Kodi mukuda nkhawa pang'ono ndi kufooka kwa mafupa anu ndi ukalamba? Kapena dokotala wanu wakupatsani mankhwala olimbitsa mafupa anu? Ngati ndi choncho, nkhaniyi ikhala yofunika kwambiri kwa inu. Lero tikambirana za mankhwala omwe ndi ofunikira kwambiri pamafupa, makamaka pa matenda monga
osteoporosis . Ndi kuphatikiza kwa mankhwala awiri otchedwa `(Alendronate)` ndi `(Cholecalciferol)`.
Kodi mankhwala awa ndi chiyani? Mwachidule...
Mankhwalawa, otchedwa `(Alendronate; Cholecalciferol), ali ndi mitundu iwiri ikuluikulu ya mankhwala. 1.
`(Alendronate)` (Alendronate): Mankhwalawa amagwiritsidwa ntchito kuchepetsa kutayika kwa calcium (`
Calcium` ) m'mafupa anu. Kunena zoona, amathandiza kuti mafupa anu akhale olimba. Nthawi zambiri amaperekedwa ngati chithandizo cha matenda otchedwa
osteoporosis , matenda omwe mafupa amakhala ofooka komanso ofooka. 2.
`(Cholecalciferol)` (Cholecalciferol): Izi ndi zomwe timazidziwa kuti
vitamini D3`( vitamini D3)` .
Vitamini D imathandiza thupi kuyamwa calcium mu chakudya chomwe timadya. Chifukwa chake, calcium ndi vitamini D ndizofunikira kwambiri pamafupa olimba. Chifukwa chake, kuphatikiza kwa mankhwala awiriwa kungathandize kuteteza
thanzi la mafupa anu. Nthawi zina mankhwalawa angaperekedwenso kwa anthu ena omwe ali pachiwopsezo cha kufooka kwa mafupa. Komanso, dokotala wanu angakupatseni mankhwalawa pa matenda ena. Ngati muli ndi mafunso okhudza izi, funsani dokotala wanu kapena wamankhwala. Dzina lodziwika bwino la mankhwalawa ndi `(Fosamax Plus D)`.
Kodi ndi zinthu ziti zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa?
Iyi ndi mfundo yofunika kwambiri. Musanayambe kumwa mankhwalawa,
muyenera kuuza dokotala kapena namwino wanu ngati muli ndi vuto lililonse mwa zotsatirazi. Chifukwa ndi pamenepa okhawo angasankhe ngati kumwa mankhwalawa kuli koyenera kwa inu kapena ayi, komanso momwe angakupatseni.
- Matenda otuluka magazi : Ndiko kuti, ngati mumatuluka magazi mosavuta kapena muli ndi vuto la magazi kuundana .
- Khansa: Palibe vuto kulandira chithandizo cha matenda a khansa, ngati muli nawo.
- Mavuto a mano: Zinthu monga kupweteka kwa dzino ndi matenda a chiseyeye.
- Kumeza mavuto: Ngati mukuvutika kumeza chakudya ndi zakumwa.
- Vitamini D wambiri m'thupi: Ngati kuchuluka kwa vitamini D m'magazi kuli kwakukulu kuposa kuchuluka komwe kumalimbikitsidwa.
- Matenda a m'thupi: Ngati muli ndi matenda omwe ali ndi zizindikiro monga malungo, kuzizira, chifuwa, kupweteka pakhosi, komanso kupweteka mukamakodza.
- Matenda a impso : Ngati pali vuto lililonse ndi impso.
- Kuchepa kwa calcium kapena michere ina m'magazi: Matenda monga kusowa kwa calcium.
- Kuchepa kwa maselo ofiira m'magazi (anemia).
- Kumwa mankhwala a steroid: Mwachitsanzo, ngati mukugwiritsa ntchito mankhwala monga Dexamethasone kapena Prednisone.
- Mavuto a m'mimba kapena m'mimba: Zinthu monga gastritis, zilonda zam'mimba.
- Kuvuta kukhala kapena kuyimirira kwa mphindi 30 nthawi imodzi: Ngati simungathe kuchita zimenezo.
- Ngati mwakhalapo ndi vuto la ziwengo ndi mankhwalawa (Alendronate, Cholecalciferol) kapena mankhwala ena aliwonse, chakudya, utoto, kapena chosungira.
- Ngati muli ndi pakati, kapena mukuyembekeza kukhala ndi mwana posachedwa.
- Ngati ndinu mayi woyamwitsa mwana.
Musachite manyazi kunena izi, chifukwa chitetezo chanu ndicho chinthu chofunikira kwambiri.
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
Ichi ndi chinthu chomwe chiyenera kuchitidwa mosamala kwambiri. Chifukwa ngati mugwiritsa ntchito mankhwalawa molakwika, pali mwayi waukulu woti mungakhale ndi zotsatirapo zina. Choncho kumbukirani izi.
- Piritsi ili liyenera kumwedwa pakamwa. Imwani ndi galasi lonse la madzi .
- Khalani ndi chizolowezi chomwa mankhwalawa tsiku lomwelo la sabata, nthawi yomweyo, monga momwe dokotala wanu wakuuzani.
- Ndi bwino kumwa izi mukangodzuka m'mawa , musanadye kapena kumwa china chilichonse.
- Musamwe mankhwala ena kupatula madzi musanamwe mankhwalawa. Musamwe ndi tiyi, khofi, mkaka, madzi a zipatso, ndi zina zotero. Madzi okha.
- Musamatafuna kapena kuphwanya piritsi. Mezani lonse.
- Mukatha kumwa mankhwala, musadye chakudya cham'mawa, musamwe china chilichonse (kupatula madzi), kapena kumwa mankhwala ena kapena mavitamini kwa mphindi zosachepera 30.
- Chofunika kwambiri: Mukatha kumwa mankhwala, khalani pansi kapena imirirani molunjika kwa mphindi zosachepera 30. Musamagone pansi kapena kugona pansi. Izi zimathandiza kuti mankhwalawo afike bwino m'mimba ndikuletsa kuti asamamatire pakhosi panu.
- Pitirizani kugwiritsa ntchito mankhwalawa mpaka dokotala wanu atakuuzani kuti musiye.
Mukalandira mankhwala awa ku pharmacy, adzakupatsani kabuku ka malangizo apadera (`MedGuide`). Onetsetsani kuti mwawerenga kabuku kameneka mosamala nthawi iliyonse mukalandira mankhwala anu kapena mukalandira `refill`. Kabukuka kali ndi mfundo zambiri zofunika kwa inu.
Ngati mukupereka mankhwalawa kwa ana: Muyenera kusamala kwambiri mukamagwiritsa ntchito mankhwalawa kwa ana. Chifukwa chake, lankhulani ndi dokotala wanu za izi ndipo funsani upangiri.
Chochita ngati mwamwa mopitirira muyeso? Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo,
pitani ku dipatimenti yothandiza anthu odwala matenda adzidzidzi ya chipatala chapafupi kapena imbani malo owongolera poizoni nthawi yomweyo. Chofunika kudziwa: Mankhwalawa aperekedwa
kwa inu nokha. Musawapatse anzanu kapena abale anu, ngakhale mukuganiza kuti ali ndi vuto lomwelo monga inu.
Kodi mungachite chiyani ngati mwaphonya mlingo wa mankhwala?
- Mumamwa mankhwalawa kamodzi patsiku, kotero ngati muiwala: Dumphani mlingo womwe mwaphonya tsiku limenelo. Musadandaule. Imwani mlingo wotsatira nthawi yanthawi zonse m'mawa wotsatira. Musamwe milingo iwiri tsiku lomwelo.
- Mumamwa mankhwalawa kamodzi pa sabata, ndipo ngati mwaiwala kumwa: Imwani mlingo womwe mwaphonya m'mawa mukakumbukira. Kenako imwani mlingo wanu wotsatira tsiku lanu lachizolowezi la sabata. Koma musamwe mlingo kawiri patsiku lomwelo.
Zinthu zina zomwe zingagwirizane ndi mankhwalawa (`Kuyanjana`)
Inde, mankhwalawa amatha kuyanjana ndi mankhwala ena, zakudya, ndi zowonjezera. Izi zikutanthauza kuti kuwamwa pamodzi kungasinthe momwe mankhwalawa amagwirira ntchito kapena kuwonjezera zotsatira zake. Chifukwa chake, uzani dokotala wanu za mankhwala onse omwe mukumwa (olembedwa ndi dokotala, ogulitsidwa pamtengo wotsika, azitsamba, mavitamini, kapena zowonjezera zakudya). Komanso, uzani
dokotala wanu ngati mumasuta fodya, mumamwa mowa, kapena mumagwiritsa ntchito mankhwala ena. Nazi zina zomwe zingagwirizane ndi mankhwalawa:
- Mankhwala ochizira kutupa m'mimba ndi gastritis (`Antacid`)
- Aspirin ndi mankhwala ofanana ndi a aspirin
- Zakudya zowonjezera za calcium, makamaka zomwe zimabwera ndi vitamini D
- Mankhwala ena ochepetsa mafuta m'thupi (monga Cholestyramine, Colestipol)
- Mankhwala ochepetsa asidi m'mimba (monga Cimetidine, Ranitidine)
- `(Corticosteroids)` (mankhwala amtundu wa steroid)
- Zowonjezera zachitsulo
- Zakudya zowonjezera za magnesium
- `(Mafuta a mchere)`
- Mankhwala ochepetsa ululu ndi oletsa kutupa (NSAIDs - mwachitsanzo Ibuprofen, Naproxen)
- `(Orlistat)` (mankhwala ochepetsa thupi)
- Mankhwala ena omwe amagwiritsidwa ntchito pa khunyu (monga, `(Phenobarbital)`, `(Phenytoin)`)
- Zowonjezera za phosphorous
- Mankhwala ena a khunyu (`(Primidone)`)
- Mankhwala a steroid (monga Prednisone, Cortisone)
- Mankhwala ena omwe amayambitsa kukodza (`Thiazide diuretics`)
- Mavitamini omwe amabwera ndi mchere, makamaka omwe ali ndi vitamini D.
Mndandanda uwu si wokwanira, choncho ndi bwino kuuza dokotala wanu zonse zomwe mumamwa.
Ndi njira ziti zapadera zodzitetezera zomwe ziyenera kutengedwa mukamamwa mankhwalawa?
- Lumikizanani ndi dokotala wanu nthawi zonse. Adzakutengerani kukayezetsa kuti akaone momwe mukuchitira ndi mankhwalawo.
- Zingatenge nthawi kuti muwone zotsatira za mankhwalawa. Choncho musadandaule, ingopitirizani kugwiritsa ntchito monga momwe dokotala wanu wanenera.
- Anthu ena angamve kupweteka kwambiri m'mafupa awo, m'malo olumikizirana mafupa, kapena m'minofu akamamwa mankhwalawa. Mankhwalawa angayambitsenso mavuto a nsagwada kapena kuwonjezera chiopsezo cha kusweka kwa fupa la ntchafu . Ngati mukumva kupweteka kwambiri m'nsagwada yanu, m'mafupa, m'malo olumikizirana mafupa, kapena m'minofu, uzani dokotala wanu nthawi yomweyo. Komanso, uzani dokotala wanu ngati muli ndi ululu uliwonse womwe sutha kapena ukukulirakulira.
- Ngati mukupita kwa dokotala wa mano, muuzeni kuti mukumwa mankhwalawa. Muyenera kupewa kuchitidwa opaleshoni yayikulu ya mano mukamamwa mankhwalawa. Ndibwino kupita kwa dokotala wa mano kuti akafufuze mano anu ndikukonza mavuto aliwonse musanayambe kumwa mankhwalawa. Sungani mano anu oyera mukamamwa mankhwalawa. Pitani kwa dokotala wa mano nthawi zonse kuti akakuthandizeni.
- Muyenera kuonetsetsa kuti mukupeza calcium ndi vitamini D okwanira mukamamwa mankhwalawa. Lankhulani ndi dokotala wanu za zakudya ndi mavitamini omwe mukumwa. Mungalangizidwenso kuti mumwe mapiritsi a calcium ndi vitamini D.
- Nthawi zina dokotala wanu angafunenso kuchita ntchito ya magazi pamene mukumwa mankhwalawa.
Kodi zotsatirapo zake zingakhale zotani chifukwa cha mankhwalawa?
Monga mankhwala ena aliwonse, mankhwalawa angayambitse mavuto ena mwa anthu ena. Si aliyense amene amalandira mankhwalawa, koma ena amatha kuwalandira.
Zotsatirapo zomwe muyenera kuuza dokotala wanu nthawi yomweyo:
Ngati mukukumana ndi zizindikiro izi, pitani kwa
dokotala wanu kapena kuchipatala chapafupi mwamsanga.
- Matenda a ziwengo: kutupa pakhungu, kuyabwa, kutupa (makamaka nkhope, milomo, lilime).
- Kupweteka kwa mafupa.
- Kutentha pamtima: Izi nthawi zambiri zimatha kumveka mutadya kapena mutagona.
- Kupweteka kwa nsagwada: Makamaka mukalandira chithandizo cha mano.
- Kupweteka kwa mafupa.
- Zizindikiro za kuchepa kwa calcium m'magazi:Kugunda kwa mtima mwachangu; kugwedezeka kwa minofu kapena kupweteka; dzanzi kapena kupweteka kwa miyendo; khunyu.
- Kupweteka kwa minofu.
- Kupweteka kapena kuvutika kumeza.
- Kufiira, kutupa, khungu lotupa, ndi zizindikiro zina zofanana mkamwa.
- Zizindikiro za kutuluka magazi m'mimba: Chimbudzi chakuda, chokhazikika; kusanza magazi okhala ndi mawonekedwe ofanana ndi khofi.
Zotsatirapo zomwe nthawi zambiri sizimafuna chithandizo chamankhwala, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira kapena zikuvutitsa:
Izi nthawi zambiri sizimakhala zoopsa ndipo zimatha pakatha masiku ochepa. Koma ngati zikupitirira kapena kukuvutitsani, uzani
dokotala wanu .
- Kudzimbidwa.
- Kutsegula m'mimba.
- Kusanza.
- Kupweteka m'mimba.
Mndandanda uwu si zotsatirapo zonse zomwe zingatheke. Ngati muwona china chake chachilendo kuwonjezera pa izi, funsani dokotala wanu.
Kodi ndiyenera kusunga kuti mankhwalawa?
- Sungani pamalo omwe ana ndi ziweto sangafikire . Izi ndizofunikira kwambiri.
- Sungani kutentha kwa chipinda (pakati pa madigiri 15 ndi 30 Celsius / madigiri 59 ndi 86 Fahrenheit). Tetezani ku kuwala ndi chinyezi. Izi zikutanthauza kuti, musasunge m'malo onyowa monga bafa.
- Sungani mankhwalawo mu phukusi loyambirira lomwe mudalowa mpaka mutalandira.
- Musagwiritse ntchito mankhwala omwe atha ntchito (omwe atha ntchito). Tayani bwino.
Pomaliza, zinthu zoti muzikumbukira (Uthenga Wopita Nawo Kunyumba)
Chabwino, takambirana zambiri za mankhwala a `(Alendronate; Cholecalciferol)` awa, sichoncho? Mwachidule:
- Uwu ndi mankhwala omwe amalimbitsa mafupa anu , amachepetsa kutaya kwa calcium, komanso amapereka vitamini D.
- Mukamamwa mankhwala, muyenera kutsatira malangizowo bwino. Makamaka kumwa m'mawa pamimba yopanda kanthu ndi madzi ndikukhala chilili kwa mphindi 30.
- Musaiwale kuuza dokotala wanu za matenda ena aliwonse omwe muli nawo komanso mankhwala ena aliwonse omwe mumamwa .
- Ngati mukukumana ndi zotsatirapo zina zatsopano, makamaka kupweteka kwambiri, mavuto a nsagwada, kapena kuvutika kumeza, uzani dokotala wanu nthawi yomweyo.
- Samalaninso thanzi la mano anu.
- Onetsetsani kuti mukupeza calcium ndi vitamini D okwanira pamene mukumwa mankhwalawa.
Musadandaule, dokotala wanu wakupatsani mankhwala awa kuti akuthandizeni pa thanzi lanu. Ngati muli ndi mafunso kapena nkhawa, musazengereze kulankhula nawo. Mankhwalawa adzakuthandizani kuti mafupa anu akhale olimba!
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