Kodi dokotala wanu wakupatsani mapiritsi otchedwa Guanidine kapena munthu amene mumamudziwa? Mungakhale ndi chidwi pang'ono, kapena mantha pang'ono, mukamva dzinali. Chifukwa uwu si mankhwala omwe timamva nthawi zambiri. Guanidine ndi mankhwala omwe amagwiritsidwa ntchito pochiza matenda enaake komanso osowa. Chifukwa chake, ndikofunikira kwambiri kudziwa izi. Chifukwa chake, lero tikambirana za mapiritsi a Guanidine awa, matenda omwe amachiritsa, momwe angawagwiritsire ntchito, ndi zinthu zomwe muyenera kusamala nazo.
Kodi Guanidine ndi chiyani ndipo imachiritsa matenda otani?
Mwachidule, Guanidine ndi mankhwala omwe amalimbikitsa mitsempha ndikuwongolera magwiridwe antchito a minofu. Malinga ndi zamankhwala, ndi m'gulu la mankhwala otchedwa `cholinergic muscle stimulants`.
Mankhwalawa amagwiritsidwa ntchito makamaka pochiza matenda osowa kwambiri a autoimmune otchedwa Lambert-Eaton Myasthenic Syndrome (LEMS) .
Tiyeni timvetse pang'ono za tanthauzo la LEMS.
Tangoganizirani, mayendedwe a thupi lathu amalamulidwa ndi mauthenga ochokera muubongo. Mauthenga awa akamayenda kudzera mu mitsempha ndikufika ku minofu, timatha kusuntha manja ndi miyendo yathu ndikuyenda. Pamene mitsempha ndi minofu zikumana, mankhwala otchedwa `Acetylcholine` amatulutsidwa kuchokera kumapeto kwa mitsempha. Mankhwalawa akafika ku minofu, minofu imachepa, ndiko kuti, imagwira ntchito.
Koma mwa munthu amene ali ndi LEMS, chitetezo cha mthupi chimalimbana molakwika ndi mitsempha ya m'mitsempha. Chifukwa chake, kuchuluka kwa `Acetylcholine` komwe kumafunikira sikutulutsidwa. Zotsatira zake zimakhala kufooka kwakukulu ndi kutopa komwe kumachitika chifukwa cha minofu yosalandira uthengawo moyenera. Kufooka kwa minofu kumachitika makamaka m'miyendo ndi m'chiuno.
Guanidine imagwira ntchito polimbikitsa kutulutsa kwa mankhwala (Acetylcholine) kuchokera kumapeto kwa mitsempha. Izi zikutanthauza kuti imalimbitsa kayendedwe ka uthenga wotsekedwa ndipo imathandiza minofu kugwiranso ntchito bwino.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwala
Guanidine ndi mankhwala omwe ayenera kugwiritsidwa ntchito mosamala. Chifukwa chake, ndikofunikira kwambiri kudziwitsa dokotala wanu za mbiri yanu yonse yachipatala musanapereke mankhwalawa. Onetsetsani kuti mwawauza ngati muli ndi vuto lililonse mwa izi:
- Matenda a impso: Muyenera kuuza dokotala wanu ngati muli ndi vuto lililonse lokhudzana ndi impso, chifukwa impso zimagwira ntchito yaikulu pochotsa mankhwalawa m'thupi.
- Matenda a chiwindi: Ngati pali kufooka kulikonse pakugwira ntchito kwa chiwindi, tchulaninso.
- Mavuto a maselo a m'magazi: Ngati mwanenedwa kuti muli ndi maselo oyera a m'magazi, maselo ofiira a m'magazi, kapena ma platelet ochepa m'magazi anu, imeneyo ndi mfundo yofunika kwambiri.
- Matenda a Maganizo: Ngati mukulandira chithandizo cha matenda amisala kapena muli ndi mbiri yakale ya matenda amisala, chonde tidziwitseni.
- Matenda a ziwengo: Ngati muli ndi vuto la ziwengo ndi guanidine kapena mankhwala ena aliwonse, chakudya, kapena utoto.
- Mimba kapena kuyembekezera mwana: Ngati muli ndi pakati kapena mukukonzekera kutenga pakati, izi ndi zofunika kuzitchula.
- Kuyamwitsa: Uzaninso dokotala ngati ndinu mayi woyamwitsa.
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
Chofunika kwambiri mukamagwiritsa ntchito mankhwalawa ndikutsatira malangizo a dokotala wanu molondola.
- Mezani piritsi ili ndi galasi la madzi.
- Gwiritsani ntchito mankhwala monga momwe adanenera pa chizindikiro cha mankhwala. Musamwe mopitirira muyeso kapena mochepera kuposa kuchuluka kwa mankhwala omwe dokotala wanu wakuuzani kuti mumwe.
- Izi zitha kumwedwa musanadye kapena mutadya. Komabe, ngati mukumva kupweteka m'mimba, kumwa pamodzi ndi chakudya kungathandize kuchepetsa vutoli.
- Khalani ndi chizolowezi chomwa mankhwala anu nthawi yomweyo tsiku lililonse, pa nthawi yake.
- Chofunika kwambiri: Musasiye kumwa mankhwala anu pazifukwa zilizonse popanda upangiri wa dokotala. Kusiya mwadzidzidzi kungayambitse kuti zizindikiro zanu zibwererenso ndikuipiraipira.
- Ngati aperekedwa kwa ana: Popereka mankhwalawa kwa ana, ndikofunikira kufunsa dokotala wa ana.
Nanga bwanji ngati nditamwa mankhwala ochulukirapo? (Kumwa mankhwala ochulukirapo)
Ngati mukuganiza kuti mwamwa mankhwala ambiri mwangozi kuposa momwe mukuganizira, musazengereze. Imbani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital , kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.
Tiyeni tiphunzirenso za zotsatirapo zake komanso momwe zimakhudzirana ndi mankhwala.
Monga mankhwala ena aliwonse, Guanidine ingayambitse zotsatirapo zoyipa. Ikhozanso kuyanjana ndi mankhwala ena.
Zotsatirapo zomwe zingatheke
Zina mwa izi zingakhale zoopsa, zina ndizofala. Ndikofunikira kudziwa izi.
| Mtundu wa zotsatira zoyipa | Makhalidwe |
|---|---|
| Zotsatirapo zoyipa zomwe zimafuna chithandizo chamankhwala mwachangu | |
| Matenda a ziwengo | Kukwiya kwa khungu, kuyabwa, kutupa |
| Kuvuta kupuma | Kuvuta kupuma |
| Kusintha kwa kugunda kwa mtima | Kugunda kwa mtima mwachangu kapena kosasinthasintha |
| Zizindikiro za matenda | Malungo, pakhosi |
| Kusintha kwa maganizo | Kuona kapena kumva zinthu zomwe si zenizeni (Kuona zinthu molakwika) |
| Mavuto a mkodzo | Kuvuta kukodza kapena kusintha kwa kuchuluka kwa mkodzo womwe mumatulutsa |
| Kufooka kosazolowereka | Kumva kutopa kwambiri komanso kufooka m'thupi |
| Zotsatirapo pa chiwindi | Kuoneka kwachikasu kwa maso kapena khungu (monga jaundice) |
| Zotsatira zoyipa zomwe ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Makhalidwe Abwino | Pakamwa pouma, chizungulire, mutu, kuvutika m'mimba, nseru/kusanza, kutsegula m'mimba, kusowa chilakolako cha chakudya |
| Zotsatira pa dongosolo lamanjenje | Kusanza, kumva kuwawa, kapena kupweteka m'miyendo, kusintha kwa malingaliro |
Mankhwala ena omwe amakhudzana ndi Guanidine (Kuyanjana kwa Mankhwala)
Mankhwala ena omwe mukumwa angakhudze momwe Guanidine imagwirira ntchito. Choncho uzani dokotala wanu za mankhwala onse omwe mukumwa (kuphatikizapo mavitamini ndi mankhwala azitsamba), makamaka ngati mukumwa chilichonse mwa izi:
- Mankhwala ena omwe amatengedwa chifukwa cha khansa
- Mankhwala operekedwa kuti athetse chitetezo chamthupi pambuyo poika chiwalo china
- Mankhwala ena a khunyu (monga `Carbamazepine`)
- Mankhwala a matenda amisala monga "Clozapine"
- Phenothiazines (monga Chlorpromazine)
- Mankhwala a steroid (monga `Prednisone`, `Cortisone`)
- 'Sulfinpyrazone'
Kumbukirani kuti mndandandawu sunathe, kotero kuti mukhale otetezeka, ndi bwino kuuza dokotala wanu zonse zomwe mukumwa.
Uthenga Wopita Nawo Kunyumba
- Guanidine ndi mankhwala omwe amagwiritsidwa ntchito pochiza matenda osowa kwambiri komanso enieni a mitsempha otchedwa Lambert-Eaton Myasthenic Syndrome (LEMS).
- Onetsetsani kuti mwauza dokotala wanu za mankhwala onse omwe mukumwa, makamaka ngati muli ndi vuto la impso, chiwindi, kapena magazi.
- Musayambe, kusiya, kapena kusintha mlingo wa mankhwala popanda upangiri wa dokotala.
- Ngati mukukumana ndi mavuto aakulu monga kupuma movutikira, kusintha kwa kugunda kwa mtima, chikasu cha maso, kapena kutentha thupi, funsani upangiri wa dokotala nthawi yomweyo.
- Ngati mukukayikira kuti mwamwa mankhwala opitirira muyeso, pitani ku National Poisons Information Centre kapena ku Emergency Department (ETU) ya chipatala nthawi yomweyo.
- Sungani mankhwalawo pamalo otetezeka kutentha kwa chipinda, komwe ana sangafikire.
💬 Comments (0)
Palibe ndemanga zomwe zatumizidwa pano. Onjezani ndemanga yanu pano koyamba.
Onjezani ndemanga yanu