Chii chinonzi Ketamine Injection: Zvayinoshandiswa, Mishonga, Migumisiro, nezvimwe

Ketamine injection mushonga une simba wekurwadziwa uye mushonga wekurwadziwa unovandudzwa nevachiremba muzvipatara uye makiriniki akakosha. Ungave uchiziva zvakanaka seanesthetic yekuvhiya, asi zvakare iri kuve kurapwa kwakakosha kwekuora mwoyo kwakanyanya uye kurwadziwa kusingaperi kusingapinduri kune mamwe mishonga.

Mushonga uyu unoshanda zvakasiyana nemishonga yekurwadziwa kana antidepressants. Inokanganisa nzira dzekutaurirana dzeuropi hwako nenzira yakasarudzika, ndosaka ichigona kushanda zvakanyanya kune mamwe mamiriro apo mamwe marapirwo asina kushanda.

Chii chinonzi Ketamine Injection?

Ketamine injection mushonga unowanikwa mukirasi yemishonga inonzi dissociative anesthetics. Yakagadzirwa pakutanga muma1960s seimwe nzira yakachengeteka kune mamwe maaneshetics anoshandiswa panguva yekuvhiya.

Mushonga uyu unouya semvura yakajeka iyo vanopa hutano vanoisa mumhasuru yako kana tsinga. Kusiyana nemamwe mishonga mazhinji, ketamine inogona kupa zororo rekurwadziwa uye anesthesia, zvichienderana nemushonga wakapihwa. Ndizvo zvinodaidzwa nevachiremba kuti "chinhu chinodzorwa" nekuti chine mukana wekushandisa zvisizvo, saka inowanikwa chete kuburikidza nekutarisa kwekurapa.

Chinonyanya kukosha ketamine ndiko kukurumidza kwayo kushanda. Nepo mishonga yakawanda ichitora mavhiki kuti ioneke, ketamine inogona kupa zororo mukati meawa kana mazuva kune mamwe mamiriro.

Ketamine Injection Inoshandiswa Kunei?

Vachiremba vanoshandisa ketamine injection kune akati wandei ezvinhu zvakakosha zvekurapa. Kushandiswa kwakajairika ndeye anesthetic panguva yekuvhiya, kunyanya nzira pfupi kana apo mamwe maaneshetics angave asina kuchengeteka kwauri.

Munguva pfupi yapfuura, ketamine yakawana mukurumbira seimwe nzira yekurapa kushushikana kwakanyanya. Kana wakaedza mishonga yakawanda yekurwisa kushushikana pasina kubudirira, chiremba wako angangofunga nezve ketamine seimwe sarudzo. Inobatsira zvikuru pakurapa kushushikana kunodzivisa kurapwa, uko mishonga yechinyakare isina kupa rubatsiro.

Hezvino zvirwere zvikuru zvinorapwa nejekiseni reketamine:

• General anesthesia yekuvhiyiwa uye nzira dzekurapa
• Kurapa-kunodzivisa kushushikana
• Zvirwere zvakanyanya zvekusingaperi kurwadziwa
• Kuzorodzwa kwemamiriro ekukurumidzira muzvipatara
• Mamwe marudzi ekushushikana kwe bipolar
• Complex regional pain syndrome

Chiremba wako achanyatsoongorora kana ketamine yakakodzera mamiriro ako chaiwo. Sarudzo inoenderana nenhoroondo yako yekurapa, mishonga iripo, uye kuti wakanaka sei kumwe kurapwa.

Ketamine Inoshanda Sei?

Ketamine inoshanda nekudzivisa mamwe ma receptors muuropi hwako anonzi NMDA receptors. Funga nezve ma receptors aya semikova anowanzoita kuti mameseji emakemikari apfuure nemumasero ako ehuropi.

Kana ketamine ikadzivisa mikova iyi, inogadzira shanduko muuropi hwako. Izvi zvinogona kutungamirira kune hukama hutsva hunogadzirwa pakati pemasero ehuropi, ayo masayendisiti anotenda ndicho chikonzero nei ichigona kubudirira zvikuru pakushushikana. Zvakafanana nekupa uropi hwako mukana wekuzvigadzirisa nenzira dzine hutano.

Kuti ubatsire kurwadziwa, ketamine inokanganisa zviratidzo zverwadziwa zvinofamba kubva mumuviri wako kuenda kuuropi hwako. Inoonekwa semushonga une simba - une simba kupfuura marwadzo akawanda akajairika asi kwete akasimba semamwe ma anesthetics anoshandiswa mukuvhiyiwa kukuru.

Mhedzisiro inogona kunzwiwa nekukurumidza, kazhinji mukati memaminitsi kusvika kumaawa. Ichi chiito chinokurumidza ndicho chimwe chikonzero nei ketamine yakave chishandiso chakakosha pakurapa kushushikana kwakanyanya kusingapinduri kune mamwe mishonga.

Ndingatora Sei Ketamine Injection?

Jekiseni reKetamine rinogara richipiwa nevashandi vehutano munzvimbo dzekurapa. Hauzive kutora mushonga uyu kumba - zvinoda kunyatso tariswa nekutarisirwa kwechiremba.

Jekiseni rinogona kupiwa nenzira dzakasiyana zvichienderana nekurapa kwako. Kuti utambudzwe, rinowanzo jekisewa mutsinga yeropa kuburikidza neIV. Kuti urape kuora mwoyo, rinogona kupiwa sejekiseni mumhasuru dzako kana kuburikidza neIV infusion inotora maminitsi makumi mana.

Usati watora kurapwa kweketamine, timu yako yehutano ichakupa mirairo chaiyo. Iwe unowanzo kuda kudzivisa kudya kana kunwa kwemaawa akati wandei pamberi, zvakafanana nekugadzirira kuvhiyiwa. Ita shuwa kuti mumwe munhu anogona kukutyaira kumba mushure, sezvo usingafaniri kushandisa mota kana michina kwemaawa makumi maviri nemana.

Panguva yejekiseni, iwe uchatariswa nguva dzose. Kudzvinyirirwa kweropa rako, kurova kwemoyo, uye kufema zvichatariswa nguva dzose. Chikwata chekurapa chichagara newe mukati mekuita kuti uve nechokwadi chekuchengeteka kwako.

Ndingatora Ketamine Kwenguva Yakareba Sei?

Kureba kwekurapwa kweketamine kunoenderana zvachose nekuti nei uchigamuchira. Kuti utambudzwe kuvhiyiwa, rinowanzo shandiswa kamwe chete panguva yekuita kwako.

Kuti urape kuora mwoyo, nguva yacho yakasiyana zvakanyanya. Unogona kutanga neakateedzana ekurapa kwemavhiki akati wandei. Vanhu vazhinji vanogamuchira majekiseni eketamine kaviri pavhiki kwemavhiki mashoma ekutanga, wobva wazvishoma sezvo zviratidzo zvichivandudza.

Chiremba wako achashanda newe kuti uwane chirongwa chakakodzera. Vamwe vanhu vanoda kurapwa kwekuenderera mberi mumasvondo mashoma kana mwedzi kuti vachengetedze zviratidzo zvavo zvekuora mwoyo pasi pekutonga. Vamwe vangangoda chete nzira pfupi yekurapa.

Chinhu chakakosha ndechokuti chikwata chako chekurapa chichatarisa kufambira mberi kwako zvakanyanya. Vachachinja kuwanda uye nguva zvichienderana nekuti uri kupindura sei uye chero mhedzisiro yaungave nayo. Usambomira kana kuchinja chirongwa chako chekurapa ketamine usati wataurirana nachiremba wako kutanga.

Ndezvipi Zvipingamupinyi zveKetamine?

Kufanana nemishonga yese, ketamine inogona kukonzera mhedzisiro. Mashoko akanaka ndewekuti mhedzisiro yakawanda inguva pfupi uye inogoneka, kunyanya kana mushonga uchipiwa munzvimbo yekurapa inodzorwa.

Mhedzisiro yakajairika yaungave nayo inosanganisira kunzwa usina kubatana nezvakatipoteredza, dzungu, kusvotwa, uye shanduko mudzvinyiriro yeropa. Mhedzisiro iyi inowanzoitika panguva kana nguva pfupi mushure mejekiseni uye inowanzoenda mukati memaawa mashoma.

Heano mamwe mhedzisiro yakajairika yaungave uine:

• Kunzwa wakaparadzana kana "kuyangarara" panguva yekurapa
• Dzungu kana musoro unorema
• Kusvotwa kana kurutsa
• Kuwedzera kwenguva pfupi mudzvinyiriro yeropa
• Kuona kwakavhiringidzika
• Musoro
• Kuzvimbirwa kana kuneta

Kune zvakare mamwe mhedzisiro isingawanzoitiki asi yakakomba yekuziva. Izvi zvinosanganisira shanduko dzakakosha mumoyo, matambudziko ekufema, kana kuvhiringidzika kwakanyanya. Chikwata chako chekurapa chakadzidziswa kuti chitarise izvi uye chipindure nekukurumidza kana zvikaitika.

Vamwe vanhu vanonetseka nezve mhedzisiro yepfungwa ye ketamine, inowanzozivikanwa se "dissociative" mhedzisiro. Unogona kunzwa sekunge uri kunze kwemuviri wako kana kuti zvinhu zvakakupoteredza zvinoita sezvisiri zvechokwadi. Kunyange izvi zvichigona kunzwa zvisinganzwisisike, inguva pfupi uye kazhinji haina kukuvadza kana uri kutariswa nenyanzvi dzekurapa.

Ndiani Asingafaniri Kutora Ketamine?

Ketamine haina kuchengeteka kune vese. Chiremba wako achanyatsoongorora nhoroondo yako yekurapa asati akurudzira kurapwa uku.

Vanhu vane zvirwere zvemtima zvinofanira kudzivisa ketamine nekuti inogona kuwedzera ropa uye kurova kwemoyo. Kana uine ropa rakanyanya risingadzoreki, kurwisa kwemoyo kuchangobva kuitika, kana matambudziko emoyo akati wandei, ketamine ingasava yakakunakira.

Hezvino zvikonzero zvikuru nei mumwe munhu angasagona kugamuchira ketamine:

• Ropa rakanyanya risingadzoreki
• Kurwisa kwemoyo kuchangobva kuitika kana chirwere chemoyo chisina kugadzikana
• Chirwere chechiropa chakakomba
• Psychosis inoshanda kana mamwe mamiriro epfungwa
• Kuzvitakura kana kuyamwisa
• Nhoroondo yekushandisa zvinodhaka neketamine
• Mamwe mamiriro eziso anowedzera kumanikidzwa muziso

Zera rinogonawo kuva chinhu. Vana vadiki zvikuru uye vanhu vakuru vangada kufunga kwakakosha kana dzimwe nzira dzekurapa. Chiremba wako achayerera mabhenefiti anogona kuitika pamusoro penjodzi dzemamiriro ako chaiwo.

Kana uine chero mamiriro aya, usanetseka - kazhinji pane dzimwe nzira dzekurapa dziripo. Chikwata chako chehutano chichashanda newe kuti uwane sarudzo yakachengeteka uye inoshanda zvakanyanya pazvido zvako.

Mazita eKetamine Brand

Ketamine inowanikwa pasi pemazita akati wandei emhando. Zita rinowanzozivikanwa nderekuti Ketalar, iro rinoshandiswa kuita anesthesia panguva yekuvhiya uye nzira dzekurapa.

Pakuita kurapwa kwekuora mwoyo, unogona kunzwa nezveSpravato, iyo iri nasal spray fomu reketamine (kunyanya esketamine). Zvisinei, izvi zvakasiyana nefomu rejekiseni ratiri kukurukura pano.

Munzvimbo dzekurapa, unogonawo kunzwa vanopa hutano vachitaura nezveketamine nezita rayo generic pane zita remhando. Mushonga wakafanana zvisinei nemhando, asi vagadziri vakasiyana vangave nemafomu akasiyana zvishoma kana kuwanda.

Chikwata chako chekuchengetwa kwehutano chichakuzivisa kuti ndeipi fomu chaiyo uye mhando ye ketamine yavanoshandisa pakurapa kwako. Sarudzo iyi inowanzoenderana nezvido zvako zvekurapa uye zviri kuwanikwa panzvimbo yako yekurapa.

Zvimwe Zvinhu Zvokutsiva Ketamine

Kana ketamine isiri iyo yakakunakira, pane dzimwe nzira dzakawanda dzekurapa dziripo. Nzira yakanakisa yekutsiva inoenderana nekuti urikurapa chii.

Kuti uwane anesthesia, dzimwe sarudzo dzinosanganisira propofol, midazolam, kana akasiyana-siyana anesthetics inofemwa. Mishonga iyi inoshanda zvakasiyana ne ketamine asi inogona kupa mhedzisiro yakafanana yeanesthetic yekuvhiya.

Kuti urape kuora mwoyo, dzimwe nzira dzinosanganisira antidepressants yechinyakare senge SSRIs, SNRIs, kana dzimwe mishonga mitsva. Vamwe vanhu vanobatsirwawo nekutarisirwa senge transcranial magnetic stimulation (TMS) kana electroconvulsive therapy (ECT).

Kuti urape kurwadziwa kusingaperi, dzimwe nzira dzinogona kusanganisira mamwe marudzi e nerve blocks, mishonga yakasiyana yekurwadziwa, kana nzira dzisiri dzemishonga senge physical therapy kana psychological counseling.

Chiremba wako achakurukura izvi zvimwe zvinhu newe kana ketamine isina kukodzera. Dzimwe nguva kusanganiswa kwekurapa kunoshanda zvirinani pane chero nzira imwe chete.

Ko Ketamine Ari Nani Pane Zvimwe Zvinoshandiswa?

Ketamine ine zvakanakira zvakasiyana zvinoita kuti ive nani pane zvimwe zvinoshandiswa mune dzimwe nguva. Inonyanya kukosha nekuti haidzivise kufema kwako zvakanyanya sezvinoita mamwe ma anesthetics.

Izvi zvinoita kuti ketamine ive inobatsira zvakanyanya mumamiriro ezvinhu ekukurumidzira kana pakurapa varwere vanogona kunge vaine matambudziko ekufema. Inobatsirawo kune maitiro mapfupi kana kana mamwe ma anesthetics angave ane njodzi zvakanyanya.

Zvisinei, ketamine haifaniri kunzi “iri nani” pane mamwe ma anesthetics - yakasiyana. Zvimwe zvinoshandiswa senge propofol zvinogona kufarirwa pakuvhiya kwenguva refu kana paunoda kumuka nekukurumidza mushure mekuvhiya.

Pamusoro pekurapa kuora mwoyo, ketamine inopa chimwe chinhu icho mishonga inorwisa kuora mwoyo yechinyakare isingapi: rubatsiro rwekukurumidza. Nepo mishonga yakawanda inorwisa kuora mwoyo ichitora mavhiki kuti ishande, ketamine inogona kupa rubatsiro mukati meawa kana mazuva. Izvi zvinoita kuti ive yakakosha kune vanhu vane kuora mwoyo kwakanyanya vasina kupindura kune dzimwe nzira dzekurapa.

Sarudzo pakati peketamine nemimwe mishonga inoenderana nezvido zvako zvakananga, nhoroondo yako yekurapa, uye maitiro chaiwo kana mamiriro ari kurapwa.

Mibvunzo Inowanzo Bvunzwa Pamusoro peKetamine

Ketamine Yakachengeteka Here Kune Vanhu vane Chirwere Chemoyo?

Ketamine inogona kuva yakachengeteka kune vanhu vane mamwe marudzi echirwere chemoyo, asi inoda kuongororwa zvakanyatsonaka. Mushonga uyu unogona kuwedzera kukurumidza kwemoyo wako uye kudzvinyirirwa kweropa, izvo zvinogona kuva nematambudziko kana uine mamwe mamiriro emoyo.

Kana uine chirwere chemoyo chinodzorwa zvakanaka, chiremba wako angangokwanisa kushandisa ketamine nekutarisa kwakawedzerwa. Vachayerera mabhenefiti achipesana nenjodzi dzemamiriro ako chaiwo. Mune dzimwe nguva, vanogona kusarudza dzimwe mishonga dzakachengeteka kumoyo wako.

Nguva dzose udza timu yako yehutano nezve chero matambudziko emoyo aunayo, kunyangwe akaita sediki. Ruzivo urwu runovabatsira kuita sarudzo dzakachengeteka dzekurapa iwe.

Ndoita Sei Kana Ndikagamuchira Ketamine yakawandisa netsaona?

Sezvo ketamine ichingopihwa nevashandi vehutano munzvimbo dzekurapa, overdose netsaona haisi kazhinji. Zvisinei, kana iwe uchifunga kuti wakagamuchira ketamine yakawandisa, udza timu yako yekurapa nekukurumidza.

Zviratidzo zveketamine yakawandisa zvinogona kusanganisira kuvhiringidzika kwakanyanya, kuoma kufema, kana kurasikirwa nekuziva. Timu yako yekurapa yakadzidziswa kuziva nekukurumidza nekurapa mamiriro aya.

Kurapa kweketamine overdose kazhinji kunosanganisira kutarisirwa kunotsigira - kubatsira muviri wako kugadzirisa mushonga uchitarisa zviratidzo zvako zvakakosha. Vanhu vazhinji vanopora zvakakwana nekutarisirwa kwakakodzera kwekurapa.

Ndoitei Kana Ndakarasikirwa neKurapa kweKetamine?

Kana ukarasikirwa nekurapa kweketamine kwakarongeka kwekuora mwoyo, taura nemupi wezvehutano wako nekukurumidza sezvinobvira. Vachakubatsira kuronga zvakare uye kuona kana kuchidikanwa kugadzirisa chirongwa chako chekurapa.

Usaedza kutsiva kurapwa kwakarasika nekuita kuti kuve pedyo. Chirongwa chako chekurapa chakarongeka zvakanyatsonaka kuti chive chakachengeteka uye chinoshanda.

Kurasikirwa nekurapa kumwe chete kazhinji hakusi dambudziko rakakura, asi zvakakosha kuti urambe uri pedyo nechirongwa chako chakanyorwa sezvinobvira kuti uwane mhedzisiro yakanaka.

Ndingamira Rini Kutora Ketamine?

Sarudzo yekumisa kurapwa kweketamine inofanirwa kugara ichiitwa nechikwata chako chehutano. Kweanesthesia, mushonga unowanzo mirwa nekukasira kana maitiro ako apera.

Kwekurapa kuora mwoyo, nguva inosiyana. Vamwe vanhu vanoda kurapwa kwekuchengetedza kwenguva refu, nepo vamwe vachikwanisa kumira mushure mekunge zviratidzo zvavo zvavandudza zvakanyanya.

Chiremba wako achatarisa kufambira mberi kwako uye kubatsira kuona kuti yakachengeteka rini kuderedza kana kumisa kurapwa. Vanogona zvakare kukubatsira kuchinjira kune mamwe mishonga kana kurapwa kuti uchengetedze kuvandudzwa kwako.

Ndingatyaira Mushure meKurapa kweKetamine Here?

Kwete, haufanirwe kutyaira kwemaawa angangoita makumi maviri nemana mushure mekuwana jekiseni reketamine. Mushonga unogona kukanganisa kubatana kwako, kutonga, uye nguva yekupindura kunyangwe iwe ukanzwa zvakajairika.

Ronga kuti mumwe munhu akutyairire kuenda nekubva kumusangano wako. Izvi zvinonyanya kukosha pakurapa kuora mwoyo, kwaunenge wakamuka asi unogona kusangana nemhedzisiro inoramba iripo.

Chikwata chako chehutano chichakupa mirairo chaiyo yekuti yakachengeteka rini kutangazve kutyaira nezvimwe zviitiko. Tevedza matungamirirwo aya nekuchenjerera kuchengetedzwa kwako nekuchengetedzwa kwevamwe.