Jakisoni wa Epoprostenol: Chithandizo Chapadera cha Kuthamanga kwa Magazi M'mapapo

Kodi dokotala wanu wakuuzani kapena wina amene mumamudziwa kuti muyambe kumwa mankhwala otchedwa Epoprostenol? Dzinalo lingamveke ngati loopsa pang'ono. Koma iyi ndi mankhwala ofunikira kwambiri omwe amagwiritsidwa ntchito pochiza matenda otchedwa 'Primary Pulmonary Hypertension', omwe ndi kuthamanga kwa magazi m'mitsempha yamagazi ya m'mapapo. Izi sizili ngati piritsi wamba, koma jakisoni yomwe imaperekedwa nthawi zonse m'thupi. Chifukwa chake lero, tiyeni tikambirane za mankhwalawa, momwe tingagwiritsire ntchito, ndi zinthu zomwe muyenera kusamala nazo m'njira yosavuta yomwe mungamvetse.

Kodi Epoprostenol ndi mankhwala otani?

Mwachidule, Epoprostenol ndi mankhwala omwe amathandiza kukulitsa mitsempha yamagazi m'mapapo mwathu ndikuchepetsa kuthamanga kwa magazi. Izi zimachepetsa ntchito ya mtima yopompa magazi, zomwe zimathandiza kuwongolera zizindikiro monga kupuma movutikira komanso kutopa.

Mankhwalawa nthawi zambiri amaperekedwa kudzera mu chubu chaching'ono cholumikizidwa ku mtsempha, pogwiritsa ntchito makina ang'onoang'ono omwe amagwira ntchito maola 24 patsiku, otchedwa 'portable infusion pump.' Mankhwalawa nthawi zambiri amayamba kuchipatala kenako n'kuphunzitsidwa kupitiliza kunyumba. Chifukwa chake awa ndi mankhwala osiyana pang'ono.

Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kulandira chithandizo

Musanayambe chithandizochi, ndikofunikira kuti mufotokozere dokotala wanu zonse zokhudza thanzi lanu. Onetsetsani kuti mwatchula zinthu izi makamaka.

• Ngati muli ndi vuto la mtima .
• Ngati muli ndi kuthamanga kwa magazi kotsika .
• Ngati muli ndi vuto la Epoprostenol kapena mankhwala ena aliwonse, chakudya, kapena utoto.
• Ngati muli ndi pakati kapena mukufuna kutenga mimba.
• Ngati ndinu mayi woyamwitsa .

Kutengera ndi izi, dokotalayo adzapanga dongosolo la chithandizo lomwe likuyenererani.

Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?

Popeza iyi ndi mankhwala ogwiritsidwa ntchito kunyumba, muyenera kumvetsetsa bwino. Gulu lachipatala lidzakuphunzitsani momwe mungakonzekerere mankhwalawa, momwe mungalumikizire ku pampu, komanso momwe mungagwiritsire ntchito. Ndikofunikira kwambiri kutsatira malangizo amenewo molondola.

Zina mwa mfundo zofunika kwambiri:

• Kutaya singano ndi ma syringe: Musataye singano ndi ma syringe omwe agwiritsidwa ntchito kale m'zinyalala. Ayenera kuyikidwa mu chidebe chapadera cha sharpi chomwe chilipo kuti chitayidwe. Ngati mulibe, funsani gulu lanu lazaumoyo kuti akupatseni chimodzi.
• Ngati aperekedwa kwa ana: Pamafunika chisamaliro chapadera popereka mankhwalawa kwa ana. Lankhulani ndi dokotala wanu za izi.
• Kuchuluka kwa mankhwala osokoneza bongo:Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, imbani nthawi yomweyo ku National Poison Information Centre ku Colombo National Hospital kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.
• Ngati mwaphonya mlingo: Ichi ndi chinthu chofunikira kwambiri chomwe muyenera kukumbukira panthawi ya chithandizochi.

Kuyanjana ndi mankhwala ena

Mankhwala ena omwe mukumwa angagwirizane ndi Epoprostenol. Choncho uzani dokotala wanu za mankhwala onse omwe mukumwa (kuphatikizapo mavitamini ndi mankhwala azitsamba). Onetsetsani kuti mwadziwitsa dokotala wanu ngati mukumwa mankhwala aliwonse mwa awa.

• Mankhwala ochepetsa mphamvu ya mkodzo
• Mankhwala ochepetsa kuthamanga kwa magazi
• Mankhwala ochizira ululu pachifuwa
• Mankhwala ochepetsa magazi (monga Warfarin)

Zinthu zoti muziganizire panthawi ya chithandizo

Popeza chithandizochi chimatenga nthawi yayitali, muyenera kusamala nthawi zonse.

• Samalani ndi matenda: Popeza mankhwalawa amaperekedwa kudzera mu chubu choyikidwa mumtsempha, chotchedwa catheter ya m'mitsempha , pali mwayi wochepa woti matenda ayambe. Nthawi zina zizindikiro za matendawa (malungo, kuzizira, ndi kunjenjemera) zimatha kufanana ndi zotsatirapo za mankhwala. Chifukwa chake , yang'anani malo omwe chubucho chinayikidwapo ngati pali kufiira, kutupa, kapena kupweteka . Ngati muwona kusintha kulikonse, uzani dokotala wanu nthawi yomweyo.
• Ngati zizindikiro zanu zikuipiraipira: Nthawi zina zizindikiro zanu (monga kuvutika kupuma) zimatha kuipiraipira ngakhale mutamwa mankhwalawa. Ngati izi zitachitika, dziwitsani dokotala wanu. Iye adzasintha mlingo wanu ndikukupatsani chithandizo chomwe mukufuna.

Zotsatirapo zoyipa za mankhwalawa

Monga mankhwala ena aliwonse, mankhwalawa akhoza kukhala ndi zotsatirapo zake. Zina mwa izo ziyenera kunenedwa nthawi yomweyo, pomwe zina nthawi zambiri zimatha pakapita nthawi.

Kodi mankhwala ayenera kusungidwa bwanji?

Ndikofunikanso kwambiri kusunga mankhwala awa moyenera.

• Mabotolo osatsegulidwa: Sungani kutentha kwa chipinda (15-25 Celsius) kutali ndi kuwala.
• Mankhwala osakaniza: Mukasakaniza mankhwala ndi mankhwala osungunula, akhoza kusungidwa mufiriji (pakati pa 2-8 Celsius) kwa maola 48.
• Ikugwiritsidwa ntchito: Ikachotsedwa mufiriji, yankho ili lingagwiritsidwe ntchito kwa maola 8 okha kutentha kwa chipinda.
• Chikwama chozizira: Mudzapatsidwa thumba lapadera lozizira ndi mapaketi a gel kuti mukhale ozizira pamene mukulandira mankhwalawa. Kumbukirani, muyenera kusintha mapaketi a gel awa maola 12 aliwonse.

Mankhwalawa ndi a inu nokha. Musagawane ndi ena.