Tangoganizirani, munthu mwadzidzidzi akumva kupweteka kwambiri pachifuwa, akukayikira kuti ali ndi vuto la mtima, ndipo akulowetsedwa kuchipatala. Panthawi yotereyi, pali mwayi waukulu kuti magazi amaundana mkati mwa mitsempha yomwe imapereka magazi kumtima ndikutseka mitsemphayo. Lero, tikambirana za jakisoni wamphamvu kwambiri, wapadera womwe madokotala amagwiritsa ntchito poletsa kupanga magazi amaundana pazochitika zadzidzidzi komanso zazikulu. Iyi si mankhwala omwe nthawi zambiri amagwiritsidwa ntchito kunyumba, koma amaperekedwa kuchipatala chokha.
Mwachidule, kodi Abciximab ndi chiyani?
Abciximab (tiyitche kuti 'abciximab') ndi mankhwala amphamvu kwambiri omwe amaletsa magazi kuundana. Dzina lake ndi ReoPro. Tili ndi ma platelet, mtundu wa selo laling'ono m'magazi mwathu. Nthawi zambiri, tikadula, ma platelet amenewa amasonkhana pamodzi kuti apange magazi kuundana kuti asiye kutuluka magazi. Ndi chinthu chabwino.
Komabe, ngati ma platelet amenewa asonkhana m'mitsempha ya magazi ya mtima panthawi ya matenda a mtima ndikupanga magazi kuundana, amatha kuletsa kwathunthu kapena pang'ono kuyenda kwa magazi kupita kumtima. Ndicho chomwe chili choopsa.
Mankhwala otchedwa Abciximab amaletsa ma platelet amenewo kuti asamamatire pamodzi ndikupanga magazi oundana osafunikira.
Izi zimagwiritsidwa ntchito makamaka pa:
- Pakachitika matenda a mtima.
- Kwa iwo omwe ali ndi ululu wa pachifuwa wosakhazikika (angina yosakhazikika).
- Panthawi komanso pambuyo pa opaleshoni ya mtima (angioplasty ndi stenting).
Mankhwalawa amaperekedwa ngati jakisoni mumtsempha kapena ngati mankhwala olowetsedwa, monga saline. Izi zimachitika nthawi zonse kuchipatala, moyang'aniridwa ndi madokotala ndi anamwino.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa
Popeza mankhwalawa ndi amphamvu kwambiri, ndikofunikira kwambiri kudziwitsa gulu lanu lachipatala za matenda ena aliwonse omwe muli nawo kapena mankhwala ena omwe mukumwa. Ngati pali chilichonse mwa zinthu zomwe zili patebulo pansipa chomwe chikukukhudzani, onetsetsani kuti mwadziwitsa dokotala wanu.
| Mkhalidwe kapena chochitika chakale | N’chifukwa chiyani muyenera kuuza dokotala? |
|---|---|
| Matenda otuluka magazi kapena matenda ena aliwonse osayenera a magazi. | Mankhwalawa amawonjezera chiopsezo cha kutuluka magazi, zomwe zingakhale zoopsa ngati muli kale ndi vuto lotere. |
| Matenda monga chotupa cha muubongo kapena aneurysm ya mitsempha yamagazi. | Chiwopsezo cha kutuluka magazi m'malo otere chimawonjezeka. |
| Kuthamanga kwa magazi kosalamulirika. | Kuthamanga kwa magazi kwambiri kungayambitse chiopsezo cha kutuluka magazi muubongo. |
| Ngati munadwalapo sitiroko kale. | Chiwopsezo chimakhala chachikulu makamaka ngati sitiroko yachitika chifukwa cha kutuluka magazi. |
| Ngozi yaikulu kapena opaleshoni yaposachedwa. | Mabala a opaleshoni amatha kutulukanso magazi. |
| Ngati mwatenga mankhwala ochepetsa magazi monga warfarin mlungu watha. | Pali chiopsezo cha kutuluka magazi ambiri chifukwa cha kugwira ntchito kwa mankhwala onse awiri. |
| Matenda monga vasculitis (kutupa kwa mitsempha yamagazi). | Izi zingayambitse kutuluka magazi kuchokera m'mitsempha yamagazi yofooka. |
| Ngati mwakhalapo ndi vuto la abciximab, mankhwala ena, zakudya, kapena mapuloteni ochokera ku mbewa. | Ndikofunikira kudziwa izi kuti tipewe ziwengo zazikulu. |
| Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena mukuyamwitsa. | Dokotala ayenera kuganizira za zotsatira zomwe zingachitike pa mwana wosabadwayo kapena khanda loyamwitsa. |
Kodi pangakhale mavuto ndi mankhwala ena?
Inde, ndithudi. Muyenera kuuza dokotala wanu za mankhwala ena onse omwe mukumwa (mankhwala olembedwa ndi dokotala, omwe amagulitsidwa pamtengo wotsika, mankhwala azitsamba, mavitamini) mukamamwa mankhwalawa. Mankhwalawa angagwirizane ndi izi, makamaka:
- Mankhwala ena ochepetsa magazi: Mankhwala monga Aspirin, Clopidogrel, Ticlopidine, Dipyridamole.
- Mankhwala ochepetsa magazi: Mankhwala amphamvu omwe amaperekedwa pa matenda a mtima monga Alteplase, Reteplase, ndi Streptokinase.
- Mankhwala ndi mapiritsi ena ochepetsa magazi: Mankhwala monga Warfarin, Enoxaparin (Clexane), Dalteparin, Argatroban.
- Mankhwala ochepetsa ululu (NSAIDs): Mankhwala monga Ibuprofen, Naproxen, Diclofenac.
- Zinthu zochokera ku zitsamba: Zinthu zomwe zili ndi zinthu monga adyo, ginger, ginkgo, feverfew.
Ngati zinthuzi zigwiritsidwa ntchito pamodzi, chiopsezo chotaya magazi ambiri chimawonjezeka kwambiri. Choncho ndikofunikira kwambiri kuti mukhale otetezeka kuuza dokotala wanu za mankhwala onse omwe mukumwa.
Kodi zotsatirapo zake zingakhale zotani chifukwa chomwa mankhwalawo?
Monga mankhwala ena aliwonse, Abciximab ingayambitse zotsatirapo zoyipa. Popeza muli kuchipatala, ogwira ntchito azikuyang'anirani nthawi zonse. Koma ngati mukumva china chake chachilendo, muyenera kunena nthawi yomweyo.
| Zizindikiro zazikulu zomwe ziyenera kufotokozedwa kwa dokotala kapena namwino nthawi yomweyo | |
|---|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo kapena lilime, komanso kuvutika kupuma. |
| Zizindikiro za Kutuluka Magazi |
|
| Zizindikiro za Stroke | Mutu waukulu mwadzidzidzi, kuvutika kulankhula, dzanzi mwadzidzidzi kapena kufooka kwa nkhope, mkono kapena mwendo, kusintha kwa masomphenya. |
| Zotsatirapo zomwe nthawi zambiri sizimakhala zoopsa (koma ziyenera kunenedwa ngati zikupitirira) | |
| Kupweteka kwa msana | Chizungulire |
| Mutu | Kusanza kapena kusasangalala m'mimba |
Mndandandawu suli ndi zotsatirapo zonse zomwe zingachitike. Ngati mukukumana ndi zizindikiro zachilendo, musaope kulankhula ndi gulu lanu lachipatala za izi.
Nanga bwanji ngati mlingo wa mankhwalawo wawonjezeka?
Mankhwalawa amaperekedwa mosamala kwambiri ndi ogwira ntchito kuchipatala, kotero simuyenera kuda nkhawa ndi kumwa mopitirira muyeso. Adzakupatsani mlingo woyenera. Ngati mukukumana ndi zizindikiro zachilendo, dziwitsani ogwira ntchito kuchipatala nthawi yomweyo. Ku Sri Lanka, mutha kuyimbiranso National Poisons Information Centre ku Colombo National Hospital kuti mupeze upangiri pa vuto lililonse lokhudzana ndi mankhwala. Ngati pachitika zadzidzidzi, mudzatumizidwa nthawi yomweyo ku Emergency Treatment Unit (ETU).
Uthenga Wopita Nawo Kunyumba
- Abciximab ndi mankhwala amphamvu kwambiri omwe amaperekedwa kuchipatala kokha kuti ateteze magazi kuundana pazidzidzidzi monga matenda a mtima.
- Ndikofunikira kwambiri kuuza dokotala wanu za matenda ena aliwonse omwe muli nawo (makamaka okhudzana ndi kutuluka magazi), ziwengo, ndi mankhwala ena onse omwe mukumwa.
- Choopsa chachikulu cha mankhwalawa ndi kutuluka magazi. Chifukwa chake, ngati muwona zizindikiro zilizonse za kutuluka magazi, monga kuvulala kosazolowereka, ndowe zakuda, kapena kusanza magazi, dziwitsani ogwira ntchito zachipatala nthawi yomweyo.
- Mudzayang'aniridwa mosamala kuchipatala panthawi ya chithandizochi. Ngati muli ndi kukayikira kapena mafunso, musazengereze kufunsa dokotala kapena namwino wanu.
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