Kodi munachitapo opaleshoni yaing'ono ya pakhungu kapena opaleshoni yaying'ono pansi pa khungu? Mwina munaonapo dokotala akuika kirimu wopaka pakhungu kuti achite dzanzi. Pambuyo poti dera lachita dzanzi kwa mphindi zochepa, mumachita chilichonse. M'nkhaniyi, tikambirana za kirimu wapadera wopaka dzanzi womwe umagwiritsidwa ntchito pochita dzanzi pakhungu.
Kodi kirimu wa Lidocaine uyu ndi chiyani kwenikweni; Tetracaine?
Izi ndi kuphatikiza kwa mankhwala awiri. Mankhwalawa ndi Lidocaine ndi Tetracaine . Onsewa amatchedwa 'local anesthetics'. Mwachidule, ntchito yawo ndikuletsa kwakanthawi zizindikiro za ululu kuti zisatumizidwe ku ubongo kudzera m'mitsempha m'dera linalake la thupi.
Tangoganizirani kuti mukufuna kuchotsa chotupa chaching'ono padzanja lanu. M'malo mochita dzanzi thupi lanu lonse, dokotala akhoza kupaka mafuta awa pa chotupacho, ndikuchotsa dzanzi pamalopo. Kenako mutha kuchita opaleshoniyo popanda kumva kupweteka kulikonse. Iyi ndiyo ntchito yayikulu ya mafuta awa. Nthawi zambiri amagwiritsidwa ntchito kukonza khungu musanachite opaleshoni yachipatala.
Zinthu zomwe muyenera kuuza dokotala wanu musanagwiritse ntchito mankhwalawa
Ndikofunikira kwambiri kuuza dokotala wanu za mbiri yonse ya thanzi lanu musanagwiritse ntchito kirimu ichi. Makamaka ngati muli ndi vuto lililonse mwa zotsatirazi, muyenera kuwauza.
| Matenda kapena vuto | N’chifukwa chiyani zimenezo n’zofunika? |
|---|---|
| Kutupa kwa Lidocaine, Tetracaine kapena mankhwala ena oletsa ululu | Ngati munakhalapo ndi vuto la mtundu uwu wa mankhwala kale, mukhoza kukhalanso ndi vuto lalikulu. |
| Kusowa kwa G6PD (kusowa kwa Glucose-6-phosphate dehydrogenase) | Uwu ndi matenda obadwa nawo omwe amakhudza maselo ofiira a magazi m'magazi. Pali chiopsezo cha mavuto chifukwa cha mankhwalawa. |
| Methemoglobinemia | Imeneyi ndi vuto lomwe limakhudza mphamvu ya magazi yonyamula mpweya, ndipo mankhwalawa amatha kuipitsa. |
| Kukhala ndi pakati kapena kuyesa kutenga mimba | Ndikofunikira kufunsa upangiri kwa dokotala musanagwiritse ntchito mankhwala aliwonse panthawi ya mimba. |
| Kukhala mayi woyamwitsa | Muyenera kulankhula ndi dokotala wanu za kuthekera kwa mankhwalawo kupita kwa mwana wanu kudzera mu mkaka wa m'mawere. |
Chofunika kwambiri ndikupatsa dokotala mndandanda wathunthu wa mankhwala onse omwe mukumwa (omwe dokotala wina wakupatsani, ogulidwa ku pharmacy), mavitamini, ndi mankhwala achikhalidwe.
Momwe mungagwiritsire ntchito kirimu iyi ndi zomwe muyenera kusamala nazo
Mankhwala awa si omwe mungapite nawo kunyumba ndikugwiritsa ntchito. Mankhwalawa ndi akunja kokha. Nthawi zambiri amapakidwa pakhungu lanu ndi dokotala kapena namwino wophunzitsidwa bwino kuchipatala kapena kuchipatala.
- Kugwiritsa Ntchito kwa Ana Aang'ono: Mankhwalawa angalimbikitsidwe kwa Ana Aang'ono pazochitika zina zapadera. Komabe, njira zapadera zotetezera ziyenera kutsatiridwa. Chifukwa chake, ngati mukugwiritsa ntchito mankhwalawa kwa Mwana Wanu, lankhulani ndi Dokotala Wa Ana za izi.
- Kugwiritsa ntchito mankhwala ochulukirapo: Izi ndi zomwe dokotala amagwiritsa ntchito, kotero mwayi woti munthu agwiritse ntchito mankhwala ochulukirapo ndi wochepa. Komabe, ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, funsani National Poisons Information Centre ku Colombo National Hospital nthawi yomweyo. Kapena pitani ku Emergency Unit (ETU) yapafupi ndi chipatala.
Pewani kukhudzana ndi maso!
Izi ndizofunikira kwambiri. Kirimu uyu akhoza kuvulaza maso kwambiri. Ngati mwangozi mwamuika m'maso mwanu, muzimutsuka bwino ndi madzi oyera nthawi yomweyo. Kenako, tetezani maso anu mpaka mutapezanso kumva, kutanthauza kuti, mpaka kumva kuwawa kutatha.
Samalani khungu losawoneka bwino
Malo omwe kirimu uyu amapaka adzakhala opanda kanthu kwa kanthawi. Simudzamva kupweteka kulikonse panthawiyi. Chifukwa chake, pali mwayi waukulu wovulala pamalopo.Pewani kukanda, kukanda, kapena kuyika khungu pamalo otentha kwambiri kapena ozizira mpaka kumva kuwawa kutatha kwathunthu ndikubwerera mwakale.
Kodi zotsatirapo zake zingakhale zotani?
Monga mankhwala ena aliwonse, mankhwalawa angayambitse mavuto ena mwa anthu ena. Ena amafunika thandizo lachipatala mwachangu, pomwe ena sali oopsa kwenikweni.
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala wanu nthawi yomweyo | |
|---|---|
| • Matenda oopsa a ziwengo (matuza pakhungu, kuyabwa, kutupa kwa nkhope/milomo/lilime) | • Kuvuta kupuma |
| • Kupweteka pachifuwa | • Kugunda kwa mtima kosakhazikika (kofulumira, pang'onopang'ono , kapena kosasinthasintha) |
| • Chizungulire chachikulu, kumva ngati kuti mungafe | • Kugwidwa ndi khunyu |
| • Kusokonezeka maganizo kapena kusakhazikika kwambiri | • Kusintha kwa masomphenya |
| • Kunjenjemera kapena kutopa kwambiri | • Kusanza kapena nseru |
| Kawirikawiri si nkhani yaikulu (koma uzani dokotala ngati ikupitirira) | |
| • Mungamve zachilendo, monga kufiira, kutupa pang'ono kapena dzanzi, pamene mafutawo anapakidwa. (Nthawi zambiri izi zimatha pakapita nthawi) | |
Mndandandawu sukuphatikizapo zotsatirapo zonse zomwe zingachitike. Kuphatikiza apo, ngati mukukumana ndi zizindikiro zachilendo, lankhulani ndi dokotala wanu za izo.
Kodi mankhwalawa angagwirizane ndi mankhwala ena?
Inde. Mankhwala ena amatha kusintha momwe kirimu iyi imagwirira ntchito. Ndicho chifukwa chake ndikofunikira kuuza dokotala wanu za mankhwala onse omwe mukumwa. Izi zitha kukhudzana ndi magulu a mankhwala awa makamaka:
- Acetaminophen
- Mitundu ina ya maantibayotiki : mwachitsanzo `dapsone`, `nitrofurantoin`, `sulfasalazine`
- Mankhwala ena a khunyu : mwachitsanzo `phenobarbital`, `phenytoin`
- Nitroglycerin
- Chloroquine
- Mitundu ina ya mankhwala oletsa ululu am'deralo
Mndandanda uwu sunathe, choncho onetsetsani kuti mwauza dokotala wanu za mankhwala onse omwe mukumwa.
Uthenga Wopita Nawo Kunyumba
- Lidocaine; Tetracaine ndi kirimu wothira mankhwala womwe madokotala amagwiritsa ntchito pochiza khungu asanachite opaleshoni.
- Mankhwala awa si oyenera kugwiritsidwa ntchito kunyumba. Ayenera kugwiritsidwa ntchito nthawi zonse ndi dokotala.
- Ndikofunikira kuuza dokotala wanu za matenda anu onse, ziwengo, ndi mankhwala ena onse omwe mukumwa.
- Khungu likayamba kuzizira mutagwiritsa ntchito kirimu, tetezani malowo kuti asakandane, kuvulala, komanso kutentha kwambiri.
- Ngati mukukumana ndi mavuto ena monga kupuma movutikira, kupweteka pachifuwa, kapena chizungulire chachikulu, funsani upangiri wa dokotala nthawi yomweyo.
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