Nthawi zina sitidziwa bwino mankhwala omwe madokotala amagwiritsa ntchito pazidzidzidzi, sichoncho? Atropine ndi mankhwala ofunikira kwambiri omwe amagwiritsidwa ntchito pazochitika zapadera monga kupulumutsa miyoyo ndi zina zotero. Nthawi zambiri amaperekedwa ngati jakisoni. Ali ndi maubwino angapo. Chifukwa chake, tiyeni tikambirane za izi mwatsatanetsatane komanso lero.
Kodi Atropine ndi yofunika kwambiri chifukwa chiyani?
Mwachidule, atropine ndi mankhwala omwe angathandize pa matenda osiyanasiyana. Tiyeni tiwone zomwe amagwiritsidwa ntchito makamaka.
- Musanachite opaleshoni: Tangoganizirani kuti mukachitidwa opaleshoni, muyenera kuchepetsa malovu mkamwa mwanu ndi madzi otuluka m'mapapo mwanu. Chifukwa ngati madzi otuluka m'mapapowa akalowa m'mapapo mwanu pamene mukupatsidwa mankhwala oletsa kupweteka, zingayambitse matenda oopsa (aspiration pneumonia). Jakisoni wa atropine uwu umagwiritsidwa ntchito kuchepetsa chiopsezo chimenecho.
- Poizoni akamezedwa: Iyi ndi imodzi mwa ntchito zofunika kwambiri za mankhwalawa. Imodzi mwa ntchito zofala kwambiri m'dziko lathu ndi pamene mankhwala ophera tizilombo amamezedwa. Izi zimaperekedwa ngati mankhwala a poizoni woopsa. Amagwiritsidwanso ntchito ngati anthu akudya bowa winawake wa poizoni. Izi zitha kupulumutsa miyoyo.
- Matenda a mtima adzidzidzi: Ngati kugunda kwa mtima kwa munthu kwatsika mwadzidzidzi (bradycardia), mankhwalawa amagwiritsidwanso ntchito ngati chithandizo chadzidzidzi kuti mtima ubwerere mwakale.
Kuwonjezera pa izi, madokotala angagwiritse ntchito mankhwalawa pazifukwa zina zingapo zachipatala. Choncho ngati muli ndi mafunso okhudza izi, ndi bwino kufunsa dokotala wanu.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa
Ndikofunikira kwambiri kudziwitsa dokotala wanu za thanzi lanu musanamwe mankhwala aliwonse. Makamaka musanagwiritse ntchito mankhwala monga atropine, onetsetsani kuti mwadziwitsa dokotala wanu ngati muli ndi vuto lililonse lomwe latchulidwa pansipa.
| Matenda omwe mungakhale nawo | Kufotokozera kosavuta |
|---|---|
| Glaucoma (vuto la maso) | Matenda omwe amawonjezera kupanikizika m'diso. Atropine ingapangitse vutoli kukhala loipa kwambiri. |
| Matenda a mtima kapena matenda a mtima omwe adachitikapo kale | Popeza mankhwalawa amakhudza kugunda kwa mtima, momwe amakhudzira odwala matenda a mtima zimasiyana. |
| Matenda a impso | Mankhwala amachotsedwa m'thupi kudzera mu impso. Mavuto angabuke ngati impso sizikugwira ntchito bwino. |
| Matenda a prostate | Makamaka ngati amuna akuvutika kukodza, mankhwalawa akhoza kuonjezera. |
| Kutsekeka kwa chitoliro cha chakudya | Ngati matumbo anu sakugwira ntchito bwino, mankhwalawa akhoza kuipitsa vutoli. |
| Matenda a atropine kapena zinthu zina | Onetsetsani kuti mwatiuza ngati muli ndi vuto lililonse la atropine, mankhwala ena, zakudya, kapena utoto. |
| Ngati muli ndi pakati kapena mukuyembekezera mwana | Dokotala ayenera kudziwa bwino kugwiritsa ntchito mankhwala panthawi ya mimba. |
| Ngati mayi akuyamwitsa mwana wake | Popeza mankhwalawa amatha kupita kwa mwana kudzera mu mkaka wa m'mawere, uzaninso dokotala za izi. |
Momwe mungagwiritsire ntchito mankhwalawa ndi zomwe muyenera kudziwa
Mankhwalawa amaperekedwa ngati jakisoni mu minofu, mtsempha, kapena pansi pa khungu . Izi nthawi zambiri zimachitika kuchipatala kapena ku chipatala ndi dokotala kapena namwino wophunzitsidwa bwino.
Ngati mwapatsidwa mankhwala awa kuti mugwiritse ntchito kunyumba pa nthawi yapadera kwambiri, mudzaphunzitsidwa bwino momwe mungagwiritsire ntchito. Muyenera kutsatira malangizo amenewo molondola.
Chofunika kwambiri!
Musataye singano ndi ma syringe ogwiritsidwa ntchito kale m'zinyalala. Ziyenera kutayidwa mu chidebe chapadera cha sharping. Ngati mulibe, funsani dokotala wanu momwe mungapezere imodzi.
Nanga bwanji ngati nditamwa mankhwala ochulukirapo?
Izi nthawi zambiri zimaperekedwa kuchipatala, kotero mwayi woti izi zichitike ndi wochepa. Komabe, ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, funsani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital, kapena pitani ku Emergency Department (ETU) ya chipatala chapafupi. Chitani izi ngati zadzidzidzi.
Mankhwala ena omwe angagwirizane ndi atropine
Mankhwala ena omwe mukumwa angagwirizane ndi atropine. Izi zikutanthauza kuti zotsatira za imodzi zingakhudze zotsatira za ina. Mwachitsanzo:
- Mankhwala ena a matenda amisala ndi matenda amisala
- Mankhwala a matenda a Parkinson
- Mankhwala ena a chimfine ndi ziwengo
- Mankhwala olimbikitsa kuvutika maganizo
- Pali mitundu ina yambiri ya mankhwala.
Choncho ndi bwino kuuza dokotala wanu za mankhwala onse, zitsamba, mavitamini, kapena zowonjezera zomwe mukumwa. Ngati mumasuta kapena kumwa mowa, muuzeninso za mankhwalawa, chifukwa amatha kusokonezana ndi mankhwalawo.
Zinthu zofunika kuziganizira mukamamwa mankhwala
- Kugona ndi chizungulire: Mungamve ngati mukugona komanso mukuzungulire. Choncho , pewani kuyendetsa galimoto, kugwiritsa ntchito makina, kapena kuchita chilichonse chomwe chimafuna kusamala mpaka mutadziwa bwino momwe mankhwalawa amakukhudzirani.
- Samalani mukasintha malo: Mukadzuka pakakhala kapena pabedi, musadzuke mwadzidzidzi. Dzukani pang'onopang'ono. Samalani makamaka ngati ndinu okalamba. Apo ayi, mungayambe kuzunguzika mutu ndi kugwa.
- Pakamwa pouma: Pakamwa pouma ndi pofala. Mutha kuletsa izi mwa kutafuna chingamu chopanda shuga, kuyamwa maswiti opanda shuga, ndi kumwa madzi ambiri.
- Maso ouma ndi kusawona bwino: Maso ouma angayambitse kusawona bwino. Ngati muvala ma contact lens, mungamve kusasangalala. Madontho opaka mafuta m'maso angagwiritsidwe ntchito. Ngati vutoli likupitirira kapena lakula kwambiri, uzani dokotala wanu.
- Chenjerani ndi kutentha kwambiri:Izi ndizofunikira kwambiri. Mankhwalawa amachepetsa thukuta lomwe limapangidwa ndi thupi. Chifukwa chake, mphamvu ya thupi lanu yodziziziritsa yokha imachepa. Chifukwa chake, pewani kukhala m'malo omwe kutentha kwambiri kumakwera. Kupanda kutero, kutentha kwa thupi lanu kungakwere moopsa ndipo matenda otchedwa heat stroke angachitike.
Kodi ndi zotsatirapo zotani zomwe ndingakumane nazo?
Monga mankhwala ena aliwonse, atropine ingayambitse zotsatirapo zina. Zina zimakhala zoopsa, zina zimakhala zofala.
| Zotsatirapo Zotheka | |
|---|---|
| Zotsatirapo zoyipa zomwe muyenera kuuza dokotala wanu nthawi yomweyo | |
| |
| Zotsatirapo zomwe nthawi zambiri sizimafuna upangiri wa dokotala, koma ziyenera kunenedwa ngati zikupitirira | |
Uthenga Wopita Nawo Kunyumba
- Atropine ndi mankhwala ofunikira kwambiri, opulumutsa moyo omwe amagwiritsidwa ntchito pazochitika zapadera zachipatala monga opaleshoni, poizoni, ndi zadzidzidzi za mtima.
- Musanamwe mankhwalawa, uzani dokotala wanu za matenda onse omwe muli nawo, monga glaucoma, matenda a mtima, matenda a impso, ndi mavuto a prostate.
- Ndikofunikanso kuuza dokotala wanu za mankhwala ena onse, zitsamba, ndi mavitamini omwe mukumwa.
- Samalani ndi zotsatirapo zake monga kugona tulo ndi pakamwa pouma. Samalani kwambiri ndi kutentha kwambiri, chifukwa thukuta lingachepe.
- Ngati mukukayikira kuti mwamwa mankhwala opitirira muyeso, pitani ku National Poisons Information Center kapena ku chipatala chapafupi cha Emergency Department (ETU).
- Mankhwalawa ndi a inu nokha. Musagawane ndi ena.
👩🏽⚕️ Mafunso ena (Mafunso Ofunsidwa Kawirikawiri)
💬 Jakisoni wa Atropine amaperekedwa pa matenda ati?
Uwu ndi mankhwala amphamvu kwambiri opulumutsa moyo omwe amabayidwa mwachindunji mumtsempha (IV) mu Dipatimenti Yodzidzimutsa ya chipatala (ICU) kuti apulumutse moyo wa wodwalayo panthawi yomaliza ngati pakhala vuto lalikulu la mtima kapena pamene kugunda kwa mtima kwatsala pang'ono kuima (Severe Bradycardia / Cardiac Arrest)'! Amagwiritsidwanso ntchito kuchotsa mankhwala ophera tizilombo/poizoni (Organophosphate Poisoning) akamwedwa.
💬 Mtima ukatsala pang'ono kuima, kodi jakisoni uyu (Atropine) ungawonjezere bwanji kugunda kwa mtima mwadzidzidzi?
Mtima umachedwa chifukwa cha kusokoneza ntchito ya SA Node, yomwe imatumiza zizindikiro zamagetsi kumtima, kudzera mu mitsempha ya vagus. Lamulo loperekedwa kuchokera pamenepo ndi 'Acetylcholine'. Katemerayu akangolowa m'thupi, messenger wotchedwa 'Acetylcholine' amatseka/kutseka kwathunthu zipata zonse (Muscarinic receptors) zomwe zimatsogolera kumtima. Popeza uthengawo sulandiridwa, SA Node imagwira ntchito mosalamulirika ndipo mtima umagunda mofulumira.
💬 Kodi zotsatirapo zoopsa za katemerayu woperekedwa ngati munthu wadwala matenda a mtima ndi ziti?
Ngakhale mutatenga izi kuti mupulumutse moyo wanu, vuto lalikulu ndi (Anticholinergic Toxicity) kuti zimaumitsa madzi onse/madzimadzi m'thupi! Mukatenga izi, pakamwa panu padzakhala pouma 100% (simungathe ngakhale kulankhula), maso anu adzakhala osawoneka bwino/maso adzakhala akulu (Dilated pupils), ndipo simungathe kukodza ndipo mkodzo umakhala wosunga (Urinary retention). Komanso, mtima wa anthu ena ukhoza kugunda mofulumira kwambiri ndipo umakhala wosazolowereka.
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