Nthawi zina, mukavutika kupuma mwadzidzidzi, chifuwa chanu chikakhala cholimba, zingakhale zovuta kwambiri, makamaka kwa munthu amene ali ndi vuto monga mphumu. Nthawi zina ngati izi, dokotala wanu angakulembereni madzi a shuga kwa inu kapena mwana wanu. Lero, tikulankhula za mankhwala otchedwa Metaproterenol syrup, omwe amagwiritsidwa ntchito nthawi ngati zimenezi ndipo amapangitsa kupuma kukhala kosavuta. Izi zikutanthauza kuti mumvetse bwino izi.
Kodi Metaproterenol iyi ndi chiyani?
Mwachidule, Metaproterenol ndi mankhwala ochepetsa kutupa . Izi zikutanthauza kuti mankhwalawa amagwira ntchito pokulitsa (kutsegula) njira zopumira zopapatiza komanso zopapatiza m'mapapo mwathu. Monga momwe kukulitsa msewu womwe uli wodzaza ndi magalimoto kumapangitsa kuti magalimoto azitha kudutsa mosavuta, pamene njira zopumira zikukulitsidwa ndi mankhwalawa, mpweya ukhoza kulowa ndi kutuluka m'mapapo popanda chopinga chilichonse.
Amagwiritsidwa ntchito makamaka pochiza ndikuletsa bronchospasm , yomwe ndi vuto la kupuma lomwe limayamba chifukwa cha kuchepa kwa njira zopumira.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa
Dokotala wanu asanakulembereni mankhwala a Metaproterenol, ndikofunikira kwambiri kumufotokozera zonse za matenda anu. Mankhwalawa sangakhale ogwirizana ndi matenda ena. Ngati muli ndi matenda aliwonse omwe ali pansipa, onetsetsani kuti mwamuuza.
- Matenda a shuga: Izi zikutanthauza kuchuluka kwa shuga m'magazi.
- Matenda a mtima: Ngati muli ndi matenda a mtima amtundu uliwonse.
- Kuthamanga kwa magazi: Ngati muli ndi kuthamanga kwa magazi .
- Kusagwira bwino ntchito kwa mtima: Ngati pali kusintha kwa liwiro kapena kayimbidwe ka kugunda kwa mtima.
- Matenda a chithokomiro: Mavuto ndi kuchuluka kwa mahomoni a chithokomiro.
- Kugwidwa ndi khunyu: Matenda omwe amadziwika ndi khunyu.
- Pheochromocytoma: Chotupa chosowa chomwe chimapezeka mu adrenal gland.
- Matenda a ziwengo: Uzani dokotala wanu ngati muli ndi vuto lililonse la ziwengo ku Metaproterenol, sulfites, kapena mankhwala ena aliwonse, chakudya, kapena zotetezera.
- Mimba: Ngati muli ndi pakati kapena mukufuna kutenga mimba.
- Ngati ndinu mayi woyamwitsa: Ngati mukuyamwitsa mwana wanu.
Kulankhula ndi dokotala popanda kubisa izi ndikofunikira kwambiri pa chitetezo chanu.
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
Dziwani mfundo izi mukamagwiritsa ntchito mankhwalawa.
1. Mlingo woyenera: Imwani mlingo monga momwe dokotala wanu wanenera. Tsatirani malangizo omwe ali pa botolo la mankhwala.
2. Kuyeza mlingo: Gwiritsani ntchito supuni kapena chidebe cholembedwa bwino kuti muyese mankhwala. Musayese ndi supuni kapena supuni zomwe mumapeza kukhitchini kwanu. Sizolondola. Ngati mutero, mutha kupeza mlingo wocheperako kapena wopitirira muyeso.
3. Pa vuto la m'mimba: Ngati mukumva kupweteka m'mimba kapena kutentha pamtima mutamwa mankhwalawa, imwani mankhwalawa mukudya kapena mukaka pang'ono.
4. Kuchuluka kwa nthawi zomwe zalembedwa: Musamwe mankhwala ochulukirapo kuposa momwe dokotala wanenera. Kumwa mankhwala ochulukirapo chifukwa mukuganiza kuti "Ndikuvutikabe kupuma" kungayambitse zotsatirapo zoopsa.
Akapatsidwa ana aang'ono
Mankhwalawa amagwiritsidwa ntchito kwa ana azaka zopitirira 6. Komabe, popereka mankhwalawa kwa mwana wanu, muyenera kulankhula ndi dokotala wanu za mankhwalawa ndikutsatira malangizo ake molondola.
Kuchuluka kwa mankhwala osokoneza bongo
Ngati mukuganiza kuti mwamwa mankhwala ambiri kuposa momwe mukuganizira, pitani ku Dipatimenti Yoona za Zadzidzidzi (ETU) yapafupi nthawi yomweyo . Kapena imbani National Poisons Information Centre ku Colombo National Hospital kuti mupeze malangizo.
Mankhwalawa aperekedwa kwa inu nokha. Musagawire mankhwala awa ndi wina aliyense.
Mankhwala ena omwe angagwirizane ndi mankhwalawa (Kuyanjana)
Mankhwala ena angayambitse mavuto akamwedwa ndi Metaproterenol. Choncho uzani dokotala wanu za mankhwala onse omwe mukumwa (kuphatikizapo ochokera kwa madokotala ena, omwe mumagula ku pharmacy, mankhwala achikhalidwe, komanso mavitamini).
| Kuyanjana kwa mankhwala ndi Metaproterenol | |
|---|---|
| Musamwe mankhwala awa ndi: | |
| MAOIs (zoletsa monoamine oxidase) | Awa ndi mtundu wa mankhwala operekedwa pochiza kuvutika maganizo (monga Carbex, Eldepryl, Marplan). |
| Procarbazine | Mankhwala a khansa. |
| Popeza mankhwalawa angayambitse mavuto, uzani dokotala wanu : | |
| Mankhwala a mphumu kapena matenda ena opumira | Mankhwala ena opumira kapena manyuchi. |
| Mankhwala a chimfine | Mankhwala ena a chifuwa ndi mafuta odzola ochokera ku pharmacy. |
| Mankhwala ochizira kuvutika maganizo | Mwachitsanzo: amitriptyline, desipramine. |
| Mankhwala a matenda a mtima kapena kuthamanga kwa magazi | Mankhwala operekedwa pa kayendedwe ka mtima kapena kuthamanga kwa magazi. |
| Zolimbikitsa | Mankhwala ena omwe amatsitsimula thupi. |
Zotsatirapo zomwe zingachitike chifukwa cha mankhwala
Monga mankhwala ena aliwonse, Metaproterenol ingayambitse mavuto ena mwa anthu ena. Zina mwa izi ndi zoopsa, zina sizili zoopsa kwenikweni.
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala nthawi yomweyo | |
|---|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa milomo, lilime, nkhope. |
| Kusintha kwa kugunda kwa mtima | Kupweteka pachifuwa, kupuma movutikira, chizungulire, kugunda kwa mtima mofulumira kapena kosakhazikika, kumva kukomoka. |
| Zizindikiro zina zazikulu | Kusawona bwino, kuzizira, kutentha thupi, kuthamanga kwa magazi, kugwedezeka kwa minofu kapena kupweteka, kutupa kosazolowereka, kusanza. |
| Zotsatirapo zomwe nthawi zambiri sizili zoopsa, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Mutu | Kugwedezeka |
| Kusanza | Kusowa tulo |
| Kupweteka m'mimba, kutupa | Kumva kutopa kwambiri |
Kodi ndiyenera kusunga bwanji mankhwalawo?
- Sungani kutali ndi ana: Izi ndizofunikira kwambiri. Sungani botolo la mankhwala pamalo omwe ana sangafikire.
- Kutentha kwa chipinda: Sungani pamalo otentha bwino (pakati pa madigiri 15-30 Celsius). Tetezani ku kutentha kwambiri kapena kuzizira.
- Tetezani ku kuwala: Pewani kukhudzana ndi dzuwa mwachindunji.
- Mankhwala akatha ntchito: Tayani mankhwala aliwonse omwe atsala pa botolo pambuyo pa tsiku lotha ntchito. Musagwiritse ntchito.
Uthenga Wopita Nawo Kunyumba
- Metaproterenol ndi mankhwala omwe ayenera kugwiritsidwa ntchito pokhapokha ngati dokotala walangiza.
- Imwani mlingo wolembedwa, monga momwe mwalembedwera. Musayese mankhwala ndi masipuni apakhomo.
- Onetsetsani kuti mwauza dokotala wanu za matenda ena aliwonse omwe muli nawo komanso mankhwala onse omwe mukumwa.
- Fufuzani thandizo lachipatala mwamsanga ngati mukumva kugunda kwa mtima mofulumira, kupweteka pachifuwa, chizungulire chachikulu, kapena zizindikiro zoopsa za ziwengo.
- Ngati zizindikiro zanu sizikuchepa kapena zikuipiraipira, uzani dokotala wanu. Musamwe mankhwala ochulukirapo kuposa momwe muyenera kumwa.
- Mankhwalawa ndi a inu nokha. Musapatse wina aliyense mankhwalawa, ngakhale atakhala ndi zizindikiro zofanana.
👩🏽⚕️ Mafunso ena (Mafunso Ofunsidwa Kawirikawiri)
💬 Mapiritsi a Fosinopril (Fosinopril / Monopril) amagwiritsidwa ntchito pa matenda ati?
Iyi ndi mankhwala othandiza kwambiri (ACE Inhibitor) omwe amaperekedwa kuti achepetse 'Kuthamanga kwa Magazi' komanso kuthandiza odwala omwe ali ndi vuto la mtima omwe adadwala matenda a mtima! Chapadera cha izi ndichakuti ngakhale imagwira ntchito ngati mapiritsi ena a ACE, imatulutsidwa ndi impso ndi chiwindi (Dual excretion pathways), kotero ndi yotetezeka kwambiri kwa iwo omwe ali ndi vuto la impso.
💬 Kodi kumwa piritsi la kuthamanga kwa magazi (Fosinopril) kumachepetsa bwanji kuthamanga kwa magazi ndi kupsinjika kwa mtima?
Mankhwala oopsa otchedwa 'Angiotensin II' amachepetsa/kulimbitsa mitsempha yonse yamagazi m'thupi mwathu ndikukweza kuthamanga kwa magazi! Amapangidwa ndi makina otchedwa 'ACE' (Angiotensin-Converting Enzyme). Piritsi ili likalowa m'thupi, makina a ACE amenewo amatsekedwa/kutsekedwa ndi kutsekedwa 100%. Popeza mankhwala oopsa amenewo sapangidwanso, mitsempha yamagazi imakula/kupumula (Vasodilation), kuthamanga kwa magazi kumatsika nthawi yomweyo ndipo katundu pamtima umachepa.
💬 Kodi ndi zoopsa ziti zomwe zimakwiyitsa komanso zoopsa (Chenjezo la Black Box) zomwe zimachitika chifukwa chomwa piritsi la kuthamanga kwa magazi (ACE Inhibitor)?
Choopsa chachikulu ndichakuti, monga mapiritsi ena othamanga magazi, izi ndizoletsedwa kwa amayi apakati (Mimba/Poizoni wa mwana wosabadwayo)! Izi zingayambitse impso za mwana kuvunda ndi kufa. Chotsatira china chokhumudwitsa komanso chofala kwambiri ndi 'chifuwa chouma chosatha' chopanda ntchofu. Palinso chiopsezo chakuti milomo, nkhope ndi pakhosi za anthu ena zidzitupa mwadzidzidzi ndikuzimitsa (Angioedema).
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