Wake wadinga ukuhlinzwa? Noma wake wadinga ukuhlolwa okuthile ngaphansi kwe-anesthesia? Ezimweni ezinjalo, odokotela basebenzisa umuthi okhethekile obizwa ngokuthi i-rocuronium ukuze bakhulule ngokuphelele imisipha yomzimba wakho futhi benze inqubo iphephe futhi ibe lula. Ake sixoxe ngalokhu kalula.
Iyini iRocuronium?
Kalula nje, i-rocuronium iyisidakamizwa sokuphumula imisipha . Ngokuvamile inikezwa wena ngesikhathi sokuhlinzwa ngaphambi kokuthile okufana nokuhlinzwa. Ivimba okwesikhashana izimpawu ezivela emithanjeni yakho ziye emisipheni yakho.
Cabanga nje, bekuzokwenzekani uma umsipha emzimbeni wakho uqhuzuka ngokuzumayo ngenkathi udokotela enza ukuhlinzwa okubucayi kakhulu? Lokho kungaba yingozi kakhulu. Umsebenzi oyinhloko walo muthi ukumisa ukunyakaza okunjalo okungazelelwe nokusiza ithimba lokuhlinzwa ukuba lenze umsebenzi walo ngaphandle kwesithiyo.
Into ebaluleke kakhulu ukuthi, lo muthi awukwenzi ulale. Ukwenza lokho ngemithi yokubulala izinzwa. Umane uphumuza imisipha.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokunikeza lo muthi
Ngaphambi kokuba unikezwe i-rocuronium, udokotela wezinzwa uzokubuza ngesimo sakho sezokwelapha. Kubaluleke kakhulu ukubatshela ngazo zonke izimo zakho zezokwelapha ngaphandle kokufihla lutho .
| Isimo okudingeka usibike | Kungani lokho kubalulekile? |
|---|---|
| Ukuphelelwa amanzi emzimbeni | Uma umzimba uphelelwe amanzi emzimbeni, indlela imithi esebenza ngayo ingashintsha. |
| Isifo senhliziyo | Ukusebenza kwenhliziyo kungathinteka. |
| Isifo sezinso noma sesibindi | Lezi zitho zomzimba zinesibopho sokususa izidakamizwa emzimbeni. Uma ukusebenza kwazo kuncipha, imiphumela yomuthi ingase ihlale isikhathi eside. |
| Izifo zokuphefumula (njenge-asthma, i-COPD) | Lolu lwazi lubalulekile ngoba lo muthi uthinta uhlelo lokuphefumula. |
| I-Myasthenia Gravis | Njengoba lesi kuyisifo esenza imisipha ibe buthaka, imiphumela ye-rocuronium inganda kakhulu. |
| Ezinye izinto ezibangela ukungezwani komzimba | Qiniseka ukuthi utshela udokotela wakho uma une-allergies ku-rocuronium noma kunoma yimuphi omunye umuthi, ukudla, noma udayi. |
| Ukukhulelwa noma ukuncelisa | Kubaluleke kakhulu ukusazisa uma ukhulelwe, uzama ukukhulelwa, noma uncelisa. |
Ngingakunika kanjani lo muthi?
Lona akuwona umuthi ongawuthatha ekhaya. I-Rocuronium inikezwa kuphela njengomjovo emthanjeni yithimba lezokwelapha esibhedlela noma emtholampilo. Ngokuvamile unikezwa udokotela wezinzwa noma umhlengikazi oqeqeshiwe.
Lomuthi unikezwa izingane ezincane, ngisho nezinsana, kwezinye izimo ezikhethekile. Kodwa wenziwa ngokuqapha okukhulu nangokunakwa okukhethekile.
Kuthiwani uma umthamo womuthi ukhushuliwe?
Njengoba lokhu kunikezwa esibhedlela, ngaphansi kokuqondisa kodokotela, amathuba okusebenzisa ngokweqile aphansi kakhulu. Kodwa-ke, uma kukhona ukusola ukuthi kukhona into efana nale eyenzekile, ithimba lezokwelapha lizothatha izinyathelo ezidingekayo. Ngolwazi olujwayelekile, uma kwenzeka ukusebenzisa ngokweqile kwanoma yimuphi umuthi, into yokuqala okufanele uyenze ukuya e-Emergency Treatment Unit (ETU) yesibhedlela noma ushayele i-National Poisons Information Centre e-Colombo National Hospital .
Eminye imithi engase ihlangane neRocuronium
Eminye imithi oyithathayo ingathinta indlela lo muthi osebenza ngayo. Ngakho-ke, kufanele utshele udokotela wakho ngayo yonke imithi oyithathayo, okuhlanganisa imithi kadokotela, imithi ethengiswa ngaphandle kwemithi kadokotela, amavithamini, ngisho nemithi yamakhambi.
| Uhlobo lomuthi | Izibonelo |
|---|---|
| Amanye ama-antibiotic | i-amikacin, i-gentamicin, i-tobramycin, i-tetracycline, i-clindamycin, i-vancomycin, i-colistin |
| Eminye imithi yokwelapha ukuquleka | i-carbamazepine, i-phenytoin |
| I-Lithium | - |
| Eminye imithi esetshenziselwa ukuqeda ubuhlungu endaweni (imithi yokubulala izinzwa yendawo) | i-lidocaine |
| Izithako ze-Magnesium | - |
| I-Procainamide, i-Quinidine | - |
Lolu hlu aluphelele. Kubalulekile futhi ukutshela udokotela wakho uma ubhema, uphuza utshwala, noma usebenzisa ezinye izidakamizwa.
Indlela yokuqapha isimo sakho ngenkathi uthatha imithi
Ngesikhathi nangemva kokunikezwa lo muthi, isimo sakho sizoqashwa eduze yithimba lezokwelapha. Ukushaya kwenhliziyo yakho, umfutho wegazi, amazinga omoya-mpilo, kanye nokuphefumula kuzoqashwa njalo ngosizo lwemishini. Ngakho-ke usendaweni ephephile ngokuphelele.
Yimiphi imiphumela emibi engaba khona?
Njenganoma yimuphi umuthi, i-rocuronium ingabangela eminye imiphumela emibi, kodwa lokhu kuvame ukungabi mnandi.
| Umphumela ongemuhle | Incazelo |
|---|---|
| Imiphumela emibi kakhulu okufanele ibikwe eqenjini lezokwelapha ngokushesha | |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo, ubunzima bokuphefumula. |
| Umkhuhlane omkhulu nezinye izimpawu | Umkhuhlane omkhulu, ukujuluka ngokweqile, ukuphefumula okusheshayo noma okungajulile, ukushaya kwenhliziyo okusheshayo noma okungajwayelekile, ukuqina kwemisipha noma ukuthuthumela. |
| Izinkinga endaweni yokujova | Ubuhlungu, ukuvuvukala, ukubomvu, amaqhubu noma izilonda esikhumbeni endaweni yomjovo. |
| Ngokuvamile akuyona ingozi (kodwa tshela udokotela wakho uma iqhubeka) | |
| Ubuthakathaka bemisipha | Ubuthakathaka obuncane bemisipha bungase buqhubeke ngisho nangemva kokuba imiphumela yemithi isiphelile. |
| Ubuhlungu lapho kwafakwa khona umjovo | Ubuhlungu obuncane, ukubomvu, noma ukungakhululeki endaweni yokujova. |
Uma uhlangabezana nanoma yiziphi ezinye izimpawu ezingavamile ezingashiwongo kulolu hlu, sicela wazise ithimba lezokwelapha ngazo.
Umlayezo Wokuya Nawe Ekhaya
- I-Rocuronium iwumjovo okhethekile onikezwa esibhedlela kuphela ukuze kuphumule imisipha ngesikhathi sezimo ezifana nokuhlinzwa.
- Ngaphambi kokuba unikezwe lo muthi, kubalulekile ukuthi utshele udokotela wakho iqiniso lonke mayelana nazo zonke izimo zakho zezokwelapha kanye nayo yonke eminye imithi oyithathayo.
- Akudingeki ukhathazeke ngokuphepha kwakho ngoba ithimba lezokwelapha lizokuqapha kakhulu ngenkathi unikeza umuthi.
- Imiphumela emibi kakhulu ayivamile, futhi ithimba lezokwelapha likulungele ukunikeza ukwelashwa ngokushesha uma kwenzeka.
- Uma uneminye imibuzo mayelana nalomuthi, ungangabazi ukubuza udokotela wakho.
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