Tangoganizani kuti inu kapena munthu wina m'banja mwanu akuyenera kugonekedwa m'chipatala chifukwa cha ngozi inayake. Dokotala amene akukuthandizani kumeneko akuti, "Tikufunika kukupatsani jakisoni wa Mannitol tsopano." Tikamva dzina limenelo, ndi zachilendo kuti mafunso ambiri abwere m'maganizo mwanu, monga "Ndi mankhwala amtundu wanji amenewo?", "N'chifukwa chiyani akuperekedwa?", "Chidzachitike ndi chiyani?" Choncho, musachite mantha. Munkhaniyi, tikambirana za mankhwala otchedwa Mannitol. Tikambirana mwachidule, m'njira yomwe mungamvetse.
Mwachidule, kodi Mannitol ndi chiyani?
Mannitol ndi mankhwala apadera otchedwa diuretic . Mwina simukudziwa bwino mawu oti "diuretic." Mwachidule, amatanthauza mankhwala omwe amathandiza thupi kuchotsa madzi ochulukirapo ndi mchere kudzera mu mkodzo. Amagwira ntchito ngati kampompo kakang'ono komwe kamasefa madzi owonjezera m'thupi lathu.
Tsopano tiyeni tiwone momwe madokotala amagwiritsira ntchito mankhwalawa.
- Chepetsani kutupa m'thupi: Nthawi zina, matenda a mtima, impso, kapena matenda a chiwindi angayambitse kutupa m'miyendo, m'manja, kapena m'thupi lonse. Pazochitika zotere, mannitol imathandiza kuchepetsa kutupa pochotsa madzi owonjezera m'thupi.
- Lamulirani kutupa kwa ubongo: Chifukwa cha ngozi, sitiroko, kapena chifukwa china, kupanikizika kozungulira ubongo kumatha kukwera ndipo ubongo ukhoza kutupa. Uwu ndi vuto loopsa kwambiri. Mannitol ndi mankhwala ofunikira kwambiri kuti achepetse msanga kupanikizika ndi kutupa kwa ubongo nthawi ngati zimenezi.
- Chepetsani kuthamanga kwa magazi m'maso: Anthu ena amatha kukhala ndi kuthamanga kwa magazi m'maso chifukwa cha matenda monga glaucoma kapena opaleshoni ya maso isanachitike. Mankhwalawa amagwiritsidwanso ntchito poletsa kuthamanga kwa magazi m'maso.
Zinthu zomwe muyenera kuuza dokotala wanu musanapereke mankhwala awa
Iyi ndi mfundo yofunika kwambiri . Musanakupatseni mannitol, ndikofunikira kuti dokotala wanu adziwe mbiri yanu yonse ya thanzi. Mankhwalawa akhoza kusokoneza matenda ena omwe mungakhale nawo. Chifukwa chake, ngati muli ndi vuto lililonse mwa awa, onetsetsani kuti mwadziwitsa dokotala wanu.
| Mkhalidwe wanu | N’chifukwa chiyani muyenera kudziwitsa? |
|---|---|
| Kutuluka magazi mu ubongo | Chifukwa mannitol ikhoza kupangitsa kuti zinthu zikhale zovuta. |
| Ngati thupi lasowa madzi m'thupi (Dehydration) | Izi zitha kuchepetsanso kuchuluka kwa madzi m'thupi ndikuwonjezera kusowa madzi m'thupi. |
| Madzi m'mapapo | Mannitol ikhoza kuipitsa vutoli kwakanthawi. |
| Matenda a mtima kapena matenda a impso | Ngati ntchito ya ziwalo izi yasokonekera, mannitol iyenera kuperekedwa mosamala. |
| Matenda a chifuwa cha mannitol kapena mankhwala ena kapena zakudya | Izi ndizofunikira kwambiri kuti tipewe zotsatira za ziwengo. |
| Ngati muli ndi pakati kapena mukufuna kutenga mimba | Dokotala ayenera kuda nkhawa ndi zotsatira zomwe zingachitike pa mwana wosabadwayo. |
| Ngati ndinu mayi woyamwitsa | Kuganizira ngati mankhwalawo amaperekedwa kwa mwana kudzera mu mkaka wa m'mawere. |
Kodi jakisoni wa mannitol amaperekedwa bwanji?
Izi ndizofunikira kwambiri. Mannitol si mankhwala omwe mungapite nawo kunyumba. Amaperekedwa kuchipatala kapena kuchipatala kokha ndi dokotala kapena namwino wophunzitsidwa. Jakisoni uyu amaperekedwa mwachindunji mumtsempha wanu, kapena mtsempha. Njirayi imatchedwa jakisoni wa Intravenous (IV) .
Pamene mukulandira mankhwalawa, ogwira ntchito zachipatala nthawi zonse adzayang'anira matenda anu, kuphatikizapo kugunda kwa mtima wanu, kuthamanga kwa magazi, ndi kutuluka kwa mkodzo, kotero mukuyang'aniridwa mosamala.
Nanga bwanji ngati mlingo wa mankhwalawo ukuwonjezeka?
Popeza izi zimaperekedwa kuchipatala, moyang'aniridwa ndi dokotala, mwayi wowonjezera mlingo mwangozi ndi wochepa kwambiri. Komabe, ngati zoterezi zitachitika, gulu lachipatala lomwe likukuthandizani lidzachitapo kanthu nthawi yomweyo. Nthawi zambiri, ngati mwamwa mankhwala ochulukirapo, tikukulangizani kuti muyimbire National Poisons Information Centre ku Colombo National Hospital . Komabe, ngati china chake chachitika kuchipatala, palibe chifukwa chodera nkhawa. Chipatala cha Emergency Treatment Unit (ETU) cha chipatalachi chili okonzeka kuthana ndi vuto lililonse ladzidzidzi.
Mankhwala ena omwe angagwirizane ndi mannitol
Ngati mukumwa mankhwala a matenda ena, ndikofunikira kwambiri kuuza dokotala wanu za izi, chifukwa mankhwala ena amatha kuyanjana ndi mannitol ndikuyambitsa zotsatira zosafunikira.
| Gulu la mankhwala | Zitsanzo |
|---|---|
| Mitundu ina ya mankhwala ochepetsa mphamvu ya madzi m'thupi (mapiritsi a madzi) | Furosemide, Hydrochlorothiazide |
| Mankhwala Ochepetsa Ululu (NSAIDs) | Ibuprofen, Naproxen, Diclofenac |
| Aspirin ndi mankhwala ena ofanana nawo | Aspirin |
| Maantibayotiki ena | Gentamicin, Vancomycin, Amphotericin B |
| Lithiamu | Mankhwala a matenda amisala |
| Cyclosporine | Mankhwala operekedwa kuti athetse chitetezo chamthupi |
Chofunika kwambiri:Iyi si mndandanda wathunthu. Choncho uzani dokotala wanu za mankhwala onse omwe mukumwa, kuphatikizapo mankhwala a Ayurvedic, mavitamini, ndi zowonjezera.
Kodi zotsatirapo zake zingakhale zotani chifukwa cha mannitol?
Monga mankhwala ena onse, mannitol ingayambitse zotsatirapo zoyipa, ngakhale kuti si aliyense amene amalandira mankhwalawa. Mukapatsidwa mankhwala awa kuchipatala, ndi bwino kusamala ndi zizindikiro zotsatirazi. Ngati muwona china chake chachilendo, uzani dokotala kapena namwino amene akukuthandizani nthawi yomweyo .
| Mitundu ya zotsatirapo zoyipa | |
|---|---|
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa ogwira ntchito zachipatala nthawi yomweyo | |
| |
| Zinthu zomwe nthawi zambiri sizili zazikulu, koma ziyenera kunenedwa ngati zikupitirira | |
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Uthenga Wopita Nawo Kunyumba
- Mannitol ndi mankhwala ofunikira kwambiri komanso amphamvu omwe amaperekedwa kuchipatala kokha kuti achepetse kutupa m'thupi, makamaka muubongo ndi m'maso.
- Musanayambe chithandizochi, onetsetsani kuti mwauza dokotala wanu za matenda anu onse komanso mankhwala ena onse omwe mukumwa.
- Katemerayu amaperekedwa moyang'aniridwa ndi dokotala, kotero amasamala za chitetezo chanu.
- Ngati mukukumana ndi zizindikiro zachilendo (makamaka kupweteka pachifuwa, kuvutika kupuma, kusokonezeka) panthawi ya chithandizo, musachite mantha ndipo dziwitsani dokotala kapena namwino nthawi yomweyo.
- Ngati muli ndi mafunso kapena nkhawa zokhudzana ndi mankhwalawa, musazengereze kufunsa dokotala wanu. Muli ndi ufulu wonse wodziwitsidwa za thanzi lanu.
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