Ukuba wena okanye umntu osapho lwakho uza kwenziwa utyando, ingcali yokubulala iintlungu iza kusebenzisa amayeza ahlukeneyo ukukulalisa, ikwenze ungabi nantlungu, kwaye yenze utyando lukhuseleke. Elinye lala mayeza likhethekileyo, kwaye libaluleke kakhulu, elibizwa ngokuba yiSuccinylcholine. Lisebenza ngokukhulula izihlunu zakho okwethutyana. Ngoko ke, masithethe ngokufutshane ngeli yeza, into eliyenzayo, kunye nento ekufuneka uyazi ngaphambi kokuba ulisebenzise.
Ngamafutshane, yintoni iSuccinylcholine?
I-Succinylcholine sisithomalalisi semisipha yamathambo . Khawuthelekelele, oku kufana nokulahlekelwa okwethutyana ezinye zezihlunu emzimbeni wethu esizilawulayo ngengqondo, ezifana nezo zisezithweni zethu, entanyeni nasesiswini. Kodwa oku kungokwexeshana.
Eli yeza lisetyenziswa kakhulu kwiimeko ezimbini:
1. Ngexesha lotyando: Ngexesha lotyando, ingakumbi utyando lwesisu, ukuba izihlunu emzimbeni zixinene, kunzima kugqirha otyandayo ukwenza utyando. Ekubeni izihlunu zikhululekile ngokupheleleyo xa kunikwa eli yeza, utyando lunokwenziwa ngokulula nangokukhuselekileyo. Kwakhona, ngamanye amaxesha kuyimfuneko ukufaka ityhubhu entanyeni (intubation) ukunceda kwinkqubo yokuphefumla. Eli yeza lisetyenziswa ngelo xesha.
2. Xa uqhagamshelwe kwi-ventilator: Xa umntu enengxaki yokuphefumla eyedwa kwaye eqhagamshelwe kwi-ventilator, izihlunu zomzimba waloo mntu zinokuphazamisana nokusebenza komatshini. Kwimeko ezinjalo, eli yeza linikwa ukuze kuphumzwe izihlunu kwaye kuvunyelwe i-ventilator ukuba isebenze kakuhle.
Eyona nto ibalulekileyo kukuba eli asiloyeza onokulisebenzisa ekhaya. Lisetyenziswa kuphela esibhedlele, kwicandelo labagula kakhulu, okanye kwigumbi lotyando, phantsi kweliso elibukhali loogqirha abaqeqeshiweyo kunye nabasebenzi bobuhlengikazi.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba unike eli yeza
Le yinxalenye ebaluleke kakhulu. Ukuze ukhuseleke, kubalulekile ukwazisa ingcali yokubulala iintlungu ngeemeko ezithile emzimbeni wakho ngaphambi kotyando. Kuba ngokusekelwe kolo lwazi, kuya kwenziwa isigqibo sokuba makunikwe eli yeza okanye hayi, okanye makunikwe elinye iyeza.
Ukuba unayo nayiphi na kwezi meko zingezantsi, qiniseka ukuba uxelela ugqirha wakho ngayo.
| Imeko okanye imeko yakho yempilo | Kutheni ufanele uxelele? |
|---|---|
| Ii-aleji | Ukuba une-allergy kwi-succinylcholine okanye naliphi na elinye iyeza, ukutya, okanye idayi. |
| Imbali yezonyango yosapho | Ukuba kukho umntu kusapho lwakho oye waba nengxaki enxulumene ne-anesthesia (umz., i-Malignant Hyperthermia). |
| Izifo ezinxulumene nezihlunu | Ukuba unesifo esibuthathaka izihlunu njengeMyasthenia Gravis. |
| Iingxaki zamehlo | Iimeko ezinoxinzelelo lwamehlo oluphezulu, njenge-glaucoma. |
| Amanqanaba eeminerali egazini | Ukuba amanqanaba e-potassium, i-calcium, okanye i-magnesium egazini aphezulu okanye aphantsi. |
| Ukwenzakala | Ukulimala okukhulu entloko, ukutsha okukhulu, okanye umonakalo omkhulu wesikhumba. |
| Ukukhulelwa | Ukuba ukhulelwe, uzama ukukhulelwa, okanye uncancisa. |
Ngaba eli yeza linokunikwa abantwana abancinci?
Ewe, kwezinye iimeko ezikhethekileyo, eli yeza linokunikwa abantwana, ukususela kwiintsana ezisandul’ ukuzalwa. Kodwa amanyathelo akhethekileyo okhuseleko ayalandelwa. Esi sigqibo senziwa kunye ngugqirha wabantwana womntwana wakho kunye nogqirha we-anesthesiologist.
Kuthekani ukuba idosi iyanda?
Oku kunikwa esibhedlele, phantsi kweliso likagqirha, ngoko ke amathuba okuba ugqithise amayeza aphantsi kakhulu. Abasebenzi bezonyango baza kubala idosi echanekileyo ngokusekwe kubunzima bakho kunye nemeko yakho baze bakunike amayeza. Ukuba oku kuyenzeka, baqeqeshwe ukuba banike unyango olufunekayo. Ukuba ufuna naluphi na ulwazi malunga noku, ungatsalela umnxeba iZiko loLwazi lweePoison kwiSibhedlele sikaZwelonke saseColombo ukuze ufumane iinkcukacha. Nangona kunjalo, nakweyiphi na imeko engxamisekileyo, eyona nto ingcono onokuyenza kukuya kwiYunithi yoNyango oluNgxamisekileyo (ETU) ekufutshane.
Amanye amayeza anokusebenza kunye nale mayeza
Kubaluleke kakhulu ukuxelela ugqirha wakho malunga nawo onke amayeza owasebenzisayo (amayeza ezinye izifo, iivithamini, amayeza esintu, izongezo). Amanye amayeza anokusebenzisana neSuccinylcholine, atshintshe imiphumo yayo okanye abangele iimeko eziyingozi.
Nazi ezinye zezi ziyobisi:
- Amayeza athile okubulala iintsholongwane: umzekelo, i-amikacin, i-gentamicin, i-clindamycin.
- Amanye amayeza okuthomalalisa iintlungu: Amayeza okuthomalalisa iintlungu ngegesi afana ne-enflurane, i-isoflurane, i-halothane.
- Amayeza esifo sentliziyo kunye noxinzelelo lwegazi oluphezulu.
- Iipilisi zokulawula inzala.
- I-Lithium: Iyeza elisetyenziselwa ukugula ngengqondo.
- I-MAOIs: Uhlobo lwamayeza anikwa ukudakumba.
- Iintlobo zee-steroids: Umzekelo, i-prednisone okanye i-cortisone.
- Amayeza ane-magnesium.
- I-Quinine: Iyeza elisetyenziselwa i-malaria.
Olu luhlu aluphelelanga. Ngoko ke, thetha nogqirha wakho ngayo yonke imithi oyithathayo, nokuba uyatshaya okanye uyasela utywala .
Zithini iziphumo ebezingalindelekanga ezinokubakho zeyeza?
Njengakweminye imithi, iSuccinylcholine inokubangela iziphumo ebezingalindelekanga. Uza kuhlolwa ngokusondeleyo, ngoko ke ukuba kukho naziphi na iingxaki, iqela lezonyango liza kuthatha amanyathelo ngoko nangoko.
| Imiphumela | Inkcazo |
|---|---|
| Izinto onokuzixelela ugqirha wakho okanye abasebenzi bakho bonyango ngokukhawuleza | |
| Iimpendulo ze-allergy | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe okanye ulwimi. |
| Ubunzima bokuphefumla | Ukuba awusebenzisi i-ventilator, uzive uphelelwa ngumphefumlo. |
| Utshintsho kwisantya sentliziyo | Ukubetha kwentliziyo okucothayo okanye okukhawulezayo ngendlela engaqhelekanga. Iintlungu zesifuba. |
| Iimpawu ze-potassium ephezulu | Ubuthathaka obukhulu bemisipha, iintlungu zesifuba. |
| Iimpawu zomonakalo wemisipha | Umchamo omnyama, ubunzima bokuchama, ukudinwa kakhulu, iintlungu zemisipha. |
| Iimpawu zoxinzelelo lwegazi oluphantsi | Ukudinwa, amehlo aluhlaza okwesibhakabhaka, ubuthathaka obukhulu. |
| Izinto ezingaqhelekanga ukuba zinzulu, kodwa kufuneka zixelwe ukuba ziyaqhubeka | |
| Intlungu yemisipha | Kuqhelekile ukuba uzive iintlungu zomzimba nezemisipha usuku okanye ezimbini emva kokuba iziphumo zamayeza ziphelile. |
| Ubuthathaka bemisipha | Ubuthathaka bemisipha okwethutyana. |
Umyalezo Wokuya Ekhaya
- I-Succinylcholine sisithomalalisi semisipha esinamandla esisetyenziswa kuphela kwizibhedlele, ingakumbi kwiindawo zotyando nakwiindawo zokhathalelo oluphezulu.
- Ngaphambi kokuba unikwe eli yeza, kubalulekile ukuba uxelele ugqirha wakho ngembali yakho epheleleyo yezonyango, ii-allergies, imbali yezonyango yosapho, kunye nawo onke amanye amayeza owasebenzisayo.
- Ngenxa yokuba oku kunikwa ngoogqirha abaqeqeshiweyo, akufuneki ukhathazeke ngokukugcina okanye ukukunika.
- Nangona iziphumo ebezingalindelekanga zinokwenzeka, zinokulawulwa liqela lezonyango kuba ujongwa ngokusondeleyo esibhedlele.
- Ukuba unemibuzo okanye izinto ezikuxhalabisayo, ungaze woyike ukubuza ingcali yokubulala iintlungu okanye ugqirha wakho onyangayo. Ukhuseleko lwakho lolona luphambili kubo.
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