Wakambofanira kuvhiyiwa here? Kana kuti pane mumwe munhu waunoziva akambova muchikamu chevarwere vane chirwere chakanyanya (ICU) ari pamuchina wekufema? Muzviitiko zvakadaro, zvakakosha zvikuru kusunungura tsandanyama dzemuviri wemurwere zvachose uye kudzichengetedza dzakamira. Izvi zvinobatsira vanachiremba kuti vashande zviri nyore panguva yekuvhiyiwa uye zvinobatsirawo muviri wemurwere kuti usarove nemuchina pavanenge vari pamuchina wekufema. Saka, nhasi tiri kutaura nezvemushonga unoshandiswa muzviitiko zvakadaro. Unonzi Cisatracurium .
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Zvichitaurwa zviri nyore, chii chinonzi Cisatracurium?
Cisatracurium mushonga unozorodza tsandanyama dzemapfupa . Mushonga unozorodza kana kumisa tsandanyama dzemuviri wedu dzatinotonga tichiziva (semuenzaniso, tsandanyama dziri mumakumbo edu, tsandanyama dziri mumutsipa wedu). Unopihwa murwere jekiseni zvakananga mutsinga kana kuti semushonga unoenderera mberi semushonga wesaline.
Mashandisirwo maviri makuru eizvi ndeaya:
- Panguva yekuvhiyiwa: Kana tsandanyama dzemurwere dzakasimba panguva yekuvhiyiwa kukuru, zvinogona kuomera chiremba kuti aite basa rake nemazvo. Mushonga uyu unozorodza muviri wese, zvichiita kuti kuvhiyiwa kuve kwakachengeteka uye kuri nyore.
- Kana zvakabatana nemuchina wekufema/wekufemesa: Mune zvimwe zviitiko zvakakomba, murwere haakwanise kufema ega. Panguva iyoyo, kufema kunoitwa kuburikidza nemuchina wekufema. Zvisinei, dzimwe nguva muviri wemurwere unogona kurwisa kushanda kwemuchina uyu. Mushonga uyu unobatsira kuumisa uye kubvumira muchina kupa mweya kumapapu zviri nyore.
Chinhu chakakosha ndechekuti mushonga uyu upihwe murwere mushure mekumupa mushonga wekutindivadza uye kumuita kuti asazive zvachose. Nekuti izvi zvinongoremadza tsandanyama, hazvikonzeri kurasikirwa nepfungwa. Saka, zvakakosha kuti murwere asazive kuitira kuti asanzwe kusagadzikana.
Zvinhu zvaunofanira kuudza chiremba wako usati wapa mushonga uyu
Usati wapihwa Cisatracurium, chiremba weanorexia achakubvunza iwe nemhuri yako nezvehutano hwako. Zvakakosha zvikuru kuvaudza nezvezvirwere zvako zvese usingavanzi chero chinhu . Zvakakosha zvikuru kuvaudza nezvezvinotevera:
| Mamiriro ezvinhu aunofanira kutaura | Sei zvichingodaro? |
|---|---|
| Kurwara nemimwe mishonga, chikafu, kana zvimwe zvinhu | Kana wakambova nechirwere cheallergy kana chisplatin kana chimwe chinhu chinonyaradza marwadzo, zvinogona kuisa upenyu panjodzi. |
| Chirwere cheItsvo kana Chiropa | Mushonga uyu unobviswa mumuviri neitsvo nechiropa. Kana nhengo idzi dzisina simba, simba remushonga uyu rinogona kugara kwenguva yakareba. |
| Zvirwere zvekufema zvakaita seasthma | Mushonga uyu dzimwe nguva unogona kukanganisa kufema, saka zvakakosha kuziva izvi pachine nguva. |
| Zvirwere zvetsinga dzemutsinga zvakaita se myasthenia gravis | Vanhu vane zvirwere izvi vanogona kuona kushanda kwakanyanya kwemushonga uyu, saka vanachiremba vanofanira kungwarira zvikuru nezvemupimo wavanopa. |
| Kushaya mvura mumuviri kana kusaenzana kwemazinga ecalcium, potassium, kana magnesium muropa | Kuchinja kwehuwandu hwemunyu nemvura mumuviri kunokanganisa zvakananga mashandiro emushonga uyu. |
| Kupisa Kukuru) | Maitiro anoita muviri kumishonga iyi anogona kusiyana muvarwere vane kutsva kwakanyanya. |
| Kubata pamuviri kana kuyamwisa | Zvakakosha kuudza chiremba wako kana uine pamuviri, uri kuedza kubata pamuviri, kana kuti uchiyamwisa. |
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Uyu hausi mushonga waunogona kutora kumba. Cisatracurium inongopihwa muchipatara kana kiriniki nachiremba kana nesi vakadzidziswa. Saka, hapana njodzi yekupotsa mushonga.
Mushonga uyu unopiwa kuvana vadiki uye kunyange vacheche mune dzimwe nguva. Asi unoitirwa pasi pekutarisirwa kwakasimba kwachiremba wevana, uye nekungwarira kukuru.
Ko kana mushonga wacho ukawedzerwa? (Kudarika mwero)
Sezvo izvi zvichipiwa muchipatara, mukana wekuti munhu apinze mushonga wakawandisa wakaderera. Zvisinei, kana chimwe chinhu chakadai chikaitika, idambudziko guru. Kana zvakadaro, vanachiremba veEmergency Treatment Unit (ETU) yechipatara ndivo vachakupa mushonga unodiwa. Kana uine kusava nechokwadi nezveizvi, unogona zvakare kufonera National Poisons Information Centre paColombo National Hospital kuti uwane mazano.
Mimwe mishonga inogona kushanda pamwe chete nemushonga uyu
Udza chiremba wako nezvemishonga yese yauri kutora, kusanganisira mishonga yakanyorerwa nachiremba uye inotengeswa pasina kunyorerwa chiremba, mishonga yemishonga, mavhitamini, uye mishonga yemishonga. Mimwe mishonga inogona kushanda pamwe chete neCisplatin uye kuwedzera kana kuderedza kushanda kwayo. Semuenzaniso:
- Mimwe mishonga inorwisa mabhakitiriya - semuenzaniso amikacin, gentamicin, tetracyclines
- Mishonga yekurwisa pfari (carbamazepine, phenytoin)
- Lithium
- Mimwe mishonga inoshandiswa pakurapa nekurwadziwa (isoflurane, halothane)
- Mushonga wekubvisa tumapundu (lidocaine)
- Magnesium
Ndezvipi zvinotarisirwa kuti zviitike?
Kufanana nemushonga upi zvawo, cisplatin inogona kukonzera migumisiro yakaipa. Vanachiremba nevanamukoti vachakutarisa zvakanyanya paunenge uchitora mushonga uyu. Kana uine chero dambudziko, vazivise nekukurumidza.
| Kupatsanura migumisiro yakaipa | |
|---|---|
| Migumisiro yakaipa inofanira kuziviswa kuna chiremba wako kana nesi nekukasika: | |
| Kusawirirana neAllergy | Mapundu paganda, kuvaviwa, kuzvimba kwechiso, miromo kana rurimi. |
| Matambudziko ekufema | Kutadza kufema zvakanaka. |
| Zviratidzo zveBP yakaderera | Dzungu , kunzwa musoro wakachena, maziso ebhuruu. |
| Zviratidzo zvekukuvara kwetsandanyama | Weti yakasviba, kuoma kuita weti, kuneta kwakanyanya, kurwadziwa kwetsandanyama. |
| Zvimwe | Kutsvuka kwechiso, kuvaviwa kana kupiswa kwemaziso, pfari. |
| Migumisiro isingawanzova yakakomba, asi inofanira kutaurwa kuna chiremba kana ikaramba iripo: | |
| Kurwadziwa kwetsandanyama kana kushaya simba | Mushure mekunge mushonga wekutindivadza uye wekurapa zvapera, unogona kunzwa kurwadziwa kwetsandanyama kana kushaya simba. |
Mharidzo Yekuenda Nayo Kumba
- Cisatracurium ijekiseni rakakosha rinopihwa kuti tsandanyama dzisununguke panguva yekuvhiyiwa uye panguva yekurapwa kwevarwere vane chirwere chakanyanya.
- Izvi zvinongopihwa muchipatara, pasi pekutarisirwa navanachiremba. Uyu hausi mushonga wekuenda nawo kumba.
- Zvakakosha zvikuru kuudza chiremba wako nezvezvirwere zvako zvese, allergies, uye mishonga yauri kutora usati wavhiyiwa.
- Uchagara uchitariswa paunenge uchitora mushonga uyu, saka kana paine migumisiro yakaipa, uchagamuchira kurapwa nekukasika.
- Kana muine mimwe mibvunzo nezvemushonga uyu, musazeza kubvunza chiremba wenyu.
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