ugera ku mwana binyuze mu mashereka. |
Ukoresha uyu muti ute?
Uyu si umuti ushobora gukoresha mu rugo. Utangwa gusa mu bitaro cyangwa mu ivuriro na muganga cyangwa abakozi b’abaganga bahuguwe.
- Ibi bitangwa nk'urushinge rwo guterwa mu mitsi .
- Ishobora gukoreshwa ku bana bato, ndetse no ku bana bavutse, mu bihe byihariye. Ariko igomba gukorwa mu bwitonzi bwinshi kandi ikurikiranwa n'abaganga.
Bite ho nindamuka nkoresheje imiti irenze urugero?
Kubera ko ibi bitangwa mu bitaro, amahirwe yo kurwara ibiyobyabwenge ni make cyane. Itsinda ry’abaganga riritondera cyane. Ariko niba ikintu nk’iki kibaye cyangwa niba hari gushidikanya, bazahita baguha ubuvuzi bukenewe. Niba utekereza ko wanyoye umuti nk’uwo hanze y’ibitaro, ugomba guhita ujya kwa ETU , bivuze Ishami rishinzwe Ubuvuzi bwihutirwa . Ushobora kandi guhamagara Ikigo cy’Igihugu gishinzwe Amakuru ku Burozi mu Bitaro by’Igihugu bya Colombo ukagisha inama.
Indi miti ishobora kugira ingaruka kuri uyu muti
Niba ufata imiti y’izindi ndwara, ni ngombwa cyane kubibwira muganga wawe, kuko hari imiti ishobora kugira ingaruka ku mikorere ya pancuronium.
- Amwe mu ma antibiyotike: Urugero, amikacin, gentamicin, tobramycin, tetracycline, clindamycin, vancomycin, colistin.
- Imiti ivura indwara zo mu mutwe: nka carbamazepine na phenytoin.
- Lithium: Umuti ukoreshwa mu kuvura indwara zo mu mutwe.
- Imiti igabanya ububabare mu gace utuyemo: nka lidocaine.
- Inyongeramusaruro za manyeziyumu
- Procainamide, Quinidine: Imiti ivura indwara z'umutima.
Uru rutonde ntabwo rurambuye. Bwira muganga wawe imiti yose ufata, harimo imiti yanditswe na muganga, imiti igurishwa mu kigo, imiti gakondo, vitamine, ndetse niba unywa itabi cyangwa unywa inzoga.
Ni izihe ngaruka mbi zishobora kubaho?
Kimwe n'indi miti iyo ari yo yose, hari ingaruka zimwe na zimwe zishobora kubaho. Ariko, kubera ko uba uri munsi y'ubuyobozi bwuzuye bw'ikipe y'abaganga iyo ufata uyu muti, biteguye kuvura ikibazo icyo ari cyo cyose vuba.
| Ingaruka mbi n'imiterere yazo | |
|---|---|
| Ingaruka mbi zikomeye zigomba kumenyeshwa itsinda ry'abaganga vuba | |
| Ubushobozi bwo kugira ubwivumbure | Uruhu rushyushye, kuribwa, kubyimba mu maso, ku minwa, ku rurimi cyangwa mu muhogo. |
| Umutima utera | Umutima utera vuba cyane cyangwa utari usanzwe. |
| Ubwiyongere bw'umuvuduko w'amaraso | Ubwiyongere bugaragara bw'umuvuduko w'amaraso. |
| Ubushyuhe bw'umubiri | Umuriro mwinshi, ibyuya byinshi, guhumeka vuba, imitsi igakomera. |
| Ingaruka mbi ubusanzwe zitari zikomeye (ariko zigomba kumenyeshwa muganga mu gihe zikomeje) | |
| Intege nke z'imitsi | Intege nke zimwe na zimwe z'imitsi zikomeza kubaho nubwo ingaruka z'imiti zashira. |
| Ububabare aho umuntu atewe urushinge | Kubabara, gutukura, cyangwa kubabara mu gihe cy'urushinge. |
Niba ubonye ibindi bimenyetso bidasanzwe bitavuzwe kuri uru rutonde, nyamuneka menyesha itsinda ry’abaganga ibyabyo.
Ubutumwa bwo kujyana mu rugo
- Pancuronium ni umuti ukoreshwa mu kuruhuka imitsi burundu mu bihe nk'ibyo kubagwa.
- Iyi iterwa nk'urushinge mu mitsi mu bitaro, ikurikiranwe na muganga. Ntuzashobora kuyijyana iwawe.
- Ni ngombwa kubwira muganga wawe indwara zawe zose (cyane cyane indwara z'umutima, impyiko n'umwijima) hamwe n'indi miti yose ufata.
- Mu gihe uhabwa uyu muti, itsinda ry’abaganga rihora rigenzura uko umutima wawe utera n’umuvuduko w’amaraso, bityo ukaba uri mu mutekano.
- Iyo habayeho ingaruka mbi zikomeye, nko kugira ubwivumbure cyangwa umutima utera vuba, itsinda ry’abaganga riba ryiteguye kuzivura ako kanya.
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