Tiyerekeze kuti mwachitidwa opaleshoni yaying'ono kapena yayikulu, mwachotsedwa dzino, kapena mwayesedwanso mankhwala ena opweteka. Kenako, madokotala, omwe sadziwa za ululu, amakupatsirani mankhwala opangitsa dzanzi, sichoncho? Nthawi zina, mutalandira jakisoni, simumva ululu kwa kanthawi. Lero, tikambirana za mankhwala omwe amagwiritsidwa ntchito kwambiri pazochitika zotere. Dzina lake ndi kuphatikiza kwa mankhwala awiri otchedwa Bupivacaine ndi Epinephrine.
Mwachidule, kodi mankhwala awa ndi chiyani?
Iyi ndi mankhwala awiri osakaniza. 1.
Bupivacaine: Iyi ndi yomwe imagwira ntchito yeniyeni. Kunena zoona, iyi ndi mankhwala oletsa ululu am'deralo. Izi zikutanthauza kuti imachotsa dzanzi pamalo enieni omwe imabayidwa. Tangoganizirani kuti mukuchitidwa opaleshoni yaying'ono padzanja lanu. Kenako mankhwalawa amaikidwa m'dzanja lanu. Kenako amaletsa kwakanthawi mitsempha yomwe ili m'dzanja lanu kutumiza mauthenga ku ubongo akuti "izi zikupweteka apa." Zili ngati kuzimitsa 'waya wopweteka' m'derali kwa kanthawi. 2.
Epinephrine: Izi zimawonjezedwa kuti kumva kuwawako kukhale kwa nthawi yayitali. Epinephrine imapangitsa mitsempha yamagazi m'derali kufupika pang'ono. Kenako Bupivacaine imasakanizidwa ndi magazi ndipo zimatenga nthawi yayitali kuti ipite ku ziwalo zina za thupi. Choncho dzanzi limakhala pamalo amodzi kwa nthawi yayitali. Komanso, chifukwa mitsempha yamagazi imafupika, magazi amachepa panthawi ya opaleshoni. Mwachidule, iyi ndi
mankhwala amphamvu oletsa ululu omwe amaletsa ululu m'dera lililonse. Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa
Dokotala wanu asanaganize zokupatsani mankhwala awa, ayenera kukhala ndi chithunzi chonse cha thanzi lanu. Umu ndi momwe angakutsimikizireni kuti ndinu otetezeka. Chifukwa chake, ngati muli ndi vuto lililonse mwa zotsatirazi,
onetsetsani kuti mwamuuza za izi popanda kubisa chilichonse. | Mkhalidwe wanu | N’chifukwa chiyani muyenera kulankhula za nkhaniyi? |
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| Kutupa kwa Bupivacaine, Epinephrine kapena mankhwala ena oletsa ululu | Ngati munakhalapo ndi vuto la ziwengo kale, mwina mungakhalenso ndi vuto la ziwengo. Komanso, uzani dokotala wanu ngati muli ndi vuto lililonse la ziwengo chifukwa cha mankhwala ena, zakudya, kapena utoto. |
| Matenda a mtima | Epinephrine imatha kukhudza kugunda kwa mtima ndi kuthamanga kwa magazi, choncho iyenera kuperekedwa mosamala kwambiri kwa anthu omwe ali ndi matenda a mtima. |
| Kuthamanga kwa magazi kotsika | Mankhwalawa nthawi zina angapangitse kuti kuthamanga kwa magazi kuchepe kwambiri, choncho ndikofunikira kudziwa izi pasadakhale. |
| Matenda a chiwindi kapena impso | Chiwindi ndi impso zimathandiza kuchotsa mankhwala m'thupi. Ngati ziwalozi sizikugwira ntchito bwino, mankhwala amatha kudziunjikira m'thupi ndi kuyambitsa zotsatirapo zake. |
| Matenda a m'mapapo | Ngati pali zinthu monga kupuma movutikira, chisamaliro chapadera chiyenera kutengedwa panthawi yopuma. |
| Kusowa kwa G6PD | Uwu ndi matenda obadwa nawo m'magazi. Mankhwala ena angayambitse mavuto kwa anthu omwe ali ndi vutoli. |
| Ngati muli ndi pakati kapena mukufuna kutenga mimba | Chidziwitsochi n'chofunikira kuti dokotala aganizire momwe mwanayo angakhudzire. |
| Ngati ndinu mayi woyamwitsa | Izi ndizofunikira kudziwa ngati mankhwalawo akupita kwa mwana kudzera mu mkaka komanso ngati ali ndi mphamvu iliyonse. |
Kumbukirani kuti chitetezo chanu chikhale chofunika kwambiri. Choncho musabise dokotala wanu za nkhaniyi.
Kodi mumagwiritsa ntchito bwanji mankhwalawa?
Iyi
si mankhwala omwe mungapite nawo kunyumba kuchokera ku pharmacy.. Izi nthawi zonse zimaperekedwa ngati jakisoni m'thupi lanu kuchipatala kapena kuchipatala ndi dokotala kapena katswiri wazaumoyo wodziwa bwino ntchito. Chifukwa chake simuyenera kuda nkhawa nazo. Nthawi zambiri zimagwiritsidwa ntchito kwa ana opitirira zaka 12 pazochitika zina zapadera. Koma dokotala yekha ndiye amasankha.
Kodi mungachite chiyani ngati mankhwalawo achuluka kwambiri?
Popeza izi zimaperekedwa motsogozedwa ndi dokotala, mwayi woti munthu alandire mankhwala osokoneza bongo ndi wochepa kwambiri. Komabe, ngati mukuganiza kuti china chake chachitika kwa inu, kapena ngati mukukumana ndi zizindikiro izi (monga chizungulire, kumva kuwawa pakamwa, kusawona bwino, kugwedezeka), muyenera kudziwitsa ogwira ntchito zachipatala nthawi yomweyo. Adzachitapo kanthu kofunikira. Ngati muli ndi vuto lililonse kunja kwa chipatala, pitani
ku Dipatimenti Yodzidzimutsa (ETU) ya chipatala chapafupi nthawi yomweyo. Ngati mukuganiza kuti muli ndi poizoni, mutha kuyimbiranso
National Poisons Information Centre ku Colombo National Hospital .
Mankhwala ena omwe angagwirizane ndi mankhwalawa
Ndikofunikira kwambiri kuuza dokotala wanu za mankhwala onse, mavitamini, ndi mankhwala azitsamba omwe mukumwa. Mankhwala ena amatha kusokonezana ndi mankhwalawa m'njira zosayembekezereka. Pansipa pali ena mwa mankhwala awa. Iyi si mndandanda wathunthu.
Perekani dokotala wanu mndandanda wa mankhwala onse omwe mumamwa. Komanso, onetsetsani kuti mwawauza ngati mumasuta fodya, mumamwa mowa, kapena mumagwiritsa ntchito mankhwala ena osokoneza bongo.
Zinthu zoti muzisamala nazo mukamamwa mankhwala
Ichi ndi chinthu chomwe anthu ambiri amaiwala, koma ndi chofunika kwambiri. Pamene malowo achita dzanzi mutapatsidwa mankhwala oletsa dzanzi,
simumva kupweteka. Chifukwa chake pali mwayi waukulu woti mudzavulala popanda kuzindikira. Tangoganizirani ngati dzino lanu lathyoka ndipo mbali ya pakamwa panu yachita dzanzi. Mpaka dzanzi litachoka, simudzamva milomo yanu ikugunda mukadya mbali imeneyo. Kotero milomo ikhoza kuvulala. Ngati mwendo wanu wachita dzanzi, simungamve kuti bondo lanu likugwedezeka mukamayenda.
Choncho, mpaka malo okhudzidwawo atachira bwino, kutanthauza kuti, mpaka chilondacho chitachoka kwathunthu, samalani kwambiri ndi malo amenewo. Pewani zinthu zomwe zingayambitse kuvulala.
Kodi zotsatirapo zake zingakhale zotani?
Monga mankhwala ena aliwonse, izi zingayambitse zotsatirapo zoyipa. Komabe, si aliyense amene amalandira. Zina mwa izi ziyenera kunenedwa nthawi yomweyo, pomwe zina sizili zoopsa kwambiri.
Uzani dokotala wanu kapena gulu la zaumoyo nthawi yomweyo. Nthawi zambiri sizili zowopsa (koma uzani dokotala wanu ngati zikupitirira).
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi, komanso kuvutika kupuma. |
| Kusintha kwa kugunda kwa mtima | Kugunda kwa mtima mofulumira kapena kosasinthasintha, chizungulire, kupweteka pachifuwa, kuvutika kupuma. |
| Kuthamanga kwa magazi kotsika/kokwera | Chizungulire chachikulu, kusawona bwino, kumva kukomoka (kutsika kwa kuthamanga kwa magazi) kapena mutu waukulu (kukwera kwa kuthamanga kwa magazi). |
| Kugwidwa ndi khunyu | Kugwedezeka kwa thupi ndi kulephera kudziletsa. |
| Kusokonezeka kwa mitsempha yapakati (CNS depression) | Kupuma pang'onopang'ono kapena pang'ono, kugona kwambiri, kuvutika kukhala maso. |
| Zizindikiro za Methemoglobinemia | Khungu labuluu kapena milomo, kupuma movutikira, mutu waukulu, kugunda kwa mtima mofulumira, nseru, kusanza. |
| Kusakhazikika maganizo | Nkhawa, mantha. |
| Kugona tulo | Vuto lofala lomwe lingachitike chifukwa cha zotsatira za mankhwala. |
| Kusanza ndi kusanza (Kusanza, Kusanza) | Izi nthawi zambiri zimatha pakapita nthawi. |
Mndandandawu sungakhale ndi zotsatirapo zonse zomwe zingachitike. Ngati mukukumana ndi vuto lililonse lachilendo, lankhulani ndi dokotala wanu za vutoli.
Uthenga Wopita Nawo Kunyumba
- Bupivacaine ndi Epinephrine ndi jakisoni omwe amaperekedwa kuti athetse ululu pamalo enaake ndikuletsa ululu panthawi ya opaleshoni kapena njira zina zopweteka.
- Musanamwe mankhwalawa, ndikofunikira kuuza dokotala wanu za matenda anu onse (makamaka matenda a mtima, chiwindi, ndi impso) komanso mankhwala onse omwe mukumwa.
- Mankhwala awa si oti munthu atenge kunyumba. Nthawi zonse amaperekedwa kuchipatala ndi dokotala kapena katswiri wazaumoyo wodziwa bwino ntchito yake.
- Ngakhale kuti mankhwalawo akukupangitsani dzanzi, ndi udindo wanu kusamalira malowo kuti asavulale. Samalani kwambiri ndi zimenezo.
- Ngati mukukumana ndi mavuto aakulu monga kupuma movutikira, kupweteka pachifuwa, khunyu, kapena milomo yabuluu, funsani upangiri wa dokotala nthawi yomweyo .
Mankhwala Ochepetsa Ululu, Bupivacaine, Epinephrine, Opaleshoni, Mankhwala Ochepetsa Ululu, Mankhwala Oletsa Kupweteka Kwam'deralo, Zotsatirapo Zake
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