Ngaba wakha watyandwa? Okanye ngaba kukho umntu omaziyo okhe wasebenza kwicandelo labagula kakhulu (ICU) esebenzisa i-ventilator? Kwiimeko ezinjalo, kubaluleke kakhulu ukukhulula ngokupheleleyo izihlunu zomzimba wesigulana nokuzigcina zizinzile. Oku kunceda oogqirha ukuba basebenze lula ngexesha lotyando kwaye kunceda nomzimba wesigulana ukuba ungangqubani nomatshini ngelixa besebenzisa i-ventilator. Ngoko ke, namhlanje sithetha ngeyeza elisetyenziswa kwiimeko ezikhethekileyo ezinjalo. Libizwa ngokuba yiCisatracurium .
Ngamafutshane, yintoni iCisatracurium?
I-Cisatracurium sisithomalalisi semisipha yamathambo . Liyeza eliphumza okanye limise izihlunu zomzimba wethu okwethutyana esizilawulayo ngabom (umzekelo, izihlunu ezikwimilenze yethu, izihlunu ezintanyeni yethu). Linikwa isigulana nokuba njengenaliti ngqo emthanjeni okanye njenge-infusion eqhubekayo njenge-saline.
Iindlela ezimbini eziphambili zokusetyenziswa kwezi zezi:
- Ngexesha lotyando: Ukuba izihlunu zesigulana ziqinile ngexesha lotyando olukhulu, kunokuba nzima kugqirha ukwenza umsebenzi wakhe ngokufanelekileyo. Eli yeza liphumza umzimba wonke, lenza utyando lube lukhuselekile kwaye lube lula.
- Xa iqhagamshelwe kumatshini wokuphefumla/i-ventilator: Kwezinye iimeko ezinzima, isigulana asikwazi ukuphefumla sodwa. Ngelo xesha, ukuphefumla kunikwa nge-ventilator. Nangona kunjalo, ngamanye amaxesha umzimba wesigulana unokulwa nesenzo salo matshini. Eli yeza linceda ekuwumiseni kwaye livumele umatshini ukuba unike umoya emiphungeni ngokulula.
Eyona nto ibalulekileyo kukuba eli yeza linikwe isigulana emva kokumnika amayeza okubulala iintlungu nokumenza angabikho zingqondweni ngokupheleleyo. Ngenxa yokuba oku kukhubaza izihlunu kuphela, akubangeli ukuba umntu alahlekelwe zingqondo. Ngoko ke, kubalulekile ukwenza isigulana singabikho zingqondweni ukuze singaziva singonwabanga.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba unike eli yeza
Ngaphambi kokuba unikwe iCisatracurium, ingcali yokubulala iintlungu iza kukubuza wena nosapho lwakho ngempilo yakho. Kubaluleke kakhulu ukubaxelela ngazo zonke iimeko zakho zempilo ngaphandle kokufihla nantoni na . Kubaluleke kakhulu ukubaxelela ngale nto ilandelayo:
| Imeko ekufuneka uyixele | Kutheni nje? |
|---|---|
| Ukunganyamezelani kwamanye amayeza, ukutya, okanye izinto | Ukuba ukhe waba ne-allergy kwi-cisplatin okanye nakweyiphi na enye i-anesthetic, inokuba yingozi ebomini. |
| Isifo sezintso okanye sesibindi | Eli yeza lisuswa emzimbeni zizintso nesibindi. Ukuba la malungu abuthathaka, iziphumo zalo yeza zinokuhlala ixesha elide. |
| Izifo zokuphefumla ezifana ne-asthma | Eli yeza ngamanye amaxesha linokuchaphazela inkqubo yokuphefumla, ngoko ke kubalulekile ukukwazi oku kwangaphambili. |
| Izifo ze-neuromuscular ezifana ne-myasthenia gravis | Abantu abanezi meko banokufumana impembelelo enkulu yale mithi, ngoko oogqirha kufuneka balumke ngakumbi malunga nomthamo abawunikayo. |
| Ukuphelelwa ngamanzi emzimbeni okanye ukungalingani kwamanqanaba e-calcium, i-potassium, okanye i-magnesium egazini | Utshintsho kumanqanaba etyuwa namanzi emzimbeni luchaphazela ngokuthe ngqo indlela eli yeza elisebenza ngayo. |
| Ukutsha (Ukutsha Okukhulu) | Indlela umzimba osabela ngayo kwezi ntlobo zamayeza inokwahluka kwizigulana ezitsha kakhulu. |
| Ukukhulelwa okanye ukuncancisa | Kubalulekile ukuxelela ugqirha wakho ukuba ukhulelwe, uzama ukukhulelwa, okanye uncancisa. |
Indlela yokusebenzisa eli yeza nezinye izinto ezibalulekileyo
Eli asiloyeza onokulithatha ekhaya. I-Cisatracurium inikwa esibhedlele okanye ekliniki kuphela ngugqirha okanye umongikazi oqeqeshiweyo. Ngoko ke, akukho mngcipheko wokungayifumani idosi.
Eli yeza linikwa abantwana abancinci kwaneentsana kwiimeko ezithile ezikhethekileyo. Kodwa lenziwa phantsi kweliso elibukhali likagqirha wabantwana, nangononophelo olukhulu.
Kuthekani ukuba umthamo weyeza unyusiwe? (Umthamo ogqithisileyo)
Ekubeni oku kunikwa esibhedlele, amathuba okusebenzisa i-overdose aphantsi kakhulu. Nangona kunjalo, ukuba kwenzeka into efana nale, yingxamiseko. Kwimeko enjalo, oogqirha kwiYunithi yoNyango oluNgxamisekileyo (i-ETU) yesibhedlele baya kubonelela ngonyango olufunekayo. Ukuba unamathandabuzo malunga noku, ungatsalela umnxeba iZiko loLwazi lweePoison kwiSibhedlele sikaZwelonke saseColombo ukuze ufumane ingcebiso.
Amanye amayeza anokusebenza kunye nale mayeza
Xelela ugqirha wakho ngawo onke amayeza owasebenzisayo, kuquka amayeza kagqirha namayeza athengiswa ngaphandle kwemvume kagqirha, iimveliso zezityalo, iivithamini, kunye neemveliso zezityalo. Amanye amayeza anokusebenzisana neCisplatin aze anyuse okanye anciphise imiphumo yayo. Umzekelo:
- Amanye amayeza okubulala iintsholongwane - umz. i-amikacin, i-gentamicin, i-tetracyclines
- Amayeza okulwa nokuxhuzula (i-carbamazepine, i-phenytoin)
- I-Lithium
- Amanye amayeza asetyenziselwa i-anesthesia (`isoflurane`, `halothane`)
- Amayeza okunciphisa iintlungu (i-lidocaine)
- I-Magnesium
Zithini iziphumo ebezingalindelekanga?
Njengalo naliphi na iyeza, i-cisplatin inokubangela iziphumo ebezingalindelekanga. Oogqirha kunye nabongikazi baza kukujonga ngokusondeleyo ngelixa usela eli yeza. Ukuba uneengxaki, bazise ngoko nangoko.
| Uhlu lweziphumo ebezingalindelekanga | |
|---|---|
| Iziphumo ebezingalindelekanga ezinzulu ekufuneka zixelwe kugqirha okanye kumongikazi wakho ngoko nangoko: | |
| Iimpendulo ze-Allergic | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe okanye ulwimi. |
| Ubunzima bokuphefumla | Ubunzima bokuphefumla. |
| Iimpawu zoxinzelelo lwegazi oluphantsi | Ukuba nesiyezi , ukuziva ngathi unentloko ekhaphukhaphu, amehlo aluhlaza okwesibhakabhaka. |
| Iimpawu zomonakalo wemisipha | Umchamo omnyama, ubunzima bokuchama, ukudinwa kakhulu, iintlungu zemisipha. |
| Okunye | Ububomvu bobuso, ukurhawuzelelwa okanye ukutsha kwamehlo, ukuxhuzula. |
| Iziphumo ebezingalindelekanga ezingezizo ezinzulu, kodwa ezifanele zixelwe kugqirha ukuba ziyaqhubeka: | |
| Intlungu okanye ubuthathaka bemisipha | Emva kokuba i-anesthesia kunye namayeza ziphelile, ungaziva iintlungu zemisipha okanye ubuthathaka. |
Umyalezo Wokuya Ekhaya
- ICisatracurium yinaliti ekhethekileyo enikwa ukuphumza izihlunu ngexesha lotyando kunye nonyango lonyango olunzima.
- Le mithi inikwa esibhedlele kuphela, phantsi kweliso loogqirha. Ayisiyonto yokuyithatha uye nayo ekhaya.
- Kubaluleke kakhulu ukuxelela ugqirha wakho ngazo zonke iimeko zakho zempilo, ii-allergies, kunye namayeza owasebenzisayo ngaphambi kotyando.
- Uza kuhlala ujongiwe ngelixa usebenzisa eli yeza, ngoko ke ukuba kukho naziphi na iziphumo ebezingalindelekanga, uza kufumana unyango ngoko nangoko.
- Ukuba unemibuzo engaphezulu malunga nale yeza, ungathandabuzi ukubuza ugqirha wakho.
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