Mutu womwe umabwera chifukwa cha kupsinjika maganizo, womwe umabwera chifukwa cha moyo wathu wotanganidwa, ndi wofala kwambiri. Nthawi zambiri timatcha izi kuti 'mutu wopsinjika maganizo'. Chifukwa chakuti nthawi zina timafunikira mpumulo wachangu nthawi ngati izi, madokotala nthawi zina amapereka mankhwala apadera. Limodzi mwa mankhwala otere ndi mankhwala amadzimadzi opangidwa pophatikiza zonse zitatu pamodzi: butylbital, acetaminophen, ndi caffeine. Lero, tikambirana za mankhwalawa, zinthu zomwe muyenera kusamala nazo mukamazigwiritsa ntchito, komanso zoopsa zomwe zingachitike.
Kodi mankhwala awa ndi chiyani? Kunena zoona...
Mwachidule, iyi ndi mitundu itatu ya mankhwala, iliyonse imagwira ntchito zosiyanasiyana.
- Butalbital: Iyi ndi mankhwala ochokera m'gulu la mankhwala otchedwa barbiturates . Imagwira ntchito popumula maganizo ndi thupi lanu. Imapumula minofu ya m'mutu ndi m'khosi yomwe imakungika chifukwa cha kupsinjika, ndikukupatsani mpumulo.
- Acetaminophen: Ichi mwina mumachidziwa bwino. Ichi ndi paracetamol yomwe timagwiritsa ntchito nthawi zambiri. Imagwira ntchito makamaka ngati mankhwala ochepetsa ululu.
- Kafeini: Iyi ndi kafeini yomweyi yomwe imapezeka mu khofi ndi tiyi. Zimene kafeini imachita apa zimathandiza thupi kuyamwa acetaminophen yochepetsa ululu mwachangu komanso moyenera. Chifukwa chake, kuchepetsa ululu kumaperekedwa mwachangu.
Ndikofunikira kukumbukira kuti mankhwalawa amagwiritsidwa ntchito pochiza mutu wopweteka womwe wachitika kale. Cholinga chake si kupewa mutu wopweteka kapena kuchiza mitundu ina ya mutu, monga mutu wopweteka.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa
Dokotala wanu asanakupatseni mankhwala awa, ayenera kukhala ndi chithunzi chonse cha thanzi lanu. Chifukwa chake, ngati muli ndi vuto lililonse lomwe latchulidwa pansipa, onetsetsani kuti mwadziwitsa dokotala wanu.
| Matenda kapena chizolowezi | Chifukwa chiyani muyenera kuuza dokotala ? |
|---|---|
| Ngati mumamwa mowa pafupipafupi | Kuphatikiza mowa ndi acetaminophen zomwe zili mu mankhwalawa kungayambitse kuwonongeka kwakukulu kwa chiwindi. |
| Ngati muli ndi matenda a chiwindi kapena impso | Popeza chiwalochi chimagwira ntchito yochotsa mankhwala m'thupi, panthawi ya matenda, mankhwala amatha kusonkhana m'thupi ndikuwonjezera zotsatirapo zake. |
| Matenda a mtima kapena mavuto a kayendedwe ka magazi | Kafeini yomwe ili mu mankhwalawa ingakhale yovulaza odwala ena a mtima. |
| Mphumu kapena matenda ena opumira | Butylbarbital yomwe ili mu mankhwalawa imatha kuchepetsa kupuma pang'ono, kotero ikhoza kukhala yoopsa kwa anthu omwe ali kale ndi mavuto opuma. |
| Mbiri yakale ya chizolowezi cha mankhwala osokoneza bongo kapena mankhwala osokoneza bongo | Popeza butylbital yomwe ili mu mankhwalawa imatha kukhala yosokoneza bongo, madokotala amasamala kwambiri akamapatsa anthu omwe ali ndi mbiri yotereyi mankhwala. |
| Ngati muli ndi pakati kapena mukufuna kutenga mimba | Ndikofunikira kulankhula ndi dokotala wanu za kugwiritsa ntchito mankhwalawa panthawi ya mimba. |
| Ngati ndinu mayi woyamwitsa | Popeza zosakaniza zomwe zili mu mankhwalawa zimatha kupita kwa mwana kudzera mu mkaka wa m'mawere, ndikofunikira kufunsa upangiri kwa dokotala. |
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
Popeza mankhwalawa ndi amadzimadzi, ndikofunikira kwambiri kuyeza mlingo woyenera molondola.
- Gwiritsani ntchito chipangizo choyezera molondola: Gwiritsani ntchito supuni, chikho, kapena chotsitsa chapadera chokha chomwe chimabwera ndi mankhwala. Musayese mankhwalawa ndi supuni zapakhomo kapena supuni. Kuchita izi kungapangitse kuti mlingo ukhale wolakwika.
- Ngati mukumva kupweteka m'mimba: Anthu ena akhoza kukhala ndi vuto la m'mimba akatha kumwa mankhwalawa. Ngati ndi choncho, imwani mankhwalawa mukamadya kapena kumwa mkaka.
- Musapitirire mlingo womwe mwapatsidwa: Musamwe mankhwala ochulukirapo kuposa mlingo womwe mwapatsidwa ndi dokotala.
Nanga bwanji ngati mwadzidzidzi mwamwa mowa mopitirira muyeso? (Kumwa mowa mopitirira muyeso)
Tangoganizani kuti mwamwa mowa wambiri. Izi zitha kukhala zoopsa kwambiri, makamaka kwa chiwindi. Choncho ngati zitachitika, musazengereze.
Imbani nthawi yomweyo National Poisons Information Centre ku Colombo National Hospital , kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi. Ndikofunikira kufunafuna upangiri wa dokotala ngakhale mutakhala kuti mulibe zizindikiro zilizonse panthawiyo.
Zinthu zina zomwe zingagwirizane ndi mankhwalawa
Mankhwalawa angagwirizane ndi mankhwala ena omwe mukumwa. Chifukwa chake, ndikofunikira kuuza dokotala wanu za mankhwala onse omwe mukumwa (omwe adalembedwa ndi madokotala ena, omwe adagulidwa ku pharmacy, mavitamini, ndi mankhwala azitsamba). Mankhwalawa angagwirizane ndi izi, makamaka:
- Mowa: Sikoyenera konse.
- Mankhwala ogonetsa ndi ogonetsa: Mwachitsanzo, mankhwala monga diazepam ndi alprazolam.
- Mankhwala ena ochizira kuvutika maganizo.
- Mankhwala ena a khunyu (kufinya).
- Mankhwala ena ochepetsa ululu, makamaka omwe ali mgulu la opioid.
- Mankhwala oletsa kutopa, omwe ndi mankhwala operekedwa chifukwa cha ziwengo ndipo amayambitsa kugona.
- Zopumulitsa minofu.
Mndandandawu sunathe. Choncho uzani dokotala wanu zonse zomwe mumamwa. Komanso muuzeni ngati mumasuta kapena kumwa mowa.
Zinthu zofunika kuziganizira mukamamwa mankhwala
- Kugona ndi chizungulire: Mankhwalawa angakupangitseni kugona komanso chizungulire, makamaka masiku oyamba. Choncho, musayendetse galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa bwino momwe mankhwalawa amakukhudzirani.
- Kuleza Mtima: Mutamwa mankhwalawa kwa kanthawi, mungamve ngati ululu sutha ndi nthawi yomwe munali nawo kale. Izi zikutanthauza kuti thupi lanu lazolowera pang'ono mankhwalawo (kuleza mtima). Izi ndi zachilendo. Izi si kuledzera. Kuledzera ndi kugwiritsa ntchito mankhwalawa pazinthu zina kupatula kugwiritsa ntchito mankhwala omwe cholinga chake ndi chachipatala. Pali chifukwa chachipatala chomwa mankhwalawa chifukwa mukumva kupweteka.
- Musasiye kumwa mankhwala mwadzidzidzi:Musasiye kumwa mankhwala mwadzidzidzi popanda upangiri wa dokotala. Kuchita zimenezi kungayambitse kusasangalala m'thupi lanu. Ngati mukufuna kusiya kumwa mankhwala, dokotala wanu adzakuuzani momwe mungachepetsere pang'onopang'ono mlingo.
- Samalani ndi acetaminophen: Izi ndizofunikira kwambiri. Mankhwalawa ali ndi paracetamol. Chifukwa chake, mukamamwa mankhwalawa, musamwe mankhwala ena ochepetsa ululu omwe ali ndi paracetamol (monga Panadol, Calpol). Kumwa paracetamol mopitirira muyeso kungayambitse kuwonongeka kwakukulu kwa chiwindi .
Kodi zotsatirapo zake zingakhale zotani?
Monga mankhwala ena aliwonse, izi zingayambitse zotsatirapo zina mwa anthu ena.
| Ngati mukumva zizindikiro izi, uzani dokotala wanu nthawi yomweyo kapena pitani kuchipatala. | |
|---|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa kwambiri, kutupa kwa milomo/lilime/nkhope/pakhosi. |
| Zizindikiro za kuvulala kwa chiwindi | Ululu m'mimba pamwamba kumanja, kusowa chilakolako cha chakudya, ndowe zowala, mkodzo wakuda wachikasu kapena bulauni, maso kapena khungu kukhala lachikasu, kutopa kosazolowereka. |
| Kusokonezeka kwa mitsempha yapakati (CNS depression) | Kupuma pang'onopang'ono kapena pang'ono, kupuma movutikira, chizungulire kwambiri, mutu wopepuka, kuvutika kukhala maso. |
| Matenda aakulu a khungu | Kufiira kwa khungu, kutupa, kutuluka kwa matuza (ngakhale mkati mwa pakamwa). |
| Zinthu zomwe nthawi zambiri sizili zazikulu, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Chizungulire | Chizungulire |
| Kugona tulo | Kugona tulo |
| Kusanza/kupweteka m'mimba/kusanza | Kusanza / Kupweteka m'mimba / Kusanza |
Uthenga Wopita Nawo Kunyumba
- Mankhwalawa amagwiritsidwa ntchito pochiza mutu wopweteka kwambiri. Sagwiritsidwa ntchito popewa mutu wopweteka kapena mutu wopweteka kwambiri.
- Imwani mlingo wokhawo womwe dokotala wanu wakupatsani, pogwiritsa ntchito chipangizo choyezera cholondola chomwe chaperekedwa pamodzi ndi mankhwalawo.
- Pewani kumwa mowa kotheratu mukamamwa mankhwalawa. Komanso, musamwe mankhwala ena aliwonse okhala ndi paracetamol (Acetaminophen).
- Uzani dokotala wanu za mankhwala onse, mavitamini, ndi mankhwala azitsamba omwe mukumwa.
- Ngati mwamwa mopitirira muyeso, imbani National Poisons Information Center kapena pitani ku ETU nthawi yomweyo, ngakhale palibe zizindikiro.
- Pewani kuchita zinthu zoopsa monga kuyendetsa galimoto, chifukwa kugona kungachitike.
- Pewani kusiya kumwa mankhwala mwadzidzidzi popanda malangizo a dokotala.
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