Yini i-Edrophonium Injection: Ukusetshenziswa, Umthamo, Imiphumela Eceleni nokuningi

I-Edrophonium injection iyimithi evimbela okwesikhashana ukuhlakazeka kwe-acetylcholine, isithunywa samakhemikhali ohlelweni lwakho lwezinzwa. Lokhu kudala ukuthuthuka okufushane kodwa okuqashelwayo emandleni emisipha nomsebenzi. Abahlinzeki bezempilo ngokuyinhloko basebenzisa le mithi ejovwayo njengendlela yokuxilonga ukusiza ukuhlonza izimo ezithile zemisipha nezinzwa, ikakhulukazi i-myasthenia gravis.

Yini i-Edrophonium?

I-Edrophonium iyimithi esebenza ngokushesha okufushane eyingxenye yeqembu lezidakamizwa ezibizwa ngokuthi ama-cholinesterase inhibitors. Isebenza ngokuvimbela ukuhlakazeka kwe-acetylcholine, ebalulekile ekuxhumaneni phakathi kwezinzwa zakho nemisipha. Lapho amazinga e-acetylcholine enyuka okwesikhashana, imisipha yakho ingase iqine ngempumelelo.

Umuthi uza njengesixazululo esicacile, esingenambala esinikezwa abahlinzeki bezempilo ngokujova emthanjeni wakho. Ngokungafani neminye imithi eminingi, i-edrophonium isebenza ngokushesha kakhulu kodwa ihlala imizuzu embalwa kuphela. Lesi sikhathi esiyingqayizivele senza ukuthi sibe usizo olukhulu ekuhlolweni kokuxilonga kunokwelashwa okuqhubekayo.

Ngokuvamile uzohlangana ne-edrophonium esibhedlela noma emtholampilo, lapho ochwepheshe bezokwelapha bengaqapha ngokucophelela impendulo yakho. Umuthi waziwa nangegama lomkhiqizo i-Tensilon, nakuba inguqulo ejwayelekile isetshenziswa kakhulu namuhla.

Isetshenziselwani i-Edrophonium?

I-Edrophonium isebenza ngokuyinhloko njengendlela yokuxilonga ukusiza odokotela ukuthi bahlonze i-myasthenia gravis, isimo lapho amasosha akho omzimba ehlasela ukuxhumana phakathi kwezinzwa nemisipha. Ngesikhathi sokuhlolwa, udokotela wakho uzojova i-edrophonium futhi abuke ukuthuthuka okwesikhashana ebuthakathakeni bemisipha noma ukwehla kwamazombe.

Lo muthi usetshenziselwa nokuhlukanisa phakathi kwe-myasthenic crisis kanye ne-cholinergic crisis ezigulini esezitholakele ukuthi zine-myasthenia gravis. I-myasthenic crisis yenzeka lapho isimo sakho siba sibi futhi udinga imithi eyengeziwe, kanti i-cholinergic crisis yenzeka lapho uthole imithi eningi kakhulu.

Ngezinye izikhathi, odokotela basebenzisa i-edrophonium ukuguqula imiphumela yezinto ezithile eziphumuzisa imisipha ezisetshenziswa ngesikhathi sokuhlinzwa. Lokhu kusiza ukuqinisekisa ukuthi imisipha yakho ibuyela ekusebenzeni okujwayelekile ngemva kwezinqubo zezokwelapha. Nokho, lokhu kusetshenziswa akuvamile njengokusetshenziswa kwayo kokuxilonga.

Ezimweni ezingavamile, abahlinzeki bezempilo bangasebenzisa i-edrophonium ukuhlola ezinye izifo ze-neuromuscular noma ukuhlola ukusebenza kahle kwezinye izindlela zokwelapha i-myasthenia gravis. Lokhu kusetshenziswa okukhethekile kudinga ukugadwa kwezokwelapha okucophelelayo kanye nobungoti.

Isebenza Kanjani I-Edrophonium?

I-Edrophonium isebenza ngokuvimba i-enzyme ebizwa nge-acetylcholinesterase, evame ukwehlisa i-acetylcholine emzimbeni wakho. Lapho le enzyme ivinjelwe, i-acetylcholine iqongelela ekuhlanganyeleni phakathi kwemizwa yakho nemisipha, idale izimpawu eziqinile zokuncipha kwemisipha.

Cabanga nge-acetylcholine njengokhiye ovula ukunyakaza kwemisipha. Ezimweni ezinjenge-myasthenia gravis, akukho okhiye abanele abasebenzayo balaba okhiye. I-Edrophonium ayidali okhiye abaningi, kodwa igcina okhiye bekhona isikhathi eside ukuze babe namathuba amaningi okusebenza.

Lo muthi uthathwa njengomuthi onamandla ngokulinganisela kodwa osebenza ngokushesha kakhulu. Imiphumela yawo ngokuvamile iqala ngemizuzwana engama-30 kuya kwengama-60 yokujova futhi ihlala imizuzu emi-5 kuya kweli-10 kuphela. Lesi sikhathi esifushane senza ukuthi silungele izinjongo zokuhlola kodwa asifaneleki ekwelashweni kwesikhathi eside.

Ukuqala okusheshayo nobude obufushane kusho futhi ukuthi noma yimiphi imiphumela emibi oyitholayo izoba yesikhashana. Lesi sici senza i-edrophonium iphephe kakhulu ukusetshenziswa ekuxilongeni uma iqhathaniswa nemithi esebenza isikhathi eside ekilasini elifanayo.

Kufanele Ngiyithathe Kanjani I-Edrophonium?

Ngeke uzithathele wena u-edrophonium - ngaso sonke isikhathi inikezwa ochwepheshe bezempilo endaweni yezokwelapha. Umuthi uza ngomjovo oqondiswe ngqo emthanjeni wakho nge-IV line noma ngezinye izikhathi emsipheni wakho. Udokotela wakho uzoqoka umthamo oqondile ngokusekelwe esisindweni sakho, iminyaka, kanye nokuhlolwa okuqondile okwenziwayo.

Ngaphambi kokuthola i-edrophonium, akudingeki ukuthi ugweme ukudla noma ukuphuza ngaphandle uma udokotela wakho ekuyala ngqo ukuthi wenze kanjalo. Kodwa-ke, kufanele wazise ithimba lakho lezempilo ngayo yonke imithi oyithathayo, okuhlanganisa nemithi etholakala ngaphandle kwe-oda kanye nezithasiselo.

Umjovo ngokwawo uthatha imizuzwana embalwa nje, kodwa uzoqashwa eduze imizuzu embalwa ngemva kwalokho. Ithimba lakho lezempilo lizobheka izinguquko emandleni emisipha yakho, ukuphefumula, kanye nesimo sakho esiphelele ngalesi sikhathi.

Ngokuvamile uzothola i-edrophonium ngenkathi ulele phansi noma uhlezi ngokunethezeka. Lokhu kubeka ngendlela efanele kusiza ukuqinisekisa ukuphepha kwakho futhi kuvumela abahlinzeki bezempilo ukuthi babone kangcono noma yiziphi izinguquko ekusebenzeni kwemisipha yakho.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Edrophonium?

I-Edrophonium akuyona imithi oyithatha isikhathi eside. Yenzelwe ukuhlolwa kokuxilonga okukodwa, futhi imiphumela yayo iyaphela ngokwemvelo phakathi kwemizuzu emi-5 kuya kweli-10. Ngeke ube nomyalelo wokuthatha ekhaya noma isimiso sokwelashwa okufanele usilandele.

Uma wenza izivivinyo eziningi, udokotela wakho angase akunikeze i-edrophonium ngezikhathi ezihlukene, kodwa ukusetshenziswa ngakunye kusengukuchayeka okukodwa, kwesikhashana. Umuthi awenzi ngaphakathi ohlelweni lwakho noma udinga ukwanda kancane kancane noma ukwehla ekulinganiseni.

Kubantu abane-myasthenia gravis abadinga ukwelashwa okuqhubekayo, odokotela bavame ukunquma imithi esebenza isikhathi eside njenge-pyridostigmine kunokuthi kuphindwe imijovo ye-edrophonium. Indima ye-Edrophonium ihlala ikakhulu ekuxilongeni kunokwelapha.

Yiziphi Imiphumela Eceleni ye-Edrophonium?

Abantu abaningi bayakwazi ukumelana kahle ne-edrophonium, kodwa njengayo yonke imithi, ingabangela imiphumela emibi. Izindaba ezinhle ukuthi noma yimiphi imiphumela emibi oyitholayo izohlala isikhathi esifushane ngenxa yesikhathi esifushane somuthi sokusebenza.

Nawa amanye amiphumela emibi ovamile ongase uyithole, ukhumbula ukuthi lezi zivame ukunyamalala ngemizuzu:

• Ukucasuka kwesisu noma ukungakhululeki
• Ukwanda kokukhiqizwa kwamathe
• Ukujuluka okuningi kunokujwayelekile
• Ukuthuthumela kwemisipha noma ama-fasciculations
• Ukucinana kwesisu
• Ukuqunjelwa
• Ukwanda kokuchama
• Ukuzizwa unesiyezi noma ukukhathala

Lezi zimpawu zenzeka ngoba i-edrophonium yandisa i-acetylcholine emzimbeni wakho wonke, hhayi nje ezindaweni zokuxhumana kwemizwa nemisipha ezihlolwayo. Abantu abaningi bathola ukuthi le miphumela iyakwazi ukumelana nayo ngoba bazi ukuthi izodlula ngokushesha.

Kukhona nemiphumela emibi ethile engathi sína kodwa engavamile edinga ukunakekelwa kwezempilo ngokushesha. Ithimba lakho lezempilo lizobe liqaphela lezi, kodwa kuyasiza ukwazi ukuthi ziyini:

• Ukuphefumula kanzima noma ukucindezeleka kokuphefumula
• Ukushaya kwenhliziyo okungajwayelekile noma ubuhlungu besifuba
• Ubuthakathaka obukhulu bemisipha (impendulo engqubuzanayo)
• Ukushaywa yisithuthwane
• Ukuphuphuka
• Ukungezwani komzimba okukhulu nokuvuvukala noma ukuqubuka

Lezi zimo ezingathi sína azivamile, futhi uzobe usendaweni yezokwelapha lapho ukwelashwa ngokushesha kutholakala uma kudingeka. Abahlinzeki bakho bezempilo baqeqeshwe ukubona nokuphatha lezi zimo ngokushesha.

Ubani Ongafanele Athole I-Edrophonium?

Abantu abathile akufanele bathole i-edrophonium ngenxa yengozi eyengeziwe yezinkinga ezingathi sína. Udokotela wakho uzobuyekeza umlando wakho wezokwelapha ngokucophelela ngaphambi kokunquma ukuthi lo muthi uphephile yini kuwe.

Akufanele uthole i-edrophonium uma unezimo ezithile zenhliziyo, njengoba umuthi ungathinta ukushaya kwenhliziyo yakho nezinga. Nawa amanye amakhondishini amakhulu enza i-edrophonium ingafaneleki:

• Izinkinga ezinzima zokushaya kwenhliziyo (arrhythmias)
• Ukuquleka kwenhliziyo kwamuva noma isifo senhliziyo esingazinzile
• Isifuba esikhulu noma isifo esingamahlala-khona sokuvimba umoya (COPD)
• Ukuvinjelwa kwamathumbu noma umchamo
• Ukungezwani komzimba okwaziwayo ne-edrophonium noma imithi efanayo
• Isifo sezinso esiqinile
• Isifo samathumba esisebenzayo

Udkt wakho uzophinda aqaphele ekusebenziseni i-edrophonium uma ukhulelwe noma uncelisa, nakuba ngezinye izikhathi kungase kudingeke ngezinhloso zokuxilonga. Umuthi ungaweqa i-placenta futhi ungase uthinte ingane yakho.

Uma unomlando wokugcwala, ithimba lakho lokunakekelwa kwezempilo lizohlola izingozi nezinzuzo ngokucophelela. Ngenkathi i-edrophonium ingase ikwazi ukubangela ukugcwala ezimweni ezingavamile, imininingwane yokuxilonga eyihlinzekayo ingase ibaluleke ekunakekelweni kwakho.

Ubudala bodwa abukukhiphi ekutholeni i-edrophonium, kodwa abadala bangase bazwe kakhulu imiphumela yayo. Udkt wakho uzolungisa umthamo ngokufanele futhi akuqaphele eduze ngesikhathi sokuhlolwa.

Amagama Omkhiqizo we-Edrophonium

I-Edrophonium ekuqaleni yathengiswa ngaphansi kwegama lomkhiqizo elithi Tensilon yi-Valeant Pharmaceuticals. Kodwa-ke, inguqulo yegama lomkhiqizo ayisatholakali kabanzi emazweni amaningi, okuhlanganisa ne-United States.

Namuhla, uzohlangana kakhulu ne-edrophonium njengomuthi ojwayelekile. Izinhlobo ezivamile zisebenza ngendlela efanayo nomkhiqizo wegama lomkhiqizo futhi zihlangabezana nezindinganiso ezifanayo zokuphepha nokusebenza kahle. Umhlinzeki wakho wokunakekelwa kwezempilo uzomane abhekisele kuyo ngokuthi "edrophonium" noma "edrophonium chloride."

Kwezinye izifunda, ungase usabone izinkomba ze-Tensilon emibhalweni yezokwelapha noma emadokhumenti amadala, kodwa umuthi owutholayo cishe uzoba yinguqulo ejwayelekile. Ushintsho olusuka kumkhiqizo oluya kwelivamile aluthinti ikhwalithi noma ukusebenza kahle kokuhlolwa kwakho kokuxilonga.

Ezinye izindlela ze-Edrophonium

Ngenkathi i-edrophonium isaqhubeka iyizinga legolide lokuhlolwa okuthile kokuxilonga, kunezindlela ezingezinye ezingase zicatshangelwe udokotela wakho. Ukukhetha kuncike esimweni esihlolwayo kanye nesimo sakho sezokwelapha esithile.

Ukuze kuxilongwe i-myasthenia gravis, udokotela wakho angase asebenzise ezinye izindlela esikhundleni sokuhlolwa kwe-edrophonium noma ngaphezu kwakho. Ukuhlolwa kwegazi kungathola ama-antibody athile ahlobene ne-myasthenia gravis, ahlinzeka ngolwazi lokuxilonga ngaphandle kwesidingo sokujova.

Izifundo zokuhamba kwemizwa kanye ne-electromyography (EMG) nazo zingasiza ekuxilongeni izifo ze-neuromuscular. Lokhu kuhlolwa kulinganisa umsebenzi kagesi emizweni yakho nasemisipheni, okunikeza imininingwane enemininingwane yokuthi ngabe uhlelo lwakho lwezinzwa lusebenza kahle kangakanani.

Kubantu abangakwazi ukuthola i-edrophonium, odokotela bangase basebenzise ukuhlolwa kwe-ice pack ngezimpawu ezithile njengokwehla kwamazombe. Ukusebenzisa iqhwa kungathuthukisa okwesikhashana ukusebenza kwemisipha ku-myasthenia gravis, okunikeza izinkomba zokuxilonga ngaphandle kwemithi.

Kwezinye izimo, udokotela wakho angase anikeze isilingo se-oral pyridostigmine, umuthi osebenza isikhathi eside osegqithini elifanayo ne-edrophonium. Uma izimpawu zakho zithuthuka kakhulu ngale ndlela yokwelapha, kungase kusekele ukuxilongwa kwe-myasthenia gravis.

Ingabe i-Edrophonium Ingcono Kune-Pyridostigmine?

I-Edrophonium ne-pyridostigmine zisebenzela izinjongo ezihlukene, ngakho ukuqathanisa ngqo akufani nokuqhathanisa ama-apula nama-apula. I-Edrophonium igqama njengamathuluzi okuxilonga ngenxa yokuqala kwayo okusheshayo nesikhathi esifushane, kuyilapho i-pyridostigmine ilungele ukwelashwa okuqhubekayo.

Ukwenza ukuhlolwa kokuxilonga, isenzo esisheshayo se-edrophonium senza ukuthi sibe ngcono kune-pyridostigmine. Ungabona imiphumela ngaphakathi komzuzu owodwa, futhi uma uhlangabezana nemiphumela emibi, iyaxazululwa ngokushesha. I-Pyridostigmine ithatha imizuzu engama-30 kuya kwengama-60 ukusebenza futhi ihlala amahora amaningana, okwenza kungasebenzi kahle ngezinhloso zokuhlola.

Noma kunjalo, ekwelapheni i-myasthenia gravis isikhathi eside, i-pyridostigmine isebenza kakhulu kune-edrophonium. Ungathatha i-pyridostigmine ngomlomo izikhathi eziningana ngosuku ukuze ugcine ukulawulwa kwezimpawu okuqhubekayo, kuyilapho i-edrophonium izodinga ukufinyelela okuqhubekayo kwe-IV nokuqashwa esibhedlela.

Amandla alawa machiza ayafana, kodwa ubude besikhathi sawo sokusebenza buwenza afanele izimo ezihlukene. Cabanga nge-edrophonium njengesithombe esisheshayo sokuxilonga, kuyilapho i-pyridostigmine inikeza inzuzo yokwelapha eqhubekayo.

Udokotela wakho uzokhetha umuthi ofanele ngokuya ngokuthi ngabe udinga ukuxilongwa noma ukwelashwa okuqhubekayo. Iziguli eziningi zithola i-edrophonium kuqala ukuze zihlolwe bese kuthi, uma zitholwe zine-myasthenia gravis, zidlulele ku-pyridostigmine ukuze zilawulwe nsuku zonke.

Imibuzo Evame Ukubuzwa Mayelana ne-Edrophonium

Ingabe i-Edrophonium Iphephile Esimeni Senhliziyo?

I-Edrophonium ingathinta izinga lokushaya kwenhliziyo yakho nesigqi, ngakho idinga ukucatshangelwa ngokucophelela uma unesifo senhliziyo. Udokotela wakho uzohlola isimo senhliziyo yakho esithile futhi angase anqume ukuthi izinzuzo zokuxilonga zidlula izingozi, ikakhulukazi njengoba imiphumela yomuthi imfushane.

Uma unesifo senhliziyo esithambile, esizinzile, usengakwazi ukuthola i-edrophonium ngokuqashwa okuseduze. Kodwa-ke, uma unezinkinga ezinzima zesigqi senhliziyo, ukuhlaselwa yinhliziyo kwakamuva, noma isifo senhliziyo esingazinzile, udokotela wakho cishe uzokhetha ezinye izindlela zokuxilonga.

Ithimba lakho lezempilo lizokwazi ukushaya kwenhliziyo yakho ngokuqhubekayo ngesikhathi sokuhlolwa uma unokukhathazeka nganoma iyiphi inhliziyo. Bazophinda babe nemithi etholakalayo yokulwa nemiphumela ye-edrophonium uma kudingeka, yize izinkinga ezinzima zenhliziyo zingavamile.

Ngingenzani Uma Ngithola I-Edrophonium Engaphezu Kwemithamo Ngengozi?

Ukweqisa umthamo we-edrophonium kuyisimo esiphuthumayo sezokwelapha, kodwa uzohlala uthola lo muthi endaweni yokunakekelwa kwezempilo lapho ukwelashwa okusheshayo kutholakala khona. Ithimba lakho lezokwelapha lizobona izimpawu zokweqisa umthamo ngokushesha futhi lisabele ngendlela efanele.

Izimpawu zokuthola i-edrophonium eningi zihlanganisa ubuthakathaka obukhulu bemisipha, ubunzima bokuphefumula, ukukhiqizwa okukhulu kwamathe, isicanucanu esikhulu nokuhlanza, kanye nezinguquko eziyingozi ezingase zibe khona ekushayeni kwenhliziyo. Lezi zimpawu zingathuthuka ngokushesha kodwa zingelashwa ngokunakekelwa kwezempilo okufanele.

Abahlinzeki bezempilo banomuthi wokulwa nawo obizwa nge-atropine ongaphikisa imiphumela ye-edrophonium. Lo muthi usebenza ngokuvimba umsebenzi oweqile we-acetylcholine obangela izimpawu zokweqisa umthamo. Ithimba lakho lezokwelapha liqeqeshwe ukubala umthamo ofanele futhi liwusebenzise ngokushesha uma kudingeka.

Izindaba ezinhle ukuthi ukweqisa umthamo we-edrophonium akuvamile ngoba abahlinzeki bezempilo babala imithamo ngokucophelela futhi umuthi usebenza ngokushesha. Noma ngabe uthola okuningi, imiphumela izoqala ukuncipha ngokwemvelo ngemizuzu embalwa.

Ngingenzani Uma Ukuhlolwa kwe-Edrophonium Kungasebenzi?

Ukuhlolwa kwe-edrophonium okungalungile akusho ngempela ukuthi awuna-myasthenia gravis noma ezinye izimo ze-neuromuscular. Kwesinye isikhathi ukuhlolwa kudingeka kuphindwe, noma udokotela wakho angase adinge ukusebenzisa ezinye izindlela zokuxilonga ukuze athole impendulo ecacile.

Izinto eziningana zingathinta imiphumela yokuhlolwa, okuhlanganisa isikhathi sezimpawu zakho, eminye imithi oyithathayo, kanye nemisipha ethile ehlolwayo. Udokotela wakho angase asikisele ukuphinda ukuhlolwa ngesikhathi esihlukile noma lapho izimpawu zakho zivelele kakhulu.

Uma ukuhlolwa kwe-edrophonium kuqhubeka kungaqinisekile, udokotela wakho cishe uzo-oda ezinye izivivinyo ezifana nomsebenzi wegazi ukuze kuhlolwe ama-antibodies e-myasthenia gravis, izifundo zokuqhuba imizwa, noma izithombe zokuthwebula. Lezi zivivinyo zingahlinzeka ngolwazi olwengeziwe ukusiza ukwenza ukuxilongwa.

Ngesinye isikhathi, udokotela wakho angase ancome ukuhlolwa kokwelashwa ngemithi esebenza isikhathi eside njenge-pyridostigmine. Uma izimpawu zakho zithuthuka kakhulu ngokwelashwa, lokhu kungasekela ukuxilongwa ngisho noma ukuhlolwa kwe-edrophonium bekungalungile.

Ngingakwazi nini ukuqhubeka nemisebenzi ejwayelekile ngemva kwe-Edrophonium?

Ngokuvamile ungaqhubeka nemisebenzi ejwayelekile ngokushesha ngemva kokuthola i-edrophonium, njengoba imiphumela yayo iphela phakathi kwemizuzu emi-5 kuya kweli-10. Nokho, udokotela wakho angase ancome ukulinda isikhashana ukuze uqiniseke ukuthi uzizwa ujwayelekile ngokuphelele ngaphambi kokushiya isikhungo sezokwelapha.

Uma uhlangabezane nanoma yimiphi imiphumela emibi ngesikhathi sokuhlolwa, linda kuze kube yilapho lezi zixazululeka ngokuphelele ngaphambi kokushayela noma ukusebenzisa imishini. Abantu abaningi bazizwa bekhululekile phakathi kwemizuzu eyi-15 kuya kwengama-20 ngemva kokuthola umjovo, kodwa lalela umzimba wakho futhi ungasheshi uma ungazizwa kahle.

Akukho mingcele yokudla noma imikhawulo yomsebenzi ngemva kokuhlolwa kwe-edrophonium. Ungadla, uphuze, futhi uthathe imithi yakho ejwayelekile njengenjwayelo ngaphandle uma udokotela wakho ekunikeza imiyalelo ethile ngenye indlela.

Uma wenza ezinye izivivinyo noma izinqubo ngosuku olufanayo, yazisa ithimba lakho lezempilo ukuthi uthole i-edrophonium. Nakuba kungenzeka ukuthi ngeke iphazamise ezinye izivivinyo, ngaso sonke isikhathi kungcono ukugcina ithimba lakho lezokwelapha linolwazi olugcwele nganoma yimiphi imithi oyitholile.

Ngingakwazi yini ukuthatha imithi yami ejwayelekile ngemva kwe-Edrophonium?

Yebo, ngokuvamile ungaqhubeka nemithi yakho ejwayelekile ngemva kokuthola i-edrophonium. Umuthi awusebenzisani nemithi ejwayelekile eminingi, futhi isikhathi sawo esifushane sisho ukuthi ngeke ube sesimeni sakho isikhathi eside ngokwanele ukubangela ukusebenzisana okuqhubekayo.

Uma usuvele usebenzisa imithi ye-myasthenia gravis, udokotela wakho angase akunike imiyalelo ethile mayelana nesikhathi. Ngezinye izikhathi, bazokucela ukuthi ubambe le mithi ngaphambi kokuhlolwa ukuze uthole imiphumela enembile, bese uyiqhubeka ngemva kwalokho.

Hlala wazisa ithimba lakho lezempilo ngayo yonke imithi oyithathayo, okuhlanganisa nemithi etholakala ngaphandle kwekhawunta kanye nezithasiselo. Noma ngabe ukusebenzisana akavamile nge-edrophonium, ithimba lakho lezokwelapha lidinga imininingwane ephelele ukuqinisekisa ukuphepha kwakho.

Uma unemibuzo mayelana nemithi ethile, buza umhlinzeki wakho wezempilo ngaphambi kokushiya isikhungo sezokwelapha. Bangakunikeza iseluleko esiqondene nawe ngokusekelwe emlandweni wakho wezokwelapha ophelele kanye nemithi yamanje oyithathayo.