Kodi mudamvapo dokotala akuuza wodwala yemwe ali mu chipinda chosamalira odwala kwambiri (ICU) kapena chipinda chodzidzimutsa (ETU) kuti "akupereka mankhwala apadera olimbitsa mtima"? Nthawi zina, makamaka pamene mtima wasiya kugwira ntchito mwadzidzidzi, mankhwala apadera amagwiritsidwa ntchito kuti awupatsenso mphamvu. Isoproterenol ndi mankhwala ofunikira kwambiri omwe amagwiritsidwa ntchito pazidzidzidzi zotere. Ndikofunikira kudziwa za izi, chifukwa uwu si mankhwala omwe nthawi zambiri mumagula ku pharmacy ndikugwiritsa ntchito kunyumba. Tiyeni tikambirane za izi lero.
Kodi Isoproterenol ndi chiyani?
Mwachidule, Isoproterenol ndi mankhwala omwe amawonjezera kugunda kwa mtima ndi mphamvu yopopera mwa kupereka mphamvu, kapena kukoka, ku minofu ya mtima. Mu zamankhwala, gulu la mankhwala amenewa timalitcha kuti 'inotropes'.
Mankhwalawa amagwiritsidwa ntchito makamaka pa:
- Kulephera kwa Mtima: Kukonza ntchito ya mtima pamene ukulephera kupompa magazi okwanira m'thupi.
- Mavuto a kugunda kwa mtima: Kubwezeretsa kugunda kwa mtima kwabwinobwino pamene kugunda kwa mtima kuli pang'onopang'ono (Bradycardia) kapena mavuto ena a kugunda kwa mtima akachitika.
Chofunika kwambiri ndichakuti mankhwalawa amaperekedwa kuchipatala chokha, moyang'aniridwa mwachindunji ndi madokotala ndi anamwino.
Zinthu zofunika kuuza dokotala wanu musanapereke mankhwala awa
Dokotala wanu asanakupatseni mankhwala awa, adzafuna kudziwa mbiri yanu yonse ya thanzi. Chifukwa matenda ena amafunika kusamala kwambiri mukamagwiritsa ntchito mankhwalawa. Chifukwa chake, onetsetsani kuti mwadziwitsa dokotala wanu ngati muli ndi vuto lililonse mwa izi:
| Kodi muli ndi mikhalidwe iyi? | N’chifukwa chiyani kuli kofunikira kuuza dokotala? |
|---|---|
| Matenda a shuga | Mankhwalawa angakhudze kuchuluka kwa shuga m'magazi. |
| Matenda ena a mtima | Kusamala kwambiri kumafunika popereka mankhwalawa kwa anthu omwe ali ndi matenda a mtima omwe alipo kale. |
| Matenda a chithokomiro | Mankhwalawa angawonjezere mavuto kwa anthu omwe ali ndi chithokomiro chogwira ntchito mopitirira muyeso. |
| Matenda a ziwengo | Ndikofunikira kwambiri kuulula ziwengo zilizonse zomwe zimachitika ku Isoproterenol kapena mankhwala ena, zakudya, kapena utoto. |
| Mimba kapena kuyesa kutenga mimba | Muyenera kukambirana ndi dokotala wanu za zotsatira zomwe zingachitike pa mwana wosabadwayo. |
| Kuyamwitsa | Lankhulani ndi dokotala wanu ngati mankhwalawa apita kwa mwana wanu kudzera mu mkaka wa m'mawere. |
Kodi mungagwiritse ntchito bwanji mankhwalawa ndipo bwanji ngati mwamwa mopitirira muyeso?
Monga ndanenera kale, iyi ndi mankhwala omwe amaperekedwa ngati jakisoni mumtsempha kapena ngati njira yothira, monga madzi amchere. Izi zimachitika kuchipatala kapena ku chipatala kokha ndi katswiri wazachipatala wophunzitsidwa bwino. Ngati mankhwalawa aperekedwa kwa ana aang'ono, amafunika kuyang'aniridwa mwapadera ndi dokotala wa ana.
Popeza izi zimaperekedwa kuchipatala, mwayi woti "kuchuluka kwa mankhwala" kuchitike ndi wochepa kwambiri. Ngati izi zitachitika, ogwira ntchito zachipatala adzachitapo kanthu kofunikira. Komabe, ngati mukufuna upangiri uliwonse wokhudza poizoni wa mankhwala, mutha kuyimbira National Poisons Information Centre ku Colombo National Hospital . Pakagwa mwadzidzidzi, ndikofunikira kwambiri kupita ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.
Kodi pangakhale mavuto ndi mankhwala ena?
Inde, Isoproterenol imatha kuyanjana ndi mankhwala ena. Chifukwa chake, ndikofunikira kuuza dokotala wanu za mankhwala onse omwe mukumwa (kuphatikizapo mankhwala a matenda ena, mavitamini, mankhwala achikhalidwe, ndi mankhwala a Ayurvedic). Komanso, uzani dokotala wanu ngati mumasuta fodya, kumwa mowa, kapena kugwiritsa ntchito mankhwala ena.
| Gulu la mankhwala | Zitsanzo |
|---|---|
| Musapereke mankhwalawa pamodzi. | |
| Ma alkaloid a Ergot | Mankhwala a mutu waching'alang'ala monga dihydroergotamine ndi ergotamine |
| MAOIs | Mankhwala a matenda amisala monga Marplan, Nardil, Parnate |
| Mankhwalawa angagwirizane ndi mankhwala awa. | |
| Epinephrine | Mankhwala ogwiritsidwa ntchito pa ziwengo zadzidzidzi |
| Mankhwala oletsa ululu | Mankhwala omwe amagwiritsidwa ntchito pochita opaleshoni, monga halothane ndi isoflurane |
Kodi zotsatirapo zake zingakhale zotani?
Pamene mukupatsidwa mankhwalawa, kugunda kwa mtima wanu ndi kuthamanga kwa magazi zidzayang'aniridwa mosamala ndi ogwira ntchito zachipatala. Komabe, ndikofunikira kuwadziwitsa nthawi yomweyo ngati mukukumana ndi zotsatirapo zotsatirazi:
| Zotsatira zoyipa | Kufotokozera |
|---|---|
| Zinthu zoti muuze dokotala kapena namwino nthawi yomweyo | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo kapena lilime. |
| Kusintha koopsa kwa kugunda kwa mtima | Kupweteka pachifuwa, chizungulire, kugunda kwa mtima mofulumira kapena kosasinthasintha, kugunda kwa mtima kwambiri, kukomoka, kupuma movutikira. |
| Zinthu zomwe nthawi zambiri sizili zazikulu, koma ziyenera kunenedwa ngati zikupitirira | |
| Chizungulire | Kumva mutu wopepuka. |
| Mutu | Mutu wamba. |
| Kutsuka nkhope | Nkhopeyo imamva kutentha ndipo imafiira. |
| Kusanza | Kumva ngati kusanza. |
Dziwani kuti mndandandawu sungakhale ndi zotsatirapo zonse zomwe zingachitike. Ngati muli ndi mafunso okhudza izi, funsani dokotala wanu.
Uthenga Wopita Nawo Kunyumba
- Isoproterenol ndi mankhwala apadera omwe amaperekedwa kuchipatala kokha pamene mtima ukugwira ntchito bwino kapena pamene pali vuto la kugunda kwa mtima.
- Izi zimalimbitsa minofu ya mtima ndikuwonjezera mphamvu yake yopopera.
- Musanamwe mankhwalawa, ndikofunikira kudziwitsa dokotala wanu za matenda anu onse komanso mankhwala ena onse omwe mukumwa.
- Izi zimaperekedwa motsogozedwa ndi dokotala, ndipo vuto lanu limayang'aniridwa nthawi zonse.
- Ngati mukumva zizindikiro monga kupweteka pachifuwa, chizungulire chachikulu, kapena kupuma movutikira mukumwa mankhwala, dziwitsani ogwira ntchito zachipatala nthawi yomweyo.
- Iyi si mankhwala ogwiritsidwa ntchito kunyumba.
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