Dzimwe nguva hatizivi kuti mishonga ipi inoshandiswa navanachiremba munguva dzenjodzi, handiti? Atropine mushonga unokosha zvikuru unoshandiswa mumamiriro ezvinhu akadai anoponesa hupenyu uye mamwe akasiyana. Unowanzopihwa sejekiseni. Une mabhenefiti akati wandei. Saka, ngatitaurei nezvazvo zvakadzama uye nhasi uno.
Sei Atropine ichikosha kudaro?
Muchidimbu, atropine mushonga unogona kubatsira pazvirwere zvakasiyana-siyana. Ngationei kuti inonyanya kushandiswa pai.
- Usati wavhiyiwa: Fungidzira kuti paunenge uchivhiyiwa, unofanira kuderedza huwandu hwemate mumuromo mako uye zvinobuda mutsinga dzekufema. Nekuti kana zvinobuda izvi zvikapinda mumapapu ako paunenge uchinwa mushonga weanesthesia, zvinogona kukonzera hutachiona hwakakomba (aspiration pneumonia). Jekiseni iri re atropine rinoshandiswa kuderedza njodzi iyoyo.
- Kana muchetura wadyiwa: Uku ndiko kumwe kwekushandiswa kwakakosha kwemushonga uyu. Kumwe kwekushandiswa kwakajairika munyika medu ndekwekunwa mishonga yezvipembenene. Izvi zvinopihwa semushonga wechepfu yakadaro. Zvinoshandiswawo kana munhu akadya howa dzine chepfu. Izvi zvinogona kuponesa hupenyu.
- Matambudziko emwoyo ekukurumidza: Kana kurova kwemoyo wemunhu kukangoerekana kwaderera zvakanyanya (bradycardia), mushonga uyu unoshandiswawo sekurapa kwekukurumidzira kuti udzoke pakuva wakajairika.
Pamusoro peizvi, vanachiremba vanogona kushandisa mushonga uyu nekuda kwezvimwe zvikonzero zvakawanda zvehutano. Saka kana muine mibvunzo nezveizvi, zvakanaka kubvunza chiremba wenyu.
Zvinhu zvaunofanira kuudza chiremba wako usati watora mushonga uyu
Zvakakosha zvikuru kupa chiremba wako nhoroondo yakazara yehutano hwako usati watora chero mushonga. Kunyanya usati washandisa mushonga wakaita seatropine, iva nechokwadi chekuudza chiremba wako kana uine chimwe chezvirwere zvakanyorwa pazasi.
| Matambudziko ehutano aunogona kuva nawo | Tsananguro iri nyore |
|---|---|
| Glaucoma (chirwere chemaziso) | Chirwere chinowedzera kumanikidzwa muziso. Atropine inogona kuita kuti chirwere ichi chiwedzere kuipa. |
| Chirwere chemwoyo kana kurwiswa kwemoyo kwakamboitika | Sezvo mushonga uyu uchikanganisa kurova kwemoyo, nzira yaunobata nayo varwere vemwoyo inogona kusiyana. |
| Chirwere cheitsvo | Mishonga inobviswa mumuviri kuburikidza neitsvo. Matambudziko anogona kuitika kana itsvo dzisiri kushanda zvakanaka. |
| Dambudziko reprostate | Kunyanya kana varume vachiomerwa nekuita weti, mushonga uyu unogona kuwedzera. |
| Kuvharika kwepombi dzechikafu | Kana matumbu ako asina kushanda zvakanaka, mushonga uyu unogona kuwedzera dambudziko racho. |
| Kurwara neatropine kana zvimwe zvinhu | Iva nechokwadi chekutiudza kana uine allergies nekuda kwe atropine, mimwe mishonga, chikafu, kana madhayi. |
| Kana uine pamuviri kana kuti uchitarisira mwana | Chiremba anofanira kuziva nezvekushandiswa kwemishonga panguva yekuzvitakura. |
| Kana amai vachiyamwisa mwana wavo | Sezvo mushonga wacho uchigona kupfuudzwa kumwana kuburikidza nemukaka wemuzamu, taurira chiremba nezvazvo zvakare. |
Mashandisirwo emushonga uyu uye zvaunofanira kuziva
Mushonga uyu unobayiwa mutsandanyama, mutsinga, kana pasi peganda . Izvi zvinowanzoitwa muchipatara kana kiriniki nachiremba kana mukoti akadzidziswa.
Kana ukapihwa mushonga uyu kuti ushandiswe kumba panguva isingawanzoitiki, inokosha, uchadzidziswa mashandisirwo awo. Unofanira kutevedzera mirairo iyoyo nemazvo.
Chinhu chinonyanya kukosha!
Usambofa wakarasa tsono nemasirinji akamboshandiswa mumarara. Anofanira kuraswa mumudziyo wesimbi wakapinza. Kana usina, bvunza chiremba wako kuti ungaawana sei.
Ko kana ndikatora mushonga wakawandisa?
Izvi zvinowanzoitwa muchipatara, saka mikana yekuti izvi zviitike yakaderera. Zvisinei, kana uchifunga kuti watora mushonga uyu wakawandisa, kurumidza kubata National Poisons Information Centre paColombo National Hospital, kana kuenda kuEmergency Department (ETU) yechipatara chiri pedyo. Tora izvi seemergency.
Mimwe mishonga inogona kupindirana neatropine
Mimwe mishonga yauri kutora inogona kushanda pamwe chete neatropine. Izvi zvinoreva kuti migumisiro yeimwe inogona kukanganisa migumisiro yeimwe. Semuenzaniso:
- Mimwe mishonga yekurapa zvirwere zvepfungwa nezvirwere zvepfungwa
- Mishonga yekurapa chirwere cheParkinson
- Mimwe mishonga yekudzivirira dzihwa neallergies
- Mishonga inosimudzira matambudziko ekuteerera
- Kune mimwe mishonga yakasiyana-siyana.
Saka zvakanaka kuudza chiremba wako nezvemishonga yese, mishonga yemiriwo, mavhitamini, kana zvimwe zvinovaka muviri zvauri kutora. Kana uchisvuta kana kunwa doro, vaudzewo nezvazvo, nekuti zvinogona kukanganisa mushonga wacho.
Zvinhu zvekufunga nezvazvo kana uchitora mushonga
- Kurara nedzungu: Unganzwa hope nedzungu. Saka , dzivisa kutyaira, kushandisa michina, kana kuita chero chinhu chinoda kutarisisa kusvika waziva kuti mushonga uyu unokubatsira sei.
- Chenjerera paunenge uchichinja nzvimbo: Paunomuka kubva pawakagara kana pamubhedha, usamuka kamwe kamwe. Simuka zvishoma nezvishoma. Chenjerera zvikuru kana wakwegura. Zvikasadaro, unogona kuita dzungu wodonha.
- Muromo wakaoma: Muromo wakaoma wakajairika. Unogona kudzora izvi nekutsenga chingamu isina shuga, kusveta masiwiti asina shuga, uye kunwa mvura yakawanda.
- Maziso akaoma uye kuona kusina kujeka: Maziso akaoma anogona kukonzera kusaona zvakanaka. Kana ukapfeka ma contact lenses, unogona kunzwa kusagadzikana. Madonhwe emaziso anozora anogona kushandiswa. Kana dambudziko rikaramba riripo kana kuti rakakomba, udza chiremba wako.
- Chenjerera kupisa kwakanyanya:Izvi zvakakosha zvikuru. Mushonga uyu unoderedza huwandu hwedikita rinoburitswa nemuviri. Nokudaro, kugona kwemuviri wako kuzvitonhodza kunodzikira. Saka, dzivisa kugara munzvimbo dzine tembiricha yakakwira. Zvikasadaro, tembiricha yemuviri wako inogona kuwedzera zvine njodzi uye chirwere chinonzi heat stroke chingaitika.
Ndezvipi zvimwe zvinhu zvinogona kundikanganisa?
Kufanana nemushonga upi zvawo, atropine inogona kukonzera migumisiro yakaipa. Mimwe yakakomba, mimwe yakajairika.
| Migumisiro Inogona Kuitika | |
|---|---|
| Migumisiro yaunofanira kuudza chiremba wako nekukasika | |
| |
| Migumisiro isingawanzodi kubatsirwa nachiremba, asi inofanira kutaurwa kana ikaramba iripo | |
Mharidzo Yekuenda Nayo Kumba
- Atropine mushonga unokosha zvikuru, unoponesa hupenyu unoshandiswa mumamiriro ezvinhu ekurapa akadai sekuvhiyiwa, chepfu, uye njodzi dzemwoyo.
- Usati watora mushonga uyu, udza chiremba wako nezvezvirwere zvese zvaunazvo, zvakaita se glaucoma, chirwere chemwoyo, chirwere cheitsvo, uye matambudziko eprostate.
- Zvakakoshawo kuzivisa chiremba wako nezvemimwe mishonga yese, miriwo, uye mavhitamini auri kutora.
- Ngwarirai migumisiro yakadai sehope uye muromo wakaoma. Chenjererai zvakanyanya kupisa zvakanyanya, sezvo ziya rinogona kuderera.
- Kana uchifungidzira kuti washandisa zvinodhaka zvakadarika mwero, enda kuNational Poisons Information Center kana kuchipatara chiri pedyo neEmergency Department (ETU).
- Mushonga uyu ndewako chete. Usambougovana nevamwe.
👩🏽⚕️ Mibvunzo yekuwedzera (Mibvunzo Inowanzo bvunzwa)
💬 Jekiseni reAtropine rinopihwa chirwere chipi?
Uyu mushonga une simba guru unoponesa hupenyu unobayiwa zvakananga mutsinga (IV) muEmergency Department (ICU) yechipatara kuti uponese hupenyu hwemurwere panguva yekupedzisira kana paine 'chirwere chemwoyo chakanyanya kana kuti kurova kwemoyo kwava kuda kumira (Severe Bradycardia / Cardiac Arrest)'! Unoshandiswawo kubvisa mishonga yekuuraya zvipembenene/chepfu (Organophosphate Poisoning) kana wanwiwa.
💬 Kana moyo wava kuda kumira, jekiseni iri (Atropine) ringawedzera sei kurova kwemoyo kamwe kamwe?
Mwoyo unononoka kufamba nekukanganisa kushanda kweSA Node, iyo inotumira masaini emagetsi kumoyo, kuburikidza netsinga yemudumbu. Murairo unobva ipapo ndewekuti 'Acetylcholine'. Kana mushonga uyu wangopinda mumuviri, mutumwa anonzi 'Acetylcholine' anovhara/kuvhara mageti ese (Muscarinic receptors) anoenda kumoyo. Sezvo meseji isingagamuchirwe, SA Node inoshanda zvisingadzoreki uye moyo unorova nekukurumidza.
💬 Ndezvipi migumisiro ine njodzi yemushonga uyu unopiwa kana munhu akabatwa nechirwere chemwoyo chinouraya?
Kunyangwe ukatora izvi kuti uponese hupenyu hwako, dambudziko guru nderekuti (Anticholinergic Toxicity) rinoomesa mvura/mvura yese iri mumuviri! Paunotora izvi, muromo wako uchava wakaoma 100% (haugone kutaura), kuona kwako kuchava kusina kujeka/maziso achakura (Dilated pupils), uye ungasakwanise kuita weti uye uchava nekuchengetedza weti (Urinary retention). Zvakare, moyo wevamwe vanhu unogona kurova nekukurumidza uye kuita zvisina kujairika.
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