Ngaba wakha watyandwa? Okanye wakha wavavanywa phantsi kwe-anesthesia ? Namhlanje siza kuthetha ngeyeza elikhethekileyo elisetyenziswa ngoogqirha ukuthintela izihlunu zakho ukuba zingashukumi ngequbuliso. Libizwa ngokuba yiVecuronium. Kusenokuvakala ngathi kuyoyikisa ukuliva, kodwa kubaluleke kakhulu kukhuseleko lwakho. Makhe sithethe ngalo ngokweenkcukacha.
Yintoni iVecuronium?
Ngamafutshane, i-vecuronium liyeza eliphumza izihlunu zakho okwethutyana . Khawuthelekelele ukuba wenza utyando olubuthathaka kakhulu. Ukuba izihlunu emzimbeni wakho ziyaqhaqhazela ngequbuliso, oko kunokuba ngumqobo omkhulu kugqirha otyandayo . Kwaye kunokuba yingozi nakuwe.
I-Vecuronium isetyenziselwa ukumisa ezi ntshukumo ngequbuliso. Eli yeza livala okwethutyana imiqondiso yemithambo-luvo evela kwingqondo yakho ixelela izihlunu zakho ukuba "zishukume." Njengokuba limisa okwethutyana imiqondiso esuka kwifowuni yakho, eli yeza limisa imiqondiso esuka kwingqondo yakho iye kwimisipha yakho. Oku kuthetha ukuba izihlunu zakho azishukumi okanye azishukumi ngequbuliso. Oku kuvumela oogqirha ukuba benze umsebenzi wabo ngokukhuselekileyo nangaphandle kokuphazamiseka.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba unike eli yeza
Oku kubaluleke kakhulu. Ngenxa yokuba i-vecuronium liyeza elinamandla, kubalulekile ukuba iqela lezonyango lazi iinkcukacha ezipheleleyo ngemeko yakho yempilo. Ukuba ubuzwa le mibuzo, thetha inyani ungafihli nto. Oku kungenxa yokhuseleko lwakho.
| Iimeko zempilo ekufuneka uzixele | Kutheni oko kubalulekile? |
|---|---|
| Ukuphelelwa ngamanzi emzimbeni, oko kuthetha ukuba xa kungekho manzi aneleyo emzimbeni. | Ukuphelelwa ngamanzi emzimbeni kunokutshintsha indlela amayeza asebenza ngayo emzimbeni. |
| Ukuba unesifo sentliziyo . | Oogqirha bafanele balumke ngakumbi ngale mithi, kuba inokuba nemiphumo eyahlukileyo kumntu onesifo sentliziyo. |
| Ukuba unesifo sezintso okanye isifo sesibindi . | Izintso nesibindi zizinto ezisusa amayeza emzimbeni. Ukuba ezi zinto azisebenzi kakuhle, iyeza linokuhlala emzimbeni ixesha elide. |
| Izifo zemiphunga (ezifana ne-asthma, i-COPD). | Ekubeni eli yeza likwachaphazela izihlunu ezibandakanyekayo kwinkqubo yokuphefumla, kufuneka kunikwe ingqalelo ekhethekileyo kubantu abanezifo zemiphunga. |
| Ukuba unesifo sobuthathaka bemisipha esifana ne -myasthenia gravis . | Abantu abanezi meko banokuba novakalelo olukhulu kwi-vecuronium, nto leyo ethetha ukuba nokuba idosi encinci kakhulu inokuba nefuthe elikhulu. |
| Ii-Allergies : Oku kuthetha ukuba une-allergy kwi-vecuronium, amanye amayeza, ukutya, okanye iidayi. | Olu lwazi lubalulekile ukuthintela ukusabela okunzulu kwe-allergy. |
| Ukuba ukhulelwe okanye uzama ukukhulelwa . | Olu lwazi lubalulekile ukuze kuqwalaselwe iziphumo ezinokubakho kumntwana osesiswini. |
| Ukuba ungumama oncancisayo . | Oku kuyimfuneko ukuze kuqwalaselwe ukuba ingaba iyeza lidluliselwa ebantwaneni ngobisi okanye akunjalo. |
Ulisebenzisa njani eli yeza?
Eli yeza aliyonto onokuyisebenzisa ekhaya. Liyinaliti efakwa emthanjeni . Linikwa kuphela liqela lezonyango eliqeqeshwe kakuhle esibhedlele okanye eklinikhi. Ngoko ke akufuneki wenze okanye ucinge nto ngalo.
Kwezinye iimeko ezikhethekileyo, eli yeza lingasetyenziswa kubantwana abancinci, kwanakwiintsana. Kodwa kufuneka lenziwe ngononophelo olukhulu kwaye phantsi kweliso elikhethekileyo lezonyango.
Ungenza ntoni ukuba uthatha amayeza amaninzi kakhulu?
Ekubeni oku kunikwa esibhedlele, amathuba okusebenzisa i-overdose aphantsi kakhulu. Kuba yonke into yenzeka phantsi kolawulo lweqela lezonyango kuquka nogqirha we-anesthesiologist. Kodwa ukuba kukho into eyenzekayo ngequbuliso, bakulungele ukukunika unyango olufunekayo. Ngoko ke akukho nto unokukhathazeka ngayo. Njengolwazi, ukuba utyhefwe liyeza, kufuneka unxibelelane neZiko loLwazi lweTyhefu leSizwe kwiSibhedlele sikaZwelonke saseColombo . Kwimeko kaxakeka, uthunyelwa kwiYunithi yoNyango oluNgxamisekileyo (ETU) ekufutshane.
Amanye amayeza anokusebenzisana neVecuronium
Amanye amayeza owasebenzisayo anokuchaphazela indlela esebenza ngayo i-vecuronium. Ngoko ke, kubaluleke kakhulu ukuxelela ugqirha wakho ngawo onke amayeza owasebenzisayo, kuquka amayeza aqholiweyo, iivithamini, kunye namayeza angagunyaziswanga ngugqirha. Amanye amayeza anokunyusa imiphumo ye-vecuronium, ngelixa amanye enokunciphisa.
Nazi ezinye zezona ntlobo ziphambili zamayeza ezinokubangela iingxaki:
- Amanye amayeza okubulala iintsholongwane (imizekelo: i-amikacin, i-gentamicin, i-tobramycin, i-tetracycline, i-clindamycin, i-vancomycin, i-colistin)
- Amanye amayeza anikwayo xa umntu enesifo sokuwa (imizekelo: i-carbamazepine, i-phenytoin)
- I-Lithium
- Ii-anesthetics zasekuhlaleni (umzekelo: i-lidocaine)
- Izongezo zeMagnesium
- I-Procainamide
- I-Quinidine
Khumbula, olu luhlu aluphelelanga, ngoko ke kungcono ukuxelela ugqirha wakho ngazo zonke amayeza owasebenzisayo.
Iziphumo ebezingalindelekanga ezinokwenzeka ngeli yeza
Njengalo naliphi na iyeza, i-vecuronium inokubangela iziphumo ebezingalindelekanga. Kodwa uninzi lwexesha, ezi zinto azenzeki. Kwaye ngenxa yokuba iqela lezonyango liza kuhlala likujongile ngelixa unikwa eli yeza, banokunyanga naziphi na iingxaki ngokukhawuleza ukuba zivela.
| Uhlobo lwesiphumo esibi | Iimpawu |
|---|---|
| Iziphumo ebezingalindelekanga ezinzulu ekufuneka zixelwe kwiqela lezonyango ngoko nangoko | |
| Iimpendulo ze-allergy | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi okanye umqala. |
| Ezinye iimpawu ezinzulu | Umkhuhlane ophezulu, ukubila okugqithisileyo, ukuphefumla ngokukhawuleza okanye kancinci, ukubetha kwentliziyo ngokukhawuleza okanye ngokungangqalanga, ukuqina kwemisipha okanye ukushukuma. |
| Akukho nto idla ngokuxhalabisa ngayo, kodwa ukuba iyaqhubeka, kukho izinto onokuzithetha. | |
| Ubuthathaka bemisipha | Ukuva ubuthathaka obuthile kwizihlunu nasemva kokuba iziphumo zamayeza ziphelile. |
| Ukungonwabi kwindawo yokutofa | Intlungu, ukuba bomvu, okanye ukungakhululeki kwindawo efakwe kuyo inaliti. |
Olu luhlu alubandakanyi zonke iziphumo ebezingalindelekanga. Ukuba ubona nantoni na engaqhelekanga, thetha nogqirha wakho ngayo.
Uligcina phi iyeza?
Oku akuyi kuba yingxaki kuwe. Kuba awuyi kuvunyelwa ukuba uye nalo mayeza ekhaya. Asetyenziswa kwaye agcinwe esibhedlele okanye eklinikhi kuphela. Ngoko ke akufuneki ucinge ngendlela yokuwagcina.
Umyalezo Wokuya Ekhaya
- I-Vecuronium liyeza elisetyenziselwa ukuphumza izihlunu ngexesha lotyando kunye neenkqubo zonyango. Oku kubaluleke kakhulu kukhuseleko lwakho.
- Eli yeza linikwa esibhedlele kuphela, liqela lezonyango eliqeqeshiweyo, ngoko ke akukho nto unokukhathazeka ngayo.
- Kubalulekile ukuba uxelele ugqirha wakho ngazo naziphi na iimeko zempilo onazo kunye namayeza owasebenzisayo (kuquka iivithamini kunye namayeza emifuno) ngaphambi kotyando.
- Ngexesha nasemva kokuthatha amayeza, iqela lezonyango liza kujonga imeko yakho ngokusondeleyo. Liza kuba lilungele naziphi na iziphumo ebezingalindelekanga ezinokubakho.
- Ukuba unemibuzo malunga nale yeza, ungoyiki ukubuza ugqirha wakho.
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