Khawuthelekelele ukuba ucwangciselwe utyando olukhulu. Ngeli xesha, iingcali zokubulala iintlungu ziya kukhulula izihlunu zakho kwaye zikulungiselele ukuze utyando lwenziwe lula. Ngamaxesha anjalo, oko kukuthi, ngexesha lotyando okanye xa uqhagamshelwe kwi-ventilator, kukho udidi olukhethekileyo lwamayeza anikwayo ukuze kuphumzwe izihlunu zakho okwethutyana. Ekuthethwa ngayo namhlanje yiMivacurium.
Yintoni kanye kanye iMivacurium?
Ngamafutshane, iMivacurium sisithomalalisi semisipha yamathambo . Sinikwa njengenaliti. Xa usenza utyando, izihlunu zakho kufuneka ziphumle ngokwaneleyo ukuze ugqirha akwazi ukwenza umsebenzi wakhe ngaphandle kweengxaki. Yiloo nto eyenziwa yinaliti yeMivacurium.
Kwakhona, kwezinye iimeko ezinzima zokuphefumla, isigulana kufuneka siqhagamshelwe kumatshini wokuphefumla (i-ventilator). Eli yeza lisetyenziselwa ukugcina izihlunu zesigulana zikhululekile ngelo xesha. Lidla ngokufumaneka phantsi kwegama lebrendi iMivacron.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba unike eli yeza
Nangona eli liyeza elinikwa esibhedlele, phantsi kweliso loogqirha abaziingcali, kubaluleke kakhulu ukuba iqela lezonyango lizazi iimeko ezithile emzimbeni wakho. Kuba olo lwazi luya kumisela umthamo wamayeza owanikwayo, kunye nendlela ojongwa ngayo.
Khumbula, musa ukumfihlela ugqirha wakho nantoni na. Nokuba loluphi ulwazi oluncinci olunika lona lunokuba lubaluleke kakhulu kukhuseleko lwakho.
Ukuba unayo nayiphi na kwezi meko zikwitheyibhile engezantsi, qiniseka ukuba uxelele ugqirha wakho.
| Imeko ekufuneka uyixele | Kutheni oko kubalulekile? |
|---|---|
| Isifo sezintso okanye sesibindi | La malungu anoxanduva lokususa amayeza emzimbeni. Ukuba ukusebenza kwawo kuphazamisekile, kukho umngcipheko wokuba amayeza ahlale emzimbeni ixesha elide. |
| Isifo sentliziyo | I-Mivacurium inokunciphisa uxinzelelo lwegazi kancinci, ngoko ke inokuchaphazela abantu abanesifo sentliziyo ngeendlela ezahlukeneyo. |
| Isifo semiphunga okanye sokuphefumla , njenge-asthma | Eli yeza ngamanye amaxesha linokuchaphazela inkqubo yokuphefumla, ngoko ke kubalulekile ukuba ukwazi oku kwangaphambili. |
| Izifo ze-neuromuscular ezifana ne -myasthenia gravis | Abantu abanezi meko banokuba novakalelo olukhulu kwiziphumzi zemisipha, ngoko ke nokuba yidosi encinci kakhulu inokwanela. |
| Ukuphelelwa ngamanzi emzimbeni okanye ukungalingani kwamanqanaba e -calcium, i-potassium, okanye i-magnesium egazini | Ibhalansi ye-electrolyte emzimbeni ichaphazela ngokuthe ngqo ukusebenza kwale mayeza. |
| Iindawo ezinkulu zesikhumba esitshileyo | Izigulana ezitshileyo zinokusabela ngendlela eyahlukileyo kwezi ntlobo zamayeza. |
| Ukukhulelwa, ukuzama ukukhulelwa, okanye ukuncancisa | Kwimeko enjalo, ugqirha uxhalabile ngakumbi ngempembelelo enokubakho kumama nakumntwana. |
| Ukuba ne-aleji kwiMivacurium okanye naliphi na elinye iyeza okanye ukutya | Ukuba ukhe waba ne-allergy ngaphambili, ukuyityhila kunokunceda ukuthintela i-allergy enzima (i-anaphylaxis). |
Ungayisebenzisa njani le yeza?
Eli asiloyeza onokulithatha ekhaya. I-Mivacurium inikwa ngemithambo esibhedlele okanye ekliniki yingcali yezempilo eqeqeshiweyo. Ingcali yakho yokubulala iintlungu okanye ugqirha weyunithi yokhathalelo olunzulu uza kuvavanya imeko yakho, amisele idosi efanelekileyo, aze akunike iyeza. Ngelixa unikwa eli yeza, izinga lentliziyo yakho, uxinzelelo lwegazi, kunye nokuphefumla kuya kuhlolwa ngokusondeleyo liqela lezonyango.
Ngaba uyayisebenzisa le nto kubantwana?
Ewe. Kwanabantwana abaneminyaka engaphezu kwemi-2 ubudala, eli yeza linokunikwa kwiimeko ezithile. Nangona kunjalo, kufuneka kulandelwe amanyathelo akhethekileyo okhuseleko. Oku kuya kugqitywa ngugqirha wabantwana kunye nogqirha we-anesthesiologist.
Kuthekani ukuba idosi yeyeza iyanda?
Ekubeni oku kunikwa esibhedlele, phantsi kweliso likagqirha, amathuba okuba ugqithise kakhulu aphantsi kakhulu. Nangona kunjalo, ukuba kukho nakuphi na ukurhanelwa kokuba kwenzeke into efana nale, iqela lezonyango liya kuthatha amanyathelo afunekayo ngoko nangoko. Ngokwesiqhelo, kwimeko enjalo, baya kufowunela iZiko loLwazi lweePoison kwiSibhedlele sikaZwelonke saseColombo ukuze bafumane ingcebiso, okanye baya kuqala ngoko nangoko unyango olufunekayo kwiYunithi yoNyango oluNgxamisekileyo (ETU) .
Amanye amayeza anokusebenzisana neMivacurium
I-Mivacurium isenokudibana namanye amayeza owasebenzisayo. Ngoko ke, kufuneka wazise ugqirha wakho ngawo onke amayeza owasebenzisayo, kuquka lawo achazwe ngugqirha wakho, amayeza athengiswa ngaphandle kwemvume kagqirha, amayeza emifuno, iivithamini kunye nezongezo.
Nazi ezinye zeziyobisi ezinokusebenzisana neMivacurium:
- Amanye amayeza okubulala iintsholongwane: Umzekelo, amayeza afana ne-amikacin, i-gentamicin, i-tobramycin, i-tetracyclines, kunye ne-clindamycin.
- Ii-anesthetics eziqhelekileyo: Iigesi ze-anesthetic ezifana ne-enflurane, i-isoflurane, kunye ne-halothane.
- Amayeza okuxhuzula: amayeza afana ne-carbamazepine kunye ne-phenytoin.
- Amayeza esifo sentliziyo: Amayeza afana ne-quinidine kunye ne-procainamide.
- Amayeza okugula ngengqondo: iLithium, kunye neMAOIs.
- Ii-anesthetics zasekuhlaleni: Amayeza asetyenziselwa ukubulala iintlungu kwindawo ethile, njenge-lidocaine kunye ne-tetracaine.
- Ezinye izinto zokukhulula imisipha
- IiSteroids: Iziyobisi ezifana ne-prednisone kunye ne-cortisone.
- Amayeza aqulethe i-magnesium .
- Iipilisi zokulawula inzala
Olu luhlu aluphelelanga, ngoko ke ukuze ukhuseleke, kungcono ukuxelela ugqirha wakho ngayo yonke into oyithathayo.
Zithini iziphumo ebezingalindelekanga ezinokubakho zale yeza?
Njengakweminye imithi, iMivacurium inokubangela ezinye iziphumo ebezingalindelekanga. Uninzi lwazo luchongwa kwaye lulawulwa liqela lezonyango ngelixa kusetyenziswa amayeza.
| Imiphumela | Inkcazo |
|---|---|
| Iziphumo ebezingalindelekanga ezinzulu ekufuneka zixelwe kubasebenzi bezonyango ngoko nangoko | |
| Iimpendulo eziqatha ze-allergy | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe okanye ulwimi. |
| Iingxaki zokuphefumla | Ubunzima bokuphefumla, ukuqina kwesifuba. (Oku kunokubonwa ngokukhawuleza kuba ujongwa). |
| Iimpawu zoxinzelelo lwegazi oluphantsi | Ukudinwa, ubuthathaka, ukudinwa kakhulu. |
| Iimpawu zokulimala kwemisipha | Umchamo omnyama, ubunzima bokuchama, iintlungu eziqatha zemisipha, iintlungu zomqolo. |
| Ukuhlamba ubuso | Ubuso obubomvu ngequbuliso kunye nobushushu. |
| Izinto ezihlala zingeyongozi, kodwa kufuneka zixelwe ukuba ziyaqhubeka | |
| Intlungu okanye ubuthathaka bemisipha | Ukuva iintlungu okanye ubuthathaka kwimisipha nokuba sele iphelile imiphumo yeyeza. |
| Intlungu kwindawo yokutofa | Ububomvu, iintlungu, okanye ukudumba emthanjeni apho kwafakwa khona inaliti. |
Umyalezo Wokuya Ekhaya
- I-Mivacurium yinaliti enikwa ukuphumza izihlunu okwethutyana ngexesha lotyando nakwizigulane ezisebenzisa ii-ventilators.
- Ngaphambi kokuba ufumane olu gonyo, kubalulekile ukwazisa ugqirha wakho ngazo zonke iimeko zakho zempilo, amayeza owasebenzisayo, kunye nee-allergies.
- Eli liyeza elinikwa esibhedlele kuphela liqela lezonyango eliqeqeshiweyo, ngoko ke akufuneki uligcine okanye ulisebenzise ekhaya.
- Akufuneki ukhathazeke ngemiphumo emibi enokubakho kuba imeko yakho iya kuhlolwa ngokusondeleyo ngelixa usela amayeza. Kodwa kubalulekile ukuba uzazi.
- Ukuba unemibuzo engaphezulu malunga nale mithi, ungathandabuzi ukubuza ugqirha wakho.
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