Kodi nthawi zonse mumadzimva otopa komanso otopa? Dokotala wanu mwina anakuuzani kuti muli ndi chitsulo chochepa, zomwe zikutanthauza kuti muli ndi vuto la kuchepa kwa magazi m'thupi. Monga njira yofulumira yothetsera vutoli kuposa kumwa mapiritsi, madokotala nthawi zina amasankha kukupatsani jakisoni wokhala ndi chitsulo. Iyi ndi jakisoni yapadera yomwe imaperekedwa nthawi ngati imeneyi yotchedwa Iron Dextran. Tiyeni tikambirane za chilichonse mwachidule.
Kodi mankhwala awa otchedwa Iron Dextran ndi ati?
Mwachidule, Iron Dextran ndi mankhwala amphamvu omwe amabwezeretsa msanga kuchuluka kwa chitsulo m'thupi lanu. Maselo ofiira m'magazi athu sanganyamule mpweya m'thupi lonse popanda chitsulo cha mchere. Ganizirani maselo ofiira ngati magalimoto onyamula mpweya. Iron imafunika kuti apange magalimoto amenewa. Chifukwa chake ngati palibe chitsulo chokwanira, kupanga magalimoto amenewa kumachepa, ndipo mpweya wokwanira m'thupi umachepanso. Jakisoniyu amaperekedwa ngati yankho la zimenezo.
Zinthu zoti muuze dokotala wanu musanamwe mankhwalawa
Ndikofunikira kwambiri kuti dokotala wanu adziwe bwino za thanzi lanu asanakupatseni jakisoni. Onetsetsani kuti mwadziwitsa dokotala wanu ngati muli ndi vuto lililonse mwa izi:
| Nkhani yomwe muyenera kuifotokoza | Ndichoncho chifukwa chiyani? |
|---|---|
| Kuchepa kwa magazi m'thupi kupatula kusowa kwa chitsulo. | Mankhwalawa amagwira ntchito kokha pa vuto la kusowa kwa chitsulo. Sikoyenera pazifukwa zina zilizonse. |
| Matenda a mtima | Zina mwa zotsatira za mankhwalawa zingakhudze odwala matenda a mtima. |
| Kuchuluka kwa chitsulo m'thupi. | Kupereka iron yowonjezera kungayambitse poizoni m'thupi. |
| Matenda a impso kapena chiwindi | Popeza mankhwala amapangidwa kudzera m'ziwalo zimenezi, chisamaliro chiyenera kutengedwa pa ntchito yawo. |
| Matenda a chifuwa cha iron, mankhwala ena, zakudya, kapena zotetezera. | Pakhoza kukhala chiopsezo cha matenda oopsa a ziwengo. |
| Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena mukuyamwitsa. | Pazochitikazi, chisamaliro chapadera chiyenera kutengedwa pankhani ya zotsatira za mankhwala. |
Kodi mumagwiritsa ntchito bwanji mankhwalawa?
Iyi si mankhwala omwe mungapite nawo kunyumba. Iyi ndi jakisoni yomwe imaperekedwa kuchipatala kapena ku chipatala kokha ndi dokotala wodziwa bwino ntchito kapena namwino wophunzitsidwa bwino. Itha kuperekedwa mumtsempha (mkati mwa mtsempha - IV) kapena mumnofu wozama (mkati mwa minofu - IM). Dokotala wanu adzasankha momwe angaiperekere, kutengera matenda anu.
Mankhwalawa amathanso kuperekedwa kwa ana opitirira miyezi 4 pazochitika zina zapadera. Komabe, amachitidwa mosamala kwambiri komanso mosamala kwambiri.
Chofunika: Mankhwalawa ndi a inu nokha. Musagawane ndi wina aliyense pazifukwa zilizonse.
Nanga bwanji ngati mlingo wa mankhwalawo ukuwonjezeka?
Kumbukirani, ngati mukuganiza kuti mwamwa mankhwala mopitirira muyeso, imbani nthawi yomweyo ku National Poison Information Centre ku Colombo National Hospital, kapena pitani ku Emergency Department (ETU) ya chipatala chapafupi.
Kodi mungachite chiyani ngati mwaphonya mlingo wa mankhwala?
Izi zimaperekedwa kuchipatala, kotero simudzasowa tsikulo. Koma ngati simungathe kukwaniritsa nthawi yanu yokumana, onetsetsani kuti mwayimbira dokotala wanu kapena chipatala chanu ndikuwadziwitsa. Ndikofunikira kwambiri kumwa mankhwala awa monga momwe mwalangizidwira.
Ndi mankhwala ena ati omwe angagwirizane ndi mankhwalawa?
Ndikofunikira kwambiri kuuza dokotala wanu za mankhwala onse omwe mukumwa (kuphatikizapo mavitamini ndi mankhwala azitsamba). Mankhwala ena amatha kusokonezana ndi Iron Dextran ndikuyambitsa mavuto.
| Musamwe Iron Dextran pamodzi ndi izi. | |
|---|---|
| Deferoxamine | Dimercaprol |
| Zinthu zina zokhala ndi chitsulo (mapiritsi, manyuchi) | |
| Izi zingayambitsenso mavuto - uzani dokotala wanu. | |
| Chloramphenicol | Deferasirox |
Zinthu zoti muzisamala nazo mukamamwa mankhwala
- Kuyezetsa magazi pafupipafupi: Mukamwa mankhwalawa, dokotala wanu adzakuyang'anirani nthawi zonse. Adzafunikanso kuchita mayeso a magazi pafupipafupi kuti aone ngati muli ndi chitsulo chambiri komanso kuchuluka kwa maselo ofiira m'magazi.
- Zakudya Zabwino: Kupatula kumwa mapiritsi a iron, ndi bwinonso kudya zakudya zokhala ndi iron wambiri mukamamwa jakisoni iyi. Lankhulani ndi dokotala wanu za izi. Mwachitsanzo, mutha kuwonjezera zinthu monga sipinachi, kale, ndi masamba a collard, nyemba monga nandolo ndi nyemba, chiwindi, zipatso zouma, ndi mphesa zouma pazakudya zanu.
- Kugwiritsa ntchito mankhwalawa kwa nthawi yayitali: Zapezeka kuti kugwiritsa ntchito mankhwalawa kwa nthawi yayitali kungawonjezere pang'ono chiopsezo cha mitundu ina ya khansa. Izi sizili choncho kwa aliyense. Koma musadandaule ndi izi. Dokotala wanu adzakupatsani mankhwalawa atatha kuyeza zabwino ndi zoyipa zonse.
Kodi ndi zotsatirapo zotani zomwe ndingakumane nazo?
Monga mankhwala ena aliwonse, mankhwalawa akhoza kukhala ndi zotsatirapo zina. Zina zimakhala zoopsa, zina zimakhala zofala.
| Ngati zizindikirozi zichitika, dziwitsani dokotala/namwino nthawi yomweyo. | |
|---|---|
| Kusamva bwino kwa thupi | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Kuthamanga kwa Magazi Kochepa | Chizungulire, kukomoka, kusawona bwino. |
| Kuvuta kupuma | Kupuma movutikira, kupweteka pachifuwa. |
| Zinthu zomwe nthawi zambiri sizili zazikulu, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Kutsuka | Mutu |
| Kupweteka kwa mafupa, kupweteka kwa minofu | Kusanza |
| Ululu, kufiira, kapena kutupa komwe kunaperekedwa jakisoni | |
Mndandandawu suli ndi zotsatirapo zonse zoyipa. Ngati mukukumana ndi vuto lililonse lachilendo, lankhulani ndi dokotala wanu za vutoli.
Uthenga Wopita Nawo Kunyumba
- Iron Dextran ndi jakisoni wamphamvu womwe umaperekedwa kuchipatala kokha pochiza kusowa kwakukulu kwa iron.
- Musanamwe mankhwalawa, ndikofunikira kuti muuze dokotala wanu za matenda anu onse komanso mankhwala ena onse omwe mukumwa.
- Ngati mukuvutika kupuma, kukomoka, kapena zizindikiro zoopsa za ziwengo mukumwa mankhwala, dziwitsani ogwira ntchito zachipatala nthawi yomweyo.
- Pitani kukaonana ndi dokotala ndi kukayezetsa magazi monga momwe dokotala wanenera.
- Ngati muli ndi mafunso okhudza mankhwalawa, musazengereze kufunsa dokotala wanu.
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