Ngaba wakha watyandwa ? Okanye wakha wavavanywa phantsi kwe -anesthesia ? Namhlanje siza kuthetha ngonyango olukhethekileyo olunceda oogqirha ukuba bakhulule izihlunu emzimbeni wakho baze benze utyando okanye uvavanyo ngokukhuselekileyo nangokulula. Igama leli yeza yi-Atracurium.
Ngamafutshane, yintoni iAtracurium?
I-Atracurium liyeza elinikwa ukuthomalalisa izihlunu emzimbeni wakho ngexesha lenkqubo yezonyango, njengotyando. Lidla ngokunikezelwa njengenaliti.
Khawucinge ngogqirha esenza utyando oluncinci esiswini sakho. Ngaba bekungayi kuba nzima ukwenza olu tyando ukuba izihlunu zesisu sakho beziqinile? Ngeli xesha, xa eli yeza linikwa, livala okwethutyana imiqondiso yemithambo-luvo evela ebuchotsheni exelela izihlunu ukuba "zinciphe". Kufana nokucima iswitshi kwisibane. Emva koko izihlunu ziyaphumla ngokupheleleyo. Oku kuthetha ukuba umzimba wakho awushukumi okanye awushukumi konke konke. Emva koko iqela lezonyango lingenza umsebenzi walo ngaphandle kwesiphazamiso, ngokukhuselekileyo.
Into ebalulekileyo kukuba, eli asiloyeza onokulisebenzisa ekhaya. Eli liyeza elinikwa esibhedlele okanye eklinikhi kuphela, liqela lezonyango eliqeqeshiweyo .
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba usebenzise eli yeza
Ngaphambi kokuba wenze naluphi na utyando okanye i-anesthesia, ugqirha wakho uza kukubuza imibuzo emininzi malunga nempilo yakho. Kubaluleke kakhulu ukuba uyiphendule yonke ngenyaniso. Ingakumbi ngaphambi kokuba unikwe amayeza afana ne-Atracurium, ngokuqinisekileyo kufuneka uxelele ugqirha wakho ukuba unayo nayiphi na kwezi meko zidweliswe ngezantsi.
| Imeko onokuba nayo | Kutheni kubalulekile ukwazisa? |
|---|---|
| Ukuba umzimba uphelelwe ngamanzi emzimbeni (Ukuphelelwa ngamanzi emzimbeni) | Xa umlinganiselo wamanzi emzimbeni uncipha, indlela amayeza asebenza ngayo inokutshintsha. Ke ngoko, olu lwazi lubalulekile ekulungiseni umthamo wamayeza. |
| Ukuba unesifo sentliziyo | Eli yeza ngamanye amaxesha linokuba nefuthe elincinci kuxinzelelo lwegazi. Abantu abanesifo sentliziyo kufuneka balumke kakhulu ngalo. |
| Izifo zemiphunga okanye zokuphefumla (ezifana ne-asthma, i-COPD) | Ekubeni i-Atracurium ikwachaphazela inkqubo yokuphefumla, kubalulekile ukuba oogqirha bazi ngazo naziphi na iingxaki zokuphefumla ezikhoyo. |
| Izifo ze-neuromuscular ezifana ne-myasthenia gravis | Ezi zizifo ezenza izihlunu zibe buthathaka. Ngoko ke kufuneka ulumke kakhulu xa unika isiphumzi semisipha. |
| Ukuba une-allergy kwi-atracurium okanye nayiphi na eminye imithi, ukutya, okanye iidayi. | Ukuba ukhe waba ne-allergy ngaphambili, ukuxelela umntu ngayo kunokusindisa ubomi. |
| Ukuba ukhulelwe okanye uzama ukukhulelwa | Olu lwazi lubalulekile ekuqinisekiseni ukuba iyeza liza kuba nefuthe na kumntwana ongekazalwa. |
| Ukuba umntwana uncanciswa | Ugqirha kufuneka akwazi oku ukuze acinge ukuba ingaba isixa esithile samayeza sinokudluliselwa ebantwaneni ngobisi lwebele. |
Eli yeza linikwa kwaye lilawulwa njani?
Eli yeza lifakwa emthanjeni wakho (ngaphakathi kwemithambo). Lenziwa esibhedlele ngumntu oqeqeshiweyo, njengogqirha okanye ingcali yokubulala iintlungu. Ngoko ke akufuneki ukhathazeke ngalo.
- Kubantwana abancinci: Kwezinye iimeko, eli yeza linikwa iintsana ezineminyaka eyi-1 ubudala. Kodwa lenziwa ngononophelo olukhulu kwaye phantsi kweliso elikhethekileyo.
- Umthamo ogqithisileyo: Ekubeni oku kunikwa esibhedlele, umthamo ugqitywa kwaye ulawulwa liqela lezonyango . Ngoko ke, akufuneki ukhathazeke ngokugqithisileyo. Ukuba ukrokrela ukuba utyhefwe liyeza nangayiphi na indlela, kufuneka wazise iCandelo loNyango oluNgxamisekileyo lesibhedlele (i-ETU). ESri Lanka, ungatsalela umnxeba iZiko loLwazi ngeTyhefu leSizwe kwiSibhedlele sikaZwelonke saseColombo ukuze ufumane ulwazi oluthile malunga notywala obunjalo. Nangona kunjalo, ukuba usesibhedlele, iqela lezonyango liya kujongana nayo yonke imiba.
Amanye amayeza anokusebenzisana ne-Atracurium
Ukuba usebenzisa amayeza kwezinye izifo, kubaluleke kakhulu ukuxelela ugqirha wakho ngaloo nto. Kuba amanye amayeza anokutshintsha indlela esebenza ngayo i-Atracurium. Oko kuthetha ukuba anokunciphisa okanye anyuse imiphumo yayo.
| Udidi lweziyobisi | Imizekelo |
|---|---|
| Amanye amayeza okubulala iintsholongwane | i-amikacin, i-gentamicin, i-tobramycin, i-tetracycline, i-clindamycin, i-vancomycin, i-colistin |
| Amanye amayeza e-migraines | i-carbamazepine, i-phenytoin |
| I-Lithium | Isetyenziselwa ukugula ngengqondo. |
| Ii-anesthetics zasekuhlaleni | I-Lidocaine |
| Izongezo zeMagnesium | I-magnesium inikwa umzimba. |
| I-Procainamide kunye neQuinidine | Isetyenziselwa ukuphazamiseka kwentliziyo. |
Olu luhlu aluphelelanga, ngoko qiniseka ukuba uxelela ugqirha wakho malunga nawo onke amayeza owasebenzisayo (kuquka iivithamini, amayeza esintu, kunye nezongezo ) ngaphambi kotyando lwakho. Kwakhona, xelela ugqirha wakho ukuba uyatshaya okanye usela utywala.
Zithini iziphumo ebezingalindelekanga ezinokubakho zeyeza?
Njengayo nayiphi na iyeza, i-Atracurium inokuba nemiphumo emibi . Kodwa khumbula, uphantsi kweliso elipheleleyo leqela lezonyango esibhedlele. Ngoko ke ukuba kukho ingxaki, baza kuyinyanga ngokukhawuleza.
| Imiphumela | Ingcaciso |
|---|---|
| Iziphumo ebezingalindelekanga ezinzulu ekufuneka zixelwe kwiqela lakho lezonyango ngoko nangoko | |
| Iimpendulo ze-allergy | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi okanye umqala, ubunzima bokuphefumla. |
| Ukubetha kwentliziyo okukhawulezayo okanye okungaqhelekanga | Ukunyuka ngequbuliso kwesantya sentliziyo okanye utshintsho kwisigqi. |
| Ubushushu bomzimba, ukubila okugqithisileyo, ukuqina kwemisipha | Ezi zinokuba ziimpawu zesifo esingaqhelekanga kodwa esibi esibizwa ngokuba yiMalignant Hyperthermia. |
| Uxinzelelo lwegazi oluphantsi | Ukuziva unesizungu, unentloko ebuhlungu, okanye umbono ofipheleyo. |
| Ukuxhuzula | Umzimba uqala ukungcangcazela. |
| Iziphumo ebezingalindelekanga ezingaqhelekanga, kodwa ekufuneka zixelwe ukuba ziyaqhubeka | |
| Ukuhlanjwa ngamanzi | Ubomvu, ingakumbi ebusweni nasentanyeni. |
| Ubuthathaka bemisipha | Ukuziva ungenabomi nangona imiphumo yeyeza iphelile. |
| Intlungu okanye ukubomvu kwindawo yokutofa | Intlungu encinci okanye ububomvu apho kufakwe khona i-cannula. |
Olu luhlu alubandakanyi zonke iziphumo ebezingalindelekanga. Ukuba ufumana nantoni na engaqhelekanga, xelela iqela lakho lezonyango ngoko nangoko.
Umyalezo Wokuya Ekhaya
- I-Atracurium yinaliti ekhethekileyo enikwa esibhedlele kuphela ukuze kuphumzwe izihlunu ngexesha leenkqubo zonyango ezifana notyando.
- Ngaphambi kokuba unikwe eli yeza, kubalulekile ukuba uxelele ugqirha wakho ngembali yakho epheleleyo yempilo, naziphi na ii-allergies onazo, kunye nazo zonke ezinye iziyobisi ozisebenzisayo.
- Uza kuhlolwa ngokusondeleyo liqela lezonyango ngexesha nasemva kolu nyango, ngoko ke akukho mfuneko yokukhathazeka.
- Ukuba kuvela isiphumo esibi kakhulu, esifana nokunganyamezelani komzimba, ubunzima bokuphefumla, okanye utshintsho kwisantya sentliziyo, kubalulekile ukwazisa iqela lezonyango ngoko nangoko.
- Eli yeza alenzelwanga ukuba lithathwe lisiwe ekhaya okanye ligcinwe. Ngoko ke ungakhathazeki ngalo. Buza ugqirha wakho ngayo nayiphi na imibuzo onokuba nayo.
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