Ngati inu kapena munthu amene mumamudziwa akufuna kuchitidwa opaleshoni, mungakhale ndi mantha pang'ono kapena chidwi chofuna kudziwa za "analgesia." Ndi njira yotetezeka kwambiri, yochitidwa motsogozedwa ndi katswiri. Mitundu yosiyanasiyana ya mankhwala imagwiritsidwa ntchito popereka mankhwala oletsa ululu (analgesia). Lero, tikambirana za mankhwala apadera omwe amapumidwa m'thupi ndipo amathandiza kuchepetsa ululu ndikukusungani wathanzi komanso wotetezeka.
Kodi Desflurane ndi chiyani?
Mwachidule, Desflurane ndi mankhwala omwe amabwera mu mawonekedwe amadzimadzi, koma akagwiritsidwa ntchito, amasanduka mpweya (nthunzi) ndi chipangizo chapadera ndipo amaloledwa kupumidwa. Amagwiritsidwa ntchito makamaka ngati mankhwala oletsa ululu. Ndiko kuti, amaperekedwa kuti akupangitseni kukomoka komanso kuti musamve ululu uliwonse panthawi ya opaleshoni kapena mayeso achipatala. Mutha kuwona mankhwalawa pansi pa dzina la Suprane.
Mankhwala amenewa si ongoperekedwa pachibwano chokha, koma amaperekedwa ndi dokotala wogonetsa munthu amene ali pamalo olamulidwa bwino, monga m'chipinda chochitira opaleshoni kuchipatala.
Zinthu zomwe muyenera kuuza dokotala wanu musanapereke mankhwalawa
Izi ndizofunikira kwambiri pa chitetezo chanu. Dokotala wogonetsa anthu ogonetsa adzakufunsani za izi musanachite opaleshoni. Panthawiyo, ndikofunikira kuti munene zoona popanda kubisa chilichonse .
| Kodi muli ndi mikhalidwe iyi? | N’chifukwa chiyani zimenezo n’zofunika? |
|---|---|
| Mbiri ya banja la malungo aakulu panthawi yopuma mankhwala oletsa ululu (Malignant Hyperthermia) | Izi ndi zachilendo koma zomwe zingawononge moyo chifukwa cha mankhwala oletsa ululu. Ngati wina aliyense m'banja mwanu wakhalapo ndi izi, ndikofunikira kuwauza. |
| Chotupa cha muubongo kapena kupanikizika pamutu | Popeza mitundu iyi ya mankhwala oletsa ululu imatha kusintha kuthamanga kwa ubongo, dokotala ayenera kudziwa izi. |
| Matenda a mtima | Popeza mankhwala amenewa angakhudze ntchito ya mtima, ndikofunikira kuti dokotala wanu adziwe za vuto la mtima wanu. |
| Matenda a chiwindi | Popeza chiwindi chimagwira ntchito yofunika kwambiri pochotsa mankhwala m'thupi, ndikofunikira kudziwa matenda a chiwindi. |
| Matenda a mitsempha ndi minofu (monga Duchenne Muscular Dystrophy) | Anthu omwe ali ndi vutoli amatha kuyankha mosiyana ndi mankhwala oletsa ululu. |
| Matenda a chifuwa chifukwa cha mankhwala, chakudya, kapena utoto | Ngati muli ndi vuto la Desflurane kapena mankhwala ena oletsa ululu, ndikofunikira kutidziwitsa. |
| Ngati muli ndi pakati kapena mukufuna kutenga mimba | Kusamala kwambiri kuyenera kutengedwa mukamagwiritsa ntchito mankhwala aliwonse panthawi ya mimba. |
| Ngati mwana akuyamwitsa | Muyenera kulankhula ndi dokotala wanu ngati mankhwalawa apita kwa mwana wanu kudzera mu mkaka wa m'mawere. |
Kodi ndingagwiritse ntchito bwanji mankhwalawa ndipo chimachitika ndi chiyani pambuyo pake?
Mankhwala awa si mankhwala omwe mumatenga kunyumba ndikugwiritsa ntchito nokha. Amaperekedwa kuchipatala kapena kuchipatala ndi dokotala wogonetsa ndi ogwira ntchito ophunzitsidwa bwino . Mumapuma mpweya uwu, nthawi zambiri kudzera mu chigoba pankhope panu. Patapita kanthawi, mudzagona ndipo simudzamva chilichonse mpaka opaleshoniyo itatha.
Kodi mankhwala awa angaperekedwe kwa ana?
Inde, nthawi zina, mankhwalawa amaperekedwa ngakhale kwa makanda obadwa kumene. Koma njira zapadera zotetezera zimatengedwa. Ngati mwana wanu akufuna kuchitidwa opaleshoni, kambiranani izi ndi dokotala wa ana komanso dokotala wa opaleshoni.
Chofunika kwambiri ndichakuti kugunda kwa mtima wanu, kuthamanga kwa magazi, ndi kupuma kwanu ziziyang'aniridwa nthawi zonse ndi makina panthawi yonse ya opaleshoni, kotero palibe chifukwa choopera.
Mankhwala ena omwe angagwirizane ndi Desflurane
Mankhwala ena omwe mumamwa angagwirizane ndi mankhwala oletsa ululu awa. Chifukwa chake, muyenera kuuza dokotala wanu za mankhwala onse omwe mumamwa, ngakhale mavitamini .
Mitundu ikuluikulu ya mankhwala ofunikira kusamala ndi awa:
- Mankhwala a matenda amisala monga kuvutika maganizo ndi nkhawa.
- Mapiritsi ogonetsa.
- Mankhwala ena amphamvu ochepetsa ululu, makamaka mankhwala osokoneza bongo.
- Mankhwala operekedwa kuti apumule minofu panthawi ya opaleshoni (zoletsa mitsempha).
Komanso, ngati mukumwa mowa, ndudu, kapena mankhwala ena osokoneza bongo, onetsetsani kuti mwauza dokotala wanu za vutoli.
Kodi ndi zotsatirapo zotani zomwe ndingakumane nazo?
Monga mankhwala ena aliwonse, Desflurane ingayambitse zotsatira zina zoyipa. Zambiri mwa izi ndi zakanthawi. Komabe, pali zinthu zina zomwe muyenera kuzidziwa. Chidziwitsochi sichikupangitsani mantha, koma kukuphunzitsani.
| Zotsatirapo/zizindikiro | Kufotokozera ndi choti muchite |
|---|---|
| Zizindikiro zomwe muyenera kuziuza dokotala wanu kapena namwino nthawi yomweyo | |
| Zotsatira zoopsa za ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, kapena lilime. Izi ziyenera kunenedwa nthawi yomweyo. |
| Kuvuta kupuma | Kuvuta kupuma, kupuma movutikira, ndi zina zotero. |
| Zizindikiro za kuwonongeka kwa chiwindi | Mkodzo wakuda, chikasu cha maso kapena khungu (jaundice), kupweteka kumtunda kwa kumanja kwa m'mimba, komanso kumva kutentha thupi. |
| Kusintha kwa kugunda kwa mtima | Kumva ngati mtima wanu ukugunda mofulumira kapena mosinthasintha. |
| Chizungulire kapena chizungulire | Kumva kufooka, chizungulire, komanso kukomoka. |
| Zizindikiro zomwe nthawi zambiri sizili zazikulu, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Chifuwa | Chifuwa cha kanthawi chomwe chingachitike pambuyo pa mankhwala oletsa ululu. |
| Kugona tulo | Ndi zachilendo kumva tulo kwa tsiku limodzi kapena awiri mutatha kuchitidwa opaleshoni. |
| Kusanza ndi kusanza | Izi ndi zotsatira zoyipa zomwe zimachitika kawirikawiri. Madokotala amapereka mankhwala ofunikira. |
Chofunika: Ngati mukukumana ndi zotsatirapo zoyipa zomwe zili pamwambapa mutabwerera kunyumba kuchokera kuchipatala, pitani ku Dipatimenti Yoona za Zadzidzidzi (ETU) yapafupi nthawi yomweyo. Ngati mukukayikira, mutha kuyimbiranso National Poisons Information Centre ku Colombo National Hospital kuti mupeze upangiri.
Uthenga Wopita Nawo Kunyumba
- Desflurane ndi mankhwala oletsa ululu omwe amapumidwa omwe amagwiritsidwa ntchito pochepetsa ululu panthawi ya opaleshoni.
- Izi zimaperekedwa kuchipatala chokha, motsogozedwa ndi dokotala wa opaleshoni.
- Musanachite opaleshoni, onetsetsani kuti mwauza dokotala wanu za matenda anu onse komanso mankhwala onse omwe mukumwa.
- Mukatha kugwiritsa ntchito mankhwala oletsa ululu, pewani kuyendetsa galimoto kapena kugwiritsa ntchito makina, chifukwa kugona ndi chizungulire zimatha kuchitika. Pewani kumwa mowa kotheratu.
- Mukatuluka m'chipatala, ngati zizindikiro zazikulu monga kupuma movutikira, ziwengo zoopsa, kapena khungu limasintha mtundu, funsani upangiri wa dokotala nthawi yomweyo kapena pitani ku ETU yapafupi.
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