Niba wowe cyangwa umuntu wo mu muryango wawe agiye kubagwa, umuganga w’ikinya azakoresha imiti itandukanye kugira ngo agusinzirize, nta bubabare wumvise, kandi agufashe kubagwa neza. Umwe muri iyi miti ni umuti wihariye, kandi w’ingenzi cyane witwa Succinylcholine. Ukora mu kuruhuka imitsi yawe by’agateganyo. Reka tuvuge muri make kuri uyu muti, icyo ukora, n’icyo ugomba kumenya mbere yo kuwukoresha.
Mu magambo make, Succinylcholine ni iki?
Succinylcholine ni umuti ugabanya imitsi . Tekereza, ibi ni nko gutakaza by'agateganyo imwe mu mitsi yo mu mubiri wacu tugenzura mu mutwe, nk'iyo mu ngingo zacu, mu ijosi no mu nda. Ariko ibi ni iby'igihe gito.
Uyu muti ukoreshwa cyane cyane mu bihe bibiri:
1. Mu gihe cyo kubaga: Mu gihe cyo kubaga, cyane cyane mu gihe cyo kubaga inda, iyo imitsi yo mu mubiri igoranye, biragoye ko umuganga ubaga abaga. Kubera ko imitsi iba iruhutse burundu iyo uyu muti utanzwe, kubaga bishobora gukorwa byoroshye kandi mu mutekano. Nanone, rimwe na rimwe biba ngombwa gushyiramo umuyoboro mu ijosi (intubation) kugira ngo bifashe mu guhumeka. Uyu muti nawo ukoreshwa muri icyo gihe.
2. Iyo umuntu ahujwe n'icyuma gihumeka: Iyo umuntu afite ikibazo cyo guhumeka wenyine kandi agahuzwa n'icyuma gihumeka, imitsi yo mu mubiri w'uwo muntu ishobora kubangamira imikorere y'imashini. Muri ibyo bihe, uyu muti utangwa kugira ngo imitsi iruhure kandi itume icyuma gihumeka gikora neza.
Igikuru ni uko uyu muti atari uwo gukoresha mu rugo. Ukoreshwa gusa mu bitaro, mu cyumba cyita ku barwayi barembye, cyangwa mu cyumba cy’ababaga, ukurikiranirwa hafi n’abaganga bahuguwe n’abaforomo.
Ibintu ugomba kubwira muganga wawe mbere yo gutanga uyu muti
Iki ni ingenzi cyane. Ku bw'umutekano wawe, ni ngombwa kumenyesha umuganga w'ikinya indwara zimwe na zimwe mu mubiri wawe mbere yo kubagwa. Kuko hashingiwe kuri ayo makuru, hazafatwa icyemezo cyo kuguha uyu muti cyangwa kutaguha, cyangwa kuguha undi muti.
Niba ufite kimwe mu bibazo biri hepfo, menya neza ko wabibwiye muganga wawe.
| Indwara yawe cyangwa uburwayi bwawe | Kuki ugomba gutanga amakuru? |
|---|---|
| Allergie | Niba ufite allergie kuri succinylcholine cyangwa undi muti uwo ari wo wose, ibiryo, cyangwa irangi. |
| Amateka y'ubuzima bw'umuryango | Niba hari umuntu wo mu muryango wawe wagize ikibazo kijyanye no gusinziriza (urugero: Malignant Hyperthermia). |
| Indwara ziterwa n'imitsi | Niba ufite indwara igabanya imitsi nka Myasthenia Gravis. |
| Ibibazo by'amaso | Indwara ziterwa n'umuvuduko w'amaso wiyongera, nka glaucoma. |
| Urugero rw'imyunyu ngugu mu maraso | Iyo urugero rwa potasiyumu, kalisiyumu, cyangwa manyeziyumu mu maraso ruri hejuru cyangwa hasi. |
| Ibikomere | Ibikomere bikomeye ku mutwe, ubushye bukomeye, cyangwa kwangirika gukomeye k'uruhu. |
| Gutwita | Niba utwite, ugerageza gusama, cyangwa wonsa. |
Ese uyu muti ushobora guhabwa abana bato?
Yego, mu bihe bimwe na bimwe byihariye, uyu muti ushobora kwandikirwa abana, uhereye ku bana bavutse. Ariko ingamba zihariye zirakurikizwa. Iki cyemezo gifatwa hamwe n'umuganga w'abana n'inzobere mu gutera ikinya ku mwana wawe.
Bite ho niba dose yiyongereye?
Ibi bitangwa mu bitaro, bigenzurwa na muganga, bityo amahirwe yo gukoresha imiti irenze urugero ni make cyane. Abakozi bo kwa muganga bazabara igipimo gikwiye bakurikije ibiro byawe n'uko umeze, hanyuma bakaguha imiti. Ibi nibibaho, bahuguwe gutanga ubuvuzi bukenewe. Niba ukeneye amakuru kuri ibi, ushobora guhamagara Ikigo cy'Igihugu gishinzwe gutanga amakuru ku burozi mu bitaro by'igihugu bya Colombo kugira ngo umenye ibisobanuro birambuye. Ariko, mu gihe cyihutirwa, ikintu cyiza ni ukujya mu ishami rishinzwe kuvura byihutirwa (ETU) riri hafi yawe.
Indi miti ishobora kugira ingaruka kuri uyu muti
Ni ingenzi cyane kubwira muganga wawe imiti yose ufata (imiti ivura izindi ndwara, vitamine, imiti gakondo, inyongeramusaruro). Imiti imwe n'imwe ishobora kugira ingaruka kuri Succinylcholine, igahindura ingaruka zayo cyangwa igatera indwara zikomeye.
Dore bimwe mu biyobyabwenge nk'ibi:
- Imiti imwe n'imwe igabanya ubukana bw'ibiyobyabwenge: urugero, amikacin, gentamicin, clindamycin.
- Indi miti igabanya ububabare: Imiti igabanya ububabare ikoresheje gaze nka enflurane, isoflurane, halothane.
- Imiti ivura indwara z'umutima n'umuvuduko ukabije w'amaraso.
- Ibinini byo kuboneza urubyaro.
- Lithium: Umuti ukoreshwa mu kuvura indwara zo mu mutwe.
- MAOIs: Ubwoko bw'umuti utangwa ku ndwara yo kwiheba.
- Ubwoko bwa steroid: Urugero, prednisone cyangwa cortisone.
- Imiti irimo manyeziyumu.
- Quinine: Umuti ukoreshwa mu kuvura malariya.
Uru rutonde ntabwo rurambuye. Kubwibyo, vugisha ukuri muganga wawe ku miti yose ufata, ndetse niba unywa itabi cyangwa inzoga .
Ni izihe ngaruka mbi zishobora guterwa n'umuti?
Kimwe n'indi miti iyo ari yo yose, Succinylcholine ishobora gutera ingaruka mbi. Uzakurikiranirwa hafi, bityo niba hari ikibazo, itsinda ry'abaganga rizahita rifata ingamba.
| Ingaruka mbi | Ibisobanuro |
|---|---|
| Ibintu ugomba kubwira muganga wawe cyangwa abakozi b'abaforomo ako kanya | |
| Ubushobozi bwo kugira ubwivumbure | Uruhu rushyushye, kuribwa, kubyimba mu maso, ku minwa cyangwa ku rurimi. |
| Guhumeka bigoranye | Niba utari kuri ventilator, wumva ufite ikibazo cyo guhumeka nabi. |
| Impinduka mu gipimo cy'umutima | Gutera buhoro cyangwa vuba, umutima utera nabi. Kubabara mu gituza. |
| Ibimenyetso by'uko umuntu afite potasiyumu nyinshi | Kunanirwa cyane kw'imitsi, kubabara mu gituza. |
| Ibimenyetso by'ibyangiritse by'imitsi | Inkari zijimye, kugorwa no kunyara, umunaniro ukabije, ububabare bw'imitsi. |
| Ibimenyetso by'umuvuduko w'amaraso uri hasi | Kuzunguza, amaso y'ubururu, intege nke zikabije. |
| Ibintu ubusanzwe bitari bikomeye, ariko bigomba kuvugwa niba bikomeje | |
| Kubabara imitsi | Ni ibisanzwe kugira ububabare bw'umubiri n'imitsi mu gihe cy'umunsi umwe cyangwa ibiri nyuma y'uko ingaruka z'imiti zirangiye. |
| Intege nke z'imitsi | Intege nke z'imitsi z'igihe gito. |
Ubutumwa bwo kujyana mu rugo
- Succinylcholine ni umuti ukomeye woroshya imitsi ukoreshwa mu bitaro gusa, cyane cyane mu byumba byo kubaga no mu byumba byita ku barwayi barembye cyane.
- Mbere yo guhabwa uyu muti, ni ngombwa ko ubwira muganga wawe amateka yawe yose y’uburwayi, ubwivumbure, amateka y’ubuzima bw’umuryango wawe, n’indi miti yose ufata.
- Kubera ko ibi bitangwa n'abaganga babihuguriwe, ntugomba guhangayikishwa no kubibika cyangwa kubitanga.
- Nubwo ingaruka mbi zishobora kubaho, zishobora gukemurwa n'itsinda ry'abaganga kuko uba uri mu bitaro ukurikiranirwa hafi.
- Niba ufite ikibazo cyangwa impungenge, ntugatinye kubaza umuganga w’ibinya cyangwa umuganga ukuvura. Umutekano wawe ni wo bashyira imbere.
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