Pali mitundu yosiyanasiyana ya mankhwala ophera poizoni wa botulinum (poizoni A ndi B) omwe amagwiritsidwa ntchito mosiyanasiyana (mavuto a maso, kuuma kwa minofu / kuphipha, migraine, kukongola, chikhodzodzo chochuluka).Mitundu yosiyanasiyana ya mankhwalawa imapereka mankhwala osiyanasiyana.Dokotala wanu adzakusankhirani mankhwala oyenera.
Poizoni wa botulinum amagwiritsidwa ntchito pochiza matenda ena a maso, monga kupyola maso (strabismus) ndi kuphethira kosalamulirika (blepharospasm), pofuna kuchiza kuuma kwa minofu / kupopera kapena kusokonezeka kwa kayendetsedwe kake (monga cervical dystonia, torticollis), ndi Kuchepetsa maonekedwe a makwinya.Amagwiritsidwanso ntchito kuteteza mutu kwa odwala omwe ali ndi mutu waching'alang'ala pafupipafupi.Poizoni wa botulinum amamasula minofu mwa kulepheretsa kutuluka kwa mankhwala otchedwa acetylcholine.
Poizoni ya botulinum imagwiritsidwanso ntchito pochiza chikhodzodzo chochuluka kwa odwala omwe sayankha mankhwala ena kapena sangathe kulekerera zotsatira za mankhwala ena.Zimathandizira kuchepetsa kutuluka kwa mkodzo, kufunikira kokodza nthawi yomweyo, komanso kupita ku bafa pafupipafupi.
Amagwiritsidwanso ntchito pochiza kutuluka thukuta kwambiri m'khwapa ndi kudontha/malovu ochuluka.Poizoni wa botulinum amagwira ntchito mwa kutsekereza mankhwala omwe amayatsa zotupa za thukuta ndi zopangitsa malovu.
Pambuyo pa jekeseni, mankhwalawa amatha kufalikira ku ziwalo zina za thupi, zomwe zimayambitsa zotsatira zoopsa (mwina kufa).Izi zitha kuchitika patatha maola angapo kapena masabata pambuyo pa jekeseni.Komabe, mankhwalawa akagwiritsidwa ntchito pa mutu waching'alang'ala kapena matenda apakhungu (monga makwinya, kukokana m'maso, kapena thukuta kwambiri), kuthekera kwa zotsatira zoyipa zotere kumakhala kochepa kwambiri.
Ana omwe amathandizidwa chifukwa cha kuuma kwa minofu / kuphatikizika kwa minofu ndi aliyense amene ali ndi matenda enaake ali pachiwopsezo chachikulu cha zotsatirazi (onani gawo la "Kusamala").Kambiranani za kuopsa ndi ubwino wa mankhwalawa ndi dokotala wanu.
Ngati mukukumana ndi zotsatira zoopsa kwambiri zotsatirazi, funsani thandizo lachipatala mwamsanga: kupweteka pachifuwa, kupuma movutikira, kufooka kwambiri kwa minofu, kugunda kwa mtima kosasinthasintha, kuvutika kwambiri kumeza kapena kulankhula, kutaya mphamvu ya chikhodzodzo.
Chonde werengani chitsogozo cha mankhwala ndi kabuku ka chidziwitso cha odwala (ngati alipo) operekedwa ndi wamankhwala musanayambe mankhwalawa komanso nthawi iliyonse mukamabaya.Ngati muli ndi mafunso okhudza izi, chonde funsani dokotala kapena wazamankhwala.
Mankhwalawa amaperekedwa ndi jekeseni ndi katswiri wodziwa zachipatala.Pochiza matenda a maso, kuuma kwa minofu / kupindika ndi makwinya, amabayidwa mu minofu yomwe yakhudzidwa (intramuscular).Akagwiritsidwa ntchito poletsa mutu waching'alang'ala, amabayidwa mu minofu ya mutu ndi khosi.Amabayidwa pakhungu (intradermal) kuti athetse kutuluka thukuta kwambiri.Pofuna kuchiza malovu/malovu ochulukira, mankhwalawa amabayidwa m'matumbo a salivary.Pochiza chikhodzodzo chochuluka, amabayidwa mu chikhodzodzo.
Mlingo wanu, chiwerengero cha jakisoni, malo opangira jakisoni, ndi kangati mumalandira mankhwala zimatengera momwe mulili komanso momwe mungayankhire chithandizo.Kwa ana, mlingowo umatengera kulemera kwa thupi.Anthu ambiri amayamba kuwona zotsatira mkati mwa masiku ochepa mpaka masabata a 2, ndipo zotsatira zake zimakhala kwa miyezi itatu mpaka 6.
Chifukwa mankhwalawa amaperekedwa pamalo omwe ali ndi vuto lanu, zotsatira zake zambiri zimachitika pafupi ndi malo ojambulira.Kufiira, kuvulaza, matenda, ndi ululu zikhoza kuchitika pamalo opangira jakisoni.
Mankhwalawa akagwiritsidwa ntchito kuti apumule minofu, chizungulire, kumeza pang'ono, matenda opuma (monga chimfine kapena chimfine), kupweteka, nseru, kupweteka mutu, ndi kufooka kwa minofu.Pakhoza kukhalanso diplopia, kugwa kapena kutupa kwa zikope, kukwiya kwa maso, maso owuma, kung'ambika, kuchepetsa kuphethira, ndi kuwonjezeka kwa chidwi cha kuwala.
Ngati zina mwazotsatirazi zikupitilira kapena kuipiraipira, chonde dziwitsani dokotala kapena wazamankhwala nthawi yomweyo.Mungafunike kugwiritsa ntchito madontho oteteza m'maso, zopaka m'maso, kapena mankhwala ena.
Mankhwalawa akagwiritsidwa ntchito poletsa mutu waching'alang'ala, zotsatira zoyipa monga kupweteka kwa mutu, kupweteka kwa khosi, ndi zikope zakugwa zimatha kuchitika.
Mankhwalawa akagwiritsidwa ntchito pa thukuta kwambiri, zotsatira zoyipa monga thukuta lopanda mkhwapa, chimfine kapena matenda a kupuma kwa chimfine, mutu, malungo, khosi kapena msana, komanso nkhawa.
Mankhwalawa akagwiritsidwa ntchito pa chikhodzodzo chochuluka, zotsatira zake monga matenda a mkodzo, kutentha / kupweteka kwa mkodzo, kutentha thupi kapena dysuria zikhoza kuchitika.
Kumbukirani, dokotala wanu amakulemberani mankhwalawa chifukwa waweruza kuti phindu kwa inu limaposa chiopsezo cha zotsatira zake.Anthu ambiri omwe amagwiritsa ntchito mankhwalawa alibe zotsatira zoyipa.
Kwambiri matupi awo sagwirizana nawo mankhwalawa ndi osowa.Komabe, ngati muwona zizindikiro za kusagwirizana kwakukulu, funsani chithandizo chamankhwala mwamsanga, kuphatikizapo: kuyabwa / kutupa (makamaka nkhope / lilime / mmero), zotupa pakhungu, chizungulire chachikulu, kupuma kovuta.
Izi si mndandanda wathunthu wa zotsatira zotheka.Ngati muwona zotsatira zina zomwe sizinalembedwe pamwambapa, chonde funsani dokotala kapena wazamankhwala.
Itanani dokotala ndikufunsani malangizo achipatala za zotsatirapo zake.Mutha kuyimba pa 1-800-FDA-1088 kapena pitani ku www.fda.gov/medwatch kuti munene zotsatira zoyipa ku FDA.
Ku Canada, funsani dokotala kuti akupatseni malangizo azachipatala.Mutha kunena za zotsatira zoyipa ku Health Canada pa 1-866-234-2345.
Musanagwiritse ntchito mankhwalawa, ngati muli ndi matupi awo, chonde auzeni dokotala kapena wamankhwala;kapena ngati muli ndi ziwengo zina zilizonse.Izi zitha kukhala ndi zosakaniza zomwe sizikugwira ntchito (monga mapuloteni amkaka omwe amapezeka muzinthu zina), zomwe zimatha kuyambitsa kuyabwa kapena zovuta zina.Kuti mudziwe zambiri, chonde funsani wazachipatala wanu.
Musanagwiritse ntchito mankhwalawa, chonde auzeni dokotala mbiri yanu yachipatala, makamaka: mavuto a magazi, opaleshoni ya maso, mavuto ena a maso (glaucoma), matenda a mtima, shuga, zizindikiro za matenda pafupi ndi malo a jekeseni, matenda a mkodzo, Kulephera kukodza, minofu. / matenda amanjenje (monga matenda a Lou Gehrig-ALS, myasthenia gravis), khunyu, dysphagia (dysphagia), mavuto opuma (monga mphumu, emphysema, aspiration chibayo), mankhwala aliwonse a botulinum Toxin (makamaka miyezi inayi yomaliza).
Mankhwalawa angayambitse kufooka kwa minofu, kugwa kwa zikope, kapena kusawona bwino.Osayendetsa galimoto, kugwiritsa ntchito makina, kapena kuchita zinthu zilizonse zimene zimafuna kukhala tcheru kapena kuona bwino mpaka mutatsimikiza kuti mungathe kuchita zimenezi bwinobwino.Chepetsani zakumwa zoledzeretsa.
Mitundu ina ya mankhwalawa imakhala ndi albumin yopangidwa ndi magazi a anthu.Ngakhale kuti magazi amayesedwa mosamala ndipo mankhwalawa amadutsa m'njira yapadera yopangira, mwayi woti mutenge matenda aakulu chifukwa cha mankhwala ndi ochepa kwambiri.Kuti mudziwe zambiri, chonde funsani dokotala kapena wazamankhwala.
Okalamba omwe amagwiritsa ntchito mankhwalawa pofuna kuchiza chikhodzodzo chochuluka akhoza kukhala okhudzidwa kwambiri ndi zotsatira za mankhwalawa, makamaka zotsatira zake pa dongosolo la mkodzo.
Ana omwe amagwiritsa ntchito mankhwalawa kuti athetse kupweteka kwa minofu akhoza kukhala okhudzidwa kwambiri ndi zotsatira za mankhwalawa, kuphatikizapo kupuma movutikira kapena kumeza.Onani gawo lochenjeza.Kambiranani zoopsa ndi zopindulitsa ndi dokotala wanu.
Mankhwalawa ayenera kugwiritsidwa ntchito pokhapokha ngati akufunikira panthawi yomwe ali ndi pakati.Kambiranani zoopsa ndi zopindulitsa ndi dokotala wanu.Ndi osavomerezeka kugwiritsa ntchito zodzikongoletsera mankhwala makwinya pa mimba.
Kugwiritsa ntchito mankhwala osokoneza bongo kungasinthe momwe mankhwala amagwirira ntchito kapena kuonjezera chiopsezo cha zotsatira zoyipa.Chikalatachi chilibe zonse zomwe zingatheke kuyanjana ndi mankhwala.Sungani mndandanda wazinthu zonse zomwe mumagwiritsa ntchito (kuphatikizapo mankhwala / mankhwala ogulitsidwa ndi mankhwala azitsamba) ndikugawana ndi dokotala wanu ndi wamankhwala.Osayamba, kuyimitsa kapena kusintha mlingo wa mankhwala aliwonse popanda chilolezo cha dokotala.
Mankhwala ena omwe angagwirizane ndi mankhwalawa ndi awa: maantibayotiki ena (kuphatikiza mankhwala aminoglycoside, monga gentamicin, polymyxin), anticoagulants (monga warfarin), mankhwala a Alzheimer's disease (Monga galantamine, rivastigmine, tacrine), myasthenia gravis mankhwala (monga amphetamine, pyridostigmine), quinidine.
Ngati wina amwa mowa mopitirira muyeso ndipo ali ndi zizindikiro zoopsa monga kukomoka kapena kupuma movutikira, chonde imbani 911. Apo ayi, chonde imbani Poison Control Center mwamsanga.Anthu okhala ku US amatha kuyimbira malo awo owongolera poizoni ku 1-800-222-1222.Anthu aku Canada atha kuyimbira malo owongolera poizoni.Ma Antitoxin alipo, koma ayenera kugwiritsidwa ntchito zizindikiro za overdose zisanawonekere.Zizindikiro za kumwa mopitirira muyeso zingachedwe ndipo zingaphatikizepo kufooka kwakukulu kwa minofu, vuto la kupuma, ndi ziwalo.
Ndikofunika kumvetsetsa kuopsa ndi ubwino wa mankhwalawa.Kambiranani mafunso kapena nkhawa zilizonse ndi akatswiri azaumoyo.
Zosankhidwa kuchokera ku data yomwe ili ndi chilolezo ndi First Databank, Inc. ndikutetezedwa ndi kukopera.Zinthu zomwe zili ndi copyright zatsitsidwa kuchokera kwa omwe ali ndi chilolezo ndipo sizingagawidwe pokhapokha ngati zomwe zikugwiritsidwa ntchito zitha kuloleza.
Kagwiritsidwe ntchito: Zomwe zili munkhokwe iyi ndizomwe zimawonjezera m'malo molowa m'malo mwa chidziwitso cha akatswiri ndi chiweruzo cha akatswiri azachipatala.Chidziwitsochi sichinapangidwe kuti chigwiritse ntchito zonse zomwe zingatheke, malangizo, chitetezo, kuyanjana kwa mankhwala, kapena zotsatira zoipa, komanso siziyenera kutanthauziridwa kuti zisonyeze kuti kugwiritsa ntchito mankhwala enaake ndikotetezeka, koyenera, kapena kothandiza kwa inu kapena munthu wina aliyense.Musanamwe mankhwala, kusintha zakudya zilizonse, kapena kuyamba kapena kusiya njira iliyonse yamankhwala, muyenera kufunsa dokotala.
Nthawi yotumiza: Aug-30-2021