Kodi munachitapo opaleshoni ya pakhungu yaying'ono, chithandizo cha laser, kapena njira ina iliyonse yochizira yopweteka? Mwina munawonapo dokotala akuika kirimu wochepetsa ululu pamalopo. Lero, tikulankhula za kirimu yapadera yomwe imagwiritsidwa ntchito kuletsa ululu kwakanthawi.
Kodi kirimu uyu ndi chiyani kwenikweni?
Ili ndi mitundu iwiri ya mankhwala otchedwa Lidocaine ndi Tetracaine. Mwachidule, ndi mankhwala oletsa ululu am'deralo . Izi zikutanthauza kuti kirimu iyi ikapakidwa pakhungu, imangopangitsa khungu kukhala lopanda mphamvu kwakanthawi.
Tangoganizani kuti pali "mawaya" ang'onoang'ono omwe amanyamula mauthenga opweteka kuchokera pakhungu lathu kupita ku ubongo, kutanthauza mitsempha . Chomwe kirimu ichi chimachita ndikuletsa kwakanthawi uthenga wopweteka kuti usapite ku ubongo kudzera mu "mawaya" amenewo. Zili ngati kuzimitsa switch pamenepo. Kenako, dokotala akachita chithandizo chofunikira, simudzamva kupweteka kulikonse.
Zinthu zomwe muyenera kuuza dokotala wanu musanagwiritse ntchito mankhwalawa
Ndikofunikira kwambiri kuti dokotala wanu adziwe bwino za thanzi lanu asanakupatseni mankhwala awa. Chifukwa chake, ngati muli ndi vuto lililonse mwa zotsatirazi, onetsetsani kuti mwadziwitsa dokotala wanu.
- Ngati muli ndi vuto la magazi monga kusowa kwa G6PD .
- Ngati muli ndi matenda a mtima .
- Ngati muli ndi matenda a impso kapena chiwindi.
- Ngati muli ndi vuto la kusowa kwa enzyme lotchedwa pseudocholinesterase deficiency .
- Ngati muli ndi matenda a pakhungu , khungu lofooka, kapena kuvulala .
- Ngati munakhalapo ndi vuto la lidocaine, tetracaine, kapena mankhwala ena aliwonse oletsa ululu, chakudya, kapena utoto.
- Ngati muli ndi pakati kapena mukufuna kutenga mimba.
- Ngati ndinu mayi woyamwitsa.
Ndikofunikira kwambiri kuti mukhale otetezeka kuuza dokotala zinthu izi popanda kuzibisa.
Kodi mumagwiritsa ntchito bwanji kirimu iyi?
Mankhwala awa si omwe mungapite nawo kunyumba. Ndi akunja kokha . Nthawi zambiri, dokotala kapena namwino amapaka mafuta awa pakhungu lanu musanalandire chithandizo kuchipatala kapena kuchipatala.
Adzakuuzani nthawi yomwe muyenera kusiya kirimu pakhungu lanu. Nthawi zina zimatha kukhala mphindi 20-30 kapena ola limodzi. Panthawi imeneyo, malowo sadzagwira ntchito bwino. Ngati muli ndi mafunso okhudza izi, musaope kufunsa dokotala wanu.
Kodi mungachite chiyani ngati mwamwa mankhwala ochulukirapo?
Izi nthawi zambiri zimagwiritsidwa ntchito ndi ogwira ntchito zachipatala, kotero zolakwika sizimachitika kawirikawiri. Komabe, ngati mwangozi mwagwiritsa ntchito mankhwala ochulukirapo kapena mwamwa, pitani ku Dipatimenti Yoona za Zadzidzidzi (ETU) yapafupi nthawi yomweyo. Kapena imbani National Poisons Information Centre ku Colombo National Hospital .
Chofunika kwambiri ndichakuti mankhwalawa ndi omwe aperekedwa kwa inu nokha. Musagawire mankhwala awa ndi wina aliyense kapena kulola wina aliyense kuwagwiritsa ntchito.
Mankhwala ena omwe angagwirizane ndi mankhwalawa (Kuyanjana kwa Mankhwala)
Ngati mukumwa mankhwala a matenda ena, akhoza kusokonezana ndi kirimu uyu. Chifukwa chake, uzani dokotala wanu za mankhwala onse omwe mukumwa (kuphatikizapo mavitamini ndi mankhwala azitsamba). Ndikofunikira kwambiri kuuza dokotala wanu ngati mukumwa mankhwala aliwonse mwa awa:
| Gulu la mankhwala | Zitsanzo |
|---|---|
| Mankhwala ena ochepetsa ululu | Acetaminophen |
| Maantibayotiki ena | Dapsone, nitrofurantoin, sulfasalazine |
| Mankhwala a khunyu | Phenobarbital, phenytoin, valproic acid |
| Mankhwala a malungo | Chloroquine, Primaquine, Quinine |
| Mankhwala ena oletsa ululu am'deralo | Mankhwala ena ochepetsa ululu, monga pramoxine |
| Mankhwala ena | Nitroglycerin, Metoclopramide, Cyclophosphamide |
Mndandandawu sunathe, kotero ndibwino kuuza dokotala wanu za mankhwala onse omwe mukumwa.
Zinthu zofunika kusamala nazo mukamagwiritsa ntchito
- Musalole kuti ilowe m'maso mwanu! Kirimu uyu ndi woopsa kwambiri m'maso mwanu. Ngati mwangozi mwamuika m'maso mwanu, tsegulani maso anu nthawi yomweyo ndikuwatsuka bwino ndi madzi oyera. Kenako tetezani maso anu mpaka mutapezanso kumva bwino.
- Ngati mukumva kuyabwa kapena kutentha mukamagwiritsa ntchito kirimu, uzani dokotala wanu kapena namwino nthawi yomweyo.
- Chofunika kwambiri: Musamakoke, kukanda, kapena kupukuta malowo mwamphamvu pamene ali ndi dzanzi. Komanso, musamaike pamalo otentha kwambiri kapena ozizira. Izi zitha kuwononga khungu ngakhale simukumva ululu. Samalirani malowo mpaka dzanzi litachoka ndipo kumva bwino kubwereranso.
Kodi zotsatirapo zake zomwe zimayembekezeredwa ndi ziti?
Monga mankhwala ena aliwonse, izi zingayambitse zotsatirapo zina mwa anthu ena, koma si aliyense amene amazilandira.
| Mtundu wa zotsatira zoyipa | Kufotokozera |
|---|---|
| Zizindikiro zomwe muyenera kuuza dokotala wanu nthawi yomweyo | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Zizindikiro za Methemoglobinemia | (Ili ndi vuto lalikulu lomwe limakhudza mphamvu ya magazi kunyamula mpweya) - Mutu wopweteka mwadzidzidzi, kutopa kwambiri, kupuma movutikira, nseru, kusanza, kugunda kwa mtima mofulumira, khungu labuluu/imvi kapena milomo. |
| Kusintha kwa kugunda kwa mtima | Kugunda kwa mtima mofulumira kapena kosasinthasintha, chizungulire, kumva kufooka, kupweteka pachifuwa, kuvutika kupuma. |
| Zizindikiro zomwe nthawi zambiri sizili zazikulu, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Kusintha kwa mtundu wa khungu | Kutuwa kapena kufiira komwe mafutawo anapakidwa. |
| Kutupa pang'ono | Kupsa pang'ono kapena kusasangalala komwe kirimuyo inagwiritsidwa ntchito. |
Ngati mukukumana ndi zizindikiro zina zachilendo zomwe sizinatchulidwe pamndandandawu, uzani dokotala wanu za zizindikirozo.
Uthenga Wopita Nawo Kunyumba
- Lidocaine; Tetracaine ndi kirimu wopaka pakhungu womwe umagwiritsidwa ntchito kupumitsa khungu musanachite opaleshoni yachipatala.
- Mankhwalawa si omwe nthawi zambiri amaperekedwa kunyumba. Amapakidwa ndi ogwira ntchito zachipatala kuchipatala kapena ku chipatala.
- Onetsetsani kuti mwauza dokotala wanu za matenda ena aliwonse omwe muli nawo komanso mankhwala ena aliwonse omwe mukumwa.
- Khungu lanu likachita dzanzi, ndi udindo wanu kusamalira malowo kuti asavulale.
- Ngati mukukumana ndi mavuto aakulu monga kupuma movutikira, milomo yabuluu, kapena kugunda kwa mtima mofulumira, funsani upangiri wa dokotala nthawi yomweyo.
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