Ngati mwapatsidwa mankhwala atsopano ndi wothandizira zaumoyo, monga amodzi chifukwa cha ululu, n'zotheka kuti muwone chidule cha "ATC" pa mankhwala, makamaka ngati mwangoyamba kumene opaleshoni kapena muli ndi ululu wa khansa . Mwinamwake mukudabwa kuti izi zikutanthauza chiyani.
ATC imayimira "kuzungulira patsiku." Mankhwala a at-clock (ATC) amatchulidwa ngati mankhwala omwe amaperekedwa pafupipafupi nthawi zonse.
Izi zingaphatikizepo mlingo usiku.
Pakati pa maola olasi amadziwika kuti mankhwala opioid amatha kupweteka. Mosiyana ndi mankhwala omwe amaperekedwa kokha monga momwe akufunira (nthawi zina amasonyeza ndi chipatala cha "prn" ), mankhwala a ATC amalamulidwa ndi dokotala kuti apatsidwe pafupipafupi kuti awonetsere mphamvu yochuluka. Mankhwala a ATC akhala akuchitapo kanthu kwa nthawi yaitali ndipo amathandiza kupweteka nthawi zonse.
Cholinga cha mankhwala a ATC
Mankhwala opweteka omwe amawauza kuti azungulira nthawi zonse amakhala ndi cholinga choyang'anira ululu wa mliri, womwe ndi kupweteka kwambiri kwa wodwalayo. Izi ndizo zopweteka zomwe zimachitika nthawi zonse. Mtundu woterewu ukhoza kuchitika ndi odwala khansa, komanso odwala omwe atangoyamba opaleshoni, monga maola 24 kapena kuposerapo potsatira njira. Mankhwala a ATC akhoza kuonetsetsa kupezeka kwa mankhwala nthawi zonse.
ATC ndi mankhwala opweteka kwambiri
Kuphatikiza pa mankhwala a ululu wa ATC, kupweteka kwa wodwalayo kungaphatikizepo mankhwala kuti apweteke.
Izi ndi zopweteka zomwe "zimapyola" mphamvu yowonongeka ya ululu, ndipo amatchedwanso "supplemental" kapena "kupulumutsa." Izi kawirikawiri zimatengedwa ngati pakufunika ndipo kawirikawiri ndi opioid yomwe imakhala yochepa.
Odwala omwe ali ndi chithandizo chamalonda angapangidwe mankhwala a ATC omwe ali pafupi ndi mankhwala opatsirana kuti athe kupweteka komanso kusintha moyo wawo.
Kwa nthawi yaitali, kugwiritsa ntchito mankhwala a ATC kungathandize kuchepetsa kupitirira ndi kutsika kumene wodwalayo angathe kupirira ndi mankhwala omwe atengedwa. Ndi mankhwala ovutika kwambiri, pali nthawi ya mpumulo, koma ndi nthawi zonse kuyembekezera kubwerera kwa ululu. Wodwala akhoza kukhala "woyang'anira mawotchi," akulimbikitsana ndi mantha kuti ululu udzabwerera musanayambe kumwa mankhwala ena oyenera. Izi zikhoza kuwonedwa ngati khalidwe lachizoloŵezi, pamene kwenikweni, wodwala sangakhale woledzeretsa koma m'malo mwake akuwonetsa zolakwika zomwe zimayambitsa njira yothandizira odwala.
Ubwino
Kugwiritsidwa ntchito kwa mankhwala opweteka mosalekeza kumathandiza kuchepetsa kupweteka kwa ululu, kuti zikhale zosavuta kwa wodwalayo. Zasonyezedwa kuti odwala amatha kumamatira ku regimen yoyang'anira ululu wa ATC. Komanso, kugwiritsa ntchito mankhwala a ATC wa mlingo woyenera komanso panthawi yake kumathandiza kuchepetsa ululu wopweteka kwa odwala komanso kukhoza kuchepetsa mlingo wa mankhwala osowa, kuphatikizapo zotsatira zochepetsetsa komanso kupumula kwabwinoko.
> Zotsatira:
> Patt, Richard B., Lang, Susan S. Buku Lathunthu lothandizira kuthetsa ululu wa khansa ndi kuvutika. 2004. Oxford University Press.
> Pasero, Chris. Kuzungulira-the-Clock (ATC) Kusayeruzika kwa Zofufuza. 2010. American Society of PeriAnesthesia Nurses.