Kodi munachitapo opaleshoni? Kapena mukukonzekera kuchita opaleshoni mtsogolo? Mantha akulu omwe tili nawo nthawi ngati zimenezi ndi ululu womwe umachitika pambuyo pa opaleshoni. Koma tsopano, chifukwa cha kupita patsogolo kwa sayansi ya zamankhwala, pali njira zambiri zowongolera ululuwu. Chabwino, lero tikulankhula za mankhwala apadera omwe amawongolera ululu womwe umachitika pambuyo pa opaleshoni kwa masiku angapo.
Kodi choyika ichi cha Bupivacaine ndi chiyani?
Mwachidule, iyi ndi mankhwala oletsa kumva kupweteka omwe amaperekedwa kuti athetse ululu womwe umachitika pambuyo pa opaleshoni. Monga momwe zimakhalira ndi mano a m'kamwa musanachotse dzino, mankhwalawa amawononga khungu ndi minofu yozungulira malo ochitira opaleshoni. Koma sizili ngati jakisoni wogonetsa nthawi zonse.
Mankhwalawa (Liposomal Bupivacaine) amabwera ngati 'implant' yaying'ono komanso yofewa. Tangoganizirani kuti mukuchitidwa opaleshoni ya hernia. Dokotalayo amaika mankhwala awa mkati mwa bala opaleshoniyo itatha komanso bala lisanasokedwe. Chinthu chapadera pa izi ndichakuti pang'onopang'ono amatulutsa mankhwala opha ululu m'thupi kwa masiku angapo. Izi zikutanthauza kuti mumapeza mpumulo waukulu ku ululu wa opaleshoniyo kwa masiku awiri kapena atatu motsatizana. Ena mwa mayina a mankhwalawa ndi `Xaracoll`.
Zinthu zomwe dokotala wanu ayenera kudziwa asanakupatseni mankhwala awa
Ngakhale kuti mankhwalawa amaperekedwa kuchipatala, ndikofunikira kwambiri kupatsa dokotala kufotokozera kwathunthu za thanzi lanu, chifukwa mankhwalawa sangagwirizane ndi matenda ena.
Onetsetsani kuti mwauza dokotala wanu za izi:
- Ngati munakhalapo ndi vuto la ziwengo ndi Bupivacaine kapena mankhwala ena aliwonse oletsa ululu.
- Ngati muli ndi matenda a mtima, chiwindi, kapena impso.
- Ngati muli ndi vuto la magazi monga kusowa kwa G6PD.
- Ngati muli ndi matenda opuma monga mphumu.
- Ngati muli ndi kuthamanga kwa magazi kotsika.
- Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena mukuyamwitsa.
Ndikofunikira kwambiri kuti mukhale otetezeka kuuza dokotala wanu popanda kubisa izi, chifukwa muyenera kusamala kwambiri mukamagwiritsa ntchito mankhwalawa ndi matenda amtundu uwu.
Kodi mankhwalawa angagwiritsidwe ntchito bwanji?
Mankhwala awa si omwe mungapite nawo kunyumba. Mankhwalawa amaikidwa pamalo ochitira opaleshoni ndi dokotala panthawi ya opaleshoni kuchipatala kapena kuchipatala . Choncho simuyenera kuda nkhawa ndi kuphonya mlingo kapena kumwa mankhwala ochulukirapo.
Ngati mwadzidzidzi mukumva kuti mwakumana ndi zizindikiro zachilendo chifukwa cha mankhwalawa, dziwitsani dokotala kapena namwino nthawi yomweyo. Ngati mukukayikira kuti mwamwa mankhwala ochulukirapo, m'dziko lathu lino, muyenera kuyimbira foni ku National Poisons Information Centre ku Colombo National Hospital mwachindunji. Komanso, ngati muli kuchipatala, chinthu chabwino kwambiri choti muchite ndikupita ku Emergency Treatment Unit (ETU) nthawi yomweyo.
Kodi pangakhale mavuto ndi mankhwala ena? (Kuyanjana kwa mankhwala)
Inde, mankhwala ena amatha kusokonezana ndi Bupivacaine. Chifukwa chake, muyenera kudziwitsa dokotala wanu za mankhwala onse omwe mukumwa, osati omwe dokotala wanu wakupatsani okha, komanso mankhwala ogulitsidwa kunja kwa chipatala, mavitamini, ndi mankhwala azitsamba, musanachite opaleshoni yanu.
| Gulu la mankhwala | Zitsanzo |
|---|---|
| Mankhwala ena ochepetsa ululu | Lidocaine, Tetracaine |
| Maantibayotiki ena | Dapsone, Nitrofurantoin, Sulfonamides |
| Mankhwala a khunyu | Phenobarbital, Phenytoin |
| Mankhwala opha ululu | Acetaminophen (Paracetamol) |
| Mankhwala a matenda a mtima | Nitroglycerin, Nitroprusside |
| Mankhwala ena | Chloroquine, Quinine, Metoclopramide, Sulfasalazine |
Zinthu zoti muzisamala nazo mukamamwa mankhwala
Muyenera kusamala kwambiri pamene mankhwalawa akugwira ntchito, kutanthauza kuti, pamene dera lomwe opaleshoniyo inachitikira ndi dzanzi. Tangoganizani kuti mwachitidwa opaleshoni m'mimba mwanu ndipo mankhwala awa anakupatsani. Chifukwa chakuti dera limenelo ndi dzanzi, simukumva chilichonse chomwe chingakumenyeni, kukukanikizani, kapena kukupwetekani pamenepo. Chifukwa chake, ndi udindo wanu kusamalira dera limenelo kuti lisavulale kapena kuvulaza.
Kodi zotsatira zake ndi ziti?
Monga mankhwala ena aliwonse, mankhwalawa angayambitse zotsatira zina zoyipa. Zina zimakhala zoopsa, zina zimakhala zofala.
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala wanu kapena ETU nthawi yomweyo | |
|---|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo kapena lilime, komanso kuvutika kupuma. |
| Kusintha kwa kugunda kwa mtima | Kupweteka pachifuwa, chizungulire, kugunda kwa mtima mofulumira kapena kosasinthasintha, kukomoka. |
| Mavuto a mitsempha | Kugwidwa ndi khunyu , kunjenjemera. |
| Zizindikiro za Methemoglobinemia | Khungu lotumbululuka, imvi kapena buluu, mutu, kugunda kwa mtima mofulumira, kupuma movutikira, kutopa kwambiri. |
| Zotsatirapo zomwe nthawi zambiri sizili zoopsa, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Zina mwazinthu | Mutu, malungo, kusakhazikika, kusintha kwa kukoma mkamwa, kusintha kwa masomphenya. |
Uthenga Wopita Nawo Kunyumba
- Bupivacaine implant ndi mankhwala apadera omwe amaikidwa pafupi ndi bala panthawi ya opaleshoni ndipo amaletsa ululu kwa masiku angapo.
- Mankhwala awa si omwe mungapite nawo kunyumba. Amagwiritsidwa ntchito ndi dokotala kuchipatala.
- Ndikofunikira kuti muuze dokotala wanu za matenda anu onse ndi mankhwala ena onse omwe mukumwa musanachite opaleshoni.
- Ngati mukukumana ndi zizindikiro monga ziwengo, kupuma movutikira, khunyu , kapena kugunda kwa mtima kosazolowereka, funsani dokotala nthawi yomweyo.
- Ngati gawo la thupi lanu lachita dzanzi chifukwa cha mankhwala, samalani kwambiri kuti muteteze dera limenelo ku kuvulala.
💬 Comments (0)
Palibe ndemanga zomwe zatumizidwa pano. Onjezani ndemanga yanu pano koyamba.
Onjezani ndemanga yanu