He aha te Succinylcholine: Ngā Whakamahinga, te Inenga, ngā Pānga taha me ētahi atu

Ko te Succinylcholine he rongoā whakangāwari uaua kaha e whakamahia ana i te wā o te pokanga me ngā tikanga ohorere hei pararutiki i ngā uaua mō tētahi wā. Ka mahi tere tēnei rongoā hei āwhina i ngā tākuta ki te mahi i ngā tikanga whakaora-ora pērā i te whakauru i ngā ngongo manawa, te whakarite rānei i ngā tūroro mō te pokanga i te wā e whai pānga ana te whakangāwari uaua.

He aha te Succinylcholine?

Ko te Succinylcholine he rongoā aukati neuromuscular e pā ana ki te pararutiki uaua mō tētahi wā. No tētahi momo rongoā e kīia ana ko ngā whakangāwari uaua depolarizing, ko te tikanga e mahi ana mā te raru i ngā tohu noa i waenga i ō uaua me ō uaua.

Ka whakamahia anake tēnei rongoā i ngā wāhi rongoā whakahaere pērā i ngā rūma whakahaere, ngā tari ohorere, me ngā wae tiaki kaha. Ka whakamahia e ngā kaiwhakarato hauora i te wā e hiahia ana rātou ki te whakangāwari tere i ngā uaua katoa o tō tinana, tae atu ki ērā e whakamahia ana mō te manawa, koinei te take e hoatu ana i ngā wā katoa me te tautoko hauora mīhini.

Ka mahi te rongoā i roto i te 30 ki te 60 hēkona, ā, ka roa te 5 ki te 10 meneti. Nā te tere o tōna tīmatanga me te poto o te roanga, ka kīia e ngā tohunga rongoā ko

E whakamahi ana ngā tākuta rongoā ohorere i te succinylcholine i te wā e hiahia ana tētahi tangata ki te whakahaere ara rererangi tonu. Ka pā tēnei i te wā o te hopukanga o te ngākau, te wharanga nui, i te wā rānei e uaua ana te manawa o tētahi tangata, me te hiahia urupare tonu kia ora ai.

Me pēhea te mahi a te Succinylcholine?

Ka mahi te succinylcholine mā te aukati i te whakawhitiwhiti kōrero i waenga i ō uaua me ō uaua i te hononga neuromuscular. Whakaarohia he tapahi i te waea waea i waenga i tō roro me ō uaua, e ārai ana i ngā whakahau nekehanga mai i te haere.

E kiia ana he rongoā kaha rawa tēnei nā te mea ka pā te pararutiki katoa o ngā uaua whaiaro katoa, tae atu ki ngā mea e whakamahia ana e koe ki te manawa. Ka pā te pararutiki i roto i te tauira e kitea ana, ka tīmata ki ngā uaua iti i tō kanohi me ō kanohi, ka neke ki ō peka, ka pā ana ki tō diaphragm me ō uaua manawa.

Ka pakaru tere te rongoā e ngā enzyme i roto i ō toto e kiia ana ko te pseudocholinesterases. Ko tēnei pakaru tere te take i ngaro wawe ai ngā pānga, i te nuinga o te wā i roto i te 5 ki te 10 meneti, e noho haumaru ana mō ngā tikanga poto.

Me pēhea taku tango i te Succinylcholine?

E kore rawa koe e tango i te succinylcholine i a koe anō - ka whakahaerehia anake e ngā tākuta whakangungu i ngā hōhipera. Ka tukuna te rongoā mā te raina intravenous (IV) tika ki roto i ō toto, hei werohanga intramuscular rānei ki roto i te uaua nui.

I mua i te whiwhinga i te succinylcholine, ka hoatu koe i te anesthesia whānui kia kore ai koe e mōhio. He mea nui tēnei nā te mea ka pararutiki anake te rongoā i ō uaua engari kāore e pā ki tō mōhio, ki te rānei te mamae, nō reira me moe koe i te tuatahi.

Ka whai ngā kaiwhakarato hauora i ngā taputapu katoa e tika ana i mua i te hoatutanga i tēnei rongoā ki a koe, tae atu ki ngā ventilator, te hāora, me ngā rongoā ohorere. Ka aroturukihia hoki e rātou tō manawataki, te pēhanga toto, me ngā taumata hāora i roto i te tukanga katoa.

E hia te roa e tango ana ahau i te Succinylcholine?

Kāore rawa a Succinylcholine e tangohia mō te wā roa - he rongoā kotahi te horopeta e whakamahia ana mō ngā tikanga motuhake. Ko te nuinga o ngā pānga ka roa i waenga i te 5 ki te 10 meneti, he wā e nui ana mō ngā tākuta ki te whakaoti i te tikanga e tika ana.

Mēnā e hiahiatia ana he wā roa ake mō te whakangāwari i ngā uaua, ka huri tō rōpū hauora ki tētahi momo rongoā whakangāwari uaua e roa ana te pānga. Ka whiriwhiria te Succinylcholine ina hiahia ngā tākuta i te tīmatanga tere engari kāore e hiahia i ngā pānga roa.

Ka rerekē pea te roa mai i te tangata ki te tangata i runga i ngā āhuatanga pēnei i tō taumaha tinana, te mahi o te whatukuhu, me te tere o te pakaru o tō tinana i te rongoā. Ko te nuinga o te tangata ka hoki mai te mahi uaua noa i roto i te 10 ki te 30 meneti i muri i te whiwhinga i te horopeta.

He aha ngā pānga taha o te Succinylcholine?

Ko ngā pānga taha tino noa o te succinylcholine e pā ana ki ōna āhuatanga whakangāwari uaua. Ka pāngia pea e koe te mamae uaua, te mārō rānei i muri i te tikanga, pērā i te āhua e pāngia ana e koe i muri i te whakangungu kaha.

Ka pāngia e ētahi tāngata te wiri uaua poto, te fasciculations rānei i muri tonu i te whiwhinga i te rongoā. He mea āwangawanga tēnei, engari he mea noa, ā, e tohu ana kei te mahi te rongoā i te mea e tika ana.

Anei ngā pānga taha tino noa ka pāngia pea e koe:

• Te mamae uaua, te mamae rānei e roa ana i te 1-2 rā
• Te nui ake o te wai huware
• Ngā huringa iti i te manawataki o te ngākau
• Te pikinga rangitahi i te pēhanga o te kanohi
• Te pikinga ngawari i ngā taumata pāhare i roto i ō toto

He ngawari noa iho ēnei pānga, ā, ka ngaro noa iho i te wā e wehe ana te rongoā i tō pūnaha.

Ahakoa he mea pāwhara, ka puta pea ētahi pānga taha nui, ā, e hiahia ana kia aro mai te hauora tonu. Ka tino aroturukihia ēnei āhuatanga e tō rōpū hauora puta noa i te tikanga.

Ko ngā pānga taha nui engari kāore i te noa ko:

• Te wera nui kino - he pikinga kino o te pāmahana tinana
• Ngā tauhohenga mate pāwera nui me te uaua ki te manawa, te pōro rānei
• Ngā pikinga kino o ngā taumata pāhare pāporo (hyperkalemia)
• Ngā huringa nui i te manawataki o te ngākau
• Te pararutanga roa e roa atu ana i te mea e tūmanakohia ana

He mea whakangungu motuhake tō tō rōpū hauora ki te mōhio me te rongoā i ēnei raruraru i te wā tonu ka puta.

Ko wai kāore e tika kia tango Succinylcholine?

Kāore e tika kia whiwhi succinylcholine ētahi tāngata nā te pikinga o te tūponotanga o ngā raruraru nui. Ka āta arotakehia e tō rōpū hauora tō hītori hauora i mua i te whakaaro ki tēnei rongoā.

Ko ngā tāngata e whai ana i ētahi āhuatanga ira e pā ana ki te āhua o te wāwāhi i te rongoā ka pā te pararutanga roa. Kei roto i tēnei ko te hunga e whai ana i te ngoikoretanga o te pseudocholinesterase, he āhuatanga kāore ō tō tinana i ngā whākōrere e hiahiatia ana hei wāwāhi tere i te succinylcholine.

Ko ngā āhuatanga e tino mōrearea ai te succinylcholine ko:

• Te dystrophy uaua, ētahi atu mate uaua rānei
• Ngā pānga nui o te wera, te wharanga rānei i tēnei wā
• Ngā wharanga o te taurakira
• Te mate tākihi nui
• Te hītori o te wera nui kino
• Ētahi āhuatanga neurological pēnei i te ALS, te multiple sclerosis rānei
• Te okiokinga moenga roa, te kore rānei e neke i tēnei wā

Ka taea e ēnei āhuatanga te whakanui i te tūponotanga o te pikinga pāhare pāporo kino, ētahi atu raruraru nui rānei ka mōrearea ai te ora.

Ngā Ingoa Waitohu Succinylcholine

E wātea ana te Succinylcholine i raro i ētahi ingoa waitohu, ko Anectine tētahi o ngā mea e whakamahia ana. Ko ētahi atu ingoa waitohu ko Quelicin me Sucostrin, ahakoa e whakamahia whānuitia ana te putanga whānui i roto i te nuinga o ngā whare hauora.

Ahakoa te ingoa waitohu, kei roto i ngā putanga katoa te whakauru kaha kotahi - succinylcholine chloride. Ko te kōwhiri i te waitohu e pā ana ki te mea e wātea ana i tō hōhipera, i tō whare hauora rānei.

Ngā Kōwhiringa mō Succinylcholine

He maha ngā rongoā whakangāwari uaua kē atu ka taea te whakamahi hei whakakapi mō te succinylcholine, e ai ki te āhuatanga rongoā motuhake. Ko ēnei kōwhiringa kē atu te tikanga he pōturi ake te mahi engari ka roa ake te pānga i te succinylcholine.

Ngā kōwhiringa kē atu e mōhiotia ana ko te rocuronium, te vecuronium, me te atracurium. He maha ngā wā ka whiriwhiria te rocuronium nā te mea tata tonu te tere o tōna mahi pērā i te succinylcholine engari kāore i te pērā ngā tūponotanga o te pikinga pāhare pāporo e mōrearea ana.

Ko te whiriwhiri i te kōwhiringa kē atu ka whakawhirinaki ki ngā āhuatanga pērā i te tere o te hiahia ki te whakangāwari i ngā uaua, te roa o te mahi, me ō āhuatanga rongoā motuhake. Māu e whiriwhiri e tō tākuta anesitēhia te kōwhiringa haumaru me te tika mō tō āhuatanga.

He Pai Anei te Succinylcholine i te Rocuronium?

He rerekē ngā painga o te succinylcholine me te rocuronium i runga i te āhuatanga haumanu. He tere ake te mahi a te Succinylcholine, te tikanga i roto i te 30-60 hēkona, i te mea ka 60-90 hēkona te roa o te rocuronium ki te whakatutuki i te whakangāwari uaua rite.

Ko te painga nui o te succinylcholine ko tōna wā poto o te mahi. Ki te he tētahi mea i te wā o te whakaurunga ngongo, ka tere te ngaro o te pararutanga, ka taea te hoki mai o te manawa māori. Nō reira he mea tino nui i ngā āhuatanga ohorere ka uaua pea te whakahaere i te ara rererangi.

Heoi anō, he haumaru ake te rocuronium mō ngā tāngata e pā ana ki ētahi āhuatanga rongoā. Kāore e pā ana ki te pikinga pāhare pāporo e mōrearea ana ka pā ki te succinylcholine, he pai ake te kōwhiringa mō ngā tūroro e pā ana ki te pānga o te wera, te wharanga, te mate uaua rānei.

Ko te whiriwhiri i waenga i ēnei rongoā ka whakawhirinaki ki tō āhuatanga rongoā motuhake, te ohorere o te mahi, me ō āhuatanga tūpono takitahi. Māu e whiriwhiri e tō rōpū rongoā te kōwhiringa haumaru me te tika mōu.

Ngā Pātai e Pānga ana ki te Succinylcholine

He Haumaru te Succinylcholine mō te Mate Ngākau?

Ka taea te whakamahi marie i te succinylcholine ki ngā tāngata e mate ana i te ngākau, engari me mātakitaki pū. Ka taea e te rongoā te huri i te manawataki o te ngākau mō te wā poto, me te paku piki o ngā taumata pāhare pāporo, ā, ka mātakitaki pū tō rōpū hauora.

Ko ngā tāngata e tino ngoikore ana te ngākau, e whai ana rānei i ētahi raruraru manawataki ngākau, tērā pea ka hiahia rongoā kē. Ka mahi tahi tō tākuta ngākau me te tākuta tūroru ki te whakatau i te huarahi haumaru mō tō āhuatanga ngākau.

Me pēhea te mahi mēnā ka whiwhi au i te nui rawa o te succinylcholine?

E kore e taea e koe te whiwhi nui rawa i te succinylcholine i te mea ka hoatu anake e ngā tākuta whakangungu i ngā wāhi whakahaere. Mēnā ka puta he horopeta nui rawa, ka mōhiotia tonutia, ā, ka rongoatia e tō rōpū hauora.

Ko te rongoā matua mō te horopeta nui rawa o te succinylcholine ko te tiaki tautoko, tae atu ki te haere tonu o te hau mīhini kia ngaro rawa ngā pānga o te rongoā. He raupapa me ngā taputapu motuhake tō tō rōpū hauora hei whakahaere i ngā raruraru.

Me pēhea te mahi mēnā ka ngaro au i te horopeta o te succinylcholine?

Kāore tēnei pātai e pā ana ki te succinylcholine i te mea ehara i te rongoā ka tango koe i runga i te hōtaka. Ka hoatu anake i te wā o ngā tikanga rongoā motuhake i ngā hōhipera.

Mēnā he pātai āu mō ngā rongoā ka tango koe i te kāinga, me whakapā atu koe ki tō tākuta, ki te kaimātai rongoā rānei mō te tohutohu mō ngā horopeta i ngaro.

Āhea ka mutu taku tango i te succinylcholine?

Ka mutu te mahi a te succinylcholine i roto i te 5-10 meneti i muri i te hoatutanga. Kāore he mea hei mahi māu hei aukati i ōna pānga - ka pakaru noa tō tinana i te rongoā.

Mēnā kei te pātai koe mō te aukati i ētahi atu rongoā i mua i te tikanga ka whakamahia pea te succinylcholine, ka hoatu e tō tākuta ki a koe ngā tohutohu motuhake mō ngā rongoā hei haere tonu, hei aukati rānei mō te wā.

Ka taea e au te taraiwa i muri i te whiwhinga i te succinylcholine?

Kaua koe e taraiwa mō te 24 haora i muri i te whiwhinga i te succinylcholine, nā te mea e hoatu ana i ngā wā katoa me te rongoā whānui i ngā wā o ngā mahi rongoā. Ka pā te rongoā ki tō whakatau, ngā urupare, me te ruruku i muri i te ngaro o te succinylcholine.

Me whai tangata koe hei taraiwa i a koe ki te kāinga i muri i tō mahi, ā, me karo koe i te whakatau i ngā whakatau nui, i te whakahaere rānei i ngā mīhini kia ora rawa koe i te rongoā.