Magulu azachiritso

Magulu azachiritso amayeza oyesa labu kuti ayang'ane kuchuluka kwa mankhwala m'magazi.

Muyenera kuyesa magazi. Nthawi zambiri magazi amatengedwa mumtambo womwe uli mkati mwa chigongono kapena kumbuyo kwa dzanja.

Muyenera kukonzekera mayeso ena azamankhwala.

• Wothandizira zaumoyo wanu angakuuzeni ngati mukufuna kusintha nthawi yomwe mumamwa mankhwala anu aliwonse.
• Osayimitsa kapena kusintha mankhwala anu osalankhula ndi omwe akukuthandizani kaye.

Mutha kumva kupweteka pang'ono kapena mbola pamene singano imayikidwa. Muthanso kumva kupwetekedwa pamalowo magazi atatengedwa.

Ndi mankhwala ambiri, mumafunikira mulingo wina wa mankhwalawo m'magazi anu kuti mugwire bwino ntchito. Mankhwala ena ndi owopsa ngati mulingo ukukwera kwambiri ndipo sagwira ntchito ngati milingoyo ndi yotsika kwambiri.

Kuwunika kuchuluka kwa mankhwala omwe amapezeka m'magazi anu kumakupatsani omwe akukutsimikizirani kuti mankhwalawa ali munthawi yoyenera.

Kuyesedwa kwamankhwala osokoneza bongo ndikofunikira kwa anthu omwe amamwa mankhwala monga:

• Flecainide, procainamide kapena digoxin, omwe amagwiritsidwa ntchito pochiza kugunda kwamtima kosazolowereka
• Lithium, yomwe imagwiritsidwa ntchito pochiza matenda ochititsa munthu kusinthasintha zochitika
• Phenytoin kapena valproic acid, omwe amagwiritsidwa ntchito pochiza khunyu
• Gentamicin kapena amikacin, omwe ndi maantibayotiki omwe amagwiritsidwa ntchito pochiza matenda

Kuyesanso kutha kuchitidwa kuti muwone momwe thupi lanu limawonongera mankhwalawa kapena momwe limalumikizirana ndi mankhwala ena omwe mukufuna.

Otsatirawa ndi ena mwa mankhwala omwe amayang'aniridwa nthawi zambiri komanso mulingo woyenera:

• Acetaminophen: imasiyanasiyana pogwiritsa ntchito
• Amikacin: 15 mpaka 25 mcg / mL (25.62 mpaka 42.70 micromol / L)
• Amitriptyline: 120 mpaka 150 ng / mL (432.60 mpaka 540.75 nmol / L)
• Carbamazepine: 5 mpaka 12 mcg / mL (21.16 mpaka 50.80 micromol / L)
• Cyclosporine: 100 mpaka 400 ng / mL (83.20 mpaka 332.80 nmol / L) (maola 12 pambuyo pa mlingo)
• Desipramine: 150 mpaka 300 ng / mL (563.10 mpaka 1126.20 nmol / L)
• Digoxin: 0.8 mpaka 2.0 ng / mL (1.02 mpaka 2.56 nanomol / L)
• Disopyramide: 2 mpaka 5 mcg / mL (5.89 mpaka 14.73 micromol / L)
• Ethosuximide: 40 mpaka 100 mcg / mL (283.36 mpaka 708.40 micromol / L)
• Flecainide: 0.2 mpaka 1.0 mcg / mL (0.5 mpaka 2.4 micromol / L)
• Gentamicin: 5 mpaka 10 mcg / mL (10.45 mpaka 20.90 micromol / L)
• Imipramine: 150 mpaka 300 ng / mL (534.90 mpaka 1069.80 nmol / L)
• Kanamycin: 20 mpaka 25 mcg / mL (41.60 mpaka 52.00 micromol / L)
• Lidocaine: 1.5 mpaka 5.0 mcg / mL (6.40 mpaka 21.34 micromol / L)
• Lifiyamu: 0.8 mpaka 1.2 mEq / L (0.8 mpaka 1.2 mmol / L)
• Methotrexate: imasiyana pogwiritsa ntchito
• Nortriptyline: 50 mpaka 150 ng / mL (189.85 mpaka 569.55 nmol / L)
• Phenobarbital: 10 mpaka 30 mcg / mL (43.10 mpaka 129.30 micromol / L)
• Phenytoin: 10 mpaka 20 mcg / mL (39.68 mpaka 79.36 micromol / L)
• Primidone: 5 mpaka 12 mcg / mL (22.91 mpaka 54.98 micromol / L)
• Procainamide: 4 mpaka 10 mcg / mL (17.00 mpaka 42.50 micromol / L)
• Quinidine: 2 mpaka 5 mcg / mL (6.16 mpaka 15.41 micromol / L)
• Salicylate: imasiyanasiyana pogwiritsa ntchito
• Sirolimus: 4 mpaka 20 ng / mL (4 mpaka 22 nmol / L) (maola 12 mutatha mlingo; zimasiyanasiyana pogwiritsa ntchito)
• Tacrolimus: 5 mpaka 15 ng / mL (4 mpaka 25 nmol / L) (maola 12 mutatha kumwa mankhwala)
• Theophylline: 10 mpaka 20 mcg / mL (55.50 mpaka 111.00 micromol / L)
• Tobramycin: 5 mpaka 10 mcg / mL (10.69 mpaka 21.39 micromol / L)
• Valproic acid: 50 mpaka 100 mcg / mL (346.70 mpaka 693.40 micromol / L)

Mitengo yamtengo wapatali imatha kusiyanasiyana pakati pa ma labotore osiyanasiyana. Lankhulani ndi omwe akukuthandizani za tanthauzo la zotsatira zanu zoyeserera.

Zitsanzo pamwambapa zikuwonetsa muyeso wamba wazotsatira zamayesowa. Ma labotale ena amagwiritsa ntchito miyeso yosiyana kapena amatha kuyesa mitundu yosiyanasiyana.

Mitengo kunja kwa chandamale itha kukhala chifukwa chakusintha pang'ono kapena kukhala chisonyezo choti mukufunika kusintha mlingo wanu. Wothandizira anu akhoza kukuwuzani kuti mudumphe mlingo ngati miyezo yomwe mwayeza ndiyokwera kwambiri.

Zotsatirazi ndizoopsa kwa mankhwala ena omwe amawunika kawirikawiri:

• Acetaminophen: yoposa 250 mcg / mL (1653.50 micromol / L)
• Amikacin: wamkulu kuposa 25 mcg / mL (42.70 micromol / L)
• Amitriptyline: yoposa 500 ng / mL (1802.50 nmol / L)
• Carbamazepine: wamkulu kuposa 12 mcg / mL (50.80 micromol / L)
• Cyclosporine: choposa 400 ng / mL (332.80 micromol / L)
• Desipramine: wamkulu kuposa 500 ng / mL (1877.00 nmol / L)
• Digoxin: yoposa 2.4 ng / mL (3.07 nmol / L)
• Disopyramide: chachikulu kuposa 5 mcg / mL (14.73 micromol / L)
• Ethosuximide: wamkulu kuposa 100 mcg / mL (708.40 micromol / L)
• Flecainide: wamkulu kuposa 1.0 mcg / mL (2.4 micromol / L)
• Gentamicin: yoposa 12 mcg / mL (25.08 micromol / L)
• Imipramine: yoposa 500 ng / mL (1783.00 nmol / L)
• Kanamycin: chachikulu kuposa 35 mcg / mL (72.80 micromol / L)
• Lidocaine: wamkulu kuposa 5 mcg / mL (21.34 micromol / L)
• Lifiyamu: yoposa 2.0 mEq / L (2.00 millimol / L)
• Methotrexate: yoposa 10 mcmol / L (10,000 nmol / L) kupitirira maola 24
• Nortriptyline: yoposa 500 ng / mL (1898.50 nmol / L)
• Phenobarbital: yoposa 40 mcg / mL (172.40 micromol / L)
• Phenytoin: yoposa 30 mcg / mL (119.04 micromol / L)
• Primidone: yoposa 15 mcg / mL (68.73 micromol / L)
• Procainamide: wamkulu kuposa 16 mcg / mL (68.00 micromol / L)
• Quinidine: chachikulu kuposa 10 mcg / mL (30.82 micromol / L)
• Salicylate: yoposa 300 mcg / mL (2172.00 micromol / L)
• Theophylline: yoposa 20 mcg / mL (111.00 micromol / L)
• Tobramycin: wamkulu kuposa 12 mcg / mL (25.67 micromol / L)
• Valproic acid: yoposa 100 mcg / mL (693.40 micromol / L)

Kuwunika kwa mankhwala

• Kuyezetsa magazi

Clarke W. Chidule cha kuwunika kwa mankhwala. Mu: Clarke W, Dasgupta A, olemba. Zovuta Zazachipatala Pakuwunika Mankhwala. Cambridge, MA: Elsevier; 2016: chap 1.

Diasio RB. Mfundo zothandizira mankhwala. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. Wolemba 25. Philadelphia, PA: Elsevier Saunders; 2016: chap 29.

Nelson LS, Ford MD. Pachimake poyizoni. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. Wolemba 25. Philadelphia, PA: Elsevier Saunders; 2016: chap 110.

Pincus MR, Bluth MH, Abraham NZ. Toxicology ndikuwunika mankhwala. Mu: McPherson RA, Pincus MR, olemba., Eds. Henry's Clinical Diagnosis and Management by Laboratory Methods. Wachitatu. St Louis, MO: Elsevier; 2017: chap 23.