Nthawi zina, mukakhala ndi ululu waukulu womwe sungathetsedwe ndi mankhwala ochepetsa ululu wamba, dokotala wanu angakulembeni mankhwala apadera ochepetsa ululu. Mankhwala amadzimadzi awa, omwe ndi osakaniza a mankhwala awiri otchedwa Acetaminophen ndi Codeine, ndi amodzi mwa iwo. Nthawi zambiri amalembedwa ngati simungathe kulekerera mankhwala ena ochepetsa ululu kapena ngati sakuchepetsa ululu. Chifukwa chake lero, tiyeni tikambirane za mankhwalawa mwatsatanetsatane komanso zinthu zomwe muyenera kusamala nazo mukamazigwiritsa ntchito.
Kodi mankhwala awa ndi amtundu wanji?
Mwachidule, izi ndi kuphatikiza mitundu iwiri ikuluikulu ya mankhwala.
1. Acetaminophen: Mankhwala opha ululu omwe ambiri a ife timawadziwa kuchokera ku mankhwala monga 'Panadol', amachepetsa malungo ndi ululu.
2. Codeine: Iyi ndi mankhwala amphamvu ochepetsa ululu omwe ali m'gulu la opioid. Amachita mwachindunji pa ubongo, kuletsa kutumiza kwa zizindikiro za ululu.
Zikaphatikizidwa zonsezi, zimathandiza kuchepetsa ululu wapakati mpaka waukulu. Popeza mankhwalawa amabwera ngati yankho, ndi osavuta kugwiritsa ntchito kwa iwo omwe amavutika kumeza mapiritsi.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa
Ndikofunikira kwambiri kuti dokotala wanu adziwe bwino za thanzi lanu. Chifukwa chake, musanayambe kumwa mankhwalawa, onetsetsani kuti mwadziwitsa dokotala wanu ngati muli ndi vuto lililonse mwa izi:
- Ngati mwakhalapo ndi vuto la acetaminophen, codeine kapena mankhwala ena a opioid, mankhwala ena, zakudya, utoto kapena zotetezera.
- Ngati mumamwa mowa nthawi zonse.
- Ngati muli ndi matenda aliwonse a chiwindi kapena impso .
- Ngati muli ndi matenda a m'mapapo, mphumu, kapena mavuto ena opuma .
- Ngati muli ndi vuto monga kuvulala mutu, chotupa muubongo, kapena khunyu.
- Ngati muli ndi mbiri ya kugwiritsa ntchito mankhwala osokoneza bongo .
- Kuchepa kwa ntchito ya gland ya adrenal.
- Ngati muli ndi vuto la m'mimba kapena m'matumbo.
- Ngati muli ndi pakati kapena mukufuna kutenga mimba.
- Ngati ndinu mayi amene akuyamwitsa.
- Ngati mwamwa mankhwala oletsa kuvutika maganizo a MAOI (Monoamine Oxidase Inhibitor) monga Marplan, Nardil, kapena Parnate m'masiku 14 apitawa.
Kutengera ndi izi, dokotala wanu adzasankha ngati mankhwalawa ndi oyenera kwa inu kapena ngati mlingo wake uyenera kusinthidwa.
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
Muyenera kusamala kwambiri mukamagwiritsa ntchito mankhwalawa.
- Yesani molondola:Popeza ichi ndi chamadzimadzi, muyenera kuyeza mlingo weniweni womwe dokotala wanu wakupatsani. Gwiritsani ntchito supuni kapena chikho chapadera chomwe chimabwera ndi mankhwala a izi. Musagwiritse ntchito supuni kapena supuni zomwe muli nazo kunyumba , chifukwa muyeso wawo si wolondola.
- Imwani ndi chakudya: Anthu ena angavutike m'mimba akamamwa mankhwalawa. Ngati izi zitachitika, imwani mankhwalawa mukamadya kapena mutatha kudya.
- Imwani panthawi yolembedwa yokha: Musamwe mankhwala ochulukirapo kuposa omwe dokotala wakupatsani, kapena kumwa mankhwalawo msanga kuposa nthawi yolembedwa.
Samalani kwambiri mukamapatsa ana.
Mankhwalawa si oyenera kugwiritsidwa ntchito kwa ana osakwana zaka 12. Komanso, musapereke mankhwalawa kwa mwana wosakwana zaka 18 amene wachitidwa opaleshoni yochotsa ma tonsils kapena adenoids. Ana ali pachiwopsezo chachikulu cha zotsatirapo zoyipa kuchokera ku mankhwalawa.
Kodi mungachite chiyani ngati mwamwa mankhwala ochulukirapo? (Kumwa mankhwala ochulukirapo)
Ngati mukukayikira kuti mwamwa mankhwala ochulukirapo, musawatenge mopepuka. Imbani nthawi yomweyo ku National Poison Information Centre ku Colombo National Hospital, kapena pitani ku Emergency Department (ETU) ya chipatala chapafupi. Mankhwalawa ndi anu okha. Musapereke mankhwala anu kwa wina aliyense.
Mankhwala ena omwe angagwirizane ndi mankhwalawa (Kuyanjana kwa Mankhwala)
Mankhwalawa angagwirizane ndi mankhwala ena ndipo angayambitse zotsatirapo zoopsa. Chifukwa chake, ndikofunikira kuuza dokotala wanu za mankhwala onse omwe mukumwa (kuphatikizapo mavitamini ndi mankhwala azitsamba).
Makamaka, musamwe mankhwalawa pamodzi ndi mankhwala awa:
- Linezolid
- MAOIs (monga Marplan, Nardil, Parnate)
- Buluu wa Methylene
- Ozanimod
- Samidorphan
Komanso, dziwitsani dokotala wanu ngati mukumwa mankhwala otsatirawa, chifukwa angayambitse mavuto:
- Mowa
- Mankhwala oletsa kuzizira (mankhwala a chimfine, chifuwa, ndi ziwengo)
- Mankhwala ochizira kuvutika maganizo, nkhawa, kapena tulo
- Mankhwala oletsa kupweteka kwa mutu (monga carbamazepine, phenytoin)
- Mankhwala oletsa bowa (monga ketoconazole)
- Maantibayotiki ena (monga erythromycin)
- Zopumulitsa minofu
- Mankhwala ena aliwonse ochepetsa ululu okhala ndi acetaminophen (paracetamol).
Mndandandawu sunathe, choncho uzani dokotala wanu za mankhwala onse omwe mukumwa.
Zinthu zofunika kwambiri kuziganizira mukamamwa mankhwala
Nanga bwanji ngati ululu suchepa?
Mukamwa mankhwalawa kwa nthawi yayitali, thupi lanu limatha kuzolowera. Timatcha izi kuti 'kulekerera'. Izi zikutanthauza kuti mlingo womwe munkamwa kuti muchepetse ululu sungakwanire. Izi ndi zachilendo. Ngati izi zitachitika, ngati ululu wanu suchepa kapena kukwera, musawonjezere mlingo nokha ndipo lankhulani ndi dokotala wanu.
Kuledzera ndi chizolowezi cha thupi
Anthu ambiri amaopa kukhala oledzera ndi mankhwala amphamvu ochepetsa ululu. Komabe, pali zinthu ziwiri zomwe zimatchedwa kudalira thupi ndi kuledzera. Mukamwa mankhwala pazifukwa zachipatala monga kupweteka, thupi lanu limazolowera pakapita nthawi. Si kuledzera. Musasiye kumwa mankhwala mwadzidzidzi popanda upangiri wa dokotala. Kuchita zimenezi kungayambitse zizindikiro zosiya kumwa mankhwala. Mukafunika kusiya kumwa mankhwala, dokotala wanu adzachepetsa pang'onopang'ono mlingo ndikukuuzani momwe mungasiyire kumwa.
Samalani ndi mankhwala ena a Acetaminophen.
Izi ndizofunikira kwambiri. Mankhwalawa ali kale ndi Acetaminophen. Choncho mukamamwa mankhwalawa, musamwe mankhwala ena aliwonse omwe ali ndi Acetaminophen (paracetamol). Mankhwala ambiri ochepetsa ululu ndi ozizira omwe amagulitsidwa mu kauntala angakhale ndi awa. Werengani mosamala chizindikirocho. Kumwa Acetaminophen mopitirira muyeso kungayambitse kuwonongeka kwakukulu kwa chiwindi.
Kugona ndi chizungulire
Mankhwalawa angakupangitseni kugona kapena kuzunguzika mutu. Choncho, musayendetse galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe zimakukhudzirani. Makamaka ngati ndinu okalamba, musadzuke mwadzidzidzi kuchokera pamalo omwe mumakhala.
Kudzimbidwa ndi pakamwa pouma
Zotsatira zoyipa za mankhwalawa ndi kudzimbidwa. Ngati simunatuluke m'mimba patatha masiku atatu, uzani dokotala wanu. Komanso, ngati pakamwa panu pakumva kouma, imwani madzi ambiri ndi kutafuna chingamu chopanda shuga.
Zotsatirapo zomwe zingachitike chifukwa cha mankhwala
| Gulu la zotsatira zoyipa | Makhalidwe |
|---|---|
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala wanu nthawi yomweyo | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Kusokonezeka kwa mitsempha yapakati (CNS depression) | Kupuma pang'onopang'ono kapena pang'ono, kupuma movutikira, kugona kwambiri, kusadziwa, kusokonezeka. |
| Kuvulala kwa chiwindi | Kupweteka kumtunda kwa mimba kumanja, kusowa chilakolako cha chakudya, nseru, ndowe zowala, mkodzo wakuda wachikasu kapena bulauni, komanso maso kapena khungu kukhala lachikasu. |
| Kuthamanga kwa magazi kotsika | Chizungulire, kukomoka, kusawona bwino. |
| Kutupa kapena kutsekeka kwa khungu | Kufiira, kutupa, khungu lotupa (ngakhale mkati mwa pakamwa). |
| Izi ndi zachilendo, koma uzani dokotala ngati zikupitirira kapena zikukuvutitsani. | |
| Zotsatira zoyipa zofala | Kudzimbidwa, chizungulire, kugona, pakamwa pouma, nseru kapena kusanza, kuvutika m'mimba, kusowa tulo. |
Uthenga Wopita Nawo Kunyumba
- Imwani mlingo monga momwe dokotala wanu wanenera, panthawi yoyenera. Musasinthe mlingo nokha.
- Mankhwalawa ndi a inu nokha. Musawapatse ena pazifukwa zilizonse. Ndi osaloledwa komanso owopsa kwambiri.
- Uzani dokotala wanu za mankhwala ena onse, mavitamini, ndi mankhwala achikhalidwe omwe mukumwa.
- Mukamamwa mankhwalawa, musamwe mankhwala ena aliwonse okhala ndi Acetaminophen (paracetamol).
- Pewani kusiya kumwa mankhwala mwadzidzidzi popanda malangizo a dokotala.
- Pewani kuyendetsa galimoto ndi kuchita ntchito zofunika kusamala, chifukwa kugona kungabwere.
- Sungani mankhwalawo pamalo otetezeka, omwe ana ndi ziweto sangafikire.
👩🏽⚕️ Mafunso ena (Mafunso Ofunsidwa Kawirikawiri)
💬 Kodi Acetaminophen ndi Codeine (Acetaminophen; Codeine / Tylenol 3/4) ndi chiyani?
Kusakaniza kwamphamvu kwambiri kwa 'mankhwala awiri osakanikirana' komwe kumapereka mpumulo nthawi yomweyo ku ululu wochepa mpaka wovuta (monga mutachotsa dzino/mutachita opaleshoni) komwe sikumachepetsedwa ndi Panadol wamba (Acetaminophen/Paracetamol). 'Codeine' yomwe ili mu izi ndi mankhwala amphamvu (Opioid) ochokera ku gulu la Morphine! Chifukwa chake, sangagulidwe ku pharmacy pokhapokha ngati ali ndi mankhwala a dokotala.
💬 Kodi mungachepetse bwanji ululu waukulu pogwiritsa ntchito mankhwala awiriwa (Acetaminophen + Codeine)?
Amalimbana ndi ululu wochokera mbali zonse ziwiri! 1. Acetaminophen - Izi zimachepetsa ululu ndi mankhwala omwe amayambitsa malungo (COX / Prostaglandins) muubongo ndikuletsa kupweteka kwa thupi lonse. 2. Codeine - Chiwindi chikatha kumwa izi, chimasandulika kukhala 'Morphine' yamphamvu. Kenako chimapita molunjika ku ubongo ndikutseka zipata zonse zomwe zimalamulira ululu (Mu-opioid receptors) pamenepo, zomwe zimapatsa ubongo 'chitonthozo/chisangalalo' chabodza.
💬 Kodi mankhwalawa (Codeine) ndi oledzeretsa? Kodi chiopsezo choopsa kwambiri ndi chiti (Chenjezo la Black Box)?
Inde! Ichi ndi mankhwala ochepetsa ululu omwe amawagwiritsa ntchito kwambiri! Choopsa china chachikulu ndi 'Respiratory depression'. Ngati piritsili litengedwa ndi mapiritsi a mowa/ogona, kapena kuperekedwa kwa ana, lingayambitse kuwonongeka kwa ubongo, kusiya kupuma kwathunthu, ndikupangitsa imfa (Codeine ndi yoletsedwa kwathunthu kwa ana aang'ono). Chinanso n'chakuti Acetaminophen (Paracetamol) ndi yokwera kwambiri ndipo pali mwayi 100% woti chiwindi chisagwire ntchito!
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment