Khawuthelekelele ukuba kufuneka wenze utyando. Oogqirha bakwenza oku ngokukuthomalalisa, oko kuthetha ukuba akukho nto inokwenzeka. Kodwa kwenzeka ntoni ukuba izihlunu zakho ziqhaqhazela okanye ziqhaqhazela ngequbuliso? Oko kunokuba ngumqobo omkhulu kolu tyando, akunjalo? Namhlanje sithetha ngenaliti ekhethekileyo ethintela ezo ntshukumo zequbuliso kwaye incede oogqirha benze umsebenzi wabo ngokukhuselekileyo nangokulula. Yiyo loo nto i-pancuronium.
Ngamafutshane, yintoni iPancuronium?
I-Pancuronium sisithomalalisi semisipha . Umsebenzi wayo ophambili kukukhulula ngokupheleleyo izihlunu zomzimba wakho kwaye uzithintele ukuba zingashukumi ngexesha lotyando okanye ezinye iinkqubo zonyango.
Khawuthelekelele ukuba ingqondo yakho ifana nomphathi wenkampani. Izihlunu zakho ngabasebenzi bakho. Umphathi (ingqondo) uthumela imiqondiso yemithambo-luvo kubasebenzi (izihlunu) ukuba "zinciphe" kwaye "zishukume." Okwenziwa yile pancuronium kukuvala okwethutyana indlela ehamba ngayo loo miqondiso. Emva koko, ekubeni izihlunu zingayifumani imiyalelo evela engqondweni, zikhululekile ngokupheleleyo kwaye azishukumi. Oku kuvumela oogqirha ukuba benze utyando ngaphandle kokuthintelwa.
Oku kudla ngokusetyenziswa kunye ne-anesthesia. Ngamanye amaxesha ikwasetyenziswa ukunceda izigulane ezinengxaki yokuphefumla ziphefumle ngokubadibanisa nomatshini (i-ventilator).
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba unike eli yeza
Oku kubaluleke kakhulu. Kubalulekile ukuba ugqirha wakho ayazi imbali yakho epheleleyo yempilo ngaphambi kokuba akunike eli yeza. Oku kungenxa yokuba ezinye iimeko zonyango zifuna unonophelo olukhethekileyo xa usebenzisa eli yeza.
Jonga itheyibhile engezantsi. Ukuba unayo nayiphi na kwezi meko, qiniseka ukuba uxelela ugqirha wakho ngazo.
| Imeko ekufuneka uyixele | Kutheni kunjalo? (Kalula nje) |
|---|---|
| Ukuphelelwa ngamanzi emzimbeni - ukungabikho kwamanzi emzimbeni | Xa ibhalansi yolwelo lomzimba itshintsha, indlela amayeza asebenza ngayo inokutshintsha. |
| Isifo sentliziyo | Eli yeza linokuba nefuthe elithile kwisantya sentliziyo kunye noxinzelelo lwegazi. |
| Isifo sezintso | Ukuba izintso zakho azisebenzi kakuhle, kuya kuthatha ixesha elide ukuba eli yeza liphume emzimbeni wakho. Ngenxa yoko, isiphumo seyeza sinokuhlala ixesha elide. |
| Isifo sesibindi | Isibindi yindawo apho uninzi lwamayeza luqhekeka khona emzimbeni. Ukuba kukho ingxaki kwisibindi, iziphumo zamayeza zinokutshintsha. |
| Isifo semiphunga okanye sokuphefumla - umz. i-Asthma, i-COPD | Ngenxa yokuba eli yeza likwaphumza izihlunu zokuphefumla, kufuneka kuthathwe ingqalelo ekhethekileyo kubantu abasele benezifo zokuphefumla. |
| I-Myasthenia gravis - isifo esibangela ubuthathaka bemisipha | Abantu abanale meko banokuba novakalelo olukhulu kwizithambisi zokukhulula izihlunu, ngoko ke banokufuna idosi ephantsi kakhulu. |
| Ii-aleji | Ukuba une-allergy kwi-pancuronium okanye naliphi na elinye iyeza, ukutya, okanye idayi, qiniseka ukuba uyasixelela. |
| Ukuba ukhulelwe okanye uzama ukukhulelwa | Ugqirha kufuneka akhathazeke ngemiphumo yamayeza kumama okhulelweyo nakumntwana. |
| Ukuba ungumama oncancisayo | Kubalulekile ukuqwalasela ukuba ingaba iyeza lidlula na ebantwaneni ngobisi lwebele. |
Ulisebenzisa njani eli yeza?
Eli asiloyeza onokulisebenzisa ekhaya. Linikwa kuphela esibhedlele okanye ekliniki ngugqirha okanye ngabasebenzi bezonyango abaqeqeshiweyo.
- Oku kunikwa njengenaliti efakwa emthanjeni .
- Ingasetyenziswa kubantwana abancinci, kwanakwiintsana ezisandul’ ukuzalwa, kwiimeko ezikhethekileyo. Kodwa kufuneka yenziwe ngononophelo olukhulu kwaye phantsi kweliso elikhethekileyo lezonyango.
Kuthekani ukuba ndisebenzisa i-overdose?
Ekubeni oku kunikwe esibhedlele, amathuba okuba ufumane i-overdose aphantsi kakhulu. Iqela lezonyango lilumkile kakhulu ngako. Kodwa ukuba kwenzeka into efana nale okanye ukuba kukho amathandabuzo, baya kukunika unyango olufunekayo ngoko nangoko. Ukuba ucinga ukuba usele iyeza elinjalo ngaphandle kwesibhedlele, kufuneka uye kwi -ETU ngoko nangoko, oko kuthetha iCandelo loNyango oluNgxamisekileyo . Ungatsalela umnxeba iZiko loLwazi lweePoisons leSizwe kwiSibhedlele sikaZwelonke saseColombo uze ufumane ingcebiso.
Amanye amayeza anokusebenza kunye nale mayeza
Ukuba usela amayeza kwezinye izifo, kubaluleke kakhulu ukuxelela ugqirha wakho ngaloo nto, kuba amanye amayeza anokuchaphazela indlela esebenza ngayo i-pancuronium.
- Amanye amayeza okubulala iintsholongwane: Umzekelo, i-amikacin, i-gentamicin, i-tobramycin, i-tetracycline, i-clindamycin, i-vancomycin, i-colistin.
- Amayeza okuxhuzula: afana ne-carbamazepine kunye ne-phenytoin.
- I-Lithium: Iyeza elisetyenziselwa ukugula ngengqondo.
- Ii-anesthetics zasekuhlaleni: ezifana ne-lidocaine.
- Izongezo zeMagnesium
- I-Procainamide, i-Quinidine: Amayeza esifo sentliziyo.
Olu luhlu aluphelelanga. Ngoko ke xelela ugqirha wakho ngazo zonke amayeza owasebenzisayo, kuquka amayeza kagqirha, amayeza athengiswa ngaphandle kwemvume kagqirha, amayeza esintu, iivithamini, nokuba uyatshaya okanye usela utywala.
Zithini iziphumo ebezingalindelekanga ezinokubakho?
Njengakweminye imithi, kukho iziphumo ebezingalindelekanga. Nangona kunjalo, ekubeni uphantsi kweliso elipheleleyo leqela lezonyango xa usela eli yeza, bakulungele ukunyanga naziphi na iingxaki ngokukhawuleza.
| Iziphumo ebezingalindelekanga kunye nendalo yazo | |
|---|---|
| Iziphumo ebezingalindelekanga ezinzulu ekufuneka zixelwe kwiqela lezonyango ngoko nangoko | |
| Iimpendulo ze-allergy | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi okanye umqala. |
| Ukubetha kwentliziyo | Ukubetha kwentliziyo okukhawulezayo kakhulu okanye okungahambelaniyo. |
| Uxinzelelo lwegazi olunyukileyo | Ukunyuka okukhulu koxinzelelo lwegazi. |
| Ubushushu bomzimba | Umkhuhlane ophezulu, ukubila kakhulu, ukuphefumla ngokukhawuleza, ukuqina kwemisipha. |
| Iziphumo ebezingalindelekanga ezingaqhelekanga (kodwa kufuneka zixelwe kugqirha ukuba ziyaqhubeka) | |
| Ubuthathaka bemisipha | Ubuthathaka bemisipha buyaqhubeka nokuba imiphumo yamayeza iphelile. |
| Intlungu kwindawo yokutofa | Intlungu, ukuba bomvu, okanye ukungakhululeki kwindawo efakwe kuyo inaliti. |
Ukuba ufumana naziphi na ezinye iimpawu ezingaqhelekanga ezingakhankanywanga kolu luhlu, nceda wazise iqela lezonyango ngazo.
Umyalezo Wokuya Ekhaya
- I-Pancuronium liyeza elisetyenziselwa ukuphumza izihlunu ngokupheleleyo kwiimeko ezifana notyando.
- Le inikwa njengenaliti emthanjeni esibhedlele, phantsi kweliso likagqirha. Awuyi kukwazi ukuyithatha uye nayo ekhaya.
- Kubalulekile ukuxelela ugqirha wakho ngazo zonke iimeko zakho zempilo (ingakumbi intliziyo, izintso, nesifo sesibindi) kunye nazo zonke ezinye iziyobisi ozisebenzisayo.
- Ngelixa unikwa eli yeza, izinga lentliziyo yakho kunye noxinzelelo lwegazi zihlala zijongwa liqela lezonyango, ukuze ukhuseleke.
- Ukuba kuvela isiphumo esibi kakhulu, esifana nokunganyamezelani komzimba okanye ukubetha kwentliziyo ngokukhawuleza, iqela lezonyango likulungele ukunyanga ngoko nangoko.
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