Dokotala wanu mwina anakupatsani mankhwala otchedwa Azathioprine . Mukamva dzinali, mungakhale ndi mantha pang'ono, n’kumadzifunsa kuti, “Ndi mankhwala amtundu wanji awa?” Koma musadandaule. Lero, tiphunzira zonse zokhudza mankhwalawa m’njira yosavuta, monga kulankhula ndi mnzanu. Izi ziyankha mafunso anu ambiri.
Mwachidule, kodi Azathioprine ndi chiyani?
Azathioprine (nthawi zina imadziwika ndi dzina lodziwika bwino la Imuran®) ndi mankhwala omwe amaletsa ntchito ya chitetezo chamthupi lanu . Mwachidule, chitetezo chathu chamthupi nthawi zina chimakhala chogwira ntchito mopitirira muyeso ndipo chimayamba kuukira maselo athu. Izi ndi zomwe zimachitika m'matenda monga Multiple Sclerosis ( MS ).
Kotero chomwe mankhwala a Azathioprine awa amachita ndikulamulira chitetezo chamthupi chomwe chimagwira ntchito mopitirira muyeso pang'ono . Timatcha mankhwalawa kuti ndi mankhwala oletsa chitetezo chamthupi. Kafukufuku wapeza kuti mankhwalawa amathandiza kuchepetsa kuphulika kwa magazi ndi zilonda zatsopano muubongo m'matenda monga MS. Nthawi zina amagwiritsidwa ntchito limodzi ndi mankhwala ena.
Kodi ndimagwiritsa ntchito bwanji mankhwalawa molondola?
Azathioprine ndi mankhwala omwe amabwera ngati mapiritsi ndipo amamwedwa pakamwa. Mlingo womwe mumapatsidwa umatsimikiziridwa ndi zinthu monga kulemera kwanu ndi kuchuluka kwa maselo oyera m'magazi anu.
- Mlingo woyambira:Kawirikawiri, dokotala wanu amayamba kumwa mankhwala ochepa kwambiri. Kenako, pang'onopang'ono, adzawonjezera mlingo kuti ugwirizane ndi thupi lanu.
- Kuchuluka kwa kumwa: Anthu ambiri amauzidwa kuti amwe kawiri patsiku.
- Imwani ndi chakudya: Ndi bwino kumwa mankhwalawa pamodzi ndi chakudya kuti muchepetse chiopsezo cha kuvutika m'mimba komanso nseru.
- Chofunika kwambiri: Mukapatsidwa mankhwala, ndikofunikira kwambiri kumwa monga momwe zalembedwera pa chizindikiro, panthawi yoyenera, komanso muyeso woyenera . Musawonjezere kapena kuchepetsa mlingo momwe mukufunira, kapena siyani kumwa mwadzidzidzi popanda upangiri wa dokotala.
Kumbukirani, kumwa mankhwalawa monga momwe mwalangizidwira kumakhudza kwambiri kupambana kwa chithandizo chanu.
Samalani kwambiri ndi zinthu izi mukamamwa mankhwala.
Chonde samalani mfundo izi mukamagwiritsira ntchito mankhwalawa kuti mukhale otetezeka komanso kuti mupeze phindu lalikulu kuchokera ku mankhwalawa.
- Mimba ndi kuyamwitsa: Izi ndizofunikira kwambiri. Ngati muli ndi pakati, mukufuna kutenga pakati, kapena kuyamwitsa, si bwino kumwa Azathioprine . Onetsetsani kuti mwalankhula ndi dokotala wanu za izi.
- Kuyezetsa magazi nthawi zonse: Dokotala wanu adzakufunsani kuti muyeze magazi nthawi zonse. Izi zidzakuthandizani kudziwa pasadakhale momwe mankhwalawo akugwirira ntchito kwa inu komanso ngati muli ndi zotsatirapo zina. Choncho, musazengereze kuyezetsa magazi kumeneku .
- Dzitetezeni ku matenda: Popeza mankhwalawa amaletsa chitetezo chamthupi chanu, mungakhale pachiwopsezo chachikulu cha matenda, makamaka matenda. Chifukwa chake, pewani anthu omwe ali ndi chimfine ndi fuluwenza. Samalani mukapita kumalo odzaza anthu.
- Mankhwala ena: Onetsetsani kuti mwauza dokotala wanu za mankhwala ena aliwonse omwe mukumwa (ngakhale mavitamini). Mankhwala ena, makamaka omwe amayambitsa kuthamanga kwa magazi ((monga ACE inhibitors ) zitha kukhala ndi zotsatirapo zoyipa zikagwiritsidwa ntchito ndi izi. Choncho kambiranani zonse momasuka ndi dokotala wanu.
- Katemera: Musalandire katemera aliyense popanda chilolezo cha dokotala wanu. Katemera wina sagwirizana ndi mankhwalawa.
- Musalole kuti mankhwala anu atha: Onetsetsani kuti muli ndi mankhwala okwanira nthawi ya tchuthi ndi nyengo ya chikondwerero isanafike. Musadikire mpaka nthawi yatsala pang'ono kutha.
Zotsatirapo zake ndi nthawi yoti mudziwitse dokotala
Choyamba, anthu ambiri amavomereza bwino mankhwalawa. Si aliyense amene angakumane ndi zotsatirapo zonsezi. Komanso, chifukwa dokotala wanu amakuyang'anirani nthawi zonse, mavuto aliwonse omwe angabuke akhoza kudziwika asanafike poipa kwambiri.
Samalani zizindikiro zomwe zili patebulo ili m'munsimu. Ngati chimodzi mwa izi chikupitirira kapena chikukulirakulira, uzani dokotala wanu nthawi yomweyo.
| Zotsatirapo/zizindikiro | Kufotokozera kosavuta |
|---|---|
| Kusokonezeka m'mimba, nseru, kusanza | Izi ndi zachilendo mukangoyamba kumwa mankhwala. Zingachepe ngati mumwa mankhwalawo pamodzi ndi chakudya. Ngati ndi aakulu, uzani dokotala wanu . |
| Chilakolako cha chakudya | Kuchepa kwa chilakolako chofuna kudya. |
| Kusintha kwa tsitsi | Kusintha kwa tsitsi, mtundu, kapena kapangidwe kake kungachitike. Izi nthawi zambiri zimakhala zakanthawi kochepa. |
| Zilonda pakamwa | Zilonda mkamwa kapena pamilomo. |
| Kutupa kapena kutuluka magazi kosazolowereka | Kutupa kosamveka bwino, magazi mu mkodzo kapena ndowe. Ichi chingakhale chizindikiro chachikulu. |
| Kutopa pafupipafupi | Kumva kutopa kwambiri kuposa masiku onse. |
| Kuopsa kwa khansa | Pakhoza kukhala kuwonjezeka pang'ono kwambiri kwa chiopsezo chotenga mitundu ina ya khansa mukamagwiritsa ntchito mankhwalawa kwa nthawi yayitali (monga zaka zoposa 10). Dokotala wanu nthawi zonse amayang'anira izi. |
| Malungo ndi kuzizira | Kutentha kwa thupi kupitirira 38°C (100°F), thukuta, ndi kuzizira. |
| Chifuwa ndi pakhosi lopweteka | Chifuwa chouma kapena chotupa, pakhosi lopweteka lomwe limatenga masiku opitilira awiri. |
| Mavuto a khungu | Matuza pakhungu, mabala osachiritsa, kufiira, kutupa. |
| Mavuto a mkodzo | Kupsa, kupweteka pokodza, kufuna kukodza pafupipafupi, magazi kapena fungo loipa mu mkodzo. |
Kodi mungachite chiyani ngati mwaphonya mlingo wa mankhwala?
Ngati mwaiwala kumwa mlingo, imwani mwamsanga mukangokumbukira. Kenako imwani mlingo wotsatira pa nthawi yanu yanthawi zonse. Komabe, ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndikumwa mlingo wotsatira pa nthawi yomwe mwakonza. Musamwe milingo iwiri nthawi imodzi. Funsani dokotala wanu ngati simukudziwa.
Kodi mankhwalawo angasungidwe bwanji?
- Sungani kutentha kwa chipinda.
- Sungani kutali ndi dzuwa lachindunji komanso kutentha kwambiri.
- Musayiike m'malo omwe muli chinyezi chambiri, monga bafa kapena pafupi ndi sinki yakukhitchini.
- Sungani mankhwalawo m'botolo lomwelo lomwe linabwera, lotsekedwa bwino.
- Sungani pamalo omwe ana ang'onoang'ono sangafikire. Izi ndizofunikira kwambiri.
- Musagwiritse ntchito mankhwala omwe atha ntchito.
Uthenga Wopita Nawo Kunyumba
- Azathioprine ndi mankhwala ofunikira omwe amalamulira chitetezo cha mthupi lanu. Choncho , imwani monga momwe dokotala wanu wanenera.
- Musasiye kumwa mankhwala kapena kusintha mlingo nokha.
- Pewani kugwiritsa ntchito mankhwalawa kwathunthu panthawi ya mimba kapena mukamayamwitsa .
- Musazengereze kuyezetsa magazi kulikonse komwe dokotala wanu wakupatsani. Kumakutetezani.
- Ngati muwona zizindikiro zilizonse za matenda, monga malungo, chifuwa, kapena kupweteka kwa thupi, dziwitsani dokotala wanu nthawi yomweyo.
- Ndikofunikira kudziwitsa dokotala wanu za mankhwala ena onse omwe mukumwa.
👩🏽⚕️ Mafunso ena (Mafunso Ofunsidwa Kawirikawiri)
💬 Kodi Azathioprine imagwiritsidwa ntchito pa chiyani?
Azathioprine ndi mankhwala amphamvu oletsa chitetezo chamthupi omwe amachepetsa ntchito ya chitetezo chamthupi, chomwe chimateteza matupi athu ku matenda. Mankhwalawa amaperekedwa makamaka kwa anthu omwe adapatsidwa impso kapena chiwalo kuchokera kwa munthu wina kuti asakanidwe.
💬 Kodi mankhwalawa amaperekedwanso pa matenda ena?
Inde, mankhwalawa amagwiritsidwanso ntchito bwino kwambiri polimbana ndi matenda oopsa monga nyamakazi, lupus, ndi matenda a Crohn, omwe ndi matenda odziteteza okha omwe chitetezo chathu cha mthupi chimaukira thupi lathu.
💬 Kodi ndiyenera kudziteteza bwanji ndikamamwa mankhwalawa?
Chifukwa mankhwalawa amachepetsa chitetezo chamthupi chanu, mutha kudwala kwambiri chifukwa cha chimfine kapena fuluwenza. Chifukwa chake, ndikofunikira kwambiri kuvala chophimba nkhope mukapita kumalo odzaza anthu, kupewa anthu odwala, komanso kukhala aukhondo.
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