Nthawi zina timakumana ndi matenda omwe si ofanana ndi chimfine kapena fuluwenza, koma ndi oopsa pang'ono, omwe amafalikira m'thupi. Makamaka pamene matenda ena a bowa kapena matenda a yisiti afalikira ku ziwalo zamkati mwa thupi, mankhwala wamba sangakhale okwanira kuchiza. Lero, tikulankhula za mankhwala apadera komanso amphamvu omwe madokotala amagwiritsa ntchito pazochitika zoopsa ngati zimenezi.
Kodi mankhwala awa otchedwa Amphotericin B Liposomal ndi ati?
Mwachidule, ndi mankhwala ophera bowa . Izi zikutanthauza kuti amatha kupha bowa woyambitsa matenda omwe alowa m'thupi. Awa si mankhwala okhawo omwe nthawi zambiri mumapereka pa matenda ang'onoang'ono a bowa pakhungu lanu. Amagwiritsidwa ntchito pochiza matenda akuluakulu komanso oopsa a bowa omwe afalikira m'magazi, m'mapapo, muubongo, kapena m'ziwalo zina zamkati.
Mawu akuti "Liposomal" amatanthauza njira yapadera yomwe mankhwalawa amapangira. Zili ngati kuti molekyu ya mankhwalawa yakulungidwa mkati mwa thovu laling'ono lamafuta (liposome). Njirayi imalola kuti mankhwalawa afike mosavuta pamalo omwe matenda amafalikira m'thupi ndikuchepetsa zotsatirapo zomwe zingachitike m'ziwalo monga impso. Ku Sri Lanka, mankhwalawa amapezeka pansi pa dzina la `AmBisome`.
Zinthu zoti muuze dokotala wanu musanayambe kumwa mankhwalawa
Popeza mankhwalawa ndi amphamvu, ndikofunikira kwambiri kuuza dokotala wanu za mbiri yonse ya thanzi lanu musanayambe kulandira chithandizo. Onetsetsani kuti mwatchula zinthu izi makamaka.
- Ngati chitetezo chanu cha mthupi chili chofooka, vuto lomwe limachepetsa mphamvu yanu yolimbana ndi matenda (monga HIV, chithandizo cha khansa).
- Ngati muli ndi matenda ena osatha (monga matenda a shuga, matenda a impso).
- Ngati munakhalapo ndi vuto la ziwengo chifukwa cha Amphotericin B kapena mankhwala ena aliwonse, chakudya, kapena utoto.
- Ngati muli ndi pakati kapena mukufuna kutenga mimba .
- Ngati ndinu mayi woyamwitsa .
Kupereka chidziwitsochi kwa dokotala kudzamuthandiza kukuthandizani m'njira yotetezeka kwambiri.
Kodi mumagwiritsa ntchito bwanji mankhwalawa?
Iyi si piritsi yomwe mumameza. Amphotericin B Liposomal ndi jakisoni (infusion) yomwe imaperekedwa m'thupi lanu kudzera mu mtsempha . Izi nthawi zambiri zimachitika kuchipatala kapena kuchipatala, moyang'aniridwa ndi ogwira ntchito zachipatala. Mankhwalawa amaperekedwa m'thupi lanu kudzera mu cannula yomwe imayikidwa mu mtsempha womwe uli m'dzanja lanu, ngati botolo la saline.
Kawirikawiri, odwala ena amalangizidwa kuti atenge mankhwalawa kunyumba. Ngati zili choncho, mudzalangizidwa mosamala momwe mungakonzekerere ndikupereka mankhwalawa. Ndikofunikira kumwa mankhwalawo monga momwe mwalangizidwira, panthawi yoyenera . Musamwe mopitirira muyeso kapena mochepera kuposa mlingo womwe waperekedwa.
Chofunika: Ngati mugwiritsa ntchito jakisoni kunyumba, musataye singano ndi ma syringe ogwiritsidwa ntchito kale m'zinyalala. Ayenera kuyikidwa mu 'chidebe cha sharps' chodziwika bwino . Ngati mulibe, mutha kuchipeza kwa dokotala wanu.
Kodi mankhwalawa angaperekedwe kwa ana aang'ono?
Inde, ngati pakufunika, mankhwalawa angaperekedwe kwa ana moyang'aniridwa ndi dokotala wa ana. Komabe, amafunika chisamaliro chapadera komanso kuwerengera molondola mlingo.
Nanga bwanji ngati mlingo wa mankhwalawo ukuwonjezeka?
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo kuposa mlingo woyenera, pitani ku Dipatimenti Yothandiza Padzidzidzi (ETU) ya chipatala nthawi yomweyo . Kapena imbani National Poisons Information Centre ku Colombo National Hospital kuti mupeze malangizo.
Mankhwala ena omwe angagwirizane ndi mankhwalawa (Kuyanjana)
Mukamamwa mankhwalawa, muyeneranso kusamala ndi mankhwala ena omwe mukumwa. Mankhwala ena amatha kusokonezana ndi awa ndikuwonjezera zotsatirapo zake.
| Kuyanjana kwa Mankhwala | |
|---|---|
| Mankhwala omwe sayenera kumwedwa ndi mankhwalawa: | |
| - Cidofovir (mankhwala ochizira matenda opatsirana ndi mavairasi) | |
| Mankhwala ena omwe angayambitse mavuto ndipo ayenera kuuzidwa kwa dokotala: | |
| |
Mndandandawu sunathe. Choncho uzani dokotala wanu za mankhwala onse omwe mumamwa (kuphatikizapo mavitamini, mankhwala azitsamba, ndi mankhwala a Ayurvedic) . Uzaninso dokotala wanu ngati mumasuta kapena kumwa mowa.
Zotsatirapo zomwe zingakhalepo panthawi ya chithandizo
Matenda anu adzayang'aniridwa ndi ogwira ntchito zachipatala pamene mukumwa mankhwala awa. Komabe, zotsatirapo zina zingachitike. Zina mwa izo ndi zazikulu, pomwe zina zimakhala zochepa.
| Zotsatira Zam'mbali | Zoyenera kuchita? |
|---|---|
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala kapena namwino nthawi yomweyo | |
| Matenda a ziwengo monga kutupa pakhungu, kuyabwa, kutupa kwa milomo/pakamwa/lilime/pakhosi | Funani upangiri wa dokotala nthawi yomweyo. |
| Kuvuta kupuma kapena kulimba pachifuwa | |
| Zotsatira pa impso (kusintha kwa kuchuluka kapena mtundu wa mkodzo) | |
| Kusasinthasintha kwa kayendedwe ka mtima, kusintha kosazolowereka kwa kuthamanga kwa magazi | |
| Malungo aakulu, kuzizira, ndi kunjenjemera | |
| Kutupa kosazolowereka, kutuluka magazi | |
| Kutopa kwambiri, khunyu, kutaya chidziwitso | |
| Zotsatirapo zomwe nthawi zambiri sizili zoopsa, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Mutu, kupweteka kwa thupi | Ngati izi zikupitirira kapena zikukuvutitsani, dziwitsani dokotala wanu. |
| Kusanza, kupweteka m'mimba, kutsegula m'mimba | |
| Kufiira kwa khungu (kutuluka madzi), kupweteka komwe kanula inalowetsedwa | |
| Chifuwa, kusowa tulo | |
Ngati mukukumana ndi zizindikiro zina zachilendo zomwe sizinatchulidwe pamndandandawu, chonde dziwitsani dokotala wanu za zizindikirozo.
Uthenga Wopita Nawo Kunyumba
- Amphotericin B Liposomal (LAmB) ndi jakisoni wamphamvu wopha tizilombo toyambitsa matenda womwe umaperekedwa kudzera m'mitsempha, osati ngati piritsi. Umagwiritsidwa ntchito pochiza matenda oopsa komanso oyambitsa matenda.
- Musanayambe chithandizo, ndikofunikira kuti muuze dokotala wanu za matenda anu onse ndi mankhwala ena onse omwe mukumwa (kuphatikizapo mankhwala a Sinhala).
- Ngati mukukumana ndi mavuto ena aakulu monga kupuma movutikira, ziwengo zoopsa, kapena kusintha kwa mkodzo, dziwitsani ogwira ntchito zachipatala nthawi yomweyo.
- Mankhwalawa amaperekedwa kuchipatala moyang'aniridwa ndi dokotala. Musasinthe mlingo womwe mwapatsidwa kapena kudumpha mlingo pazifukwa zilizonse.
- Ngati muli ndi mafunso ena okhudza mankhwalawa, lankhulani ndi dokotala wanu.
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