Kodi nthawi zina mumavutika kupuma, mumavutika kupuma, kapena mumamva ngati chifuwa chanu chikuchepa? Mungadabwenso ngati izi zikuchitika chifukwa cha
mphumu kapena china chake. Nthawi zina
, ngakhale dokotala angavutike kukuuzani nthawi yomweyo. Pazochitika zotere, pali mayeso apadera omwe amachitidwa kuti adziwe momwe mapapu anu amavutikira ndi mphumu. Lero, tikambirana za mankhwala "Methacholine" omwe amagwiritsidwa ntchito mu mayeso amenewo.
Mwachidule, kodi methacholine ndi chiyani?
Choyamba choyenera kukumbukira ndichakuti
methacholine si mankhwala a mphumu. Ndi mankhwala omwe amagwiritsidwa ntchito pokhapokha poyesa matenda kuti adziwe ngati muli ndi mphumu. Mayesowa amatchedwa "Methacholine Challenge Test." Taganizirani izi, ena a ife ndife okhudzidwa pang'ono, sichoncho? Timatenga ziwengo mwachangu ngakhale pazinthu zazing'ono kwambiri. Mofananamo, njira zopumira m'mapapo mwa munthu yemwe ali ndi mphumu zimakhala zovuta pang'ono kuposa za munthu wamba. Chifukwa chake mu mayesowa, mumapuma methacholine pang'ono kwambiri ndikuwona momwe mapapu anu amachitira ndi mphumu. Ngati muli ndi mphumu, njira zanu zopumira ziyamba kuchepa pang'ono. Kusintha kumeneko kumatha kuyezedwa ndi zida zapadera, zomwe zimathandiza dokotala kuti afike pozindikira bwino za vuto lanu.
Zinthu zomwe muyenera kuuza dokotala musanayesedwe mayesowa
Izi ndizofunikira kwambiri. Musanapereke methacholine, ndikofunikira kuti dokotala wanu adziwe mbiri yanu yonse ya matenda. Izi zili choncho chifukwa matenda ena angapangitse kuti kugwiritsa ntchito mankhwalawa kukhale koopsa. Onani tebulo ili m'munsimu. Ngati muli ndi vuto lililonse mwa izi,
onetsetsani kuti mwadziwitsa dokotala wanu.
| Matenda anu kapena vuto lanu | N’chifukwa chiyani kuli kofunikira kuuza dokotala? |
|---|
| Kuthamanga kwa magazi | Mankhwalawa angayambitse kusintha kwa kuthamanga kwa magazi. |
| Mbiri ya matenda a mtima kapena matenda a mtima | Chifukwa zingakhudze ntchito ya mtima. |
| Mbiri ya sitiroko | Chifukwa mitsempha yamagazi imatha kukhudzidwa. |
| Aneurysm (kutupa kwa mtsempha wamagazi) | Chifukwa iyi ndi nkhani yoopsa kwambiri. |
| Kugwidwa ndi khunyu | Chifukwa pali chiopsezo cha khunyu chifukwa cha zotsatira za mankhwala. |
| Matenda a chithokomiro | Chifukwa kuchuluka kwa mahomoni kungakhudzidwe. |
| Ngati muli ndi pakati kapena mukufuna kutenga mimba | Kupewa kutenga zoopsa zosafunikira panthawi ya mimba. |
| Ngati mwana akuyamwitsa | Dziwani kuti mankhwalawo akhoza kupita kwa mwana kudzera mu mkaka wa m'mawere. |
| Kusamva bwino kwa mankhwala ena kapena chakudya | Kuti mudziwe ngati pali kuthekera kwa kukhala ndi vuto la mankhwala awa. |
Kodi mankhwalawa amaperekedwa bwanji m'thupi?
Kuyezetsa kumeneku kumachitika kokha
moyang'aniridwa ndi dokotala kuchipatala kapena kuchipatala . Simudzapatsidwa mankhwala awa kuti mutenge kunyumba. Mankhwalawa amabwera mu mawonekedwe amadzimadzi. Amaperekedwa kwa inu pogwiritsa ntchito chipangizo chapadera chotchedwa
nebulizer . Mwina mwawonapo ana aang'ono akupuma nthunzi akakhala ndi chimfine. Izi ndi zomwezo. Makinawa amasintha mankhwala amadzimadzi kukhala nthunzi yabwino kwambiri (aerosol). Kenako muyenera kupuma nthunziyo kudzera pakamwa panu, kapena kudzera pakamwa ndi mphuno. Nthawi zambiri, ana opitirira zaka 5 amathanso kuyezetsa izi ngati pakufunika kutero, koma nthawi zina chisamaliro chapadera chimaperekedwa.
Popeza izi zimaperekedwa kuchipatala, mwayi woti munthu agwiritse ntchito mankhwala mopitirira muyeso , kutanthauza kuti amwa mankhwala ochulukirapo, ndi wochepa kwambiri. Komabe, ngati mukuganiza kuti izi zachitika, muyenera kudziwitsa ogwira ntchito zachipatala nthawi yomweyo. Pakagwa mwadzidzidzi, muyenera kupita mwachindunji ku Emergency Treatment Unit (ETU) .
Mankhwala ena omwe angagwirizane ndi mankhwalawa
Ngati mukumwa mankhwala a matenda ena, ndikofunikira kwambiri kuuza dokotala wanu za mankhwala anu onse. Mankhwala ena amatha kukhudza zotsatira za mayeso a methacholine. Izi zikutanthauza kuti mutha kukhala ndi mphumu yomwe mulibe, kapena kuti mutha kukhala nayo yambiri kuposa momwe mulili.
| Mtundu wa mankhwala / gulu | Zinthu zoti muganizire |
|---|
| Mankhwala opumira omwe amagwiritsidwa ntchito pa mphumu (monga Salbutamol, Salmeterol, Fluticasone, Ipratropium, Tiotropium) | Izi zingakhudze kulondola kwa mayeso chifukwa zimakulitsa njira zopumira. Dokotala wanu adzakulangizani ngati muyenera kusiya kumwa mankhwalawa musanayesedwe. |
| Beta-blockers (monga Metoprolol, Propranolol) | Mankhwalawa, omwe nthawi zambiri amaperekedwa chifukwa cha kuthamanga kwa magazi ndi matenda a mtima, amatha kusintha momwe mapapo amagwirira ntchito. |
| Mankhwala a steroid (monga Prednisone, Cortisone) | Izi zitha kuchepetsa kukhudzidwa kwa mapapo, zomwe zingakhudze zotsatira za mayeso. |
| Theophylline | Mankhwalawa, omwe amagwiritsidwa ntchito pochiza mphumu, angakhudzenso mayesowo. |
Onetsetsani kuti mwauza dokotala wanu za mankhwala onse, mavitamini, mankhwala azitsamba, ndi zowonjezera zomwe mukumwa.
Zotsatirapo zomwe zingachitike chifukwa cha mankhwalawa
Monga mankhwala ena aliwonse, methacholine ingayambitse mavuto ena mwa anthu ena. Komabe, palibe chodetsa nkhawa chifukwa mayesowa amachitika moyang'aniridwa ndi madokotala ndi anamwino. Ngati pali vuto lililonse, amakhala okonzeka kuchiza nthawi yomweyo.
Zotsatirapo zomwe ziyenera kufotokozedwa kwa dokotala wanu nthawi yomweyo: Zotsatirapo zomwe nthawi zambiri sizimakhala zoopsa, koma ziyenera kufotokozedwa kwa dokotala wanu ngati zikupitirira.
| Zotsatira zoyipa | Kufotokozera |
|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Kuvuta kwambiri kupuma | Kulimba pachifuwa, kupuma movutikira. |
| Mutu | Mutu pang'ono. |
| Chizungulire | Kumva chizungulire pang'ono. |
| Chikhure | Kuyabwa pang'ono kapena kupweteka pakhosi. |
| Kuyabwa | Kuyabwa pang'ono pakhungu. |
Mndandandawu sungakhale ndi zotsatirapo zonse zomwe zingachitike. Ngati mukukumana ndi vuto lina lililonse, chonde dziwitsani ogwira ntchito zachipatala nthawi yomweyo.
Uthenga Wopita Nawo Kunyumba
- Methacholine si mankhwala a mphumu. Ndi mankhwala okhawo omwe amagwiritsidwa ntchito poyesa matenda a mphumu.
- Kuyezetsa kumeneku kumachitika nthawi zonse kuchipatala kapena ku chipatala, moyang'aniridwa ndi dokotala. Mankhwalawa saloledwa kutengedwa kunyumba.
- Musanayesedwe, onetsetsani kuti mwauza dokotala wanu za matenda anu onse komanso mankhwala onse omwe mukumwa (kuphatikizapo mankhwala achikhalidwe).
- Ngati mukukumana ndi vuto lalikulu lopuma kapena zizindikiro za ziwengo panthawi yoyezetsa, dziwitsani ogwira ntchito zachipatala nthawi yomweyo.
- Ngati muli ndi mafunso okhudza mayesowa, musaope kufunsa dokotala wanu.
Methacholine, Methacholine, Mphumu, Kuvuta kupuma, Mapapo, Matenda opumira, Mayeso azachipatala
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