Kodi munachitapo opaleshoni yaying'ono kapena yayikulu? Kapena mukukonzekera kuchita opaleshoni ina mtsogolo? Ngati ndi choncho, ndi zachilendo kuopa ululu womwe umabwera mutachita opaleshoni. Koma musadandaule, mankhwala amakono ndi apamwamba kwambiri. Madokotala amagwiritsa ntchito njira zosiyanasiyana kuti athetse ululuwu. Lero, tikulankhula za njira yapadera yamankhwala yomwe imagwiritsidwa ntchito pabala la opaleshoni yokha ndipo imagwiritsidwa ntchito popewa ululu kwa maola angapo.
Kodi mankhwalawa ndi chiyani? (Bupivacaine; Meloxicam)
Mwachidule, iyi ndi kuphatikiza kwa mankhwala awiri. Imagulitsidwa pansi pa dzina lakuti ``ZYNRELEF''. Ili ndi mankhwala awiri, Bupivacaine ndi Meloxicam .
Taganizirani ngati singano yomwe dokotala amakupatsani musanachotse dzino. Zimenezo zimachititsa dzanzi pamalopo, sichoncho? Chabwino, Bupivacaine yomwe ili mu izi ndi yomwe imachititsa dzanzi kwa kanthawi mitsempha yomwe munachitidwa opaleshoni yanu. Kenako mitsempha imeneyo imasiya kutumiza zizindikiro za ululu ku ubongo, ndipo mumamva kupweteka kochepa.
Mankhwala achiwiri ndi Meloxicam . Ichi ndi mankhwala ochepetsa ululu komanso mankhwala ochepetsa kutupa. Mu zamankhwala, timatcha izi `(NSAID - Non-Steroidal Anti-Inflammatory Drug)`. Mankhwalawa amawongolera kutupa ndi kufiira kwa bala pambuyo pa opaleshoni. Chifukwa chake, kuphatikiza kwa mankhwala awiriwa kukupatsani mpumulo waukulu ku ululu wa opaleshoni kwa maola pafupifupi 72.
Chofunika ndichakuti, iyi si mankhwala omwe mungapite nawo kunyumba. Ndi yankho lapadera lomwe dokotala amaika pabala panthawi ya opaleshoni kuchipatala kapena kuchipatala.
Zinthu zomwe muyenera kuuza dokotala wanu musanapereke mankhwala awa
Musanasankhe ngati mankhwalawa ndi oyenera kwa inu, dokotala wanu ayenera kudziwa mbiri yonse ya thanzi lanu. Onetsetsani kuti mwauza dokotala wanu ngati muli ndi vuto lililonse mwa izi:
| Matenda kapena chizolowezi | Kufotokozera |
|---|---|
| Matenda a kupuma | Ngati muli ndi matenda a m'mapapo monga mphumu. |
| Mavuto otuluka magazi | Ngati muli ndi vuto la magazi. |
| Opaleshoni ya mtima | Ngati mwangochita opaleshoni ya mtima (mkati mwa milungu iwiri) posachedwapa (Coronary Artery Bypass Graft - CABG). |
| Matenda a mtima ndi kuthamanga kwa magazi | Matenda monga matenda a mtima, kuthamanga kwa magazi kapena kutsika. |
| Mavuto a m'mimba ndi m'mimba | Ngati mudadwalapo zilonda zam'mimba kapena kutuluka magazi kale. |
| Matenda a impso kapena chiwindi | Ngati muli ndi vuto lililonse la matenda okhudzana ndi ntchito ya impso kapena chiwindi. |
| Zizolowezi ndi mikhalidwe ina | Ngati mumamwa mowa tsiku lililonse, mumasuta fodya, kapena muli ndi vuto la kuchepa kwa G6PD. |
| Matenda a ziwengo | Ngati muli ndi ziwengo ku Bupivacaine, Meloxicam, Aspirin kapena NSAID zina, mankhwala ena, zakudya, kapena utoto. |
| Mimba | Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena mukuyamwitsa. |
Nanga bwanji ngati pali mankhwala ochulukirapo?
Popeza mankhwala awa amaperekedwa ndi dokotala kuchipatala, chiopsezo cha kumwa mankhwala mopitirira muyeso n'chochepa kwambiri. Komabe, ngati mukuganiza kuti mwamwa mankhwala mopitirira muyeso, muyenera kuyimbira foni nthawi yomweyo ku National Poisons Information Centre ku National Hospital , kapena kupita ku Emergency Department (ETU) ya chipatala chapafupi.
Kuyanjana ndi mankhwala ena
Mankhwalawa angayambitse mavuto akamwedwa ndi mankhwala ena, choncho ndikofunikira kwambiri kuuza dokotala wanu za mankhwala onse omwe mukumwa, kuphatikizapo mavitamini, mankhwala azitsamba, ndi zowonjezera .
ZYNRELEF sayenera kugwiritsidwa ntchito ndi mankhwala awa makamaka:
- Cidofovir
- Ketorolac (mankhwala ena amphamvu ochepetsa ululu)
Kuphatikiza apo, mavuto amathanso kuchitika ndi mankhwala otsatirawa:
- Mankhwala ena ochepetsa ululu (monga Aspirin, Ibuprofen, Naproxen)
- Mankhwala omwe amaletsa magazi kuundana (monga Warfarin)
- Mankhwala ena a kuthamanga kwa magazi ndi matenda a mtima
- Mitundu ingapo ya maantibayotiki
- Mankhwala ochepetsa mphamvu ya mkodzo
- Mankhwala ochizira kuvutika maganizo (SSRIs, SNRIs)
- Mitundu ya mankhwala omwe amaperekedwa kwa odwala matenda a khunyu
- Mankhwala ena enieni monga Lithium, Methotrexate
Mndandandawu sunathe, choncho ndi bwino kuuza dokotala wanu za mankhwala onse omwe mukumwa musanachite opaleshoni.
Zinthu zofunika kusamala nazo mutamwa mankhwalawa
1. Samalani ndi malo omwe opaleshoniyo inachitikira ndi dzanzi: Popeza malo omwe opaleshoniyo inachitikira ndi dzanzi, simudzamva kupweteka kulikonse. Chifukwa chake, muyenera kusamala kuti musapse, kuvulaza, kapena kutentha malowo.
2. Uzani madokotala ena: Ngati mukufuna opaleshoni ina kapena chithandizo chamankhwala mkati mwa masiku 4 mutatenga mankhwalawa, uzani dokotalayo kuti mwalandira mankhwalawa.
3. Samalani ndi kutuluka magazi m'mimba: Meloxicam (NSAID) yomwe ili mu mankhwalawa nthawi zina ingayambitse zilonda zam'mimba kapena kutuluka magazi. Kusuta, kumwa mowa, kukalamba, komanso kukhala ndi thanzi lofooka kungakulitse chiopsezochi. Ngati mukumva kupweteka m'mimba mwadzidzidzi, kusanza komwe kumawoneka ngati khofi, kapena ndowe zakuda , funsani upangiri wa dokotala nthawi yomweyo.
Zotsatirapo zomwe zingatheke
Monga mankhwala ena aliwonse, mankhwalawa akhoza kukhala ndi zotsatirapo zake. Ena ndi oopsa, ena ndi ofala.
| Zotsatira zoyipa | Zizindikiro |
|---|---|
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala wanu kapena ETU nthawi yomweyo | |
| Matenda oopsa a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi, komanso kuvutika kupuma. |
| Kutuluka magazi | Chimbudzi chakuda, kusanza komwe kumaoneka ngati khofi wophikidwa, mkodzo wofiira/wofiirira wakuda, madontho ofiira/ofiirira pakhungu. |
| Matenda amtima | Kulimba/kupweteka pachifuwa, phewa, mkono, kapena nsagwada, nseru, kuvutika kupuma. |
| Stroke | Kufooka mwadzidzidzi pankhope, mkono, kapena mwendo, kuvutika kulankhula, kusokonezeka, komanso kuvutika kuyenda. |
| Kuwonongeka kwa impso kapena chiwindi | Kuchepa kwa mkodzo wotuluka, kutupa kwa akakolo/manja/mapazi, chikasu cha maso/khungu, kupweteka kumtunda kwa kumanja kwa mimba. |
| Methemoglobinemia | Mutu, kutopa kwambiri, kupuma movutikira, kugunda kwa mtima mofulumira, khungu labuluu kapena milomo (imeneyi ndi vuto lomwe limakhudza mphamvu yonyamula mpweya m'magazi). |
| Zotsatirapo zomwe nthawi zambiri sizili zoopsa, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Kudzimbidwa | Kuvuta kupita kuchimbudzi. |
| Mutu | Mutu. |
| Kusanza | Kusanza ndi nseru. |
Uthenga Wopita Nawo Kunyumba
- `ZYNRELEF` ndi mankhwala apadera omwe amapakidwa mwachindunji pabala la opaleshoni kuti achepetse ululu pambuyo pa opaleshoni.
- Musanapatsidwe mankhwalawa, onetsetsani kuti mwauza dokotala wanu za matenda anu onse komanso mankhwala onse omwe mukumwa.
- Popeza malo ochitira opaleshoni adzakhala opanda mphamvu mukamaliza kupereka mankhwala, ndi udindo wanu kusamala kuti musavulaze malowo.
- Ngati mukuona zizindikiro zilizonse za zotsatirapo zoyipa monga kutuluka magazi m'mimba, matenda a mtima, ziwalo zofewa, kapena ziwengo zoopsa, funsani upangiri wa dokotala nthawi yomweyo kapena pitani ku Dipatimenti Yothandiza Padzidzidzi (ETU) ya chipatala chapafupi.
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