Fungidzira kuti unofanira kuvhiyiwa. Vanachiremba vanokuita nekukunyaradza, zvichireva kuti hauchazivi zvachose. Asi chii chinoitika kana tsandanyama dzako dzikangoerekana dzaita kudhonza kana kudhonza? Izvozvo zvinogona kuva chipingamupinyi chikuru pakuvhiyiwa, handiti? Nhasi tiri kutaura nezvejekiseni rakakosha rinomisa kufamba kwakadaro kamwe kamwe uye rinobatsira vanachiremba kuita basa ravo zvakachengeteka uye zviri nyore. Ndiyo pancuronium.
Zvichitaurwa zviri nyore, chii chinonzi Pancuronium?
Pancuronium inozorodza tsandanyama . Basa rayo guru nderekuzorodza tsandanyama dzemuviri wako zvizere uye kudzivirira kuti dzisafambe-fambe panguva yekuvhiyiwa kana mamwe maitiro ekurapa.
Fungidzira kuti uropi hwako hwakafanana nemukuru wekambani. Tsandanyama dzako vashandi vako. Mukuru (uropi) anotumira zviratidzo zvetsinga kuvashandi (tsandanyama) kuti "dzipfave" uye "dzifambe." Zvinoitwa nepancuronium iyi kuvharira kwenguva pfupi nzira inofamba nayo zviratidzo izvozvo. Zvadaro, sezvo tsandanyama dzisingagamuchire mirairo kubva kuuropi, dzinozorora zvachose uye hadzina kufamba. Izvi zvinobvumira vanachiremba kuita oparesheni pasina chipingamupinyi.
Izvi zvinowanzo shandiswa pamwe chete neanesthesia. Dzimwe nguva zvinoshandiswawo kubatsira varwere vari kunetseka kufema kufema nekubatanidza nemuchina (ventilator).
Zvinhu zvaunofanira kuudza chiremba wako usati wapa mushonga uyu
Izvi zvakakosha zvikuru. Zvakakosha kuti chiremba wako azive nhoroondo yako yese yehutano asati akupa mushonga uyu. Izvi zvinodaro nekuti mamwe matambudziko ehutano anoda kutarisirwa zvakanyanya pakushandisa mushonga uyu.
Ona tafura iri pazasi. Kana uine chimwe chezvirwere izvi, iva nechokwadi chekuudza chiremba wako nezvazvo.
| Mamiriro ezvinhu aunofanira kutaura | Sei zvakadaro? (Zviri nyore) |
|---|---|
| Kushaya mvura mumuviri - kushomeka kwemvura mumuviri | Kana kuenzana kwemvura mumuviri kuchichinja, mashandiro emishonga anogonawo kuchinja. |
| Chirwere chemwoyo | Mushonga uyu unogona kukanganisa kurova kwemoyo uye BP. |
| Chirwere cheitsvo | Kana itsvo dzako dzisiri kushanda zvakanaka, zvinotora nguva yakareba kuti mushonga uyu ubve mumuviri wako. Saka, simba remushonga uyu rinogona kugara kwenguva yakareba. |
| Chirwere chechiropa | Chiropa ndipo panoputswa mishonga yakawanda mumuviri. Kana paine dambudziko nechiropa, mhedzisiro yemushonga inogona kuchinja. |
| Zvirwere zvemapapu kana zvekufema - semuenzaniso Asthma, COPD | Nekuti mushonga uyu unozorodzawo tsandanyama dzekufema, kungwarira kwakanyanya kunofanira kutorwa kuvanhu vane zvirwere zvekufema. |
| Myasthenia gravis - chirwere chinokonzera kushaya simba kwetsandanyama | Vanhu vane chirwere ichi vanogona kunge vaine hanya zvakanyanya nemishonga inozorodza tsandanyama, saka vangangoda mushonga mudiki kwazvo. |
| Kurwara | Kana uine allergy ne pancuronium kana chero imwe mishonga, chikafu, kana dhayi, iva nechokwadi chekutiudza. |
| Kana uine pamuviri kana kuti uri kuedza kubata pamuviri | Chiremba anofanira kunetseka nezvemigumisiro yemushonga uyu paamai vane pamuviri nemwana. |
| Kana uri amai vanoyamwisa | Zvakakosha kufunga kana mushonga wacho uchipfuura nemukaka wemuzamu. |
Mushonga uyu munoshandiswa sei?
Uyu hausi mushonga waunogona kushandisa kumba. Unongopihwa muchipatara kana kiriniki nachiremba kana vashandi vekurapa vakadzidziswa.
- Izvi zvinopihwa sejekiseni remutsinga .
- Inogona kushandiswa pavana vadiki, kunyangwe vacheche, mune zvimwe zviitiko zvakakosha. Asi inofanira kuitwa nekungwarira kukuru uye pasi pekutarisirwa kwakakosha kwechiremba.
Ko kana ndikanwa doro zvakanyanya?
Sezvo izvi zvichipiwa muchipatara, mikana yekuti upindwe nedoro rakawandisa yakaderera. Chikwata chevanachiremba chinongwarira zvikuru nezvazvo. Asi kana chimwe chinhu chakadai chikaitika kana paine kusava nechokwadi, vachakupa kurapwa kwakakodzera nekukasika. Kana uchifunga kuti wanwa mushonga wakadaro kunze kwechipatara, unofanira kuenda kuETU nekukasika, zvinoreva Emergency Treatment Unit . Unogona zvakare kufonera National Poisons Information Center kuColombo National Hospital kuti uwane mazano.
Mimwe mishonga inogona kushanda pamwe chete nemushonga uyu
Kana uri kutora mushonga wezvimwe zvirwere, zvakakosha kuudza chiremba wako nezvazvo, sezvo mimwe mishonga inogona kukanganisa mashandiro anoita pancuronium.
- Mamwe maantibiotic: Semuenzaniso, amikacin, gentamicin, tobramycin, tetracycline, clindamycin, vancomycin, colistin.
- Mishonga yekurapa pfari: yakaita secarbamazepine nephenytoin.
- Lithium: Mushonga unoshandiswa pakurapa chirwere chepfungwa.
- Mishonga inonyaradza marwadzo yemunzvimbo: yakaita se lidocaine.
- Zvinovaka Muviri zveMagnesium
- Procainamide, Quinidine: Mishonga yezvirwere zvemwoyo.
Rondedzero iyi haina kukwana. Saka udza chiremba wako nezvemishonga yese yaunotora, kusanganisira mishonga inonyorerwa nachiremba, mishonga inotengwa pasina kunyorerwa chiremba, mishonga yechivanhu, mavhitamini, uye kana uchisvuta kana kunwa doro.
Ndezvipi zvingakonzera migumisiro yakaipa?
Sezvinongoita chero mushonga upi zvawo, pane zvimwe zvinogona kukonzera migumisiro yakaipa. Zvisinei, sezvo uri pasi pekutarisirwa kwakazara kwechikwata chevanachiremba paunenge uchitora mushonga uyu, vakagadzirira kurapa chero dambudziko nekukurumidza.
| Migumisiro uye hunhu hwavo | |
|---|---|
| Migumisiro yakakomba inofanira kuziviswa kuchikwata chekurapa nekukasika | |
| Kusawirirana kwemuviri | Mapundu paganda, kuvaviwa, kuzvimba kwechiso, miromo, rurimi kana pahuro. |
| Kurova kwemoyo | Kurova kwemoyo kunokurumidza kana kuti kusina kurongeka. |
| Kuwedzera kweropa | Kuwedzera kwakanyanya kweropa. |
| Kupisa kwemuviri | Fivha yakanyanya, kudikitira zvakanyanya, kufema nekukurumidza, kuomarara kwetsandanyama. |
| Migumisiro isingawanzova yakanyanya (asi inofanira kutaurwa kuna chiremba kana ikaramba iripo) | |
| Kushaya simba kwetsandanyama | Kushaya simba kwetsandanyama kunoramba kuripo kunyangwe mushure mekunge mishonga yapera. |
| Marwadzo panzvimbo yekubaiwa jekiseni | Kurwadziwa, kutsvuka, kana kusagadzikana panzvimbo yekubaiwa jekiseni. |
Kana mukaona zvimwe zviratidzo zvisingawanzo taurwa pane urongwa uhwu, ndapota zivisai timu yezvekurapa nezvazvo zvakare.
Mharidzo Yekuenda Nayo Kumba
- Pancuronium mushonga unoshandiswa kuzorodza tsandanyama zvachose panguva dzakadai sekuvhiyiwa.
- Iyi inobayiwa jekiseni mutsinga muchipatara, pasi pekutarisirwa nachiremba. Hauzokwanisi kuitora kuenda nayo kumba.
- Zvakakosha kuudza chiremba wako nezvezvirwere zvako zvese (kunyanya chirwere chemwoyo, cheitsvo, nechiropa) pamwe nemimwe mishonga yese yauri kutora.
- Paunenge uchipiwa mushonga uyu, kurova kwemoyo wako neBP zvinogara zvichiongororwa nechikwata chevanachiremba, saka unenge wakachengeteka.
- Kana paine mhedzisiro yakakomba, yakadai seallergy kana kurova kwemoyo nekukurumidza, timu yezvekurapa yakagadzirira kurapa nekukurumidza.
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