Wakambofanira kuvhiyiwa here, kureva kuvhiyiwa? Kana kuti wakambofanira kuongororwa uchishandisa kamera yakaiswa mumuviri, senge endoscopy? Muchiitiko chakadaro, vanachiremba vanoshandisa mushonga wakakosha kuti vakurove hope dzakadzika kwenguva yakati kuitira kuti usanzwe kurwadziwa kana kusagadzikana, uye usatomboyeuka chiitiko chacho. Mumutauro wedu, izvi ndizvo zvatinodaidza kuti "analgesia." Kune mhando dzakasiyana dzemishonga dzinoshandiswa kukurudzira anesthesia nenzira iyi. Pakati padzo, imwe yejekiseni dzinoshandiswa zvakanyanya uye dzakakosha iPropofol. Muchinyorwa chino, tichataura nezvezvaunofanira kuziva nezvejekiseni rePropofol iri.
Zvichitaurwa zviri nyore, chii chinonzi Propofol?
Propofol mushonga unonyaradza marwadzo . Zvikuru sei, mushonga unokubatsira kuti urara zvakanaka usati wavhiyiwa kana mamwe maitiro ekurapa. Unopihwa sejekiseni.
Mushonga uyu unoshanda nenzira isinganzwisisike. Unovhara kwenguva pfupi zviratidzo zvekurwadziwa zvinofamba zvakananga kuuropi hwako. Fungidzira, paunonzwa kurwadziwa kune imwe nzvimbo mumuviri wako, meseji iyoyo inofamba netsinga ichienda kuuropi uye unonzwa "Aa, zvinorwadza." Propofol inovhara kwenguva pfupi meseji iyoyo kuti isasvike kuuropi. Zvadaro, panguva yekuvhiyiwa, haunzwi kurwadziwa kana kusagadzikana. Uye nekuti uri muhope huru, hauyeuki chero chinhu chinoitika.
Mushonga uyu unogona kuwanikwa uchishandisa mazita akasiyana emhando. Semuenzaniso, unogona kuona Diprivan kana Fresenius Propoven.
Chinhu chakakosha ndechekuti, izvi hazvina kufanana nemushonga wekurwadziwa wenguva dzose. Uyu mushonga une simba guru, uye unongopihwa chete nechikwata chevanachiremba vakadzidziswa, kusanganisira vanachiremba vanoraramisa, munzvimbo ine zvese zvinodiwa, senge muchipatara.
Zvinhu zvaunofanira kuudza chiremba wako usati wakupa mushonga uyu
Mushure mekusarudza kukupa jekiseni rePropofol, chiremba weanotindivadza achakubvunza nezvehutano hwako. Zvakakosha kuti ugare wakachengeteka kutaura chokwadi pasina kuvanza chero chinhu panguva ino. Nekuti vanhu vane zvimwe zvirwere kana allergies vanofanira kungwarira zvikuru pavanopa mushonga uyu.
Kana ruzivo rwuri pazasi ruchikunetsa, iva nechokwadi chekuudza timu yako yezvekurapa nezvazvo.
| Dambudziko/hutano | Sei uchifanira kuzivisa? (Tsananguro iri nyore) |
|---|---|
| Kurwara | Iva nechokwadi chekutiudza kana uine allergy kune propofol pachayo, mazai, soya, nzungu, sulfites, kana chero imwe mishonga kana chikafu. |
| Chirwere chemwoyo | Kana uine chirwere chemwoyo, vanachiremba vanofanira kuziva izvi sezvo mushonga uyu unogona kukanganisa kurova kwemoyo wako kana BP. |
| Cholesterol Yakawanda | Propofol imusanganiswa wemafuta. Kureva kuti, imvura ine mafuta. Saka, kungwarira kunofanira kuitwa kana uchiipa vanhu vane cholesterol yakawandisa kana mafuta akawanda muropa. |
| Chipembenene | Tiudze kana wakambova nepancreatitis kana kuti pari zvino uine kuzvimba kwepancreas. |
| Chirwere cheItsvo | Kana kushanda kweitsvo kukanganisika, maitiro ekubvisa mishonga mumuviri anogona kukanganiswa. |
| Kubatwa nepfari | Kana uine migraine, zvakakosha zvikuru kuzivisa vanachiremba vako nezvazvo. |
| Kukuvara Musoro | Kana wakambokuvara musoro munguva pfupi yapfuura, vanachiremba vanonetseka nezvemigumisiro yacho pauropi. |
| Kubata pamuviri kana kutarisira mwana | Kana uine pamuviri kana kuti uchitarisira mwana, zvakakosha kutaura izvozvo. |
| Kuyamwisa | Kana uri amai vanoyamwisa, tsvaga rubatsiro rwechiremba nezvekuti unofanira kurega kuyamwisa kwenguva yakareba sei mushure mekuvhiyiwa. |
Mushonga uyu unouwana sei?
Uyu hausi mushonga waunogona kutora kumba woshandisa. Propofol inongopihwa muchipatara kana kiriniki nechikwata chevanachiremba chakadzidziswa.
Inopihwa kuburikidza ne cannula (intravenous infusion) mutsinga. Zvichitaurwa zviri nyore, mushonga uyu unopihwa mumuviri wako nenzira imwecheteyo semushonga we saline unopihwa mutsinga iri muruoko rwako. Chiremba we anesthesiologist ndiye achasarudza kuti mushonga wakawanda sei uye nekukurumidza sei, zvichienderana nehuwandu hwehope dzaunoda uye rudzi rwekuvhiyiwa.
Mushonga uyu ungapiwa kuvana vadiki here?
Ehe, mune dzimwe nguva, mushonga uyu unopiwa kuvana vane mwedzi miviri. Asi unoitirwa nekungwarira kukuru uye uchitarisirwa zvakanyanya. Kana muchida kupa mushonga uyu kumwana, chiremba wenyu achakuudzai nezvematanho akakodzera ekudzivirira panyaya iyi.
Chii chinoitika kana ukatora mushonga wakawandisa?
Izvi hazvisi zvinhu zvaunogona kudzora. Muchipatara, timu yezvekurapa icharamba ichitarisa kurova kwemoyo wako, BP, uye kufema, saka mikana yekunwa doro zvakanyanya yakaderera. Kana uchifungidzira chimwe chinhu chakadai, nzira yakajairika ndeyekukurumidzira kuchizivisa kuEmergency Treatment Unit (ETU) yechipatara kana kuNational Poisons Information Center kuColombo National Hospital . Zvisinei, sezvo mushonga uyu uchipihwa muchipatara, timu yezvekurapa ndiyo ine basa rayo.
Zvimwe zvinhu zvinogona kupindirana nepropofol
Mimwe mishonga yaunotora inogona kukanganisa mashandiro anoita propofol. Propofol inogonawo kuchinja mashandiro anoita mimwe mishonga. Saka udza chiremba wako nezvemishonga yese yaunotora, kusanganisira mavhitamini, mishonga yemishonga yemishonga, uye mishonga yemishonga .
Propofol inogona kupindirana nezviratidzo zvinotevera:
- Doro
- BenzodiazepinesMishonga yeClass I (semuenzaniso, mapiritsi ekurara nemishonga yekuderedza kuzvidya mwoyo yakadai seDiazepam neLorazepam)
- Mamwe maantihistamine (mishonga yedzihwa, kukosora, uye allergies)
- Mimwe mishonga yekuderedza kushungurudzika (semuenzaniso Amitriptyline)
- Mimwe mishonga inoshandiswa pakurapa pfari (semuenzaniso Phenobarbital)
- Mimwe mishonga inopiwa kuti ikonzere hope usati wavhiyiwa
- Mishonga inokubatsira kurara
- Zvinozorodza tsandanyama
- Maopioid mishonga ine simba yekunyaradza marwadzo kana yekukosora.
- Mimwe mishonga yekurapa chirwere chepfungwa (semuenzaniso Chlorpromazine)
- Valproate
Zvakakosha zvikuru kuudza chiremba wako kana uchisvuta, uchinwa doro, kana kushandisa mimwe mishonga.
Chii chaunofanira kungwarira mushure mekugamuchira mushonga?
Mushure mekunge kuvhiyiwa kwapera uye propofol yamiswa, uchadzoka mupfungwa zvishoma nezvishoma. Zvisinei, zvinogona kutora maawa akati wandei kana zuva kuti mhedzisiro yemushonga ipere zvizere.
- Kurara: Unganzwa hope uye kunonoka kwenguva yakati. Izvi zvakajairika.
- Kugona kwako kuita sarudzo uye kuita chimwe chinhu: Kushanda kwako pamwe chete, nguva yekuita chimwe chinhu, uye kutonga zvinogona kukanganisa kwenguva pfupi mushure mekunwa mushonga uyu.
- Zano rakakosha zvikuru: Saka, dzivisa zvachose kutyaira, kushandisa michina, kuita zvisarudzo zvakakosha, kana kusaina magwaro emutemo kwemaawa makumi maviri nemana mushure mekuvhiyiwa.
- Dzungu: Unganzwa dzungu kana kupera simba paunongoerekana wasimuka kubva panzvimbo yawakagara kana kuti wakarara. Saka simuka nekukurumidza.
- Doro: Kunwa doro panguva iyi kunogona kuwedzera migumisiro yataurwa pamusoro apa, saka dzivisa zvachose.
Migumisiro inogona kuitika nekuda kwemishonga
Kufanana nemushonga upi zvawo, propofol inogona kukonzera migumisiro yakaipa. Zvisinei, havasi vese vanoiwana. Uchatariswa zvakanyanya nechikwata chevanachiremba kuitira kuti kana paine dambudziko, vagone kukurumidza kuita chimwe chinhu.
| Mhedzisiro yedivi | Zviratidzo zvauri kuona |
|---|---|
| Migumisiro yakaipa yaunofanira kuudza chiremba wako nekukasika | |
| Kusawirirana neAllergy | Mapundu paganda, kuvaviwa, kuzvimba kwechiso, miromo, rurimi kana pahuro, kuoma kufema. |
| Kushungurudzika kweCNS (Central nervous system depression) | Kufema zvishoma nezvishoma kana zvishoma, kufema zvishoma, kupera simba, kurara zvakanyanya, kunetseka kugara wakangwarira. |
| Kuchinja kweRhythm yeMwoyo | Kunzwa sekuti moyo wako uri kurova nekukurumidza kana kuti zvisina kurongeka, dzungu, kupera simba, kurwadziwa pachipfuva. |
| Kuderera Kweropa | Dzungu, kupera simba, kuona zvisipo. |
| Kurova Kwemwoyo Kunonoka | Kunzwa dzungu, kupera simba, kufema zvakaoma, kunzwa kuneta zvisina kujairika. |
| Kukuvara kweitsvo | Kudzikira kweweti, kuzvimba kwezvitsitsinho, maoko, kana tsoka. |
| Kukuvara kwechiropa | Kurwadziwa kumusoro kwedumbu, kurasikirwa nechido chekudya, kuda kurutsa, kutsvuka kweganda kana maziso, weti yero/brown yakasviba. |
| Kukuvara kwetsandanyama | Kuneta kusingawanzoitiki, kurwadziwa kwetsandanyama, weti yakasviba, kudzikira kwemushonga weti. |
| Zvinhu zvisingawanzove zvakakomba, asi zvinofanira kutaurwa kuna chiremba kana zvikaramba zviripo | |
| Kurara | Zvakajairika kunzwa hope kwemaawa mashoma mushure mekutora mushonga. |
| Marwadzo panzvimbo yekubaiwa jekiseni | Panogona kuva nekurwadziwa kudiki, kutsvuka, kana kuzvimba panzvimbo yakaisirwa cannula. |
Ndingatora mushonga uyu ndichienda nawo kumba here?
Kwete. Izvi zviri pachena. Propofol mushonga unongopihwa muchipatara kana kiriniki chete, uchitarisirwa nachiremba. Hauzopiwi uyu kuti uchengete kana kushandisa kumba chero chikonzero chipi zvacho.
Mharidzo Yekuenda Nayo Kumba
- Propofol mushonga unokosha kwazvo unonyaradza marwadzo uye kusagadzikana uye unorarisa panguva yekuvhiyiwa uye kurapwa.
- Izvi zvinongoitwa muchipatara chete, nechikwata chevanachiremba chakadzidziswa.
- Zvakakosha kuti muve vakachengeteka kuudza chiremba wenyu nezvezvirwere zvenyu zvese, allergies, nemimwe mishonga yese yamuri kutora.
- Dzivisa kutyaira mota uye kuita mabasa anoda kutarisisa kwemaawa makumi maviri nemana mushure mekuvhiyiwa.
- Kana ukasangana nematambudziko akakomba akadai sekuoma kwekufema, kurwadziwa pachipfuva, dzungu rakasimba, kana zviratidzo zvakakomba zveallergy, tsvaga rubatsiro rwechiremba nekukasika.
- Kana muine zvinokunetsai kana mibvunzo nezvemushonga uyu, taurai nachiremba wenyu nezvazvo pachena.
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