Kana iwe kana mumwe munhu ari pedyo newe achizovhiyiwa, zvakajairika kuda kuziva, uye pamwe kutotya, nezvemishonga ichapihwa panguva iyoyo. Pakati pemishonga inopiwa panguva yekunzwa kusuruvara, Rocuronium mushonga unokosha zvikuru. Imwe yemishonga yayo iZemuron. Saka nhasi, ngatitaurei nezveRocuronium chii, zvainoita, uye zvatinofanira kuziva nezvayo.
Chii chinonzi Rocuronium? Chii chinoita kuti ishande?
Muchidimbu, Rocuronium mushonga unozorodza tsandanyama dzemuviri kwenguva pfupi.
Fungidzira kuti paunenge uchivhiya, vanachiremba vanofanira kukwanisa kusvika nyore nyore nhengo dziri mukati memuviri wako. Kuti zvidaro, tsandanyama dzako hadzigone kumanikidzwa, dzinofanira kusununguka zvikuru. Ndizvo zvinobatsira Rocuronium. Zvakafanana nekuremadza tsandanyama dzako kwenguva pfupi. Izvi zvinoita kuti zvive nyore kuti chiremba avhiye pasina chinomutadzisa.
Uyewo, dzimwe nguva kana munhu achinetseka kufema, anofanira kubatanidzwa nemuchina (ventilator) kuti akwanise kufema. Muzviitiko izvozvo, mushonga uyu unoshandiswa kuzorodza tsandanyama dzekufema uye kubatsira muchina kushanda nemazvo.
Chii chandinofanira kuudza chiremba ndisati ndamupa mushonga uyu?
Izvi zvakakosha zvikuru. Usati wapihwa Rocuronium, zvakakosha kuti timu yako yezvekurapa inyatsoziva nezvehutano hwako. Izvi zvinodaro nekuti mamwe mamiriro ezvinhu anoda kutarisirwa zvakanyanya paunenge uchishandisa mushonga uyu. Saka, kana uine chimwe chezvirwere zvakanyorwa pazasi, iva nechokwadi chekuudza chiremba wako.
| Matambudziko ehutano aunofanira kutaura | Sei zvichikosha? |
|---|---|
| Kushaya mvura mumuviri (kushaya mvura mumuviri) | Kuenzana kwemvura mumuviri kunokanganisa kushanda kwemushonga. |
| Chero rudzi rwechirwere chemwoyo | Mushonga uyu unogona kukanganisa kurova kwemoyo uye BP. |
| Kusarongeka kwemazinga ecalcium, magnesium, uye potassium muropa | Mazinga emaminerari aya ane chekuita zvakananga nekushanda kwemhasuru uye mhedzisiro yemushonga. |
| Chirwere cheitsvo kana chirwere chechiropa | Nekuti nhengo idzi dzinobatanidzwa mukubvisa mishonga mumuviri, zvirwere zvavo zvinogona kuchinja kushanda kwemushonga. |
| Zvirwere zvemapapu zvakaita seasthma | Kungwarira kwakakosha kunodiwa nekuti kunogona kukanganisa kufema. |
| Myasthenia Gravis (chirwere chinokonzera kushaya simba kwetsandanyama) | Varwere ava vanogona kunge vaine hanya zvakanyanya neRocuronium. |
| Kurwara ne rocuronium, bromide, kana chero imwe mishonga kana chikafu | Izvi zvakakosha kudzivirira allergic reaction yakakura (anaphylaxis). |
| Kana uine pamuviri, uchiedza kubata pamuviri, kana kuti uchiyamwisa | Chiremba anofanira kufunga nezvemigumisiro inogona kuitika pamwana. |
Jekiseni reRocuronium rinopihwa sei?
Mushonga uyu hausi mushonga waunogona kushandisa kumba. Rocuronium inongopihwa muchipatara kana kukiriniki chete . Nyanzvi yehutano yakadzidziswa ichakupa jekiseni mutsinga kana kuti muropa rako.
Vanachiremba vanogona kupa mushonga uyu kuvana vadiki, kunyangwe vacheche, mune zvimwe zviitiko zvakakosha. Asi zvinoitwa nekungwarira kukuru uye pasi pekutarisirwa kwakakosha. Unogona kutaura nachiremba wevana nezveizvi.
Sezvo mushonga uyu uchipihwa muchipatara, uchitarisirwa zvakanyanya nachiremba, haufanirwe kunetseka nezvekupotsa mushonga kana kutora mushonga wakawandisa. Chikwata chekurapa chichagadzirisa zvese nemazvo.
Kana muchida ruzivo nezvemamiriro ezvinhu akadai sekuchetura mishonga, munogona kufonera National Poisons Information Center kuColombo National Hospital . Kana pakaitika emergency, Emergency Treatment Unit (ETU) yechipatara ichatora matanho anodiwa.
Mimwe mishonga inogona kupindirana nemushonga uyu (Kupindirana kweMishonga)
'Kudyidzana Kwemishonga' zvinoreva kuti mushonga mumwe chete wauri kutora unokanganisa kushanda kwemumwe mushonga wauri kutora. Kune mhando dzakasiyana dzemishonga dzinogona kushanda neRocuronium. Saka, zvakakosha kuudza chiremba wako nezvemishonga yese yauri kutora.
- Mamwe maantibiotic: Semuenzaniso, amikacin, gentamicin, tobramycin, vancomycin, tetracyclines, polymyxins.
- Mimwe mishonga inoshandiswa kurapa zvirwere zvakaita sepfari (kubatwa nepfari): semuenzaniso, carbamazepine, phenytoin.
- Mimwe mishonga inoshandiswa pakurapa nekurwadziwa: Magasi anonyaradza marwadzo akadai se enflurane, isoflurane, halothane.
- Lithium: Mushonga unoshandiswa pakurapa chirwere chepfungwa.
- Mishonga inonyaradza marwadzo yemunzvimbo: yakaita se lidocaine ne tetracaine.
- Magnesium
- Zvimwe zvinozorodza tsandanyama zvekuvhiyiwa
- Procainamide neQuinidine (mishonga yezvirwere zvemwoyo)
Rondedzero iyi haina kukwana. Saka, zvakakosha kuudza chiremba wako nezvemishonga yese yauri kutora (yakanyorwa nachiremba kana kuti yaunotenga kunze kwemutero), mishonga yemishonga, mavhitamini, nezvimwe zvinowedzera zvauri kutora, pamwe chete kana uchisvuta, uchinwa doro, kana kushandisa mimwe mishonga, usati wavhiyiwa.
Migumisiro inogona kuitika kana munhu akatora Rocuronium
Kufanana nemushonga upi zvawo, Rocuronium inogona kukonzera mimwe migumisiro yakaipa. Chikwata chekurapa chichakutarisa zvakanyanya paunenge uchipiwa mushonga uyu. Vachatora matanho nekukasika kana paine migumisiro yakaipa ikaitika. Zvisinei, zvakakosha kuti uzvizive.
| Mhedzisiro Yepadivi | Tsananguro |
|---|---|
| Migumisiro inofanira kuziviswa kuchikwata chekurapa nekukasika | |
| Kusawirirana kwakakomba | Mapundu paganda, kuvaviwa kwakanyanya, kuzvimba kwechiso, miromo kana rurimi. |
| Kuoma kufema | Kutadza kufema zvakanaka kana usina kushandisa mudziyo wekufema. |
| Kurova kwemoyo nekukurumidza (Tachycardia) | Kunzwa sekuti moyo wako uri kurova nekukurumidza. |
| Kuderera kweropa (Hypotension) | Kunzwa dzungu, kunzwa musoro wakachena, uye maziso ebhuruu. |
| Zviratidzo zvekukuvara kwetsandanyama | Weti yakasviba, kuoma kuita weti, kuneta kwakanyanya, uye kurwadziwa muchiuno. |
| Migumisiro inofanira kutaurwa kuna chiremba kana ikaramba iripo | |
| Kurwadziwa kwetsandanyama/kushaya simba | Kurwadziwa kwetsandanyama kana kushaya simba kunoramba kuripo kunyangwe mushure mekunge mushonga wacho wapera. |
| Marwadzo panzvimbo yekubaiwa jekiseni | Marwadzo, kutsvuka, kana kuzvimba kwakapihwa jekiseni. |
Rondedzero iyi haisanganisiri mimwe migumisiro yese inogona kuitika. Kana ukasangana nechimwe chinhu chisingawanzoitika pamusoro peizvi, taura nachiremba wako nezvazvo.
Mharidzo Yekuenda Nayo Kumba
- Rocuronium mushonga unoshandiswa kuzorodza tsandanyama kwenguva pfupi panguva yekuvhiyiwa uye dzimwe nzira dzekurapa.
- Izvi zvinongopihwa muchipatara chete, nenyanzvi yezvekurapa yakadzidziswa.
- Zvakakosha kuti uzivise chiremba wako nezvezvimwe zvirwere zvaunazvo (kunyanya mwoyo, itsvo, chirwere chechiropa, allergies) nemimwe mishonga yese yauri kutora usati wavhiyiwa.
- Kana ukasangana nematambudziko akakomba akadai sezviratidzo zvekurwara nepfungwa, kunetseka kufema, kana kurova kwemoyo nekukurumidza, zivisa timu yezvekurapa nekukasika.
- Kana muine mibvunzo nezvemushonga uyu, musazeza kubvunza chiremba wenyu.
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