Fungidzira kuti iwe kana mumwe munhu ari pedyo newe ava kuda kuvhiyiwa. Kana kuti ungave uri muchikamu chevarwere vane chirwere (ICU) nekuda kwechimwe chirwere. Muzviitiko zvakadaro, ungave wakanzwa kuti vanachiremba vanokupa mushonga we "muscle relaxant". Atracurium mushonga unoshandiswa muzviitiko zvakadaro. Uyu hausi mushonga waunogona kutenga kupharmacy. Uyu ijekiseni rinopihwa muchipatara chete, pasi pekutarisirwa kwevanachiremba vane hunyanzvi. Saka, ngatitaurei nezvemushonga uyu zvakadzama, zviri nyore.
Mushonga werudzii uyu weAtracurium?
Zvichitaurwa zviri nyore, Atracurium mushonga unozorodza kana kuremadza tsandanyama dzemuviri wedu kwenguva pfupi. Funga nezvazvo sekurara kwenguva pfupi tsandanyama dzatinotonga mupfungwa, dzakadai sedziri mumaoko edu, makumbo, mutsipa, nedumbu.
Zvino ungave uchishamisika kuti, "Sei uchizorodza tsandanyama dzako kudaro?" Pane zvikonzero zviviri zvikuru zveizvozvo:
1. Munguva Yokuvhiyiwa: Pakuvhiyiwa kukuru, chiremba anofanira kushanda akasununguka uye pasina chipingamupinyi. Zvakaoma kuita izvi kana tsandanyama dzemuviri dzakaoma. Kana Atracurium ikapihwa, tsandanyama dzinozorora zvachose. Uyewo, panguva yekunzwa kurwadziwa, chubhu inofanira kuiswa nepa trachea (intubation). Zvakakosha kuti tsandanyama dzepahuro nemutsipa dzisununguke panguva iyoyo.
2. Paunenge uri paVentilator: Mune zvimwe zviitiko zvakakomba, murwere anogona kunetseka kufema ari ega. Anogona kuiswa pamuchina wekufema, muchina wekufema. Munguva iyi, tsandanyama dzechipfuva chemurwere dzinogona kusimba, izvo zvinogona kukanganisa mashandiro emuchina. Kana atracurium ikapihwa, tsandanyama idzodzo dzinozorora, zvichiita kuti muchina wekufema uite basa rekufema kumurwere.
Chinhu chakakosha ndechekuti mushonga uyu haukuiti kuti ufende. Saka, pese paunopiwa Atracurium, unopihwa pamwe chete nemushonga unoita kuti unzwe hope (sedative) kana kuti anesthetic (anesthetic).
Zvinhu zvekuudza chiremba wako usati wapa mushonga uyu
Atracurium mushonga unofanirwa kushandiswa nekungwarira kukuru. Saka, zvakakosha kuti utaure zvinotevera usingavanzi chero chinhu kana chiremba weanotisi achikubvunza mibvunzo usati wavhiyiwa.
| Mamiriro ezvinhu aunofanira kutaura | Tsananguro iri nyore |
|---|---|
| Kurwara neAtracurium kana mimwe mishonga | Iva nechokwadi chekuudza chiremba wako kana wakambosangana neallergy yemushonga uyu kare, kana kana uine allergy kune chero mimwe mishonga, chikafu, kana dhayi. |
| Myasthenia Gravis kana zvimwe zvirwere zvemitsipa yeropa | Izvi zvirwere zvinoderedza simba remhasuru. Muvarwere vakadaro, migumisiro yeAtracurium inogona kuwedzera zvakanyanya. |
| Asthma kana zvimwe zvirwere zvemapapu | Kungwarira kwakanyanya kunofanira kutorwa pakupa mushonga uyu kuvarwere vane matambudziko ekufema. |
| Chirwere chemwoyo | Kana uine chirwere chemwoyo, zivisa chiremba wako nezvazvo. |
| Kuchinja kwehuwandu hwemunyu mumuviri (Electrolyte Imbalance) | Munyu wakaderera kana wakakwira muropa wakadai secalcium, magnesium, uye potassium unogona kukanganisa kushanda kwemushonga. |
| Kutsva kukuru kana kupera mvura mumuviri | Mashandiro anoita mushonga uyu anogona kusiyana kune vanhu vane kutsva kwakanyanya kana avo vasina mvura mumuviri. |
| Kubata pamuviri kana kuyamwisa | Zvakakosha kuzivisa chiremba wako kana uine pamuviri, uri kuedza kubata pamuviri, kana kuti uchiyamwisa. |
Mimwe mishonga inogona kukanganisa Atracurium
Mimwe mishonga yauri kutotora inogona kukanganisa mashandiro anoita Atracurium. Izvi zvinoreva kuti migumisiro yeAtracurium inogona kuwedzera kana kuderera zvakanyanya. Saka, udza chiremba wako nezvemishonga yese yauri kutora, kusanganisira mavhitamini, mishonga yemishonga, uye zvinowedzera .
Heano zvimwe zvezvinhu zvikuru zvinogona kukanganiswa:
- Mimwe mishonga inorwisa mabhakitiriya (semuenzaniso amikacin, gentamicin)
- Mimwe mishonga inopedza marwadzo (semuenzaniso isoflurane, halothane)
- Lithium
- Magnesium
- Mishonga yezvirwere zvemwoyo yakaita seQuinidine neProcainamide
- Mimwe mishonga inoshandiswa kuzorodza tsandanyama panguva yekuvhiyiwa
Mishonga uye Kupfuura Mwero
Mushonga uyu unopihwa sejekiseni mutsinga kana kuburikidza nesaline infusion. Izvi zvinoitwa muchipatara, pasi pekutarisirwa kwechikwata chekurapa. Saka haufanirwe kunetseka nezvekupotsa dose kana kuwana overdose. Zvese zvinoitika nenzira inodzorwa zvakanyanya. Kana paine fungidziro yekuti overdose yakawedzerwa, chikwata chekurapa chinotora matanho anodiwa. Kana paine ruzivo nezvemamiriro ezvinhu akadaro ane chepfu, National Poisons Information Centre paColombo National Hospital ndiyo nzvimbo yekuenda. Kana paine emergency, murwere anotumirwa kuEmergency Treatment Unit (ETU) .
Ndezvipi zvingakonzera migumisiro yakaipa?
Kufanana nemushonga upi zvawo, Atracurium inogona kukonzera mimwe migumisiro yakaipa. Asi yeuka, kana ukapihwa mushonga uyu, unenge wakakomberedzwa navanachiremba nevanamukoti. Saka kana paine dambudziko rikaitika, vacharigadzirisa nekukasika.
| Migumisiro yeAtracurium | |
|---|---|
| Migumisiro yakakomba inofanira kuziviswa kuchikwata chekurapa nekukasika | |
| Kusawirirana neAllergy | Mapundu paganda, kuvaviwa kwakanyanya, kuzvimba kwechiso, miromo kana rurimi. |
| Matambudziko Ekufema | Kushaya mweya, kuchinja kusingawanzoitiki kwekufema. |
| Zviratidzo zveKuderera kweBP | Dzungu rakanyanya, kunzwa musoro wakareruka, uye maziso ebhuruu. |
| Zviratidzo zvekukuvara kwetsandanyama | Weti yakasviba (ine ruvara rwecola), kurwadziwa kwakanyanya kwetsandanyama, kuoma kuita weti. |
| Zvimwe | Kutsvuka kwechiso, maziso anokwenya kana kuti ane allergy, pfari. |
| Zvinhu zvisingawanzo kuve zvakakomba, asi zvinofanira kutaurwa kana zvikaramba zviripo | |
| Kurwadziwa kwetsandanyama/kushaya simba | Kunzwa kurwadziwa kana kushaya simba mutsandanyama kunyangwe mushure mekunge mushonga wapera. |
| Marwadzo panzvimbo yekubaiwa jekiseni | Kutsvuka, kurwadziwa, kana kuzvimba panzvimbo yekubaiwa jekiseni. |
Mharidzo Yekuenda Nayo Kumba
- Atracurium mushonga unoshandiswa kuzorodza tsandanyama kwenguva pfupi panguva yekuvhiyiwa uye kurapwa kwevarwere vane chirwere chakanyanya.
- Izvi zvinongopihwa muchipatara chete, pasi pekutarisirwa kwakasimba kwevanachiremba vane hunyanzvi. Haufanirwe kuishandisa kumba.
- Zvakakosha kuudza chiremba wako nezvezvirwere zvako zvese (kunyanya allergies, asthma, chirwere chemwoyo, Myasthenia Gravis) nemimwe mishonga yese yauri kutora.
- Hapana chikonzero chekutya sezvo timu yezvekurapa ichagara ichikutarisa paunenge uchipihwa mushonga uyu.
- Kana paine zviratidzo zvisingawanzoitika kana migumisiro yakaipa, timu yezvekurapa ichatora matanho nekukasika. Taura pachena nachiremba wako nezvazvo.
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