Tangoganizirani kuti mwachitidwa opaleshoni yaying'ono, monga kuchotsa dzino kapena kuchotsa chotupa pakhungu. Kenako dokotala amachotsa dzanzi pamalo omwe opaleshoniyo ikuchitikira ndipo amagwira ntchitoyo kuti musamve kupweteka kulikonse, sichoncho? Lero tikambirana za mankhwala apadera omwe amagwiritsidwa ntchito pazochitika zotere. Uwu ndi mankhwala omwe nthawi zambiri amaperekedwa kuchipatala kapena kuchipatala ndipo amagwiritsidwa ntchito ndi madokotala. Chifukwa chake, ndikofunikira kwambiri kudziwa izi.
Kodi mankhwala oletsa ululu awa ndi chiyani? (Bupivacaine; Epinephrine)
Mwachidule, iyi ndi mankhwala oletsa ululu am'deralo, zomwe zikutanthauza kuti imapha ululu pamalo omwe jakisoniyo amaperekedwa komanso malo ozungulira kwakanthawi, popanda kupha ululu thupi lonse. Izi zikutanthauza kuti simudzamva kupweteka kulikonse.
Pali mitundu iwiri ikuluikulu ya katemera uyu:
1. Bupivacaine: Ichi ndi chomwe chimachititsa dzanzi pakhungu, kutanthauza kuti simukumva kupweteka.
2. Epinephrine: Izi zimawonjezeredwa pazifukwa ziwiri. Choyamba ndi kupangitsa kuti zilondazo zipitirire kwa nthawi yayitali. China ndi kutsekereza mitsempha yamagazi yaying'ono pamalo omwe jakisoni amaperekedwa, kuchepetsa kutuluka magazi panthawi ya opaleshoni.
Chifukwa cha kuphatikiza zonsezi, dokotala akhoza kukuthandizani popanda kukupwetekani.
Zinthu zomwe muyenera kuuza dokotala wanu musanakupatseni mankhwala
Dokotala wanu asanakupatseni katemerayu, adzakufunsani za thanzi lanu. Komabe, ngati muli ndi vuto lililonse mwa zotsatirazi, onetsetsani kuti mwadziwitsa dokotala wanu. Izi ndizofunikira kwambiri pa chitetezo chanu.
- Matenda a shuga kapena kuchuluka kwa shuga m'magazi.
- Kusowa kwa G6PD: Ichi ndi vuto lobadwa nalo lomwe anthu ena amabadwa nalo.
- Mtundu uliwonse wa matenda a mtima .
- Kuthamanga kwa magazi kwambiri .
- Kuthamanga kwa magazi kotsika .
- Matenda aliwonse a chiwindi kapena impso .
- Matenda a m'mapapo (monga mphumu kapena COPD).
- Matenda a chithokomiro .
- Ngati muli ndi pakati kapena mukufuna kutenga mimba .
- Ngati ndinu mayi woyamwitsa .
- Ngati muli ndi vuto la mankhwala awa kapena mankhwala ena aliwonse, chakudya, utoto, kapena chosungira.
Mbiri yanu ya thanzi ikakhala yokwanira, ndiye kuti adzakhala otetezeka kwambiri kwa inu.
Kodi mumagwiritsa ntchito bwanji mankhwalawa?
Iyi si mankhwala omwe mungapite nawo kunyumba kapena kugula ku pharmacy.
Katemera uyu nthawi zonse amaperekedwa kuchipatala kapena ku chipatala ndi dokotala wodziwa bwino ntchito kapena katswiri wazaumoyo wodziwa bwino ntchito, kotero simuyenera kuda nkhawa ndi kugwiritsa ntchito katemerayu.
- Kwa ana: Amagwiritsidwa ntchito m'magawo ena apadera kwa ana aang'ono opitirira zaka 12. Koma amachitidwa mosamala kwambiri komanso mosamala kwambiri.
- Kwa okalamba: Anthu azaka zopitilira 65 angamve mphamvu ya mankhwalawa mwamphamvu pang'ono. Chifukwa chake, dokotala nthawi zambiri amachepetsa mlingo womwe amapatsidwa.
Nanga bwanji ngati nditamwa mankhwala ochulukirapo?
Popeza izi zimaperekedwa kuchipatala, chiopsezo chogwiritsa ntchito mankhwala mopitirira muyeso chimakhala chochepa kwambiri. Komabe, ngati izi zitachitika mwanjira iliyonse kapena ngati mukuganiza kuti mwalandira mankhwala ochulukirapo, dziwitsani ogwira ntchito zachipatala nthawi yomweyo. Ngati pachitika ngozi, muyenera kupita mwachindunji ku Emergency Treatment Unit (ETU) . Ngati mukufuna upangiri wokhudza poizoni, mutha kuyimbira National Poisons Information Centre ku Colombo National Hospital kuti mudziwe zambiri.
Zinthu zina zomwe zingagwirizane ndi mankhwalawa (Kuyanjana)
Ngati mukumwa mankhwala a matenda ena, ndikofunikira kwambiri kuuza dokotala wanu za izi. Chifukwa mankhwala ena amatha kusokonezana ndi mankhwala ochepetsa ululu awa ndikuyambitsa zotsatirapo zosafunikira. Gome ili pansipa likuwonetsa mankhwala ena omwe angasokonezeke motere.
| Gulu la mankhwala | Zitsanzo ndi mafotokozedwe |
|---|---|
| Mankhwala opha ululu ndi maantibayotiki | Mankhwala ena monga acetaminophen, dapsone, ndi nitrofurantoin. |
| Matenda a mtima ndi mankhwala othamanga magazi | Mankhwala osiyanasiyana omwe amagwiritsidwa ntchito poletsa kugunda kwa mtima ndi kuthamanga kwa magazi. (Chitsanzo: Nitroglycerin) |
| Mankhwala a thanzi la maganizo | Mankhwala a matenda monga kuvutika maganizo ndi nkhawa, makamaka mankhwala a MAOI. |
| Mankhwala a khunyu | Mankhwala monga phenobarbital ndi phenytoin. |
| Mankhwala ena oletsa ululu ndi mankhwala | Mankhwala ena oletsa ululu omwe amagwiritsidwa ntchito pa opaleshoni ndi monga nitrous oxide, ndi mankhwala ena oletsa ululu am'deralo monga lidocaine. |
Mndandandawu sunathe. Choncho uzani dokotala wanu za mankhwala onse, mavitamini, mankhwala azitsamba, ndi zowonjezera zomwe mukumwa. Muuzeninso ngati mumasuta kapena kumwa mowa.
Zinthu zoti musamale nazo mutamwa mankhwalawo
Mukalandira jakisoni uyu, muyenera kusamala pang'ono ndi malo omwe ali ndi dzanzi. Chifukwa simukumva kupweteka, mutha kuvulaza malo amenewo osazindikira.
Mwachitsanzo, ngati mano anu achotsedwa ndipo mkamwa mwanu mwapweteka, muyenera kusamala kuti musalume tsaya lanu kapena kumwa zakumwa zotentha mpaka ululuwo utatheratu. Komanso, ngati muli ndi chilonda pakhungu lanu, tetezani malo amenewo kuti asakumenyeni kapena kukukandani.
Kodi zotsatirapo zake zingakhale zotani?
Monga mankhwala ena aliwonse, mankhwalawa angayambitse zotsatirapo zina mwa anthu ena. Zina mwa izi ndi zoopsa, zina ndizofala. Ndikofunikira kudziwa izi.
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala kapena namwino nthawi yomweyo | |
|---|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Kusintha kwa kugunda kwa mtima | Kumva ngati mtima wanu ukugunda mofulumira kapena mosakhazikika, chizungulire, kupweteka pachifuwa, komanso kupuma movutikira. |
| Zotsatira pa dongosolo la mitsempha yapakati | Kupuma pang'onopang'onoPang'onopang'ono ... Pang'onopang'ono ... Pang'onopang'ono ... Pang'onopang'ono ... Pang'onopang'ono ... Pang'onopang'ono ... Pang'onopang'ono ... Pang'onopang'ono ... Kusaganizira bwino , chisokonezo . |
| Methemoglobinemia | Kuvuta kupuma; Mutu; Milomo, misomali, kapena khungu limasintha mtundu, imvi, kapena buluu; Kutopa kwambiri. |
| Kugwidwa ndi khunyu | Kugwedezeka mwadzidzidzi. |
| Zotsatirapo zomwe nthawi zambiri sizili zoopsa, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Nkhawa kapena kusakhazikika | Kumva nkhawa yachilendo. |
| Kugona tulo | Mungamve ngati mukugona pang'ono. |
| Kusanza ndi kusanza | Kusanza, kutsekula m'mimba, kapena kusanza. |
Ngati mukukumana ndi zizindikiro zina zachilendo zomwe sizinatchulidwe pamndandandawu, lankhulani ndi dokotala wanu za zizindikirozo.
Uthenga Wopita Nawo Kunyumba
- Bupivacaine; Epinephrine ndi jakisoni wa mankhwala oletsa ululu womwe umaperekedwa ndi dokotala yekha kuchipatala kapena kuchipatala kuti achepetse ululu.
- Musanalandire katemerayu, uzani dokotala wanu za matenda anu onse (monga matenda a shuga, matenda a mtima) ndi mankhwala onse omwe mumamwa.
- Mukalandira jakisoni, onetsetsani kuti mwateteza malowo ku kuvulala. Popeza simukumva kupweteka, mutha kudzivulaza mwangozi.
- Fufuzani thandizo lachipatala mwamsanga ngati mukukumana ndi mavuto ena aakulu monga kutupa pankhope, kupuma movutikira, kapena kupweteka pachifuwa.
- Ngati muli ndi mafunso kapena nkhawa zokhudzana ndi mankhwalawa, musazengereze kufunsa dokotala wanu za mankhwalawa.
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