Wakambofanira kuvhiyiwa here? Kana kuti wakambofanira kuvhiyiwa uchishandisa anesthesia here? Muzviitiko zvakadaro, vanachiremba vanoshandisa mushonga unonzi rocuronium kuti unyaradze tsandanyama dzemuviri wako uye kuti nzira yacho ive yakachengeteka uye iri nyore. Ngatikurukurei izvi zviri nyore.
Chii chinonzi Rocuronium?
Zvichitaurwa zviri nyore, rocuronium inozorodza tsandanyama . Inowanzo pihwa iwe panguva yekunzwa kurwadziwa usati wavhiyiwa. Inovhara kwenguva pfupi zviratidzo kubva mutsinga dzako kuenda kutsandanyama dzako.
Fungidzira, chii chingaitika kana tsandanyama mumuviri wako ikangoerekana yagwinha apo chiremba ari kuita oparesheni yakaoma? Izvozvo zvinogona kuva nengozi zvikuru. Basa guru remushonga uyu nderekumisa kufamba kwakadaro kamwe kamwe uye kubatsira timu yekuvhiya kuita basa rayo pasina chinoikanganisa.
Chinonyanya kukosha ndechekuti, mushonga uyu haukuiti kuti unzwe hope. Unoita izvozvo neanesthetics. Unongozorodza tsandanyama.
Zvinhu zvaunofanira kuudza chiremba wako usati wapa mushonga uyu
Usati wapihwa rocuronium, chiremba weanesthesia achakubvunza nezvechirwere chako. Zvakakosha zvikuru kuvaudza nezvezvirwere zvako zvese usingavanzi chero chinhu .
| Mamiriro ezvinhu aunofanira kutaura | Sei izvozvo zvichikosha? |
|---|---|
| Kushaya mvura mumuviri | Kana muviri wapera mvura mumuviri, mashandiro emishonga anogona kuchinja. |
| Chirwere chemwoyo | Mashandiro emoyo anogona kukanganiswa. |
| Chirwere cheitsvo kana Chiropa | Nhengo idzi dzine basa rekubvisa mishonga mumuviri. Kana kushanda kwayo kukaderedzwa, migumisiro yemushonga inogona kugara kwenguva yakareba. |
| Zvirwere zvekufema (zvakadai seasthma, COPD) | Ruzivo urwu rwakakosha nekuti mushonga uyu unokanganisa kufema. |
| Myasthenia Gravis | Sezvo ichi chirwere chinonetesa tsandanyama, migumisiro yerocuronium inogona kuwedzera zvakanyanya. |
| Zvimwe zvirwere zvemuviri | Iva nechokwadi chekutiudza kana uine allergies nekuda kwerocuronium kana chero imwe mishonga, chikafu, kana dhayi. |
| Kubata pamuviri kana kuyamwisa | Zvakakosha kutizivisa kana une pamuviri, uri kuedza kubata pamuviri, kana kuti uchiyamwisa. |
Ndingakupa sei mushonga uyu?
Uyu hausi mushonga waunogona kunwa kumba. Rocuronium inongopihwa jekiseni mutsinga chete nechikwata chevanachiremba muchipatara kana kiriniki. Kazhinji unopihwa nachiremba wemishonga inonyaradza marwadzo kana mukoti akadzidziswa.
Mushonga uyu unopiwa kuvana vadiki, kunyangwe vacheche, mune dzimwe nguva dzakakosha. Asi unoitwa nekungwarira kukuru uye uchitarisirwa zvakanyanya.
Ko kana mushonga wacho ukawedzerwa?
Sezvo izvi zvichiitwa muchipatara, pasi pekutarisirwa navanachiremba, mikana yekuti mushonga upfuure mwero yakaderera. Zvisinei, kana paine fungidziro yekuti chimwe chinhu chakadai chakaitika, timu yezvekurapa ichatora matanho anodiwa. Kuti uzive zvakawanda, kana mushonga upfuure mumwe, chinhu chekutanga chaunofanira kuita kuenda kuEmergency Treatment Unit (ETU) yechipatara kana kufonera National Poisons Information Centre paColombo National Hospital .
Mimwe mishonga inogona kupindirana neRocuronium
Mimwe mishonga yauri kutora inogona kukanganisa mashandiro emushonga uyu. Saka, unofanira kuudza chiremba wako nezvemishonga yese yauri kutora, kusanganisira mishonga yakanyorerwa nachiremba, mishonga inotengeswa muchipatara, mavhitamini, uye kunyange mishonga yemishonga.
| Rudzi rwemushonga | Mienzaniso |
|---|---|
| Mamwe maantibayotiki | amikacin, gentamicin, tobramycin, tetracycline, clindamycin, vancomycin, colistin |
| Mimwe mishonga yekurapa pfari | carbamazepine, phenytoin |
| Lithium | - |
| Mimwe mishonga inoshandiswa kurapa nzvimbo yacho (anesthetics yemuno) | Lidocaine |
| Zvinovaka Muviri zveMagnesium | - |
| Procainamide, Quinidine | - |
Rondedzero iyi haina kukwana. Zvakakoshawo kuudza chiremba wako kana uchisvuta, uchinwa doro, kana kushandisa mimwe mishonga.
Maitiro ekutarisa mamiriro ako paunenge uchitora mushonga
Panguva yaunopihwa mushonga uyu uye mushure mekupihwa, mamiriro ako ezvinhu achatariswa zvakanyanya nechikwata chekurapa. Kurova kwemoyo wako, BP, mwero weokisijeni, uye kufema kwako zvichaongororwa nguva dzose nerubatsiro rwemichina. Saka uri munzvimbo yakachengeteka zvachose.
Ndezvipi zvingakonzera migumisiro yakaipa?
Kufanana nemushonga upi zvawo, rocuronium inogona kukonzera mimwe migumisiro, asi izvi hazviwanzoitiki.
| Mhedzisiro yedivi | Tsananguro |
|---|---|
| Migumisiro yakakomba inofanira kuziviswa kuchikwata chekurapa nekukasika | |
| Kusawirirana kwemuviri | Mapundu paganda, kuvaviwa, kuzvimba kwechiso, miromo, rurimi kana pahuro, kuoma kufema. |
| Fivha yakanyanya nezvimwe zviratidzo | Fivha yakanyanya, kudikitira zvakanyanya, kufema nekukurumidza kana kushoma, kurova kwemoyo nekukurumidza kana kusina kurongeka, kuomarara kwetsandanyama kana kudedera. |
| Matambudziko panzvimbo yekubaiwa jekiseni | Kurwadziwa, kuzvimba, kutsvuka, maronda kana maronda paganda panzvimbo yekubaiwa jekiseni. |
| Kazhinji hazvina njodzi (asi udza chiremba wako kana zvikaramba zviripo) | |
| Kushaya simba kwetsandanyama | Kushaya simba kwetsandanyama kunogona kuramba kuripo kunyangwe mushure mekunge mushonga wacho wapera. |
| Marwadzo pakapihwa jekiseni | Kurwadziwa kudiki, 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
- Rocuronium ijekiseni rakakosha rinongopihwa muchipatara chete kuti rizorodze tsandanyama panguva dzakadai sekuvhiyiwa.
- Musati mapiwa mushonga uyu, zvakakosha kuti muudze chiremba wenyu chokwadi chose nezvezvirwere zvenyu zvese nemimwe mishonga yamuri kutora.
- Hamufaniri kunetseka nezvekuchengetedzeka kwenyu nekuti timu yezvekurapa ichakutarisisai zvakanyanya pamunenge muchipa mushonga.
- Migumisiro yakaipa haiwanzoitiki, uye timu yezvekurapa yakagadzirira kupa kurapwa nekukurumidza kana ikaitika.
- Kana muine mimwe mibvunzo nezvemushonga uyu, musazeza kubvunza chiremba wenyu.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment