Kodi dokotala wanu anakuuzani kuti muyesedwe mpweya? Kodi anakuuzani kuti amagwiritsa ntchito mankhwala otchedwa methacholine? Mungakhale ndi chidwi pang'ono, kapena mantha pang'ono, mukamva dzinalo. Zimenezo ndi zachilendo. Lero, tiyeni tikambirane za methacholine, chifukwa chake mayesowa amachitidwa, komanso zinthu zofunika kwambiri zomwe muyenera kudziwa za izi.
Kodi Methacholine ndi chiyani?
Mwachidule, methacholine ndi mankhwala omwe amachititsa kuti njira zopumira ( bronchi ) m'mapapo mwanu zichepetse kwakanthawi (zopapatiza). Mu zamankhwala, timatcha izi kuti bronchoconstrictor .
"O, achepetsa bronchi ? Kodi zimenezo sizingapangitse kuti kupuma kukhale kovuta?" mwina mukuganiza choncho. Musadandaule. Izi zimachitika mosamala kwambiri, moyang'aniridwa mwachindunji ndi madokotala ndi anamwino.
Taganizirani izi, anthu ena, makamaka omwe ali ndi matenda monga mphumu, ali ndi mapapu ofooka kwambiri. Ngakhale chinthu chaching'ono monga utsi, fumbi, kapena fungo limatha kuchepetsa msanga bronchi yawo ndikupangitsa kuti kupuma kukhale kovuta. Chifukwa chake, mayeso awa (Methacholine Challenge Test) amachitika kuti adziwe momwe mapapu anu alili ofooka. Kutengera zotsatira za izi, dokotala amatha kumvetsetsa bwino momwe mapapu anu amagwirira ntchito.
Chofunika kwambiri ndichakuti ichi si chithandizo cha matenda. Ichi ndi mayeso okha oti athandize kuzindikira matendawa.
Zinthu zoti muuze dokotala musanayesedwe
Musanachite mayesowa, kuti mukhale otetezeka, ndikofunikira kwambiri kuuza dokotala wanu za mbiri yanu yonse ya thanzi. Musabise chilichonse chifukwa ndi nkhani yaying'ono. Ngati chilichonse mwa izi chikukukhudzani, onetsetsani kuti mwawauza za izi.
| Mkhalidwe / Chizolowezi | N’chifukwa chiyani zimenezo n’zofunika? |
|---|---|
| Ngati muli ndi pakati kapena mukufuna kutenga mimba. | Ndikofunikira kwambiri kupewa kutenga zoopsa zosafunikira panthawi ya mimba. |
| Ngati ndinu mayi woyamwitsa. | Ndikofunikira kuganizira ngati gawo lililonse la mankhwala lingaperekedwe kwa mwana kudzera mu mkaka wa m'mawere. |
| Ngati mwakhalapo ndi matenda a mtima, kuthamanga kwa magazi, kapena sitiroko. | Chiwopsezo cha kuyezetsa chikhoza kukwera m'mikhalidwe yotereyi. |
| Ngati mwapezeka kale ndi matenda ena a m'mapapo, monga mphumu. | Njira yoyesera ingafunike kusinthidwa kutengera matenda omwe analipo kale. |
| Ngati muli ndi vuto la matenda lomwe limayambitsa khunyu, monga khunyu. | Ndikofunikira kudziwa kuti mankhwalawa nthawi zina amatha kukulitsa matenda. |
| Ngati muli ndi matenda a chithokomiro, matenda a m'mimba, kapena mukuvutika kukodza. | Matendawa angakhudze mphamvu ya mankhwala. |
| Ngati ndinu wosuta fodya. | Kusuta fodya kumakhudza mwachindunji ntchito ya mapapo ndi zotsatira za mayeso. |
| Ngati mwalandira katemera posachedwapa. | Izi ndizofunikira kuzidziwa chifukwa katemera wina amatha kukhudza momwe thupi limayankhira. |
| Ngati muli ndi vuto la ziwengo chifukwa cha methacholine kapena mankhwala ena, zakudya, kapena utoto. | Iyi ndi njira yabwino kwambiri yopewera ziwengo. |
Kodi mumamwa bwanji mankhwala awa?
Mankhwala awa si chinthu chomwe mungapite nacho kunyumba.Imaperekedwa kwa inu ndi katswiri wazachipatala wodziwa bwino ntchito, kuchipatala kapena ku chipatala.
Makina otchedwa nebulizer amagwiritsidwa ntchito pa izi. Mwina mwawonapo, makina omwe amanyamula nthunzi ana aang'ono akamadwala chimfine. Ndicho chimodzi mwa zinthu zimenezo. Chomwe makinawa amachita ndikusintha madzi a methacholine kukhala nthunzi yopyapyala (aerosol). Kenako mumapemphedwa kuti mupume nthunziyo kudzera pakamwa panu kapena kudzera pakamwa ndi mphuno. Kenako mankhwalawo amapita mwachindunji m'mapapu anu.
Pa nthawi yonse yoyezetsa, dokotala kapena namwino adzakhala pafupi nanu ndipo nthawi zonse aziyang'ana momwe mumapumira komanso momwe mtima wanu umagunda, kotero palibe chifukwa choopera.
Kodi mumachita mayeso awa kwa ana?
Inde. Mayesowa angalimbikitsidwe kwa ana opitirira zaka 5, komanso ngati pakufunika kutero. Komabe, chisankhocho chimapangidwa ndi dokotala wa ana. Palinso zinthu zina zofunika kusamala nazo kwambiri.
Nanga bwanji ngati nditamwa mankhwala ochulukirapo?
Izi zimaperekedwa kuchipatala motsatira malamulo okhwima, kotero mwayi woti izi zichitike ndi wochepa kwambiri. Komabe, ngati mukukayikira kuti mwamwa mopitirira muyeso, muyenera kudziwitsa ogwira ntchito zachipatala nthawi yomweyo. Kawirikawiri, ngati mwamwa mankhwala kapena poizoni, mutha kuyimbira National Poisons Information Centre ku Colombo National Hospital kuti mulandire upangiri. Pakagwa mwadzidzidzi, muyenera kupita ku Emergency Treatment Unit (ETU) nthawi yomweyo.
Mankhwala ena omwe angagwirizane ndi mankhwalawa (Kuyanjana kwa Mankhwala)
Mankhwala ena omwe mukumwa angakhudze kulondola kwa mayesowa. Chifukwa chake, muyenera kuuza dokotala wanu za mankhwala onse omwe mukumwa (olembedwa ndi dokotala, ogulitsidwa pamtengo wotsika, mankhwala achikhalidwe, mavitamini, ndi mankhwala azitsamba). Onetsetsani kuti mwauza dokotala wanu ngati mukumwa mankhwala aliwonse omwe ali pansipa.
- Mankhwala opumira omwe amagwiritsidwa ntchito pa mphumu ndi mavuto opuma (monga albuterol, ipratropium, salmeterol, tiotropium)
- Mankhwala monga theophylline
- Mitundu ya ma steroid (monga prednisone, cortisone)
- Mankhwala ena a kuthamanga kwa magazi, matenda a mtima, kapena kugunda kwa mtima kosasinthasintha
Mndandanda uwu sunathe, choncho ndi bwino kuuza dokotala wanu zonse zomwe mumamwa.
Kodi zotsatirapo zake zomwe zimayembekezeredwa ndi ziti?
Monga mankhwala ena aliwonse, methacholine ingayambitse zotsatira zina zoyipa. Zambiri mwa izi zimakhala zazing'ono ndipo zimatha msanga mutatha kuyezetsa.
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala kapena namwino nthawi yomweyo | |
|---|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo kapena lilime. |
| Kuvuta kupuma | Kumva kupuma movutikira kapena kupsinjika pachifuwa kuposa momwe amayembekezera. |
| Zotsatirapo zomwe nthawi zambiri sizili zoopsa, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Chifuwa | Kukukuta pakhosi kapena chifuwa pang'ono. |
| Kumva chizungulire | Kumva ngati udzudzu. |
| Mutu | Mutu pang'ono. |
| Chikhure | Kumva ngati pakhosi panu pakuwawa. |
Ngati mukumva kusasangalala kulikonse panthawi yoyezetsa, uzani dokotala kapena namwino nthawi yomweyo. Iwo nthawi zonse amakhala okonzeka kukuthandizani.
Uthenga Wopita Nawo Kunyumba
- Methacholine si mankhwala, koma mayeso ozindikira matenda omwe amayesa kukhudzidwa kwa mapapu anu.
- Kuyezetsa kumeneku kumachitika kuchipatala kapena ku chipatala kokha, moyang'aniridwa ndi dokotala. Choncho musachite mantha.
- Onetsetsani kuti mwauza dokotala wanu za matenda ena omwe muli nawo, ziwengo, ndi mankhwala aliwonse omwe mumamwa musanayesedwe.
- Zizindikiro zazing'ono monga kutsokomola ndi mutu zingaoneke panthawi yoyezetsa. Komabe, ngati mukukumana ndi vuto lalikulu lopuma kapena zizindikiro za ziwengo, chonde tidziwitseni nthawi yomweyo .
- Mankhwalawa ndi a inu nokha. Musagawire wina aliyense. (Popeza mankhwalawa amaperekedwa kuchipatala, vuto limenelo silibwera).
- Ngati muli ndi mafunso ena okhudza izi, musazengereze kufunsa dokotala wanu.
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