Dokotala wanu mwina anakulemberani jakisoni kuti mupewe magazi kuundana pambuyo pa opaleshoni kapena chifukwa cha matenda ena. Dzina la jakisoni iyi ndi Enoxaparin. Nthawi zambiri mumapatsidwa kunyumba kwa masiku angapo kapena milungu ingapo, kotero mungakhale ndi mantha pang'ono kapena chidwi chofuna kudziwa zambiri. Chifukwa chake musadandaule, lero tikambirana mwachidule momwe mungagwiritsire ntchito izi komanso zomwe muyenera kusamala nazo.
Kodi Enoxaparin ndi chiyani?
Mwachidule, Enoxaparin ndi mankhwala omwe amaletsa magazi kuundana kapena amathandiza kusungunula magazi kuundana omwe apangidwa kale. Izi nthawi zambiri zimatchedwa kuti zothina magazi.
Taganizirani mitsempha yathu yamagazi ngati mapaipi omwe amanyamula madzi. Ngati magazi ataundana mkati mwa mapaipi awa, amatseka kuyenda kwa magazi. Izi ndi zoopsa kwambiri, chifukwa ngati magazi ataundana, amatha kuletsa kuyenda kwa magazi kupita ku ziwalo zofunika monga mapapo, ubongo, ndi mtima. Mankhwalawa otchedwa Enoxaparin amagwira ntchito poletsa kupanga magazi omwe amaundana. Izi zikutanthauza kuti, 'amachepetsa' magazi pang'ono ndikulola kuti ayende mosavuta.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa
Dokotala wanu ayenera kudziwa mbiri yonse ya thanzi lanu asanakupatseni mankhwala awa. Chifukwa chake, ngati muli ndi vuto lililonse mwa omwe ali pansipa, onetsetsani kuti mwadziwitsa dokotala wanu.
| Matenda kapena mwayi | N’chifukwa chiyani muyenera kusamala? |
|---|---|
| Matenda otuluka magazi (monga hemophilia) kapena kutuluka magazi ambiri. | Mankhwalawa angawonjezere chiopsezo cha kutuluka magazi. |
| Matenda a mtima kapena ma valve a mtima. | Muzochitika zotere, mlingo wa mankhwala ungafunike kusinthidwa. |
| Matenda a impso kapena chiwindi. | Njira yochotsera mankhwala m'thupi ingakhudzidwe. |
| Ngati munadwalapo sitiroko kale. | Kusamala kwambiri kuyenera kutengedwa ngati sitiroko yachitika chifukwa cha kutuluka magazi. |
| Ngati valavu ya mtima yopangidwa mwapadera yaikidwa. | Odwala oterewa amafunika mlingo wapadera. |
| Kungochitidwa opaleshoni kapena kubereka kumene. | Zikatero, chiopsezo chotuluka magazi chimakhala chachikulu. |
| Zilonda zam'mimba kapena matenda ena am'mimba (monga Diverticulitis). | Zimawonjezera chiopsezo cha kutuluka magazi mkati. |
| Ngati muli ndi vuto la Enoxaparin, Heparin, zinthu zopangidwa ndi nkhumba kapena mankhwala/zakudya zina. | Izi ndizofunikira kwambiri kuti tipewe mavuto aakulu a ziwengo. |
| Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena mukuyamwitsa. | Zikatero, muyenera kulankhula ndi dokotala wanu za chitetezo cha mankhwalawo. |
Kodi katemerayu amagwiritsidwa ntchito bwanji kwenikweni?
Katemerayu amabayidwa pansi pa khungu. Namwino kuchipatala kapena kuchipatala adzakuwonetsani momwe mungabayire mankhwalawa mosavuta. Nthawi zambiri, khungu la m'mimba kapena kumbuyo kwa mkono wapamwamba limagwiritsidwa ntchito pa izi.
Chofunika kwambiri ndikumwa mlingo womwe dokotala wanu wakupatsani, panthawi yoyenera, kwa masiku oyenera. Kusowa ngakhale tsiku limodzi kungakulitse chiopsezo chanu chokhala ndi magazi ambiri. Chifukwa chake, pitirizani kumwa mankhwalawa mpaka dokotala wanu atakuuzani kuti musiye.
Kodi mumatani ndi singano zogwiritsidwa ntchito kale?
Izi ndizofunikira kwambiri. Musataye singano ndi ma syringe ogwiritsidwa ntchito kale m'zinyalala.Kuchita zimenezi kungapangitse ena kukhala pa ngozi. Pali chidebe chapadera cha pulasitiki chachikasu (chidebe cha sharps) chomwe mungagwiritse ntchito kutaya zinthuzi. Ziikeni mmenemo ndipo zikadzaza, ziperekeni kuchipatala kapena ku chipatala chanu. Ngati mulibe, funsani za icho ndipo pemphani chimodzi.
Nanga bwanji ngati nditamwa mankhwala ochulukirapo?
Ngati mukuganiza kuti mwamwa mankhwala owonjezera pa mlingo winawake mwangozi, imbani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital , kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.
Nanga bwanji ngati nditaphonya nthawi yokumana ndi dokotala?
Ngati mwaphonya mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yatsala pang'ono yoti mutenge mlingo wotsatira, thawani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe mlingo wowirikiza kawiri.
Zinthu zina zomwe zingagwirizane ndi mankhwalawa
Muyeneranso kusamala ndi mankhwala ena omwe mumamwa mukamamwa enoxaparin. Mankhwala ena amatha kusokonezana ndi mankhwalawa ndikuwonjezera chiopsezo cha kutuluka magazi.
| Zinthu zofunika kusamala nazo kwambiri |
|---|
| Aspirin ndi mankhwala ena ofanana nawo. |
| Mankhwala ena ochepetsa magazi (monga Warfarin, Clopidogrel). |
| Mankhwala ochepetsa ululu ndi oletsa kutupa (NSAIDs). Zitsanzo: Ibuprofen, Naproxen, Diclofenac Sodium. |
| Mankhwala monga Dipyridamole. |
Choncho, uzani dokotala wanu za mankhwala onse omwe mumamwa (kuphatikizapo mavitamini ndi mankhwala achikhalidwe).
Zinthu zofunika kuziganizira pa moyo wa tsiku ndi tsiku
- Pewani kuvulala: Ngakhale kudula pang'ono kungayambitse kutuluka magazi kwambiri mukumwa mankhwalawa. Chifukwa chake, pewani kuchita zinthu zomwe zingaphatikizepo kugwa, monga masewera olimbitsa thupi ndi kugwiritsa ntchito zinthu zakuthwa.
- Chenjezo: Ndi bwino kugwiritsa ntchito lezala lamagetsi pometa. Komanso, tsukani mano anu mosamala ndi burashi yofewa.
- Opaleshoni isanachitike:Ngati mukufuna kuchitidwa opaleshoni iliyonse (ngakhale kuchotsa dzino), onetsetsani kuti mwauza dokotala kuti mukumwa Enoxaparin.
- Kuyezetsa magazi: Onetsetsani kuti mwapita ku mayeso a magazi ndi zipatala zomwe dokotala wanu wakupatsani.
Kodi ndi zotsatirapo zotani zomwe ndingakumane nazo?
Monga mankhwala ena aliwonse, Enoxaparin ingayambitse zotsatira zina zoyipa. Zina mwa izi ndi zoopsa, pomwe zina ndizofala.
| Ngati muli ndi zizindikiro izi, uzani dokotala wanu nthawi yomweyo kapena pitani kuchipatala. | |
|---|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Zizindikiro za kutuluka magazi | Ndowe zakuda kapena zamagazi, kusanza magazi omwe amaoneka ngati khofi wophikidwa, mkodzo wofiira kapena wakuda, madontho ang'onoang'ono ofiira kapena ofiirira pakhungu, mabala otupa mosavuta, kapena kutuluka magazi komwe sikungatheke. |
| Izi nthawi zambiri sizimakhala zoopsa, koma ngati zikupitirira, uzani dokotala wanu. | |
| Pamalo obayira jakisoni | Ululu, kufiira, kapena kutupa pang'ono. |
| Zina | Kutupa kwa akakolo, manja, kapena mapazi. |
Uthenga Wopita Nawo Kunyumba
- Enoxaparin ndi mankhwala ofunikira omwe amaletsa magazi kuundana. Imwani monga momwe dokotala wanu wakuuzani, pa nthawi yake, komanso osadumpha tsiku limodzi.
- Pali chiopsezo chowonjezeka cha magazi mukamagwiritsa ntchito mankhwalawa. Choncho, samalani ndipo pewani zochita ndi masewera omwe angayambitse kuvulala.
- Ngati muwona zizindikiro zilizonse za kutuluka magazi, monga ndowe zakuda, kusanza magazi, kapena mabala ochepa, funsani dokotala nthawi yomweyo.
- Uzani dokotala wanu za mankhwala ena onse omwe mukumwa. Ngati mukuchitidwa opaleshoni iliyonse, muuzeni pasadakhale.
- Tayani singano ndi ma syringe omwe agwiritsidwa ntchito mosamala, m'chidebe cha sharpe chomwe chaperekedwa kuti chigwiritsidwe ntchito.
👩🏽⚕️ Mafunso ena (Mafunso Ofunsidwa Kawirikawiri)
💬 Kodi mapiritsi a Isosorbide Dinitrate / Isordil amagwiritsidwa ntchito pa chiyani?
Iyi ndi mankhwala amphamvu kwambiri a 'vasodilator' omwe amaperekedwa kwa odwala a mtima! Nitroglycerin ndi chinthu choyenera kumwa pakagwa mwadzidzidzi/kudwala kwa mtima, sizili choncho, iyi ndi mankhwala otetezeka omwe angatengedwe tsiku lililonse kuti apewe kupweteka kwa angina/kudwala kwa mtima mtsogolo komanso kuthandiza mtima pamene mtima uli wofooka (kulephera kwa mtima).
💬 Kodi ndingapewe bwanji kupweteka pachifuwa/kuteteza mtima wanga ngati ndimwa mapiritsi awa (Isordil) tsiku lililonse?
Matenda a mtima amapezeka pamene mtsempha wamagazi mumtima wachepa ndipo magazi/oxygen siikwanira! Mukamwa piritsi ili, limasanduka mpweya wotchedwa 'Nitric Oxide (NO)' m'thupi. Mpweya umenewo umamasula minofu yonse mumtima ndi m'thupi mwathu ndikuisunga yotakata (Continuous Vasodilation). Kenako, magazi amalowa mumtima popanda choletsa chilichonse, kotero palibe kupweteka pachifuwa.
💬 Kodi ndi ngozi yotani yomwe anthu omwe amamwa piritsi ili (Isosorbide Dinitrate) sayenera 'kuchita'?
Lamulo lalikulu komanso lokhalo! Ngati ndinu munthu amene mwamwapo mapiritsi monga 'Viagra / Sildenafil / Cialis' kuti mulimbikitse kugonana, musamwe mapiritsi a nitrate awa pamodzi ndi mapiritsi amenewo! Ngati mumwa onse awiri pamodzi, mitsempha yonse yamagazi idzamasuka kwambiri ndipo kuthamanga kwa magazi anu kudzatsika kufika pa zero (Fatal Hypotension) ndipo mutha kufa muli pachikomokere! Komanso, ngati mupitiliza kumwa izi, mitsempha yamagazi idzakula, kotero 'Mutu' wamba udzabwera.
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