Tangoganizani kuti munthu wapafupi nanu ali mu chipinda chosamalira odwala kwambiri (ICU) chifukwa cha ngozi, opaleshoni yaikulu, kapena matenda oopsa. Nthawi zina, kuthamanga kwa magazi kumatha kutsika kwambiri pazochitika izi. Lero, tikulankhula za mankhwala apadera komanso amphamvu omwe madokotala amagwiritsa ntchito pankhondo yopulumutsa moyo yotereyi. Ameneyo ndi Angiotensin II.
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Kodi Angiotensin II ndi chiyani kwenikweni?
Mwachidule, iyi ndi mankhwala omwe amachititsa kuti mitsempha yamagazi m'thupi lathu ichepetse, kapena kupapatiza. Mu zamankhwala, timatcha izi kuti 'vasoconstrictor'. Tangoganizani kuti mukakanikiza chitoliro chamadzi pang'ono, kuthamanga kwa madzi omwe akuyenda mkati mwake kumawonjezeka, sichoncho? Mofananamo, mitsempha yamagazi ikachepa, kuthamanga kwa magazi komwe kumayenda mkati mwake, ndiko kuti , kuthamanga kwa magazi, kumawonjezeka .
Kawirikawiri imagwiritsidwa ntchito kuchipatala, makamaka m'chipinda chosamalira odwala kwambiri (ICU), pamene kuthamanga kwa magazi kwatsika kufika pamlingo womwe ungaike moyo pachiswe ndipo sungathe kulamuliridwa ndi mankhwala ena. Dzina la kampani iyi ndi GIAPREZA.
Kodi dokotala ayenera kudziwa chiyani asanapereke mankhwala awa?
Ngakhale kuti mankhwalawa amaperekedwa kuchipatala moyang'aniridwa ndi gulu lachipatala, ndikofunikira kwambiri kukambirana mbiri yonse yachipatala cha wodwalayo ndi dokotala. Makamaka, ayenera kudziwitsidwa za mfundo zotsatirazi:
- Ziwengo: Ngati muli ndi vuto la ziwengo chifukwa cha mankhwala awa (Angiotensin II) kapena mankhwala ena aliwonse, chakudya, utoto, kapena mankhwala osungira, muyenera kuuza dokotala wanu.
- Mimba: Ndikofunikira kudziwitsa dokotala ngati wodwalayo ali ndi pakati, kapena akuyesera kutenga pakati.
- Ngati mayi woyamwitsa: Ngati wodwalayo ndi mayi woyamwitsa, dziwitsani dokotala.
Kupereka chidziwitsochi kudzathandiza kwambiri gulu lachipatala kupereka chithandizo chotetezeka komanso chothandiza kwambiri kwa wodwalayo.
Kodi mankhwalawa angagwiritsidwe ntchito bwanji?
Iyi si piritsi lomwe mumameza kapena jakisoni yomwe mumayika pakhungu lanu. Iyi ndi mankhwala omwe amaperekedwa mosalekeza, monga saline, mumtsempha. Timatcha kuti kulowetsedwa mumtsempha. Izi zimaperekedwa ndi katswiri wazachipatala wophunzitsidwa bwino kuchipatala. Amayang'anira zinthu monga kuthamanga kwa magazi ndi kugunda kwa mtima wa wodwalayo ndikulamulira mosamala mlingo.
Kodi mumagwiritsa ntchito izi kwa ana?
Kusamala kwambiri kuyenera kuperekedwa popereka mankhwalawa kwa ana aang'ono. Zisankho izi ziyenera kupangidwa motsatira upangiri wa dokotala wa ana.
Nanga bwanji ngati mlingo ukuwonjezeka (kupitirira muyeso)?
Popeza izi zimaperekedwa kuchipatala, moyang'aniridwa ndi dokotala, nthawi zambiri sipakhala chifukwa chodera nkhawa za 'kupitirira muyeso'. Gulu lachipatala limayang'anira wodwalayo nthawi zonse. Ngati pali kukayikiridwa kuti wamwa mankhwala ochulukirapo, chipatala chili ndi malo oti achitepo kanthu. Pakagwa ngozi, chipatala cha Emergency Treatment Unit (ETU) chiyenera kudziwitsidwa nthawi yomweyo. Komanso, kuti mudziwe zambiri zokhudza poizoni wa mankhwala, mutha kuyimbira National Poisons Information Center ku Colombo National Hospital .
Mankhwala ena omwe angagwirizane ndi mankhwalawa (Kuyanjana kwa Mankhwala)
Mankhwala ena akagwiritsidwa ntchito limodzi, amatha kusintha momwe amagwirira ntchito. Timatcha izi kuti 'kuyanjana kwa mankhwala'. Angiotensin II imatha kuyanjana ndi mankhwala ena, makamaka mankhwala ena a kuthamanga kwa magazi kapena matenda a mtima. Mwachitsanzo:
- Mankhwala omwe ali m'gulu lotchedwa ACE inhibitors: benazepril, candesartan, enalapril, lisinopril, ramipril
- ARBs: irbesartan, losartan, valsartan
Mndandandawu si wokwanira. Chifukwa chake, ndikofunikira kupatsa dokotala mndandanda wathunthu wa mankhwala onse omwe wodwalayo akumwa (mankhwala olembedwa ndi dokotala, ogulitsidwa pamtengo wotsika, mankhwala achikhalidwe, mavitamini, zakudya zowonjezera). Komanso, muwadziwitse za kusuta fodya ndi kumwa mowa.
Zotsatirapo zoyipa zomwe muyenera kuzidziwa mukamamwa mankhwala
Gulu lachipatala lidzayang'anira wodwalayo mosamala kwambiri akamapereka mankhwalawa. Komabe, ngati mukukumana ndi zizindikiro zotsatirazi, muyenera kuziuza dokotala wanu kapena namwino nthawi yomweyo. Izi zitha kukhala zizindikiro za zotsatirapo zoyipa kwambiri.
| Zotsatirapo/zizindikiro | Zinthu zoti muzisamala nazo |
|---|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa kapena ziphuphu, kutupa kwa nkhope, milomo kapena lilime. |
| Zizindikiro za magazi kuundana | Kuvuta kupuma; kusintha kwa masomphenya; kupweteka pachifuwa; mutu wopweteka mwadzidzidzi; kupweteka kwa mwendo, kutupa, kutentha; kuvutika kulankhula; dzanzi kapena kufooka mwadzidzidzi kwa nkhope, mkono, kapena mwendo. |
| Shuga Wambiri M'magazi | Chizungulire ; pakamwa pouma; khungu louma; fungo la mpweya wotuluka zipatso; nseru; kupweteka m'mimba; njala yowonjezereka kapena ludzu; kukodza pafupipafupi. |
| Kuchuluka kwa Asidi m'thupi | Kupuma mwachangu; kugunda kwa mtima mwachangu; mutu; chisokonezo; kumva kufooka kapena kutopa; nseru, kusanza. |
| Kutuluka magazi kosazolowereka | Mabala omwe amaonekera kulikonse pathupi popanda chifukwa kapena kutuluka magazi komwe sikusiya ngakhale kuvulala pang'ono. |
Mndandandawu suli ndi zotsatirapo zonse zomwe zingachitike. Ngati muli ndi mafunso ena okhudza izi, lankhulani ndi dokotala wanu.
Uthenga Wopita Nawo Kunyumba
- Angiotensin II ndi mankhwala amphamvu kwambiri omwe amaperekedwa kuchipatala kokha kuti akweze kuthamanga kwa magazi pamene atsika kwambiri moti moyo umakhala pangozi.
- Izi zimapangitsa kuti mitsempha yamagazi ichepetseke komanso kuti kuthamanga kwa magazi kukwere.
- Ndikofunikira kudziwitsa dokotala za ziwengo zonse, mimba, ndi mankhwala ena omwe wodwalayo akumwa.
- Uwu ndi mankhwala omwe amaperekedwa kudzera m'mitsempha, moyang'aniridwa bwino ndi gulu lachipatala.
- Ndikofunikira kudziwa zizindikiro za zotsatirapo zoyipa, monga magazi kuundana ndi ziwengo, komanso kudziwitsa ogwira ntchito zachipatala nthawi yomweyo ngati muwona chilichonse chonga ichi.
- Popeza uwu ndi mankhwala apadera, simuloledwa kugwiritsa ntchito kapena kusunga kunyumba.
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