Kodi mwana wanu wayamba kukhala ndi kadontho kofiira pakhungu lake patatha milungu ingapo atabadwa? Poyamba, munkaganiza kuti ndi chizindikiro cha kubadwa kwabwinobwino, koma kodi mwaona kuti pang'onopang'ono chimakula, chimakhala chozungulira, ndipo nthawi zina chimakhala chofiira kwambiri? Monga mayi, ndi zachilendo kumva mantha pang'ono komanso nkhawa mukaona chinthu chonga ichi. Matendawa timawatcha kuti 'Infantile Hemangioma'. Mankhwala apadera omwe amaperekedwa pa izi ndi 'Propranolol'. Chifukwa chake lero, tiyeni tikambirane za mankhwalawa.
Mwachidule, kodi Propranolol ndi chiyani?
`Propranolol` ndi mankhwala amadzimadzi omwe amagwiritsidwa ntchito pochiza matenda a `Infantile Hemangioma` omwe takambirana pamwambapa, omwe ndi chizindikiro chobadwa nacho chomwe chikukula mofulumira pakhungu la makanda aang'ono. Amabwera ngati madzi.
Tangoganizirani, malo ofiira awa ndi chotupa chomwe chimapangidwa ndi kusonkhanitsa kwa mitsempha yambiri yamagazi yomwe imapereka magazi kudera limenelo. Chifukwa chake, chomwe mankhwala a 'Propranolol' awa amachita ndi kuchepetsa kuyenda kwa magazi kupita ku chotupacho. Kenako, chomwe chimachitika ndichakuti chotupacho chimakhala chocheperako mtundu, chocheperako kukula, komanso cholimba pang'ono. Kunena zoona, ichi ndi cha gulu la mankhwala otchedwa 'beta blockers'.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwala
Musanapatse mwana wanu mankhwala awa, muyenera kutchula zinthu izi mukalankhula ndi dokotala wanu. Chifukwa ngati pali mavuto amenewa, dokotalayo ndiye adzasankha ngati apereke kapena ayi mankhwalawo, kapena momwe angawaperekere.
- Ngati mwana wanu ali ndi mphumu kapena mavuto ena opuma.
- Matenda a shuga , zomwe zikutanthauza kukhala ndi shuga wambiri m'magazi.
- Ngati muli ndi matenda a mtima kapena kugunda kwa mtima pang'onopang'ono.
- Ngati muli ndi vuto lina kupatula kutsika kwa kuthamanga kwa magazi .
- Ngati mwana akulephera kudya kapena akuvutika kumwa mkaka/chakudya.
- Ngati dokotala wakuuzani kuti muli ndi matenda enaake monga `PHACE syndrome` kapena `Pheochromocytoma`.
- Ngati mwakhalapo ndi vuto la ziwengo ndi mankhwala awa, Propranolol, kapena mankhwala ena aliwonse, chakudya, kapena utoto.
Kodi ndiyenera kupereka bwanji mankhwala awa kwa mwana?
Ichi ndi gawo lofunika kwambiri. Muyenera kumwa mankhwalawa monga momwe dokotala wanenera, nthawi yomweyo tsiku lililonse, nthawi yomweyo.
- Mlingo woyenera: Gwiritsani ntchito sirinji yapadera, sirinji yakumwa, kapena supuni yapadera yomwe imabwera ndi mankhwala poyeza mankhwala. Musayese ndi supuni zapakhomo, chifukwa sizolondola.
- Perekani pamodzi ndi chakudya: Nthawi zonse perekani mankhwala awa kwa mwana wanu akamayamwitsa kapena atangomaliza kuyamwitsa. Musamupatse ali ndi mimba yopanda kanthu.
- Musayime:Musasiye kumwa mankhwala mpaka dokotala wanu atakuuzani kuti muchite zimenezo. Mankhwalawa nthawi zambiri amatenga miyezi ingapo.
Chofunika Kwambiri: Ngati mwana wanu sakumwa mkaka/chakudya, akusanza, kapena akukana chakudya chifukwa cha matenda ena, musamupatse mankhwala awa panthawiyo. Mankhwalawa ayenera kuperekedwa pokhapokha mwana atayambanso kudya bwino. Ngati muli ndi kukayikira kulikonse pa izi, funsani dokotala wanu.
Kodi mungachite chiyani ngati mwaphonya mlingo wa mankhwala?
Ngati mwaiwala kupereka mlingo, perekani mwamsanga mukangokumbukira. Komabe, ngati nthawi yatsala pang'ono yoti mupereke mlingo wotsatira, thawani mlingo womwe mwaphonya ndikupereka mlingo wotsatira panthawi yomwe mwakonza. Musapereke mlingo wowirikiza kawiri. Komanso, ngati mwana wanu atulutsa mankhwala ena atamwa, musamupatsenso mankhwalawo.
Nanga bwanji ngati nditapereka mankhwala ochulukirapo?
Ngati mukukayikira pang'ono kuti mwapatsa mwana wanu mankhwala ambiri kuposa momwe mukuganizira, musachite mantha ndipo nthawi yomweyo imbani National Poison Information Centre ku Colombo National Hospital . Apo ayi, tengani mwana wanu ku Emergency Treatment Unit (ETU) yapafupi mwamsanga.
Zotsatirapo zoyipa zomwe muyenera kuzidziwa mukamamwa mankhwala
Monga mankhwala ena aliwonse, mankhwalawa akhoza kukhala ndi zotsatirapo zazing'ono. Zina zimakhala zoopsa, zina zimakhala zofala. Ndikofunikira kudziwa izi.
| Mtundu wa zotsatira zoyipa | Zizindikiro zomwe zimaonekera mwa mwana |
|---|---|
| Zizindikiro zazikulu zomwe muyenera kuuza dokotala wanu nthawi yomweyo | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Shuga wochepa m'magazi (Hypoglycemia) | Khungu kapena milomo yotuwa/yabuluu, thukuta, kulira pafupipafupi, kugunda kwa mtima mofulumira, kuchepa kwa mkaka woyamwa, komanso kuzizira. |
| Kulephera kwa mtima | Kuvuta kupuma, kutupa kwa akakolo, manja ndi mapazi, kunenepa mwadzidzidzi, kutopa kwambiri. |
| Kuthamanga kwa magazi pang'onopang'ono/kugunda kwa mtima pang'onopang'ono | Khungu kapena milomo yabuluu/yotumbululuka, kufooka kwachilendo, manja ndi mapazi ozizira. |
| Kuvuta kupuma | Kupuma movutikira. |
| Zizindikiro zomwe nthawi zambiri sizili zazikulu, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Kusintha kwa tulo | Kusintha kwa kagonedwe ka mwana. |
| Kuwawa kwam'mimba | Kutsegula m'mimba kapena kusanza. |
Kodi mankhwalawo angasungidwe bwanji?
- Sungani mankhwalawa pamalo omwe ana ndi ziweto sangafikire .
- Sungani kutentha kwa chipinda (pakati pa madigiri 20-25 Celsius). Musamazizira.
- Tayani mankhwala otsala patatha miyezi iwiri mutatsegula botolo. Komanso, musagwiritse ntchito mankhwalawo ngati atha ntchito.
Uthenga Wopita Nawo Kunyumba
- Propranolol ndi mankhwala omwe amagwiritsidwa ntchito pochiza mawanga ofiira omwe amakula mofulumira pakhungu la makanda (Infantile Hemangioma).
- Nthawi zonse perekani mankhwalawa monga momwe dokotala wanu wanenera, mu kuchuluka komwe mwapatsidwa, komanso pamodzi ndi chakudya/mkaka.
- Ngati mwana sakudya kapena kusanza, pewani kupereka mankhwala panthawiyo.
- Fufuzani thandizo lachipatala mwamsanga ngati mukuona zizindikiro za shuga wotsika m'magazi (khungu labuluu, thukuta, kulira kwambiri), kuvutika kupuma, kapena kudwala kwambiri.
- Ngati muli ndi mafunso okhudza mankhwala anu, musaope kukambirana ndi dokotala wanu.
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