Nthawi zina ululu umene timakumana nawo ukhoza kukhala woopsa kwambiri moti sungathe kuthetsedwa ndi mankhwala ochepetsa ululu. Aliyense amene wakumanapo nawo amadziwa kuti zimakhala zovuta bwanji kukhala ndi ululu waukulu pambuyo pa opaleshoni, ngozi yaikulu, kapena matenda ena. Nthawi zina ngati izi, dokotala wanu angakupatseni mankhwala amphamvu ochepetsa ululu kuposa mankhwala anu ochepetsa ululu wamba. Mankhwala ena otere ndi kuphatikiza kwa mankhwala awiri otchedwa Hydrocodone ndi Acetaminophen. M'nkhaniyi, tikambirana zomwe muyenera kudziwa za mankhwalawa.
Mwachidule, kodi mankhwala awa ndi chiyani?
Izi kwenikweni ndi kuphatikiza kwa mitundu iwiri ya mankhwala.
1. Acetaminophen: Dzinali lingamveke lachilendo kwa inu, koma Paracetamol, yomwe tonse timaidziwa, ndi mtundu wina wa mankhwala. Timaigwiritsa ntchito pa malungo ndi ululu wamba.
2. Hydrocodone: Ichi ndi chinthu champhamvu kwambiri chomwe chili mu mankhwalawa. Ndi cha gulu la opioid la mankhwala ochepetsa ululu. Mwachidule, chimapita mwachindunji ku ubongo ndikuletsa kutumiza kwa zizindikiro za ululu. Ichi ndichifukwa chake chimatha kuletsa ngakhale ululu waukulu.
Madokotala amangopereka mankhwalawa pa ululu wapakati mpaka waukulu pamene mankhwala ena ochepetsa ululu sagwira ntchito bwino kapena thupi silingathe kuwapirira. Ndikofunikira kukumbukira kuti uwu si mankhwala oti munthu amwe pa ululu wa mutu wamba kapena kupweteka kwa thupi.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa:
Dokotala wanu asanakupatseni mankhwala awa, ayenera kumvetsetsa bwino mbiri yanu yonse ya thanzi. Chifukwa kugwiritsa ntchito mankhwalawa kungakhale koopsa ndi matenda enaake. Chifukwa chake, ngati muli ndi vuto lililonse mwa zotsatirazi, musabise chilichonse ndipo muuzeni dokotala wanu.
- Matenda a chiwindi kapena impso: Kumwa acetaminophen wochuluka mu mankhwalawa kungayambitse kuwonongeka kwa chiwindi. Chifukwa chake ndikofunikira kwambiri ngati muli kale ndi matenda a chiwindi. Mankhwalawa amathanso kukhudza anthu omwe ali ndi matenda a impso.
- Matenda a m'mapapo: Uzani dokotala wanu ngati muli ndi mavuto opuma monga mphumu kapena matenda osatha a m'mapapo monga COPD, chifukwa mankhwalawa angachedwetse kupuma kwanu.
- Mowa kapena kugwiritsa ntchito mankhwala osokoneza bongo: Ngati mumamwa mowa nthawi zonse kapena munagwiritsapo ntchito mankhwala osokoneza bongo, onetsetsani kuti mwauza dokotala wanu. Izi sizinthu zobisa, chifukwa mankhwalawa amathanso kukhala osokoneza bongo.
- Kuvulala mutu, zotupa muubongo, kapena khunyu: Zotsatira za mankhwalawa zingakhale zosiyana kwa anthu omwe ali ndi matendawa.
- Kuchepa kwa ntchito ya adrenal gland, matenda a mtima, ndi mavuto a m'mimba.
- Mankhwala ena: Ngati mwamwa mankhwala a MAOI (monga Marplan, Nardil, Parnate) a kuvutika maganizo m'masabata awiri apitawa, muyeneranso kutchula zimenezo.
- Ziwengo: Ngati muli ndi ziwengo zilizonse, osati mankhwala awa okha, komanso mankhwala ena aliwonse, chakudya, kapena utoto, chonde tidziwitseni.
- Ngati muli ndi pakati kapena mukufuna kutenga mimba: Kumwa mankhwalawa kwa nthawi yayitali panthawi yomwe muli ndi pakati kungakhudze mwana.
- Ngati ndinu mayi woyamwitsa: Mankhwalawa amatha kupita kwa mwana wanu kudzera mu mkaka wa m'mawere. Chifukwa chake, muyenera kulankhula ndi dokotala wanu za izi.
Mankhwalawa ayenera kugwiritsidwa ntchito moyenera.
Popeza mankhwalawa ndi amphamvu, muyenera kusamala kwambiri momwe mumagwiritsira ntchito.
- Imwani monga momwe dokotala wanu wakuuzani: Imwani mlingo wolembedwa, panthawi yolembedwa. Musawonjezere mlingo mwachisawawa kapena kumwa piritsi lina nthawi yolembedwa isanafike.
- Imwani ndi kapu ya madzi: Ndi bwino kumwa mankhwalawo ndi kapu ya madzi.
- Ngati muli ndi chakudya kapena ayi: Ngati mukumva kupweteka m'mimba kapena nseru, imwani mankhwalawo mukadya pang'ono. Apo ayi, palibe vuto kumwa popanda chakudya.
- Ngati mwaphonya mlingo: Ngati mwaiwala kumwa mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndikumwa mlingo wanu wotsatira panthawi yomwe mwakonza. Musamwe mapiritsi awiri nthawi imodzi kuti mubwezeretse mlingo womwe mwaphonya.
Chenjezo: Kumwa mopitirira muyeso ndi koopsa kwambiri!
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo kuposa momwe muyenera kumwa, kapena ngati mukudziwa kuti wina (makamaka mwana) wamwa mankhwala awa, pitani nawo ku Dipatimenti Yoona za Zadzidzidzi (ETU) yapafupi mwamsanga . Kapena imbani National Poisons Information Centre ku Colombo National Hospital nthawi yomweyo. Musadikire mpaka zizindikiro zitayamba kuonekera.
Chofunika kwambiri: Mankhwalawa ndi anu okha. Ngakhale wina atakhala ndi ululu womwewo ngati inu, musagawane mankhwalawa ndi wina aliyense. Zingakhale zoopsa kwambiri.
Zinthu zina zomwe zingagwirizane ndi mankhwalawa (Kuyanjana)
Kumwa mankhwalawa pamodzi ndi mankhwala ena, monga mowa, kungakhale ndi zotsatirapo zoopsa. Choncho uzani dokotala wanu za mankhwala onse omwe mumamwa (kuphatikizapo mavitamini ndi mankhwala azitsamba). Mutha kudziwa zambiri za izi mu tebulo ili m'munsimu.
| Mtundu wa mankhwala/mankhwala omwe angayambitse mavuto | Mfundo zofunika ndi zitsanzo |
|---|---|
| Mowa | Zoopsa kwambiri. Kumwa mowa ndi mankhwalawa kungayambitse kugona kwambiri, kuvutika kupuma, kutaya chidziwitso, komanso imfa. |
| Mankhwala ena omwe amayambitsa kugona | Mankhwala oletsa kutopa, mankhwala ogonetsa, ndi mankhwala oletsa nkhawa. |
| Mankhwala ena ochizira kuvutika maganizo | Zitsanzo: amitriptyline, fluoxetine, sertraline. |
| Maantibayotiki ena ndi ma fungicides | Zitsanzo: erythromycin, clarithromycin, ketoconazole. Izi zitha kuwonjezera zotsatirapo zake. |
| Mankhwala ena a khunyu | Zitsanzo: carbamazepine, phenobarbital, phenytoin. Izi zitha kuchepetsa mphamvu ya mankhwala ochepetsa ululu. |
| Mankhwala ena ochepetsa ululu | Pewani kumwa mankhwala ena okhala ndi acetaminophen (Paracetamol). Komanso, pewani kumwa mankhwala ena ochepetsa ululu a opioid. |
Zinthu zofunika kukumbukira mukamamwa mankhwala
Mukamagwiritsa ntchito mankhwalawa, ndikofunikira kwambiri kulabadira kusintha kwa thupi lanu.
Nanga bwanji ngati ululu suchepa?
Nthawi zina, mukapitiriza kumwa mankhwalawa, thupi lanu limazolowera. Tikutcha izi kuti kulolera . Izi zikutanthauza kuti mlingo womwe kale unkalamulira ululu wanu sungamvekenso wokwanira. Ngati izi zitachitika, musawonjezere mlingo nokha. Lankhulani ndi dokotala wanu. Iye ndiye adzasankha chomwe chili chabwino kwa inu.
Kuledzera ndi Kudalira
Ichi ndi chinthu chomwe anthu ambiri amaopa. Mukamwa mankhwala a opioid kwa nthawi yayitali, thupi lanu limatha kudalira mankhwalawo. Izi zikutanthauza kuti ngati musiya kumwa mankhwala mwadzidzidzi, mutha kukumana ndi zizindikiro zosiya kumwa. Izi zitha kuchitika ngakhale kwa munthu amene akumwa mankhwalawo moyenera komanso monga momwe dokotala wawo walangizira. Ichi ndichifukwa chake madokotala amachepetsa pang'onopang'ono mlingo akasiya kumwa mankhwalawo, m'malo mosiya mwadzidzidzi .
Kuledzera ndi chinthu china chosiyana. Ndi chilakolako chogwiritsa ntchito mankhwalawa popanda kulamulira, ngakhale popanda kupweteka. Monga momwe dokotala akunenera, chiopsezochi chingachepe ngati mumwa mankhwalawa kwa nthawi yomwe mwapatsidwa.
Chenjezo lapadera lokhudza Acetaminophen (Paracetamol)
Mankhwalawa ali kale ndi Acetaminophen. Chifukwa chake, ngati mukumwa mankhwala ena ochepetsa malungo, chimfine, chifuwa, kapena ochepetsa ululu pamene mukumwa mankhwalawa, werengani mosamala chizindikirocho. Yang'anani ngati alinso ndi Acetaminophen kapena Paracetamol. Ngati mumwa zonse ziwiri pamodzi, mutha kumwa Acetaminophen yochuluka mosadziwa, yomwe ingayambitse kuwonongeka kwakukulu kwa chiwindi . Ngati mukukayika, funsani dokotala wanu.
Makina oyendetsa ndi kugwiritsa ntchito
Mankhwalawa angayambitse kugona, chizungulire, komanso kuchepa kwa tcheru . Chifukwa chake, pewani zinthu zomwe zimafuna kukhala maso, monga kuyendetsa galimoto, kugwira ntchito pamalo okwera, komanso kugwiritsa ntchito makina, mpaka mutadziwa momwe mankhwalawa amakhudzira thupi lanu.
Zotsatirapo: Kodi mungayembekezere chiyani?
Monga mankhwala ena aliwonse, mankhwalawa akhoza kukhala ndi zotsatirapo zake. Zina ndi zabwinobwino, koma zina ndi zinthu zomwe muyenera kusamala nazo kwambiri.
| Ngati muli ndi zizindikiro izi, funsani upangiri wa dokotala nthawi yomweyo. | |
|---|---|
| Kuyankha kwakukulu kwa ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime, komanso kuvutika kupuma. |
| Kupuma pang'onopang'ono (CNS Depression) | Kupuma pang'onopang'ono kapena pang'ono, kugona kwambiri, kulephera kudzuka, komanso kutaya chidziwitso. |
| Zizindikiro za Kuvulala kwa Chiwindi | Kupweteka kumtunda kwa kumanja kwa m'mimba, kusowa chilakolako cha chakudya, nseru, maso kapena khungu kukhala lachikasu, mkodzo wakuda, ndi ndowe zotsalira. |
| Kuthamanga kwa Magazi Kochepa | Kukomoka, chizungulire, kusawona bwino munthu akaima. |
| Izi nthawi zambiri sizili zoopsa, koma ngati zikupitirira, uzani dokotala wanu. | |
| Kudzimbidwa | Izi ndi zotsatira zoyipa zomwe zimachitika kawirikawiri. Ngati simunatuluke m'mimba patatha masiku atatu, uzani dokotala wanu . Imwani madzi ambiri ndipo idyani zakudya zokhala ndi ulusi wambiri. |
| Kugona, chizungulire | Izi zitha kuchepa thupi likayamba kuzolowera mankhwala. |
| Kusanza, kusanza | Izi zitha kuchepetsedwa mwa kumwa mankhwala pamodzi ndi chakudya. |
| Pakamwa pouma, mutu wopweteka | Kutafuna chingamu chopanda shuga ndi madzi akumwa kungathandize. |
Kodi mumasunga ndi kutaya bwanji mankhwalawo mosamala?
Izi ndizofunikira kwambiri. Ngati mankhwala awa agwera m'manja olakwika, makamaka mwana, kuwonongeka komwe angabweretse sikungatheke.
- Sungani mosamala: Sungani mankhwala pamalo otsekedwa, pamalo omwe ana ndi ziweto sangafikire .
- Kutaya: Ngati simukufunikiranso mankhwalawo kapena atha ntchito, musamangowataya m'zinyalala. Wina angawatenge ndikuwagwiritsa ntchito. Funsani dokotala wanu kapena chipatala chanu za njira zotetezeka zotayira mankhwala amphamvu ngati amenewa. Mayiko ena ali ndi mapulogalamu obwezeretsa mankhwalawo. Ngati dziko lanu lilibe malo otere, malangizo ena amalangiza kuti muwachotse m'chimbudzi ngati njira yokhayo yowapewera kuti asagwere m'manja olakwika. Koma ndi bwino kufunsa dokotala wanu za njira yabwino kwambiri.
Uthenga Wopita Nawo Kunyumba
- Mankhwalawa ayenera kugwiritsidwa ntchito monga momwe dokotala wanu wanenera. Musasinthe mlingo mwachisawawa.
- Mankhwalawa ndi a inu nokha. Musagawane ndi wina aliyense.
- Pewani kumwa mowa kotheratu mukamamwa mankhwalawa. Ndikoopsanso kumwa limodzi ndi mankhwala ena omwe amayambitsa tulo.
- Nthawi zonse onani ngati mankhwala ena ochepetsa ululu kapena malungo ali ndi Acetaminophen (Paracetamol).
- Ngati mukukumana ndi zotsatirapo zoopsa monga kugona kwambiri, kupuma movutikira, kapena kusintha khungu kukhala lachikasu, funsani upangiri wa dokotala nthawi yomweyo.
- Sungani mankhwala motetezeka pamalo omwe ana sangawafikire.
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