Kodi munayamba mwachitidwa opaleshoni yaying'ono, njira yobayira singano, kapena mwina kunyamula magazi? Ndizachibadwa kumva mantha pang'ono ndi ululu. Nthawi zina ngati izi, dokotala wanu angakupempheni kuti muyike chigamba kuti muchepetse ululu. Ngakhale chikuwoneka ngati pulasitala, kwenikweni ndi mankhwala. Lero tikulankhula za chigamba chapadera chomwe chimagwiritsidwa ntchito nthawi ngati izi, ndipo chimachititsa dzanzi pakhungu, ndipo chili ndi mankhwala awiri otchedwa Lidocaine ndi Tetracaine.
Kodi Lidocaine iyi; Tetracaine Patch ndi chiyani?
Mwachidule, ndi kuphatikiza kwa mankhwala awiri omwe amachititsa dzanzi pakhungu lanu ndi minofu yozungulira kwa kanthawi kochepa, zomwe zimaletsa kupweteka kwakanthawi. Mankhwala awiriwa ndi Lidocaine ndi Tetracaine . Ali m'gulu la mankhwala otchedwa local anesthetics. Izi zikutanthauza kuti amatha kuchita dzanzi m'dera laling'ono la thupi.
Tangoganizani kuti muyenera kubaya mankhwala pang'ono pakhungu la dzanja lanu. Panthawiyo, chigamba ichi chikamamatirira pamalo amenewo, dera limenelo limakhala lopanda kanthu. Kenako, singano ikalowetsedwa, simumva kupweteka kulikonse. Chinthu china chapadera cha izi ndichakuti mitundu ina ya zigamba ili ndi njira yomwe imapanga kutentha pang'ono. Chifukwa cha kutentha kumeneku, mankhwalawo amalowa mwachangu pakhungu, ndipo dzanzi limawonjezeka.
Zinthu zomwe muyenera kuuza dokotala wanu musanagwiritse ntchito chigamba ichi
Ngakhale izi zingawoneke ngati chinthu chosavuta, popeza ichi ndi mankhwala, ndikofunikira kwambiri kuuza dokotala wanu za matenda anu. Makamaka ngati muli ndi matenda otsatirawa, onetsetsani kuti mwauza dokotala wanu.
| Matenda kapena vuto | N’chifukwa chiyani zimenezo n’zofunika? |
|---|---|
| Matenda a chiwindi | Popeza chiwindi ndi chofunikira pakuchotsa mankhwala m'thupi, momwe mankhwalawa amakhudzira anthu omwe ali ndi matenda a chiwindi zingakhale zosiyana. |
| Kusowa kwa Pseudocholinesterase | Imeneyi ndi vuto losowa kwambiri la majini. Anthu omwe ali ndi vutoli amavutika kuswa mitundu iyi ya mankhwala oletsa ululu m'thupi lawo, zomwe zimawonjezera chiopsezo cha zotsatirapo zake. |
| Matenda a pakhungu kapena vuto | Ngati pali mabala, mikwingwirima, kapena eczema pamalo omwe payenera kupakidwa chigambacho, kuchuluka kwa mankhwala omwe amatengedwa ndi thupi kungasinthe. |
| Matenda a ziwengo | Ngati muli ndi vuto la ziwengo ndi zinthu monga Lidocaine, Tetracaine, mankhwala ena oletsa ululu, PABA, parabens, kapena mankhwala ena aliwonse kapena chakudya, muyenera kuulula. |
| Kukhala ndi pakati kapena kuyesa kutenga mimba | Muyenera kusamala mukamagwiritsa ntchito mankhwala aliwonse panthawi ya mimba, choncho lankhulani ndi dokotala wanu za izi. |
| Kuyamwitsa mwana | Funsani dokotala wanu kuti mutsimikizire ngati mankhwalawo angapite kwa mwana kudzera mu mkaka wa m'mawere. |
Kodi ndingagwiritse ntchito bwanji chigamba ichi?
Njira yogwiritsira ntchito izi ndi yosavuta kwambiri, koma ndikofunikira kwambiri kutsatira malangizo molondola.
1. Khalani oleza mtima: Musachotse chigambacho m'phukusi lake mpaka mutakonzeka kuchigwiritsa ntchito.
2. Pakani pamalo oyenera: Pakani pamalo a khungu okhawo omwe dokotala wakuuzani. Musapake pamalo odulidwa, osweka, ofiira, kapena omwe ali ndi eczema .
3. Pakani mosamala: Tulutsani chigambacho mu paketi, chigwireni m'makona omata okha, ndipo chipakeni pakhungu.
4. Samalani ndi nthawi: Musasiye chigambacho pakhungu lanu kwa nthawi yayitali kuposa momwe dokotala wanu wanenera. Nthawi zambiri, simuyenera kuchisiya chitatsekedwa kwa mphindi zoposa 20-30.
5. Samalani ndi madzi: Musathire madzi pachigamba mukachipaka. Musachisambitse kapena kuchitsuka.
6. Chotsani ndi kutaya mosamala: Nthawi ikakwana, chotsani chigambacho mosamala pochigwira pakona imodzi. Kenako, pindani chigambacho chomwe chagwiritsidwa ntchito ndi mbali yomata mkati, chiyikeni mu phukusi lomwe mudalowa, ndikuchitaya m'zinyalala, kutali ndi ana ndi ziweto . Izi ndizofunikira kwambiri.
7. Sambani m'manja mwanu: Sambani m'manja mwanu bwino ndi sopo musanagwiritse ntchito chigambacho komanso mutachichotsa.
Nanga bwanji ngati mugwiritsa ntchito molakwika kapena mopitirira muyeso? Ingokumbukirani kuti ngati muisunga kwa nthawi yayitali, kapena ngati mugwiritsa ntchito zoposa imodzi, ikhoza kukhala yoopsa. Ngati muli ndi kukayikira pang'ono kuti chinthu chonga ichi chachitika, pitani ku Dipatimenti Yoona za Zadzidzidzi ya Chipatala chapafupi (ETU) nthawi yomweyo. Kapena imbani National Poisons Information Centre ku Chipatala cha Dziko Lonse cha Colombo kuti mupeze malangizo.
Kodi mumagwiritsa ntchito izi kwa ana?
Inde, nthawi zina zapadera, mwachitsanzo, musanapereke jakisoni wopweteka, dokotala angalimbikitse izi kwa ana opitirira zaka 3. Koma zimachitika mosamala kwambiri. Chifukwa chake, ngati mugwiritsa ntchito izi pa mwana, muyenera kutsatira malangizo a dokotala wa ana .
Mfundo zapadera zomwe muyenera kuziganizira mukamagwiritsa ntchito
- Samalani mukatha kuchita dzanzi: Malowa akhoza kukhala opanda dzanzi kwa maola angapo chigambacho chitachotsedwa. Popeza simungamve kupweteka kulikonse, musakanda malowo, muwakanda mwamphamvu, kapena kuwayika pamalo otentha kapena ozizira. Mungadzivulaze mwangozi.
- Tetezani maso anu: Musalole kuti mankhwalawa akhudze maso anu mwanjira iliyonse. Akhoza kuvulaza maso anu. Ngati mwangozi mwawapeza m'maso mwanu, nthawi yomweyo muwatsuke bwino ndi madzi kapena saline solution ndipo muwatseke mpaka mutapezanso kumva bwino.
- Musadule chigamba: Musadule chigamba kapena kuchotsa chivundikiro pamwamba. Kuchita zimenezi kungapangitse kuti chigambacho chitenthe kwambiri ndikuwotcha khungu.
- Musanachite MRI scan: Ngati mukufuna kuchita MRI scan ya Magnetic Resonance Imaging (MRI), uzani katswiri wa MRI ngati muli ndi chigamba ichi. Chiyenera kuchotsedwa musanachite MRI scan.
Kodi zotsatirapo zake zingakhale zotani chifukwa cha mankhwalawo?
Monga mankhwala ena aliwonse, mankhwalawa angayambitse mavuto ena mwa anthu ena. Ena ndi oopsa, ena ndi ofala kwambiri.
| Mtundu wa zotsatira zoyipa | Makhalidwe |
|---|---|
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala wanu nthawi yomweyo | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime. |
| Matenda a pakhungu kwambiri | Kutupa ndi kupweteka kwambiri komwe kunagwiritsidwa ntchito chigambacho. |
| Zotsatira pa dongosolo lamanjenje | Kusokonezeka, kusakhazikika, kusokonezeka kwambiri, chizungulire, kugona, mutu, khunyu, kunjenjemera. |
| Zizindikiro zina zazikulu | Kuvuta kupuma, kusintha kwa masomphenya, kutentha thupi, kuzizira, kugunda kwa mtima kosakhazikika, nseru, kusanza. |
| Kawirikawiri si nkhani yaikulu (koma uzani dokotala ngati ikupitirira) | |
| Kusintha pang'ono pakhungu | Kufiira kapena kuyera kwa khungu, kutupa pang'ono, kapena dzanzi pamene chigambacho chinayikidwa. |
Kodi pali mankhwala ena omwe angagwirizane ndi mankhwalawa?
Inde, ndithudi. Mankhwala omwe ali mu chigambachi amatha kuyanjana ndi mankhwala ena omwe mukumwa. Chifukwa chake, ndikofunikira kwambiri kuuza dokotala wanu za mankhwala onse omwe mukumwa, kuphatikiza mavitamini, zowonjezera, komanso ngati mumasuta kapena kumwa mowa . Onetsetsani kuti mwauza dokotala wanu ngati mukumwa mankhwala aliwonse awa:
- Acetaminophen (Paracetamol)
- Maantibayotiki ena (monga dapsone, nitrofurantoin)
- Mankhwala oletsa kupweteka kwa mutu (monga phenobarbital, phenytoin)
- Mankhwala a mtima (monga nitroglycerin)
- Mankhwala ena oletsa ululu am'deralo
Mndandandawu sunathe, kotero kuti mukhale otetezeka, kambiranani zonse ndi dokotala wanu.
Uthenga Wopita Nawo Kunyumba
- Chigamba ichi chiyenera kugwiritsidwa ntchito monga momwe dokotala wanu wanenera. Musachigwiritse ntchito momwe mukufunira.
- Nthawi yoposa nthawi yomwe yakonzedwa (monga mphindi 30)Musasiye pakhungu lanu kwa nthawi yayitali.
- Uzani dokotala wanu za mankhwala ena onse omwe mukumwa.
- Mukachotsa chigambacho , samalani kuti musavulaze khungu lomwe lakhala lopanda kanthu.
- Tayani chigamba chogwiritsidwa ntchito mosamala, pamalo omwe ana ndi ziweto sangafikire . Kumeza chigamba chatsopano kapena chogwiritsidwa ntchito ndi mwana kungayambitse imfa.
- Ngati mukuganiza kuti pali zotsatirapo zoyipa kapena kumwa mopitirira muyeso, pitani ku Dipatimenti Yothandiza Padzidzidzi (ETU) ya chipatala nthawi yomweyo.
👩🏽⚕️ Mafunso ena (Mafunso Ofunsidwa Kawirikawiri)
💬 Lidocaine ndi Tetracaine (Lidocaine; Tetracaine / Synera Patch) Kodi chigamba n'chiyani?
Iyi si vuto la khungu! Iyi ndi njira yolimba kwambiri yochepetsera ululu. Imagwiritsidwa ntchito kupangitsa khungu kukhala lopanda mphamvu komanso kupangitsa khungu kukhala lopanda mphamvu kwakanthawi. Nthawi zambiri imagwiritsidwa ntchito kuthetsa ululu wonse womwe wodwala amakumana nawo pakhungu, monga kupatsidwa jekeseni, jakisoni, kapena opaleshoni ya khungu.
💬 Kodi chigamba ichi chingathetse bwanji ululu wa kubayidwa ndi singano?
Zili ngati kuyika ayezi pamalo otentha! Kuti mitsempha ya pakhungu lathu itumize uthenga wakuti 'yavulala' ku ubongo, iyenera kutsegula 'Sodium Channels' yawo ndikutumiza magetsi (Action potentials). Pamene chigamba ichi chikugwiritsidwa ntchito pakhungu, mankhwala onse awiri (Lidocaine/Tetracaine) amadutsa pakhungu ndikutseka kwathunthu njira zonse za sodium mu mitsempha. Popeza palibe njira yoti uthengawo udutse, ubongo sumva kupweteka kulikonse.
💬 N’chifukwa chiyani mukunena kuti chigamba ichi chopangitsa anthu kusamva kupweteka (Lidocaine Patch) chikhale chotsekedwa/chosapakidwa pa mabala akuluakulu?
Imeneyo ndiye ngozi yoopsa kwambiri (komanso yoopsa) ya (Systemic Toxicity)! Musagwiritse ntchito izi pakhungu 'lovulala/losenda'! Ngati mutero, kuchuluka kwa mankhwala omwe amalowa m'magazi mwachindunji kudzera pakhungu kudzawonjezeka, ndipo wodwalayo (makamaka ana aang'ono) akhoza kukhala ndi khunyu/kukomoka kwakukulu (Kugwidwa ndi khunyu) komanso kulephera kwa mtima/kupuma mpweya ndi kufa. Komanso, izi zitha kusungidwa kwa 'mphindi 20-30' zokha!
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