Nthawi zina, chifukwa cha matenda a mtima, mavuto a impso, kapena matenda a chiwindi, thupi lanu limadzaza madzi osafunikira, zomwe zimapangitsa kuti manja ndi mapazi anu atupa, sichoncho? Pazochitika zotere, lero tikambirana za mankhwala apadera omwe madokotala amagwiritsa ntchito kuchotsa madzi ochulukirapo ndi mchere m'thupi. Umenewo ndi katemera wotchedwa Ethacrynic Acid.
Kodi Ethacrynic Acid ndi mankhwala otani?
Mwachidule, iyi ndi mankhwala ochepetsa mphamvu ya madzi m'thupi . M'mawu wamba, ndi "piritsi la madzi," koma limaperekedwa ngati jakisoni. Ntchito yake yayikulu ndikulimbikitsa impso zanu ndikuthandiza thupi lanu kupanga mkodzo wambiri. Mukakodza, imachotsanso mchere ndi madzi ochulukirapo m'thupi lanu.
Choncho, mankhwalawa ndi othandiza kwambiri pochepetsa kutupa komwe kumachitika chifukwa cha matenda a mtima, impso, kapena chiwindi.
Kodi ndiyenera kumuuza chiyani dokotala ndisanayambe kugwiritsa ntchito mankhwalawa?
Ndikofunikira kuti dokotala wanu adziwe bwino za thanzi lanu asanasankhe kukupatsani mankhwala awa. Chifukwa chake, ngati muli ndi vuto lililonse mwa zotsatirazi, muyenera kuuza dokotala wanu .
- Za matenda ena a mtima omwe muli nawo.
- Ngati mwapezekapo kale ndi ma electrolyte ochepa kapena ambiri m'magazi mwanu, monga potaziyamu , magnesium , kapena sodium .
- Ngati muli ndi matenda a impso kapena chiwindi omwe munali nawo kale.
- Ngati muli ndi vuto la ziwengo chifukwa cha mankhwala a Ethacrynic Acid awa kapena mankhwala ena aliwonse, chakudya, kapena utoto.
- Ngati muli ndi pakati kapena mukufuna kutenga mimba.
- Ngati ndinu mayi amene akuyamwitsa mwana.
Kutengera ndi izi, dokotala wanu adzasankha ngati mankhwalawa ndi oyenera kwa inu kapena ayi.
Ndingakupatseni bwanji mankhwala awa?
Mankhwala awa si omwe mungamwe kunyumba. Ndi jakisoni m'mitsempha . Amaperekedwa kuchipatala kapena ku chipatala ndi katswiri wazachipatala wodziwa bwino ntchito yake, monga dokotala kapena namwino.
Ngakhale ana aang'ono akhoza kupatsidwa mankhwalawa nthawi zina zapadera, koma mosamala kwambiri komanso moyang'aniridwa ndi dokotala.
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo mwangozi, pitani ku ETU (Emergency Treatment Unit) nthawi yomweyo. Kapena imbani National Poisons Information Centre ku Colombo National Hospital kuti mupeze malangizo.
Popeza mankhwalawa sagwiritsidwa ntchito tsiku lililonse ndipo amaperekedwa kuchipatala, simudzakhala ndi vuto losowa mlingo.
Ndi mankhwala ena ati omwe angagwirizane ndi mankhwalawa?
Mankhwala ena omwe mukumwa angakhudze momwe Ethacrynic Acid imagwirira ntchito. Choncho perekani dokotala wanu mndandanda wathunthu wa mankhwala onse, mavitamini, mankhwala azitsamba, ndi zowonjezera zomwe mukumwa. Ndikofunikira kwambiri kuuza dokotala wanu ngati mukumwa mankhwala aliwonse awa:
- Mankhwala ochepetsa ululu ndi oletsa kutupa (monga indomethacin)
- Maantibayotiki ena amaperekedwa kudzera mu jakisoni
- Mitundu ina ya diuretics
- Mankhwala a matenda a mtima (monga digoxin )
- Mahomoni a steroid (monga cortisone , fludrocortisone, hydrocortisone)
- Lithiamu
- Mankhwala a matenda a shuga
- Mankhwala othamanga magazi
- Mankhwala ochepetsa magazi (monga warfarin )
Ndikofunikanso kuuza dokotala wanu ngati mukusuta fodya, kumwa mowa, kapena kugwiritsa ntchito mankhwala ena osokoneza bongo.
Ndi zinthu ziti zomwe muyenera kusamala nazo mukamamwa mankhwala?
Pamene mukupatsidwa mankhwala awa, madokotala ndi anamwino adzayang'anira thanzi lanu mosamala. Adzayang'ana zinthu monga kuthamanga kwa magazi anu, kugunda kwa mtima, ndi kuchuluka kwa ma electrolyte m'magazi anu. Choncho musadandaule nazo. Ngati mukumva kusasangalala kulikonse, uzani dokotala kapena namwino nthawi yomweyo.
Kodi zotsatirapo zake zingakhale zotani chifukwa cha mankhwalawa?
Monga mankhwala ena aliwonse, pali mwayi woti mankhwalawa angayambitse zotsatirapo zina. Zina mwa izi zitha kukhala zoopsa, pomwe zina sizingakhale zoopsa kwambiri.
| Zotsatira zoyipa | Kufotokozera ndi zizindikiro |
|---|---|
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala wanu nthawi yomweyo | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo kapena lilime. |
| Kusintha kwa masomphenya kapena kumva | Kusawona bwino, kusamva bwino, kulira m'makutu. |
| Kusintha kwa shuga m'magazi | Shuga wambiri m'magazi: Njala yochuluka, ludzu, kukodza pafupipafupi, kutopa kwambiri. Shuga wochepa m'magazi: nkhawa, chizungulire, kunjenjemera, thukuta kwambiri, kugunda kwa mtima mofulumira. |
| Kuwonongeka kwa impso | Kuvuta kukodza kapena kusintha kwa kuchuluka kwa mkodzo womwe umatuluka. |
| Kuchepa kwa electrolyte | Kusowa kwa potaziyamu/magnesium: Kuvuta kupuma, kupweteka pachifuwa, kugunda kwa mtima kosakhazikika, kugwedezeka kwa minofu, ndi kufooka. |
| Zizindikiro zina zazikulu | Kutsegula m'mimba kwambiri, thukuta kwambiri, kusowa chilakolako cha chakudya. |
| Zotsatira zoyipa zomwe ziyenera kufotokozedwa kwa dokotala ngati zikupitirira kapena zikuvutitsa: | |
| Kuthamanga kwa magazi kotsika | Chizungulire, kukomoka, kumva ngati munthu akudwala. |
| Makhalidwe ena onse | Mutu , malungo, zizindikiro zofanana ndi chimfine, kupweteka m'mimba, kusanza, kuvutika kumeza. |
Mndandandawu sukuphatikizapo zotsatirapo zonse zomwe zingachitike. Ngati mukukumana ndi zizindikiro zina, lankhulani ndi dokotala wanu za izo.
Uthenga Wopita Nawo Kunyumba
- Ethacrynic acid ndi jakisoni wamphamvu wochotsa madzi m'thupi womwe umaperekedwa kuti uchepetse kuchuluka kwa madzi m'thupi komanso kutupa chifukwa cha matenda a mtima, impso, kapena chiwindi.
- Izi zimaperekedwa kuchipatala kapena ku chipatala kokha, motsogozedwa ndi dokotala. Simuloledwa kuzitenga kupita nazo kunyumba ndikugwiritsa ntchito.
- Onetsetsani kuti mwadziwitsa dokotala wanu za mankhwala ena onse omwe mukumwa komanso matenda aliwonse omwe muli nawo.
- Uzani dokotala wanu kapena namwino nthawi yomweyo ngati mukukumana ndi mavuto ena aakulu, monga kusintha kwa masomphenya, kumva kutayika, ziphuphu zoopsa, kapena ziwengo.
- Ngati muli ndi mafunso okhudza mankhwalawa, musazengereze kufunsa dokotala wanu.
👩🏽⚕️ Mafunso ena (Mafunso Ofunsidwa Kawirikawiri)
💬 Kodi jekeseni ya Ethacrynic Acid / Edecrin ndi chiyani?
Iyi ndi 'Loop Diuretic' yoopsa kwambiri komanso yamphamvu kwambiri yomwe imapezeka m'ma pharmacy! Pamene mapapo/mutu kapena thupi lonse la wodwala ladzaza mwadzidzidzi ndi 'madzi/madzimadzi (Edema)' kotero kuti sangathe kupuma ndipo ali pafupi kufa, chifukwa cha kulephera kwa mtima, kulephera kwa impso/chiwindi, jakisoniyu amalowetsedwa m'mitsempha kuchipatala ndipo madzi (malita ochepa) omwe amadzazidwa m'thupi amatulutsidwa nthawi yomweyo ngati mkodzo.
💬 Kodi mankhwalawa (Ethacrynic Acid) amathandiza bwanji kutulutsa madzi omwe asonkhana m'mapapo kudzera mu mkodzo?
Izi zimaukira mwachindunji fakitale ya 'Loop of Henle' mu impso zathu. Nthawi zambiri, impso zikatenga sodium/mchere m'thupi, madzi amalowanso m'matumbo. Mankhwalawa (Ethacrynic Acid) akamwedwa, makina otengera sodium (Na-K-2Cl cotransporter) amasweka/kutsekedwa 100%. Sodium ikapanda kulowetsedwanso m'thupi, madzi onse m'thupi lonse amasakanikirana ndi mcherewo ndipo amatuluka kudzera mu mkodzo ngati mathithi akuluakulu!
💬 N’chifukwa chiyani muyenera kugwiritsa ntchito izi pamene pali mankhwala ochepetsa mphamvu ya okodzetsa (Furosemide / Lasix) wamba? Kodi zotsatira zake ndi ziti?
Ubwino waukulu wa katemerayu ndi wakuti alibe mankhwala oopsa (Sulfa)! Anthu ena padziko lonse lapansi ali ndi vuto lalikulu la ziwengo ndi mankhwala ofala a Furosemide (Lasix). Iyi ndiyo 'njira yokhayo' yoti ataye madzi. Koma choopsa kwambiri cha izi ndi chakuti ndi champhamvu kwambiri moti chingawononge mitsempha yathu yomvera ndikuyambitsa 'kutayika kosatha kwa kumva (Ototoxicity/Deafness)'! (Komanso, potaziyamu/mchere wonse umatuluka ndipo thupi limasowa madzi m'thupi).
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