Kulimbana: Kodi Ndi Chiyani Ndichifukwa Chiyani Zimagwiritsidwa Ntchito?
Kodi Zimatanthauza Chiyani?
Kulimbana ndi benzodiazepine, mtundu wa mankhwala omwe amachititsa kuti azisangalala, asagone ndipo akhoza kukhumudwa pang'ono kapena kwathunthu pogwiritsa ntchito mankhwala. Amagwiritsidwa ntchito pothandiza wodwalayo kuti amalekerere njira zamankhwala. Amagwiritsidwanso ntchito pa chithandizo chokwanira kwa odwala omwe ali pa mpweya wabwino ndipo sangathe kulekerera makina opuma bwino.
Chifukwa Chake Zimagwiritsidwa Ntchito Zosiyanasiyana
Mavesiwa amagwiritsidwa ntchito kuti apange mankhwala osokoneza bongo panthawi yomwe safuna kuti munthu adziwe bwino , komabe amafuna kuti wodwalayo azikhala wodekha komanso womasuka, monga colonoscopy. Mavesi angagwiritsidwe ntchito pambuyo pochita opaleshoni ya sedation, kapena kuthandiza wodwalayo kukhala chete pamene ali pa mpweya wabwino .
Mavesi angagwiritsidwe ntchito pamodzi ndi mankhwala opweteka kapena mitundu ina ya sedation. Ngakhale kuti nthawi zambiri imakhala ndi Fentanyl, mankhwala opweteka kwambiri, amatha kuphatikizapo Propofol ndi mankhwala ena.
Mafomu Otsutsana
Mavesi amapezeka ngati jekeseni, monga kuvutitsidwa kwa IV komanso ngati madzi omwe amatengedwa pamlomo. Amaperekedwa kudzera mwa IV, kotero kuti ikhoza kugwira ntchito mofulumira, madziwa amatenga nthawi yaitali kuti agwire ntchito ndipo zimakhala zovuta kufotokoza nthawi yomwe zidzatha.
Siketi nthawi zambiri imagwiritsidwa ntchito kwa anthu omwe ali ndi chubu, kaya ndizomwe zimakhalapo nthawi zonse kapena nthawi zina, ndipo kawirikawiri kwa odwala omwe amafunika kukhala deta kwa nthawi yaitali osati maminiti angapo kapena maola angapo.
Kulimbana ndi Fentanyl
Nthawi zambiri zimagwirizanitsidwa ndi Fentanyl, kupweteketsa mtima kwambiri, kupereka "kudzidzimutsa." Amadziwikanso ngati "kugona tulo" kapena "kusamalira anesthesia (MAC)" . Mankhwala oterewa safuna kuti wodwalayo akhale mpweya wabwino panthawiyi.
Mankhwala awiriwa, kugwira ntchito pamodzi, amapereka mpumulo, kupuma, ndi amnesia.
Cholinga ndikuteteza kupweteka ndi nkhawa panthawiyi, ndipo ngati pali vuto lililonse kapena nkhawa, wodwala sangakumbukire.
Kugwirizana kwa Versed ndi Fentanyl kumagwiritsidwanso ntchito ku ICU, makamaka kudzera mwa IV. Angaperekedwe kwa mankhwala kumayambitsa mtundu wa "coma," kusunga wodwalayo osadziŵa malo awo. Izi zingakhale zofunikira ngati wodwala sangathe kukhumudwa, ali pangozi yowononga okha, akutsutsa mpweya wabwino, kapena ali ndi matenda omwe amachititsa ululu waukulu (monga kutentha).
Zotsatira Zotsatira za Zotsutsana
- Kulimbana ndifupipafupi kumapangitsa kuti anthu azilephera kukumbukira nthawiyo pomwe mankhwalawa akugwiritsidwa ntchito komanso nthawi yotsatira. Izi ndi zotsatira zachibadwa za Versed ndipo ziyenera kuyembekezera.
- Mavesi amatha kupuma, choncho kuyang'anitsitsa ndikofunikira pamene mankhwalawa akugwiritsidwa ntchito.
- Ochepa odwala amadandaula, amawopsa kapena amatsutsana akamagwiritsa Ntchito, m'malo momangokhala ndi nkhawa komanso kumasuka.
- Mavesi amachititsa kugona ndi kuyendetsa galimoto atalandira mankhwala sichivomerezeka.
- Mavesi angayambitse kapena kuwonjezereka.
Kulimbana ndi Kugwiritsa Ntchito Pakhomo
Mavesi sagwiritsidwe ntchito kwapakhomo, amagwiritsidwa ntchito panthawi ya chisamaliro kapena kuchipatala.
Kuwonetsetsa kosalekeza kumafunika pogwiritsira ntchito Versed, kotero sikumagwiritsidwa ntchito nthawi zambiri kuchipatala m'malo osapaleshoni, zipinda zamakono komanso malo osamalidwa bwino.
Kulimbana ndi machenjezo
Mavesi angayambitse kupuma, kutanthauza kuti chokhumba kupuma ndi kuchepa kwa anthu omwe alandira mankhwala. Chifukwa cha zotsatirazi, odwala ayenera kuyang'anitsitsa mosamala ku chipatala pamene akugwiritsa ntchito. Mavesi angathenso kuwonjezera kupweteka kwa kupweteka kwa mankhwala ena, kuphatikizapo opioids.
Chifukwa cha kupweteka kwachisokonezo ichi, odwala omwe ali ndi kupuma monga COPD sangakhale abwino kuti ayesedwe.
Odwala omwe ali ndi mpweya wabwino, omwe angakhale ndi matenda opuma, angaperekedwe Kuwathandiza kuwathandiza kukhala ndi mpweya wabwino wopuma.
Mavesi angachepetse kuthamanga kwa magazi ndipo ayenera kugwiritsidwa ntchito mosamala pamene wodwala ali ndi vuto lochepa la magazi, kaya amachititsa mantha, sepsis kapena thanzi labwino kwa wodwalayo.
Mavesi ayenera kugwiritsidwa ntchito mosamala mukamayamwitsa komanso amayi oyembekezera. Mavesi awonetsedwa kuti awoloke pamphepete mwachitsulo, kutanthauza kuti mwanayo adzalandira mankhwala ena pamene apatsidwa kwa amayi oyembekezera.
Mavesiwa amalembedwa pang'onopang'ono kwa odwala omwe ali ndi ntchito yaying'ono ndipo akhoza kukhala ndi nthawi yaitali kwa odwalawo. Mlingo wa m'munsi ndi / kapena nthawi yowonetsera nthawi zina zingakhale zofunikira.
Kulimbana ndi Mlingo
Mosiyana ndi mankhwala ambiri, mazenera amatsutsana ayenera kugwiritsidwa ntchito pa mankhwala, m'malo molemera kwa wodwalayo. Mlingowo uyenera kusinthidwa malinga ndi zotsatira za mlingo woyamba, kutanthauza kuti wodwala ayenera kupatsidwa mankhwala osapitirira malire pogwiritsa ntchito momwe amachitira.
Wodwala amatha kulekerera mowa nthawi zambiri amapereka chitsimikiziro cha kulekerera kwawo kwa Versed. Anthu omwe ali "opepuka" ndipo amamwa mowa mopitirira muyeso angafune mankhwala ochepa kuposa munthu amene angathe "kumwa mowa wawo."
Mawu Ochokera Kwambiri
Mavesiwa ndi mankhwala othandiza kwambiri kuti athetseretu, koma ayenera kugwiritsidwa ntchito pazifukwa zoyenera: ndi ogwira ntchito ophunzitsidwapo komanso owonetsetsa zamagetsi omwe amagwiritsidwa ntchito pofuna chitetezo. Mankhwalawa amachititsa kuchepa kwa kupuma ndi kukumbukira kukumbukira, kotero nkofunikira kuti akatswiri ophunzitsidwa alipo kuti ayang'ane zotsatira zomwe wodwalayo amakumana nazo.
Zotsatira:
Zolemba za Monograph. RxMed Pharmaceutical. Inapezeka mu July 2009. http://www.rxmed.com/b.main/b2.pharmaceutical/b2.1.monographs/CPS-%20Monographs/CPS-%20(General%20Monographs-%20V)/VERSED.html