Nthawi zina zimakhala zovuta kupuma, eti? Chifuwa chimalimba, phokoso la kupuma limamveka... Izi ndi zodziwika bwino komanso zosasangalatsa kwa anthu omwe ali ndi matenda opuma monga mphumu . Nthawi zina ngati izi, pamene njira zopumira zimakhala zovuta ndipo zimakhala zovuta kupuma ( bronchospasm ), mankhwala apadera otchedwa Racepinephrine amagwiritsidwa ntchito ndi madokotala kuti apereke chithandizo mwachangu. Izi nthawi zambiri zimatchedwa mankhwala "othandiza mwachangu" kapena "opulumutsa". Tiyeni tikambirane izi mosavuta.
Kodi mankhwala a Racepinephrine ndi otani?
Mwachidule, uwu ndi mankhwala omwe amakulitsa njira zopumira zomwe zimakhala zochepa komanso zopapatiza m'mapapo mwanu, zomwe zimapangitsa kuti kupuma kukhale kosavuta. Monga momwe chitoliro chamadzi chimatsekedwera, zimakhala zovuta kupuma pamene njira zathu zopumira zatsekeredwa. Mankhwalawa amagwira ntchito pochotsa kutsekeka ndikutsegulanso njira zopumira. Nthawi zambiri amabwera ngati madzi, omwe amaikidwa mu makina otchedwa nebulizer, ndipo thupi limalandira mpweyawu popuma mpweya.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa
Musanakupatseni mankhwala awa, ndikofunikira kwambiri kuti dokotala wanu adziwe bwino za thanzi lanu. Chifukwa mankhwalawa amatha kusokoneza matenda ena. Chifukwa chake, ngati muli ndi vuto lililonse mwa zotsatirazi, onetsetsani kuti mwadziwitsa dokotala wanu.
- Ngati mudapitako kuchipatala kale chifukwa cha mphumu
- Matenda a shuga
- Matenda a glaucoma
- Matenda a mtimaKapena ngati muli ndi kugunda kwa mtima kosasinthasintha.
- Kuthamanga kwa magazi
- Matenda otchedwa pheochromocytoma
- Mavuto a prostate
- Ngati mudadwalapo khunyu kale
- Ngati mwakhalapo ndi sitiroko
- Ngati mwamwa mankhwala oletsa kuvutika maganizo a MAOI monga Carbex, Eldepryl, Marplan, Nardil, kapena Parnate m'masiku 14 apitawa .
- Matenda a chithokomiro
- Ngati mwakhalapo ndi vuto la racepinephrine, epinephrine, kapena mankhwala ena aliwonse, chakudya, kapena utoto.
- Ngati muli ndi pakati kapena mukufuna kutenga mimba
- Ngati ndinu mayi woyamwitsa
Ndikofunikira kwambiri kuti mukhale otetezeka kuuza dokotala izi popanda kuzibisa.
Kodi ndimagwiritsa ntchito bwanji mankhwalawa molondola?
Mankhwalawa amatengedwa popuma pogwiritsa ntchito chipangizo chotchedwa nebulizer. Nebulizer imasintha mankhwala amadzimadzi kukhala nthunzi (aerosol) yomwe mungathe kupuma kudzera pakamwa kapena mphuno mwanu. Nthunzi iyi imalowa mwachindunji m'mapapu anu.
- Gwiritsani ntchito kokha monga momwe dokotala wanu wanenera, pamlingo womwe walembedwa . Musagwiritse ntchito mopitirira muyeso womwe walangizidwa kapena mobwerezabwereza.
- Mankhwalawa amaperekedwanso kwa ana azaka zopitirira 4 nthawi zina. Komabe, ali ndi njira zapadera zodzitetezera, choncho lankhulani ndi dokotala wanu mosamala ngati muwagwiritsa ntchito pa mwana.
Kodi mungachite chiyani ngati mwamwa mankhwala ochulukirapo?
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, musazengereze . Imbani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital , kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.
Nanga bwanji ngati ndaphonya mlingo?
Mankhwalawa si oyenera kumwedwa nthawi yokhazikika tsiku lililonse. Amagwiritsidwa ntchito pokhapokha ngati mukuvutika kupuma. Chifukwa chake, kulumpha mlingo sikukugwira ntchito pa izi.
Mankhwala ena omwe angagwirizane ndi mankhwalawa
Mankhwala ena omwe mukumwa angakhudze momwe mankhwalawa amagwirira ntchito. Choncho uzani dokotala wanu za mankhwala onse omwe mukumwa, kuphatikizapo mankhwala olembedwa ndi dokotala komanso omwe amagulitsidwa ndi dokotala, mankhwala azitsamba, ndi mavitamini. Racepinephrine ingagwirizane ndi mankhwala otsatirawa makamaka:
| Gulu la mankhwala | Kufotokozera ndi zitsanzo |
|---|---|
| Mankhwala oletsa kuvutika maganizo a MAOI | Mankhwala monga Carbex, Eldepryl, Marplan, Nardil, Parnate. Racepinephrine sayenera kumwedwa pamodzi ndi awa. |
| Mankhwala a matenda ena opumira | Mitundu ina ya ma inhalers monga aminophylline, theophylline, albuterol, ndi levalbuterol. |
| Mankhwala a kuthamanga kwa magazi kapena matenda a mtima | Mankhwala aliwonse a mtima kapena kuthamanga kwa magazi omwe dokotala wakupatsani. |
| Mankhwala a matenda amisala | Mankhwala a matenda monga kuvutika maganizo ndi nkhawa. |
| Mankhwala a chimfine | Mankhwala okhala ndi phenylephrine kapena pseudoephedrine. |
| Zina | Kafeini, mahomoni a chithokomiro, mankhwala ochepetsa thupi, ndi zinthu zolimbikitsa kusamala. |
Zinthu zoyenera kusamala nazo mukamagwiritsa ntchito mankhwalawa
Pitani kwa dokotala wanu pa masiku omwe akonzedwa kuti muwone ngati zizindikiro zanu zikuchepa kapena zikuipiraipira. Ngati zizindikiro zanu sizikuchepa kapena zikuoneka kuti zikuipiraipira, uzani dokotala wanu.
Mphumu ndi matenda omwe nthawi zina amatha kupha munthu. Choncho dziwani zizindikiro izi. Pitani kuchipatala mwamsanga kapena pitani ku Dipatimenti Yothandiza Anthu Odwala Matenda a Zadzidzidzi (ETU) ngati mukukumana ndi zotsatirazi:
- Ngati ululu suchepa patatha mphindi 20 mutamwa mankhwalawo.
- Ngati zizindikiro zikuipiraipira .
- Ngati mukufuna kugwiritsa ntchito mankhwalawa nthawi zoposa 12 mu maola 24.
- Ngati mukuyenera kuigwiritsa ntchito masiku opitilira atatu pa sabata, kupitirira nthawi 9 patsiku.
- Ngati muli ndi matenda a mphumu opitilira kawiri pa sabata.
Zotsatirapo zomwe zingachitike chifukwa cha mankhwala
Monga mankhwala ena aliwonse, mankhwalawa angayambitse mavuto ena mwa anthu ena. Ena ndi oopsa, ena ndi ofala kwambiri.
| Zotsatira zoyipa | Kufotokozera |
|---|---|
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala wanu nthawi yomweyo | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Kusintha kwa kugunda kwa mtima | Kumva ngati mtima wanu ukugunda mofulumira kapena mosakhazikika, chizungulire, kupweteka pachifuwa, komanso kupuma movutikira. |
| Kuthamanga kwa magazi kowonjezeka | Zizindikiro za kuthamanga kwa magazi. |
| Kuvuta kupuma kwambiri | Ngati kupuma kwanu kukuipiraipira mutagwiritsa ntchito mankhwala. |
| Zinthu zomwe nthawi zambiri sizili zazikulu, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Mutu | – |
| Chikhure | – |
| Kugwedezeka | Kumva ngati manja kapena thupi lanu likugwedezeka. |
| Kusowa tulo | – |
Kodi mumasunga ndi kutaya bwanji mankhwalawo?
- Sungani pamalo omwe ana ndi ziweto sangafikire .
- Sungani pamalo otentha pakati pa madigiri 2 ndi 25 Celsius (36 ndi madigiri 77 Fahrenheit). Musamazizira.
- Tetezani ku kuwala. Sungani mabotolo osatsegulidwa m'thumba lawo la aluminiyamu.
- Musagwiritse ntchito pambuyo pa tsiku lotha ntchito.
- Funsani dokotala wanu momwe mungatayire bwino mankhwala omwe atha ntchito kapena omwe sakufunikanso. Musangowataya m'zinyalala.
Uthenga Wopita Nawo Kunyumba
- Racepinephrine si mankhwala a tsiku ndi tsiku, koma ndi mankhwala omwe amagwiritsidwa ntchito popereka mpumulo mwachangu pakagwa mwadzidzidzi pomwe kupuma kumakhala kovuta.
- Ndikofunikira kudziwitsa dokotala wanu za matenda ena aliwonse omwe muli nawo (monga matenda a shuga, matenda a mtima) ndi mankhwala ena onse omwe mukumwa.
- Ngati ululu sunathe mkati mwa mphindi 20 mutamwa mankhwala, kapena ngati zizindikiro zikuipiraipira, pitani ku Dipatimenti Yothandiza Anthu Odwala Mwadzidzidzi (ETU) ya chipatala nthawi yomweyo.
- Musagawire mankhwala awa ndi wina aliyense. Mankhwalawa aperekedwa kwa inu nokha.
- Ngati mwamwa mankhwala ochulukirapo, ndi vuto lalikulu. Pitani ku National Poison Information Center kapena ETU nthawi yomweyo.
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