Cisatracurium Besylate ni iki: Ibikoresho, Urutonde rw'imiti, Ingaruka ziterwa n'iyo miti n'ibindi

Cisatracurium besylate ni umuti w'imitsi abaganga bakoresha mu gihe cyo kubaga kugira ngo bahagarike by'agateganyo imitsi. Uyu muti ubarirwa mu cyiciro cy'imiti yitwa ibinini byo guhagarika imitsi, bikora mu guhagarika ibimenyetso biri hagati y'imitsi yawe n'imitsi. Uyu muti uzawuhabwa gusa mu bitaro bitewe n'ubugenzuzi bw'abaganga, akenshi iyo uri kubagwa cyangwa ukeneye gukoresha imashini ifasha mu guhumeka.

Cisatracurium Besylate ni iki?

Cisatracurium besylate ni umuti wa gihanga uhagarika by'agateganyo imitsi yawe gukora. Tekereza nk'aho ukanda buto yo guhagarika ku mikorere y'imitsi yawe - ntishegesha imitsi yawe, ariko ibuza ko yitaba ibimenyetso by'imitsi mu gihe runaka.

Uyu muti ni icyo abaganga bita guhagarika imitsi ikora hagati. Ibi bivuze ko ikora vuba nyuma yo gutangwa binyuze muri IV, akenshi mu minota 2-3, kandi ingaruka zayo akenshi zimara hagati y'iminota 25-40. Igice cya

Uyu muti ukoreshwa cyane mu gihe cyo kubaga mu nda, kubaga umutima, n'ibindi bikorwa bikorerwa ahantu hakomeretse cyane aho n'utwongere tw'imitsi duto dushobora guteza akaga. Ukoreshwa kandi iyo abarwayi bakeneye gushyirwa ku byuma bifasha mu guhumeka, ari byo byuma bifasha guhumeka.

Mu bitaro byita ku barwayi barembye cyane, abaganga rimwe na rimwe bakoresha uyu muti ku barwayi barembye cyane kandi bakeneye kuruhura imitsi yose mu gihe bari ku byuma bibafasha kubaho. Ibi bifasha icyuma gifasha guhumeka gukora neza kandi bikagabanya umunaniro ku mubiri wawe mu gihe cyo gukira.

Cisatracurium Besylate ikora ite?

Cisatracurium besylate ikora ibuza imibanire hagati y'imitsi yawe n'imitsi mu cyo abaganga bita ihuriro ry'imitsi n'imitsi. Ubusanzwe, iyo ubwonko bwawe bushaka kugenda umitsi, butanga ikimenyetso binyuze mu mitsi bukoresha ubutumwa bw'imiti yitwa acetylcholine.

Uyu muti wicara ahantu hamwe na hamwe aho acetylcholine yari isanzwe ifatana n'uturemangingo tw'imitsi, mu buryo bwo kubuza ahantu ho guparika ku buryo ikimenyetso gisanzwe kitagera. Hatari iki kimenyetso, imitsi yawe ntishobora kwikurura, nubwo imitsi yawe n'imitsi byombi bikomeza kuba bizima rwose.

Uyu muti ufashwe nk'ufite imbaraga ziringaniye, bivuze ko ukomeye bihagije kugira ngo utange imitsi yose iruhuke ariko ntukomeye cyane ku buryo bigoye kuwugenzura. Iyo umuti uvuyeho, imitsi yawe isubira mu mikorere isanzwe nkaho nta kintu cyabaye.

Nkwiriye gufata Cisatracurium Besylate nte?

Ntabwo uzifata cisatracurium besylate ubwawe - itangwa gusa n'abantu b'inzobere mu by'ubuvuzi mu bitaro binyuze mu muyoboro wa intravenous (IV). Umuganga wawe w'ibijyanye no kubaga cyangwa umuganga wita ku barwayi barembye cyane azabarura urugero nyarwo rishingiye ku gipimo cyawe n'ubwoko bw'igikorwa urimo gukora.

Mbere yo guhabwa uyu muti, akenshi uzahabwa anesthesia rusange kugirango utakaze ubwenge, kuko kuba uri maso mu gihe imitsi yawe iparalize yaba iteye ubwoba cyane. Uyu muti uterwa gahoro gahoro unyuze mu muyoboro wawe wa IV, kandi abaganga bazakomeza gukurikirana imyuka yawe n'imikorere y'umutima wawe.

Nta myiteguro yihariye ugomba gukora yerekeye ibiryo cyangwa ibinyobwa, kuko uzaba umaze gukurikiza amabwiriza yo kwirinda mbere yo kubagwa. Itsinda ry'abaganga rifata ibice byose byo kuguha uyu muti mu buryo bwizewe.

Nzamara igihe kingana iki nkoresha Cisatracurium Besylate?

Igihe cyo gukoresha cisatracurium besylate giterwa rwose n'uburyo bwawe bw'ubuvuzi cyangwa indwara yawe. Kubagwa kenshi, uzayihabwa rimwe mu ntangiriro y'imirimo, kandi ingaruka zayo zizashira mu buryo busanzwe igihe imirimo irangiye.

Dose imwe ikunze kumara iminota 25-40, niba rero kubagwa kwawe kumara igihe kirekire, umuganga wawe ushinzwe anesthesia ashobora kuguha andi mazi mato kugirango ugumane imitsi idafite imbaraga. Bagerageza neza ibi byose kugirango imikorere y'imitsi yawe isubiremo igihe uri gukanguka mu kubagwa.

Ku barwayi bari mu buvuzi bukomeye bakeneye kuruhuka imitsi igihe kirekire, abaganga bashobora gutanga imiti isubirwamo cyangwa gukoresha gukoresha bikomeje. Ariko, buri gihe bagamije gukoresha umuti igihe gito gishoboka kugirango birinde ingaruka ziterwa no gupalara imitsi igihe kirekire.

Ni izihe ngaruka ziterwa na Cisatracurium Besylate?

Mugihe cisatracurium besylate ikunze kwihanganirwa neza, nk'imiti yose, irashobora gutera ingaruka. Ingaruka zikunze kugaragara akenshi ziba zoroshye kandi z'agateganyo, zikemuka igihe umuti ushize.

Dore ingaruka ushobora guhura nazo, kuva ku zikunze kugaragara kugeza ku zitagaragara cyane:

• Ubwiza bworoshye cyangwa gutukura kw'uruhu, cyane cyane hafi y'isura yawe n'ijosi
• Impinduka ntoya mu gipimo cy'amaraso, akenshi igabanuka rito
• Ubugufi bw'imitsi bw'agateganyo buramba igihe kirekire ugereranije n'uko byari byitezwe
• Uruhu ruruka cyangwa imyatsi ku gice cyateweho urushinge

Izi ngaruka zisanzwe akenshi ntizisaba kuvurwa kandi zirashira uko umubiri wawe ukoresha umuti. Itsinda ryawe ry'abaganga rigukurikiranira hafi impinduka zose ziteye impungenge.

Ingaruka zikomeye ziragoye ariko zirashobora kubaho, cyane cyane ku bantu bafite indwara zimwe na zimwe:

• Urugero rukomeye rw'uburwayi bw'umubiri butera guhumeka bigoranye cyangwa kubyimba
• Impinduka zikomeye mu gipimo cy'amaraso zisaba ubufasha bwihuse
• Ubugufi bw'imitsi burambye buramba igihe kirekire ugereranije n'uko byari byitezwe
• Ingorane zo guhumeka igihe ingaruka z'umuti zari zikwiye gushira

Kubera ko uri mu bitaro bikurikirana buri gihe, abakozi b'ubuvuzi bashobora kumenya no kuvura vuba ingaruka zikomeye zishobora kubaho.

Ninde utagomba gufata Cisatracurium Besylate?

Cisatracurium besylate ntabwo ikwiriye kuri buri wese, kandi itsinda ryawe ry'ubuvuzi rizareba neza amateka yawe y'ubuzima mbere yo kuyikoresha. Abantu bafite ibibazo bimwe na bimwe bashobora gukenera umuti utandukanye cyangwa ingamba zidasanzwe.

Muganga wawe azitonda cyane niba ufite kimwe muri ibi bibazo:

• Allergies zizwi kuri cisatracurium besylate cyangwa ibindi bintu bisa n'ibyo bishobora guhagarika imitsi
• Indwara ikomeye y'umwijima, nubwo uyu muti utekanye kurusha abandi ku barwayi b'umwijima
• Indwara y'impyiko, cyane cyane niba uri kuri dialysis
• Myasthenia gravis cyangwa izindi ndwara z'imitsi
• Gushya cyane cyangwa trauma ikora ku bice binini by'umubiri wawe

N'ubwo waba ufite imwe muri izo ndwara, muganga wawe ashobora gukoresha cisatracurium besylate niba inyungu ziruta ibyago. Bazagukurikiranira hafi cyane kandi bashobora guhindura urugero rw'umuti.

Abagore batwite bashobora guhabwa uyu muti igihe bibaye ngombwa kubagwa, kuko ntunyura cyane muri plasenta ngo ugire icyo utwara umwana. Ariko, abaganga bahora bagereranya ibyago n'inyungu neza ku bagore bategereje.

Amazina y'ubwoko bwa Cisatracurium Besylate

Cisatracurium besylate izwi cyane ku izina ry'ubwoko rya Nimbex muri Leta Zunze Ubumwe z'Amerika. Iri ni izina ry'ubwoko rya mbere amavuriro menshi n'abavuzi bakoresha iyo bavuga kuri uyu muti.

Ushobora kandi kubona bivugwa ko ari

Buri kimwe muri ibi bisubizo gifite inyungu zacyo n'ibyo byitaho. Itsinda ryawe ry'abaganga rizagena icyo cyiza kandi gikwiriye cyane kurwego rw'uburwayi bwawe.

Ese Cisatracurium Besylate iruta Atracurium?

Cisatracurium besylate ni verisiyo yatejwe imbere ya atracurium besylate, yagenewe kugabanya bimwe mu ngaruka mbi atracurium ishobora gutera. Imiti yombi ikora kimwe kandi imara igihe kimwe, ariko cisatracurium ikunda kuba yoroshye ku mubiri wawe.

Inyungu nyamukuru ya cisatracurium kurusha atracurium ni uko bidakunze gutera histamine, ishobora gutera ibibazo byo mu ruhu, cyangwa impinduka mu mitsi y'amaraso. Ibi bituma cisatracurium iba nziza ku bantu bafite allergie cyangwa indwara z'umutima.

Cisatracurium kandi isenyuka mu buryo bwizewe mu mubiri wawe, bituma abaganga babasha kugenzura neza igihe umubiri uzamara utoroheje. Ariko, atracurium iracyari umuti mwiza kandi ishobora gukoreshwa igihe cisatracurium itaboneka.

Ibikunze Kubazwa Kuri Cisatracurium Besylate

Ese Cisatracurium Besylate irakwiriye ku ndwara z'umutima?

Yego, cisatracurium besylate muri rusange ifatwa nk'iyizewe ku bantu bafite indwara z'umutima. Bitandukanye n'indi miti imwe yo gutuma imitsi itorohera, ntigira ingaruka zigaragara ku mutima wawe cyangwa umuvuduko w'amaraso, bituma iba nziza ku barwayi bafite ibibazo by'umutima.

Uyu muti ntutera histamine nk'uko indi miti ibikora, bivuze ko bidakunze gutera impinduka mu mitsi y'amaraso zishobora gushyira umutima wawe mu gihirahiro. Umuganga wawe w'indwara z'umutima azakomeza gukurikirana imikorere y'umutima wawe mu gihe cyose cy'ubuvuzi.

Nigira iki niba mbonye cisatracurium besylate nyinshi ku buryo butunguranye?

Ntugomba guhangayika ku bijyanye no gufata cisatracurium besylate nyinshi ku buryo butunguranye, kuko abaganga b'inzobere bonyine nibo bafata kandi batanga uyu muti. Niba byaba ngombwa ko umuntu afata uyu muti mwinshi mu bitaro, ikipe yawe y'abaganga yahita itanga ubufasha.

Uburyo nyamukuru bwo kuvura umuntu wafashe cisatracurium nyinshi ni ukumufasha guhumeka hakoreshejwe imashini kugeza igihe umuti uviramo. Hariho kandi imiti ishobora gufasha guhindura ibyavuye mu muti vuba niba bibaye ngombwa.

Nigute nshobora kubigenza niba nirengagije doze ya Cisatracurium Besylate?

Iki kibazo ntikireba cisatracurium besylate kuko ntiwiyifata uri murugo. Abaganga b'inzobere bagenzura neza igihe buri doze itangirwa mugihe cyo kubaga cyangwa kuvurwa bikomeye bitewe nibyo ukeneye ako kanya.

Niba uri mu kigo cyita ku barwayi barembye kandi bakaguhereza doze nyinshi, ikipe yawe y'abaganga niyo igenzura igihe cyo kuyitanga. Bagenzura imikorere y'imitsi yawe kandi bagatanga izindi doze gusa mugihe bibaye ngombwa mugihe uvurwa.

Nshobora guhagarika ryari gufata Cisatracurium Besylate?

Ntiwowe ufata icyemezo cyo guhagarika cisatracurium besylate - ikipe yawe y'abaganga niyo igenzura igihe cyo kuyihagarika bitewe nibyo ukeneye mugihe cyo kubagwa cyangwa kuvurwa. Kubijyanye n'uburyo bwo kubaga bwinshi, bareka umuti ugashira uko ibikorwa byo kubaga birangiye.

Niba uri mu kigo cyita ku barwayi barembye, abaganga bazahagarika kuguha cisatracurium besylate igihe utakigomba kuruhura imitsi yawe kugirango imashini ifasha guhumeka cyangwa izindi nshingano. Bazagabanya buhoro buhoro doze kandi bagenzure imikorere yawe neza.

Nshobora gutwara imodoka nyuma yo guhabwa Cisatracurium Besylate?

Oya, ntushobora gutwara imodoka nyuma yo guhabwa cisatracurium besylate. Uyu muti utangwa gusa mugihe cyo kubaga cyangwa kuvurwa bikomeye, bityo uzakenera igihe cyo koroherwa neza mbere yo gutwara imodoka.

N'ubwo imitsi yoroheje ikareka gukora, birashoboka ko waba warahawe izindi miti nka anestesiya rusange na yo igira ingaruka ku bushobozi bwawe bwo gutwara neza. Itsinda ry'abaganga bazaguha amabwiriza arambuye yerekeye igihe uzongera gukora ibikorwa bisanzwe, harimo no gutwara.