Ngozi zingachitike m'miyoyo yathu nthawi zosayembekezereka. Tangoganizirani, mungatani ngati wina mwadzidzidzi atamwa mankhwala olemera monga arsenic, mercury, golide, kapena lead kenako n’kukhala ndi poizoni? Izi ndi zoopsa kwambiri. Lero tikulankhula za jakisoni wapadera womwe umaperekedwa kuchipatala kokha ngati munthu wadwala kwambiri chonchi. Dzina la jakisoni uyu ndi Dimercaprol. Mwina munamuonapo nthawi zina amatchedwa 'BAL in Oil'.
Mwachidule, kodi Dimercaprol ndi chiyani?
Izi ndi zovuta pang'ono, koma tiyeni tizingokhala osavuta. Tangoganizani kuti chitsulo choopsa chalowa m'thupi lanu. Tinthu tachitsuloti timamangirira ku minofu ndi ziwalo zosiyanasiyana m'thupi ndikuyamba kuziwononga. Mankhwala a Dimercaprol amagwira ntchito ngati maginito amphamvu .
Katemerayu akalowa m'thupi, amakoka tinthu tating'onoting'ono toopsa ta zitsulo zolemera mkati mwake ndipo amalumikizana nazo mwamphamvu. Pambuyo pomanga motere, zitsulo za poizoni sizingawonongenso thupi. Pambuyo pake, mankhwala a Dimercaprol awa amagwira tinthu tachitsulo ndi kutuluka m'thupi ndi mkodzo. Mwachidule, iyi ndi njira yomwe "imatenga ndikuchotsa" poizoni mkati mwa thupi. Njirayi imatchedwa chelation mu mankhwala.
Zinthu zomwe muyenera kuuza dokotala wanu musanapereke mankhwala awa
Ngakhale kuti iyi ndi mankhwala ofunikira mwadzidzidzi, ndikofunikira kwambiri kuti gulu lachipatala lidziwe zambiri zokhudza thanzi lanu kapena la wodwalayo, chifukwa izi zidzatsimikizira kupambana ndi chitetezo cha chithandizocho.
- Matenda ena omwe muli nawo:
- Matenda a impso: Popeza mankhwalawa amatuluka m'thupi kudzera mu impso, ndikofunikira kuuza dokotala wanu ngati muli ndi vuto lililonse la impso.
- Matenda a chiwindi: Ngati pali vuto lililonse ndi ntchito ya chiwindi, ndikofunikira kudziwitsa dokotala.
- Kusowa kwa G6PD: Uku ndi kusowa kwa ma enzyme komwe anthu ena amabadwa nako, komwe kumachitika m'maselo ofiira a magazi. Ngati muli ndi vutoli, dokotala wanu ayenera kusamala kwambiri pokupatsani mankhwalawa.
- Matenda a ziwengo omwe muli nawo:
- Tiuzeni ngati muli ndi vuto la mankhwala a Dimercaprol awa kapena mankhwala ena aliwonse, chakudya, kapena utoto.
- Makamaka, mankhwalawa amapezeka mu mafuta. Mankhwala ena akhoza kukhala ndi mafuta a mtedza. Choncho ngati muli ndi vuto la mtedza , onetsetsani kuti mwadziwitsa dokotala wanu.
- Mankhwala ena ophera poizoni: Mankhwalawa sagwiritsidwa ntchito pochiza poizoni wachitsulo monga chitsulo, cadmium, kapena selenium. Ngati pali kukayika kulikonse kwa vuto lotere, liyeneranso kutchulidwa.
- Mimba ndi kuyamwitsa:Ngati muli ndi pakati, mukufuna kutenga pakati, kapena kuyamwitsa, ndikofunikira kudziwitsa dokotala wanu musanamwe mankhwalawa.
Chofunika kwambiri ndi kuuza dokotala wanu zonse zomwe mukudziwa zokhudza thanzi lanu, osabisa chilichonse. Izi ndi za chitetezo chanu.
Kodi katemerayu amagwiritsidwa ntchito bwanji?
Iyi ndi mfundo yofunika kwambiri. Dimercaprol si mankhwala omwe mungagule ku pharmacy ndikutengera kunyumba.
- Izi zimaperekedwa ndi katswiri wazachipatala wodziwa bwino ntchito yake kuchipatala kapena kuchipatala .
- Katemera amaperekedwa mwa jakisoni mu minofu , nthawi zambiri mu minofu yakuya ya matako kapena ntchafu.
- Pamafunika chisamaliro chapadera popereka mankhwalawa kwa ana aang'ono . Chifukwa chake, izi ziyenera kuchitika mutakambirana ndi dokotala wa ana ndikutsatira malangizo ake.
Kodi mungachite chiyani ngati mlingo wa katemera wawonjezeka?
Popeza izi zimaperekedwa kuchipatala, mwayi woti munthu agwiritse ntchito mankhwala mopitirira muyeso ndi wochepa kwambiri. Komabe, ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, dziwitsani ogwira ntchito zachipatala nthawi yomweyo. Ku Sri Lanka, pali malo omwe mungalumikizane nawo nthawi yomweyo kuti mupeze upangiri wa akatswiri pa poizoni ndi mankhwala otere. Ndiko kuti, National Poisons Information Centre ku National Hospital ku Colombo . Ndikofunikiranso kudziwitsa Emergency Treatment Unit (ETU) ya chipatalacho.
Zinthu zina zomwe zingagwirizane ndi mankhwalawa (Kuyanjana)
Mukamamwa katemera wa Dimercaprol, pali zinthu zingapo zomwe simuyenera kumwa limodzi. Kumwa izi pamodzi kungayambitse zotsatirapo zoyipa.
| Zinthu zomwe siziyenera kumwedwa | N’chifukwa chiyani n’kofunika? |
|---|---|
| Mchere wachitsulo kapena zowonjezera | Mapiritsi a iron kapena zowonjezera zina zokhala ndi iron zimatha kupanga mankhwala oopsa zikamwedwa ndi mankhwalawa. Chifukwa chake, iron iyenera kupewedwa panthawi ya chithandizochi. |
| Zosakaniza zagolide | Mankhwalawa sayenera kugwiritsidwa ntchito pamodzi ndi mankhwala okhala ndi golide (monga auranofin, aurothioglucose) omwe amagwiritsidwa ntchito pa matenda ena (monga nyamakazi). |
| Cadmium ndi Selenium | Jakisoni wa Dimercaprol sagwiritsidwa ntchito pochiza poizoni wa zitsulo ziwirizi. Ungayambitse kuwonongeka kwa impso. |
Kuwonjezera pa mndandandawu, uzani dokotala wanu za mankhwala ena aliwonse, mankhwala azitsamba, ndi mavitamini omwe mukumwa.
Zoyenera kuyembekezera mukatenga mankhwala komanso mutatha kumwa mankhwalawo
Pamene mukulandira mankhwalawa, gulu lanu lachipatala lidzayang'anira bwino momwe mulili . Adzayang'ana kugunda kwa mtima wanu, kuthamanga kwa magazi, ndi zizindikiro zina zofunika nthawi zonse.
Nthawi zina, mungapemphedwe kuti mutsatire zakudya zapadera kwa kanthawi kochepa mutamwa mankhwalawa. Mwachitsanzo, mungapemphedwe kuti mudye zakudya zomwe zimathandiza kusintha pH ya thupi lanu (kupanga mkodzo kukhala wamchere). Dokotala wanu adzakulangizani pazinthu zonsezi. Tsatirani malangizowo mosamala.
Kodi zotsatira zake ndi ziti?
Monga mankhwala ena aliwonse, jakisoni wa Dimercaprol ungayambitse zotsatirapo zina. Zina zimakhala zazing'ono, pomwe zina zimafunika chisamaliro chadzidzidzi.
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa gulu lachipatala nthawi yomweyo | |
|---|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa kwambiri, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Kupweteka pachifuwa, pakhosi, kapena m'manja | Kumva mwadzidzidzi kupsinjika kapena kupanikizika. |
| Kuthamanga kwa magazi | Kuwonjezeka mwadzidzidzi kwa kuthamanga kwa magazi. |
| Kusintha kwa kugunda kwa mtima | Kumva ngati mtima wanu ukugunda mofulumira kapena mosinthasintha. |
| Malungo | Malungo, makamaka mwa ana. |
| Kugwidwa ndi khunyu | Mkhalidwe wofanana ndi kukwiya. |
| Ululu pamalo obayira jakisoni | Kupweteka kwambiri kapena kutupa pamalo omwe jakisoni amaperekedwa. |
| Zotsatirapo zazing'ono zomwe ziyenera kuuzidwa kwa dokotala ngati zikupitirira kapena zikuvutitsa | |
| Kumva kutentha | Kumva kutentha m'milomo, pakamwa, ndi pakhosi. |
| Mutu, nseru, kusanza | Zotsatira zoyipa zofala. |
| Kuwonjezeka kwa malovu ndi misozi, mphuno yotuluka madzi | Izi nthawi zambiri zimakhala zakanthawi. |
| Kupweteka m'mimba | Kumva kusasangalala m'mimba. |
Ngati mukukumana ndi zizindikiro zina zachilendo zomwe sizinatchulidwe pamndandandawu, chonde dziwitsani dokotala wanu kapena ogwira ntchito yosamalira anamwino za zizindikirozo.
Uthenga Wopita Nawo Kunyumba
- Dimercaprol (BAL mu Mafuta) ndi jakisoni wapadera woperekedwa kuchipatala kokha chifukwa cha poizoni wa zitsulo zolemera monga arsenic, mercury, lead, ndi gold.
- Musanalandire katemerayu, onetsetsani kuti mwauza dokotala wanu za matenda anu onse, ziwengo (makamaka ziwengo za mtedza), ndi mankhwala ena omwe mukumwa.
- Iyi si mankhwala omwe angagulidwe ku pharmacy ndikugwiritsidwa ntchito kunyumba, koma amaperekedwa ndi dokotala wodziwa bwino ntchito yake kudzera mu intramuscularly.
- Pewani kumwa mapiritsi achitsulo kapena zowonjezera zakudya nthawi yonse ya chithandizo.
- Dziwani zotsatirapo zoyipa zomwe zingakhalepo (monga ziwengo, kupweteka pachifuwa, kuthamanga kwa magazi) mukamamwa mankhwalawo. Ngati muwona china chake chachilendo , dziwitsani ogwira ntchito kuchipatala nthawi yomweyo .
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