Tangoganizirani pamene mukukokedwa dzino, kapena bala laling'ono lomwe likufunika kusokedwa, dokotalayo akukupatsani kaye jakisoni kakang'ono kuti muchepetse ululu womwe mukumva panthawiyo. Lidocaine; Epinephrine ndi mankhwala omwe amagwiritsidwa ntchito kwambiri pazochitika zotere. Izi si mankhwala ochepetsa ululu okha, koma mankhwala omwe amachititsa
dzanzi kwakanthawi. Tiyeni tikambirane za izi mwatsatanetsatane komanso lero.
Mwachidule, kodi Lidocaine ndi chiyani; Epinephrine ndi chiyani?
Iyi ndi mankhwala osakaniza awiri. 1.
Lidocaine: Iyi ndi mankhwala akuluakulu oletsa dzanzi. Mu zamankhwala, timatcha "Local Anesthetics". Izi zikutanthauza kuti, imaletsa dzanzi gawo laling'ono la thupi. Izi zimaletsa kwakanthawi zizindikiro za ululu kuchokera m'derali kupita ku ubongo. Zili ngati kuyimitsa munthu amene akunyamula uthenga. 2.
Epinephrine (Adrenaline): Mankhwala otchedwa Epinephrine omwe amawonjezeredwa pa izi amachita chinthu chofunikira kwambiri. Amapangitsa kuti mitsempha yamagazi m'derali ichepetse pang'ono. Izi zikachitika, pali maubwino awiri akuluakulu:
- Kusanza kumatenga nthawi yayitali: Lidocaine imakhalabe m'derali nthawi yayitali chifukwa cha kuchepa kwa magazi . Chifukwa chake, kusanza kumatha kukhala kwa maola angapo.
- Amachepetsa kutuluka kwa magazi : Epinephrine nthawi zambiri imaletsa kutuluka kwa magazi panthawi ya opaleshoni kapena kuchotsa dzino.
Mankhwalawa amagwiritsidwa ntchito kwambiri pochiza mano, maopaleshoni ang'onoang'ono, komanso pokonza mabala.
Zinthu zomwe muyenera kuuza dokotala wanu musanalandire katemerayu
Dokotala wanu asanakupatseni mankhwala awa, adzakufunsani mafunso ena. Komabe, muyeneranso kuwauza izi. Ndi zofunika kwambiri pa chitetezo chanu. Musabise chilichonse, ngakhale chinthu chaching'ono.
- Ziwengo : Ngati muli ndi vuto la Lidocaine, Epinephrine, kapena mankhwala ena oletsa ululu, muyenera kuuza dokotala wanu kaye. Komanso, uzani dokotala wanu ngati muli ndi vuto lililonse la mankhwala ena, zakudya, utoto, kapena zotetezera.
- Matenda ena omwe muli nawo: Ngati muli ndi matenda awa, ndikofunikira kudziwitsa dokotala wanu.
- Matenda a mtima
- Kuthamanga kwa magazi kwambiri kapena kotsika
- Matenda a chiwindi
- Matenda a impso
- Matenda a m'mapapo
- Matenda a majini otchedwa kusowa kwa G6PD
- Mimba ndi kuyamwitsa: Onetsetsani kuti mwauza dokotala wanu ngati muli ndi pakati, mukufuna kutenga pakati, kapena ngati mukufuna kuyamwitsa.
Kutengera ndi izi, dokotala adzasankha ngati akupatseni mankhwalawa, kugwiritsa ntchito njira ina, kapena kusintha mlingo.
Kodi mumagwiritsa ntchito bwanji mankhwalawa?
Iyi si mankhwala omwe mungapite nawo kunyumba. Choncho palibe chodetsa nkhawa. Iyi ndi katemera amene amaperekedwa
kuchipatala kapena kuchipatala, ndi dokotala kapena katswiri wazaumoyo woyenerera . Nthawi zambiri amabayidwa "pansi pa khungu" m'dera lomwe limafunika kuchepetsedwa mphamvu. Ngakhale ana, opitirira zaka 1, amapatsidwa mankhwalawa nthawi zina. Koma amachitidwa mosamala kwambiri komanso moyang'aniridwa mwapadera.
Kodi mungachite chiyani ngati mlingo wa mankhwala ukuwonjezeka?
Popeza izi zimaperekedwa kuchipatala, chiopsezo chogwiritsa ntchito mankhwala mopitirira muyeso n'chochepa kwambiri. Komabe, ngati mukukayikira kuti china chake chachitika, pitani ku chipatala
cha ETU (Emergency Treatment Unit) nthawi yomweyo. Kapena mutha kuyimbira
National Poisons Information Centre ku Colombo National Hospital kuti mupeze upangiri.
Ndi mankhwala ena ati omwe angagwirizane ndi mankhwalawa?
Ngati mukumwa mankhwala a matenda ena, ndikofunikira kwambiri kuuza dokotala wanu za mankhwala anu onse (kuphatikizapo mavitamini ndi mankhwala azitsamba). Mankhwala ena amatha kuyanjana ndi Lidocaine ndi Epinephrine ndikuyambitsa mavuto osafunikira. Tebulo ili pansipa likufotokoza izi mozama.
Mankhwala omwe sayenera kumwedwa pamodzi Mankhwala ena omwe angagwirizane (mndandandawu si wokwanira) | Mtundu wa mankhwala | Kufotokozera |
|---|
| Dofetilide | Mankhwala omwe amakhudza kayimbidwe ka mtima. |
| Saquinavir | Mankhwala ogwiritsidwa ntchito pochiza matenda a HIV. |
| Acetaminophen | Mankhwala ochepetsa ululu monga paracetamol. |
| Maantibayotiki ena | Mwachitsanzo: dapsone, nitrofurantoin, sulfonamides. |
| Mankhwala ena a khunyu | Mwachitsanzo: phenobarbital, phenytoin, valproic acid. |
| Mankhwala ena oletsa ululu am'deralo | Mwachitsanzo: bupivacaine, pramoxine. |
| Nitroglycerin | Mankhwala ogwiritsidwa ntchito pa matenda a mtima. |
Chofunika kwambiri: Patsani dokotala wanu mndandanda wathunthu wa mankhwala onse, mavitamini, mankhwala azitsamba, ndi zowonjezera zomwe mumamwa. Uzaninso dokotala wanu ngati mumasuta kapena kumwa mowa.
Zinthu zoti musamale nazo mutalandira katemera
Ichi ndi chinthu chofunikira kwambiri chomwe muyenera kusamala nacho. Malinga ngati mankhwala akugwira ntchito, ndiko kuti, bola ngati pali kumva kuwawa,
dera limenelo silidzamva kupweteka. Tangoganizani kuti mwatulutsa dzino ndipo mbali imeneyo ikumva kuwawa. Mutha kudya mbali imeneyo ndikuluma milomo kapena tsaya lanu. Koma chifukwa cha kumva kuwawa, simudzamva. Chifukwa chake, kungakhale kuvulala kwakukulu.
Choncho, ndi udindo wanu kusamalira malo omwe ali ndi dzanzi popanda kuvulaza. Tsatirani malangizo a dokotala molondola. Samalirani malowo mpaka dzanzi litatheratu.
Kodi zotsatirapo zake zingakhale zotani?
Monga mankhwala ena aliwonse, mankhwalawa akhoza kukhala ndi zotsatirapo zake. Komabe, si aliyense amene amawapeza. Zotsatirapo zina zimakhala zoopsa ndipo muyenera kufunafuna upangiri wa dokotala nthawi yomweyo. Zina zimakhala zabwinobwino ndipo zimatha pakapita nthawi.
Zotsatirapo zomwe ziyenera kufotokozedwa kwa dokotala nthawi yomweyo nthawi zambiri sizikhala zoopsa (koma uzani
dokotala ngati zikupitirira).
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Kusintha kwa kayimbidwe ka mtima | Kugunda kwa mtima mofulumira kapena kosasinthasintha, chizungulire, kupweteka pachifuwa, kuvutika kupuma. |
| Kusintha kwa kuthamanga kwa magazi | Kuthamanga kwa magazi kumawonjezeka kapena kuchepa. Ngati kutsika, zizindikiro monga chizungulire ndi kusawona bwino zimatha kuchitika. |
| Zizindikiro za Methemoglobinemia | Mutu, kufooka kosazolowereka, kuvutika kupuma, nseru, kusanza, kugunda kwa mtima mofulumira, khungu labuluu kapena milomo (vuto lomwe limakhudza mphamvu ya magazi yonyamula mpweya). |
| Zotsatira pa dongosolo la mitsempha (CNS depression) | Kupuma pang'onopang'ono , kupuma movutikira, kugona tulo tochuluka, kusokonezeka, komanso kuvutika kutsegula maso. |
| Kugwidwa ndi khunyu | Mwina ndili ndi vuto la kutopa. |
| Zotsatira zamaganizo | Nkhawa, mantha. |
| Kugona tulo | Kumva tulo pang'ono. |
| Kusanza ndi kusanza (Kusanza, Kusanza) | Kusanza m'mimba, kumva ngati kusanza. |
Mndandandawu sukuphatikizapo zotsatirapo zonse zomwe zingachitike. Ngati mukukumana ndi zizindikiro zachilendo, lankhulani ndi dokotala wanu za izo.
Uthenga Wopita Nawo Kunyumba
- Lidocaine; Epinephrine ndi jakisoni yomwe imaperekedwa kuti ipangitse dzanzi kwakanthawi m'thupi ndikuchepetsa ululu. Imangoperekedwa ndi dokotala kuchipatala kapena kuchipatala.
- Onetsetsani kuti mwauza dokotala wanu za ziwengo zilizonse zomwe muli nazo, matenda ena (makamaka matenda a mtima, chiwindi, ndi impso), ndi mankhwala onse omwe mukumwa.
- Mukalandira katemera, ndi udindo wanu kuteteza malowo ku kuvulala mpaka kumva kuwawa kwa thupi kutatha.
- Funani thandizo lachipatala mwamsanga ngati mukukumana ndi zizindikiro zachilendo (makamaka kupuma movutikira, kupweteka pachifuwa, chizungulire chachikulu, khungu labuluu).
- Ngati muli ndi mafunso okhudza mankhwalawa, musaope kufunsa dokotala wanu.
Lidocaine, Epinephrine, Mankhwala Ochepetsa Ululu, Mankhwala Ochepetsa Ululu, Katemera, Zotsatirapo Zake, Kuchotsa Dzino, Kuletsa Kupweteka
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