Ngaba wakha wanyanzelwa ukuba wenze utyando? Okanye wakha wambona umntu edibene nomatshini wokuphefumla/i-ventilator? Kwiimeko ezinje, sithetha ngenaliti ekhethekileyo enikwa ukukhulula ngokupheleleyo izihlunu zomzimba. Ibizwa ngokuba yiMivacurium. Kubaluleke kakhulu ukwazi ngale nto.
Yintoni iMivacurium?
Ngamafutshane, iMivacurium sisithomalalisi semisipha yamathambo . Siphumza okwethutyana, okanye endaweni yoko sithintele, izihlunu ezinamathele emathanjeni emzimbeni wethu.
Ngoku usenokuba ucinga, "Kutheni ungenza loo nto?" Kukho izizathu ezibini zaloo nto:
1. Ngexesha Lotyando: Xa esenza utyando olukhulu, ugqirha kufuneka enze umsebenzi wakhe ngaphandle kokuphazanyiswa. Kunzima ukwenza njalo ukuba izihlunu zethu ziqinile. Xa sinikwa eli yeza, izihlunu ziyakhululeka ngokupheleleyo, ukuze oogqirha bakwazi ukwenza umsebenzi wabo ngokulula.
2. Xa kuqhagamshelwe kwiimashini zokuphefumla/ii-ventilator: Xa abanye abaguli abagula kakhulu benengxaki yokuphefumla bodwa, sibaqhagamshela kwimashini yokuphefumla. Kodwa ngamanye amaxesha umzimba wesigulana uqala "ukulwa" nomatshini. Oko kukuthi, xa umatshini uphefumla, izihlunu zesifuba sesigulana ziyaqina zize zizame ukuphefumla. Xa eli yeza linikwa, ezo zihlunu ziyaphumla, zivumela umatshini ukuba wenze umsebenzi wawo ngokulula.
Eyona nto ibalulekileyo kukuba oku kunikwa esibhedlele kuphela, phantsi kweliso lengcali efana nengcali yokubulala iintlungu.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba unike eli yeza
Oku kubaluleke kakhulu. Xa ingcali yokudambisa iintlungu ikubuza imibuzo ngaphambi kokuba wenze utyando, ukuba unayo nayiphi na kwezi zinto, ngokuqinisekileyo kufuneka uyixelele . Kuba olo lwazi luya kumisela umthamo wamayeza oza kunikwa kunye nohlobo lwamayeza asetyenziswayo.
| Imeko ekufuneka uyixele | Inkcazo |
|---|---|
| Ii-aleji | Qiniseka ukuba uxelela ugqirha wakho ukuba une-allergies kwiMivacurium okanye nakweyiphi na enye iyeza, ukutya, okanye idayi. |
| Isifo sentliziyo | Kubalulekile ukuba uqaphele nayiphi na imeko yentliziyo. |
| Isifo sezintso okanye sesibindi | Ukuba unesifo sezintso okanye isibindi, ixesha elithathayo ukuba eli yeza liphume emzimbeni wakho lisenokutshintsha. |
| Iingxaki zokuphefumla | Sixelele ukuba unayo nayiphi na isifo semiphunga esifana ne-asthma. |
| Izifo ze-neurological ezifana neMyasthenia Gravis | Iziphumo zale mithi zinokwahluka kakhulu kubantu abanezifo ezinxulumene nenkqubo yemithambo-luvo efana nale. |
| Ukuphelelwa ngamanzi emzimbeni okanye ukungalingani kwe-Electrolyte | Ukuba kukho ukunqongophala kwamanzi emzimbeni okanye utshintsho kumanqanaba eetyuwa ezifana ne-calcium, i-potassium, kunye ne-magnesium. |
| Ukutsha Okukhulu | Ukuba indawo enkulu yomzimba itshile, oko kunokuchaphazela ukusebenza kakuhle kwale yeza. |
| Ukukhulelwa okanye ukuncancisa | Ukuba ukhulelwe, uzama ukukhulelwa, okanye uncancisa, kubalulekile ukwazisa ugqirha wakho ngale nto. |
Ulisebenzisa njani eli yeza?
Eli yeza linikwa njengenaliti emthanjeni.Kusenokuba ``injection'' okanye ``infusion'', oku kukufakwa kwe-saline rhoqo emthanjeni. Oku kwenziwa kuphela ngugqirha, i-anesthesiologist, okanye umongikazi oqeqeshiweyo. Ngoko ke akufuneki uyisebenzise ekhaya.
Eli yeza lisetyenziswa kwiimeko ezithile ezikhethekileyo kubantwana abancinci, ingakumbi abo baneminyaka engaphezu kwemi-2 ubudala. Kodwa lenziwa ngononophelo olukhulu kwaye kuphela ngokwengcebiso yengcali.
Yintoni omawuyenze ukuba umthamo weyeza unyusiwe?
Ekubeni oku kunikwe esibhedlele, amathuba okusebenzisa kakhulu amayeza aphantsi kakhulu. Kuba iqela lezonyango lihlala likujongile. Kodwa ukuba kwenzeka into efana naleyo, oko kukuthi, ukuba isiphumo samayeza sinyuka kakhulu, isibhedlele sinazo zonke izixhobo zokunyanga. Kwimeko engxamisekileyo, oogqirha baya kwazisa iZiko loLwazi lweePoison kwiSibhedlele sikaZwelonke okanye iYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele kwaye bafumane ingcebiso efunekayo.
Ngawaphi amanye amayeza anokusebenza kunye nale mithi?
Ewe, amanye amayeza anokutshintsha imiphumo yeMivacurium. Oko kukuthi, anokunyusa okanye anciphise amandla ayo. Yiyo loo nto kufuneka uxelele ugqirha wakho ngawo onke amayeza owasebenzisayo (kuquka iivithamini kunye namayeza esintu) ngaphambi kotyando.
| Udidi lweziyobisi | Imizekelo |
|---|---|
| Amanye amayeza okubulala iintsholongwane | Amayeza afana ne-Amikacin, i-Gentamicin, i-Tobramycin, i-Tetracyclines, i-Clindamycin. |
| Ii-Anesthetics eziQhelekileyo | Iigesi ezisetyenziselwa ukubangela ukuba umntu angabikho zingqondweni ngexesha lotyando, ezifana ne-Enflurane, i-Isoflurane, kunye ne-Halothane. |
| Amayeza okuxhuzula | ICarbamazepine, iPhenytoin. |
| Amanye amayeza | I-Lithium, iMagnesium, iQuinidine, iProcainamide, iiSteroids (ezifana nePrednisone), iiMAOI. |
Olu luhlu aluphelelanga, ngoko ke kungcono ukuxelela ugqirha wakho ngazo zonke amayeza owasebenzisayo.
Zithini iziphumo ebezingalindelekanga ezinokubakho?
Njengalo naliphi na iyeza, iMivacurium inokubangela iziphumo ebezingalindelekanga. Kodwa ngenxa yokuba uphantsi kweliso likagqirha esibhedlele, bakulungele ukuyinyanga ngokukhawuleza ukuba kwenzeka into efana nale.
| Imiphumela | Inkcazo |
|---|---|
| Izinto onokuzixelela ugqirha wakho okanye umongikazi wakho ngoko nangoko | |
| Iimpendulo ze-Allergic | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe okanye ulwimi, ubunzima bokuphefumla. |
| Uxinzelelo lwegazi oluphantsi | Ukuba nesiyezi , ukuziva ngathi unentloko ekhaphukhaphu, amehlo aluhlaza okwesibhakabhaka. |
| Ukuhlamba ubuso | Ubuso obubomvu ngequbuliso. |
| Iimpawu zomonakalo wemisipha | Umchamo omnyama, ubunzima bokuchama, ukudinwa kakhulu, iintlungu zemisipha. |
| Izinto ezingaqhelekanga ukuba zinzulu, kodwa kufuneka zixelwe ukuba ziyaqhubeka | |
| Intlungu yemisipha/ubuthathaka | Ukuba usaziva iintlungu okanye ubuthathaka kwimisipha yakho emva kokuba iziphumo zeyeza ziphelile. |
| Intlungu kwindawo yokutofa | Ububomvu, iintlungu, okanye ukudumba kwindawo efakwe kuyo inaliti. |
Umyalezo Wokuya Ekhaya
- I-Mivacurium liyeza elikhethekileyo elisetyenziselwa ukuphumza izihlunu ngexesha lotyando naxa liqhagamshelwe kumatshini wokuphefumla.
- Eli asiloyeza onokulithatha ekhaya. Lisetyenziswa esibhedlele kuphela, phantsi kweliso likagqirha.
- Kubalulekile ukuba uxelele ugqirha wakho ngazo naziphi na iingxaki zempilo onazo, amayeza owasebenzisayo, kunye nazo naziphi na izinto ezibangela ukuba ungabi namdla ngaphambi kotyando.
- Kusenokubakho iziphumo ebezingalindelekanga, kodwa akufuneki ukhathazeke ngazo kuba usesibhedlele. Iqela lezonyango lijongene nayo yonke into.
- Ukuba unemibuzo malunga nale yeza, ungoyiki ukubuza ugqirha wakho.
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