Ukuba wena okanye umntu osondeleyo kuwe uza kwenziwa utyando, kuyinto eqhelekileyo ukuba nomdla kancinci, mhlawumbi nokuba nexhala, malunga namayeza aza kunikwa ngelo xesha. Phakathi kwamayeza anikwa ngexesha lotyando, iRocuronium liyeza elibaluleke kakhulu. Elinye lamagama alo yiZemuron. Ke namhlanje, masithethe ngokulula malunga nokuba yintoni iRocuronium, yintoni eyenzayo, kunye noko kufuneka sikwazi ngayo.
Yintoni iRocuronium? Yintoni eyenzayo?
Ngamafutshane, iRocuronium liyeza eliphumza okwethutyana izihlunu zamathambo emzimbeni wakho.
Khawuthelekelele ukuba xa usenza utyando, oogqirha kufuneka bakwazi ukufikelela lula kwizitho zomzimba wakho. Ngenxa yoko, izihlunu zakho azikwazi ukuba buthathaka, kufuneka zikhululeke kakhulu. Yiloo nto iRocuronium inceda ngayo. Kufana nokukhubaza izihlunu zakho okwethutyana. Oku kwenza kube lula kakhulu kugqirha ukuba enze utyando ngaphandle kokuthintelwa.
Kwakhona, ngamanye amaxesha xa umntu enengxaki yokuphefumla, kufuneka adityaniswe nomatshini (i-ventilator) ukuze aphefumle. Kwimeko ezinjalo, eli yeza lisetyenziselwa ukuphumza izihlunu zokuphefumla nokunceda umatshini usebenze kakuhle.
Ndimele ndimxelele ntoni ugqirha ngaphambi kokuba ndimnike eli yeza?
Oku kubaluleke kakhulu. Ngaphambi kokuba unikwe iRocuronium, kubalulekile ukuba iqela lakho lezonyango liyazi kakuhle imeko yakho yempilo. Oku kungenxa yokuba ezinye iimeko zifuna unonophelo olukhethekileyo xa usebenzisa eli yeza. Ke ngoko, ukuba unezinye zezi meko zidweliswe ngezantsi, qiniseka ukuba uxelele ugqirha wakho.
| Iimeko zempilo ekufuneka uzixele | Kutheni kubalulekile? |
|---|---|
| Ukuphelelwa ngamanzi emzimbeni (ukungabikho kwamanzi emzimbeni) | Ukulinganisela kolwelo emzimbeni kuchaphazela ukusebenza kakuhle kweyeza. |
| Naluphi na uhlobo lwesifo sentliziyo | Eli yeza linokuchaphazela izinga lentliziyo kunye noxinzelelo lwegazi. |
| Ukungaqhelekanga kumanqanaba e-calcium, i-magnesium, kunye ne-potassium egazini | Amanqanaba ezi minerali anxulumene ngokuthe ngqo nokusebenza kwezihlunu kunye nemiphumo yesiyobisi. |
| Isifo sezintso okanye isifo sesibindi | Ngenxa yokuba la malungu ebandakanyeka kwinkqubo yokususa amayeza emzimbeni, iimeko zawo zesifo zinokutshintsha ukusebenza kakuhle kwamayeza. |
| Izifo zemiphunga ezifana ne-asthma | Kufuneka unonophelo olukhethekileyo kuba lunokuchaphazela inkqubo yokuphefumla. |
| I-Myasthenia Gravis (isifo esibangela ubuthathaka bemisipha) | Ezi zigulana zinokuba novelwano olukhulu kwiRocuronium. |
| Ukunganyamezelani ne-rocuronium, i-bromide, okanye naluphi na olunye unyango okanye ukutya | Oku kubalulekile ukuthintela ukusabela okunzulu kwe-allergy (i-anaphylaxis). |
| Ukuba ukhulelwe, uzama ukukhulelwa, okanye uncancisa | Ugqirha kufuneka acinge ngemiphumo enokubakho emntwaneni. |
Inikwa njani inaliti yeRocuronium?
Eli yeza alikho into onokuyisebenzisa ekhaya. I-Rocuronium inikwa esibhedlele okanye eklinikhi kuphela . Ingcali yezempilo eqeqeshiweyo iya kukunika yona nokuba yinaliti emthanjeni okanye njenge-infusion emzimbeni wakho.
Oogqirha banokubanika eli yeza abantwana abancinci, kwanabasandul’ ukuzalwa, kwiimeko ezikhethekileyo. Kodwa lenziwa ngononophelo olukhulu kwaye phantsi kweliso elikhethekileyo. Ungathetha nogqirha wezingane ngale nto.
Ekubeni eli yeza linikwa esibhedlele, phantsi kweliso elingqongqo lezonyango, akufuneki ukhathazeke ngokuphoswa yidosi okanye ukuthatha i-overdose. Iqela lezonyango liza kulawula yonke into ngendlela efanelekileyo.
Ukuba ufuna ulwazi malunga nemeko efana nokutyhefwa ziziyobisi, ungatsalela umnxeba iZiko loLwazi lweePoison kwiSibhedlele sikaZwelonke saseColombo . Kwimeko yengxamiseko, iYunithi yoNyango oluNgxamisekileyo (i-ETU) yesibhedlele iya kuthatha amanyathelo afunekayo.
Amanye amayeza anokusebenzisana nalo mayeza (Ukusebenzisana kwamayeza)
'Ukusebenzisana kwamayeza' kuxa iyeza elithile olisebenzisayo lichaphazela ukusebenza kwelinye iyeza olisebenzisayo. Kukho iintlobo ezahlukeneyo zamayeza anokusebenzisana neRocuronium. Ngoko ke, kubaluleke kakhulu ukuxelela ugqirha wakho ngawo onke amayeza owasebenzisayo.
- Amanye amayeza okubulala iintsholongwane: Umzekelo, i-amikacin, i-gentamicin, i-tobramycin, i-vancomycin, i-tetracyclines, i-polymyxins.
- Amanye amayeza asetyenziswa ukunyanga izifo ezifana nesifo sokuwa (ukuxhuzula): umzekelo, i-carbamazepine, i-phenytoin.
- Amanye amayeza asetyenziswa kwi-anesthesia: Iigesi ze-anesthetic ezifana ne-enflurane, i-isoflurane, i-halothane.
- I-Lithium: Isiyobisi esisetyenziselwa ukugula ngengqondo.
- Ii-anesthetics zasekuhlaleni: ezifana ne-lidocaine kunye ne-tetracaine.
- I-Magnesium
- Ezinye izinto zokukhulula imisipha zotyando
- I-Procainamide kunye ne-Quinidine (amayeza esifo sentliziyo)
Olu luhlu aluphelelanga. Kungoko ke, kubaluleke kakhulu ukuxelela ugqirha wakho malunga nawo onke amayeza owasebenzisayo (abhalwe ngugqirha okanye athengiswa ngaphandle kwemvume kagqirha), iimveliso zemifuno, iivithamini, kunye nezongezo ozisebenzisayo, kunye nokuba uyatshaya, usela utywala, okanye usebenzisa ezinye iziyobisi, ngaphambi kotyando lwakho.
Iziphumo ezinokubakho zokuthatha iRocuronium
Njengalo naliphi na iyeza, iRocuronium inokubangela ezinye iziphumo ebezingalindelekanga. Iqela lezonyango liza kukujonga ngokusondeleyo ngelixa unikwa eli yeza. Baza kuthatha amanyathelo ngoko nangoko ukuba kukho naziphi na iziphumo ebezingalindelekanga. Nangona kunjalo, kubalulekile ukuba uzazi.
| Imiphumela | Inkcazo |
|---|---|
| Iziphumo ebezingalindelekanga ekufuneka zixelwe kwiqela lezonyango ngoko nangoko | |
| Iimpendulo ezinzulu ze-allergy | Ukurhawuzelela kwesikhumba, ukurhawuzelela okukhulu, ukudumba kobuso, imilebe okanye ulwimi. |
| Ubunzima bokuphefumla | Ubunzima bokuphefumla ukuba awuqhagamshelwanga kwi-ventilator. |
| Ukubetha kwentliziyo ngokukhawuleza (iTachycardia) | Ukuziva ngathi intliziyo yakho ibetha ngokukhawuleza. |
| Uxinzelelo lwegazi oluphantsi (iHypotension) | Ukuba nesiyezi, ukuziva ukhaphukhaphu, kunye namehlo aluhlaza okwesibhakabhaka. |
| Iimpawu zomonakalo wemisipha | Umchamo omnyama, ubunzima bokuchama, ukudinwa kakhulu, kunye nentlungu yesinqe. |
| Iziphumo ebezingalindelekanga ekufuneka zixelwe kugqirha ukuba ziyaqhubeka | |
| Intlungu yemisipha/ubuthathaka | Intlungu okanye ubuthathaka bemisipha obuhlala bukhona nasemva kokuba iziphumo zamayeza ziphelile. |
| Intlungu kwindawo yokutofa | Intlungu, ukubomvu, okanye ukudumba apho kufakwe khona inaliti. |
Olu luhlu alubandakanyi zonke iziphumo ebezingalindelekanga. Ukuba ufumana nantoni na engaqhelekanga ukongeza kwezi, thetha nogqirha wakho ngayo.
Umyalezo Wokuya Ekhaya
- I-Rocuronium liyeza elisetyenziselwa ukuphumza izihlunu okwethutyana ngexesha lotyando kunye nezinye iinkqubo zonyango.
- Oku kunikwa kuphela esibhedlele, yingcali yezonyango eqeqeshiweyo.
- Kubalulekile ukuba wazise ugqirha wakho ngazo naziphi na ezinye izifo onazo (ingakumbi intliziyo, izintso, isifo sesibindi, i-allergies) kunye nazo zonke ezinye iziyobisi ozithathayo ngaphambi kotyando.
- Ukuba ufumana naziphi na iziphumo ebezingalindelekanga ezinzulu ezifana neempawu zokunganyamezelani komzimba, ubunzima bokuphefumla, okanye ukubetha kwentliziyo ngokukhawuleza, yazisa iqela lezonyango ngoko nangoko.
- Ukuba unemibuzo malunga nale yeza, ungathandabuzi ukubuza ugqirha wakho.
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