Okushiwo yilokho okuyikho nokuthi kungani kusetshenziswa
Kuyini Okuhlobene?
I-Verso yi-benzodiazepine, uhlobo lwezidakamizwa ezibangela ukuphumula, ukulala futhi kungabangela ukulahlekelwa okuncane okuphelele noma okuphelele ngesikhathi kusetshenziswa umuthi. Kuvame ukusetshenziselwa ukusiza isiguli kangcono ukubekezelela inqubo yezokwelapha. Ibuye isetshenziswe ekunakekelweni okujulile kweziguli ezise-ventilator futhi kungenzeka ukuthi ngeke zibekezelele umshini wokuphefumula kahle.
Okwenza Kusetshenzisane Nezimpawu
Amavesi ngokuvamile asetshenziselwa ukudluliswa ngesikhathi izinqubo ezingadingi i- anesthesia ejwayelekile , kodwa zidinga isiguli ukuba sihlale sinokuthula futhi sikhululekile, njenge-colonoscopy. I-Versed ingasetshenziselwa ngemuva kokuhlinzekwa nge-sedation, noma ukusiza ukugcina isiguli sizolile ngenkathi ku- ventilator .
Ivesi lingasetshenziswa ngokuhambisana nemithi yobuhlungu noma ezinye izinhlobo ze-sedation. Ngenkathi kuvame ukuhlanganiswa neFentanyl, imithi ebuhlungu kakhulu, ingahle ihlanganiswe ne-Propofol neminye imithi.
Amafomu Emavesi
I-Versa iyatholakala njengomjovo, njengokwe-IV ukumnika kanye nesiraphu ethathwe ngomlomo. Kuvame ukunikezwa nge-IV, ukuze ikwazi ukusebenza ngokushesha, isiraphu ithatha isikhathi eside ukuze isebenze futhi kunzima ukubikezela ukuthi kuzoqala nini ukusebenza.
Isiraphu isetshenziselwa abantu abanesishukela sokudla, kungakhathaliseki ukuthi sinomphela noma kufakwe okwesikhashana, futhi kuvame iziguli ezidinga ukugujwa isikhathi eside kunokuba nje imizuzu embalwa noma amahora ambalwa.
I-Versed ne-Fentanyl
Ivesi livame ukuhlanganiswa noFentanyl, ukuvuselela ubuhlungu obunamandla, ukuhlinzeka ngokuthi "i-sedation conscious". Uyaziwa nangokuthi "ukulala kwe-twilight" noma "ukunakekelwa kwe-anesthesia (MAC)" . Lolu hlobo lwe-anesthesia aludingi isiguli ukuba sibe phezu i-ventilator ngesikhathi senqubo.
Lezi zidakamizwa ezimbili, zisebenza ndawonye, zinikeza ukukhululeka kobuhlungu, ukuphumula, kanye ne-amnesia.
Inhloso ukuvimbela ubuhlungu nokukhathazeka ngesikhathi senqubo, futhi uma kukhona ukukhathazeka noma ukucindezeleka, isiguli ngeke sikhumbule.
Inhlanganisela ye-Versed neFentanyl nayo isetshenziselwa ukuhlelwa kwe-ICU, ngokujwayelekile nge-IV. Kungenziwa kunikezwe ngokwemithi ukwenza uhlobo "lwe-coma," ukugcina isiguli singazi ukuthi siyindawo engakuphi. Lokhu kungadingeka uma isiguli singenakunyiswa, sisengozini yokuzilimaza ngokwabo, simelana nomoya, noma sinokugula okubangela ubuhlungu obukhulu (njengokushisa).
Imiphumela emibi yezingqinamba
- Ukubambisana kubangela ukulahlekelwa kwememori ngaleso sikhathi ngenkathi isidakamizwa sisetshenziswa futhi isikhathi esilandelayo ngokushesha. Lokhu kungumphumela ovamile wesigcawu weVikele futhi kufanele kulindeleke.
- Imikhakha inganciphisa ukuphefumula, ukuqapha okuqakathekileko kubalulekile lapho umuthi usetshenziswa.
- Incane encane yeziguli zizwa zithukuthele, zingasebenzi kahle noma ziphikisana lapho zithatha i-Versed, kunokuba kukhululeke ukukhathazeka nokuphumula okuhloswe.
- I-Versed ibangela ukulala nokushayela ngemuva kokuthola imithi ayinconywa.
- Imibuzo ingabangela noma yande ukukhwehlela .
Ukusetshenziswa kwekhaya okuhambisanayo
I-Versing ayifanele ukusetshenziswa kwekhaya, isetshenziselwa izinqubo noma ukunakekelwa kwesineke.
Ukuqapha okuqhubekayo kuyadingeka ngokusetshenziswa kwamavesi, ngakho-ke akuvamile ukusetshenziswa esibhedlela ezindaweni ezingaphandle kokuhlinzwa, amakamelo okusebenza kanye nokunakekelwa okukhulu.
Izixwayiso ZemiBhalo
Ivesi lingabangela ukucindezeleka kokuphefumula, okusho ukuthi isifiso sokuphefumula sinciphile kubantu abathola imithi. Ngenxa yalomphumela ohlangothini, iziguli kufanele zihlolwe ngokucophelela esikhungweni sokunakekelwa kwezempilo uma kuthatha i-Versed. Amavesi angakhuphula nemiphumela yokucindezeleka yokuphefumula kweminye imithi, kuhlanganise ne-opioids.
Ngenxa yalomphumela wokucindezeleka wokuphefumula, iziguli ezinezimo zokuphefumula ezifana ne- COPD kungenzeka zingabi yizikhethelo ezifanele ze-Versed.
Iziguli ezisefenini, okungenzeka noma zingenaso isifo sokuphefumula, zinganikezwa Ngezizathu zokuzisiza ukuba zibekezelele ukuba nethubhu lokuphefumula.
I-Versed inganciphisa ukucindezelwa kwegazi futhi kufanele isetshenziswe ngokuqapha lapho isiguli sinomfutho wegazi ophansi, kungakhathaliseki ukuthi kubangele ukushaqeka, ukuxoshwa noma impilo ejwayelekile yesimo isiguli.
Imidwebo kufanele isetshenziswe ngokucophelela ekunceliseni kanye nabesifazane abakhulelwe. Kuye kwaboniswa imibono yokuwela umgoqo ophansi, okusho ukuthi ingane izothola ezinye zezidakamizwa uma zinikezwa owesifazane okhulelwe.
I-Versed is excreted kancane kancane ezigulini ezinomsebenzi wezinso ezincishisiwe futhi ingaba nemiphumela ehlala njalo kulawo gciwane. Amanani amancane kanye / noma isikhathi sokuphumula eside kungadingeka.
Izinga elilinganiselwe
Ngokungafani nezidakamizwa eziningi, ama-Versed Verses kufanele asekelwe emthonjeni womuthi, kunokuba isisindo sesiguli. Umthamo kufanele ulungiswe ngokususelwa kumphumela wesilinganiso sokuqala, okusho ukuthi isiguli kufanele sinikezwe okungenani noma ngaphansi kwesidakamizwa esekelwe ukuthi sisebenza kanjani.
Ikhono lesiguli lokubekezelela ukuphuza utshwala ngokuvamile linikeza ukusikisela kokubekezela kwabo okungenzeka kube yi-Versed. Abantu abanomzimba olula futhi abadakwa kalula bangadinga imithi encane kunokuthi umuntu "angabamba utshwala."
Izwi Elivela Esihle Kakhulu
Impendulo iyisidakamizwa esiwusizo kakhulu sokudambisa phakathi nezinqubo, kodwa kufanele isetshenziswe esimweni esifanele: nabasebenzi abaqeqeshwe khona kanye nokuqapha kwe-elektroniki okusetshenziselwa ukuphepha. Le mithi ingabangela ukwehla kokuphefumula nokukhunjulwa kwememori, ngakho-ke kubalulekile ukuthi uchwepheshe oqeqeshwe ukhona ukuba aqaphe imiphumela isiguli esibhekana nayo.
Imithombo:
I-Monograph ehambisanayo. I-RxMed Pharmaceutical. Ifinyelele ngoJulayi 2009. http://www.rxmed.com/b.main/b2.pharmaceutical/b2.1.monographs/CPS-%20Monographs/CPS-%20(General%20Monographs-%20V)/VERSED.html