Kodi inuyo kapena wina m'banja mwanu mukulandira chithandizo cha mankhwala a khansa? Ndiye mwina mwamvapo kuti kuchuluka kwa uric acid m'thupi kumawonjezeka. Izi zitha kuchitika panthawi ya mankhwala a chemotherapy. Lero tikambirana za jakisoni wapadera womwe madokotala amagwiritsa ntchito kuti achepetse kuchuluka kwa uric acid m'thupi ndikuletsa kuwonongeka komwe kungachitike. Ndi jakisoni wa Allopurinol.
Mwachidule, kodi Allopurinol ndi chiyani?
Allopurinol ndi mankhwala. Amapezeka ngati mapiritsi komanso ngati jakisoni m'mitsempha. Mankhwala omwe tikukamba lero amagwiritsidwa ntchito makamaka popewa ndikuchiza kuwonjezeka kwadzidzidzi kwa uric acid m'thupi la munthu amene akulandira chithandizo cha khansa, makamaka chemotherapy.
Tsopano mwina mukudabwa kuti, "N'chifukwa chiyani uric acid imawonjezeka panthawi ya chemotherapy?" Taganizirani izi motere. Mankhwala a chemotherapy amapha maselo a khansa omwe amagawanitsa mofulumira. Pamene maselo ambiri a khansa aphedwa nthawi imodzi, zinthu zomwe zili mkati mwa maselowo zimasonkhana m'magazi. Chotsatira cha zinthuzi ndi uric acid.
Kawirikawiri, impso zathu zimasefa uric acid iyi ndikuitulutsa mu mkodzo. Koma uric acid yambiri ikawunjikana mwadzidzidzi, monga panthawi ya chemotherapy, impso sizingathe kuchotsa zonsezo. Kenako kuchuluka kwa uric acid m'magazi kumakwera moopsa.
Pamene uric acid ikuwonjezeka motere, imatha kupanga makhiristo ang'onoang'ono ndikuyika m'malo olumikizirana mafupa, zomwe zimayambitsa matenda monga gout, kapena ikhoza kuyika m'impso, kuziwononga ndikuyambitsa miyala muimpso.
Choncho, zomwe jakisoni wa Allopurinol amachita ndi kuchepetsa kupanga uric acid m'thupi. Izi zimachepetsa kulemera kwa impso ndikuletsa kuwonongeka komwe kumachitika chifukwa cha uric acid.
Zinthu zomwe dokotala wanu ayenera kudziwa asanakupatseni mankhwala awa
Izi ndizofunikira kwambiri. Dokotala wanu adzafuna kudziwa mbiri yonse ya thanzi lanu musanayambe chithandizochi. Onetsetsani kuti mwawauza za vuto lililonse mwa izi, makamaka:
- Matenda a impso: Ndikofunikira kuuza dokotala wanu ngati muli ndi matenda kapena vuto lililonse la impso lomwe lilipo kale. Popeza uric acid imachotsedwa m'thupi ndi impso, mlingo wake ungafunike kusinthidwa kapena chisamaliro chapadera chingafunike popereka mankhwalawa kwa munthu amene ali ndi matenda a impso.
- Matenda a chiwindi: Ngati muli ndi matenda aliwonse a chiwindi, uzani dokotala wanu za matendawa.
- Matenda a allopurinol kapena zinthu zina: Kodi munayamba mwakhalapo ndi vuto la allopurinol? Kapena ngati muli ndi vuto lina lililonse la mankhwala, chakudya, utoto, kapena zotetezera.
- Ngati muli ndi pakati kapena mukufuna kutenga mimba: Ngati muli ndi pakati kapena mukukonzekera kutenga mimba posachedwa, ndikofunikira kwambiri kuuza dokotala wanu.
- Ngati ndinu mayi woyamwitsa (Woyamwitsa): Ngati mukuyamwitsa mwana, onetsetsani kuti mwadziwitsa dokotala za nkhaniyi.
Kutengera ndi izi, gulu lachipatala lidzasankha ngati likupatsani chithandizochi kapena ayi, kapena momwe mungachiperekere.
Kodi mankhwala amaperekedwa bwanji ndipo mungachite chiyani ngati mwamwa mopitirira muyeso?
Allopurinol imaperekedwa m'mitsempha . Izi si zomwe mungachite kunyumba. Mudzaloledwa kuchipatala kapena ku chipatala ndikupatsidwa jakisoni ndi dokotala kapena anamwino ophunzitsidwa bwino. Chifukwa chake, palibe chiopsezo chosowa mlingo.
Pangafunike chisamaliro chapadera popereka mankhwalawa kwa ana aang'ono. Dokotala wanu adzakudziwitsani za izi.
Nanga bwanji ngati mwamwa mankhwala ochulukirapo? (Kumwa mankhwala ochulukirapo)
Izi sizingachitike kuchipatala. Komabe, ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, dziwitsani gulu lanu lachipatala nthawi yomweyo. Monga momwe zilili ndi mankhwala ena owonjezera, m'dziko lathu lino mutha kuyimbira National Poisons Information Centre ku Colombo National Hospital . Kapena pitani ku chipatala chapafupi cha Emergency Treatment Unit (ETU) nthawi yomweyo.
Mankhwala ena omwe angagwirizane ndi mankhwalawa (Kuyanjana kwa Mankhwala)
Ndikofunikira kwambiri kuuza dokotala wanu za mankhwala onse omwe mukumwa. Mankhwala ena amatha kuyanjana ndi allopurinol, mwina kusintha zotsatira za allopurinol kapena kuwonjezera zotsatira zake.
Tiyeni tifotokoze bwino izi ndi tebulo ili m'munsimu.
| Gulu la mankhwala | Zitsanzo ndi mafotokozedwe |
|---|---|
| Musagwiritse ntchito mankhwalawa ndi | |
| Mankhwala a HIV | Didanosine |
| Mankhwala ena omwe angagwirizane | |
| Maantibayotiki ena | Amoxicillin, Ampicillin |
| Mankhwala ena oletsa khansa | Capecitabine, Cyclophosphamide, Fluorouracil |
| Mankhwala oletsa chitetezo chamthupi | Azathioprine, Cyclosporine, Mercaptopurine |
| Mankhwala a shuga | Chlorpropamide |
| Mankhwala ena a gout | Probenecid, Sulfinpyrazone |
| Mankhwala ochepetsa mphamvu ya madzi m'thupi (mankhwala ochepetsa mphamvu ya madzi m'thupi / "mapiritsi a madzi") | Mankhwala oletsa kutupa a Thiazide monga hydrochlorothiazide |
| Mankhwala Oletsa Kutsekeka kwa Magazi | Warfarin |
Chofunika: Mndandanda uwu suli ndi mankhwala onse. Chifukwa chake, muyenera kudziwa zonse zomwe mumamwa, kuphatikizapo mavitamini, zowonjezera, mankhwala a ku Sinhala, ndi mankhwala a ku Ayurvedic.Uzani dokotala wanu ngati mukusuta kapena kumwa mowa.
Zinthu zofunika kukumbukira mukamamwa mankhwalawa
Gulu lachipatala lidzakuyang'anirani mosamala pamene mukulandira katemerayu, koma ndikofunikira kwambiri kuti mudziwe izi.
Zotsatira Zazikulu za Khungu
Ichi ndi chinthu chofunika kwambiri choyenera kusamala nacho. Anthu ena omwe amagwiritsa ntchito mankhwalawa amatha kukhala ndi zotsatirapo zoopsa pakhungu. Choopsa kwambiri ndichakuti izi zitha kuchitika milungu kapena miyezi mutayamba kumwa mankhwalawa. Ngati muli ndi zizindikiro izi, uzani dokotala wanu kapena namwino nthawi yomweyo:
- Malungo kapena ziphuphu ndi malungo.
- Zilondazi zimakhala zofiira kapena zofiirira, kenako zimakhala ndi matuza kapena ziphuphu.
- Ziphuphu zofiira ndi kutupa kwa nkhope ndi milomo.
- Ma lymph nodes otupa m'khosi kapena m'khwapa.
Chizungulire ndi kugona
Mankhwalawa angakhudze momwe thupi lanu limagwirira ntchito komanso nthawi yomwe mumachitapo kanthu. Choncho, pewani kuyendetsa galimoto, kugwira ntchito pamalo okwera, kapena kugwiritsa ntchito makina omwe amafunikira kukhala maso mpaka mutadziwa bwino momwe mankhwalawa amakukhudzirani.
Kuti muchepetse chizungulire kapena kukomoka, imirirani molunjika mukamadzuka mutakhala pansi kapena mutatuluka pabedi. Pewani kumwa mowa mukamamwa mankhwalawa chifukwa amatha kuwonjezera zotsatirapo zake.
Imwani madzi ambiri.
Uwu ndi upangiri wofunikira kwambiri. Dokotala wanu adzakulangizani kuti mumwe madzi ambiri masana mukumwa mankhwalawa. Chifukwa chake ndi chakuti kumwa madzi ambiri kumathandiza impso kusefa uric acid m'thupi mosavuta ndikutulutsa mu mkodzo. Izi zitha kuchepetsa chiopsezo cha gout ndi miyala ya impso.
Zotsatirapo zoyipa
Monga mankhwala ena aliwonse, Allopurinol ingayambitse zotsatirapo zake. Zina zimakhala zoopsa ndipo ziyenera kunenedwa nthawi yomweyo. Zina ndi zofala ndipo ziyenera kunenedwa pokhapokha ngati zikupitirira.
| Zotsatira zoyipa | Kufotokozera |
|---|---|
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa gulu lachipatala nthawi yomweyo | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi, komanso kuvutika kupuma. |
| Zizindikiro za kuvulala kwa chiwindi | Kupweteka kumtunda kwa mimba kumanja, kusowa chilakolako cha chakudya, nseru, ndowe zowala, mkodzo wakuda wachikasu kapena bulauni, maso kapena khungu kukhala lachikasu, komanso kutopa kwambiri. |
| Zizindikiro za kuvulala kwa impso | Kuchepa kwa mkodzo wotuluka, kutupa kwa akakolo, manja, kapena mapazi. |
| Matenda aakulu a khungu | Kufiira kwa khungu, kutupa, kutuluka kwa khungu (ngakhale mkati mwa pakamwa), malungo, ndi kutupa kwa ma lymph nodes. |
| Zizindikiro za kuchepa kwa maselo m'magazi | Kutupa kapena kutuluka magazi kosazolowereka, kutopa kwambiri, chizungulire, mutu, kupuma movutikira (maselo ofiira ochepa m'magazi). |
| Zizindikiro za matenda | Malungo, kuzizira, chifuwa, pakhosi. |
| Zotsatirapo zomwe nthawi zambiri sizili zoopsa, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Mavuto a m'mimba | Kusanza, kusanza, kutsegula m'mimba. |
| Kugona tulo | Kugona modabwitsa. |
| Kusamva bwino pamalo obayira jakisoni | Ululu, kufiira, kapena kutupa komwe kunabayidwa jakisoni. |
Mndandandawu suli ndi zotsatirapo zonse zomwe zingachitike. Ngati muwona china chake chachilendo kapena chachilendo kuwonjezera pa izi, chonde uzani gulu lanu lachipatala.
Uthenga Wopita Nawo Kunyumba
- Allopurinol imaperekedwa makamaka kuti ichepetse kuchuluka kwa uric acid m'thupi chifukwa cha mankhwala a khansa.
- Onetsetsani kuti mwauza dokotala wanu za matenda ena aliwonse omwe muli nawo, mankhwala onse omwe mukumwa (kuphatikizapo mankhwala a Sinhala), ndi ziwengo zilizonse zomwe muli nazo musanalandire chithandizo.
- Mukamamwa mankhwalawa, khalani tcheru kwambiri ngati muli ndi zizindikiro zoopsa za ziwengo monga kutentha thupi ndi ziphuphu pakhungu. Ngati mukukayikira chilichonse, dziwitsani gulu lachipatala nthawi yomweyo.
- Imwani madzi ambiri tsiku lonse kuti muthandize impso zanu komanso kuti mupewe kupanga miyala.
- Popeza katemera uyu amaperekedwa ndi gulu lachipatala kuchipatala, simuyenera kuda nkhawa ndi kusunga mankhwalawo kapena mlingo wake.
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