Khawuthelekelele ukuba wena okanye umntu osondeleyo kuwe uza kwenziwa utyando. Okanye usenokuba ukwiyunithi yokhathalelo olunzulu (ICU) ngenxa yemeko ethile yempilo. Kwiimeko ezinjalo, usenokuba uvile ukuba oogqirha bakunika iyeza "lokukhulula imisipha". I-Atracurium liyeza elikhethekileyo elisetyenziswa kwiimeko ezinjalo. Eli asiloyeza onokulithenga kwikhemesti. Eli liyeza elinikwa esibhedlele kuphela, phantsi kweliso loogqirha abaziingcali. Ngoko ke, masithethe ngeli yeza ngokweenkcukacha ezithe vetshe, ngokulula.
Loluphi uhlobo lonyango oluyi-Atracurium?
Ngamafutshane, i-Atracurium liyeza eliphumza okanye likhubaze imisipha yomzimba wethu okwethutyana. Cinga ngayo njengokubeka imisipha esiyilawulayo engqondweni okwethutyana, efana naleyo isezingalweni zethu, emilenzeni, entanyeni nasesiswini, ebuthongweni.
Ngoku usenokuba uzibuza, "Kutheni uziphumza izihlunu zakho ngolu hlobo?" Zimbini izizathu eziphambili zaloo nto:
1. Ngexesha Lotyando: Xa esenza utyando olukhulu, ugqirha kufuneka asebenze ngokukhululekileyo kwaye ngaphandle kokuphazamiseka. Kunzima ukwenza oku ukuba izihlunu zomzimba zixinene. Xa enikwa i-Atracurium, izihlunu ziyakhululeka ngokupheleleyo. Kwakhona, ngexesha lotyando, kufuneka kufakwe ityhubhu nge-trachea (intubation). Kubalulekile ukuba izihlunu zomqala nentamo ziphumle ngelo xesha.
2. Xa usebenzisa iVentilator: Kwezinye iimeko ezinzima, isigulana sinokuba nobunzima bokuphefumla ngokwaso. Sinokufakwa kwi-ventilator, umatshini wokuphefumla. Ngeli xesha, izihlunu zesifuba sesigulana zinokuqina, nto leyo enokuphazamisana nomsebenzi womatshini. Xa i-atracurium inikwa, ezo zihlunu ziyaphumla, zivumela i-ventilator ukuba yenze umsebenzi wokuphefumla kwesigulana.
Into ebalulekileyo kukuba eli yeza alikwenzi ungabikho zingqondweni. Ngoko ke, nanini na xa unikwa i-Atracurium, inikwa kunye neyeza elikwenza ulale (uthomalalise) okanye i-anesthetic (i-anesthetic).
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba unike eli yeza
I-Atracurium liyeza ekufuneka lisetyenziswe ngononophelo olukhulu. Kungoko ke, kubaluleke kakhulu ukuba uxele olu lwazi lulandelayo ngaphandle kokufihla nantoni na xa ugqirha we-anesthesist ekubuza imibuzo ngaphambi kokuba wenze utyando.
| Imeko ekufuneka uyixele | Ingcaciso elula |
|---|---|
| Ukunganyamezelani ne-Atracurium okanye amanye amayeza | Qiniseka ukuba uxelela ugqirha wakho ukuba ukhe waba ne-allergy kule yeza ngaphambili, okanye ukuba une-allergy kwenye iyeza, ukutya, okanye idayi. |
| I-Myasthenia Gravis okanye ezinye izifo ze-neuromuscular | Ezi zizifo ezenza izihlunu zibe buthathaka. Kwizigulana ezinjalo, iziphumo ze-Atracurium zinokwanda kakhulu. |
| I-asthma okanye ezinye izifo zemiphunga | Kufuneka kuqatshelwe ngokukodwa xa kunikwa eli yeza izigulane ezinengxaki yokuphefumla. |
| Isifo sentliziyo | Ukuba unesifo sentliziyo, yazisa ugqirha wakho ngaso. |
| Utshintsho kumanqanaba etyuwa emzimbeni (Ukungalingani kwe-Electrolyte) | Amanqanaba aphantsi okanye aphezulu eetyuwa ezifana ne-calcium, i-magnesium, kunye ne-potassium egazini anokuchaphazela ukusebenza kakuhle kwamayeza. |
| Ukutsha okukhulu okanye ukuphelelwa ngamanzi emzimbeni | Indlela elisebenza ngayo iyeza inokwahluka kubantu abatshileyo kakhulu okanye abo baphelelwe ngamanzi emzimbeni. |
| Ukukhulelwa okanye ukuncancisa | Kubalulekile ukwazisa ugqirha wakho ukuba ukhulelwe, uzama ukukhulelwa, okanye uncancisa. |
Amanye amayeza anokusebenzisana ne-Atracurium
Amanye amayeza osele uwasebenzisa anokuchaphazela indlela esebenza ngayo i-Atracurium. Oku kuthetha ukuba iziphumo ze-Atracurium zinokwanda okanye zinciphe kakhulu. Ngoko ke, xelela ugqirha wakho malunga nawo onke amayeza owasebenzisayo, kuquka iivithamini, iimveliso zezityalo, kunye nezongezelelo .
Nazi ezinye zezinto eziphambili ezinokuchaphazeleka:
- Amanye amayeza okubulala iintsholongwane (umz. i-amikacin, i-gentamicin)
- Ezinye ii-anesthetics eziqhelekileyo (umz. i-isoflurane, i-halothane)
- I-Lithium
- I-Magnesium
- Amayeza esifo sentliziyo afana neQuinidine kunye neProcainamide
- Amanye amayeza asetyenziswa ukuphumza izihlunu ngexesha lotyando
Amayeza kunye nokugqithisa
Eli yeza linikwa njengenaliti emthanjeni okanye ngokufakwa kwetyuwa. Oku kwenziwa esibhedlele, phantsi kweliso leqela lezonyango. Ngoko ke akufuneki ukhathazeke ngokuphoswa yidosi okanye ukufumana i-overdose. Yonke into yenzeka ngendlela elawulwayo kakhulu. Ukuba kukho ukurhanelwa kwe-overdose, iqela lezonyango lithatha amanyathelo afunekayo. Ukuba kufuneka ulwazi malunga nemeko enjalo yokutyhefa, iZiko loLwazi lweePoisons kwiSibhedlele sikaZwelonke saseColombo yindawo onokuya kuyo. Kwimeko engxamisekileyo, isigulana sithunyelwa kwiYunithi yoNyango oluNgxamisekileyo (ETU) .
Zithini iziphumo ebezingalindelekanga ezinokubakho?
Njengalo naliphi na iyeza, i-Atracurium inokubangela ezinye iziphumo ebezingalindelekanga. Kodwa khumbula, xa unikwa eli yeza, ungqongwe ngoogqirha kunye nabahlengikazi. Ngoko ke ukuba kuvela ingxaki, baza kuyilungisa ngoko nangoko.
| Iziphumo ebezingalindelekanga ze-Atracurium | |
|---|---|
| Iziphumo ebezingalindelekanga ezinzulu ekufuneka zixelwe kwiqela lezonyango ngoko nangoko | |
| Iimpendulo ze-Allergic | Ukurhawuzelela kwesikhumba, ukurhawuzelela okukhulu, ukudumba kobuso, imilebe okanye ulwimi. |
| Iingxaki zokuphefumla | Ukuphefumla nzima, utshintsho olungaqhelekanga kwisantya sokuphefumla. |
| Iimpawu zoxinzelelo lwegazi oluphantsi | Isiyezi esinzima, ukuziva ngathi unentloko ekhaphukhaphu, kunye namehlo aluhlaza okwesibhakabhaka. |
| Iimpawu Zokwenzakala Kwemisipha | Umchamo omnyama (onombala we-cola), iintlungu eziqatha zemisipha, ubunzima bokuchama. |
| Okunye | Ububomvu bobuso, amehlo arhawuzelelayo okanye abangela ukunganyamezelani, ukuxhuzula. |
| Izinto ezingaqhelekanga ukuba zinzulu, kodwa kufuneka zixelwe ukuba ziyaqhubeka | |
| Intlungu yemisipha/ubuthathaka | Ukuva iintlungu okanye ubuthathaka kwimisipha nokuba sele iphelile imiphumo yeyeza. |
| Intlungu kwindawo yokutofa | Ububomvu, iintlungu, okanye ukudumba kwindawo yokutofa. |
Umyalezo Wokuya Ekhaya
- I-Atracurium sisiyobisi esikhethekileyo esisetyenziselwa ukuphumza izihlunu okwethutyana ngexesha lotyando kunye nonyango lonyango olunzima.
- Le inikwa esibhedlele kuphela, phantsi kweliso elibukhali loogqirha abaziingcali. Akunyanzelekanga ukuba uyisebenzise ekhaya.
- Kubalulekile ukuxelela ugqirha wakho ngazo zonke iimeko zakho zempilo (ingakumbi i-allergies, i-asthma, isifo sentliziyo, iMyasthenia Gravis) kunye nazo zonke ezinye iziyobisi ozisebenzisayo.
- Akukho mfuneko yokoyika kuba iqela lezonyango liza kuhlala likujongile ngelixa unikwa eli yeza.
- Ukuba kuvela naziphi na iimpawu okanye iziphumo ebezingalindelekanga ezingaqhelekanga, iqela lezonyango liza kuthatha amanyathelo ngoko nangoko. Thetha ngokukhululekileyo nogqirha wakho ngaloo nto.
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