Kupuma movutikira mutapereka magazi? Tiyeni tikambirane za kuikidwa magazi mopitirira muyeso (TACO)!

Kodi munayamba mwaperekapo magazi? Kapena mwina munthu amene mumamudziwa anateropo. Nthawi zambiri, kupereka magazi ndi njira yopulumutsira moyo. Koma nthawi zambiri, pamakhala mavuto ang'onoang'ono omwe angachitike chifukwa chopereka magazi. Vuto limodzi lalikulu, koma losowa, lomwe tikambirane lero ndi Transfusion-Associated Circulatory Overload, kapena TACO mwachidule.

Kodi TACO ndi chiyani?

Mwachidule, mukalandira magazi, thupi lanu limalandira madzi ambiri mwadzidzidzi, kutanthauza kuti, madzi ambiri omwe amabwera ndi magazi. Nthawi zina matupi athu sangathe kuthana ndi madzi owonjezera omwe amabwera nthawi imodzi. Pamenepo ndi pomwe vutoli lotchedwa TACO limachitika. Chomwe chimachitika pankhaniyi ndikuti madzi owonjezera amasonkhana m'mapapo ndi ziwalo zina za thupi. Kunena zoona, pamene kuthamanga kwa magazi m'mitsempha yathu kuli kwakukulu kwambiri kuti iwo asathe kuthana nako, madzi ena amatuluka m'mitsempha imeneyo kupita m'mapapo. Madokotala amatcha izi "Pulmonary Edema" . Izi zimapangitsa kuti zikhale zovuta kupuma, thupi limatupa, ndipo kuthamanga kwa magazi kumatha kukwera mwadzidzidzi. Tangoganizirani, chingachitike ndi chiyani ngati mutatumiza madzi mwachangu kwambiri kotero kuti sangathe kuthandizidwa ndi chitoliro chamadzi? Chinthu chofananacho chikuchitika apa.

Kodi zizindikiro za TACO ndi ziti?

Tsopano tiyeni tiwone zizindikiro zomwe zingachitike mukakhala ndi TACO . Zizindikirozi zitha kuwoneka panthawi yopereka magazi kapena mkati mwa maola 12 mutapereka magazi. Ngati mukukumana ndi vuto lotere , muyenera kuuza dokotala kapena anamwino kuchipatala nthawi yomweyo, chabwino?

• Kuvuta kupuma (Dyspnea): Ichi ndiye chizindikiro chachikulu. Chimamveka ngati chikuvuta kupuma. Chimakhala chosalekeza, kapena chimangokulirakulira mukagona. Chimamveka ngati chifuwa chanu chikufinyidwa.
• Chifuwa: Chifuwa chouma chosatha chingakhalepo.
• Kupweteka pachifuwa: Chifuwa chingamve ngati chikuchepa kapena chikukanikizidwa.
• Khungu labuluu, milomo, kapena misomali (`Cyanosis`): Izi zimachitika thupi likapanda kupeza mpweya wokwanira. Khungu lozungulira milomo, lilime, ndi misomali likhoza kusanduka labuluu.
• Kutupa m'miyendo, m'mabondo, kapena m'khosi: Pamene madzi owonjezerawo akusonkhana m'mbali zosiyanasiyana za thupi, miyendo, m'mabondo, ndipo nthawi zina ngakhale khosi limatha kutupa.
• Kugunda kwa mtima mwachangu (Tachycardia): Kugunda kwa mtima kungakwere mwadzidzidzi. Kumamveka ngati mwangobwera kumene kuchokera kuthamanga.
• Chizungulire kapena kukomoka: Mungamve chizungulire kapena mutu wopepuka.
• Mutu waukulu: Mutu wopweteka mwadzidzidzi komanso woopsa.

N’chifukwa chiyani taco (TACO) imeneyi imapangidwira? Chifukwa chake n’chiyani?

Chabwino, tsopano tiyeni tiwone chifukwa chake vutoli lotchedwa TACO limachitika. Monga ndanenera kale, chifukwa chachikulu ndichakuti madzi ambiri amalowa mwadzidzidzi m'thupi lathu. Mtima wathu ndi mitsempha yamagazi sizingathe kuthana ndi kukwera kwadzidzidzi kwa kuthamanga kwa magazi.

Tangoganizirani, ngati mutathira madzi ambiri mu chidebe chaching'ono nthawi imodzi, adzasefukira. Mofananamo, pamene kuthamanga kwa magazi mkati mwa mitsempha yathu yamagazi kukukwera, madzi amayamba kutuluka m'makoma a mitsemphayo. Madzi amenewa nthawi zambiri amasonkhana m'mapapo. Timawatcha `(Pulmonary Edema)` . Zili ngati mapapo odzaza ndi madzi. Choncho si zachilendo kuti zikhale zovuta kupuma, eti?

Choncho, popereka magazi, zinthu zambiri zingakhudze izi, monga kuchuluka kwa magazi operekedwa, liwiro loperekedwa, komanso thanzi la munthu amene akulandira magaziwo.

Ndani ali pachiwopsezo chachikulu chotenga TACO?

Si aliyense amene angadwale TACO akapereka magazi. Koma anthu ena amakhala ndi mwayi waukulu wodwala matendawa, kapena ali pachiwopsezo chachikulu. Tiyeni tiwone yemwe ali.

• Anthu opitirira zaka 60: Pamene tikukalamba, matupi athu sagwira ntchito bwino, kotero zimakhala zovuta kuthana ndi kusintha kwadzidzidzi ngati kumeneku.
• Anthu omwe ali ndi matenda a mtima omwe analipo kale: Mwachitsanzo, anthu omwe ali ndi vuto la mtima kapena omwe adadwalapo kale matenda a mtima ali pachiwopsezo chachikulu chifukwa mtima wawo umavutika kuthana ndi katundu wowonjezera.
• Anthu omwe ali ndi matenda a impso: Impso ndi zomwe zimachotsa madzi ochulukirapo m'thupi. Choncho ngati impso sizikugwira ntchito bwino, pali mwayi waukulu woti madzi azisonkhana m'thupi.
• Anthu omwe ali ndi matenda a m'mapapo monga COPD (Chronic Obstructive Pulmonary Disease): Popeza anthuwa nthawi zambiri amakhala ndi mavuto a m'mapapo, vutoli likhoza kuipiraipira msanga ngati madzi owonjezera asonkhana m'mapapo.
• Anthu omwe agwiritsa ntchito mankhwala omwe amawonjezera kuthamanga kwa magazi (`Vasopressors`) posachedwapa kapena mankhwala omwe amachotsa madzi m'thupi (`Loop Diuretics` - mwachitsanzo, frusemide): Kugwiritsa ntchito mankhwalawa kungakhudzenso kayendedwe ka madzi m'thupi.
• Mukaika maselo ofiira a magazi: Ngakhale izi zitha kuchitika ndi chinthu chilichonse cha m'magazi, zapezeka kuti chiopsezochi chimakhala chachikulu pang'ono mukapereka maselo ofiira a magazi.
• Anthu omwe adalandirapo magazi kangapo kale: Chiwopsezochi chingawonjezekenso ndi magazi kangapo.

Ngati muli ndi chilichonse mwa zinthuzi zoopsa, muyenera kuuza dokotala wanu musanapereke magazi kuti atenge njira zoyenera zodzitetezera.

Kodi madokotala amadziwa bwanji ngati pali TACO?

Ngati muli ndi zizindikiro zomwe zatchulidwa pamwambapa, chinthu choyamba chomwe dokotala angachite ndikukuyang'anirani mosamala. Adzayang'ana kuthamanga kwa magazi anu, momwe mukupumira, kumvetsera kugunda kwa mtima wanu, ndikufufuza ngati muli ndi kutupa. Kenako adzakufunsani za momwe mukumvera komanso nthawi yomwe mwakhala mukuvutika ndi mavutowa.

Kuphatikiza apo, mutha kuchita mayeso ngati awa kuti mutsimikizire zina:

• X-ray ya pachifuwa: Izi zitha kuwonetsa bwino ngati pali madzi m'mapapo (pulmonary edema).
• Kujambula kwa CT:Nthawi zina izi zimathandiza kupeza chithunzi chomveka bwino kuposa X-ray.
• Echocardiogram: Izi zitha kuwona zinthu monga momwe mtima umagwirira ntchito komanso kukula kwa zipinda zamtima. Izi ndizofunikira kudziwa ngati madzi akusonkhana chifukwa cha vuto la mtima.
• Kuyezetsa magazi: Kuyezetsa magazi kwina kungakupatseni lingaliro la kuchuluka kwa nkhawa yomwe ili pamtima panu komanso momwe impso zanu zikugwirira ntchito.

Kodi mankhwala a TACO ndi otani?

Chabwino, tsopano tiyeni tiwone chithandizo chomwe madokotala amapereka pa TACO .

Chithandizo chimayamba ndi kusiya kuikidwa magazi nthawi yomweyo ngati vutoli lapezeka panthawi yoikidwa magazi. Kenako mumakakamizidwa kukhala pabedi, molunjika pang'ono. Izi zidzakuthandizani kupuma mosavuta.

Chithandizo chachikulu ndikupereka mankhwala otchedwa diuretics. Mankhwalawa amagwira ntchito pochotsa madzi ochulukirapo m'thupi kudzera mu mkodzo. Mwachidule, amachepetsa kusunga madzi m'thupi.

Ngati kupuma kukuvuta, chithandizo cha okosijeni chingafunike. Nthawi zina, ngati wodwalayo sangathe kupuma yekha, mpweya wabwino ungafunike .

Pamodzi ndi chithandizochi, madokotala apitiliza kuyang'anira zinthu monga kugunda kwa mtima wanu, kuthamanga kwa magazi, ndi kuchuluka kwa mpweya m'thupi.

Kodi chimachitika ndi chiyani ngati mutalandira TACO? Kodi muyenera kuchita mantha?

Nthawi zina TACO imatha kukhala yofatsa komanso yotha msanga. Izi zikutanthauza kuti magazi akangoyimitsidwa kupereka ndipo mankhwala ofunikira ataperekedwa, vutoli limabwerera mwakale mwachangu. Nthawi zina, izi zimachitika maola angapo magazi ataperekedwa.

Komabe, nthawi zina, zimatha kukhala zoopsa kwambiri moti zingawononge moyo. Ndicho chifukwa chake ndikofunikira kuuza dokotala mwamsanga zizindikiro zikayamba. Ngati vutoli lakula kwambiri, mungafunike kukhala m'chipatala kwa masiku angapo, kapena mungasamutsidwire ku chipinda chosamalira odwala kwambiri (ICU).

Malinga ndi ziwerengero, chiwerengero cha imfa chomwe chimabwera chifukwa cha TACO chikhoza kufika pa 21%. Izi zikutanthauza kuti pafupifupi wodwala m'modzi mwa asanu a TACO amafa. Vutoli limapezeka pa 1% ya magazi omwe aperekedwa. Komabe, TACO yadziwika kuti ndi chifukwa chachikulu cha imfa zokhudzana ndi kupereka magazi.

Choncho ichi si chinthu chongofunika kuchitenga mopepuka. Koma musachite mantha. Ngati chazindikirika ndikuchiritsidwa msanga, nthawi zambiri chimatha kuchiritsidwa.

Kodi ndi liti pamene muyenera kupita kuchipatala mwachangu?

Ngati mukumva zizindikiro za TACO zomwe tinakambirana kale mutapereka magazi, musazengereze kuyimbira 911 nthawi yomweyo kapena kupita ku dipatimenti yothandiza anthu odwala mwadzidzidzi kuchipatala chapafupi.

Ngati muli kale kuchipatala, uzani madokotala ndi anamwino mwamsanga mukangomva kusasangalala kapena kupweteka kulikonse. Musachedwe, chifukwa mukayamba chithandizo mwachangu, zimakhala bwino.

Kodi TACO ingapewedwe?

Inde, madokotala angachitepo kanthu kuti aletse kukula kwa TACO pamlingo winawake.

Ngati muli ndi zinthu zoopsa zomwe tatchula kale, dokotala akhoza kuchepetsa kuchuluka kwa magazi omwe mumapereka. Izi zikutanthauza kuti, adzatumiza magaziwo m'thupi pang'onopang'ono. Kenako thupi silidzalemedwa kwambiri nthawi imodzi.

Nthawi zina, monga njira yopewera, mankhwala ochepetsa mphamvu ya magazi amatha kuperekedwa musanapereke magazi. Izi zimachepetsa kuchuluka kwa madzi m'thupi.

Ngati mwakhalapo ndi vuto ngati ili (Circulatory Overload) chifukwa chopereka magazi kale, onetsetsani kuti mwauza dokotala wanu kuti awone zomwe mungachite kuti muchepetse chiopsezo chanu.

Kumbukirani, kupereka magazi ndi ntchito yotetezeka komanso yopulumutsa moyo nthawi zambiri. Koma ndikofunikira kudziwa zotsatirapo zake, makamaka ngati muli ndi zinthu zomwe zingakuike pachiwopsezo. Ngati muli ndi nkhawa kapena mafunso okhudza kupereka magazi, lankhulani ndi dokotala wanu.

Pomaliza, chinthu chofunikira kwambiri kukumbukira (Uthenga Wopita Nawo Kunyumba)

Chabwino, ndikukhulupirira kuti tsopano mwamvetsa bwino za Transfusion-Associated Circulatory Overload, kapena TACO, yomwe tidakambirana lero.

Chofunika kwambiri kukumbukira ndichakuti ngati mukukumana ndi zizindikiro zachilendo mutapereka magazi, monga kupuma movutikira, kupweteka pachifuwa, kapena kutupa, musanyalanyaze ndipo funsani upangiri wa dokotala nthawi yomweyo.

TACO ndi matenda omwe angakhale oopsa, koma ngati atazindikirika ndikuchiritsidwa msanga, amatha kuchiritsidwa kwambiri. Ngati muli ndi zinthu zomwe zingakuopseni monga matenda a mtima kapena matenda a impso, ndikofunikira kwambiri kudziwitsa dokotala wanu musanapereke magazi.

Kupereka magazi ndi chinthu chopulumutsa moyo. Choncho musachite mantha. Komabe, ndi bwino kuti aliyense adziwe zoopsa izi. Ngati muli ndi mafunso, funsani dokotala.

Kupereka magazi , kuikidwa magazi, taco, TACO, kupuma movutikira, mapapo, matenda a mtima