Kodi inu kapena wina m'banja mwanu mudayamba mwakhalapo ndi vuto la kupuma movutikira mwadzidzidzi, kupsinjika pachifuwa, komanso phokoso la "whoosh.. whoosh.."? Izi ndi zofala kwambiri komanso zosasangalatsa kwa munthu amene ali ndi vuto ngati mphumu. Lero, tikambirana za chithandizo chomwe chimagwiritsidwa ntchito nthawi ngati izi ndipo chimapereka mpumulo mwachangu. Ndi mankhwala otchedwa epinephrine, omwe amaperekedwa kudzera mu nebulizer.
Kodi mankhwala awa otchedwa Epinephrine ndi chiyani?
Mwachidule, epinephrine ndi mankhwala omwe amagwiritsidwa ntchito pochiza matenda omwe amachititsa kuti mapapo azivutika kupuma. Makamaka m'matenda monga mphumu, njira zopumira mpweya (bronchi) zomwe zimanyamula mpweya kupita m'mapapo mwathu zimachepa. M'mawu azachipatala, timatcha izi `(Bronchospasm)`.
Tangoganizani kuti chitoliro cha madzi chikamangika pakati, zimakhala zovuta kuti madzi adutse. Pamene njira zopumira izi zatsekedwa, zimakhala zovuta kwambiri kuti tipume. Zimene epinephrine imachita ndikutsegula njira zopumira izi zopapatiza komanso zopapatiza. Zili ngati kutulutsa chubu chotsekedwa. Kenako mpweya ukhoza kulowa mosavuta ndikutuluka m'mapapo, ndipo kupuma kumakhala kosavuta kachiwiri.
Mankhwalawa nthawi zina amapezeka pamsika pogwiritsa ntchito mayina ena. Chitsanzo ndi `(Adrenalin)`. Koma chogwiritsidwa ntchito ndi chomwecho.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa
Musanamwe mankhwala aliwonse, ndikofunikira kuuza dokotala wanu mbiri yanu yonse ya matenda. Chifukwa mankhwala ena amatha kukhudza ena. Musanamwe epinephrine, onetsetsani kuti mwadziwitsa dokotala wanu ngati muli ndi vuto lililonse mwa zotsatirazi.
| Matenda anu | N’chifukwa chiyani muyenera kudziwitsa? |
|---|---|
| Matenda a shuga | Epinephrine imatha kuwonjezera kuchuluka kwa shuga m'magazi. |
| Glaucoma | Pali kuthekera kowonjezera kuthamanga kwa magazi m'maso. |
| Matenda a mtima | Zingawonjezere kugunda kwa mtima ndi kuthamanga kwa magazi, zomwe zingawonjezere kupsinjika kwa mtima. |
| Kuthamanga kwa magazi | Mankhwalawa amatha kuonjezera kuthamanga kwa magazi. |
| Matenda a Parkinson | Zizindikiro, makamaka kunjenjemera, zingachuluke. |
| Matenda a chithokomiro | Zizindikiro zimatha kuipiraipira ngati chithokomiro chikugwira ntchito mopitirira muyeso. |
| Ziwengo zina | Ngati muli ndi vuto la epinephrine, mankhwala ena, zakudya, kapena zosungira. |
| Ngati muli ndi pakati kapena mukuyembekezera mwana | Ndikofunikira kufunsa dokotala za kugwiritsa ntchito mankhwala panthawi ya mimba. |
| Ngati ndinu mayi woyamwitsa | Muyenera kulankhula ndi dokotala wanu za kuthekera kwa mankhwalawo kupita kwa mwana wanu kudzera mu mkaka wa m'mawere. |
Kodi mumagwiritsa ntchito bwanji mankhwalawa molondola?
Mankhwalawa amagwiritsidwa ntchito ndi chipangizo chotchedwa nebulizer . Izi zimapangitsa kuti mankhwalawo, omwe ali mu mawonekedwe amadzimadzi, akhale nthunzi yofewa (aerosol) yomwe mungathe kupuma. Kenako mumapumira nthunzi iyi m'mapapu anu, kaya kudzera pakamwa panu kapena kudzera mu chigoba chomwe chimaphimba pakamwa panu ndi mphuno.
Chofunika kwambiri: Nthawi zonse tsatirani malangizo a dokotala wanu kapena omwe ali pa chizindikiro cha mankhwala molondola . Musamwe pafupipafupi kapena mopitirira muyeso kuposa momwe mwalangizidwira.
Mankhwalawa amaperekedwa kwa ana aang'ono, makamaka omwe ali ndi zaka zoposa 4, nthawi zina zapadera. Koma amachitidwa mosamala kwambiri moyang'aniridwa ndi dokotala.
Kodi mungachite chiyani ngati mwamwa mankhwala ochulukirapo?
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo kuposa omwe mwapatsidwa, pitani ku Dipatimenti Yoona za Zadzidzidzi (ETU) yapafupi nthawi yomweyo . Kapena imbani National Poisons Information Centre ku Colombo National Hospital kuti mupeze malangizo.
Kumbukirani, mankhwalawa aperekedwa kwa inu nokha. Musagawane ndi wina aliyense.
Mankhwala ena omwe angagwirizane ndi mankhwalawa
Mankhwala ena amatha kuyanjana akamwedwa pamodzi. Izi zikutanthauza kuti kugwira ntchito kwa mankhwala amodzi kungawonjezere, kuchepe, kapena kuyambitsa zotsatira zoyipa zosafunikira. Chifukwa chake, ndikofunikira kwambiri kuuza dokotala wanu za mankhwala onse omwe mukumwa (olembedwa ndi dokotala, ogulitsidwa pamtengo wotsika, azitsamba, komanso mavitamini).
Makamaka musamwe epinephrine pamodzi ndi mankhwala otsatirawa:
- Mitundu ina ya mpweya yomwe imagwiritsidwa ntchito popangitsa munthu kugona panthawi ya opaleshoni (`(General anesthesia)`)
Mankhwala otsatirawa angagwirizanenso ndi epinephrine:
- Mankhwala ena a ziwengo, chifuwa, ndi chimfine (`(Antihistamines)`)
- Mankhwala a kuthamanga kwa magazi, matenda a mtima, ndi matenda a mtima
- Mankhwala ena ochizira kuvutika maganizo kapena nkhawa
- Mankhwala ena a matenda a Parkinson
- Digoxin
- Mankhwala ochepetsa mphamvu ya madzi m'thupi (Diuretics)
- Thyroxine (Levothyroxine)`
- Mankhwala oletsa kuvutika maganizo a MAOI
- Mankhwala a steroid (monga prednisone)
- Mankhwala ena opatsa mphamvu
Mndandandawu sunathe. Choncho uzani dokotala wanu za mankhwala onse omwe mumamwa. Komanso, muuzeni ngati mumasuta kapena kumwa mowa.
Zinthu zoyenera kusamala nazo mukamagwiritsa ntchito mankhwalawa
Pitani kwa dokotala nthawi zonse kuti muwone zizindikiro zanu. Ngati zizindikiro zanu zikuipiraipira, kapena ngati mukufunika kugwiritsa ntchito mankhwalawa pafupipafupi kuposa masiku onse, imbani dokotala nthawi yomweyo . Izi zikutanthauza kuti mphumu yanu siili bwino ndipo chithandizo chanu chingafunike kusintha.
Gwirani ntchito ndi dokotala wanu kuti mupange "Ndondomeko Yochitira Mphumu" yomwe ikukhudzana ndi inu. Dziwani bwino zomwe mungachite ngati zizindikiro zanu zili zochepa (Yellow Zone) komanso zomwe mungachite pakagwa ngozi (Red Zone).
Kodi zotsatirapo zake zomwe zimayembekezeredwa ndi ziti?
Monga mankhwala ena aliwonse, epinephrine ingayambitse zotsatirapo zina. Zina mwa izo ndi zazikulu, zina ndizofala.
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala nthawi yomweyo | |
|---|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Zizindikiro za matenda a mtima | Kulimba kapena kupweteka pachifuwa, mapewa, manja, kapena nsagwada, nseru, kupuma movutikira, thukuta lozizira, kukomoka. |
| Kusintha kwa kugunda kwa mtima | Kugunda kwa mtima mofulumira kapena kosasinthasintha, chizungulire, kukomoka, kupweteka pachifuwa. |
| Kuthamanga kwa magazi kowonjezeka | Mutu waukulu, kusintha kwa masomphenya. |
| Kawirikawiri si nkhani yaikulu (koma uzani dokotala ngati ikupitirira) | |
| Nkhawa, kusakhazikika | Mutu |
| Chizungulire | Kumva kugunda kwa mtima mofulumira |
| Kusanza kapena kusanza | Kugwedezeka |
| Kutuluka thukuta | Khungu lotumbululuka |
Ngati mukukumana ndi zizindikiro zina zachilendo zomwe sizinatchulidwe pamndandandawu, funsani dokotala wanu za zizindikirozo.
Uthenga Wopita Nawo Kunyumba
- Epinephrine nebulizer ndi mankhwala omwe amatsegula njira zopumira zomwe zimatsekeka ndipo amapangitsa kupuma kukhala kosavuta m'matenda monga mphumu.
- Nthawi zonse tsatirani mlingo ndi malangizo omwe dokotala wanu wakupatsani molondola . Musagwiritse ntchito mopitirira muyeso womwe mwapatsidwa.
- Ndikofunikira kudziwitsa dokotala wanu za matenda ena aliwonse omwe muli nawo (monga matenda a shuga, matenda a mtima) ndi mankhwala ena onse omwe mukumwa.
- Ngati mukukumana ndi zotsatirapo zoyipa monga kupweteka pachifuwa, kuvutika kupuma kwambiri, kapena kusagwirizana kwambiri ndi mankhwala, pitani ku chipinda chodzidzimutsa (ETU) nthawi yomweyo.
- Ngati zizindikiro zanu zikuipiraipira kapena mukufunika kugwiritsa ntchito mankhwala pafupipafupi, zikutanthauza kuti vuto lanu silikulamuliridwa bwino. Pitani kwa dokotala nthawi yomweyo.
💬 Comments (0)
Palibe ndemanga zomwe zatumizidwa pano. Onjezani ndemanga yanu pano koyamba.
Onjezani ndemanga yanu