Kwa munthu wamkulu m'banja mwanu, kapena mwina inunso, dokotala akhoza kukupatsani aspirin, "mankhwala ochepetsa magazi," kuti achepetse chiopsezo cha matenda a mtima kapena sitiroko. Komabe, anthu ena amakumananso ndi mavuto am'mimba monga gastritis. Kotero lero tikulankhula za mankhwala apadera omwe madokotala nthawi zina amapereka ngati yankho la mavuto onsewa.
Kodi kuphatikiza kwa aspirin ndi omeprazole kumeneku ndi kotani?
Mwachidule, iyi ndi kuphatikiza kwa mitundu iwiri ya mankhwala.
1. Aspirin: Izi zimagwira ntchito poletsa ma platelet m'magazi mwathu kuti asamamatire pamodzi ndikupanga magazi kuundana. Izi zimachepetsa chiopsezo cha matenda akuluakulu omwe amayamba chifukwa cha magazi kuundana, monga matenda a mtima ndi sitiroko. Aspirin ndi ya gulu la mankhwala otchedwa NSAID (Nonsteroidal Anti-Inflammatory Drug) .
2. Omeprazole: Vuto lalikulu lomwe lingakhalepo mukatenga mankhwala a NSAID monga aspirin nthawi zonse ndi kukula kwa zilonda zam'mimba. Omeprazole ndi mankhwala omwe ali mu gulu la PPI (Proton Pump Inhibitor) . Izi zimagwira ntchito poletsa kupanga asidi m'mimba. Izi zimachepetsa kwambiri kuwonongeka kwa mkati mwa m'mimba komwe kumachitika chifukwa cha aspirin.
Izi zikutanthauza kuti mankhwala awa ali ngati kupha mbalame ziwiri ndi mwala umodzi. Ngakhale kuti amateteza mtima, amatetezanso m'mimba.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwalawa
Musanapereke mankhwala awa, dokotala wanu adzakufunsani mafunso angapo. Koma ngati muli ndi vuto lililonse mwa izi, onetsetsani kuti mwauza dokotala wanu za vutoli.
| Mkhalidwe wanu | N’chifukwa chiyani kuli kofunikira kuuza dokotala? |
|---|---|
| Matenda otuluka magazi | Popeza aspirin imachepetsa magazi kuundana, izi zitha kukhala zoopsa kwa munthu amene ali kale ndi vuto la kutuluka magazi. |
| Ngati mwana ali ndi matenda opatsirana ndi kachilombo monga nkhupakupa kapena chimfine (flu) | Kupatsa ana aspirin pamene ali ndi kachilombo ka HIV kungayambitse matenda aakulu otchedwa Reye's syndrome. |
| Ngati mumamwa mowa nthawi zonse | Mowa ndi aspirin zikaphatikizidwa, chiopsezo chotuluka magazi m'mimba chimawonjezeka kwambiri. |
| Matenda a impso kapena chiwindi | Ziwalo zimenezi ndi zomwe zimachotsa mankhwala m'thupi. Ngati ntchito yawo yasokonekera, mankhwala amatha kudziunjikira m'thupi ndikuwonjezera zotsatirapo zake. |
| Matenda opumira monga mphumu | Kwa odwala ena a mphumu, aspirin ingawonjezere zizindikiro. |
| Matenda a Lupus | Uwu ndi matenda a chitetezo chamthupi, ndipo mavuto amatha kuchitika ndi mankhwala ena. |
| Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena ndinu mayi woyamwitsa | Mankhwalawa akhoza kukhala oopsa panthawi ya mimba, makamaka m'miyezi yomaliza. Angakhudzenso mwana. |
Kodi mumagwiritsa ntchito bwanji mankhwalawa molondola?
Kuti mupindule kwambiri ndi mankhwalawa, ndikofunikira kudziwa momwe mungagwiritsire ntchito bwino.
- Osachepera ola limodzi musanadye: Piritsi ili liyenera kumwedwa pamimba yopanda kanthu . Izi zikutanthauza kuti, imwani ndi kapu ya madzi ola limodzi musanadye chakudya chachikulu. Musalimwe ndi chakudya.
- Musaswe, kuphwanya, kapena kutafuna piritsi: Ili ndi piritsi lomwe limatulutsidwa mochedwa. Chifukwa chake, liyenera kumezedwa lonse. Kuliphwanya kapena kulitafuna kungasinthe mphamvu yake ndikuwononga m'mimba.
- Imwani mankhwala anu pa nthawi yake: Imwani mankhwala anu tsiku lililonse nthawi ndi nthawi, monga momwe dokotala wanu wanenera.
- Musasiye kumwa mankhwalawa: Musasiye kumwa mankhwalawa mwadzidzidzi popanda upangiri wa dokotala.
Kodi mungachite chiyani ngati mwamwa mankhwala ochulukirapo?
Ngati mukuganiza kuti mwamwa Kelinma mopitirira muyeso, funsani nthawi yomweyo ku National Poison Information Centre ku Colombo National Hospital.Imbani. Kapena pitani ku Dipatimenti Yoona za Zadzidzidzi ya Chipatala chapafupi (ETU) .
Nanga bwanji ngati ndaphonya mlingo wa mankhwala?
Ngati mwaphonya mlingo, imwani mwamsanga mukangokumbukira. Koma ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndikumwa mlingo wanu wotsatira panthawi yomwe mwakonza. Musamwe milingo iwiri nthawi imodzi.
Mankhwala ena omwe angagwirizane ndi mankhwalawa
Mukamamwa mankhwalawa, muyeneranso kusamala ndi mankhwala ena omwe mukumwa. Kumwa pamodzi ndi mankhwala ena kungakhale koopsa.
| Gulu la mankhwala | Zitsanzo |
|---|---|
| Musatenge izi ndi chilichonse. | |
| Mankhwala ena a HIV/AIDS | Atazanavir, Nelfinavir |
| Mankhwala ena ochepetsa magazi | Clopidogrel, Ticagrelor |
| Samalani kwambiri mukamamwa izi pamodzi ndi chakudya (pokhapokha ngati mutsatira malangizo a dokotala) | |
| Mankhwala ena ochepetsa ululu (NSAIDs) | Ibuprofen, Naproxen |
| Mankhwala ena ochepetsa magazi | Warfarin, Heparin |
| Mankhwala ena a matenda a shuga | (Uzani dokotala wanu za mankhwala anu a shuga) |
| Mankhwala a kuthamanga kwa magazi | Beta-blockers, zoletsa za ACE |
| Mowa | Chiwopsezo cha kutuluka magazi m'mimba chimawonjezeka kwambiri. |
Chofunika: Mndandanda uwu sunathe. Uzani dokotala wanu za mankhwala onse omwe mumamwa (kuphatikizapo mavitamini ndi mankhwala azitsamba).
Zinthu zofunika kuziganizira mukamamwa mankhwala
- Kutuluka magazi m'mimba: Mankhwalawa angayambitse zilonda zam'mimba komanso kutuluka magazi popanda chenjezo . Ngati muli ndi zizindikiro monga kupweteka m'mimba, kusanza magazi, kusanza chinthu chomwe chimawoneka ngati khofi, kapena kutuluka ndowe zakuda, pitani kwa dokotala nthawi yomweyo.
- Matenda a pakhungu: Matenda a pakhungu amatha kuchitika ngakhale milungu ingapo mutayamba kumwa mankhwala. Ngati mukumva malungo, kupweteka kwa thupi, kufiira, kuyabwa, kutupa, kapena khungu likutuluka, uzani dokotala nthawi yomweyo.
- Kusowa kwa Vitamini B12: Kumwa mankhwalawa (gawo la omeprazole) kwa nthawi yayitali kungachepetse kuyamwa kwa vitamini B12 m'thupi. Izi zingayambitse dzanzi m'miyendo, chizungulire, komanso kuiwalaiwala. Lankhulani ndi dokotala wanu za izi.
- Mimba: Ngati mukufuna kutenga mimba, mankhwalawa angapangitse kuti zikhale zovuta kwambiri. Lankhulani ndi dokotala wanu za izi.
- Samalani mukamatsuka mano anu: Pali chiopsezo chowonjezeka cha kutuluka magazi, choncho samalani mukamatsuka mano anu ndi floss. Ngati mukuchitidwa opaleshoni ya mano, uzani dokotala wanu wa mano kuti mukumwa mankhwalawa.
Kodi zotsatirapo zake zingakhale zotani?
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala wanu nthawi yomweyo | |
|---|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime, komanso kuvutika kupuma. |
| Zizindikiro za kutuluka magazi | Chimbudzi chakuda, kusanza magazi kapena khofi wothira, mkodzo wofiira/wofiirira wakuda, madontho ofiira/ofiirira pakhungu. |
| Zizindikiro za kuvulala kwa chiwindi | Kupweteka kumtunda kwa mimba, kusowa chilakolako cha chakudya, chikasu cha maso/khungu, mkodzo wakuda. |
| Zizindikiro za kuvulala kwa impso | Kuchepa kwa mkodzo wotuluka, kutupa kwa akakolo, manja, ndi mapazi. |
| Zotsatirapo zomwe nthawi zambiri sizili zoopsa, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Kupweteka m'mimba | kutentha pamtima |
| Kutsegula m'mimba | Kusanza |
Uthenga Wopita Nawo Kunyumba
- Izi ndi kuphatikiza kwa mankhwala awiri: aspirin (ya mtima) ndi omeprazole (ya m'mimba).
- Nthawi zonse imwani musanayambe kudya, ola limodzi musanadye. Musaswe, kuphwanya, kapena kutafuna piritsi.
- Uzani dokotala wanu za mankhwala ena onse omwe mumamwa komanso matenda aliwonse omwe muli nawo.
- Ngati muwona zizindikiro za kutuluka magazi, monga ndowe zakuda, kusanza magazi, kapena kusintha kwakukulu pakhungu, funsani dokotala nthawi yomweyo.
- Musasiye kumwa mankhwalawa popanda upangiri wa dokotala.
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