Tangoganizani kuti m'modzi mwa okondedwa anu walowetsedwa kuchipatala kuti akachite opaleshoni yachizolowezi. Tonse tikukhulupirira kuti zonse ziyenda bwino. Koma, pambuyo poti munthu wapatsidwa mankhwala oletsa ululu , kutentha kwa thupi kumakwera mwadzidzidzi moopsa, minofu imalimba, ndipo kugunda kwa mtima kumakhala kosasinthasintha. Ichi ndi chomwe tikukamba lero, matenda osowa koma oopsa kwambiri, omwe amaika moyo pachiswe otchedwa ' malignant hyperthermia '. Ndikofunikira kwambiri kudziwa izi.
Mwachidule, kodi Malignant Hyperthermia ndi chiyani?
Choyamba, tiyeni timvetse tanthauzo la 'Hyperthermia'. Hyperthermia ndi pamene kutentha kwa thupi lathu kumakhala kokwera kwambiri ndipo sitingathe kulamulira. Kawirikawiri, kutentha kwa thupi lathu kumakhala pafupifupi madigiri 37 Celsius (98.6 Fahrenheit) kudzera mu njira monga thukuta . Koma mu hyperthermia, kuwongolera kumeneku kumatayika ndipo kutentha kumakwera kuposa madigiri 40 Celsius (104 Fahrenheit). Uku si kutentha kwachibadwa, ndi koopsa kwambiri.
Kutentha kwambiri kwa thupi nthawi zambiri kumachitika chifukwa cha zinthu zakunja monga kutentha kwambiri komanso kusowa madzi m'thupi ( kusowa kwa madzi m'thupi).
Koma Malignant Hyperthermia (MH) ndi yosiyana. Imachitika pamene thupi limachita zinthu zachilendo ku mitundu ina ya mankhwala oletsa ululu . Mankhwala oletsa ululu amenewa ndi ofunikira kuti opaleshoni ikhale yopanda ululu. Koma mwa anthu ena, mankhwala amenewa amaphatikizana ndi vuto la majini m'thupi kuti abweretse vutoli loopsa.
Kodi n’chiyani chimayambitsa matenda oopsa a malignant hyperthermia?
Vutoli limayamba makamaka chifukwa cha mitundu ina ya mankhwala oletsa ululu. Nthawi zina limathanso kuchitika chifukwa cha kuchita masewera olimbitsa thupi mopitirira muyeso kapena kutentha kwambiri m'malo okhala. Limatchedwa 'Awake Hyperthermia'.
Chofunika kwambiri ndichakuti ngakhale munthu atamwapo mankhwala awa popanda vuto lililonse m'mbuyomu, akhoza kukumana ndi vutoli nthawi ina . Chifukwa chake, ndikofunikira kwambiri kudziwa zoopsa zake.
Tiyeni tiwone zomwe zimayambitsa vutoli ndi zomwe zimayambitsa.
| Mtundu wa Choyambitsa | Zitsanzo ndi mafotokozedwe |
|---|---|
| Mankhwala Oletsa Kupweteka Omwe Amapuma | Mitundu ya mpweya womwe umagwiritsidwa ntchito pogonetsa wodwalayo panthawi ya opaleshoni. Zitsanzo: Desflurane, Sevoflurane, Isoflurane, Halothane, Enflurane. |
| Zopumula Minofu | Makamaka, mankhwala a Succinylcholine apezeka kuti ndi omwe amachititsa izi. Amagwiritsidwa ntchito kupumula minofu panthawi ya opaleshoni. |
| Zina Zoyambitsa | Kawirikawiri, vutoli lingayambitsidwenso ndi kuchita masewera olimbitsa thupi mopitirira muyeso kapena kutentha kwambiri. |
Kodi zizindikiro za vutoli ndi ziti?
Zizindikiro zimenezi nthawi zambiri zimawonekera munthu akapatsidwa mankhwala oletsa ululu kapena nthawi yomweyo atangopatsidwa mankhwala oletsa ululu, choncho madokotala ndi ogwira ntchito m'chipinda chochitira opaleshoni amasamala kwambiri za izi.
Chofunika kwambiri ndichakuti ngakhale munthu atakhala pachiwopsezo cha matenda a Malignant Hyperthermia, akhoza kukhalabe opanda zizindikiro pa moyo wake wonse. Zizindikiro zimangowoneka ngati munthu wamwa mankhwala oyambitsa matendawa.
| Chizindikiro | Chikuchitika ndi chiyani? |
|---|---|
| Kuuma kwa minofu ndi kunjenjemera | Nsagwada ndi minofu ina m'thupi mwadzidzidzi zimalimba ngati kuti zapangidwa ndi miyala. |
| Kugunda kwa mtima mwachangu komanso kosasinthasintha | Kugunda kwa mtima kumawonjezeka kwambiri ndipo kayimbidwe kake kamakhala kosasinthasintha. |
| Kukwera kwa milingo ya carbon dioxide (CO2) | Kuchuluka kwa CO2 mu mpweya wotuluka kumawonjezeka mofulumira kwambiri. Ichi ndi chimodzi mwa zizindikiro zoyambirira zomwe madokotala amaona. |
| Kukwera mofulumira kwa kutentha kwa thupi | Izi nthawi zambiri zimakhala chizindikiro chomwe chimabwera pambuyo pa matenda ena. Kutentha kumakwera kufika pamlingo woopsa. |
| Kuchuluka kwa asidi m'magazi (Metabolic Acidosis) | Magazi amakhala acidic chifukwa cha matenda a kagayidwe kachakudya m'thupi. |
| Zina mwazinthu | Thukuta lochuluka, mawanga ofiira pakhungu, komanso kupuma movutikira kungachitikenso. |
Kodi chifukwa chachikulu cha malignant hyperthermia ndi chiyani?
Chifukwa chachikulu cha izi ndi vuto la majini . Mwachidule, pali vuto m'majini omwe amalamulira magwiridwe antchito a minofu m'thupi lathu. Vutoli likhoza kutengera kubadwa, kapena likhoza kuyambika mtsogolo.
Asayansi apeza zilema zoposa 80 zomwe zimayambitsa vutoli. Ndi vuto lomwe limatha kufalikira kuchokera ku mibadwomibadwo kupita ku mibadwomibadwo . Izi zikutanthauza kuti ngati amayi anu, abambo anu, mchimwene wanu kapena mlongo wanu ali ndi vutoli, inunso muli ndi mwayi wokhala nalo. Komanso, amuna ali ndi mwayi wochuluka wopeza vutoli kuposa akazi.
Kodi n'zotheka kudziwa pasadakhale ngati chiopsezochi chilipo?
Inde, pali mayeso awiri azachipatala kuti atsimikizire ngati chiopsezochi chilipo.
1. Kuyezetsa Magazi a Majini: Chitsanzo cha magazi anu chikhoza kutengedwa ndipo majini omwe ali mmenemo akhoza kuyesedwa kuti aone ngati pali zolakwika zazikulu za majini zomwe zikugwirizana ndi izi. Komabe, mayesowa si olondola 100%. Izi zili choncho chifukwa vutoli likhozanso kuyambitsidwa ndi zolakwika za majini zomwe sizinapezekebe.
2.Kuyeza Minofu: Iyi ndi njira yolondola kwambiri. Mu mayesowa, dokotala amatenga kachidutswa kakang'ono kwambiri ka minofu kuchokera ku mwendo wanu ndikukayesa mu labu kuti awone momwe kamayankhira mankhwala omwe amayambitsa MH. Kuyeza kumeneku sikuchitidwa kwa aliyense. Madokotala amalangiza mayesowa pokhapokha ngati wina m'banja mwanu ali ndi vutoli kapena ngati muli ndi zizindikiro zokayikitsa.
Kodi mungachiritse bwanji vutoli ngati litachitika mwadzidzidzi?
Matenda a hyperthermia oopsa ndi vuto lachipatala. Zimatanthauza kuti liyenera kuchiritsidwa nthawi yomweyo. Ngati chinthu chonga ichi chichitika m'chipinda chochitira opaleshoni, gulu lachipatala lichitapo kanthu nthawi yomweyo.
- Choyamba ndi kusiya nthawi yomweyo kupereka mankhwala oletsa ululu omwe adayambitsa vutoli .
- Kenako, mankhwala apadera otchedwa ` Dantrolene` amabayidwa m'mitsempha. Uwu ndiye mankhwala okhawo otsimikizika a MH.
- Wodwalayo wakulungidwa mu 'bulangeti loziziritsira' kuti achepetse kutentha kwa thupi. Mapaketi a ayezi amaikidwanso m'malo monga m'khwapa ndi m'mimba.
- Mankhwala ozizira a saline (madzi ozizira a IV) amaperekedwa kuti aziziritse thupi.
- Wodwalayo amalowetsedwa mu Intensive Care Unit (ICU) kapena Emergency Treatment Unit (ETU) kuti ayang'anire bwino momwe akumvera.
Kodi tiyenera kuchita chiyani kuti tidziteteze ku chiopsezo ichi?
Palibe mankhwala ochizira chilema cha majini chomwe chimayambitsa izi, kotero chinthu chabwino kwambiri kuchita ndikuwongolera zoopsa ndikuletsa ngozi kuti isachitike.
Ngati inu kapena wina m'banja mwanu mwapezeka ndi Malignant Hyperthermia, kapena ngati pali kukayikiridwa kulikonse, muyenera kudziwitsa dokotala wa opaleshoni musanachite opaleshoni iliyonse.
Ichi ndi chinthu chofunika kwambiri kukumbukira. Mukatiuza, madokotala adzaonetsetsa kuti akugwiritsa ntchito mankhwala oletsa ululu okha omwe sangayambitse matenda a MH. Chifukwa chake, ndikofunikira kwambiri kudziwa mbiri ya matenda a m'banja mwanu.
Uthenga Wopita Nawo Kunyumba
- Malignant Hyperthermia (MH) ndi njira yosowa kwambiri, yomwe ingawopseze moyo chifukwa cha mankhwala ena oletsa ululu.
- Chifukwa chachikulu cha izi ndi vuto la majini lomwe limaperekedwa kwa mibadwomibadwo.
- Ngati wina m'banja mwanu ali ndi vutoli, inunso mungakhale pachiwopsezo.
- Musanayambe opaleshoni iliyonse, ndikofunikira kudziwitsa dokotala wanu mbiri ya banja lanu ya matenda a MH. Izi zingakupulumutseni moyo.
- Kudziwa za chiopsezo ichi ndiyo njira yabwino kwambiri yopewera ngozi.
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