Wakambofanira kuvhiyiwa here? Kana kuti wakamboona mumwe munhu akabatana nemuchina wekufema/wekufemesa here? Muzviitiko zvakaita seizvi, tiri kutaura nezvejekiseni rakakosha rinopihwa kuti tsandanyama dzemuviri dzisununguke zvachose. Rinonzi Mivacurium. Zvakakosha kuziva nezvazvo.
Chii chinonzi Mivacurium?
Zvichitaurwa zviri nyore, Mivacurium mushonga unozorodza tsandanyama dzemapfupa . Unozorodza kwenguva pfupi, kana kuti unoremadza tsandanyama dzinobatana nemapfupa mumuviri wedu.
Zvino ungave uchifunga kuti, "Sei waizodaro ?" Pane zvikonzero zviviri zveizvozvo:
1. Munguva Yokuvhiyiwa: Pakuvhiyiwa kukuru, chiremba anofanira kuita basa rake pasina chinomutadzisa. Zvakaoma kuzviita kana tsandanyama dzedu dzakasimba. Kana mushonga uyu ukapihwa, tsandanyama dzinozorora zvachose, saka vanachiremba vanogona kuita basa ravo zviri nyore.
2. Kana zvakabatana nemichina yekufema/mafefetera: Kana vamwe varwere vanorwara zvakanyanya vachinetseka kufema vega, tinovabatanidza nemuchina wekufema. Asi dzimwe nguva muviri wemurwere unotanga "kurwa" nemuchina. Kureva kuti, kana muchina wafema, tsandanyama dzechipfuva chemurwere dzinosimba uye dzinoedza kufema. Kana mushonga uyu wapihwa, tsandanyama idzodzo dzinozorora, zvichiita kuti muchina uite basa rawo zviri nyore.
Chinhu chinonyanya kukosha ndechekuti izvi zvinongopihwa muchipatara chete, pasi pekutarisirwa kwenyanzvi dzakadai seanotindivadza.
Zvinhu zvaunofanira kuudza chiremba wako usati wapa mushonga uyu
Izvi zvakakosha zvikuru. Kana chiremba weanesthesia akakubvunza mibvunzo usati wavhiyiwa, kana uine chimwe chezvinhu izvi, unofanira kuvaudza . Nekuti ruzivo irworwo ndirwo ruchasarudza mwero wemushonga wauchapihwa uye rudzi rwemushonga wauchashandisa.
| Mamiriro ezvinhu aunofanira kutaura | Tsananguro |
|---|---|
| Kurwara | Iva nechokwadi chekuudza chiremba wako kana uine allergies yeMivacurium kana chero imwe mishonga, chikafu, kana dhayi. |
| Chirwere chemwoyo | Zvakakosha kuziva nezvechirwere chemwoyo. |
| Chirwere cheItsvo kana Chiropa | Kana itsvo dzako kana chiropa chako chisina kushanda zvakanaka, nguva inotora kuti mushonga uyu ubve mumuviri wako inogona kuchinja. |
| Matambudziko Ekufema | Tiudzei kana muine zvirwere zvemapapu zvakaita seasthma. |
| Zvirwere zvepfungwa zvakaita seMyasthenia Gravis | Mhedzisiro yemushonga uyu inogona kusiyana zvikuru kune vanhu vane zvirwere zvine chekuita netsinga dzakadai. |
| Kushaya Mvura Mumuviri kana Kusawirirana KwemaElectrolyte | Kana paine kushomeka kwemvura mumuviri kana shanduko muhuwandu hwemunyu wakadai secalcium, potassium, uye magnesium. |
| Kupisa Kukuru | Kana nzvimbo yakakura yemuviri ikapiswa, izvozvo zvinogonawo kukanganisa kushanda kwemushonga uyu. |
| Kubata pamuviri kana kuyamwisa | Kana uine pamuviri, uchiedza kubata pamuviri, kana kuyamwisa, zvakakosha kuzivisa chiremba wako nezveizvi. |
Mushonga uyu munoshandiswa sei?
Mushonga uyu unopihwa sejekiseni mutsinga.Ingava "jekiseni" kana kuti "infusion", inova kuisirwa kwesaline mutsinga nguva dzose. Izvi zvinongoitwa nachiremba, chiremba weanesthesiologist, kana mukoti akadzidziswa. Saka haufanirwe kuishandisa kumba.
Mushonga uyu unoshandiswa mune dzimwe nguva dzevana vadiki, kunyanya avo vane makore anopfuura maviri. Asi unoitiswa nekungwarira kukuru uye chete kana wapihwa zano nenyanzvi.
Chii chekuita kana mushonga wacho wakawedzerwa?
Sezvo izvi zvichipiwa muchipatara, mikana yekunwa mushonga wakawandisa yakaderera. Nekuti timu yezvekurapa inogara ichikutarisa. Asi kana chimwe chinhu chakadai chikaitika, ndiko kuti, kana mushonga wacho ukawedzera zvakanyanya, chipatara chine zvese zvinodiwa kuti chirapwe. Kana paine emergency, vanachiremba vachazivisa National Poisons Information Center paNational Hospital kana Emergency Treatment Unit (ETU) yechipatara uye vachawana mazano anodiwa.
Ndeipi mimwe mishonga inogona kupindirana nemushonga uyu?
Ehe, mimwe mishonga inogona kuchinja mashandiro eMivacurium. Kureva kuti, inogona kuwedzera kana kuderedza simba rayo. Ndosaka uchifanira kuudza chiremba wako nezvemishonga yese yauri kutora (kusanganisira mavhitamini nemishonga yechivanhu) usati wavhiyiwa.
| Rudzi rwemishonga | Mienzaniso |
|---|---|
| Mamwe maantibayotiki | Mishonga yakaita seAmikacin, Gentamicin, Tobramycin, Tetracyclines, Clindamycin. |
| Mishonga Inonyaradza Muviri | Magasi anoshandiswa kukonzera kusaziva panguva yekuvhiyiwa, akadai seEnflurane, Isoflurane, uye Halothane. |
| Mishonga yekurapa pfari | Carbamazepine, Phenytoin. |
| Mimwe mishonga | Lithium, Magnesium, Quinidine, Procainamide, Steroids (senge Prednisone), MAOIs. |
Rondedzero iyi haina kukwana, saka zvakachengeteka kuudza chiremba wako nezvemishonga yese yaunotora.
Ndezvipi zvingakonzera migumisiro yakaipa?
Kufanana nemushonga upi zvawo, Mivacurium inogona kukonzera migumisiro yakaipa. Asi nekuda kwekuti uri pasi pekutarisirwa nachiremba muchipatara, vakagadzirira kuirapa nekukurumidza kana chimwe chinhu chakadai chikaitika.
| Mhedzisiro yedivi | Tsananguro |
|---|---|
| Zvinhu zvekuudza chiremba wako kana mukoti nekukasika | |
| Kusawirirana neAllergy | Mapundu paganda, kuvaviwa, kuzvimba kwechiso, miromo kana rurimi, kuoma kufema. |
| Kuderera Kweropa | Dzungu , kunzwa musoro wakachena, maziso ebhuruu. |
| Kuchenesa kumeso | Kutsvuka kwechiso kamwe kamwe. |
| Zviratidzo zvekukuvara kwetsandanyama | Weti yakasviba, kuoma kuita weti, kuneta kwakanyanya, kurwadziwa kwetsandanyama. |
| Zvinhu zvisingawanzo kuve zvakakomba, asi zvinofanira kutaurwa kana zvikaramba zviripo | |
| Kurwadziwa kwetsandanyama/kushaya simba | Kana uchiri kunzwa kurwadziwa kana kushaya simba mutsandanyama dzako mushure mekunge mushonga wacho wapera. |
| Marwadzo panzvimbo yekubaiwa jekiseni | Kutsvuka, kurwadziwa, kana kuzvimba panzvimbo yekubaiwa jekiseni. |
Mharidzo Yekuenda Nayo Kumba
- Mivacurium mushonga wehunyanzvi unoshandiswa kuzorodza tsandanyama panguva yekuvhiyiwa uye kana wakabatana nemuchina wekufema.
- Uyu hausi mushonga waunogona kutora kumba. Unoshandiswa chete muchipatara, uchitarisirwa nachiremba.
- Zvakakosha kuti uudze chiremba wako nezvezvirwere zvako, mishonga yauri kutora, uye chero allergies yauinayo usati wavhiyiwa.
- Panogona kunge paine migumisiro yakaipa, asi haufanirwe kunetseka nezvayo nekuti uri muchipatara. Chikwata chekurapa chiri kutarisira zvese.
- Kana muine mibvunzo nezvemushonga uyu, musatya kubvunza chiremba wenyu.
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