Khungu lathu ndi lofewa kwambiri, sichoncho? Kupweteka ndi kuyabwa komwe kumabwera chifukwa cha kutentha ndi dzuwa, kulumidwa ndi tizilombo, kapena kungokhala ndi ziphuphu kungakhale kokhumudwitsa kwambiri. Chifukwa chake, Tetracaine ndi mankhwala omwe madokotala amalangiza kuti achepetse kwakanthawi ululu ndi kuyabwa pakhungu nthawi ngati izi. Itha kubwera ngati gel, yankho, kapena kirimu. Lero, tiyeni tikambirane za mankhwala otchedwa Tetracaine ndi zinthu zomwe tiyenera kusamala nazo tikamagwiritsa ntchito.
Kodi Tetracaine ndi chiyani?
Mwachidule, Tetracaine ndi mankhwala oletsa ululu omwe amapha khungu. Monga momwe dokotala amabayira mankhwala opha ululu m'kamwa mwanu asanachotse dzino, kirimu uyu amapha ululu kwakanthawi, ndikuchotsa ululu ndi kuyabwa.
Izi zimagwiritsidwa ntchito makamaka pa mavuto ang'onoang'ono a pakhungu. Mwachitsanzo:
- Kupweteka kwa kutentha pang'ono padzuwa.
- Pa kuyabwa ndi ululu woyambitsidwa ndi ziphuphu zazing'ono ndi matuza pakhungu.
- Chepetsani kusasangalala komwe kumachitika chifukwa cha ziwengo zina zazing'ono pakhungu kapena kuyabwa.
Mutha kuwona mankhwalawa pansi pa mayina monga Pontocaine ndi Viractin. Koma kaya dzina lake ndi lotani, musagwiritse ntchito mankhwalawa popanda upangiri wa dokotala.
Zinthu zomwe muyenera kuuza dokotala wanu musanagwiritse ntchito mankhwalawa
Musanakupatseni mankhwala awa, ndikofunikira kwambiri kuti dokotala wanu adziwe bwino za thanzi lanu. Chifukwa nthawi zina mankhwala awa sangakhale oyenera kwa inu. Onetsetsani kuti mwawauza zinthu zotsatirazi makamaka:
- Ngati muli ndi malo akuluakulu opsa, mabala, mabala, kapena kuwonongeka kwa khungu lanu .
- Muli ndi vuto la kusowa kwa enzyme lotchedwa pseudocholinesterase deficiency . Liwu limeneli ndi lovuta kulimvetsa. Mwachidule, ndi vuto losowa kwambiri lomwe limakhudza enzyme yomwe imathandiza kuphwanya mankhwala ena oletsa ululu. Ngati mukudziwa kuti muli ndi imodzi, onetsetsani kuti mwauza dokotala wanu.
- Ngati pali matenda a pakhungu pamalo omwe mankhwalawo ayenera kugwiritsidwa ntchito.
- Ngati muli ndi ziwengo ku Tetracaine, mankhwala otchedwa para-aminobenzoic acid (PABA) (omwe amapezeka mu zodzoladzola zina zoteteza khungu), mankhwala ena ochepetsa ululu, zakudya, utoto, kapena zotetezera zomwe zimapezeka mu mankhwala.
- Ngati muli ndi pakati , mukuyesera kutenga pakati , kapena mukuyamwitsa .
Kugawana izi ndi dokotala wanu n'kofunika kwambiri pa chitetezo chanu, choncho musabise chilichonse.
Kodi mumagwiritsa ntchito bwanji mankhwalawa molondola?
Mankhwala awa ndi ogwiritsidwa ntchito panja pokha. Musawaike mkamwa mwanu kapena kuwameza pazifukwa zilizonse. Gwiritsani ntchito monga momwe dokotala wanu wanenera, komanso kuchuluka kwa mankhwalawo.
1. Sambani m'manja mwanu bwino ndi sopo musanagwiritse ntchito mankhwalawo komanso mutagwiritsa ntchito.
2. Pakani mankhwalawa ngati filimu yopyapyala pamalo omwe mukumva kupweteka kapena kuyabwa. Palibe chifukwa chopaka bwino.
3. Izi ndizofunikira kwambiri: Musalole kuti mankhwalawa alowe m'maso mwanu, m'makutu mwanu, m'mphuno mwanu, kapena m'kamwa mwanu . Ngati mwangozi mwalowa m'maso mwanu, tsukani maso anu nthawi yomweyo ndi madzi oyera kwa mphindi zingapo.
4. Musamapaka mopitirira muyeso wa dokotala. Musamatero poganiza kuti, "Ngati mupaka mopitirira muyeso, zidzachira msanga."
Gwiritsani ntchito ana aang'ono
Ndikofunikira kufunsa dokotala wa ana musanagwiritse ntchito mankhwalawa kwa mwana wanu wamng'ono. Khungu la ana ndi lofewa kwambiri ndipo lingafunike chisamaliro chapadera.
Nanga bwanji ngati nditamwa mopitirira muyeso?
Ngati mukuganiza kuti mwamwa mankhwala ambiri kuposa momwe mukuganizira, kapena ngati wina wameza, musawanyalanyaze. Imbani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital , kapena pitani ku Emergency Department (ETU) ya chipatala chapafupi.
Kodi mumatani ngati mwaphonya nthawi yokumana ndi dokotala?
Ngati mwaiwala kumwa mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati uli pafupi kwambiri ndi mlingo wanu wotsatira (monga, mkati mwa theka la ola), dumphani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe mlingo wowirikiza kawiri kuti mubwezeretse mlingo womwe mwaiwala.
Kodi zotsatirapo zake zingakhale zotani?
Monga mankhwala ena aliwonse, Tetracaine ingayambitse mavuto ena mwa anthu ena. Si aliyense amene amawapeza, koma ndikofunikira kuwadziwa.
| Mtundu wa zotsatira zoyipa | Kufotokozera |
|---|---|
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala nthawi yomweyo | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa kapena ziphuphu, kutupa kwa nkhope, milomo kapena lilime. |
| Kuvuta kupuma | Kuvuta kupuma, kupuma movutikira. |
| Zotsatira pa dongosolo lamanjenje | Mutu waukulu , chizungulire, kugona, kukomoka/kugwedezeka. |
| Kusintha kwa kugunda kwa mtima | Kugunda kwa mtima mofulumira, pang'onopang'ono, kapena kosasinthasintha (kugunda kwa mtima). |
| Zina | Kusanza, kusanza. |
| Zotsatirapo zomwe nthawi zambiri sizili zoopsa, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Kusintha pang'ono pakhungu | Kupsa, kufiira, kapena kumva kuwawa pamene mankhwala akugwiritsidwa ntchito. |
Mndandandawu suli ndi zotsatirapo zonse zomwe zingachitike. Ngati mukukumana ndi chilichonse chosiyana kapena chachilendo, lankhulani ndi dokotala wanu za izi.
Kodi mankhwalawo angasungidwe bwanji?
- Onetsetsani kuti mwasunga pamalo omwe ana aang'ono sangafikire kapena kuwaona.
- Sungani pamalo otentha (pakati pa madigiri 15 ndi 30 Celsius). Musasunge pamalo otentha kwambiri kapena ozizira kwambiri.
- Musasunge mufiriji kapena mufiriji.
- Tayani mankhwala omwe atha ntchito popanda kuwagwiritsa ntchito.
Uthenga Wopita Nawo Kunyumba
- Tetracaine ndi mankhwala omwe amachotsa dzanzi pakhungu ndikuchepetsa kwakanthawi ululu ndi kuyabwa pang'ono.
- Izi ziyenera kupakidwa pakhungu lokha. Musalole kuti zikhudze maso, pakamwa, kapena nembanemba ina ya mucous.
- Ndikofunikira kudziwitsa dokotala wanu za matenda ena aliwonse omwe muli nawo, makamaka matenda a chiwindi ndi ziwengo, musanamwe mankhwalawo.
- Ngati mukuona zizindikiro za vuto lalikulu la ziwengo (kutupa kwa nkhope, kuvutika kupuma), chizungulire chachikulu, khunyu, kapena kusintha kwa kugunda kwa mtima mutagwiritsa ntchito mankhwala, pitani kuchipatala mwamsanga.
- Ngati mukukayikira kuti mwamwa mankhwala opitirira muyeso, pitani ku National Poisons Information Center kapena ku chipatala chapafupi cha ETU .
- Ngati muli ndi nkhawa zina zokhudzana ndi mankhwalawa, lankhulani ndi dokotala wanu za mankhwalawa. Ndi otetezeka kwambiri kuposa kufufuza zambiri pa intaneti.
👩🏽⚕️ Mafunso ena (Mafunso Ofunsidwa Kawirikawiri)
💬 Kodi Tetracaine / Pontocaine amagwiritsidwa ntchito pa chiyani?
Iyi si mankhwala opha ululu wamba! Iyi ndi mankhwala amphamvu kwambiri oletsa ululu am'deralo (amabwera ngati kirimu, lotion, kapena dontho la m'maso) omwe amapangidwira kuti azitha kupangitsa dzanzi/kupangitsa dzanzi kwakanthawi pakhungu, pakhosi, kapena m'diso. Nthawi zambiri amagwiritsidwa ntchito kuthetsa ululu waukulu madokotala akaika catheter/chubu chachikulu pakhosi kapena panthawi ya opaleshoni yaying'ono ya pakhungu.
💬 Kodi kugwiritsa ntchito mankhwalawa (Tetracaine) kumathetsa bwanji ululu wa kubayidwa ndi singano?
Zili ngati kuchotsa TV pa pulagi! Kuti mitsempha ya pakhungu lathu itumize uthenga wakuti 'yavulala' ku ubongo, iyenera kutsegula 'Sodium Channels' yawo ndikutumiza magetsi (Action potentials). Mankhwalawa akagwiritsidwa ntchito, amadutsa pakhungu ndipo 'amatseka/kutseka' njira zonse za sodium mu mitsempha. Popeza palibe njira yoti uthengawo udutse, ubongo wa wodwalayo sumva ngakhale kuvulalako.
💬 N’chifukwa chiyani akuti mankhwala oletsa kumva dzanzi awa sayenera kugwiritsidwa ntchito pa malo akuluakulu kapena mabala (Poison)?
Imeneyo ndiye ngozi yoopsa kwambiri (komanso yoopsa) ya (Systemic Anesthetic Toxicity)! Musagwiritse ntchito izi pakhungu 'losweka/lodulidwa' kapena pamalo akuluakulu! Kuchita izi kudzawonjezera kuchuluka kwa mankhwala omwe amalowa m'magazi mwachindunji kudzera pakhungu, zomwe zimapangitsa wodwalayo kukhala ndi khunyu/kukomoka kwambiri (kugwidwa) ndipo mwina angamwalire chifukwa cha kulephera kwa mtima/kulephera kupuma (makamaka kwa ana aang'ono).
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