Usebenzisa Ngenkathi Yokunakekelwa Kwezokwelapha
I-Diprivan, noma i-Propofol, iyindlela yokwehlisa okwesikhashana esetshenziswa ngokuyinhloko ekufakweni kwe- anesthhesia jikelele kanye nokwehlukanisa ezinyunithi zokunakekelwa okukhulu. Ibuye isetshenziselwe izinqubo ezincane, ezifana nomsebenzi wamazinyo noma i-colonoscopy, edinga ukunakekelwa kwe-anesthesia ukugcina isiguli sithulile, singenabuhlungu namanje.
I-Diprivan imithi enamandla, kodwa ine-half-life short, okusho ukuthi izidakamizwa zihamba ngokushesha kakhulu.
Izingilovu eziningi zihlala emzimbeni amahora noma izinsuku, okwenza i-Diprivan yizidakamizwa eziyinhloko ezisetshenziselwa isikhathi esifushane sedation.
I-Diprivan ifakwe emulsion enamafutha, inikeze ukubonakala okumnyama, okumhlophe, okubisi.
I-Diprivan Inikezwa Kanjani?
I-Diprivan inikezwa nge-IV. Inganikezwa kanye, eyaziwa njenge-bolus, ukuhlinzeka nge-sedation egcina imizuzu engu-5 kuya kwezingu-10, noma inganikezwa njenge-IV drip for sedation eqhubekayo. Ingasetshenziselwa ukuguqulwa okwesikhashana, noma iziguli ezigula kakhulu ku-ICU zingasetshenziswa amasonto ngesikhathi ngesikhathi sokuphulukisa.
Kungani Kuthiwa I-Diprivan?
I-Diprivan yisidakamizwa esizikhethela ezimweni eziningi zokudambisa. Isizathu esiyinhloko sokuthi i-Diprivan isetshenziswa kakhulu kakhulu isikhathi esifushane sokusebenza. Umjovo owodwa we-Diprivan unikeza ukudluliselwa kwemizuzu engaphansi kuka-10 ezigulini eziningi futhi usebenza ngokushesha kakhulu. Ingasetshenziswa futhi ngezikhathi ezinde zokudlula lapho kudingeka.
Kubuye futhi kuphumelele ekunciphiseni ukucindezela okungahambi kahle, noma ukwakha ukucindezela ebuchosheni, okuwumphumela ohlangothini wokulimala kokuchofoza ebuchosheni noma ukuphaphaza ebuchosheni. Kuziguli ezinomshini okhulayo wokucindezela odinga ukuhlelwa phansi, i-Diprivan iyintando yemvelo njengoba ingahlinzeka kokubili isidingo esidingekayo futhi isiza ukuphatha ingcindezi ekhulayo.
Ngabe i-Diprivan isetshenziswe nini?
I-Diprivan isetshenziselwa izinhloso eziningi, kufaka phakathi i-sedation yokuqaphela izinqubo zokuphulukisa iziguli , ukufakwa kwe-anesthesia nokudalwa kwesilwane esimweni sokunakekelwa okukhulu. I-Diprivan iyingqayizivele yokuthi ingasetshenziselwa ukudluliswa isikhathi esifushane kakhulu noma ukuguqulwa kwesikhashana eside futhi igqoke ngokushesha. Lokhu kuyinzuzo enkulu yemithi njengoba izidakamizwa eziningi zidala ukuguqulwa okuhlala amahora.
Ngesikhathi sokuhlinzwa, i-Diprivan inikezwa ukuba idonsa isiguli ngesikhathi sokungena , noma ukufaka ithubhu yokuphefumula ngaphambi kwe- anesthesia jikelele . Ku-ICU, i-Diprivan inikezwa iziguli ezinokuthula ezithukuthele noma ezikhathazayo, noma ukusiza isiguli ukubekezelela ukuba sevini ngaphandle kokumelana nokuphefumula i-ventilator ehambisa.
I-Diprivan isenzo esifushane kakhulu futhi igqoke imizuzu engaphansi kuka-10 iziguli eziningi. Lokhu kunikeza abasebenzi bezokwelapha ukulawula okukhulu ngaphezu kwe-sedation futhi kuvumela ukuthi isimo sezinzwa zesiguli sihlolwe ngaphandle kokulinda isikhathi esingeziwe sokuthi lesi sidakamizwa sigqoke.
Izincomo Ze-Diprivan
- I-Diprivan kufanele isetshenziswe kuphela ezimweni lapho ukuqapha okuseduze, kuhlanganise nokuqapha kwenhliziyo, kuyatholakala.
- I-Diprivan ayikhuthazwa izinsana ezinyangeni ezindala noma ngaphansi
- I-Diprivan akufanele inikelwe izingane ezingase zibe nokutheleleka kokuphefumula, i-epiglottitis (ukuvuvukala okungasongela ukuphila kwe-epiglottis), noma i-croup.
- I-Diprivan akufanele inikezwe iziguli ezine-soy noma ze-egg allergies
- I-Diprivan ingandisa ingozi yokuguliswa kweziguli ezinesihlungu
- I-Diprivan akufanele isetshenziswe ngesikhathi sokukhulelwa
- I-Diprivan ingabangela ukuboshwa okuphefumulayo, okudinga ukuthi isiguli sihlolwe ngokucophelela noma ku-ventilator
- I-Diprivan inganciphisa ukucindezelwa kwegazi nokushaya kwenhliziyo futhi kufanele isetshenziswe ngokucophelela ezigulini ezine-low hypotension noma i-bradycardia.
- I-Diprivan kufanele isetshenziswe ngokucophelela ezigulini ezinezinkinga zokugcoba umzimba.
- Iziguli akufanele zigijime imoto ngemuva kokuthola i-Diprivan, ngosuku olulandelayo lubhekwa njengokuphephile.
Izwi elivela
I-Diprivan imithi ye-IV evame ukusetshenziselwa ukuguqulwa ngesikhathi sezinqubo nase-ICU uma iziguli zisesithombeni. Le mithi iphumelela kakhulu futhi inenzuzo eyengeziwe yokugqoka ngokushesha uma ukumiswa ku-IV kumiswa.
Naphezu kokubambisana nokufa komculi uMichael Jackson, le mithi iphephile kakhulu uma isetshenziswe ngokufanele kwabasebenzi abaqeqeshiwe bezempilo. Ukusetshenziswa okulungile kusho ukuthi uma le mithi isetshenziswe kuyoba nokuqapha okuqhubekayo kwezibonakaliso ezibalulekile nokuqapha okuqashwe ngabasebenzi bezokwelapha, okuyinto yokunakekela izinga elijwayelekile phakathi nezinqubo kanye nokuhlala kwe-ICU.
> Imithombo:
> I-Diprivan Monograph.