Propofol , iyo inotengeswa pasi pezita rainzi Diprivan, ine zvose maidhi lecithin nemafuta e soya . Nokudaro, vanachiremba vakawanda vave vachifunga kuti zvingasave zvakachengeteka kune vanhu vane zvipembenene kune izvo zvikafu, kunyanya mazai.
Zvidzidzo zvakaratidza kuti propofol inoratidzika yakachengeteka muhuzhinji hwevanhu avo vanokonzera mazai. Zvisinei, pane zviitiko zvakasarudzwa zvemhosva zvinokonzerwa nehutachiona hwehutachiona hwakaitika shure kwekushandiswa kwechirwere kune vanhu vanogona kunge vanaphylactic allergies .
Propofol Uses muAnesthesia
Propofol isimba rinonyanyisa simba rinokuita kuti usunungurwe uye uremberedze nekuderedza basa reuropi rako uye nervous system. Yakapiwa kuburikidza nenyuchi mumutsipa wako, uye kana uchinge waigamuchira, iwe haufaniri kuyeuka chero chinhu-iwe ucharara nokukurumidza zvikuru.
Chirwere ichi chinoshandiswa muzvikwata zvekuchengetedza zvakanyanya kuti vanhu vateereri vadzivirire, uye mumakamuri ekukurumidzira seanesthesia kwenguva pfupi, zvinorwadza. Haisi kushandiswa kunze kwechipatara, sezvo iri nengozi pasina kuongorora kwakakodzera uye kudzidziswa. Ichokwadi, propofol yaiva mushonga wakauraya muimbi Michael Jackson.
Propofol yakava imwe yeanesthesiologists 'inoshandiswa nemishonga yekushandisa, zvose mumamiriro ezvinhu apo murwere anongoda kurara kwemaminetsi mashomanana (somuenzaniso, kuva nemarwadzo anorwadza, sekugadzirisa pfudzi) uye mumamiriro ezvinhu apo aneshesia yakareba inoda.
Inoda kutarisirwa kwekucherechedza zvakanyanya sezvo inogona kukuita kuti urege kufema.
Propofol uye Egg Allergies
Sezvambotaurwa pamusoro, propofol inosanganisira zamai lecithin mumhando yayo yemazuva ano. Lecithin isiri yemafuta, kwete mapuroteni, uye mazamu akawanda emhashu anosanganisira mapuroteni, kwete mafuta mumazai.
Zvisinei, propofol's drug insert inotaura kuti vanhu vane mishonga kune rimwe remishonga yemishonga havafaniri kushandisa mishonga, uye pane zviitiko zvakasiyana-siyana zvinokonzerwa nekugadzirisa zvinogona kunge zvakakonzerwa nepropofol.
Izvo zvataurwa, vanachiremba vakatarisa kushandiswa kwepropofol muvanhu vanoratidzira mazai uye vakazviwana kakawanda inoratidzika se yakachengeteka.
Imwe yedzidzo yeAustralia yakarondedzera nyaya dzevana vana 28 vane mazai evha, avo vakagadzirisa purogiramu 43 vanoshandisa pakati pavo. Vaviri vevana vaiva nenhoroondo yevanaphylactic reactions mazai. Ikoko kwakanga kune imwe isina-anaphylactic inokonzera kugadziriswa mune mukomana wemakore manomwe aiva nemagetsi mazai, pamwe nemukaka , nuts, uye nesame . Mhinduro yacho yakaitika maminitsi gumi nemashanu mushure mekushandiswa kwepropofol, uye mukomana wacho akaitawo kune rimwe ganda rinotarisana nepropofol. Vanyori vakapedzisa kuti propofol inogona kunge yakachengeteka kuvanhu vakawanda vane mishonga yeuchi.
Chimwe chidzidzo chakatarisa mamiriro ekuti vanhu vakuru vane mavara akanaka echepiti anoedzwa mazai, soy kana mapeji ane propofol inoshandiswa. Izvo hazvina kuwana hukama pakati pemagetsi uye propofol.
The Bottom Line
Kubva pane zvidzidzo zvekutsvakurudza, propofol inoratidzika iri yakachengeteka muhuzhinji hwevanhu vane mazai ega. Zvisinei, iwe unofanirwa kutaura nachiremba wako pamusoro payo kana uri weergic to mazai, kunyanya kana wakave neanaphylactic reactions kune mazai munguva yakapfuura. Zvichienderana nekuoma kweii rako rinotyisa, chiremba wako angakurudzira imwe anesthesia zvinodhaka.
Sources:
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Diprivan 1%. Diprivan Monograph inopiwa nemuiti wezvinodhaka AstraZeneca. August, 2005.
Hepner, DL, MD uye MC Castells, MD PhD. Anaphylaxis Panguva yePerioperative Period. Anesthesia uye Analgesia. Nov 2003. Vol. 97 Nha.
Hofer K et al. Possible anaphylaxis mushure mepropofol mune mwana ane zvokudya zvekudya. Anals of Pharmacotherapy. 37 (3): 398-401, 2003.
Murphy A et al. Allergic reactions to propofol muzhi-allergic vana. Anesthesia & Analgesia. 2011 Jul; 113 (1): 140-4.