Tangoganizani kuti munthu amene ali pafupi nanu mwadzidzidzi wadwala matenda a kuthamanga kwa magazi, kapena matenda a mtima ndipo wagonekedwa m'chipatala. Ndiye mwina munamvapo za mankhwala apadera omwe madokotala amapereka kudzera mu saline solution ngati chithandizo chadzidzidzi. Nitroprusside ndi mankhwala ofunikira kwambiri omwe amagwiritsidwa ntchito pazochitika zotere. Iyi si mankhwala oti mugwiritse ntchito kunyumba, koma jakisoni wapadera womwe umaperekedwa kokha pansi pa kuyang'aniridwa kolimba kuchipatala. Chifukwa chake lero, tiyeni tikambirane za mankhwalawa mwatsatanetsatane komanso mosavuta.
Kodi kwenikweni chimachitika ndi mankhwala awa ndi chiyani?
Mwachidule, Nitroprusside ndi mankhwala omwe ali m'gulu la mankhwala otchedwa vasodilators . Mawu oti 'vasodilator' angamveke ngati nkhani yaikulu, koma tanthauzo lake ndi losavuta. Chomwe mankhwalawa amachita ndikukulitsa mitsempha yamagazi m'thupi lathu ndikuyipumula.
Tangoganizirani kuti chitoliro cha madzi chikatsekedwa pang'ono, ngati mukulitsa chitolirocho, madziwo amatuluka mosavuta popanda kupanikizika, sichoncho? Ndicho chimene chimachitikanso apa. Mitsempha yamagazi ikakula, pamakhala malo ambiri oti magazi aziyenda. Chifukwa cha izi, kuthamanga kwa magazi komwe kunali kokwera kwambiri kumatsika mwachangu. Komanso, khama lomwe mtima umayenera kuchita popopera magazi limachepa kwambiri.
Pazifukwa izi, madokotala amagwiritsa ntchito mankhwalawa makamaka m'mikhalidwe iwiri:
- Lamulirani vuto lalikulu la kuthamanga kwa magazi/kuthamanga kwa magazi .
- Chepetsani kupsinjika kwa mtima pamavuto ena aakulu a mtima .
Zinthu zofunika kuuza dokotala wanu musanapereke mankhwala awa
Ngakhale kuti mankhwalawa amaperekedwa kuchipatala, ndikofunikira kuti dokotala adziwe mbiri yonse ya matenda anu kapena a wodwalayo. Muyenera kudziwitsa dokotalayo ngati muli ndi vuto lililonse mwa izi:
- Matenda ena omwe muli nawo, makamaka:
- Matenda a maso
- Kuvulala mutu komwe kudachitika kale
- Matenda ena a mtima
- Matenda a impso
- Matenda a chiwindi
- Kuchepa kwa magazi m'thupi / maselo ofiira ochepa m'magazi
- Ngati muli ndi vuto la nitroprusside 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 akupatseni mankhwala awa kapena ayi, kapena momwe angakupatseni.
Kodi ndingagwiritse ntchito bwanji mankhwalawa ndipo chimachitika ndi chiyani ngati nditagwiritsa ntchito mopitirira muyeso?
Iyi si mankhwala omwe mungapite nawo kunyumba.Uwu ndi mankhwala omwe amaperekedwa kudzera mu saline infusion mu mitsempha. Amaperekedwa kokha m'malo monga chipinda chosamalira odwala kwambiri m'chipatala kapena chipatala, ndi dokotala kapena anamwino ophunzitsidwa bwino. Adzayang'anira nthawi zonse zinthu monga kuthamanga kwa magazi ndi kugunda kwa mtima wanu.
Kodi mumawapatsa ana?
Mankhwalawa angaperekedwe kwa ana aang'ono, ngakhale makanda obadwa kumene, nthawi zina zapadera. Koma chisankhocho chimapangidwa ndi dokotala wa ana. Chifukwa chake, ngati aperekedwa kwa mwana, pali njira zapadera zodzitetezera.
Kuchuluka kwa mankhwala osokoneza bongo
Popeza izi zimaperekedwa mosamala kwambiri kuchipatala, mwayi woti munthu agwiritse ntchito mankhwala mopitirira muyeso ndi wochepa kwambiri. Komabe, ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, muyenera kuuza ogwira ntchito zachipatala nthawi yomweyo. Nthawi zambiri, ngati pali poizoni, timati muyimbire National Poisons Information Centre ku Colombo National Hospital . Komabe, ngati pali china chilichonse mchipatala chonga ichi, ndikofunikira kwambiri kudziwitsa Emergency Treatment Unit (ETU) kapena ogwira ntchito zachipatala a m'chipinda choyenera mwachindunji.
Mankhwala ena omwe angagwirizane ndi mankhwalawa
Chofunika kwambiri: Perekani dokotala wanu mndandanda womveka bwino wa mankhwala onse omwe mumamwa (omwe dokotala wina wakupatsani, omwe amagulitsidwa ndi dokotala, achikhalidwe, mavitamini, ndi mankhwala azitsamba). Muuzeninso ngati mumasuta kapena kumwa mowa. Zinthu zina zingakhudze mankhwala awa.
Makamaka, Nitroprusside ingagwirizane ndi mankhwala otsatirawa:
- Mankhwala ena omwe amagwiritsidwa ntchito pochiza matenda ogonana (monga Sildenafil, Tadalafil)
- Riociguat (mankhwala ochizira kuthamanga kwa magazi m'mapapo)
- Mankhwala ena ochizira kuthamanga kwa magazi, matenda a mtima, ndi kugunda kwa mtima kosasinthasintha
- Mankhwala oletsa ululu omwe amagwiritsidwa ntchito panthawi ya opaleshoni
Ndi zotsatirapo ziti zomwe zingawonekere?
Monga mankhwala ena aliwonse, Nitroprusside ingayambitse zotsatira zina zoyipa. Zina mwa izi ziyenera kunenedwa nthawi yomweyo, pomwe zina sizowopsa kwambiri.
| Zotsatira zoyipa | Kufotokozera |
|---|---|
| Zinthu zoti muuze dokotala/antchito osamalira ana nthawi yomweyo | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa milomo/lilime/nkhope. |
| Zizindikiro za kuchuluka kwa asidi m'magazi (Acidosis) | Kupuma movutikira, kugunda kwa mtima mofulumira, mutu, chisokonezo, kutopa kwambiri, nseru, kusanza. |
| Zizindikiro za kuthamanga kwa magazi kotsika kwambiri | Chizungulire chachikulu, kumva ngati maso anu akusintha kukhala abuluu, kumva ngati mugwa, kufooka kwambiri. |
| Zizindikiro za methemoglobinemia | Khungu lotumbululuka, lotuwa, kapena labuluu, mutu, kugunda kwa mtima mofulumira, kupuma movutikira, kutopa. |
| Kawirikawiri palibe chodetsa nkhawa nacho, koma ngati chikupitirira, zinthu zoti zinenedwe | |
| Kutsuka nkhope | Nkhopeyo imamva kutentha ndipo imafiira. |
| Ululu pamalo obayira jakisoni | Ululu, kufiira, kapena kutupa komwe kunabayidwa jakisoni. |
Chinthu china choyenera kusamala nacho popereka mankhwala...
Chifukwa chakuti mankhwalawa amachepetsa kuthamanga kwa magazi, mungamve chizungulire . Choncho, musadzuke pamalo omwe mumakhala kapena kutuluka pabedi mwadzidzidzi. Kuchita zimenezi kungakulitse chizungulire ndikukupangitsani kugwa. Samalani kwambiri ndi izi, makamaka ngati ndinu okalamba.
Uthenga Wopita Nawo Kunyumba
- Nitroprusside ndi mankhwala apadera omwe amaperekedwa kudzera m'mitsempha kuchipatala kuti achepetse kuthamanga kwa magazi ndi matenda ena a mtima pakagwa mwadzidzidzi.
- Izi zimakulitsa mitsempha yamagazi ndikuchepetsa ntchito ya mtima.
- Onetsetsani kuti mwauza dokotala wanu za matenda ena aliwonse omwe muli nawo, mankhwala onse omwe mumamwa, komanso ziwengo zilizonse zomwe muli nazo.
- Samalani mukamayimirira kapena mukakhala pansi, chifukwa chizungulire chingachitike mukapatsidwa mankhwala.
- Ngati mukukumana ndi mavuto aakulu monga ziphuphu pakhungu, kupuma movutikira, kapena chizungulire chachikulu, dziwitsani ogwira ntchito zachipatala nthawi yomweyo.
- Ngati muli ndi mafunso okhudza mankhwalawa, musazengereze kufunsa dokotala amene akukuthandizani.
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