Tangoganizirani mukuvutika kupuma mwadzidzidzi, mukumva ngati mukupuma movutikira chifukwa cha kupweteka kwambiri pachifuwa panu. Izi nthawi zina zimakhala zoopsa kwambiri. Chifukwa chimodzi cha izi ndi magazi ambiri omwe amaundana mumtsempha waukulu wamagazi womwe umapatsa magazi m'mapapo. Mu zamankhwala, timatcha izi kuti pulmonary embolism. Mu mkhalidwe woopsa uwu, jakisoni wofunikira komanso wamphamvu wotchedwa Urokinase amaperekedwa kuti asungunule magazi mwachangu ndikupulumutsa moyo wanu. Tiyeni tikambirane za izi lero.
Mwachidule, kodi Urokinase ndi chiyani?
Urokinase ndi mankhwala oletsa magazi kuundana . Kunena zoona, mankhwalawa amathandiza kupita ku magazi kuundana omwe apangika moopsa mkati mwa mtsempha wamagazi kwinakwake m'thupi lathu, kuwasungunula, ndikubwezeretsa kuyenda kwa magazi.
Izi nthawi zambiri zimagwiritsidwa ntchito pokhapokha pazidzidzidzi komanso milandu yayikulu. Nthawi zambiri zimagwiritsidwa ntchito kusungunula magazi ambiri m'mapapo (`massive pulmonary embolism`) . Iyi si mankhwala oti agwiritsidwe ntchito kunyumba, koma amaperekedwa kuchipatala chokha, moyang'aniridwa ndi madokotala ndi anamwino.
Ndi zinthu ziti zomwe muyenera kuuza dokotala musanamupatse mankhwala awa?
Popeza Urokinase ndi mankhwala amphamvu kwambiri, zingakhale zoopsa kugwiritsa ntchito ndi matenda enaake m'thupi lanu. Chifukwa chake, musanasankhe kukupatsani mankhwalawa, muyenera kuuza dokotala wanu za zinthu zotsatirazi, osabisa chilichonse .
Kupereka chidziwitsochi ndikofunikira kwambiri kuti mukhale otetezeka, chifukwa chiopsezo chachikulu cha mankhwalawa ndi kutuluka magazi.
| Mkhalidwe woti unenedwe | N’chifukwa chiyani ndiyenera kukudziwitsani? (Mwachidule) |
|---|---|
| Aneurysm, kuvulala mutu, kapena chotupa cha muubongo. | Mu mkhalidwe wotere, pali chiopsezo chachikulu cha kutuluka magazi muubongo. |
| Matenda otuluka magazi, mavuto otsekeka kwa magazi. | Mankhwalawa angapangitse kuti magazi asatuluke bwino. |
| Kuthamanga kwa magazi kosalamulirika. | Kuthamanga kwa magazi kumawonjezera chiopsezo cha kuphulika kwa mtsempha wamagazi ndikutuluka magazi. |
| Opaleshoni yaposachedwa kapena biopsy. | Mabala ochitidwa opaleshoni amatha kutuluka magazi ambiri. |
| Mavuto a maso omwe amayamba chifukwa cha matenda a shuga (`Diabetic Retinopathy`). | Kutuluka magazi m'mitsempha yamagazi yofewa m'diso kungayambitse kulephera kuona bwino. |
| Ngati muli ndi pakati, mukufuna kutenga pakati, kapena ndinu mayi woyamwitsa. | Kusamala kwambiri kuyenera kutengedwa chifukwa mankhwalawa angakhudze mayi ndi mwana m'mimba. |
| Ngati muli ndi vuto la urokinase kapena mankhwala ena aliwonse kapena chakudya. | Izi ndizofunikira kwambiri kuti tipewe vuto lalikulu la ziwengo. |
Kodi mankhwalawa amaperekedwa bwanji m'thupi?
Mankhwala awa si omwe mungapite nawo kunyumba. Amaperekedwa kuchipatala kudzera mu cannula (jakisoni mumtsempha) . Kugunda kwa mtima wanu, kuthamanga kwa magazi, ndi zizindikiro zina zofunika zidzayang'aniridwa ndi gulu lachipatala panthawi yonse ya chithandizo.
Ngati mankhwalawa aperekedwa kwa ana, chisamaliro chapadera chiyenera kuperekedwa motsogozedwa ndi dokotala wa ana.
Kodi mungachite chiyani ngati mwamwa mopitirira muyeso?
Popeza izi zimaperekedwa kuchipatala, mwayi woti izi zichitike ndi wochepa kwambiri. Komabe, ngati zitachitika, ogwira ntchito kuchipatala adzadziwitsa nthawi yomweyo National Poisons Information Centre ku Colombo National Hospital kapena Emergency Treatment Unit (ETU) yapafupi.
Mankhwala ena omwe angagwirizane ndi Urokinase
Mankhwala ena omwe mumamwa amatha kusokonezana ndi Urokinase ndikuyambitsa zotsatirapo zoopsa. Chifukwa chake, onetsetsani kuti mwauza dokotala wanu za mankhwala onse omwe mumamwa (kuphatikizapo mavitamini, mankhwala azitsamba, ndi mankhwala ochepetsa ululu).Uzani dokotala.
| Musamwe Urokinase pamodzi ndi mankhwalawa! | |
|---|---|
| Aminocaproic acid | Tranexamic acid |
| Aprotinin | (Awa ndi mankhwala operekedwa kuti asiye kutuluka magazi, kotero amaletsa ntchito ya Urokinase) |
| Uzani dokotala wanu za izi (muyenera kusamala). | |
| Aspirin ndi mankhwala ena ofanana nawo | Mankhwala ochepetsa magazi monga Warfarin ndi Enoxaparin |
| Mankhwala ochepetsa ululu (NSAIDs) monga ibuprofen | Zakudya zowonjezera monga mafuta a nsomba ndi Ginkgo |
Zotsatirapo zomwe zingakhalepo mukatenga mankhwala
Monga mankhwala ena aliwonse, Urokinase ikhoza kukhala ndi zotsatirapo zake. Zina mwa izo ndi zoopsa kwambiri. Choncho ndikofunikira kwambiri kudziwa zizindikiro izi.
Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala kapena namwino nthawi yomweyo:
- Matenda a ziwengo: kutupa pakhungu, kuyabwa, kutupa kwa milomo, lilime, nkhope.
- Zizindikiro za kutuluka magazi:
- Chimbudzi chakuda kapena chamagazi.
- Mkodzo wofiira kapena wakuda.
- Kusanza chinthu monga khofi wothira kapena magazi.
- Kutuluka magazi m'kamwa, m'mphuno, kapena m'maso.
- Madontho ofiira pakhungu kapena mabala osadziwika.
- Zizindikiro za sitiroko: kusintha kwa masomphenya, chisokonezo, kuvutika kulankhula kapena kumvetsetsa, mutu waukulu mwadzidzidzi, dzanzi kapena kufooka pankhope, mkono, kapena mwendo.
- Kugunda kwa mtima: Kugunda kwa mtima mofulumira kapena kosasinthasintha.
- Kusintha kwa mtundu wa milomo kapena misomali.
- Kuvuta kukodza kapena kusintha kwa kuchuluka kwa mkodzo womwe mumatulutsa.
Zotsatirapo zomwe nthawi zambiri sizili zoopsa, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira:
- Chizungulire
- Malungo
- Kusanza ndi kusanza
Chofunika: Mndandandawu suli ndi zotsatirapo zonse zomwe zingachitike. Ngati mukukumana ndi vuto linalake lachilendo, musaope kuuza gulu lanu lachipatala nthawi yomweyo.
Uthenga Wopita Nawo Kunyumba
- Urokinase ndi mankhwala amphamvu omwe amaperekedwa kuchipatala kokha kuti asungunule magazi oundana m'mapapo.
- Kuti mukhale otetezeka, ndikofunikira kuuza dokotala wanu mbiri yanu yonse yachipatala ndi mankhwala onse omwe mumamwa (kuphatikizapo mavitamini), popanda kubisa chilichonse.
- Choopsa chachikulu komanso chachikulu cha mankhwalawa ndi kutuluka magazi . Chifukwa chake, ngati muwona china chilichonse chaching'ono, monga kutuluka magazi m'kamwa kapena kuvulala, dziwitsani ogwira ntchito zachipatala nthawi yomweyo.
- Pewani kumwa mankhwala ochepetsa ululu monga Aspirin ndi Ibuprofen popanda upangiri wa dokotala kwa masiku angapo mutatha kulandira chithandizo.
- Musazengereze kuuza dokotala kapena namwino wanu za zotsatirapo zilizonse zomwe mumakumana nazo.
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