Pali matenda ena, mwachitsanzo, monga Thalassemia, komwe anthu omwe ali ndi matendawa ayenera kupereka magazi nthawi zonse. Tikamalandira magazi nthawi zonse mwanjira imeneyi, kuchuluka kwa chitsulo m'thupi mwathu kumatha kukwera kwambiri kuposa kuchuluka komwe kumafunika. Chitsulo chowonjezera chomwe chimasonkhana m'thupi mwanjira imeneyi chingawononge ziwalo zofunika monga mtima ndi chiwindi. Chifukwa chake, jakisoni wapadera woperekedwa kuti achotse chitsulo chochulukirapo m'thupi amatchedwa Deferoxamine. Lero, tikambirana za mankhwalawa mwachidule.
Kodi Deferoxamine ndi mankhwala otani?
Mwachidule, Deferoxamine ndi mankhwala omwe amagwira ntchito ngati maginito kuti akope chitsulo chochuluka m'matupi athu. Mankhwalawa akalowa m'thupi, amamangirira ku tinthu tachitsulo chochuluka. Kenako, impso zathu zimatulutsa chitsulo chomangiriridwachi kudzera mu mkodzo. Izi zimachepetsa chitsulo m'thupi kufika pamlingo wabwino ndikuletsa kuwonongeka kwa ziwalo. Izi zimatchedwa 'chelation therapy'.
Zinthu zomwe muyenera kuuza dokotala wanu musanagwiritse ntchito mankhwalawa
Musanayambe kumwa Deferoxamine, muyenera kuuza dokotala wanu mfundo zotsatirazi, chifukwa muyenera kusamala kwambiri mukamagwiritsa ntchito mankhwalawa ndi matenda awa.
| Mkhalidwe wanu | N’chifukwa chiyani muyenera kuuza dokotala? |
|---|---|
| Matenda a impso kapena kuvutika kukodza | Popeza mankhwalawa amachotsedwa m'thupi kudzera mu impso, ndikofunikira kudziwa za momwe impso zimagwirira ntchito. |
| Matenda a mtima (kulephera kwa mtima) | Dokotala ayenera kudziwa zotsatira za mankhwalawo, chifukwa chitsulo chochuluka chingakhudze mtima. |
| Matenda a chiwindi | Kudziwa za momwe chiwindi chimagwira ntchito ndikofunikira pokonzekera chithandizo. |
| Mtundu uliwonse wa matenda | Matenda ena angakulire ndi mankhwalawa. |
| Ngati muli ndi pakati kapena mukufuna kutenga mimba | Iyi ndi mankhwala omwe angavulaze mwana panthawi ya mimba, choncho ndikofunikira kwambiri kukambirana za izi. |
| Ngati mayi akuyamwitsa mwana wake | Muyenera kukambirana ndi dokotala wanu ngati mankhwalawa apita kwa mwana wanu kudzera mu mkaka wa m'mawere kapena ayi. |
| Kutupa kwa mankhwala ena, zakudya kapena zinthu zina | Ngati muli ndi vuto la deferoxamine kapena mankhwala ena aliwonse, ndikofunikira kudziwa izi musanalandire chithandizo. |
Kodi mankhwalawa angagwiritsidwe ntchito bwanji?
Mankhwalawa amaperekedwa ngati jakisoni. Angaperekedwe m'njira ziwiri:
1. Mu mtsempha: Monga jakisoni woperekedwa mu mtsempha.
2. Pansi pa khungu: Monga jakisoni woperekedwa pansi pa khungu.
Katemerayu nthawi zambiri amaperekedwa kuchipatala kapena ku chipatala. Komabe, nthawi zina, wodwalayo amaphunzitsidwa momwe angamwere mankhwala kunyumba. Pankhaniyi, pampu yapadera (pumpu yothira) imagwiritsidwa ntchito. Kudzera mu pampu iyi, mankhwalawa amalowa m'thupi pang'onopang'ono kwa maola angapo.
Ngati mukugwiritsa ntchito mankhwalawa kunyumba, tsatirani malangizo omwe dokotala kapena namwino wanu wakupatsani molondola . Musasinthe mlingo, nthawi yoperekera, kapena njira yoperekera.
Chofunika: Musataye singano ndi ma syringe omwe agwiritsidwa ntchito kale m'zinyalala. Ayenera kuyikidwa mu chidebe chapadera (chidebe cha sharpe). Ngati mulibe, funsani dokotala kapena namwino wanu.
Zochitika zapadera
- Ana aang'ono: Akapatsidwa ana aang'ono, makamaka ngati ali ndi mlingo waukulu komanso kwa nthawi yayitali, akhoza kukhala ndi zotsatirapo zochepa pa kukula kwa mwana. Chifukwa chake, dokotala nthawi zonse amafufuza kutalika ndi kulemera kwa mwana.
- Anthu opitirira zaka 65: Okalamba angamve bwino zotsatira za mankhwalawa, choncho nthawi zambiri amapatsidwa mlingo wochepa.
Nanga chimachitika ndi chiyani ngati mwamwa mankhwala ochulukirapo?
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, musachite mantha ndipo chitanipo kanthu nthawi yomweyo. Mwamsanga momwe mungathere.Imbani National Poison Information Centre ku Colombo National Hospital. Kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.
Kodi pangakhale mavuto ndi mankhwala ena? (Kuyanjana)
Inde, mankhwala ena amatha kusokonezana ndi Deferoxamine. Chifukwa chake, muyenera kuuza dokotala wanu za mankhwala onse omwe mukumwa, kuphatikizapo mavitamini, mankhwala azitsamba, ndi zowonjezera.
- Musamwe: Ngati mukumwa mankhwalawa, musamwe mankhwala owonjezera achitsulo pazifukwa zilizonse . Chifukwa timamwa mankhwalawa kuti tichotse chitsulo chochuluka m'thupi.
- Samalani ndi izi:
- Vitamini C (ascorbic acid)
- Prochlorperazine (mankhwala oletsa kusanza)
- Gallium-67 (mankhwala omwe amagwiritsidwa ntchito pofufuza zina)
Makamaka pankhani ya vitamini C, musamwe vitamini C nokha pokhapokha ngati dokotala wanu wakuuzani. Nthawi zina, kumwa vitamini C pang'ono ndi deferoxamine kumalimbikitsidwa kuti njira yochotsera chitsulo ikhale yogwira mtima kwambiri. Koma izi ziyenera kuchitika pokhapokha ngati dokotala wakupatsani upangiri.
Zinthu zofunika kuziganizira mukamamwa mankhwala
- Kuyezetsa magazi nthawi zonse: Gulu lanu lachipatala lidzakuyang'anirani mosamala nthawi yonse ya chithandizo chanu. Muyenera kuyezetsa magazi nthawi zonse.
- Maso ndi Kumva: Maso ndi kumva kwanu kungayang'aniridwe musanayambe komanso panthawi ya chithandizo. Ngati muwona kusintha kulikonse m'maso kapena kumva kwanu, kapena ngati mukumva kulira m'makutu mwanu, uzani dokotala wanu nthawi yomweyo.
- Chizungulire: Mankhwalawa angakupangitseni kumva chizungulire kapena kugona. Choncho, pewani zinthu zoopsa monga kuyendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani. Kuti mupewe chizungulire, imirirani pang'onopang'ono mukamadzuka pampando wokhala pansi kapena pabedi.
- Mtundu wa mkodzo: Mkodzo wanu ukhoza kukhala wofiira ngati bulauni pamene mukumwa mankhwalawa. Izi ndi zachilendo ndipo siziyenera kukhala zoopsa.
- Mimba ndi njira zolerera: Izi ndizofunikira kwambiri . Mankhwalawa angayambitse mavuto aakulu obereka mwa mwana ngati atengedwa panthawi ya mimba. Chifukwa chake, ndikofunikira kugwiritsa ntchito njira yodalirika yolerera panthawi ya chithandizo komanso kwa mwezi umodzi mutasiya kulandira chithandizo. Lankhulani ndi dokotala wanu za izi ndipo sankhani njira yoyenera.
Zotsatirapo zoyipa za mankhwalawa
Monga mankhwala ena aliwonse, Deferoxamine ikhoza kukhala ndi zotsatirapo zake. Zina mwa izo ndi zazikulu, pomwe zina ndizofala.
| Zotsatira zoyipa | Kufotokozera |
|---|---|
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala wanu nthawi yomweyo | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Kusintha kwa masomphenya | Kusawona bwino, kusintha kwa mawonekedwe amitundu. |
| Mavuto akumva | Kutaya kumva, kulira m'makutu. |
| Zizindikiro za matenda | Malungo, kuzizira, chifuwa, pakhosi. |
| Zizindikiro za kuwonongeka kwa impso | Kuchepa kwa mkodzo wotuluka, kutupa kwa akakolo, manja, kapena mapazi. |
| Kuthamanga kwa magazi kotsika | Chizungulire, kukomoka, kusawona bwino. |
| Kuvuta kupuma | Kupuma movutikira, kupuma movutikira. |
| Zotsatirapo zomwe nthawi zambiri sizili zoopsa, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Ululu/kufiira pamalo omwe jakisoni adayikidwa | Kufiira, kutupa, kapena kupweteka kumene kunabayidwa jakisoni. |
| Kupweteka m'mimba, kutsegula m'mimba | Kupweteka m'mimba, kutupa. |
| Chizungulire | Kumva chizungulire pang'ono. |
Uthenga Wopita Nawo Kunyumba
- Deferoxamine ndi mankhwala omwe amathandiza kuchotsa chitsulo chochuluka m'thupi kudzera mu mkodzo.
- Nthawi zonse uzani dokotala wanu za matenda ena aliwonse, mankhwala omwe mumamwa, ndi ziwengo zomwe muli nazo.
- Musamwe mapiritsi a iron pamene mukumwa mankhwalawa. Musamwe vitamini C popanda upangiri wa dokotala.
- Ngati mukuwona kusintha kulikonse, kumva, zizindikiro za ziwengo, kapena kupuma movutikira, dziwitsani dokotala wanu nthawi yomweyo .
- Onetsetsani kuti mwagwiritsa ntchito njira yoyenera yolerera pamene mukumwa mankhwalawa komanso kwa mwezi umodzi mutasiya kumwa.
- Ngati muli ndi mafunso kapena nkhawa zilizonse, musaope kukambirana ndi dokotala wanu.
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