Tangoganizirani kuti pamene akudya chakudya chonga nsawawa ndi mnzanu, mwadzidzidzi akuvutika kupuma, thupi lake lonse limafiira, ndipo milomo yake imatupa. Kapena ali ndi mphumu yoopsa ndipo akulephera kupuma. Pa ngozi yotereyi, mankhwala ofunikira kwambiri omwe madokotala amagwiritsa ntchito amatchedwa epinephrine. Anthu ena amatchanso adrenaline. Tiyeni tikambirane za izi momveka bwino komanso momveka bwino lero.
Kodi Epinephrine ndi chiyani?
Mwachidule, epinephrine ndi mankhwala omwe amagwiritsidwa ntchito pochiza matenda oopsa a ziwengo, monga anaphylaxis, kapena matenda a mphumu oopsa mwadzidzidzi. Nthawi zina amagwiritsidwanso ntchito pochiza matenda monga kuthamanga kwa magazi pang'ono komanso kugunda pang'onopang'ono kwa mtima.
Mankhwalawa amaletsa mwachangu zizindikiro za ziwengo, monga kupuma movutikira, kutupa kwa nkhope ndi milomo. Amawonjezeranso kugunda kwa mtima ndikutsekereza mitsempha yamagazi, zomwe zimapangitsa kuti kuthamanga kwa magazi kukhale kokhazikika. Uwu ndi mankhwala opulumutsa moyo.
Kodi dokotala ayenera kudziwa chiyani asanagwiritse ntchito mankhwalawa?
Musanalandire katemerayu, gulu lanu la zaumoyo liyenera kudziwa za thanzi lanu. Onetsetsani kuti mwadziwitsa dokotala wanu ngati muli ndi vuto lililonse mwa izi:
- Matenda a Shuga (Diabetes Mellitus)
- Matenda a glaucoma
- Matenda a mtima amtundu uliwonse
- Kuthamanga kwa magazi
- Matenda a impso
- Matenda a Parkinson
- Matenda otchedwa Pheochromocytoma
- Matenda a chithokomiro
- Ngati muli ndi vuto la epinephrine kapena mankhwala ena aliwonse, chakudya, kapena utoto
- Ngati muli ndi pakati kapena mukufuna kutenga mimba
- Ngati ndinu mayi amene akuyamwitsa mwana
Kodi mumagwiritsa ntchito bwanji mankhwalawa?
Izi ndizofunikira kwambiri. Epinephrine si mankhwala omwe mungagwiritse ntchito kunyumba. Amaperekedwa ndi gulu lanu losamalira odwala kuchipatala kapena ku chipatala chokha. Amawabaya m'mitsempha, pansi pa khungu, kapena m'minofu.
Kodi mumapereka mankhwala awa kwa ana?
Inde, pazidzidzidzi zina, katemerayu amaperekedwanso kwa ana. Koma dokotala yekha ndiye amasankha, ndi njira zina zodzitetezera. Choncho lankhulani ndi dokotala wanu za vutoli.
Nanga bwanji ngati nditamwa mankhwala ochulukirapo?
Popeza izi zimaperekedwa kuchipatala, mwayi woti izi zichitike ndi wochepa kwambiri. Koma ngati izi zitachitika kapena mukukayikira, pitani kuchipatala nthawi yomweyo.Chokhacho chomwe chiyenera kuchitika ndikudziwitsa National Poisons Information Centre ku Colombo National Hospital kapena kuti alowe mu Emergency Treatment Unit (ETU) .
Kumbukirani, mankhwalawa ndi a inu nokha. Musagawane ndi wina aliyense, kupatulapo munthu amene dokotala wamulembera mankhwalawo.
Ndi mankhwala ena ati omwe angagwirizane ndi epinephrine?
Inde, mankhwala ena amatha kuyanjana ndi epinephrine, choncho ndikofunikira kuuza dokotala wanu za mankhwala onse omwe mukumwa (kuphatikizapo mavitamini, mankhwala azitsamba, ndi zowonjezera).
Gome ili pansipa lingathe kufotokoza izi mozama.
| Gulu la mankhwala | Kufotokozera / Zitsanzo |
|---|---|
| Mankhwala oletsa ululu | Mitundu ina ya mpweya yomwe imagwiritsidwa ntchito kuyambitsa mankhwala oletsa ululu pa opaleshoni (monga desflurane, isoflurane). Epinephrine siperekedwa pamodzi ndi izi. |
| Mankhwala a ziwengo, chifuwa, ndi chimfine (Antihistamines) | Mitundu yambiri ya mankhwala oletsa antihistamine. |
| Mankhwala a kuthamanga kwa magazi ndi matenda a mtima | Magulu monga beta-blockers ndi ACE inhibitors. |
| Mankhwala ochizira kuvutika maganizo, nkhawa | Magulu monga mankhwala oletsa kuvutika maganizo otchedwa tricyclic antidepressants ndi MAOIs. |
| Mankhwala ena | Digoxin, Diuretics, Levothyroxine, Oxytocin, Theophylline, Steroids (monga prednisone) |
Mndandanda uwu mwina sungakhale wokwanira, kotero kuti mukhale otetezeka, chonde dziwitsani dokotala wanu za mankhwala onse omwe mukumwa.
Kodi zotsatirapo zake zingakhale zotani?
Monga mankhwala ena aliwonse, epinephrine ingayambitse zotsatira zina zoyipa. Koma si aliyense amene amalandira. Zina zimakhala zoopsa, ndipo zina zimakhala zachibadwa. Ndikofunikira kudziwa izi.
| Zotsatira zoyipa | Kufotokozera |
|---|---|
| Zinthu zoti muuze gulu lanu lachipatala nthawi yomweyo | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime, pakhosi. |
| Zizindikiro za matenda a mtima | Kupweteka pachifuwa kapena kufinya, kupweteka m'mapewa, m'manja, m'dera la nsagwada, nseru, kupuma movutikira, thukuta kwambiri. |
| Kusintha kwa kayimbidwe ka mtima | Kugunda kwa mtima mofulumira kapena kosasinthasintha, chizungulire, kukomoka, kupweteka pachifuwa, kuvutika kupuma. |
| Kuvulala kwa impso | Kuchepa kwa mkodzo wotuluka, kutupa kwa akakolo, manja, ndi mapazi. |
| Ululu pamalo obayira jakisoni | Ululu, kufiira, kapena kutupa pamalo omwe jakisoni amaperekedwa. |
| Zinthu zomwe nthawi zambiri sizili zazikulu, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Mavuto amisala | Nkhawa, kusakhazikika. |
| Zinthu zina zazing'ono | Chizungulire , mutu, kugunda kwa mtima, kufooka kwa minofu, nseru, kufiira, thukuta, kunjenjemera, ndi kusanza. |
Uthenga Wopita Nawo Kunyumba
- Epinephrine ndi mankhwala ofunikira kwambiri, opulumutsa moyo omwe amagwiritsidwa ntchito pazochitika zoopsa monga ziwengo zazikulu (anaphylaxis) ndi matenda a mphumu.
- Katemerayu amaperekedwa ndi gulu lachipatala m'chipatala kapena chipatala chokha. Si mankhwala oti agwiritsidwe ntchito kapena kusungidwa kunyumba.
- Ndikofunikira kudziwitsa dokotala wanu za matenda ena aliwonse omwe muli nawo komanso mankhwala onse omwe mukumwa.
- Ngati mukukumana ndi mavuto aakulu, monga kupweteka pachifuwa kapena kuvutika kupuma, dziwitsani gulu lachipatala nthawi yomweyo.
- Ngati muli ndi mafunso okhudza mankhwalawa, musazengereze kufunsa dokotala wanu.
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