Kodi munachitidwapo opaleshoni? Kapena mnzanu wanu anachitapo opaleshoni? Zimenezi zikachitika, mantha aakulu kwa anthu ambiri ndi nseru ndi kusanza komwe kumachitika pambuyo pa opaleshoni. Ndi chinthu chosasangalatsa kwenikweni. Kotero lero tikambirana za jakisoni wapadera womwe umaperekedwa kuti uthetse vuto lotere. Dzina la mankhwalawa ndi Droperidol.
Mwachidule, kodi Droperidol ndi chiyani?
Droperidol ndi mankhwala omwe amaperekedwa kwa inu kuti mupewe nseru ndi kusanza zomwe zingachitike mutachita opaleshoni kapena njira zina zamankhwala. Amaperekedwa ngati jakisoni. Makamaka, amaletsa kugwira ntchito kwa mankhwala ena muubongo mwathu omwe amayambitsa nseru ndi kusanza. Mankhwala amtunduwu amatchedwa antiemetics. Dzina lodziwika bwino la mankhwalawa ndi Inapsine.
Chofunika kwambiri ndichakuti mankhwalawa si mankhwala omwe mungagule ku pharmacy. Amaperekedwa kokha moyang'aniridwa ndi dokotala kuchipatala kapena ku chipatala.
Zinthu zomwe muyenera kuuza dokotala wanu musanakupatseni mankhwala awa
Monga mankhwala ena aliwonse, ndikofunikira kuti dokotala wanu adziwe bwino za thanzi lanu asanakupatseni jakisoni wa Droperidol. Izi zili choncho chifukwa anthu omwe ali ndi matenda enaake ayenera kusamala kwambiri akamapereka mankhwalawa. Chifukwa chake, ngati muli ndi matenda aliwonse omwe atchulidwa pansipa, onetsetsani kuti mwadziwitsa dokotala wanu.
- Kumwa Mowa: Ngati mumamwa mowa nthawi zonse, tiuzeni za izi.
- Matenda a mtima: Ngati muli ndi vuto la mtima, mwachitsanzo, mtima wanu sukuyenda bwino, kapena mtima wanu sukuyenda bwino.
- Matenda a impso: Ngati muli ndi matenda aliwonse a impso.
- Matenda a chiwindi: Ngati muli ndi matenda aliwonse a chiwindi.
- Matenda a ziwengo: Ngati muli ndi vuto la ziwengo ndi Droperidol kapena mankhwala ena aliwonse, chakudya, kapena utoto.
- Mimba: Ngati muli ndi pakati kapena mukufuna kutenga mimba.
- Kuyamwitsa: Ngati ndinu mayi amene akuyamwitsa mwana wanu.
Kupereka chidziwitsochi kwa gulu lachipatala ndikofunikira kwambiri pa chitetezo chanu.
Momwe mungagwiritsire ntchito mankhwalawa ndi zomwe mungachite pakagwa ngozi
Mankhwalawa si chinthu chomwe mungapite nacho kunyumba. Droperidol ndi jakisoni yomwe imaperekedwa kuchipatala kapena ku chipatala ndi dokotala kapena namwino okha . Amalowetsedwa mwachindunji mumtsempha kapena mu minofu.
Kodi mumapereka izi kwa ana aang'ono?
Inde, nthawi zina zapadera, mankhwalawa amaperekedwanso kwa ana azaka zopitilira ziwiri. Koma amachitidwa pansi pa chisamaliro chapadera kwambiri komanso pokhapokha ngati dokotala asankha.
Kodi mungachite chiyani ngati mwamwa mankhwala ochulukirapo (overdose)?
Popeza izi zimaperekedwa kuchipatala, mwayi woti izi zichitike ndi wochepa kwambiri. Komabe, ngati mukuganiza kuti mwamwa mankhwala mopitirira muyeso mwanjira ina iliyonse, ndikofunikira kwambiri kuuza nthawi yomweyo kapena kupita ku Chipatala cha Emergency Treatment Unit (ETU) . Komanso, pali malo m'dziko lathu omwe ndi apadera pazinthu zotere. Ndi National Poison Information Center ku Colombo National Hospital . Muthanso kuwayimbira foni ndikupeza upangiri.
Mankhwala ena omwe angagwirizane ndi Droperidol (Kuyanjana ndi Mankhwala)
Iyi ndi gawo lofunika kwambiri. Droperidol ndi mankhwala omwe amatha kuyanjana ndi mankhwala ena ambiri. Chifukwa chake, ndikofunikira kuuza dokotala wanu za mankhwala onse omwe mukumwa, kuphatikizapo mavitamini, mankhwala azitsamba, ndi zowonjezera. Muyeneranso kuuza dokotala wanu ngati mumasuta kapena kumwa mowa.
Pansipa pali mankhwala ena omwe angagwirizane ndi Droperidol. Iyi si mndandanda wathunthu, koma ndi omwe muyenera kusamala nawo.
| Gulu la mankhwala | Zitsanzo ndi mafotokozedwe |
|---|---|
| Musamwe Droperidol pamodzi ndi mankhwalawa. | |
| Mankhwala omwe amakhudza kugunda kwa mtima | Mankhwala monga Dronedarone, Cisapride, Pimozide, ndi Thioridazine. |
| Maantibayotiki ena | Monga Erythromycin, Clarithromycin, Moxifloxacin. |
| Mankhwala ena ophera tizilombo toyambitsa matenda | Mankhwala monga Ketoconazole, Fluconazole. |
| Mankhwala ena oletsa nseru | Monga Dolasetron, Palonosetron. |
| Mankhwala ena ochizira kuvutika maganizo | Mankhwala oletsa kupsinjika maganizo a tricyclic monga Amitriptyline, Nortriptyline. |
| Mankhwalawa amathanso kuyambitsa zotsatirapo zina. | |
| Mankhwala Ochepetsa Ululu (Opioids) | Mankhwala amphamvu ochepetsa ululu monga Morphine ndi Tramadol. |
| Mankhwala ochepetsa mphamvu ya mkodzo | Mankhwala ochepetsa kuchuluka kwa madzi ndi mchere m'thupi. |
| Ma Barbiturates | Mankhwala ena ochiza matenda a tulo ndi khunyu. |
Zinthu zoti muyembekezere ndi zotsatirapo zake mutamwa mankhwalawo
Mukatha kumwa mankhwalawa, thanzi lanu lidzayang'aniridwa ndi gulu lachipatala.
Mungamve ngati mukugona kapena mukuzunguzika mutu . Izi ndi zachilendo. Choncho, pewani kuchita zinthu zomwe zimafuna kukhala maso, monga kuyendetsa galimoto kapena kugwiritsa ntchito makina, mpaka zotsatira za mankhwalawa zitatha. Makamaka ngati ndinu okalamba, musadzuke mwadzidzidzi mutangokhala. Dikirani mphindi zochepa musanadzuke. Izi zichepetsa chiopsezo cha chizungulire ndi kugwa. Komanso, pewani kumwa mowa kwathunthu .
Zotsatirapo Zake
Monga mankhwala ena onse, mankhwalawa akhoza kukhala ndi zotsatirapo zake. Zina mwa izo ndi zazikulu, zina mwa izo ndi zofala.
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa gulu lanu lachipatala nthawi yomweyo | |
|---|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Kusintha kwa kugunda kwa mtima | Kumva ngati mtima wanu ukugunda mofulumira kapena mosakhazikika, chizungulire, kupweteka pachifuwa, komanso kupuma movutikira. |
| Kuthamanga kwa magazi kotsika | Chizungulire, mutu wopepuka, kusawona bwino. |
| Matenda a Neuroleptic Malignant (NMS) | Uwu ndi matenda osowa koma oopsa. Zizindikiro zake ndi monga kutentha thupi kwambiri, kuuma kwa minofu, thukuta kwambiri, kugunda kwa mtima mofulumira, komanso kusokonezeka maganizo. |
| Zizindikiro za Extrapyramidal (EPS) | Kulephera kulamulira mayendedwe a thupi, kuuma kwa minofu kapena kunjenjemera, kusakhazikika, komanso kuyenda kosazolowereka. |
| Kusokonezeka kwa mitsempha yapakati (CNS depression) | Kupuma pang'onopang'ono kapena pang'ono, kupuma movutikira, kugona tulo tochuluka, kusokonezeka. |
| Zinthu zoti muuze gulu lachipatala ngati zikupitirira kapena zikukuvutitsani | |
| Nkhawa, mantha | Kumva mantha komanso kusakhazikika popanda chifukwa. |
| Kugona tulo | Ndi chinthu chomwe anthu ambiri amayembekezera, koma ngati chapitirira muyeso, nenani. |
| Kuona zinthu molakwika | Kuona kapena kumva zinthu zomwe palibe. |
Uthenga Wopita Nawo Kunyumba
- Droperidol ndi jakisoni wamphamvu woperekedwa kuti apewe nseru ndi kusanza komwe kumachitika pambuyo pa opaleshoni ndi njira zina zamankhwala.
- Mankhwalawa amaperekedwa kokha kuchipatala kapena ku chipatala moyang'aniridwa ndi dokotala.
- Ndikofunikira kudziwitsa dokotala wanu za matenda ena aliwonse omwe muli nawo (makamaka matenda a mtima, chiwindi, ndi impso) ndi mankhwala onse omwe mukumwa.
- Pewani kuchita zinthu zomwe zimafuna kusamala chifukwa kugona ndi chizungulire zimatha kuchitika mutamwa mankhwalawo. Pewani mowa kwathunthu.
- Ngati mukukumana ndi mavuto aakulu monga kusintha kwa kugunda kwa mtima, kutentha thupi kwambiri, kapena kuuma kwa minofu, dziwitsani gulu lachipatala nthawi yomweyo.
- Ngati muli ndi mafunso ena okhudza mankhwalawa, musaope kulankhula ndi dokotala wanu.
👩🏽⚕️ Mafunso ena (Mafunso Ofunsidwa Kawirikawiri)
💬 Kodi jakisoni wa Droperidol / Inapsine amagwiritsidwa ntchito bwanji kuchipatala?
Izi sizili ngati Domperidone, yomwe imatengedwa ngati kusanza kwabwinobwino! Uwu ndi mankhwala amphamvu kwambiri (Antipsychotic / Antiemetic) padziko lonse lapansi omwe amaletsa kusanza ndi nseru nthawi yomweyo ndikutonthoza wodwalayo! Izi zimaperekedwa makamaka pambuyo pa 'opaleshoni yayikulu (Opaleshoni / Anesthesia)' kuti atseke/atseke ndikutseka nseru yayikulu yomwe wodwalayo sangathe kupirira mpaka matumbo/matumbo atuluke.
💬 Kodi jekeseni wamphamvu uyu (Droperidol) umafika bwanji muubongo mwathu ndikuletsa kusanza kwambiri?
Mankhwala oletsa ululu (Anesthesia/Opioids) omwe amaperekedwa panthawi ya opaleshoni amachititsa kuti mankhwala ambiri otchedwa 'Serotonin/Dopamine' muubongo atulutsidwe, omwe amapita kumalo osungira anthu ogona (CTZ) ndipo amachititsa kusanza ngati kuti batani lakanidwa. Jakisoniyu akangolowa m'magazi, 'Dopamine Receptors' muubongo amatsekedwa kwathunthu (Dopamine blockade). Popeza palibe njira yoti uthengawo uperekedwe, wodwalayo sasanza ndipo wodwalayo nayenso amagona tulo (Sedation).
💬 Kodi machenjezo a Black Box omwe anthu omwe amabaya jekeseni iyi ya antiemetic (Droperidol) ayenera kudziwa ndi ati?
Choopsa chachikulu ndi kutaya moyo m'malo mosiya kusanza! Izi 'zikhoza kusintha kwambiri kamvekedwe ka magetsi a mtima, zomwe zimapangitsa mtima kugunda modabwitsa, zomwe zimayambitsa matenda oopsa a mtima komanso kulephera kwa mtima (QT Prolongation / Torsades de pointes / Cardiac Arrest)'. Chifukwa chake, omwe alandira jakisoni uyu ayenera kuyatsidwa makina a ECG/EKG mosalekeza kwa maola 2-3! Chinanso n'chakuti izi zingayambitsenso wodwalayo khunyu (EPS).
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