Kana iwe kana mumwe munhu wemumhuri mako muchizovhiyiwa, chiremba weanotindivadza achashandisa mishonga yakasiyana-siyana kuti akurare, asakunzwi kurwadziwa, uye achengetedze kuvhiyiwa kwacho. Mumwe weiyi mushonga unokosha, uye unokosha zvikuru, unonzi Succinylcholine. Unoshanda nekuzorodza tsandanyama dzako kwenguva pfupi. Saka, ngatikurukurei muchidimbu nezvemushonga uyu, zvaunoita, uye zvaunofanira kuziva usati waushandisa.
Zvichitaurwa zviri nyore, chii chinonzi Succinylcholine?
Succinylcholine inozorodza tsandanyama dzemapfupa . Fungidzira, izvi zvakafanana nekurasikirwa kwenguva pfupi nedzimwe tsandanyama dziri mumuviri wedu dzatinotonga mupfungwa, dzakadai sedziri mumakumbo edu, mutsipa, nedumbu. Asi izvi ndezvenguva pfupi.
Mushonga uyu unonyanya kushandiswa mumamiriro maviri:
1. Panguva yekuvhiyiwa: Panguva yekuvhiyiwa, kunyanya kuvhiyiwa kwedumbu, kana tsandanyama mumuviri dzakaoma, zvinonetsa kuti chiremba avhiye. Sezvo tsandanyama dzakasununguka zvachose kana mushonga uyu wapihwa, kuvhiyiwa kunogona kuitwa zviri nyore uye zvakachengeteka. Zvakare, dzimwe nguva zvinodikanwa kuisa chubhu nepamutsipa (intubation) kuti zvibatsire nekufema. Mushonga uyu unoshandiswawo panguva iyoyo.
2. Kana wakabatana nemuchina wekufema: Kana munhu achinetseka kufema ega uye akabatana nemuchina wekufema, tsandanyama dziri mumuviri wemunhu iyeye dzinogona kukanganisa mashandiro emuchina. Muzviitiko zvakadaro, mushonga uyu unopihwa kuti tsandanyama dzisununguke uye kuti muchina wekufema ushande nemazvo.
Chinhu chakakosha ndechekuti uyu hausi mushonga waunogona kushandisa kumba. Unoshandiswa chete muchipatara, mukamuri rekutarisirwa kwevarwere, kana muimba yekuvhiyiwa, uchitarisirwa zvakanyanya navanachiremba vakadzidziswa nevashandi vekuchengeta varwere.
Zvinhu zvaunofanira kuudza chiremba wako usati wapa mushonga uyu
Ichi chikamu chakakosha zvikuru. Kuti uchengetedzeke, zvakakosha kuzivisa chiremba weanotindivadza nezvemamwe mamiriro ezvinhu mumuviri wako usati wavhiyiwa. Nekuti zvichibva paruzivo irworwo, sarudzo ichaitwa yekukupa mushonga uyu kana kwete, kana kukupa mumwe mushonga wakasiyana.
Kana uine chimwe chezvirwere zviri pazasi, iva nechokwadi chekuudza chiremba wako nezvazvo.
| Dambudziko rako rehutano kana mamiriro ako ezvinhu | Sei uchifanira kuzivisa? |
|---|---|
| Kurwara | Kana uine allergy kune succinylcholine kana chero imwe mishonga, chikafu, kana dhayi. |
| Nhoroondo yezvekurapa yemhuri | Kana mumwe munhu mumhuri yako akambova nedambudziko rekutindivadza (semuenzaniso, Malignant Hyperthermia). |
| Zvirwere zvine chekuita netsandanyama | Kana uine chirwere chinopedza simba retsandanyama seMyasthenia Gravis. |
| Matambudziko emaziso | Zvirwere zvine kumanikidzwa kwemaziso, zvakaita se glaucoma. |
| Mazinga emaminerari muropa | Kana huwandu hwepotassium, calcium, kana magnesium muropa hwakakwira kana kuti hwakaderera. |
| Kukuvara | Kukuvara kwakanyanya mumusoro, kutsva kukuru, kana kukuvara kukuru kweganda. |
| Pamuviri | Kana uine pamuviri, uchiedza kubata pamuviri, kana kuti uchiyamwisa. |
Mushonga uyu ungapiwa kuvana vadiki here?
Ehe, mune dzimwe nguva, mushonga uyu unogona kupihwa vana, kutanga nevana vachangoberekwa. Asi matanho akakosha anoteverwa. Sarudzo iyi inotorwa pamwe chete nachiremba wevana neanotindivadza wemwana wenyu.
Ko kana dose ikawedzera?
Izvi zvinopihwa muchipatara, pasi pekutarisirwa nachiremba, saka mukana wekuti upinze mushonga wakawandisa wakaderera. Vashandi vezvehutano vachaverenga mushonga wakakodzera zvichienderana nehuremu hwako uye mamiriro ako uye vachakupa mushonga. Kana izvi zvikaitika, vakadzidziswa kupa mushonga unodiwa. Kana uchida ruzivo nezveizvi, unogona kufonera National Poisons Information Centre kuColombo National Hospital kuti uwane rumwe ruzivo. Zvisinei, kana paine emergency, chinhu chakanakisa chekuita kuenda kuEmergency Treatment Unit (ETU) iri pedyo.
Mimwe mishonga inogona kushanda pamwe chete nemushonga uyu
Zvakakosha zvikuru kuudza chiremba wako nezvemishonga yese yauri kutora (mishonga yemamwe matambudziko, mavhitamini, mishonga yechivanhu, mishonga yekuwedzera). Mimwe mishonga inogona kukanganisana neSuccinylcholine, ichichinja mhedzisiro yayo kana kukonzera mamiriro ezvinhu ane njodzi.
Heano mimwe mishonga yakadaro:
- Mimwe mishonga inorwisa mabhakitiriya: semuenzaniso, amikacin, gentamicin, clindamycin.
- Mimwe mishonga inonyaradza marwadzo: Mishonga inonyaradza marwadzo ine gas senge enflurane, isoflurane, halothane.
- Mishonga yezvirwere zvemwoyo neBP.
- Mapiritsi ekudzivirira pamuviri.
- Lithium: Mushonga unoshandiswa pakurapa chirwere chepfungwa.
- MAOIs: Rudzi rwemushonga unopihwa wekuderedza kushungurudzika.
- Mhando dzemasteroid: Semuenzaniso, prednisone kana cortisone.
- Mishonga ine magnesium.
- Quinine: Mushonga unoshandiswa kurapa malaria.
Rondedzero iyi haina kukwana. Saka, taura chokwadi nachiremba wako nezvemishonga yese yaunotora, uye kana uchisvuta kana kunwa doro .
Ndezvipi zvimwe zvingakonzerwa nemushonga uyu?
Sezvinongoita chero mushonga upi zvawo, Succinylcholine inogona kukonzera migumisiro yakaipa. Uchatariswa zvakanyanya, saka kana paine matambudziko, timu yezvekurapa ichatora matanho nekukasika.
| Mhedzisiro yedivi | Tsananguro |
|---|---|
| Zvinhu zvekuudza chiremba wako kana vashandi vekuchengeta vana nekukasika | |
| Kusawirirana kwemuviri | Mapundu paganda, kuvaviwa, kuzvimba kwechiso, miromo kana rurimi. |
| Kuoma kufema | Kana usiri pamuchina wekufema, unonzwa kushaya mweya. |
| Kuchinja kwekurova kwemoyo | Kurova kwemoyo kunonoka kana kuti kunokurumidza, kusina kurongeka. Kurwadziwa pachipfuva. |
| Zviratidzo zve potassium yakawanda | Kushaya simba kwakanyanya kwetsandanyama, kurwadziwa kwechipfuva. |
| Zviratidzo zvekukuvara kwetsandanyama | Weti yakasviba, kuoma kuita weti, kuneta kwakanyanya, kurwadziwa kwetsandanyama. |
| Zviratidzo zveBP yakaderera | Dzungu, maziso ebhuruu, kushaya simba kwakanyanya. |
| Zvinhu zvisingawanzo kuve zvakakomba, asi zvinofanira kutaurwa kana zvikaramba zviripo | |
| Kurwadziwa kwetsandanyama | Zvakajairika kunzwa kurwadziwa kwemuviri netsandanyama kwezuva rimwe kana maviri mushure mekunge mishonga yapera. |
| Kushaya simba kwetsandanyama | Kushaya simba kwetsandanyama kwenguva pfupi. |
Mharidzo Yekuenda Nayo Kumba
- Succinylcholine mushonga une simba wekuzorodza tsandanyama unoshandiswa chete muzvipatara, kunyanya mumakamuri ekuvhiya neanorwara zvakanyanya.
- Usati wapihwa mushonga uyu, zvakakosha kuti uudze chiremba wako nezvenhoroondo yako yese yezvekurapa, allergies, nhoroondo yezvekurapa yemhuri, nemimwe mishonga yese yauri kutora.
- Nekuti izvi zvinopihwa navanachiremba vakadzidziswa, haufanirwe kunetseka nezvekuzvichengeta kana kuzvipa.
- Kunyange hazvo migumisiro yacho ichigoneka, inogona kugadziriswa nechikwata chevanachiremba nekuti unenge uchitariswa zvakanyanya muchipatara.
- Kana muine zvinokunetsai kana mibvunzo, musatya kubvunza chiremba weanotindivadza kana chiremba wenyu ari kukurapai. Kuchengetedzeka kwenyu ndiko kwavanonyanya kukosheswa.
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