Ngaba wakha watyandwa? Okanye wakha wavavanywa ngohlobo oluthile phantsi kwe-anesthesia? Kwiimeko ezinjalo, oogqirha basebenzisa iyeza elikhethekileyo elibizwa ngokuba yi-rocuronium ukuze bakhulule ngokupheleleyo izihlunu zomzimba wakho kwaye benze inkqubo ikhuseleke kwaye ibe lula. Makhe sithethe ngale nto ngokulula.
Yintoni iRocuronium?
Ngamafutshane, i-rocuronium sisithomalalisi semisipha . Idla ngokunikwa ngexesha le-anesthesia ngaphambi kokuba kwenziwe utyando. Ithintela okwethutyana imiqondiso esuka kwimithambo-luvo yakho iye kwimisipha yakho.
Khawucinge nje, bekuya kwenzeka ntoni ukuba umsipha emzimbeni wakho ushukuma ngequbuliso ngelixa ugqirha esenza utyando olubuthathaka kakhulu? Oko kunokuba yingozi kakhulu. Umsebenzi ophambili wale mayeza kukuyeka ukunyakaza okunjalo ngequbuliso kwaye uncede iqela lotyando ukuba lenze umsebenzi walo ngaphandle kokuphazanyiswa.
Eyona nto ibalulekileyo kukuba, eli yeza alikwenzi ulale. Likwenza oko ngee-anesthetics. Liphumza nje izihlunu.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba unike eli yeza
Ngaphambi kokuba unikwe i-rocuronium, ingcali ye-anesthesiologist iza kukubuza ngemeko yakho yempilo. Kubaluleke kakhulu ukubaxelela ngazo zonke iimeko zakho zempilo ngaphandle kokufihla nantoni na .
| Imeko ekufuneka uyixele | Kutheni oko kubalulekile? |
|---|---|
| Ukuphelelwa ngamanzi emzimbeni | Xa umzimba uphelelwe ngamanzi emzimbeni, indlela amayeza asebenza ngayo inokutshintsha. |
| Isifo sentliziyo | Ukusebenza kwentliziyo kunokuchaphazeleka. |
| Isifo sezintso okanye sesibindi | La malungu anoxanduva lokususa iziyobisi emzimbeni. Ukuba ukusebenza kwazo kuyancipha, iziphumo zale ziyobisi zinokuhlala ixesha elide. |
| Izifo zokuphefumla (ezifana ne-asthma, i-COPD) | Olu lwazi lubalulekile kuba eli yeza lichaphazela inkqubo yokuphefumla. |
| I-Myasthenia Gravis | Ekubeni esi sisifo esenza izihlunu zibe buthathaka, iziphumo ze-rocuronium zinokwanda kakhulu. |
| Ezinye izinto ezibangela ukuba umntu angabi naso i-aleji | Qiniseka ukuba uyasixelela ukuba unayo nayiphi na i-allergies kwi-rocuronium okanye naliphi na elinye iyeza, ukutya, okanye idayi. |
| Ukukhulelwa okanye ukuncancisa | Kubaluleke kakhulu ukusazisa ukuba ukhulelwe, uzama ukukhulelwa, okanye uncancisa. |
Ndingakunika njani eli yeza?
Eli ayiloyeza onokulisela ekhaya. I-Rocuronium inikwa kuphela njengenaliti emthanjeni liqela lezonyango esibhedlele okanye ekliniki. Idla ngokunikwa yingcali yokubulala iintlungu okanye umongikazi oqeqeshiweyo.
Eli yeza linikwa abantwana abancinci, kwaneentsana, kwiimeko ezithile ezikhethekileyo. Kodwa lenziwa ngononophelo olukhulu kwaye phantsi kwengqwalasela ekhethekileyo.
Kuthekani ukuba idosi yeyeza inyusiwe?
Ekubeni oku kubonelelwa esibhedlele, phantsi kweliso loogqirha, amathuba okuba kusetyenziswe amayeza agqithisileyo aphantsi kakhulu. Nangona kunjalo, ukuba kukho ukurhanelwa kokuba kukho into efana nale eyenzekileyo, iqela lezonyango liza kuthatha amanyathelo afunekayo. Ngolwazi oluqhelekileyo, xa kusetyenziswe amayeza agqithisileyo, into yokuqala ekufuneka yenziwe kukuya kwiYunithi yoNyango oluNgxamisekileyo (i-ETU) yesibhedlele okanye utsalele umnxeba iZiko loLwazi lweePoisons kwiSibhedlele sikaZwelonke saseColombo .
Amanye amayeza anokusebenzisana neRocuronium
Amanye amayeza owasebenzisayo anokuchaphazela indlela eli yeza elisebenza ngayo. Ngoko ke, kufuneka uxelele ugqirha wakho ngawo onke amayeza owasebenzisayo, kuquka amayeza abhalwe ngugqirha, amayeza athengiswa ngaphandle kwemvume kagqirha, iivithamini, kwanemithi yesintu.
| Uhlobo lweyeza | Imizekelo |
|---|---|
| Amanye amayeza okubulala iintsholongwane | i-amikacin, i-gentamicin, i-tobramycin, i-tetracycline, i-clindamycin, i-vancomycin, i-colistin |
| Amanye amayeza okunyanga isifo sokuwa | i-carbamazepine, i-phenytoin |
| I-Lithium | - |
| Amanye amayeza asetyenziselwa ukubulala iintlungu kwindawo ethile (i-anesthetics yendawo) | I-Lidocaine |
| Izongezo zeMagnesium | - |
| I-Procainamide, iQuinidine | - |
Olu luhlu aluphelelanga. Kubalulekile ukuxelela ugqirha wakho ukuba uyatshaya, usela utywala, okanye usebenzisa ezinye iziyobisi.
Indlela yokujonga imeko yakho ngelixa usebenzisa amayeza
Ngexesha nasemva kokuba unikwe eli yeza, imeko yakho iya kuhlolwa ngokusondeleyo liqela lezonyango. Isantya sentliziyo yakho, uxinzelelo lwegazi, amanqanaba eoksijini, kunye nokuphefumla kuya kuhlolwa rhoqo ngoncedo loomatshini. Ngoko ke ukwindawo ekhuselekileyo ngokupheleleyo.
Zithini iziphumo ebezingalindelekanga ezinokubakho?
Njengayo nayiphi na iyeza, i-rocuronium inokubangela ezinye iziphumo ebezingalindelekanga, kodwa ezi zihlala zinqabile.
| Imiphumela | Inkcazo |
|---|---|
| Iziphumo ebezingalindelekanga ezinzulu ekufuneka zixelwe kwiqela lezonyango ngoko nangoko | |
| Iimpendulo ze-allergy | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi okanye umqala, ubunzima bokuphefumla. |
| Umkhuhlane ophezulu kunye nezinye iimpawu | Umkhuhlane ophezulu, ukubila okugqithisileyo, ukuphefumla ngokukhawuleza okanye kancinci, ukubetha kwentliziyo ngokukhawuleza okanye ngokungangqalanga, ukuqina kwemisipha okanye ukungcangcazela. |
| Iingxaki kwindawo yokutofa | Intlungu, ukudumba, ukuba bomvu, ukudumba okanye izilonda eluswini kwindawo yokutofa. |
| Ngokwesiqhelo ayisiyongozi (kodwa xelela ugqirha wakho ukuba iyaqhubeka) | |
| Ubuthathaka bemisipha | Ubuthathaka obuncinci bemisipha bunokuhlala bukhona nasemva kokuba imiphumo yamayeza iphelile. |
| Intlungu apho kwafakwa khona inaliti | Intlungu encinci, ububomvu, 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-Rocuronium yinaliti ekhethekileyo enikwa esibhedlele kuphela ukuze kuphumzwe izihlunu ngexesha lotyando.
- Ngaphambi kokuba unikwe eli yeza, kubalulekile ukuba uxelele ugqirha wakho yonke inyaniso malunga nazo zonke iimeko zakho zempilo kunye nazo zonke ezinye iziyobisi ozisebenzisayo.
- Akunyanzelekanga ukuba ukhathazeke ngokhuseleko lwakho kuba iqela lezonyango liza kukubeka esweni ngokusondeleyo ngelixa unika amayeza.
- Iziphumo ebezingalindelekanga ezinzulu azixhaphakanga, kwaye iqela lezonyango likulungele ukubonelela ngonyango olukhawulezileyo ukuba ziyavela.
- Ukuba unemibuzo engaphezulu malunga nale yeza, ungathandabuzi ukubuza ugqirha wakho.
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