Chitetezo cha mthupi lanu chili ngati gulu lankhondo lomwe limateteza dziko. Ntchito ya gulu lankhondo ndi kutiteteza polimbana ndi majeremusi ndi matenda akunja. Koma nthawi zina dongosololi limasokonezeka pang'ono ndipo silingathe kuzindikira adani akunja kapena ziwalo za thupi lanu. Kenako limayamba kuukira maselo a thupi lanu. Pamenepo ndi pomwe matenda monga nyamakazi, omwe amayambitsa kutupa, kuuma, komanso kupweteka kosapiririka, amakula. Chifukwa chake, lero tikulankhula za mankhwala apadera omwe amatonthoza ndikulamulira chitetezo cha mthupi chogwira ntchito mopitirira muyeso. Umenewo ndi katemera wa Anakinra.
Mwachidule, kodi Anakinra uyu ndi chiyani?
Anakinra ndi katemera amene mungadzipatse nokha pansi pa khungu. Nthawi zambiri amagulitsidwa pansi pa dzina lakuti `Kineret`.
Mankhwalawa amagwiritsidwa ntchito makamaka pa:
- Matenda a Nyamakazi: Matenda omwe amayambitsa kutupa ndi kupweteka m'malo olumikizirana mafupa mwa akuluakulu.
- Matenda Ena Otupa: Mwachitsanzo, mankhwalawa amaperekedwanso kuti athetse matenda osowa koma oopsa omwe amapezeka mwa makanda obadwa kumene, monga ``Neonatal-Onset Multisystem Inflammatory Disease (NOMID)`` ndi ``Deficiency of Interleukin-1 Receptor Antagonist (DIRA)``.
Mwachidule, mankhwalawa amagwira ntchito poletsa pang'ono kugwira ntchito mopitirira muyeso kwa chitetezo cha mthupi lanu ndikuchepetsa kuwonongeka komwe kumayambitsa thupi.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa
Iyi ndi gawo lofunika kwambiri. Dokotala wanu asanakupatseni mankhwala awa, ayenera kudziwa mbiri yonse ya thanzi lanu. Chifukwa chake, ngati muli ndi vuto lililonse mwa izi, onetsetsani kuti mwadziwitsa dokotala wanu.
- Ngati muli ndi mphumu .
- Ngati muli ndi khansa kapena munadwalapo kale.
- Ngati pali mavuto ena ndi chitetezo chamthupi .
- Ngati muli ndi matenda osachiritsidwa, mwachitsanzo, chifuwa chachikulu (TB), bowa, bakiteriya, kapena kachilombo.
- Ngati muli ndi matenda a impso .
- Ngati mayeso anu a magazi akusonyeza kuti maselo oyera a m'magazi anu ndi ochepa .
- Ngati mwalandira katemera posachedwapa kapena mukukonzekera kulandira katemera posachedwa.
- Ngati muli ndi vuto la Anakinra, mankhwala ena, zakudya, kapena utoto.
- Ngati muli ndi pakati kapena mukufuna kutenga mimba.
- Ngati ndinu mayi woyamwitsa .
Kutengera ndi izi, dokotala adzasankha ngati mankhwalawa ndi oyenera kwa inu kapena ayi.
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
Iyi ndi jakisoni yomwe imabayidwa pansi pa khungu. Dokotala wanu kapena namwino nthawi zambiri amakuwonetsani momwe mungabayire nokha. Ndikofunikira kwambiri kumwa mlingo woyenera, panthawi yoyenera, komanso nthawi yomweyo tsiku lililonse. Muyenera kupitiriza kugwiritsa ntchito mpaka dokotala wanu atakuuzani kuti musiye.
Chofunika kwambiri: Musataye singano ndi ma syringe ogwiritsidwa ntchito kale m'zinyalala. Ayenera kuyikidwa mu chidebe chapadera chosungiramo zinthu zakuthwa. Ngati mulibe, funsani gulu lanu la zaumoyo momwe mungapezere imodzi.
Nanga bwanji ngati mlingo wa mankhwalawo ukuwonjezeka?
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo kuposa omwe mwapatsidwa, imbani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital, kapena pitani ku Emergency Department (ETU) ya chipatala chapafupi.
Nanga bwanji ngati ndaphonya mlingo wa mankhwala?
Ngati mwaphonya mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yatsala pang'ono yoti mutenge mlingo wotsatira, thawani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe mlingo wowirikiza kawiri.
Mankhwala ena omwe angagwirizane ndi mankhwalawa
Popeza Anakinra ndi mankhwala omwe amakhudza chitetezo cha mthupi, kungakhale koopsa kumwa pamodzi ndi mankhwala ena. Chifukwa chake, ndikofunikira kuuza dokotala wanu za mankhwala onse omwe mukumwa.
| Mtundu wa mankhwala | Zitsanzo ndi mafotokozedwe |
|---|---|
| Mankhwala omwe sayenera kumwedwa ndi Anakinra | |
| Mankhwala achilengedwe | Izi zimakhudzanso chitetezo cha mthupi, kotero kutenga zonsezi pamodzi kumawonjezera chiopsezo cha matenda. Mwachitsanzo: (adalimumab), (etanercept), (infliximab), (certolizumab), (golimumab). |
| Katemera wa kachilombo ka moyo | Katemera wamoyo angayambitse matenda omwewo chifukwa chitetezo cha mthupi chimafooka akamamwa Anakinra. |
| Mankhwala ena omwe angagwirizane ndi Anakinra (ndikofunika kufunafuna upangiri wa dokotala) | |
| Mankhwala ena oletsa chitetezo chamthupi | Mankhwala monga (Abatacept), (Baricitinib), (Canakinumab), (Rituximab), (Sarilumab), (Tocilizumab), (Tofacitinib), (Upadacitinib). |
| Mankhwala omwe amachepetsa mphamvu yolimbana ndi matenda | Zinthu monga ma steroid ndi mankhwala oletsa khansa. |
Mndandandawu sunathe. Uzani dokotala wanu za mavitamini onse, mankhwala azitsamba, ndi mankhwala ena omwe mukumwa.
Zinthu zofunika kuziganizira mukamamwa mankhwala
- Kuwunika pafupipafupi: Dokotala wanu adzakuyang'anirani nthawi zonse mukamamwa mankhwalawa. Akhozanso kulamula kuti muyeze magazi . Uzani dokotala wanu ngati zizindikiro zanu sizikusintha kapena ngati zikuipiraipira.
- Kuyezetsa Matenda a Chifuwa Cham'mimba (TB): Mudzayezetsa chifuwa chachikulu (TB) musanayambe kumwa mankhwalawa. Ngati mwapatsidwa mankhwala, muyenera kuyamba kumwa musanayambe kumwa Anakinra ndikumwa kwa nthawi yonse yomwe mwapatsidwa.
- Kuopsa kwa matenda: Mankhwalawa amachepetsa mphamvu ya chitetezo cha mthupi, kotero muli pachiwopsezo chachikulu chotenga matenda. Chifukwa chake, ngati mukupeza zizindikiro monga malungo, kuzizira, kupweteka pakhosi, chifuwa, mabala osachira, kapena kupweteka mukamakodza, musadzipatse mankhwala ndipo imbani dokotala nthawi yomweyo. Ndibwinonso kupewa malo omwe anthu amadwala.
Kodi zotsatirapo zake zingakhale zotani?
Monga mankhwala ena aliwonse, Anakinra ingayambitse zotsatirapo zina. Zina zimakhala zoopsa, pomwe zina zimakhala zofala.
| Mtundu wa zotsatira zoyipa | Zizindikiro |
|---|---|
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala wanu nthawi yomweyo | |
| Zotsatira zoopsa za ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Zizindikiro za matenda | Malungo, kuzizira, chifuwa, kupweteka pakhosi, mabala osachiritsa, matenda opatsirana m'mitsempha ya mkodzo. |
| Zotsatira zoyipa zomwe ziyenera kufotokozedwa kwa dokotala ngati zikupitirira kapena zikuvutitsa | |
| Kusamva bwino pamalo obayira jakisoni | Ululu, kufiira, kapena kutupa. (Ichi ndi chomwe chimapezeka kwambiri) |
| Makhalidwe ena onse | Mutu, nseru, kusanza, kupweteka m'mimba, kutsegula m'mimba, kupweteka kwa mafupa, kupweteka kwa sinus. |
Kodi mankhwalawo angasungidwe bwanji?
- Sungani mufiriji , koma musasunge mufiriji.
- Musagwedeze mankhwalawo.
- Sungani pamalo omwe ana ndi ziweto sangafikire.
- Sungani katemera m'mabokosi ake oyambirira kutali ndi kuwala mpaka nthawi yoti mulandire katemerayo itakwana.
- Tayani mankhwala otha ntchito. Funsani dokotala wanu momwe mungawatayire mosamala.
Uthenga Wopita Nawo Kunyumba
- Anakinra ndi katemera wogwiritsidwa ntchito poletsa matenda omwe amayamba chifukwa cha chitetezo chamthupi chomwe chimagwira ntchito mopitirira muyeso, monga nyamakazi.
- Musanayambe kumwa mankhwalawa, uzani dokotala wanu za matenda anu onse komanso mankhwala ena onse omwe mukumwa.
- Phunzirani momwe mungabayire katemera moyenera komanso momwe mungatayire singano zomwe zagwiritsidwa ntchito mosamala.
- Nthawi zonse dziwani zizindikiro za matenda monga malungo, chifuwa, ndi zilonda za pakhosi. Ngati mukupeza zizindikiro zotere, dziwitsani dokotala wanu nthawi yomweyo.
- Mankhwalawa ndi a inu nokha. Musagawane ndi ena.
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