Chii chinonzi Midazolam Injection: Zvayinoshandiswa, Madosi, Migumisiro Yakaipa uye Zvimwe

Midazolam jekiseni mushonga une simba wekudzikamisa uyo uri muboka remishonga inonzi benzodiazepines. Chiremba wako anoshandisa mushonga uyu kukubatsira kuti uzorore uye unzwe uchipera simba pamberi pemaitiro ekurapa, kuvhiyiwa, kana paunoda kutarisirwa zvakanyanya. Funga nezvazvo sechishandiso chekurapa chinonyaradza zvinyoro-nyoro tsinga dzako kana uchizvida zvakanyanya mumamiriro ezvinhu ekurapa ane kushushikana.

Chii chinonzi Midazolam Injection?

Midazolam jekiseni mushonga unokurumidza kudzikamisa uyo unoshanda zvakananga kuburikidza neropa rako. Iwo mumhuri imwechete yemishonga seValium kana Xanax, asi yakagadzirirwa zvakananga nzvimbo dzekurapa uko kudzikamisa nekukurumidza, kunodzorwa kunodiwa. Vanachiremba vanoipa kuburikidza neIV line, jekiseni mumhasuru, kana dzimwe nguva kuburikidza nemhino dzako mumamiriro ezvinhu ekukurumidzira.

Mushonga uyu unoonekwa seune simba zvakanyanya kana uchienzaniswa nemishonga yekuzvidya mwoyo yemuromo. Nepo mapiritsi aunogona kutora kumba achishanda zvishoma nezvishoma kwemaminitsi makumi matatu kusvika makumi matanhatu, midazolam jekiseni rinowanzo kutanga kushanda mukati memaminitsi 1-3 kana richipiwa intravenously. Chiito ichi chinokurumidza chinoita kuti chive chakakosha zvisingaite kumaitiro ekurapa uko nguva inokosha.

Chii chinonzi Midazolam Injection chinoshandiswa?

Vanachiremba vanoshandisa midazolam jekiseni zvakanyanya kukubatsira kuti unzwe wakadzikama uye uchipera simba pamberi pemaitiro ekurapa. Inowanzo shandiswa kune colonoscopies, endoscopies, kuvhiyiwa kwemazino, uye maitiro madiki ekuvhiya uko iwe unofanirwa kuzorora asi kwete kusaziva zvachose. Unogonawo kuiwana mumakamuri ekukurumidzira kuti ubatsire kudzora kubatwa kana zviitiko zvakanyanya zvekuzvidya mwoyo.

Muintensive care units, midazolam inobatsira kuchengeta varwere vakasununguka pavanenge vari pamichina yekufema kana kupora kubva kuzvirwere zvakakomba. Inoshandiswawo sechikamu cheanesthesia protocols yekuvhiyiwa kukuru, ichishanda pamwe chete nemimwe mishonga kuti uve nechokwadi chekuti unonzwa wakasununguka zvachose panguva yese yekuita.

Kunze kwekushandiswa uku kwakajairika, kune dzimwe nzvimbo dzakakosha uko midazolam inova yakakosha. Zvikwata zvekurapa zvekukurumidzira zvinoshandisa kubatsira vanhu vari kusangana nekufara kwakanyanya, kurwiswa kwekutya, kana zviratidzo zvekubviswa kwedoro. Munzvimbo dzevana, zvinobatsira vana kuti vagare vakadzikama panguva yezvinhu zvinotyisa zvekurapa, zvichiita kuti chiitiko chive chisingatyisi zvakanyanya kumwana nemhuri yavo.

Midazolam Injection Inoshanda Sei?

Midazolam inoshanda nekuwedzera mhedzisiro yemakemikari echisikigo muuropi hwako anonzi GABA. GABA yakaita sebureki rechisikigo reuropi hwako, ichibatsira kuderedza basa retsinga uye kugadzira manzwiro ekudzikama nekuzorora. Kana midazolam ikawedzera mhedzisiro yeGABA, inogadzira mamiriro ekunyarara, ekurara ayo anoita kuti maitiro ekurapa ave akasununguka kwauri.

Mishonga iyi inoonekwa seyakasimba kwazvo munyika yezvinoderedza. Kunyangwe isingakuiti kuti usazive zvachose semushonga weanesthesia, inogadzira izvo vanachiremba vanodaidza kuti "kuziva sedation." Izvi zvinoreva kuti iwe unonzwa wakasununguka kwazvo uye kurara, asi unogona kupindura izwi rechiremba wako nemirairo kana zvichidikanwa.

Runako rwe midazolam nderekuti zvakare ine amnesic properties, zvinoreva kuti haungayeuke zvakawanda nezve maitiro acho mushure meizvozvo. Izvi hazvina njodzi - zvinobatsira chaizvo nekuti zvinokudzivirira kubva pakuumba ndangariro dzinoshungurudza nezve maitiro ekurapa, zvichiita kuti kurapwa kwemunguva yemberi kuve nyore kubata mupfungwa.

Ndingatora Sei Midazolam Injection?

Hauzozvipe iwe midazolam jekiseni - izvi zvinogara zvichitungamirirwa nenyanzvi dzehutano dzakadzidziswa munzvimbo dzekurapa. Zvisinei, pane zvinhu zvakakosha zvaunoda kuita kuti ugadzirire kugamuchira mushonga uyu zvakachengeteka.

Kugadzirira kwenyu kunowanzo kutanga husiku hurefu pamberi pekuvhiyiwa kwenyu. Chiremba wenyu anogona kukukumbira kuti mudzivise kudya kana kunwa chero chinhu kwemaawa 8-12 pamberi pekusangana kwenyu. Nguva iyi yekutsanya yakakosha nekuti midazolam inogona kukanganisa mafungiro emuviri wenyu, uye kuva nechikafu mudumbu renyu kunogona kukonzera matambudziko kana mukarutsa muchiri pasi pechiremba.

Pazuva rekuvhiyiwa kwenyu, pfekai mbatya dzakanaka, dzakasununguka uye bvisa chero zvishongo, malenzi ekubata, kana mazino ekugadzira sezvakarairwa. Ita shuwa kuti une munhu mukuru ane mutoro anogona kukutyaira kumba mushure meizvozvo, sezvo mhedzisiro ye midazolam inogona kugara maawa akati wandei kunyangwe uchiedza kunzwa wakangwarira.

Zivisa timu yako yehutano nezve mishonga yese yaunotora, kusanganisira mishonga isingatengwi uye zvinowedzera. Dzimwe mishonga inogona kushamwaridzana ne midazolam, uye chiremba wako anogona kuda kugadzirisa chiyero kana nguva yemimwe mishonga yako zvinoenderana.

Ndingatora Kwenguva Yakareba Sei Midazolam Injection?

Midazolam jekiseni rinowanzo kuva mushonga wekamwe chete unopiwa zvakananga kuita kwako kana mamiriro ako ekurapa. Kusiyana nemishonga yezuva nezuva yaungatora kumba, ichi hachisi chinhu chaunozoshandisa kakawanda kana kwenguva yakareba. Chiyero chega chega chinoverengwa zvakanyatsoenderana nezvido zvako, uremu, zera, uye rudzi rwekuvhiyiwa kwauri kuita.

Mhedzisiro yacho inowanzo kutanga mukati memaminitsi 1-3 kana ichipiwa intravenously, kana mukati memaminitsi 5-15 kana ichipiwa sejekiseni remhasuru. Mhedzisiro yepamusoro inoitika anenge maminitsi 15-30 mushure mekutarisirwa, uye mhedzisiro yekuzorodza inowanzo gara maawa 2-6, zvichienderana nechiyero uye mhinduro yako yemunhu.

Munzvimbo dzekuchengetwa kwakanyanya, varwere vanogona kugamuchira midazolam zvakare nekusingaperi kuburikidza neIV drip kwemazuva kana kunyange mavhiki vachipora kubva kuzvirwere zvakakomba. Zvisinei, vanachiremba vanonyatso tarisa izvi uye zvishoma nezvishoma vanoderedza chiyero sezvo varwere vachivandudza, vachigara vachishanda vakananga kumisa mushonga nekukurumidza sezvazvakachengeteka kuita kudaro.

Ndezvipi Zvakaipa Zvinokonzerwa neMidazolam Injection?

Vanhu vazhinji vanogashira midazolam injection zvakanaka, asi semushonga chero upi zvake, unogona kukonzera zvakaipa. Zvakajairika ndezvekutambanudza zvakaitirwa mushonga - kukuitai kunzwa kuneta uye kuzorora.

Hezvino zvakaipa zvaungangove uchiwana, uchifunga kuti izvi zvinowanzoita zvishoma uye zvenguva pfupi:

• Kuneta kunogona kugara maawa akati wandei mushure mekuvhiyiwa kwenyu
• Kuvhiringidzika kwenguva pfupi kana kunzwa "kufoggy" sezvo mushonga uchipera
• Kunyara zvishoma kana hiccups panguva kana mushure mekuvhiyiwa
• Kusavapo kwememori kwenguva pfupi panguva yekuvhiyiwa kwenyu
• Kurwadziwa nemusoro zvishoma sezvo mhedzisiro ichipera
• Kunzwa kusagadzikana patsoka dzako kwemaawa mashoma

Izvi zvakajairika hazvina njodzi uye zvinopera zvishoma nezvishoma sezvo muviri wako uchigadzirisa mushonga. Ichi ndicho chikonzero nei kuva nemunhu wekukutyaira kumba uye kugara newe kwemaawa mashoma kwakakosha.

Kune zvimwe zvishoma zvakajairika asi zvakanyanya zvakaipa izvo timu yako yezvokurapa inotarisa zvakanyatsonaka. Izvi zvinosanganisira matambudziko ekufema, kunyanya kana uine sleep apnea kana mamiriro emapapu, kudonha kukuru kweropa, kana maitiro asingawanzoitika senge agitation panzvimbo yekuzorodzwa. Vapi vehutano vako vakadzidziswa kuziva uye kubata izvi zviitiko nekukasira.

Kazhinji, vamwe vanhu vanowana zvinonzi "paradoxical reaction," uko panzvimbo yekuzorodzwa, vanova vakashatirwa kana kunetseka. Izvi zvinowanzoitika muvarwere vakuru kana avo vane mamwe mamiriro ehutano hwepfungwa. Kana izvi zvikaitika, timu yako yezvokurapa inogona nekukurumidza kubvisa mhedzisiro nemumwe mushonga.

Ndiani Asingafaniri Kutora Midazolam Injection?

Jekiseni reMidazolam harikodzeri munhu wese, uye chiremba wako achanyatsoongorora nhoroondo yako yezvokurapa asati afunga kana yakakodzera kwauri. Chinhu chinonyanya kukosha ndechekuti kana uine matambudziko ekufema akakomba kana kurara uchifema, sezvo midazolam inogona kunonotsa kufema kwako.

Haufaniri kupiwa midazolam kana uine allergic kune benzodiazepines kana chero zvinhu zvejekiseni. Vanhu vane chirwere chechiropa chakakomba vanoda kufungwa zvakakosha nekuti miviri yavo inogadzirisa mushonga zvishoma nezvishoma, izvo zvinogona kukonzera mhedzisiro yakareba zvakanyanya.

Hezvino zvimwe zviitiko izvo midazolam ingasava yakakodzera kwauri:

• Acute narrow-angle glaucoma (rudzi rwakati rwemamiriro eziso)
• Kukuvadzwa kwakanyanya kwekufema kana matambudziko ekufema
• Kuzvitakura, kunyanya panguva yekutanga
• Kuyamwisa (mushonga unogona kupinda mumukaka wemazamu)
• Myasthenia gravis (mamiriro ekushaya simba kwemhasuru)
• Matambudziko akakomba emoyo kana kudzvanywa kweropa kwakaderera

Zera zvakare chinhu chakakosha. Varwere vakuru nevana vadiki vanoda kufunga zvakakosha zvekushandisa nekuti vanonyanya kunzwisisa mhedzisiro yemushonga. Chiremba wako achagadzirisa dose zvakanyatsonaka zvichienderana nezera rako, uremu, uye hutano hwese.

Kana uine nhoroondo yekushandisa zvinodhaka zvisina kufanira, kunyanya doro kana benzodiazepines, ita shuwa kuti chiremba wako anoziva izvi. Kunyangwe zvisingakubvise iwe otomatiki kubva pakugamuchira midazolam, zvinoda kuongororwa kwakakosha uye pamwe nzira dzakasiyana dzekushandisa.

Mazita eMidazolam Brand

Jekiseni reMidazolam rinowanikwa pasi pemazita akati wandei emhando, kunyangwe zvipatara zvakawanda nemakiriniki vachishandisa vhezheni yegeneric. Zita rinowanzozivikanwa muUnited States ndeye Versed, iyo yaungangozviona mumarekodhi ako ekurapa kana kunzwa timu yako yehutano ichitaura.

Mamwe mazita emhando anosanganisira Dormicum (anoshandiswa mumisika yemamwe marudzi) uye akasiyana siyana emhando dzakajairika dzinongoti "midazolam jekiseni." Mushonga wacho wakafanana zvisinei nezita remhando - chinonyanya kukosha ndiyo dosi uye kuwanda kwesarudzo chiremba wako anosarudza kuti iwe unofanirwa kuita sei.

Nzvimbo yako yekuchengetedza hutano inowanzo chengeta chero vhezheni yavakawana yakavimbika uye inodhura. Ese mavhezheni anofanirwa kusangana neiyo yakafanana yakasimba FDA zviyero zvekuchengetedza uye kushanda, saka unogona kunzwa uine chivimbo zvisinei nekuti ndeipi mhando yaunogamuchira.

Zvimwe Zvinhu Zviri Munjekiseni yeMidazolam

Nepo midazolam iri imwe yeanonyanya kufarirwa ma sedatives emabasa ekurapa, kune akati wandei mamwe maitiro ayo chiremba wako angangofunga zvichienderana nezvako zvaunoda uye nhoroondo yako yekurapa. Imwe neimwe imwe nzira ine yayo yakasarudzika mabhenefiti uye kufunga.

Propofol pamwe ndiyo imwe nzira yakajairika, kunyanya kune maitiro anoda kudzika sedation. Inoshanda nekukurumidza kupfuura midazolam uye inopera nekukurumidza, zvichiita kuti ive yakanaka kune maitiro ekunze kwaunoda kupora nekukurumidza. Zvisinei, inoda kuongororwa zvakanyanya uye inowanzo shandiswa nevanoita anesthesia.

Kune chiedza sedation, chiremba wako angasarudza lorazepam (Ativan) kana diazepam (Valium). Mishonga iyi inoshanda zvakafanana ne midazolam asi ine mhedzisiro inogara kwenguva refu. Vanowanzo shandiswa kana sedation inogara ichidiwa kana kune varwere vanogona kubatsirwa nekureruka kwekusagadzikana kwenguva refu.

Ketamine imwe nzira iri kuwana mukurumbira kune mamwe maitiro. Kusiyana ne midazolam, ketamine inopa zvese sedation uye kurwadziwa, zvichiita kuti zvibatsire kune maitiro anorwadza. Zvisinei, inogona kukonzera mhedzisiro yakasiyana, kusanganisira zviroto zvakajeka kana kuvhiringidzika kwenguva pfupi.

Kune varwere vadiki, vanachiremba dzimwe nguva vanoshandisa dzimwe nzira dzakadai se chloral hydrate kuvana vadiki zvikuru, kana nitrous oxide (gasi rekuseka) kumaitiro emazino. Zvinhu izvi zvinogona kuva zvinyoro kuvana vanogona kutya majekiseni.

Kojekiseni yeMidazolam iri nani pane Lorazepam?

Kufananidza jekiseni re midazolam ne lorazepam (Ativan) hakusi pamusoro peimwe iri nani pane imwe - ndezvekuti mushonga upi wakakodzera mamiriro ako chaiwo. Zvose zviri benzodiazepines zvinoshanda zvakafanana, asi zvine nguva dzakasiyana uye hunhu hwekugara kwenguva refu hunoita kuti imwe neimwe ive nani kune zvimwe zvinangwa.

Mukana mukuru weMidazolam ndiko kumhanya kwayo uye kufanotaurwa. Inotanga kushanda mukati memaminitsi uye ine nguva shoma yekushanda, kazhinji 2-6 maawa. Izvi zvinoita kuti ive yakanaka kumaitiro ekunze kwaunoda kupora nekukurumidza uye kuenda kumba zuva rimwe chetero. Kutanga kwayo nekukurumidza kunopawo vanachiremba kutonga kwakaringana pamusoro penguva yekudzikamisa.

Lorazepam, kune rumwe rutivi, ine nguva yakareba yekushanda, inogara 6-12 maawa kana kupfuura. Izvi zvinoita kuti ive nani mumamiriro ezvinhu apo kudzikamisa kwenguva refu kana kubatsirwa kwekunetseka kunodiwa, senge panguva yekugara muchipatara kwenguva refu kana varwere vane matambudziko akakomba ekunetseka. Inowanikwawo mumajekiseni nemuromo, ichipa vanachiremba kuchinjika kwakawanda.

Kune maitiro ekurapa, midazolam inowanzo farirwa nekuda kwekutanga kwayo nekukurumidza uye nguva shoma. Kune manejimendi ekuenderera mberi kwekunetseka kana mamiriro ezvinhu anoda kudzikamisa kwenguva refu, lorazepam inogona kuva sarudzo iri nani. Chiremba wako achafunga nezvezvinhu zvakaita seurefu hwemaitiro ako, nhoroondo yako yekurapa, uye nekukurumidza kwaunoda kupora paunenge uchiita sarudzo iyi.

Mibvunzo Inowanzo Bvunzwa Pamusoro peMidazolam Injection

Mubvunzo 1. Ko Midazolam Injection Yakachengeteka Kune Varwere Vane Mwoyo?

Midazolam jekisheni inogona kuva yakachengeteka kune varwere vane matambudziko emoyo, asi zvinoda kufunga kwakakosha nekutarisa. Mushonga uyu unogona kukonzera kudzikira kwenguva pfupi kweropa uye kurova kwemoyo, izvo zvingave zvinonetesa kune vanhu vane mamwe matambudziko emoyo. Chiremba wako wemoyo uye timu yezvokurapa iri kuita maitiro ako vachashanda pamwechete kuti vaone kana midazolam yakakodzera kwauri.

Kana uine chirwere chemoyo chakagadzikana, midazolam inowanzoshandiswa zvakabudirira nekutarisa kwakanyatsoitwa. Zvisinei, kana uine kukundikana kwakanyanya kwemoyo, ropa rakaderera zvikuru, kana kurwisa kwemoyo kwemazuva achangopfuura, chiremba wako angasarudza dzimwe nzira dzekudzikamisa kana kugadzirisa chiyero zvakanyanya. Chinhu chakakosha ndekukurukurirana kwechokwadi pamusoro pemamiriro ako emoyo nemishonga iripo.

Mubvunzo 2. Ndoitei Kana Ndikashandisa Midazolam Yakawandisa Netsaona?

Haugone kubata midazolam jekisheni iwe pachako - inogara ichipihwa nevashandi vehutano vakadzidziswa vanonyatsoverenga nekutarisa kuyera. Zvisinei, kana iwe uchifungidzira kuti wakagamuchira zvakawandisa kana uri kusangana nemigumisiro yakakomba, iyi inyaya yekukurumidzira yekurapa inoda kutariswa nekukurumidza.

Zviratidzo zvemidazolam overdose zvinosanganisira kurara zvakanyanya kwauri usingagoni kumutswa, kuoma kufema, miromo yebhuruu kana zvipikiri, kana kurova kwemoyo kunonoka zvikuru. Vapi vehutano vane mushonga unonzi flumazenil unogona kukurumidza kubvisa migumisiro ye midazolam kana zvichidikanwa. Ichi ndicho chikonzero nei maitiro ekurapa achishandisa midazolam achigara achiitika munzvimbo dzine midziyo yekukurumidzira nevashandi vakadzidziswa.

Mubvunzo 3. Ndoitei Kana Ndikakanganwa Dose ye Midazolam?

Mubvunzo uyu haushande kujekisheni ye midazolam nekuti hausi mushonga waunotora panguva yakajairika. Dose yega yega inopihwa zvakananga kune maitiro ekurapa kana mamiriro akakomba. Kana wakarongerwa maitiro anoda midazolam uye uchida kurongazve, ingotaura nemupi wako wehutano kuti uronge rimwe zuva.

Kana uri muchipatara chekuchengetwa zvakanyanya uchipiwa midazolam infusion nguva dzose, timu yako yezvokurapa ndiyo inosarudza zvese zvekupa mishonga. Vanoramba vachiongorora mamiriro ako uye vanochinja mushonga sezvinodiwa - hapana "dose yakarasika" yaunofanira kunetseka nayo.

Q4. Ndingamira Rini Kutora Midazolam Injection?

Midazolam injection inowanzo mira yega sezvo muviri wako uchigadzirisa mushonga mushure mekuvhiyiwa kwako. Kune mamiriro ekushandisa kamwe chete semaitiro ekunze, mushonga unopera zvakasikwa mumaawa 2-6 pasina chero chiito chinodiwa kwauri. Basa rako nderekuzorora uye rega muviri wako upore.

Mumamiriro ekuchengetwa zvakanyanya uko varwere vanopiwa midazolam infusions nguva dzose, vanachiremba vanoderedza zvishoma nezvishoma dose sezvo varwere vachivandudza. Iyi nzira, inonzi weaning, inodzivirira zviratidzo zvekubvisa uye inovimbisa kuti varwere vanoramba vakasununguka sezvavanopora. Chikwata chekurapa chinobata zvese zvisarudzo zvekuti riini uye sei kumisa mushonga zvichibva pakufambira mberi kwako uye mamiriro ako.

Q5. Ndingatyaira Mushure meKupiwa Midazolam Injection?

Kwete, haugone kutyaira mushure mekutambira midazolam injection. Uyu ndiwo mumwe wemitemo yakakosha yekuchengetedza ine chekuita nemushonga uyu. Kunyangwe iwe ukanzwa wakangwarira uye uchifunga kuti wapora, mushonga unogona kuchiri kukanganisa nguva yako yekupindura, kutonga, uye kubatanidzwa kwemaawa anosvika makumi maviri nemana mushure mekuvhiyiwa kwako.

Unofanira kuronga kuti munhu mukuru ane basa akutyairire kumba uye agare newe kwemaawa akati wandei mushure mekuvhiyiwa kwako. Iyi haisi kungoti zano - itsafety requirement iyo nzvimbo dzese dzekurapa dzinoita. Ronga mberi nekukumbira nhengo yemhuri kana shamwari kuti ikubatsire, kana kufunga kushandisa sevhisi yekutyaira kana uine mumwe munhu wekukuperekedza uye kukubatsira kuti usvike kumba zvakachengeteka.