I-Propofol , edayiswa ngaphansi kwegama elithi Diprivan, iqukethe kokubili i-lecitin yamaqanda namafutha we-soya . Ngakho-ke, odokotela abaningi baye bakhathazeka ngokuthi kungase kungabi iphephile kubantu abanesifo sofuba kulabo bokudla, ikakhulukazi amaqanda okungaboni kahle.
Ucwaningo luye lwabonisa ukuthi i-propofol ibonakala iphephile kuningi labantu abaphikisana namaqanda. Kodwa-ke, kuye kwabekwa imibiko yecala lokuziphendulela okukhulu okwenzekile ngemuva kokusebenzisa izidakamizwa kubantu abane- allerphylactic allergies .
Ukusetshenziswa kwe-Propofol ku-Anesthesia
I-Propofol iyinkimbinkimbi enamandla kakhulu eyenza uphumule futhi ulale ngokunciphisa umsebenzi wengqondo yakho nesistimu yezinzwa. Yinikezwa ngenaliti emithanjeni yakho, futhi uma uthola, cishe ngeke ukhumbule noma yini - uzolala ngokushesha.
Lesi sidakamizwa sisetshenziselwa izinyunithi zokunakekelwa okujulile ukuze zikhohlise abantu abasendaweni yokuphuza umoya, nasemakamelweni okuphuthumayo njenge- anesthesia ngezinqubo ezimfushane, ezibuhlungu. Ayisebenzisi ngaphandle kwesilungiselelo esibhedlela, njengoba kuyingozi kakhulu ngaphandle kokuqapha nokuqeqeshwa okufanele. Eqinisweni, i-propofol yayiyisidakamizwa esabulala umculi uMichael Jackson.
I-Propofol isesinye sezidakamizwa ezikhethwa yi-anesthhesiologists okufanele zizisebenzise, kokubili ezimweni lapho isiguli sidinga khona kuphela ukulala imizuzu embalwa (isibonelo, ukuba nenqubo ebuhlungu eyenziwe, njengokusetha kabusha ihlombe elihlukanisiwe) nasezimo lapho i-anesthesia eqhubekayo iyadingeka.
Kudinga ukuqapha okuqaphele kakhulu ngoba kungakwenza ukuba uyeke ukuphefumula.
I-Propofol ne-Egg Allergies
Njengoba kushiwo ngenhla, i-propofol ihlanganisa iqanda le-lecithin ngendlela ekhona manje. I-Lecithin uhlobo lwe-fat, hhayi amaprotheni, kanye nemithi eminingi ye-egg ehlanganisa amaprotheni, hhayi amafutha emaqanda.
Kodwa-ke, ukufakelwa kwezidakamizwa ze-propofol kusho ukuthi abantu abanesifo sofuba kunoma yikuphi isithako semithi akufanele basebenzise imithi, futhi kuye kwaba nemibiko embalwa yezinkinga zokuziphendulela okungenzeka ukuthi kwakungenxa ye-propofol.
Lokhu kuthiwa, odokotela baye babheka ukusetshenziswa kwepropofol kubantu abahlukumeza amaqanda futhi bathole ukuthi kubonakala sengathi kuphephile.
Esinye isifundo sase-Australia sibuyekeze amacala ama-28 angama-egg allergies, abene-propofol angu-43 asebenzisa phakathi kwabo. Abantwana ababili babe nomlando we-anaphylactic ukusabela kumaqanda. Kwakukhona impendulo eyodwa ye-non-anaphylactic yokwelapha emthonjeni oneminyaka eyisikhombisa ubudala owawudla amaqanda, kanye nobisi , amantongomane, nesame . Ukusabela kwenzeka ngemva kwemizuzu engu-15 emva kokusetshenziswa kwepropofol, futhi umfana wabuye waphenduka ekuvivinyeni kwesikhumba esineqhwa nge propofol. Abalobi baphetha ngokuthi i-propofol ingase iphephile kubantu abaningi abanezinyosi ezinamaqanda.
Esinye isifundo sibheke amacala lapho abantu abadala abanesimo esihle sokuhlolwa kwesikhumba emaqanda, soy noma amantongomane babene propofol. Awuzange athole noma yikuphi ukuxhumana phakathi kokuphendula okweqile kanye ne-propofol.
Okubalulekile
Ngokusekelwe kulolu cwaningo lwezocwaningo, i-propofol ibonakala iphephile kuningi labantu abanezinkinga zeqanda. Kodwa-ke, kufanele ukhulume nodokotela wakho ngakho uma uthola amaqanda amaqanda, ikakhulukazi uma uke waba nama-anaphylactic ukusabela kumaqanda esikhathini esidlule. Ngokuya ngobukhulu bezinyosi zakho zeqanda, udokotela wakho angase ancoma enye i-anesthesia drug.
Imithombo:
I-Asserhøj LL et al. Akukho bufakazi bokuphikisana nokusetshenziswa kwe-propofol kubantu abadala abaqhakambisa i-egg, i-soy noma i-peanut. I-British Journal ye-Anesthesia. 2016 Jan; 116 (1): 77-82.
I-Diprivan engu-1%. I-Diprivan Monograph enikezwe umenzi wezidakamizwa AstraZeneca. Agasti, 2005.
U-Hepner, uDL, MD no-MC Castells, i-MD PhD. I-Anaphylaxis Ngesikhathi Sezikhathi Zokubhekana Nesikhathi Sokubhekana Nesikhathi. I-Anesthesia ne-Analgesia. Nov 2003. Vol. 97 No. 5.
I-Hofer K et al. I-anaphylaxis engenzeka ngemuva kwe-propofol enganeni enezinkinga zokungezwani komzimba. Annals of Pharmacotherapy. 37 (3): 398-401, 2003.
U-Murphy A et al. Ukusabela okwe-allergen kuya kwe-propofol emaqanda-izingane ezihlaselwa. Anesthesia & Analgesia. 2011 Jul; 113 (1): 140-4.