Kodi mukumwa mankhwala a matenda aakulu? Kodi mwadzidzidzi mwayamba kumva kulira m'makutu mwanu mukumwa mankhwala otere, kapena mwayamba kumva chizungulire komanso kusakhazikika bwino mukuyenda? Nthawi zambiri timaganiza kuti izi zimachitika chifukwa cha matendawa. Koma nthawi zina, mankhwala omwe mukumwa akhoza kukhala omwe amachititsa. Ndicho chimene timatcha Ototoxicity mu mankhwala. Musadandaule, tiyeni tikambirane za izi mosavuta.
Mwachidule, kodi Ototoxicity ndi chiyani?
Mukamva mawu oti ototoxicity, zingawoneke ngati nkhani yaikulu. Koma tanthauzo lake ndi losavuta.
Oto amatanthauza khutu, ndipo poizoni amatanthauza poizoni. Mwa kuyankhula kwina, timatcha ototoxicity
pamene mankhwala ena awononga makutu anu . Zili ngati "kupopera khutu." Khutu lathu lamkati lili ndi maselo ofooka kwambiri akumva omwe amatithandiza kumva ndikuwongolera bwino kwathu. Mankhwala ena, makamaka akamwedwa mopitirira muyeso, amatha kuwononga maselo awa akumva. Apa ndi pamene mumayamba kutaya kumva kwanu, kumva mawu osiyanasiyana m'makutu anu (tinnitus), ndikumva kuti simuli bwino.
Chabwino n'chakuti ngati vutoli lapezeka msanga , nthawi zambiri limatha kuthetsedwa mankhwala omwe amayambitsa vutoli akasiya kapena kusintha. Komabe, ngati lapezeka mochedwa, kuwonongeka kwa khutu kumatha kuchitika.
Ndi mankhwala ndi mankhwala ati omwe angayambitse poizoni wa ototoxicity?
Pakadali pano, mankhwala opitilira 200 ophera poizoni apezeka. Ambiri mwa mankhwalawa amagwiritsidwa ntchito pochiza matenda oopsa monga khansa, matenda oopsa, ndi matenda a mtima. Ngakhale kuti mankhwala awa ndi ofunikira populumutsa miyoyo, ndikofunikira kudziwa zotsatira zake zoyipa. Gome ili pansipa likuwonetsa mankhwala akuluakulu ndi mankhwala omwe ali pachiwopsezo ichi.
| Mtundu wa Mankhwala/Makemikolo | Zitsanzo ndi zolemba |
|---|
| Aspirin | Kumwa mankhwala ambiri kwa nthawi yayitali kungayambitse kutayika kwa kumva ndi kulira m'makutu (tinnitus). |
| Mankhwala okhala ndi quinine | Mankhwala ambiri a malungo monga Chloroquine ndi Quinidine angakhudze kwakanthawi kumva ndi kukhazikika bwino. |
| Mankhwala Ochepetsa Kutuluka kwa Mkodzo Ozungulira | Mankhwala monga Furosemide ndi Torsemide, omwe amagwiritsidwa ntchito kuchotsa madzi m'thupi, nthawi zambiri amakhala ndi zotsatirapo zakanthawi. |
| Mankhwala Opha Ululu a Aminoglycoside | Awa ndi maantibayotiki amphamvu monga Gentamicin, Amikacin, Kanamycin, omwe amaperekedwa pa matenda oopsa a bakiteriya. Chifukwa chachikulu cha poizoni wa ototoxic. |
| Mankhwala Oletsa Khansa | Mankhwala a chemotherapy monga Cisplatin ndi Carboplatin amathanso kuwononga maselo okhudzidwa m'khutu pamene akupha maselo a khansa. |
| Mankhwala Oteteza Zachilengedwe | Kukhudzidwa ndi zinthu monga mercury, lead, ndi carbon monoxide kungayambitsenso kuwonongeka kwa kumva kosatha. |
Ndani amene ali pachiwopsezo chachikulu?
Si aliyense amene amamwa mankhwalawa amene amakhala ndi poizoni wa okosijeni, koma anthu ena ali pachiwopsezo chachikulu.
- Kumwa mankhwala oposa umodzi ophera tizilombo toyambitsa matenda nthawi imodzi: Mwachitsanzo, chiopsezo chimakhala chachikulu kwambiri mukamwa mankhwala oletsa kutupa komanso mankhwala opha tizilombo a aminoglycoside pamodzi.
- Anthu omwe ali ndi vuto la impso : Mankhwalawa amachotsedwa m'thupi ndi impso. Ngati impso sizikugwira ntchito bwino, mankhwalawa amakhalabe m'thupi kwa nthawi yayitali, zomwe zimawonjezera chiopsezo cha kuwonongeka kwa khutu .
- Mlingo ndi nthawi ya mankhwala : Chiwopsezo chimawonjezeka pamene mlingo wa mankhwala ukuwonjezeka komanso nthawi ya chithandizo ikuwonjezeka.
Ngati muyenera kumwa mankhwala opulumutsa moyo ngati awa,
lankhulani ndi dokotala wanu za chiopsezo cha poizoni wa ototoxicity musanayambe chithandizo.Kodi zizindikiro za ototoxicity ndi ziti?
Zizindikiro zimenezi zingayambe mwadzidzidzi, kapena zingawonjezere pang'onopang'ono pakapita nthawi.
Zizindikiro zoyamba
- Kulira kwa tinnitus: Ichi ndi chizindikiro choyamba chomwe anthu ambiri amachizindikira. Phokoso losalekeza m'makutu, monga "kulira..." kapena "kulira."
- Kumva pang'ono: Kumva ngati mawu sakumveka bwino panthawi yolankhulana.
Zizindikiro zomwe zimachitika pamene vutoli ndi lalikulu
- Kusakhazikika : Kumva kusakhazikika mukuyenda, ngati kuti mwasokonezeka.
- Vertigo : Kumva ngati inu kapena malo ozungulira mukuzungulira.
- Oscillopsia: Kuona zinthu molakwika kapena kumva ngati munthu akudumphadumpha pamene akugwedeza mutu.
- Kudzaza m'khutu: Kumva ngati khutu lili ndi mpweya.
- Kuvuta kuyenda: Kuvuta kuyenda mumdima, kuyenda mapazi anu atapatukana kuti mukhale olimba.
- Mutu ndi kutopa kwambiri.
Mtundu wa zizindikirozi umasiyana malinga ndi ngati kuwonongeka kuli pa khutu limodzi kapena makutu onse awiri, komanso momwe kuwonongekako kunachitikira mofulumira.
Kodi mungazindikire bwanji vutoli?
Ngati muli ndi zizindikiro zilizonse zomwe zatchulidwa pamwambapa, lankhulani ndi dokotala wanu za mankhwala aliwonse omwe mukumwa. Iye angakutumizireni kwa katswiri wa kumva ndi kulimbitsa thupi, kapena
katswiri wa mawu . Adzayesa mayeso kuti atsimikizire matendawa.
- Mayeso a Audiometric: Kuyesa kuchuluka kwa mafunde a mawu omwe mungamve ndi omwe simungamve.
- Mayeso a Auditory Brainstem Response (ABR): Amafufuza ngati zizindikiro zochokera mkati mwa khutu kupita ku ubongo zikugwira ntchito bwino.
- Mayeso a Otoacoustic Emissions (OAE): Amayesa momwe maselo amkati mwa khutu amagwirira ntchito. (Mayeso a ABR ndi OAE awa amagwiritsidwa ntchito makamaka pozindikira mavuto a kumva mwa ana aang'ono.)
- Mayeso a Kulinganiza Zinthu: Mayeso awa amayesa kulinganiza kwa thupi lanu poyesa zinthu monga kuyenda kwa maso (Electronystagmogram) ndi kuthekera kwanu kuyima pamalo osiyanasiyana (Posturography).
Kodi chimachiritsidwa bwanji?
Chithandizo chabwino kwambiri ndi kusiya kugwiritsa ntchito mankhwala olakwika kapena kusintha kugwiritsa ntchito mankhwala ena,
monga momwe dokotala wanu wanenera . Nthawi zambiri, zizindikiro zimabwereranso.
Chofunika kwambiri: Musasiye kumwa mankhwala anu kapena kusintha mlingo musanafunse dokotala wanu kaye, chifukwa mankhwalawo akhoza kukhala ofunikira pa moyo wanu.
Komabe, ngati mankhwalawo sangaletsedwe kapena ngati khutu lawonongeka kwamuyaya, pali mankhwala omwe angakuthandizeni kuthana ndi mavutowa. 1.
Zipangizo Zothandizira Kumva: Zipangizozi, zomwe zingavalidwe mkati kapena kunja kwa khutu, zimakuthandizani kumva bwino phokoso lozungulira inu. 2.
Cochlear Implants: Zipangizozi zimayikidwa opaleshoni mwa anthu omwe ali ndi vuto lalikulu la kumva lomwe ndi lalikulu kwambiri moti sangathandizidwe ndi zothandizira kumva. 3.
Balance Therapy / Vestibular Rehabilitation: Izi zikufanana ndi physiotherapy kuti mukhale ndi thanzi labwino. Dokotala wa physiotherapy amakuphunzitsani masewera olimbitsa thupi osiyanasiyana kuti muwongolere kaimidwe kanu, kuyenda kwanu, komanso kugwirizana kwanu.
Uthenga Wopita Nawo Kunyumba
- Kuopsa kwa ototoxicity ndi kuwonongeka komwe kumachitika chifukwa cha mankhwala ena ku maselo ofewa mkati mwa khutu.
- Ngati mukumva kulira m'makutu (tinnitus) kapena chizungulire mukumwa mankhwala amphamvu a matenda monga khansa kapena matenda oopsa, dziwitsani dokotala wanu nthawi yomweyo.
- Pewani kusiya kumwa mankhwala anu kapena kusintha mlingo popanda upangiri wa dokotala pazifukwa zilizonse.
- Kuzindikira msanga vutoli kungalepheretse kuwonongeka kwa kumva kosatha kapena mavuto a kusamva bwino.
- Ngati mukuganiza kuti poizoni wabwera chifukwa chogwiritsa ntchito mankhwala m'chilengedwe, funsani upangiri wa dokotala nthawi yomweyo. Ngati kuli kofunikira, dziwani zambiri kuchokera ku National Poisons Information Centre ku Colombo National Hospital .
Kutupa kwa makutu, kutayika kwa kumva, zotsatirapo za mankhwala, tinnitus, chizungulire, kutayika kwa kumva, zotsatirapo zake, cisplatin, aminoglycoside, kulira m'makutu
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