Zicabange uhlelelwe ukuhlinzwa okukhulu. Ngaleso sikhathi, odokotela ababulala izinzwa bazophumuza imisipha yakho futhi bakulungiselele ukuze ukuhlinzwa kwenziwe kalula. Ngezikhathi ezinjalo, okungukuthi, ngesikhathi sokuhlinzwa noma uma uxhunywe kumshini wokuphefumula, kunezinhlobo ezikhethekile zemithi enikezwayo ukuze kuphumuze imisipha yakho okwesikhashana. Esikhulumayo namuhla yiMivacurium.
Iyini ngempela iMivacurium?
Kalula nje, iMivacurium iyisiphumuli semisipha yamathambo . Inikezwa njengomjovo. Uma uhlinzwa, imisipha yakho idinga ukukhululeka ngokwanele ukuze udokotela ohlinzayo akwazi ukwenza umsebenzi wakhe ngaphandle kwezinkinga. Yilokho okwenziwa umjovo weMivacurium.
Futhi, kwezinye izimo zokuphefumula ezinzima, isiguli kufanele sixhunywe emshinini wokuphefumula (i-ventilator). Lo muthi usetshenziselwa ukugcina imisipha yesiguli ikhululekile phakathi naleso sikhathi. Ngokuvamile utholakala ngaphansi kwegama lomkhiqizo iMivacron.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokunikeza lo muthi
Ngisho noma lo umuthi unikezwa esibhedlela, ngaphansi kokuqondisa kodokotela abangochwepheshe, kubaluleke kakhulu ukuthi ithimba lezokwelapha liqaphele izimo ezithile emzimbeni wakho. Ngoba lolo lwazi luzonquma umthamo womuthi owunikezwayo, nokuthi uqashwa kanjani.
Khumbula, ungamfihleli lutho udokotela wakho. Ngisho nolwazi oluncane kakhulu olunikezayo lungaba lubaluleke kakhulu ekuphepheni kwakho.
Uma unezinye zezimo ezikuthebula elingezansi, qiniseka ukuthi utshela udokotela wakho.
| Isimo okudingeka usibike | Kungani lokho kubalulekile? |
|---|---|
| Isifo sezinso noma sesibindi | Lezi zitho zomzimba zinesibopho sokususa izidakamizwa emzimbeni. Uma ukusebenza kwazo kuphazamiseka, kunengozi yokuthi umuthi uhlale emzimbeni isikhathi eside kakhulu. |
| Isifo senhliziyo | I-Mivacurium inganciphisa kancane umfutho wegazi, ngakho-ke ingathinta abantu abanesifo senhliziyo ngendlela ehlukile. |
| Isifo samaphaphu noma sokuphefumula , njenge-asthma | Lo muthi ngezinye izikhathi ungathinta uhlelo lokuphefumula, ngakho-ke kubalulekile ukukwazi lokhu kusengaphambili. |
| Izifo ze-neuromuscular ezifana ne -myasthenia gravis | Abantu abanalezi zimo bangase babe nomuzwa ophakeme kakhulu eziqabulayo zemisipha, ngakho-ke ngisho nomthamo omncane kakhulu unganele. |
| Ukuntuleka kwamanzi emzimbeni noma ukungalingani kwamazinga e -calcium, i-potassium, noma i-magnesium egazini | Ibhalansi ye-electrolyte emzimbeni ithinta ngqo ukusebenza kahle kwalomuthi. |
| Izindawo ezinkulu zesikhumba esishile | Iziguli ezishile zingasabela ngendlela ehlukile kulezi zinhlobo zemithi. |
| Ukukhulelwa, ukuzama ukukhulelwa, noma ukuncelisa | Esimweni esinjalo, udokotela ukhathazeke kakhulu ngomthelela ongaba khona kumama nakumntwana. |
| Ukuba ne-allergy ku-Mivacurium noma kunoma yimuphi omunye umuthi noma ukudla | Uma uke waba nokungezwani komzimba ngaphambilini, ukukudalula kungasiza ekuvimbeleni ukusabela okukhulu kokungezwani komzimba (i-anaphylaxis). |
Ungayisebenzisa kanjani le mithi?
Lona akuwona umuthi ongawuthatha ekhaya. I-Mivacurium inikezwa ngemithambo esibhedlela noma emtholampilo nguchwepheshe wezempilo oqeqeshiwe. Udokotela wakho wezifo zokubulala izinzwa noma udokotela wegumbi lokunakekela abagula kakhulu uzohlola isimo sakho, anqume umthamo ofanele, bese ekunika umuthi. Ngesikhathi unikezwa lo muthi, izinga lokushaya kwenhliziyo yakho, umfutho wegazi, kanye nokuphefumula kuzoqashwa eduze yithimba lezokwelapha.
Uyakusebenzisa lokhu kubantwana?
Yebo. Ngisho nasezinganeni ezingaphezu kweminyaka emibili ubudala, lo muthi unganikezwa ezimweni ezithile. Kodwa-ke, kumele kulandelwe izinyathelo zokuphepha ezikhethekile. Lokhu kuzonqunywa udokotela wezingane kanye nodokotela wezinzwa.
Kuthiwani uma umthamo wemithi ukhuphuka?
Njengoba lokhu kunikezwa esibhedlela, ngaphansi kokuqashwa kwezokwelapha, amathuba okusebenzisa ngokweqile aphansi kakhulu. Kodwa-ke, uma kukhona ukusola ukuthi kukhona into efana nale eyenzekile, ithimba lezokwelapha lizothatha izinyathelo ezidingekayo ngokushesha. Ngokuvamile, esimweni esinjalo, bazoshayela iNational Poisons Information Centre eColombo National Hospital ukuze bathole iseluleko, noma bazoqala ngokushesha ukwelashwa okudingekayo e -Emergency Treatment Unit (ETU) .
Eminye imithi engase ihlangane ne-Mivacurium
I-Mivacurium ingase ihlangane neminye imithi oyithathayo. Ngakho-ke, kufanele wazise udokotela wakho ngayo yonke imithi oyithathayo, okuhlanganisa naleyo enqunywe udokotela wakho, imithi ethengwa ngaphandle kwemithi kadokotela, imithi yamakhambi, amavithamini, kanye nezithasiselo.
Nazi ezinye zezidakamizwa ezingase zihlangane neMivacurium:
- Amanye ama-antibiotic: Isibonelo, imithi efana ne-amikacin, i-gentamicin, i-tobramycin, i-tetracyclines, kanye ne-clindamycin.
- Izibulala-zinhlungu ezijwayelekile: Amagesi ezibulala-zinhlungu njenge-enflurane, i-isoflurane, ne-halothane.
- Imithi yokwelapha isifo sokuwa: imithi efana ne-carbamazepine ne-phenytoin.
- Imithi yesifo senhliziyo: Imithi efana ne-quinidine ne-procainamide.
- Imithi yokugula ngengqondo: i-Lithium, kanye ne-MAOIs.
- Izidambisi-zinhlungu zendawo: Imithi esetshenziselwa ukuqeda ubuhlungu endaweni, njenge-lidocaine ne-tetracaine.
- Ezinye izinto zokuphumula imisipha
- Ama-Steroids: Izidakamizwa ezifana ne-prednisone ne-cortisone.
- Imithi equkethe i-magnesium .
- Amaphilisi okuvimbela inzalo
Lolu hlu aluphelele, ngakho-ke ukuze uphephe, kungcono ukutshela udokotela wakho ngakho konke okuthathayo.
Yimiphi imiphumela emibi engaba khona yalo muthi?
Njenganoma yimuphi umuthi, i-Mivacurium ingabangela imiphumela emibi. Iningi lale mithi litholakala futhi liphathwa yithimba lezokwelapha ngesikhathi umuthi unikezwa.
| Umphumela ongemuhle | Incazelo |
|---|---|
| Imiphumela emibi kakhulu okufanele ibikwe kubasebenzi bezokwelapha ngokushesha | |
| Ukusabela okukhulu kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe noma ulimi. |
| Izinkinga zokuphefumula | Ubunzima bokuphefumula, ukuqina kwesifuba. (Lokhu kungabonakala ngokushesha ngoba uqashwe ngeso lokhozi). |
| Izimpawu zomfutho wegazi ophansi | Isiyezi, ubuthakathaka, ukukhathala okukhulu. |
| Izimpawu zokulimala kwemisipha | Umchamo omnyama, ubunzima bokuchama, ubuhlungu obukhulu bemisipha, ubuhlungu bomhlane. |
| Ukuhlanza ubuso | Ukubomvu kobuso okungazelelwe kanye nokuzizwa kushisa. |
| Izinto ezivame ukungabi yingozi, kodwa okufanele zibikwe uma ziqhubeka | |
| Ubuhlungu noma ubuthakathaka bemisipha | Ukuzwa ubuhlungu noma ubuthakathaka emisipheni ngisho nangemva kokuba imiphumela yemithi isiphelile. |
| Ubuhlungu endaweni yokujova | Ubomvu, ubuhlungu, noma ukuvuvukala emthanjeni lapho kwajovwa khona. |
Umlayezo Wokuya Nawe Ekhaya
- I-Mivacurium iwumjovo onikezwa ukukhulula imisipha okwesikhashana ngesikhathi sokuhlinzwa kanye nasezigulini ezisebenzisa imishini yokuphefumula.
- Ngaphambi kokuthola lo muthi wokugomela, kubalulekile ukwazisa udokotela wakho ngazo zonke izimo zakho zezokwelapha, imithi oyiphuzayo, kanye nokungezwani komzimba.
- Lo muthi unikezwa esibhedlela kuphela yithimba lezokwelapha eliqeqeshiwe, ngakho akudingeki uwugcine noma uwusebenzise ekhaya.
- Akudingeki ukhathazeke ngemiphumela emibi engaba khona ngoba isimo sakho sizoqashwa ngokucophelela ngenkathi uthatha imithi. Kodwa kubalulekile ukuqaphela.
- Uma uneminye imibuzo mayelana nalomuthi, ungangabazi ukubuza udokotela wakho.
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