Ese wigeze ukorerwa operasiyo? Cyangwa se wigeze ukorerwa ikizamini runaka ukoresheje ikinya? Muri ibyo bihe, abaganga bakoresha umuti wihariye witwa rocuronium kugira ngo baruhure imitsi y'umubiri wawe kandi bakore neza kandi mu buryo butekanye. Reka tubiganireho mu buryo bworoshye.
Rocuronium ni iki?
Muri make, rocuronium ni umuti ugabanya imitsi . Akenshi uyihabwa mu gihe cyo gutera ikinya mbere yo kubagwa. Ihagarika by'agateganyo ibimenyetso biva mu mitsi yawe bijya mu mitsi yawe.
Tekereza, byagenda bite iyo imitsi yo mu mubiri wawe ihinahina mu gihe muganga arimo kubaga umuntu ugoye cyane? Ibyo bishobora guteza akaga gakomeye. Akamaro k'uyu muti ni uguhagarika ingendo nk'izo zitunguranye no gufasha itsinda ry'abaganga gukora akazi kabo nta nkomyi.
Igikomeye ni uko uyu muti udatuma umuntu asinzira. Ubikora ukoresheje imiti igabanya ububabare. Uruhura imitsi gusa.
Ibintu ugomba kubwira muganga wawe mbere yo gutanga uyu muti
Mbere yuko uhabwa rocuronium, umuganga w’indwara ziterwa n’ikinya azakubaza uko urwaye. Ni ngombwa cyane kubabwira uko urwaye nta kintu na kimwe uhishe .
| Ikibazo ugomba gutangaza | Kuki ibyo ari ingenzi? |
|---|---|
| Kubura amazi mu mubiri | Iyo umubiri ubuze amazi mu mubiri, uburyo imiti ikora bushobora guhinduka. |
| Indwara z'umutima | Imikorere y'umutima ishobora kugira ingaruka. |
| Indwara y'impyiko cyangwa umwijima | Izi ngingo zifite inshingano zo gukura imiti mu mubiri. Iyo imikorere yayo igabanutse, ingaruka z'umuti zishobora kumara igihe kirekire. |
| Indwara z'ubuhumekero (nka asima, COPD) | Aya makuru ni ingenzi kuko uyu muti ugira ingaruka ku buryo bw'ubuhumekero. |
| Myasthenia Gravis | Kubera ko iyi ari indwara igabanya imitsi, ingaruka za rocuronium zishobora kwiyongera cyane. |
| Izindi allergie | Menya neza ko utubwire niba ufite aleriji kuri rocuronium cyangwa undi muti, ibiryo, cyangwa irangi. |
| Gutwita cyangwa konsa | Ni ingenzi cyane kutumenyesha niba utwite, ugerageza gutwita, cyangwa wonsa. |
Naguha uyu muti nte?
Uyu si umuti ushobora gufata mu rugo. Rocuronium iterwa gusa nk'urushinge mu mitsi n'itsinda ry'abaganga bo mu bitaro cyangwa ivuriro. Ubusanzwe uyihabwa n'umuganga w'ikinya cyangwa umuforomo wabyigiye.
Uyu muti uhabwa abana bato, ndetse n'impinja, mu bihe bimwe na bimwe byihariye. Ariko ukorwa witonze cyane kandi witabwaho by'umwihariko.
Bite ho niba urugero rw'umuti rwiyongereye?
Kubera ko ibi bitangwa mu bitaro, biyobowe n'abaganga, amahirwe yo kurenga urugero ni make cyane. Ariko, niba hari amakenga ko ikintu nk'iki cyabayeho, itsinda ry'abaganga rizafata ingamba zikenewe. Ku bw'ubumenyi rusange, mu gihe habayeho kurenga urugero rw'umuti uwo ari wo wose, ikintu cya mbere cyakorwa ni ukujya mu Kigo cyita ku Buvuzi bwihutirwa (ETU) cy'ibitaro cyangwa guhamagara Ikigo cy'Igihugu gishinzwe Amakuru ku Burozi mu Bitaro by'Igihugu bya Colombo .
Indi miti ishobora kugira ingaruka kuri Rocuronium
Indi miti ufata ishobora kugira ingaruka ku mikorere y'uyu muti. Kubwibyo, ugomba kubwira muganga wawe imiti yose ufata, harimo imiti yanditswe na muganga, imiti igurishwa mu kigo, vitamine, ndetse n'imiti ikomoka ku bimera.
| Ubwoko bw'umuti | Ingero |
|---|---|
| Amwe mu ma antibiyotike | amikacin, gentamicin, tobramycin, tetracycline, clindamycin, vancomycin, colistin |
| Imiti imwe n'imwe ivura indwara zo mu mutwe | carbamazepine, phenytoin |
| Lithiyumu | - |
| Imiti imwe ikoreshwa mu kugabanya ububabare mu gace (imiti igabanya ububabare mu gace) | Lidocaine |
| Inyongeramusaruro za manyeziyumu | - |
| Procainamide, Quinidine | - |
Uru rutonde ntirwuzuye. Ni ngombwa kandi kumenyesha muganga wawe niba unywa itabi, unywa inzoga, cyangwa ukoresha ibindi biyobyabwenge.
Uburyo bwo gukurikirana ikibazo cyawe mu gihe ufata imiti
Mu gihe uhawe uyu muti na nyuma yawo, abaganga bazakurikirana neza uko umutima wawe uhagaze, umuvuduko w'amaraso, urugero rwa ogisijeni, n'ubuhumekero bwawe bizakurikiranwa buri gihe hifashishijwe imashini. Bityo rero uba uri ahantu hatekanye rwose.
Ni izihe ngaruka mbi zishobora kubaho?
Nk’uko bimeze ku muti uwo ari wo wose, rocuronium ishobora gutera ingaruka zimwe na zimwe, ariko izi akenshi ziba nke cyane.
| Ingaruka mbi | Ibisobanuro |
|---|---|
| Ingaruka mbi zikomeye zigomba kumenyeshwa itsinda ry'abaganga vuba | |
| Ubushobozi bwo kugira ubwivumbure | Uruhu rushyushye, kuribwa, kubyimba mu maso, iminwa, ururimi cyangwa umuhogo, no kugorwa no guhumeka. |
| Umuriro mwinshi n'ibindi bimenyetso | Umuriro mwinshi, ibyuya byinshi, guhumeka vuba cyangwa buhoro, umutima utera vuba cyangwa utari mwiza, imitsi ikomera cyangwa ihinda umushyitsi. |
| Ibibazo aho bateye inshinge | Ububabare, kubyimba, gutukura, uduheri cyangwa ibisebe ku ruhu aho rwatewe inshinge. |
| Ubusanzwe ntabwo ari akaga (ariko bwira muganga wawe niba bikomeje) | |
| Intege nke z'imitsi | Uburemere bw'imitsi bushobora gukomeza nubwo ingaruka z'imiti zashira. |
| Ububabare aho batewe urushinge | Ububabare buto, gutukura, cyangwa kubabara aho bateye urushinge. |
Niba ubonye ibindi bimenyetso bidasanzwe bitavuzwe kuri uru rutonde, nyamuneka menyesha itsinda ry’abaganga ibyabyo.
Ubutumwa bwo kujyana mu rugo
- Rocuronium ni urushinge rwihariye rutangwa mu bitaro gusa kugira ngo imitsi iruhure mu gihe cy’ibibazo nko kubagwa.
- Mbere yuko uhabwa uyu muti, ni ngombwa ko ubwira muganga wawe ukuri kose ku ndwara zawe zose ndetse n'indi miti yose ufata.
- Ntabwo ugomba guhangayikishwa n'umutekano wawe kuko itsinda ry'abaganga rizagukurikiranira hafi cyane mu gihe utanga umuti.
- Ingaruka mbi zikomeye ni gake cyane, kandi itsinda ry’abaganga ryiteguye gutanga ubuvuzi bwihuse mu gihe zibaye.
- Niba ufite ikindi kibazo kuri uyu muti, ntutindiganye kubaza muganga wawe.
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