Kodi munachitapo opaleshoni? Kapena munachitapo opaleshoni yaikulu yachipatala? Ndizachibadwa kumva mantha pang'ono komanso kuda nkhawa nthawi ngati zimenezi. Chifukwa chake, pali mankhwala apadera omwe madokotala amagwiritsa ntchito kuti akutonthozeni, akupatseni tulo pang'ono, komanso kukuthandizani kuti mupitirire mosavuta. Lero tikambirana za jakisoni imodzi yotere, Dexmedetomidine, yomwe imagwiritsidwa ntchito m'zipatala zokha.
Mwachidule, kodi Dexmedetomidine ndi chiyani?
Dexmedetomidine (DEX-mede-tom-deen) ndi mankhwala omwe amatonthoza mitsempha yanu ndikukupangitsani kugona. Nthawi zambiri amagwiritsidwa ntchito kuti mukhale omasuka musanayambe komanso panthawi ya opaleshoni yachipatala. Imaperekedwa ngati jakisoni mumtsempha. Si mankhwala omwe mungagule ku pharmacy ndikutengera kunyumba. Amaperekedwa kuchipatala kapena kuchipatala chokha, moyang'aniridwa ndi dokotala. Nthawi zina mutha kuwona mankhwalawa pansi pa dzina lodziwika bwino la Precedex.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa
Musanasankhe kukupatsani mankhwala awa, dokotala wanu ayenera kudziwa mbiri yonse ya thanzi lanu. Onetsetsani kuti mwawauza za vuto lililonse mwa izi, makamaka:
| Matenda anu | N’chifukwa chiyani chidziwitso chili chofunika? |
|---|---|
| Matenda a Shuga (Diabetes Mellitus) | Mankhwalawa angakhudze kuchuluka kwa shuga m'magazi. |
| Matenda a mtima | Chifukwa chakuti izi zitha kuchepetsa kugunda kwa mtima ndi kuthamanga kwa magazi. |
| Kuthamanga kwa magazi | Chifukwa kusintha kwadzidzidzi kwa kuthamanga kwa magazi kungachitike. |
| Matenda a chiwindi | Chifukwa njira yochotsera mankhwala m'chiwindi ingachedwetsedwe. |
| Matenda a ziwengo | Ngati muli ndi vuto la dexmedetomidine kapena mankhwala ena aliwonse, zakudya, kapena utoto. |
| Kukhala ndi pakati kapena kuyembekezera mwana | Kuganizira momwe mwana wosabadwayo angakhudzire. |
| Kuyamwitsa | Kuganizira ngati mankhwalawo angapitirire kwa mwana kudzera mu mkaka wa m'mawere. |
Chofunika kwambiri ndikulankhula ndi dokotala za chilichonse chomwe chili m'maganizo mwanu, ngakhale chitakhala chaching'ono bwanji. Musabise chilichonse.
Momwe mungagwiritsire ntchito mankhwala ndi zinthu zina zapadera
Mankhwalawa amaperekedwa kudzera mu chubu cholowetsedwa mumtsempha (mzere wolowera m'mitsempha). Amaperekedwa ndi dokotala kapena namwino wophunzitsidwa bwino kuchipatala.
- Kwa ana: Chisamaliro chapadera chikufunika ngati mankhwalawa aperekedwa kwa ana. Mlingo ndi kuyang'aniridwa ndizosiyana ndi za akuluakulu.
- Anthu opitirira zaka 65: Okalamba angamve bwino kwambiri zotsatira za mankhwalawa, choncho nthawi zambiri amapatsidwa mlingo wochepa.
- Nanga bwanji ngati mlingo wawonjezeka? (Kupitirira muyeso): Popeza izi zimaperekedwa kuchipatala, mwayi woti muphonye mlingo ndi wochepa kwambiri. Komabe, ngati mukuganiza kuti mwalandira mankhwala ochulukirapo, muyenera kudziwitsa ogwira ntchito zachipatala nthawi yomweyo. Kapenanso, akhoza kudziwitsa National Poisons Information Centre ku Colombo National Hospital kapena Emergency Treatment Unit (ETU) ya chipatalacho.
Mankhwala ena omwe angagwirizane ndi mankhwalawa (Kuyanjana)
Mankhwala ena omwe mukumwa angakhudze momwe Dexmedetomidine imagwirira ntchito. Chifukwa chake, uzani dokotala wanu za mankhwala onse omwe mukumwa (omwe adalembedwa ndi madokotala ena, omwe adagulidwa ku pharmacy, mankhwala achikhalidwe, mavitamini, ndi mankhwala azitsamba). Mankhwalawa amatha kusokoneza makamaka ndi awa:
| Mtundu wa mankhwala/mankhwala omwe angayambitse mavuto | Zitsanzo |
|---|---|
| Mowa | Mtundu uliwonse wa mowa. |
| Mankhwala ogonetsa ndi ogonetsa | Mankhwala a Benzodiazepine monga Alprazolam, Diazepam, Lorazepam, ndi Propofol. |
| Mankhwala ena ochizira kuvutika maganizo | Amitriptyline, Trazodone. |
| Mankhwala ochepetsa ululu ndi chifuwa | Tramadol, Morphine, ndi zina zotero (Opioids) . |
| Mankhwala ena a khunyu | Phenobarbital, Primidone. |
| Mankhwala ena a ziwengo (Antihistamines) | Mitundu yomwe imayambitsa kugona. |
Zotsatirapo zomwe zingakhalepo mukatenga mankhwala
Monga mankhwala ena aliwonse, Dexmedetomidine ingayambitse zotsatirapo zoyipa. Gulu lachipatala lidzakuyang'anirani mosamala mukakhala kuchipatala. Koma ngati mukumva kusasangalala, musaope kuwauza nthawi yomweyo.
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala kapena namwino nthawi yomweyo | |
|---|---|
| Zotsatira zoyipa | Makhalidwe |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi, komanso kuvutika kupuma. |
| Kuthamanga kwa magazi kotsika | Chizungulire, kukomoka, kusawona bwino. |
| Kugunda pang'onopang'ono kwa mtima | Kuzunguzika mutu, kukomoka, kupuma movutikira, kutopa kwambiri. |
| Malungo | Malungo osalekeza, kupuma mofulumira kapena kugunda kwa mtima, kutopa. |
| Zinthu zomwe nthawi zambiri sizili zazikulu, koma ziyenera kunenedwa ngati zikupitirira | |
| Kusakhazikika | Wokwiya, wokwiya msanga. |
| Pakamwa pouma | Kumva ngati malovu auma mkamwa. |
Ngati mukukumana ndi zizindikiro zina zachilendo zomwe sizinatchulidwe pamndandandawu, chonde dziwitsani dokotala wanu za zizindikirozo.
Zinthu zoti musamale nazo mutamwa mankhwalawo
Chifukwa cha zotsatira za mankhwalawa, kukhazikika kwa thupi lanu, liwiro la zochita, komanso luso lopanga zisankho zingakhudzidwe.
- Pewani kuyendetsa galimoto kapena kugwiritsa ntchito makina mpaka dokotala wanu atakuuzani kuti ndibwino kutero kachiwiri.
- Mukadzuka kuchokera pamene mutakhala kapena mukugona, dzukani pang'onopang'ono . Ngati mudzuka mwadzidzidzi, mungamve chizungulire ndikugwa.
- Pewani kumwa mowa kwathunthu kwa masiku angapo mutamwa mankhwalawa. Mowa ukhoza kuwonjezera zotsatirapo zake.
Uthenga Wopita Nawo Kunyumba
- Dexmedetomidine ndi mankhwala omwe amaperekedwa kuchipatala kokha kuti akutonthozeni ndikukupangitsani kugona musanachite opaleshoni yachipatala.
- Musanamwe mankhwalawa, onetsetsani kuti mwauza dokotala wanu za matenda anu onse komanso mankhwala ena onse omwe mukumwa.
- Mankhwalawa amaperekedwa motsogozedwa ndi dokotala. Matenda anu adzayang'aniridwa nthawi zonse.
- Uzani ogwira ntchito zachipatala nthawi yomweyo ngati mukukumana ndi mavuto ena monga kupuma movutikira, chizungulire chachikulu, kapena zizindikiro zina zoyambitsa ziwengo.
- Popeza mankhwala awa si oti munthu atenge kunyumba, simuyenera kuda nkhawa ndi kusunga.
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