Kodi munachitapo opaleshoni, kutanthauza opaleshoni? Kapena munachitapo opaleshoni pogwiritsa ntchito kamera yomwe inayikidwa m'thupi, monga endoscopy? Zikatero, madokotala amagwiritsa ntchito mankhwala apadera kuti akugonetseni tulo tofa nato kwa kanthawi kuti musamve kupweteka kapena kusasangalala, ndipo simukumbukira ngakhale chochitikacho. M'chilankhulo chathu, ichi ndi chomwe timachitcha "analgesia." Pali mitundu ingapo ya mankhwala omwe amagwiritsidwa ntchito poyambitsa mankhwala oletsa ululu motere. Pakati pawo, imodzi mwa jakisoni wogwiritsidwa ntchito kwambiri komanso wofunikira ndi Propofol. M'nkhaniyi, tikambirana zomwe muyenera kudziwa za jakisoni wa Propofol.
Mwachidule, kodi Propofol ndi chiyani?
Propofol ndi mankhwala oletsa ululu . Makamaka, ndi mankhwala omwe amakupangitsani kugona bwino musanachite opaleshoni kapena njira zina zachipatala. Amaperekedwa ngati jakisoni.
Mankhwalawa amagwira ntchito mwanjira yachilendo kwambiri. Amaletsa kwakanthawi zizindikiro za ululu zomwe zimapita mwachindunji ku ubongo wanu. Tangoganizirani, mukamva kupweteka kwinakwake m'thupi lanu, uthengawo umadutsa m'mitsempha kupita ku ubongo ndipo mumamva kuti "O, zimenezo zimapweteka." Propofol imaletsa kwakanthawi uthengawo kuti usafike ku ubongo. Kenako, panthawi ya opaleshoni, simumva kupweteka kulikonse kapena kusasangalala. Ndipo chifukwa chakuti muli m'tulo tofa nato, simukukumbukira chilichonse chomwe chinachitika.
Mankhwalawa akhoza kukhala ndi mayina osiyanasiyana. Mwachitsanzo, mutha kuwona Diprivan kapena Fresenius Propoven.
Chofunika ndichakuti, izi sizili ngati mankhwala wamba ochepetsa ululu. Uwu ndi mankhwala amphamvu kwambiri, ndipo amaperekedwa ndi gulu la madokotala ophunzitsidwa bwino, kuphatikizapo akatswiri ogonetsa, m'malo okhala ndi zida zonse, monga chipinda chosamalira odwala kwambiri m'chipatala.
Zinthu zomwe muyenera kuuza dokotala wanu musanakupatseni mankhwala awa
Pambuyo posankha kukupatsani jakisoni wa Propofol, dokotala wogonetsa adzakufunsani za thanzi lanu. Ndikofunikira kwambiri kuti mukhale otetezeka kunena zoona popanda kubisa chilichonse panthawiyi. Chifukwa anthu omwe ali ndi matenda enaake kapena ziwengo ayenera kusamala kwambiri akamapereka mankhwalawa.
Ngati zomwe zili pansipa zikukukhudzani, onetsetsani kuti mwauza gulu lanu lachipatala za izi.
| Matenda/vuto | N’chifukwa chiyani muyenera kudziwitsa? (Kufotokozera kosavuta) |
|---|---|
| Matenda a ziwengo | Onetsetsani kuti mwatiuza ngati muli ndi vuto la propofol yokha, mazira, soya, mtedza, sulfite, kapena mankhwala ena aliwonse kapena chakudya. |
| Matenda a Mtima | Ngati muli ndi vuto la mtima, madokotala ayenera kudziwa izi chifukwa mankhwalawa angakhudze kugunda kwa mtima wanu kapena kuthamanga kwa magazi. |
| Cholesterol Yambiri | Propofol ndi mafuta opangidwa kuchokera ku emulsion. Ndiko kuti, ndi mafuta opangidwa kuchokera ku madzi. Chifukwa chake, muyenera kusamala mukamapereka kwa anthu omwe ali ndi cholesterol yambiri kapena mafuta ambiri m'magazi. |
| Pancreatitis | Tiuzeni ngati munakhalapo ndi kapamba kapena muli ndi kapamba, kutupa kwa kapamba. |
| Matenda a Impso | Ngati impso sizikugwira ntchito bwino, njira yochotsera mankhwala m'thupi ingakhudzidwe. |
| Kugwidwa ndi khunyu | Ngati mutu wanu uli ndi mutu waching'alang'ala, ndikofunikira kwambiri kuuza madokotala anu za mutuwo. |
| Kuvulala Mutu | Ngati mwavulala mutu posachedwapa, madokotala akuda nkhawa ndi zotsatira zake pa ubongo. |
| Mimba kapena kuyembekezera mwana | Ngati muli ndi pakati kapena mukuyembekezera mwana, ndikofunikira kunena zimenezo. |
| Kuyamwitsa | Ngati ndinu mayi woyamwitsa, funsani upangiri wa dokotala za nthawi yomwe muyenera kupewa kuyamwitsa mukatha opaleshoni. |
Kodi mumapeza bwanji mankhwala awa?
Mankhwala awa si omwe mungapite nawo kunyumba ndikugwiritsa ntchito. Propofol imaperekedwa kuchipatala kapena ku chipatala kokha ndi gulu lachipatala lophunzitsidwa bwino.
Amaperekedwa kudzera mu cannula (kulowetsedwa m'mitsempha) mumtsempha. Mwachidule, mankhwalawa amaperekedwa m'thupi lanu monga momwe saline imaperekedwera mumtsempha womwe uli m'dzanja lanu. Dokotala wogonetsa adzasankha kuchuluka kwa mankhwala oti mupereke komanso mwachangu bwanji, kutengera kuchuluka kwa tulo lomwe mukufuna komanso mtundu wa opaleshoniyo.
Kodi mankhwalawa angaperekedwe kwa ana aang'ono?
Inde, nthawi zina zapadera, mankhwalawa amaperekedwa kwa ana aang'ono ngati miyezi iwiri. Koma amachitidwa mosamala kwambiri komanso moyang'aniridwa mwapadera. Ngati mukufuna kupereka mankhwalawa kwa mwana, dokotala wanu adzakudziwitsani za njira zoyenera zopewera izi.
Nanga chimachitika ndi chiyani ngati mwamwa mankhwala ochulukirapo?
Izi sizinthu zomwe mungathe kuzilamulira. Mu chipatala, gulu lachipatala lidzayang'anira kugunda kwa mtima wanu, kuthamanga kwa magazi, ndi kupuma kwanu nthawi zonse, kotero mwayi woti mugwiritse ntchito mopitirira muyeso ndi wochepa kwambiri. Ngati mukukayikira chinthu chonga ichi, njira yodziwika bwino ndiyo kuuza nthawi yomweyo ku Emergency Treatment Unit (ETU) ya chipatala kapena ku National Poisons Information Center ku Colombo National Hospital . Komabe, popeza mankhwalawa amaperekedwa kuchipatala, gulu lachipatala ndilo limakhala ndi udindo wonse pa izi.
Zinthu zina zomwe zingagwirizane ndi propofol
Mankhwala ena omwe mumamwa angakhudze momwe propofol imagwirira ntchito. Propofol ingasinthenso momwe mankhwala ena amagwirira ntchito. Choncho uzani dokotala wanu za mankhwala onse omwe mumamwa, kuphatikizapo mavitamini, zowonjezera zitsamba, ndi mankhwala azitsamba .
Propofol ikhoza kugwirizanitsidwa ndi zinthu zotsatirazi:
- Mowa
- BenzodiazepinesMankhwala a Gulu Loyamba (monga mapiritsi ogonetsa ndi mankhwala oletsa nkhawa monga Diazepam ndi Lorazepam)
- Mankhwala ena oletsa kutupa (mankhwala a chimfine, chifuwa, ndi ziwengo)
- Mankhwala ena ochizira kuvutika maganizo (monga Amitriptyline)
- Mankhwala ena omwe amagwiritsidwa ntchito pa khunyu (monga Phenobarbital)
- Mankhwala ena omwe amaperekedwa kuti apangitse munthu kugona asanachite opaleshoni
- Mankhwala okuthandizani kugona
- Zopumulitsa minofu
- Ma opioid ndi mankhwala amphamvu ochepetsa ululu kapena chifuwa.
- Mankhwala ena a matenda amisala (monga Chlorpromazine)
- Valproate
Ndikofunikira kwambiri kuuza dokotala wanu ngati mukusuta fodya, kumwa mowa, kapena kugwiritsa ntchito mankhwala ena osokoneza bongo.
Kodi muyenera kusamala ndi chiyani mutalandira mankhwalawo?
Pambuyo poti opaleshoniyo yatha ndipo propofol yasiya kugwira ntchito, mudzayambanso kuzindikira pang'onopang'ono. Komabe, zingatenge maola angapo kapena tsiku kuti zotsatira za mankhwalawa zithe kwathunthu.
- Kugona: Mungamve ngati muli ndi tulo komanso mukuchita zinthu mopupuluma kwa kanthawi. Izi ndi zachilendo.
- Kupanga zisankho ndi luso lochitapo kanthu: Kugwirizana kwanu, nthawi yochitirapo kanthu, ndi chiweruzo chanu zitha kusokonekera kwakanthawi mutagwiritsa ntchito mankhwalawa.
- Malangizo ofunikira kwambiri: Choncho, pewani kuyendetsa galimoto, kugwiritsa ntchito makina, kupanga zisankho zofunika, kapena kusaina zikalata zalamulo kwa maola osachepera 24 mutachita opaleshoni.
- Chizungulire: Mungamve chizungulire kapena kukomoka mukangoyimirira mwadzidzidzi kuchokera pamene mwakhala kapena mwagona. Choncho dzukani mwachangu.
- Mowa: Kumwa mowa panthawiyi kungapangitse kuti zotsatirapo zake zikhale zochulukirapo, choncho pewani mowa wonse.
Zotsatirapo zomwe zingachitike chifukwa cha mankhwala
Monga mankhwala ena aliwonse, propofol ingayambitse zotsatirapo zake. Komabe, si aliyense amene amalandira mankhwalawa. Mudzayang'aniridwa ndi gulu lachipatala kuti ngati pali vuto, athe kuchitapo kanthu mwachangu.
| Zotsatira zoyipa | Zizindikiro zomwe mukukumana nazo |
|---|---|
| Zotsatirapo zoyipa zomwe muyenera kuuza dokotala wanu nthawi yomweyo | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi, komanso kuvutika kupuma. |
| Kusokonezeka kwa mitsempha yapakati (CNS Depression) | Kupuma pang'onopang'ono kapena pang'ono, kupuma movutikira, kukomoka, kugona tulo tochuluka, komanso kuvutika kukhala maso. |
| Kusintha kwa Mtima | Kumva ngati mtima wanu ukugunda mofulumira kapena mosakhazikika, chizungulire, kukomoka, kupweteka pachifuwa. |
| Kuthamanga kwa Magazi Kochepa | Chizungulire, kukomoka, kusawona bwino. |
| Kugunda kwa Mtima Kochepa | Kuzunguzika mutu, kukomoka, kupuma movutikira, kumva kutopa kwambiri. |
| Kuvulala kwa Impso | Kuchepa kwa mkodzo wotuluka, kutupa kwa akakolo, manja, kapena mapazi. |
| Kuvulala kwa Chiwindi | Kupweteka kumtunda kwa mimba kumanja, kusowa chilakolako cha chakudya, nseru, khungu kapena maso kukhala achikasu, mkodzo wakuda wachikasu/bulauni. |
| Kuvulala kwa Minofu | Kutopa kosazolowereka, kupweteka kwa minofu, mkodzo wakuda, kuchepa kwa mkodzo. |
| Zinthu zomwe nthawi zambiri sizili zazikulu, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Kugona tulo | Ndi zachilendo kumva tulo kwa maola angapo mutamwa mankhwala. |
| Ululu pamalo obayira jakisoni | Pakhoza kukhala kupweteka pang'ono, kufiira, kapena kutupa pamalo pomwe kanula inayikidwa. |
Kodi ndingatenge mankhwala awa kunyumba?
Ayi. Izi n'zomveka bwino. Propofol ndi mankhwala omwe amaperekedwa kuchipatala kapena kuchipatala kokha, moyang'aniridwa ndi dokotala. Simudzapatsidwa mankhwalawa kuti musunge kapena kugwiritsa ntchito kunyumba pazifukwa zilizonse.
Uthenga Wopita Nawo Kunyumba
- Propofol ndi mankhwala ofunikira kwambiri oletsa ululu omwe amagwiritsidwa ntchito kuchepetsa ululu ndi kusapeza bwino komanso kukugonetsani tulo panthawi ya opaleshoni ndi njira zachipatala.
- Izi zimaperekedwa kuchipatala kokha, ndi gulu lachipatala lophunzitsidwa bwino.
- Kuti mukhale otetezeka, ndikofunikira kuuza dokotala wanu za matenda anu onse, ziwengo, ndi mankhwala ena onse omwe mukumwa.
- Pewani kuyendetsa galimoto ndikuchita ntchito zomwe zimafuna kusamala kwa maola osachepera 24 mutatha opaleshoni.
- Ngati mukukumana ndi mavuto aakulu monga kupuma movutikira, kupweteka pachifuwa, chizungulire chachikulu, kapena zizindikiro zoopsa za ziwengo, funsani upangiri wa dokotala nthawi yomweyo.
- Ngati muli ndi nkhawa kapena mafunso okhudza mankhwalawa, lankhulani ndi dokotala wanu za izi momasuka.
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