Wakambofanira kuvhiyiwa here? Kana kuti wakambofanira kuvhiyiwa uchishandisa anesthesia here? Nhasi tichataura nezvemushonga unobatsira vanachiremba kuzorodza tsandanyama dzemuviri wako uye kuita oparesheni kana bvunzo zvakachengeteka uye zviri nyore. Zita remushonga uyu ndiAtracurium.
Zvichitaurwa zviri nyore, chii chinonzi Atracurium?
Atracurium mushonga unopihwa kuti urerutse tsandanyama mumuviri wako panguva yekuvhiyiwa, sekuvhiyiwa. Unowanzopihwa sejekiseni.
Fungidzira chiremba achikuvhiya dumbu rako. Zvaisazova zvakaoma here kuita oparesheni iyi kudai tsandanyama dzemudumbu mako dzainge dzakasimba? Panguva yakadaro, kana mushonga uyu wapihwa, unovhara kwenguva pfupi zviratidzo zvetsinga kubva muuropi zvinoudza tsandanyama kuti "dzipwanye". Zvakafanana nekudzima switch pamwenje. Tsandanyama dzinozorora zvachose. Izvi zvinoreva kuti muviri wako hauzununguki kana kufamba zvachose. Ipapo timu yezvekurapa inogona kuita basa rayo pasina chinokukanganisa, zvakachengeteka.
Chinhu chakakosha ndechekuti, uyu hausi mushonga waunogona kushandisa kumba. Uyu mushonga unongopihwa muchipatara kana kiriniki chete, nechikwata chekurapa chakadzidziswa .
Zvinhu zvaunofanira kuudza chiremba wako usati watora mushonga uyu
Usati wavhiyiwa kana kuti wabatwa nechirwere cheanesthesia, chiremba wako achakubvunza mibvunzo yakawanda nezveutano hwako. Zvakakosha kuti upindure mibvunzo yese zvechokwadi. Kunyanya usati wapihwa mushonga wakaita seAtracurium, unofanira kuudza chiremba wako kana uine chimwe chezvirwere zvakanyorwa pazasi.
| Mamiriro ezvinhu aungave nawo | Sei zvichikosha kuzivisa? |
|---|---|
| Kana muviri usina mvura yakakwana (Dehydration) | Kana huwandu hwemvura mumuviri hukadzikira, mashandiro emishonga anogona kuchinja. Saka, ruzivo urwu rwakakosha pakugadzirisa mwero wemishonga. |
| Kana uine chirwere chemwoyo | Mushonga uyu dzimwe nguva unogona kukanganisa BP zvishoma. Vanhu vane chirwere chemwoyo vanofanira kungwarira zvikuru. |
| Zvirwere zvemapapu kana zvekufema (senge asthma, COPD) | Sezvo Atracurium ichikanganisawo kufema, zvakakosha kuti vanachiremba vazive nezvematambudziko ekufema aripo. |
| Zvirwere zvetsinga dzemutsinga zvakaita se myasthenia gravis | Izvi zvirwere zvinoderedza simba remhasuru. Saka unofanira kungwarira zvikuru paunenge uchipa mushonga unozorodza tsandanyama. |
| Kana uine allergy ne atracurium kana mimwe mishonga, chikafu, kana madhayi. | Kana wakambova nechirwere cheallergy, kuudza mumwe munhu nezvazvo kunogona kuponesa hupenyu. |
| Kana uine pamuviri kana kuti uri kuedza kubata pamuviri | Ruzivo urwu rwakakosha pakuona kana mushonga wacho uchizokanganisa mwana asati aberekwa. |
| Kana mwana achiyamwiswa | Chiremba anofanira kuziva izvi kuti afunge kana huwandu hwemushonga hunogona kupfuudzwa kumwana kuburikidza nemukaka wemuzamu. |
Mushonga uyu unopiwa sei uye unorapwa sei?
Mushonga uyu unobayiwa mutsinga yako (mutsinga). Unoitirwa muchipatara nemunhu akadzidziswa, akadai sachiremba kana chiremba weanotindivadza. Saka haufanirwe kunetseka nazvo.
- Kune vana vadiki: Muzvimwe zviitiko, mushonga uyu unopiwa kuvana vane mwedzi mumwe chete. Asi unopihwa nekungwarira kukuru uye uchitarisirwa zvakanyanya.
- Kupfuura mwero: Sezvo izvi zvichipiwa muchipatara, chiyero chinosarudzwa uye chinodzorwa nechikwata chekurapa . Saka, haufanirwe kunetseka nezvekudarika mwero. Kana uchifungidzira kuti wakapihwa chepfu nemushonga chero upi zvawo, unofanira kuzivisa Emergency Treatment Unit (ETU) yechipatara nekukasika. MuSri Lanka, unogona kufonera National Poison Information Center paColombo National Hospital kuti uwane rumwe ruzivo nezve chepfu dzakadaro. Zvisinei, kana uri muchipatara, chikwata chekurapa chichatarisira zvese zviri kuitika.
Mimwe mishonga inogona kupindirana neAtracurium
Kana uri kutora mishonga yemamwe matambudziko, zvakakosha kuudza chiremba wako nezvazvo. Nekuti mimwe mishonga inogona kuchinja mashandiro anoita Atracurium. Izvi zvinoreva kuti inogona kuderedza kana kuwedzera mhedzisiro yayo.
| Rudzi rwemishonga | Mienzaniso |
|---|---|
| Mamwe maantibayotiki | amikacin, gentamicin, tobramycin, tetracycline, clindamycin, vancomycin, colistin |
| Mimwe mishonga yekurwadziwa kwemusoro | carbamazepine, phenytoin |
| Lithium | Inoshandiswa pakurapa chirwere chepfungwa. |
| Mishonga inonyaradza marwadzo yemuno | Lidocaine |
| Zvinovaka Muviri zveMagnesium | Magnesium inopiwa mumuviri. |
| Procainamide neQuinidine | Inoshandiswa pakurapa zvirwere zvemoyo. |
Rondedzero iyi haina kukwana, saka iva nechokwadi chekuudza chiremba wako nezvemishonga yese yaunotora (kusanganisira mavhitamini, mishonga yemiti, uye zvinowedzera ) usati wavhiyiwa. Zvakare, udza chiremba wako kana uchisvuta kana kunwa doro.
Ndezvipi zvimwe zvingakonzerwa nemishonga iyi?
Kufanana nemushonga upi zvawo, Atracurium inogona kuva nemigumisiro yakaipa . Asi yeuka kuti uri pasi pekutarisirwa kwakazara kwechikwata chevanachiremba muchipatara. Saka kana paine dambudziko, vacharirapa nekukurumidza.
| Mhedzisiro yedivi | Tsananguro |
|---|---|
| Migumisiro yakakomba inofanira kuziviswa kuchikwata chenyu chekurapa nekukasika | |
| Kusawirirana kwemuviri | Mapundu paganda, kuvaviwa, kuzvimba kwechiso, miromo, rurimi kana pahuro, kuoma kufema. |
| Kurova kwemoyo nekukurumidza kana kusina kurongeka | Kukurumidza kuwedzera kwekurova kwemoyo kana kuchinja kwerhythm. |
| Kupisa muviri, kudikitira zvakanyanya, kuomarara kwetsandanyama | Izvi zvinogona kuva zviratidzo zvechirwere chisingawanzoitiki asi chakakomba chinonzi Malignant Hyperthermia. |
| Kuderera kweropa | Kunzwa dzungu, musoro wakareruka, kana kuona zvisipo. |
| Kubatwa nepfari | Muviri unotanga kudedera. |
| Migumisiro isingawanzo kuve yakakomba, asi inofanira kutaurwa kana ikaramba iripo | |
| Kushambadza | Kutsvuka, kunyanya kumeso nemutsipa. |
| Kushaya simba kwetsandanyama | Kunzwa sekuti hapana kana hupenyu kunyangwe mushonga wacho wapera. |
| Kurwadziwa kana kutsvuka panzvimbo yekubaiwa jekiseni | Kurwadziwa kudiki kana kutsvuka kwakaitwa pakaiswa kanula. |
Rondedzero iyi haina migumisiro yese inogona kuitika. Kana ukasangana nechimwe chinhu chisingawanzoitika, taurira timu yako yezvekurapa nekukasika.
Mharidzo Yekuenda Nayo Kumba
- Atracurium ijekiseni rakakosha rinongopihwa muchipatara chete kuti rizorodze tsandanyama panguva yekuvhiyiwa kwemishonga yakadai sekuvhiyiwa.
- Usati wapihwa mushonga uyu, zvakakosha kuti uudze chiremba wako nezvenhoroondo yako yese yehutano, chero allergies dzaunadzo, pamwe nemimwe mishonga yese yauri kutora.
- Uchatariswa zvakanyanya nechikwata chevanachiremba panguva yekurapa uye mushure mekushandisa mushonga uyu, saka hapana chikonzero chekunetseka.
- Kana paine mhedzisiro yakakomba, yakadai sekurwara nepfungwa, kunetseka kufema, kana kuchinja kwekurova kwemoyo, zvakakosha kuzivisa timu yezvekurapa nekukasika.
- Mushonga uyu hausi wekuendeswa kumba kana kuchengetwa. Saka usazvidya moyo nazvo. Bvunza chiremba wako kana paine mibvunzo yaungave nayo.
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