Nthawi zina, mukayenera kugonekedwa m'chipatala chifukwa cha vuto monga kulephera kwa mtima, dokotala wanu angakupatseni mankhwala apadera kudzera mu IV kuti athandize mtima wanu. Milrinone ndi imodzi mwa mankhwala ofunikira kwambiri omwe amaperekedwa kuchipatala chokha. Chifukwa chake, tiyeni tikambirane mwachidule za mankhwalawa, zomwe amachita, komanso zomwe muyenera kudziwa akaperekedwa.
Kodi Milrinone ndi mankhwala amtundu wanji?
Mwachidule, milrinone ndi mankhwala omwe amachita zinthu ziwiri zazikulu.
1. Kulimbitsa minofu ya mtima: Mankhwalawa amawonjezera mphamvu ya minofu ya mtima wanu. Zili ngati kupatsa mphamvu injini yofooka yamadzi ndikupangitsa kuti ipope madzi bwino. Izi zimathandiza mtima kupopa magazi ambiri omwe thupi limafuna bwino.
2. Vasodilator: Mankhwalawa amakulitsanso mitsempha yamagazi m'thupi lanu. Tangoganizirani kuti mukakulitsa chitoliro chamadzi, kuthamanga kwa madzi kumachepa ndipo amathamanga mosavuta, sichoncho? Mofananamo, mitsempha yamagazi ikakula, mtima umayenera kugwira ntchito yochepa kuti upompe magazi.
Zochita zonsezi zimapereka mpumulo waukulu kwa mtima wofooka.
Zinthu zomwe muyenera kuuza dokotala wanu musanapereke mankhwala awa
Ndikofunikira kwambiri kudziwitsa dokotala wanu zonse zokhudza thanzi lanu. Onetsetsani kuti mwawauza makamaka za izi.
- Ngati munakhalapo ndi vuto la mtima kale.
- Ngati muli ndi mbiri ya kugunda kwa mtima kosasinthasintha.
- Ngati muli ndi matenda a impso .
- Ngati mudayamba mwakhala ndi vuto la Milrinone kapena mankhwala ena aliwonse, chakudya, kapena utoto.
- Ngati muli ndi pakati kapena mukufuna kutenga mimba .
- Ngati ndinu mayi woyamwitsa .
Kutengera ndi izi, dokotala adzasankha ngati mankhwalawa ndi oyenera kwa inu kapena ayi.
Kodi mankhwalawa amaperekedwa bwanji m'thupi?
Mankhwala awa si omwe mungapite nawo kunyumba. Milrinone ndi jakisoni yomwe imaperekedwa m'mitsempha kuchipatala kapena ku chipatala ndi ogwira ntchito zachipatala ophunzitsidwa bwino okha.
Kawirikawiri, mukakhala m'chipinda chosungira odwala kwambiri (ICU), dokotala amaika mankhwala awa m'thupi lanu ngati saline kudzera mu cannula yomwe ili m'dzanja lanu. Choncho simuyenera kuganizira momwe mungagwiritsire ntchito, ogwira ntchito zachipatala adzasamalira chilichonse.
Kodi mankhwala awa angaperekedwe kwa ana?
Inde, nthawi zina zapadera, mankhwalawa amaperekedwanso kwa ana malinga ndi zomwe dokotala akufuna. Koma amachitidwa mosamala kwambiri komanso mosamala kwambiri.
Nanga chimachitika ndi chiyani ngati mlingo wa mankhwalawo wawonjezeka?
Popeza mankhwalawa amaperekedwa kuchipatala, mwayi woti munthu agwiritse ntchito mankhwala mopitirira muyeso ndi wochepa kwambiri. Ngati zoterezi zitachitika, ogwira ntchito zachipatala adzachitapo kanthu nthawi yomweyo. Simuyenera kuda nkhawa nazo. Ngati mukufuna kudziwa choti muchite ngati mwamwa mankhwala ochulukirapo mwangozi, mutha kuchitapo kanthu nthawi yomweyo. Pachifukwa chotere, njira yachizolowezi ndi kudziwitsa Chipatala cha Emergency Treatment Unit (ETU) kapena kuyimbira National Poison Information Centre ku Colombo National Hospital .
Mankhwala ena omwe angagwirizane ndi mankhwalawa
Mankhwala ena amatha kuyanjana ndi milrinone, choncho ndikofunikira kwambiri kuuza dokotala wanu za mankhwala onse omwe mukumwa.
- Mankhwala ochepetsa mphamvu ya mkodzo
- Mankhwala a kuthamanga kwa magazi, matenda ena a mtima, kapena kugunda kwa mtima kosakhazikika
Musaiwale kuuza dokotala wanu za mavitamini, mankhwala achikhalidwe, ndi zowonjezera zomwe mukumwa.
Zinthu zofunika kusamala nazo mukamamwa mankhwala
Madokotala ndi ogwira ntchito yosamalira anamwino adzakuyang'anirani kwambiri nthawi yonse yomwe mukupatsidwa mankhwala awa.
Mudzalumikizidwa ndi ma monitor omwe amayang'anira kugunda kwa mtima wanu, kuthamanga kwa magazi, ndi ntchito zina za thupi lanu nthawi zonse. Izi zimathandiza gulu lachipatala kuzindikira nthawi yomweyo kusintha kulikonse pa thanzi lanu.
Ndi zotsatirapo ziti zomwe zingayembekezeredwe?
Monga mankhwala ena aliwonse, milrinone ingayambitse zotsatirapo zina. Zina mwa izi ndi zazikulu ndipo ziyenera kunenedwa nthawi yomweyo.
| Kugawa zotsatira zoyipa | |
|---|---|
| Zinthu zoti muuze dokotala kapena namwino wanu nthawi yomweyo | |
| Zizindikiro za ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo kapena lilime. |
| Kupweteka pachifuwa | Mtundu uliwonse wa ululu kapena kupsinjika mumtima. |
| Kusintha kwa kugunda kwa mtima | Chizungulire, kugunda kwa mtima mofulumira kwambiri kapena kosakhazikika, kumva kufooka, kuvutika kupuma. |
| Zizindikiro za kuthamanga kwa magazi kotsika | Chizungulire, kumva mutu wopepuka, kumva kutopa kwambiri. |
| Mavuto pamalo obayira jakisoni | Ululu, kufiira, kapena kutupa komwe kanula inayikidwa. |
| Kutuluka magazi kosazolowereka | Mawanga otupa pakhungu kapena kutuluka magazi omwe sasiya ngakhale kuvulala pang'ono. |
| Zinthu zomwe nthawi zambiri sizili zazikulu, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Mutu | Mutu wofatsa mpaka wochepa. |
| Kusanza ndi kusanza | Kusanza, kutsekula m'mimba, kapena kusanza. |
Mndandandawu sukuphatikizapo zotsatirapo zonse zomwe zingachitike. Ngati mukukumana ndi zizindikiro zachilendo, chonde uzani dokotala kapena namwino wanu nthawi yomweyo.
Uthenga Wopita Nawo Kunyumba
- Milrinone ndi mankhwala apadera omwe amaperekedwa m'mitsempha kuchipatala kokha pochiza matenda monga kulephera kwa mtima.
- Izi zimalimbitsa minofu ya mtima, zimakulitsa mitsempha yamagazi, ndipo zimapangitsa kuti mtima uzitha kupopa magazi mosavuta.
- Ndikofunikira kuti muuze dokotala wanu za matenda anu onse ndi mankhwala ena omwe mukumwa musanamwe mankhwalawo.
- Simuyenera kuda nkhawa ndi chitetezo chanu chifukwa ogwira ntchito zachipatala adzakuyang'anirani mosamala kwambiri mukapatsidwa mankhwala awa.
- Ngati mukukumana ndi mavuto ena monga kupweteka pachifuwa, chizungulire, kapena zizindikiro zina zomwe zimayambitsa ziwengo, dziwitsani ogwira ntchito zachipatala nthawi yomweyo.
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