He aha ka Cisatracurium Besylate: Nā hoʻohana, ka nui, nā hopena ʻaoʻao a me nā mea hou aku

ʻO ka Cisatracurium besylate he lāʻau hoʻomaha ʻiʻo e hoʻohana ai nā kauka i ka wā o ke ʻoki ʻana e hoʻopōloli i nā ʻiʻo no ka manawa. Aia kēia lāʻau i kahi papa o nā lāʻau i kapa ʻia he mau mea pale neuromuscular, e hana ana ma ka pale ʻana i nā hōʻailona ma waena o kou mau aʻalolo a me nā ʻiʻo. E loaʻa wale iā ʻoe kēia lāʻau lapaʻau i loko o kahi haukapila ma lalo o ka mālama olakino pono, maʻamau ke loaʻa ʻoe i ke ʻoki ʻana a i ʻole pono e hoʻohana i kahi mīkini hanu.

He aha ka Cisatracurium Besylate?

ʻO ka Cisatracurium besylate he lāʻau lapaʻau synthetic e hoʻōki i kou mau ʻiʻo mai ka ʻaelike no ka manawa. E noʻonoʻo e like me ke kaomi ʻana i kahi pihi hoʻomaha ma kāu neʻe ʻana o ka ʻiʻo - ʻaʻole ia e hōʻino i kou mau ʻiʻo, akā pale ia iā lākou mai ka pane ʻana i nā hōʻailona nerve no kekahi manawa.

ʻO kēia lāʻau lapaʻau ka mea a nā kauka e kapa ai he mea pale neuromuscular hana waena. ʻO ia hoʻi, hana wikiwiki ia ma hope o ka hāʻawi ʻia ʻana ma o IV, maʻamau i loko o 2-3 mau minuke, a ʻo kāna mau hopena e mau ana ma waena o 25-40 mau minuke. ʻO ka ʻāpana

Hoʻohana pinepine ʻia ka lāʻau lapaʻau i ka wā o nā ʻoki ʻōpū, nā hana naʻau, a me nā kaʻina hana e pili ana i nā wahi palupalu kahi e weliweli ai nā neʻe ʻana o nā ʻiʻo liʻiliʻi. Hoʻohana ʻia nō hoʻi i ka wā e pono ai nā maʻi e hoʻopili ʻia i kahi mea hoʻoheheʻe mīkini, he mīkini e kōkua iā ʻoe e hanu.

I nā keʻena mālama koʻikoʻi, hoʻohana kekahi mau kauka i kēia lāʻau lapaʻau no nā maʻi i maʻi nui a pono i ka hoʻomaha ʻana o nā ʻiʻo i ka wā e pili ana i nā lako kākoʻo ola. Kōkua kēia i ka mīkini hanu e hana ʻoi aku ka maikaʻi a hoʻemi i ke koʻikoʻi ma kou kino i ka wā e ola ai.

Pehea e Hana ai ʻo Cisatracurium Besylate?

Hana ʻo Cisatracurium besylate ma ka pale ʻana i ke kamaʻilio ʻana ma waena o kou mau aʻalolo a me nā ʻiʻo ma kahi a nā kauka e kapa ai ʻo ka neuromuscular junction. ʻO ka maʻamau, ke makemake kou lolo e hoʻoneʻe i kahi ʻiʻo, hoʻouna ia i kahi hōʻailona ma nā aʻalolo me ka hoʻohana ʻana i kahi ʻelele kemika i kapa ʻia ʻo acetylcholine.

Noho kēia lāʻau lapaʻau ma nā wahi like kahi e hoʻopili ai ʻo acetylcholine i nā cell muscle, e ālai ana i nā wahi kaʻa i ʻole e hiki ke hele ka hōʻailona maoli. Me ka ʻole o kēia hōʻailona, ʻaʻole hiki i kou mau ʻiʻo ke ʻaelike, ʻoiai ke olakino loa nā aʻalolo a me nā ʻiʻo.

Manaʻo ʻia ka lāʻau lapaʻau he mea ikaika, ʻo ia hoʻi ua lawa ka ikaika e hāʻawi i ka hoʻomaha ʻana o nā ʻiʻo akā ʻaʻole ikaika loa e paʻakikī ai ke kāohi. Ke pau ka lāʻau lapaʻau, hoʻi kou mau ʻiʻo i ka hana maʻamau me he mea lā ʻaʻohe mea i hana ʻia.

Pehea e Lawe ai au i ka Cisatracurium Besylate?

ʻAʻole ʻoe e lawe iā cisatracurium besylate iā ʻoe iho - hāʻawi ʻia ia e nā poʻe lapaʻau i aʻo ʻia ma nā haukapila ma o kahi laina intravenous (IV). E helu kāu anesthesiologist a i ʻole ke kauka mālama koʻikoʻi i ke ana pololei e pili ana i kou kaumaha a me ke ʻano o ke kaʻina hana āu e hana nei.

Ma mua o ka loaʻa ʻana o kēia lāʻau lapaʻau, e hāʻawi ʻia ʻoe i ka anesthesia maʻamau e hoʻolilo iā ʻoe i mea ʻike ʻole, no ka mea, ʻo ka noho ʻana i ka wā e paralized ai kou mau ʻiʻo he mea weliweli loa ia. Hoʻokomo mālie ʻia ka lāʻau lapaʻau ma o kāu IV, a e nānā mau nā limahana lapaʻau i kou hanu ʻana a me ka hana o ka puʻuwai.

ʻAʻohe hoʻomākaukau kūikawā e pono ai ʻoe e hana e pili ana i ka meaʻai a i ʻole ka inu, no ka mea, e hahai mua ana ʻoe i nā ʻōlelo aʻo wikiwiki ma mua o ke ʻoki ʻana. Mālama ka hui lapaʻau i nā mea a pau o ka hāʻawi ʻana iā ʻoe i kēia lāʻau lapaʻau me ka palekana.

Pehea ka lōʻihi e lawe ai au i ka Cisatracurium Besylate?

ʻO ka lōʻihi o ka hoʻohana ʻana i ka cisatracurium besylate e hilinaʻi loa i kāu kaʻina hana lapaʻau a i ʻole ke kūlana. No ka hapa nui o nā ʻoki, e loaʻa iā ʻoe hoʻokahi manawa i ka hoʻomaka ʻana o ka hana, a e pau kona hopena ma ke ʻano maoli i ka pau ʻana o ke ʻoki.

ʻO ka maʻamau, e mau ana kēlā me kēia mahele no 25-40 mau minuke, no laila inā ʻoi aku ka lōʻihi o kāu ʻoki, hiki i kāu anesthesiologist ke hāʻawi iā ʻoe i nā mahele liʻiliʻi hou e mālama i ka hoʻomaha ʻana o ka ʻiʻo. Hoʻonohonoho pono lākou i kēia mau mahele i mea e hoʻi ai kāu hana ʻiʻo i kou ala ʻana mai ke ʻoki.

No nā maʻi i ka mālama koʻikoʻi e pono ai ka hoʻomaha ʻana o ka ʻiʻo no ka manawa lōʻihi, hiki i nā kauka ke hāʻawi i nā mahele hou a i ʻole e hoʻohana i ka infusion mau. Eia naʻe, manaʻo mau lākou e hoʻohana i ka lāʻau lapaʻau no ka manawa pōkole loa e pale aku i nā pilikia mai ka paralysis ʻiʻo lōʻihi.

He aha nā hopena ʻaoʻao o Cisatracurium Besylate?

ʻOiai ua ʻae maikaʻi ʻia ka cisatracurium besylate, e like me nā lāʻau lapaʻau a pau, hiki iā ia ke hana i nā hopena ʻaoʻao. ʻO nā hopena ʻaoʻao maʻamau he maʻalahi a he manawa pōkole, e hoʻoponopono ana i ka pau ʻana o ka lāʻau.

Eia nā hopena ʻaoʻao āu e ʻike ai, mai ka mea maʻamau a hiki i ka liʻiliʻi:

• He ʻulaʻula iki a i ʻole ka ʻulaʻula o ka ʻili, ʻoi loa a puni kou maka a me kou ʻāʻī
• Nā loli iki i ke koko, maʻamau ka emi iki
• Nāwaliwali o nā ʻiʻo no ka manawa pōkole e mau ana no ka manawa lōʻihi ma mua o ka mea i manaʻo ʻia
• Hū ʻili a i ʻole nā ʻōpū ma kahi i hoʻokomo ʻia ai

ʻAʻole pono kēia mau hopena ʻaoʻao maʻamau i ka lāʻau lapaʻau a e mae ana i ka wā e hana ai kou kino i ka lāʻau. E nānā pono kāu hui lapaʻau iā ʻoe no nā loli e pili ana.

He kakaikahi nā hopena ʻaoʻao koʻikoʻi akā hiki ke hana, ʻoi loa i ka poʻe me kekahi mau maʻi olakino:

• Nā hopena maʻi maʻi koʻikoʻi e hōʻeha ai i ka hanu a i ʻole ka pehu
• Nā loli nui i ke koko e pono ai ka nānā koke ʻana
• Nāwaliwali o nā ʻiʻo e mau ana no ka manawa lōʻihi ma mua o ka mea i manaʻo ʻia
• Nā pilikia hanu i ka wā e pau ai nā hopena o ka lāʻau

No ka mea aia ʻoe i loko o kahi haukapila me ka nānā mau ʻana, hiki i nā limahana lapaʻau ke ʻike koke a mālama i nā hopena ʻaoʻao koʻikoʻi e hiki ke hana.

ʻO wai ka mea pono ʻole e lawe iā Cisatracurium Besylate?

ʻAʻole kūpono ʻo Cisatracurium besylate no nā mea a pau, a e nānā pono kāu hui lapaʻau i kāu mōʻaukala olakino ma mua o ka hoʻohana ʻana. Pono paha ka poʻe me kekahi mau maʻi i kahi lāʻau lapaʻau ʻē aʻe a i ʻole nā hana kūikawā.

E akahele loa kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau maʻi:

• Nā maʻi āpau i ʻike ʻia i ka cisatracurium besylate a i ʻole nā mea e like me nā mea e ālai ana i ka neuromuscular
• Maʻi ate koʻikoʻi, ʻoiai ʻoi aku ka palekana o kēia lāʻau ma mua o nā mea ʻē aʻe no nā maʻi ate
• Maʻi kīkī, ʻoi loa inā aia ʻoe ma ka dialysis
• Myasthenia gravis a i ʻole nā maʻi neuromuscular ʻē aʻe
• Nā wela koʻikoʻi a i ʻole nā trauma e pili ana i nā wahi nui o kou kino

ʻOiai inā loaʻa iā ʻoe kekahi o kēia mau maʻi, hiki nō i kāu kauka ke hoʻohana i ka cisatracurium besylate inā ʻoi aku ka maikaʻi ma mua o nā pilikia. E nānā wale lākou iā ʻoe me ka hoʻokokoke a hoʻoponopono paha i ka mahele.

Hiki i nā wahine hāpai ke loaʻa i kēia lāʻau lapaʻau ke pono no ke ʻoki ʻana, no ka mea, ʻaʻole ia e hele nui i ka placenta e pili i ka pēpē. Eia naʻe, e ana mau nā kauka i nā pilikia a me nā pōmaikaʻi me ka akahele no nā makuahine e kali ana.

Nā inoa inoa o Cisatracurium Besylate

ʻO Cisatracurium besylate ka mea i ʻike nui ʻia e kona inoa inoa Nimbex ma ʻAmelika Hui Pū ʻIa. ʻO kēia ka inoa inoa mua i hoʻohana nui ʻia e nā halemai a me nā poʻe lapaʻau i ka wā e kamaʻilio ai e pili ana i ka lāʻau lapaʻau.

Hiki nō iā ʻoe ke ʻike iā ia i kapa ʻia ʻo

He pōmaikaʻi a me nā mea e noʻonoʻo ʻia ana i kēlā me kēia koho. E koho kāu hui lapaʻau i ka mea palekana a kūpono loa no kou kūlana.

Ua ʻoi aku ka maikaʻi o Cisatracurium Besylate ma mua o Atracurium?

He mana i hoʻomaʻemaʻe ʻia ʻo Cisatracurium besylate o atracurium besylate, i hoʻolālā ʻia e hōʻemi i kekahi o nā hopena ʻaoʻao e hiki ke hana ʻia e atracurium. Hana like nā lāʻau ʻelua a mau like ka lōʻihi, akā ʻoi aku ka mālie o cisatracurium i kou kino.

ʻO ka pōmaikaʻi nui o cisatracurium ma luna o atracurium ʻo ia ka mea liʻiliʻi e hoʻokuʻu i ka histamine, hiki ke alakaʻi i ka ʻulaʻula, nā hopena ʻili, a i ʻole nā loli i ke koko. ʻO kēia ka mea e palekana ai ʻo cisatracurium no ka poʻe me nā maʻi allergies a i ʻole nā maʻi puʻuwai.

E wāwahi ʻia ʻo Cisatracurium i loko o kou kino, e maʻalahi ai i nā kauka ke hoʻomalu i ka lōʻihi o ka hoʻomaha ʻana o ka ʻiʻo. Eia naʻe, he lāʻau maikaʻi loa ʻo atracurium a hiki ke hoʻohana ʻia inā ʻaʻole i loaʻa ʻo cisatracurium.

Nā Nīnau i Nīnau Pinepine ʻia e pili ana iā Cisatracurium Besylate

He palekana anei ʻo Cisatracurium Besylate no ka maʻi puʻuwai?

ʻAe, manaʻo ʻia ʻo cisatracurium besylate he palekana no ka poʻe me ka maʻi puʻuwai. ʻAʻole like me kekahi mau mea hoʻomaha ʻiʻo ʻē aʻe, ʻaʻole ia e hoʻopilikia nui i kou puʻuwai a i ʻole ke koko, e lilo ia i koho maikaʻi no nā maʻi me nā maʻi cardiac.

ʻAʻole hoʻokuʻu ka lāʻau i ka histamine e like me kekahi mau koho ʻē aʻe, ʻo ia hoʻi ka liʻiliʻi o ka hoʻololi ʻana i ke koko e hiki ke hoʻoikaika i kou puʻuwai. E nānā mau kāu anesthesiologist cardiac i kāu hana puʻuwai i ka wā o ke kaʻina hana.

He aha kaʻu e hana ai inā loaʻa iaʻu ka nui o Cisatracurium Besylate?

ʻAʻole pono ʻoe e hopohopo no ka loaʻa ʻana o ka nui o ka cisatracurium besylate, no ka mea, he poʻe lapaʻau i aʻo ʻia e mālama a hāʻawi i kēia lāʻau. Inā loaʻa ka overdose i loko o kahi haukapila, e hāʻawi koke kāu hui lapaʻau i ka mālama kākoʻo.

ʻO ka mālama nui no ka nui o ka cisatracurium, ʻo ia ka mechanical ventilation e kōkua iā ʻoe e hanu a hiki i ka pau ʻana o ka lāʻau. Aia kekahi mau lāʻau lapaʻau e hiki ke kōkua i ka hoʻohuli ʻana i nā hopena me ka wikiwiki inā pono.

He aha kaʻu e hana ai inā e poina iaʻu kahi mahele o Cisatracurium Besylate?

ʻAʻole pili kēia nīnau i ka cisatracurium besylate no ka mea ʻaʻole ʻoe e lawe iā ʻoe iho ma ka home. Hoʻonohonoho pono nā poʻe lapaʻau i kēlā me kēia mahele i ka wā o ke ʻoki a i ʻole ka mālama mālama nui e pili ana i kāu mau pono koke.

Inā ʻoe i loko o ka mālama nui a loaʻa nā mahele he nui, mālama kāu hui lapaʻau i ka manawa holoʻokoʻa. Nānā lākou i kāu hana ʻiʻo a hāʻawi i nā mahele hou aʻe inā pono no kāu mālama ʻana.

I ka manawa hea e hiki ai iaʻu ke hooki i ka lawe ʻana i ka Cisatracurium Besylate?

ʻAʻole ʻoe e hoʻoholo e hooki i ka cisatracurium besylate - mālama kāu hui lapaʻau i ka wā e hoʻōki ai e pili ana i kāu ʻoki a i ʻole nā pono mālama. No ka hapa nui o nā hana ʻoki, ʻae lākou i ka lāʻau e pau maoli i ka pau ʻana o kāu hana.

Inā ʻoe i loko o ka mālama nui, e hooki nā kauka i ka hāʻawi ʻana iā ʻoe i ka cisatracurium besylate i ka wā e pono ʻole ai ʻoe i ka hoʻomaha ʻana o ka ʻiʻo no kāu mīkini hanu a i ʻole nā mālama ʻē aʻe. E hoʻemi mālie lākou i ka mahele a nānā pono i kāu hoʻōla.

Hiki iaʻu ke kalaiwa ma hope o ka loaʻa ʻana o ka Cisatracurium Besylate?

ʻAʻole, ʻaʻole hiki iā ʻoe ke kalaiwa ma hope o ka loaʻa ʻana o ka cisatracurium besylate. Hāʻawi ʻia kēia lāʻau i ka wā o ke ʻoki a i ʻole ka mālama mālama nui, no laila e pono ʻoe i ka manawa e ola piha ai ma mua o ka palekana o ke kalaiwa.

Ma hope o ka pau ʻana o nā hopena hoʻomaha ʻana o ka ʻiʻo, ua loaʻa paha iā ʻoe nā lāʻau lapaʻau ʻē aʻe e like me ka anesthesia maʻamau e pili ana i kou hiki ke hoʻokele palekana. E hāʻawi kāu hui lapaʻau iā ʻoe i nā ʻōlelo kikoʻī e pili ana i ka manawa e hiki ai iā ʻoe ke hoʻomau i nā hana maʻamau, me ka hoʻokele.