Propofol , yomwe imagulitsidwa pansi pa dzina lakuti Diprivan, ili ndi mazira a lecithin ndi mafuta a soya . Choncho, madokotala ambiri akhala akudandaula kuti sizingakhale zotetezeka kwa anthu omwe ali ndi chifuwa kwa zakudya zimenezo, makamaka mazira.
Kafukufuku wasonyeza kuti propofol imaoneka kuti ili otetezeka mwa anthu ambiri omwe amatsutsa mazira. Komabe, pakhala pali malipoti odziwika okha omwe ali ndi vuto lalikulu lomwe lachitika pambuyo pogwiritsira ntchito mankhwalawa mwa anthu omwe ali ndi chifuwa cha anaphylactic .
Ntchito ya Propofol mu Anesthesia
Propofol ndi mankhwala amphamvu kwambiri amakupangitsani kukhala omasuka ndi kugona mwa kuchepetsa ntchito za ubongo ndi dongosolo la manjenje. Zaperekedwa kupyolera mu singano m'mitsempha yanu, ndipo mutangozilandira, simungakumbukire chilichonse - mudzagona msanga kwambiri.
Mankhwalawa amagwiritsidwanso ntchito m'zigawo zowonongeka kwa anthu omwe amawotcha anthu, komanso muzipinda zam'tsogolo monga anesthesia kwa njira zochepa, zopweteka. Sagwiritsidwe ntchito kunja kwa chipatala, chifukwa ndi owopsa popanda kuyang'anitsitsa bwino ndi maphunziro. Ndipotu, propofol ndi mankhwala omwe anapha woimba nyimbo Michael Jackson.
Propofol wakhala mmodzi wa odwala amatsenga 'amakonda mankhwala osokoneza bongo kuti agwiritse ntchito, panthawi yomwe wodwalayo amafunika kuti agone tulo kwa mphindi zochepa (mwachitsanzo, kukhala ndi ndondomeko zopweteka, monga kukhazikitsanso mapewa) komanso pamene munthu akudwala kwambiri. chofunika.
Izi zimafuna kuyang'anitsitsa mosamala kwambiri chifukwa zingakulepheretseni kupuma.
Propofol ndi Egg Alergies
Monga tafotokozera pamwambapa, propofol imaphatikizapo dzira lecithin pakali pano. Lecithin ndi mawonekedwe a mafuta, osati mapuloteni, ndipo mazira ambiri a dzira amakhudza mapuloteni, osati mafuta mu mazira.
Komabe, mankhwala a mankhwala a propofol amanena kuti anthu omwe ali ndi chifuwa cha mankhwala osagwiritsa ntchito mankhwalawa sayenera kugwiritsa ntchito mankhwalawa, ndipo pakhala pali mayankho angapo okhudza zomwe zimachitika chifukwa cha propofol.
Izi zikunenedwa, madokotala ayang'ana kugwiritsa ntchito propofol mwa anthu omwe amatsutsa mazira ndipo apeza kuti kawirikawiri amawoneka otetezeka.
Kafukufuku wina wa ku Australia anafotokozera ana 28 omwe ali ndi mazira, omwe anali ndi propofol 43 omwe amagwiritsa ntchito pakati pawo. Awiri mwa anawo anali ndi mbiri ya machitidwe a anaphylactic kwa mazira. Panalibe mwana yemwe anali ndi zaka zisanu ndi ziwiri, yemwe analibe anaphylactic, yemwe anali ndi mazira, kuphatikizapo mkaka , mtedza, ndi sesame . Zomwe zinachitikazo zinachitika patatha mphindi 15 kuchokera pamene propofol ankagwiritsidwa ntchito, ndipo mnyamatayo nayenso anachitapo kanthu poyesedwa khungu ndi propofol. Olembawo anatsimikizira kuti propofol imakhala yotetezeka mwa anthu ambiri omwe ali ndi chifuwa kwa mazira.
Phunziro lina linayang'ana pa malo omwe anthu achikulire omwe ali ndi khungu labwino amadziyesa mazira, soya kapena mtedza anali ndi propofol. Sitinapezepo mgwirizano uliwonse pakati pa zomwe zimachitika ndi propofol.
Mfundo Yofunika Kwambiri
Malingana ndi kafukufukuwa, propofol ikuwoneka kukhala yotetezeka mwa anthu ambiri omwe ali ndi mayendedwe a dzira. Komabe, uyenera kukambirana ndi dokotalayo ngati muli ndi vuto la mazira, makamaka ngati mwakhala ndi machitidwe a anaphylactic mazira akale. Malingana ndi kuopsa kwake kwa dzira lanu, dokotala wanu angapangire wina mankhwala a anesthesia.
Zotsatira:
Asserhøj LL et al. Palibe umboni wotsutsana ndi kugwiritsidwa ntchito kwa propofol kwa anthu akuluakulu omwe amatsutsana ndi dzira, soya kapena mtedza. British Journal of Anesthesia. 2016 Jan; 116 (1): 77-82.
Kusambira 1%. Diprivan Monograph yoperekedwa ndi wopanga mankhwala AstraZeneca. August, 2005.
Hepner, DL, MD ndi MC Castells, MD PhD. Anaphylaxis Panthawi Yoperekera Nthawi. Anesthesia ndi Analgesia. Nov 2003. Vol. 97 No. 5.
Hofer K et al. N'zotheka anaphylaxis pambuyo pa propofol mu mwana ali ndi zakudya zowononga. Annals wa Pharmacotherapy. 37 (3): 398-401, 2003.
Murphy A et al. Zomwe zimawathandiza kuti asamayende kwa propofol mu dzira-ana osokonezeka. Anesthesia & Analgesia. 2011 Jul; 113 (1): 140-4.