Tonsefe tikudziwa kuti magazi amanyamula mpweya m'thupi lathu lonse. Koma taganizirani, bwanji ngati pazifukwa zina magazi awa sakanatha kunyamula mpweya? Thupi lanu lingamve ngati likupuma, sichoncho? Lero tikulankhula za mankhwala apadera omwe amagwiritsidwa ntchito pamavuto akulu komanso oopsa. Dzina lake ndi Methylene Blue.
Kodi Methylene Blue ndi chiyani? Imagwira ntchito bwanji?
Mwachidule, Methylene Blue ndi mankhwala omwe amagwiritsidwa ntchito pochiza matenda otchedwa methemoglobinemia .
"Tsopano methemoglobinemia ndi chiyani?" mwina mukudabwa. Chomwe chimachitika pamenepa ndichakuti puloteni yonyamula mpweya m'magazi mwathu, yotchedwa hemoglobin, imasintha ndipo singathe kugwirizana bwino ndi mpweya. Kenako mpweya woperekedwa ku minofu ndi ziwalo za thupi umasokonekera kwathunthu. Izi zitha kuchitika chifukwa cha kumwa mankhwala osiyanasiyana, mankhwala enaake, kapena zifukwa za majini. Imeneyi ndi vuto loopsa kwambiri. Pamenepo ndi pamene jakisoni wa methylene blue amaperekedwa kuti athandize mpweya kubwerera m'magazi.
Chofunika kwambiri ndichakuti izi sizili ngati mankhwala wamba. Amagwiritsidwa ntchito kuchipatala kokha, moyang'aniridwa ndi madokotala.
Mankhwalawa nthawi zina angagwiritsidwe ntchito pazifukwa zina zachipatala. Ngati muli ndi mafunso okhudza izi, ndi bwino kufunsa dokotala wanu.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa
Musanapatsidwe katemerayu, gulu lachipatala lidzakufunsani mafunso angapo. Ndikofunikira kuti mukhale otetezeka kuwapatsa chidziwitso cholondola. Onetsetsani kuti mwawauza ngati muli ndi vuto lililonse mwa izi:
- Matenda a methylene blue kapena mankhwala ena: Ngati mudadwalapo kale matenda a methylene blue, phenothiazines, thiazide diuretics, kapena mankhwala ena aliwonse, chakudya, kapena utoto.
- Kusowa kwa G6PD: Ngati muli ndi vuto la majini lotchedwa glucose-6-phosphate dehydrogenase (G6PD) . Uku ndi kusowa kwa ma enzyme okhudzana ndi maselo a magazi. Kupatsa anthu omwe ali ndi vutoli methylene blue kungakhale koopsa.
- Poizoni wa Cyanide: Ngati ndinu munthu amene akulandira chithandizo cha poizoni wa cyanide.
- Matenda a Impso: Ngati muli ndi matenda aliwonse a impso.
- Mimba kapena kuyesera kutenga mimba: Ngati muli ndi pakati kapena mukuyembekeza kutenga mimba, muyenera kuuza dokotala wanu.
- Ngati mukuyamwitsa:Uzaninso dokotala ngati ndinu mayi woyamwitsa.
Kodi mankhwalawa angagwiritsidwe ntchito bwanji?
Mankhwala awa si omwe mungapite nawo kunyumba. Ndi jakisoni mumtsempha . Amaperekedwa ndi katswiri wazachipatala, monga dokotala kapena namwino wophunzitsidwa bwino, kuchipatala kapena ku chipatala.
Kodi mumapereka izi kwa ana?
Inde, mankhwalawa angaperekedwe kwa ana ngati pakufunika kutero. Komabe, amafunika chisamaliro chapadera. Mutha kulankhula ndi dokotala wanu wa ana za izi kuti mudziwe zambiri.
Nanga bwanji ngati nditamwa mankhwala ochulukirapo?
Izi zimaperekedwa kuchipatala, kotero mwayi woti izi zichitike ndi wochepa. Komabe, ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, muyenera kudziwitsa gulu lachipatala nthawi yomweyo. Kawirikawiri, ngati mwamwa poizoni, muyenera kuyimbira foni ku National Poisons Information Centre ku Colombo National Hospital kapena kupita ku Emergency Treatment Unit (ETU) ya chipatala.
Mankhwala ena omwe angagwirizane ndi mankhwalawa (Kuyanjana kwa Mankhwala)
Iyi ndi gawo lofunika kwambiri. Methylene blue ndi mankhwala omwe amatha kusokonezana kwambiri ndi mankhwala ena. Choncho, uzani dokotala wanu za mankhwala onse omwe mukumwa (omwe adalembedwa ndi madokotala ena, omwe adagulidwa ku pharmacy, mankhwala achikhalidwe, mavitamini, zowonjezera - chilichonse).
Munthu amene akumwa mankhwala otsatirawa sayenera kupatsidwa Methylene blue:
| Mtundu wa mankhwala | Zitsanzo |
|---|---|
| Mankhwala ena ochizira kuvutika maganizo kapena nkhawa | Bupropion, Clomipramine, Doxepin, Duloxetine, Fluoxetine, Mirtazapine, ndi Trazodone |
| Mankhwala omwe ali mgulu la MAOI (monoamine oxidase inhibitors) | Mankhwala monga Marplan, Nardil, Parnate, Rasagiline, Selegiline |
| Mankhwala ena ndi zowonjezera | Milnacipran, Tryptophan, St. John's wort (chowonjezera cha zitsamba) |
Mndandandawu sunathe, choncho ndikofunikira kuuza dokotala wanu zonse zomwe mumamwa. Komanso, muuzeni ngati mumasuta fodya, mumamwa mowa, kapena mumagwiritsa ntchito mankhwala ena osokoneza bongo.
Kodi zotsatirapo zake zingakhale zotani chifukwa chomwa mankhwalawo?
Monga mankhwala ena aliwonse, methylene blue ingayambitse zotsatirapo zina. Zina mwa izi ndi zoopsa, zina sizili zoopsa kwambiri. Gulu lanu lachipatala lidzakuyang'anirani mosamala pamene mukupatsidwa mankhwala. Koma ndi bwino kudziwa zizindikiro izi.
| Zotsatira zoyipa | Kufotokozera |
|---|---|
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala nthawi yomweyo | |
| Kupweteka pachifuwa | Ululu womwe umamveka ngati mtima ukuphwanyidwa, ngati kuti ukupumidwa. |
| Chisokonezo | N'zovuta kuganiza kuti ndiwe ndani, ndi liti, kapena kuti ndiwe ndani. |
| Chizungulire | Kumva ngati wataya ulamuliro pa thupi lako, ngati kuti dziko likuzungulira iwe. |
| Mutu waukulu | Mutu wodzidzimutsa komanso wosapiririka. |
| Kuchuluka kwa thukuta | Kutuluka thukuta kwambiri popanda chifukwa chenicheni. |
| Kupweteka m'mimba | Kupweteka m'mimba kwambiri komanso kosalekeza. |
| Zotsatirapo zomwe nthawi zambiri sizili zoopsa, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Mkodzo ndi ndowe zabuluu/zobiriwira | Izi zikuyembekezeredwa. Izi zimachitika chifukwa cha mtundu wa mankhwala. Palibe chodetsa nkhawa nacho. |
| Khungu labuluu | Nthawi zina khungu limathanso kuoneka labuluu. |
| Kusanza ndi kusanza | Kusanza kapena nseru kungachitike panthawi yopereka mankhwala kapena pambuyo pake. |
Uthenga Wopita Nawo Kunyumba
- Methylene Blue ndi mankhwala opulumutsa moyo omwe amaperekedwa pochiza matenda oopsa otchedwa methemoglobinemia , omwe ndi pamene magazi sangathe kunyamula mpweya.
- Mankhwalawa amaperekedwa ngati jakisoni m'mitsempha m'chipatala, moyang'aniridwa ndi dokotala. Si mankhwala oti munthu atenge kunyumba.
- Ndikofunikira kudziwitsa dokotala wanu za mankhwala ena onse omwe mukumwa, makamaka mankhwala ochepetsa nkhawa, komanso matenda aliwonse omwe muli nawo, monga kusowa kwa G6PD .
- Ndi zachilendo kuti mankhwala amayambitsa mkodzo wabuluu/wobiriwira ndi ndowe. Komabe, ngati mukumva zizindikiro monga kupweteka pachifuwa, kusokonezeka, kapena mutu waukulu, dziwitsani gulu lanu lachipatala nthawi yomweyo.
- Ngati muli ndi mafunso okhudza mankhwala awa kapena vuto lanu, chonde musazengereze kufunsa dokotala wanu.
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