Kodi mukudziwa mapiritsi a Bedaquiline omwe amagwiritsidwa ntchito pochiza chifuwa chachikulu? Tiyeni tikambirane!

Kodi inuyo kapena munthu wina amene mumamudziwa anapezeka ndi chifuwa chachikulu (TB) ndipo dokotala anakupatsani mankhwala? Panthawiyo, mwina munapatsidwa mankhwala otchedwa `(Bedaquiline)`. Awa ndi amphamvu pang'ono, ndipo ndi mankhwala omwe amafunikira chisamaliro chapadera. Chifukwa chake, ndikofunikira kwambiri kuti thanzi lanu likhale labwino kudziwa bwino za mankhwala otchedwa `(Bedaquiline)`. Tiyeni tikambirane za izi mwatsatanetsatane, sichoncho?

Kodi mankhwala awa ndi chiyani? Kodi `(Bedaquiline)` ndi chiyani?

Mwachidule, `(Bedaquiline)` ndi mankhwala omwe amaperekedwa pochiza matenda a chifuwa chachikulu (TB) m'mapapo mwanu. Nthawi zambiri amagwiritsidwa ntchito pazochitika zovuta kwambiri za `(TB)` pamene mankhwala ena a chifuwa chachikulu sanagwire ntchito. Muthanso kuwona `(Sirturo)` ngati dzina la mankhwala awa.

Komabe, madokotala nthawi zina angagwiritse ntchito mankhwalawa pa matenda ena. Choncho ngati muli ndi mafunso, ndi bwino kufunsa dokotala wanu kapena munthu amene ali ku pharmacy.

Ndi zinthu ziti zomwe ndiyenera kuuza dokotala ndisanayambe kumwa mankhwalawa?

Musanayambe kugwiritsa ntchito `(Bedaquiline)`, ndikofunikira kuuza dokotala wanu kapena gulu lachipatala za izi: Izi ndizofunikira kwambiri chifukwa zidzatsimikizira ngati mankhwalawa ndi oyenera kwa inu komanso momwe ayenera kuperekedwera.

• Matenda a mtima : Kodi muli ndi matenda a mtima? Kodi munayamba mwadwalapo matenda a mtima? Ngati ndi choncho, tiuzeni.
• Kugunda kwa mtima kosakhazikika: Kodi munayamba mwakhalapo ndi vuto lomwe kugunda kwa mtima kwanu kunali kosakhazikika kapena kofulumira? Izi ziyeneranso kutchulidwa.
• Mchere wochepa m'magazi: Kodi mudapezekapo kale ndi calcium, magnesium , kapena potassium yochepa m'magazi anu ?
• HIV kapena Edzi : Kodi muli ndi kachilombo ka `(HIV)` kapena muli ndi `(AIDS)`?
• Kugwiritsa ntchito mowa : Kodi mumamwa mowa nthawi zonse? Ngati ndi choncho, chonde fotokozani zimenezo.
• Matenda a chiwindi: Kodi muli ndi matenda aliwonse a chiwindi? Kodi munakhalapo ndi matenda a jaundice, kapena madokotala anakuuzani kuti chiwindi chanu ndi chofooka? Ngati muli ndi matenda awa, muyenera kuwafotokozera.Chifukwa nthawi zina mankhwalawa amatha kukhudza chiwindi.
• Matenda a Chithokomiro: Kodi pali vuto lililonse ndi chithokomiro?
• Ziwengo: Kodi muli ndi vuto lililonse la ziwengo ndi mankhwala `(Bedaquiline)`, mankhwala ena aliwonse, chakudya, utoto, kapena zosungira? Tiuzeni, ngakhale zitakhala zazing'ono.
• Mimba: Kodi muli ndi pakati panopa? Kapena mukufuna kutenga mimba?
• Ngati ndinu mayi woyamwitsa: Kodi ndinu mayi woyamwitsa?

Ngati mundiuza zinthu izi osabisa, dokotala akhoza kukuthandizani mosamala.

Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?

Ichi ndi chinthu chomwe muyenera kudziwa bwino. Chofunika kwambiri ndikumwa mankhwala monga momwe dokotala wanenera.

• Muyenera kumwa piritsi ili ndi kapu ya madzi.
• Chofunika kwambiri ndikumwa mankhwalawa pamodzi ndi chakudya. Musamwe muli ndi njala m'mimba. Mankhwalawa amalowa bwino m'thupi akamwedwa pamodzi ndi chakudya.
• Mankhwalawa adzaperekedwa kwa inu motsogozedwa ndi katswiri wa zaumoyo, monga dokotala kapena namwino.
• Imwani mankhwala anu panthawi yoyenera komanso nthawi yoyenera. Musamwe mankhwala ochulukirapo kapena ochepera kuposa kuchuluka komwe dokotala wanu wakuuzani kuti mumwe.
• Ngakhale mutamva bwino, muyenera kumaliza mankhwala onse omwe dokotala wanu wakupatsani. Mu matenda monga chifuwa chachikulu, kusiya kumwa mankhwala mukakumva bwino pang'ono ndi koopsa kwambiri . Ngati mutatero, matendawa angabwererenso, ndipo mankhwalawo sangagwire ntchito. Chifukwa chake, musasiye kumwa mankhwala pazifukwa zilizonse kapena kusiya kumwa mankhwalawo dokotala asanakuuzeni.

Chidziwitso Chapadera (MedGuide): Nthawi iliyonse mukalandira mankhwala awa kuchokera ku pharmacy, mudzapatsidwa kabuku ka malangizo apadera ka ``(MedGuide)``. Kali ndi chidziwitso chofunikira kwambiri chokhudza mankhwalawa. Onetsetsani kuti mwawerenga mosamala nthawi iliyonse.

Kodi mankhwalawa ayenera kuperekedwa kwa ana aang'ono?

Ngati mukupereka mankhwalawa kwa mwana wanu wamng'ono, lankhulani ndi dokotala wanu wa ana za izi. Nthawi zina, pazifukwa zapadera, mankhwalawa amatha kuperekedwa kwa ana azaka 5. Komabe, pali zinthu zina zomwe muyenera kusamala nazo kwambiri.

Nanga bwanji ngati nditamwa mankhwala ochulukirapo? (Kumwa mankhwala ochulukirapo)

Ngati mukuganiza kuti mwamwa mankhwala ambiri kuposa momwe mukuganizira, pitani ku chipatala chapafupi kapena imbani malo owongolera poizoni nthawi yomweyo . Musataye nthawi.

Chinthu china: Mankhwalawa ndi a inu nokha. Musawapatse mnzanu, wachibale wanu, kapena wina aliyense , ngakhale atakhala ndi vuto lomwelo monga lanu. Mankhwala osiyanasiyana amagwira ntchito kwa anthu osiyanasiyana.

Kodi mumatani ngati mwaphonya mlingo wa mankhwala?

Ndikofunikira kwambiri kumwa mankhwala anu monga momwe mwalangizidwira. Komanso, onetsetsani kuti mwasunga nthawi yokumana ndi dokotala. Ngati mwaphonya nthawi yokumana ndi dokotala kapena simungathe kumwa mankhwala anu pa nthawi yake, imbani dokotala wanu kapena katswiri wazachipatala nthawi yomweyo. Adzakuuzani choti muchite kenako.

Ndi mankhwala ena ati omwe angagwirizane ndi mankhwalawa?

Iyi ndi mfundo yofunika kwambiri. Mankhwalawa, otchedwa ``Bedaquiline'', amatha kuyanjana ndi mankhwala ena omwe mukumwa. Ngati izi zitachitika, mphamvu ya mankhwala amodzi ikhoza kuchepa, kuwonjezeka, kapena kuyambitsa zotsatirapo zoopsa.

Musamwe `(Bedaquiline)` ndi mankhwala awa:

• Mowa
• `cisapride`
• `dronedarone`
• `pimozide`
• `thioridazine`

Komanso, mankhwala otsatirawa angagwirizane ndi `(Bedaquiline):

• Mankhwala oletsa mavairasi a HIV kapena Edzi (monga efavirenz)
• `arsenic trioxide`
• Maantibayotiki ena (monga azithromycin, chloroquine, ciprofloxacin, clarithromycin, erythromycin, gemifloxacin, levofloxacin, moxifloxacin, norfloxacin, ofloxacin, pentamidine, rifampin, rifapentine, rifabutin)
• Mankhwala ena a matenda a bowa (monga fluconazole, itraconazole, ketoconazole, posaconazole, voriconazole)
• Mankhwala ena omwe amagwiritsidwa ntchito pochiza kugunda kwa mtima kosakhazikika (monga amiodarone, disopyramide, dofetilide, ibutilide, procainamide, propafenone, quinidine, sotalol)
• Mankhwala ena a nseru (monga chlorpromazine, droperidol)
• Mankhwala ena a matenda amisala (monga haloperidol)
• `methadone`
• Mankhwala ena omwe amatalikitsa nthawi ya `QT interval` ya mtima (ndiko kuti, amayambitsa kayendedwe ka magetsi kosazolowereka mumtima)
• `ziprasidone`

Mndandandawu sunathe. Pakhoza kukhala mankhwala ena ambiri. Chifukwa chake, uzani dokotala wanu za mankhwala onse omwe mumamwa (olembedwa ndi dokotala, ogulitsidwa pamtengo wotsika, azitsamba, mavitamini, zowonjezera zakudya - chilichonse). Komanso, onetsetsani kuti mwauza dokotala wanu ngati mumasuta fodya, mumamwa mowa, kapena mumagwiritsa ntchito mankhwala ena. Zinthu zina zingakhudze mankhwala awa.

Ndiyenera kusamala ndi chiyani ndikamamwa mankhwalawa?

Muyenera kusamala kwambiri thupi lanu mukamamwa mankhwala a `(Bedaquiline)`.

• Ngati zizindikiro zanu (monga chifuwa, kupuma movutikira, kutentha thupi) sizikuchepa kapena zikuoneka kuti zikuipiraipira, uzani dokotala wanu nthawi yomweyo.
• Muyenera kuonana ndi dokotala wanu nthawi ndi nthawi. Mukamamwa mankhwalawa, mungafunike kuyesedwa magazi kuti muwone kuchuluka kwa magazi anu ndi momwe chiwindi chanu chikuyendera. Ngati dokotala wanu akukuuzani kuti muchite mayesowa, onetsetsani kuti mwawachita.
• Ngati ndinu mayi woyamwitsa:Lankhulani ndi dokotala wanu musanayamwitse mwana wanu mukumwa mankhwalawa. Ngati mukuyamwitsa, uzani dokotala wanu nthawi yomweyo ngati mkodzo wa mwana wanu ukuoneka wakuda kuposa masiku onse, kapena ngati ndowe zake zikuoneka zopepuka kuposa masiku onse, kapena ngati maso ake akuoneka achikasu.

Kodi zotsatirapo zake zingakhale zotani chifukwa cha mankhwalawa?

Monga mankhwala ena aliwonse, Bedaquiline ingayambitse zotsatira zina zoyipa. Si aliyense amene amalandira, koma ndibwino kudziwa za izo.

Zotsatirapo zomwe muyenera kuuza dokotala wanu nthawi yomweyo:

Ngati mukukumana ndi zizindikiro izi, pitani kwa dokotala kapena kuchipatala nthawi yomweyo:

• Matenda a ziwengo: Kutupa pakhungu, kuyabwa kapena ziphuphu, kutupa kwa nkhope, milomo, kapena lilime.
• Kutsokomola magazi:
• Zizindikiro za kusintha koopsa kwa kugunda kwa mtima: kupweteka pachifuwa; chizungulire; kumva ngati mtima wanu ukugunda mofulumira kapena mosagwirizana; kugunda kwa mtima; kukomoka, chizungulire; kupuma movutikira.
• Zizindikiro za kuwonongeka kwa chiwindi: mkodzo wakuda wachikasu kapena bulauni; kumva kudwala, kutentha thupi; ndowe zotumbululuka; kusowa chilakolako; kupweteka kumtunda kwa kumanja kwa m'mimba; kutopa kwambiri kapena kutopa; chikasu cha maso kapena khungu (jaundice).

Zotsatirapo zomwe nthawi zambiri sizimakhala zazikulu, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira:

Izi nthawi zambiri sizili zoopsa, koma ngati zikupitirira kapena kukuvutitsani, uzani dokotala wanu:

• Mutu (kupweteka mutu)
• Kupweteka kwa mafupa
• Kusanza
• Kupweteka m'mimba

Mndandandawu sungakhale ndi zotsatirapo zonse zomwe zingachitike. Ngati muwona china chake chachilendo, funsani dokotala wanu za izi. Muthanso kunena za zotsatirapo zake ku FDA (Food and Drug Administration) pa 1-800-FDA-1088 (ngakhale izi sizikugwira ntchito ku Sri Lanka, kungodziwa). Ku Sri Lanka, ndi bwino kuuza dokotala wanu.

Kodi muyenera kusunga bwanji mankhwala anu?

Ndikofunikanso kusunga mankhwala anu moyenera.

• Sungani pamalo omwe ana sangafikire.
• Sungani kutentha kwa chipinda (pakati pa madigiri 15 ndi 30 Celsius / madigiri 59 ndi 86 Fahrenheit).
• Sungani mankhwala awa mu botolo kapena paketi yoyambirira yomwe mudapatsidwa.
• Tayani mankhwala aliwonse omwe atha ntchito.

Pomaliza, chinthu chofunika kwambiri

Monga mukuonera, `(Bedaquiline)` ndi mankhwala omwe ayenera kugwiritsidwa ntchito mosamala. Koma musachite mantha. Chofunika kwambiri ndikutsatira malangizo a dokotala wanu molondola. Ngati simukumvetsa kalikonse kapena mukukayikira, funsani dokotala wanu kapena munthu wa ku pharmacy kuti akuthandizeni kumvetsetsa.

Chifuwa chachikulu ndi matenda ochiritsika. Koma amafunika kumwa mankhwala oyenera nthawi yoyenera. Thandizo lanu ndiye mphamvu yayikulu yopambana nkhondoyi. Ndikukufunirani kuti muchire mwachangu!

Bedaquiline , Chifuwa chachikulu, TB, Matenda a m'mapapo, Mankhwala, Zotsatirapo Zake, Malangizo a Thanzi, Sirturo