Zilonda zam'mimba zomwe zimayambitsidwa ndi H. pylori? Tiyeni tiphunzire za piritsi la mankhwala atatu ili (Bismuth Subcitrate Potassium; Metronidazole; Tetracycline)!

Kodi nthawi zambiri mumamva kupweteka m'mimba m'mimba? Nthawi zambiri, timaganiza kuti ndi gastritis. Komabe, nthawi zina chifukwa cha izi chingakhale bakiteriya yotchedwa H. pylori . Bakiteriya iyi imamatira pakhungu la m'mimba mwanu ndipo imayambitsa zilonda pamenepo. Zilonda izi ndi zomwe zimayambitsa ululu ndi kutupa. Chifukwa chake, madokotala amalemba mankhwala apadera kuti aphe mabakiteriya a H. pylori ndikuchiritsa zilondazo. Lero, tikambirana za kapisozi wopangidwa pophatikiza mankhwala atatu akuluakulu. Uli ndi mitundu itatu ya mankhwala otchedwa Bismuth Subcitrate Potassium, Metronidazole, ndi Tetracycline . Mutha kudziwa mankhwalawa ndi dzina lodziwika bwino la Pylera . Tiyeni tiwone tsatanetsatane wa mankhwalawa.

Kodi kuphatikiza kwa mankhwala kumeneku n'kothandiza bwanji kwenikweni?

Mwachidule, kuphatikiza kwa makapisozi kumeneku kumagwiritsidwa ntchito pochiritsa zilonda m'mimba mwanu kapena m'matumbo ang'onoang'ono (duodenum) zomwe zimayambitsidwa ndi mabakiteriya otchedwa H. pylori omwe atchulidwa pamwambapa. Ganizirani ngati mdani wamng'ono, ngati simuchotsa, zilonda sizichira, ndipo mavuto angabwererenso.

Kotero kuphatikiza kwa mankhwala atatuwa kumagwira ntchito yofunika kwambiri. Kumbali imodzi, mankhwalawa amapha mabakiteriya, kapena amaletsa kukula kwawo. Tetracycline mu izi ndi mankhwala amphamvu opha mabakiteriya . Ndiko kuti, mankhwala opha mabakiteriya. Metronidazole ndi mankhwala ena opha mabakiteriya komanso mankhwala omwe amagwiranso ntchito motsutsana ndi tizilombo tina. Bismuth Subcitrate Potassium imagwira ntchito popanga filimu yoteteza zilonda zam'mimba komanso imagwiranso ntchito motsutsana ndi mabakiteriya a H. pylori . Zonsezi zitatu zikaphatikizidwa, zimagwira ntchito bwino kwambiri motsutsana ndi mabakiteriya a H. pylori ndikutseka njira yoti zilondazo zichiritsidwe.

Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa!

Chabwino, tsopano pali zinthu zingapo zomwe muyenera kuuza dokotala wanu kapena namwino musanayambe kumwa mankhwalawa. Musabise zinthuzi, chabwino? Chifukwa ndi pamene dokotala angasankhe ngati mankhwalawa ndi oyenera kwa inu kapena ayi, komanso momwe angawaperekere. Kupereka chidziwitsochi ndikofunikira kwambiri pa chitetezo chanu.

Nazi zinthu zoti munene:

• Ngati muli ndi vuto la majini losowa kwambiri monga Cockayne syndrome .
• Ngati mudakumanapo ndi vuto lililonse la magazi m'mbuyomu - mwachitsanzo , sickle cell anemia ( vuto la magazi linalake), kuchepa kwa magazi (vuto lofala la magazi), leukemia (khansa ya magazi).
• Umamwa mowa nthawi zonse.Ngati ndinu womwa mowa. (Izi ndizofunikira kwambiri, chifukwa mowa sugwira ntchito konse ndi mankhwala awa!)
• Ngati muli ndi vuto la kugunda kwa mtima kapena kayimbidwe kake kosakhazikika, ndiye kuti, ngati muli ndi vuto la kugunda kwa mtima wanu kosakhazikika.
• Ngati muli ndi matenda a impso (ngati impso sizikugwira ntchito bwino, zingakhudze momwe mankhwala amatulutsidwira m'thupi).
• Ngati muli ndi matenda a chiwindi ( chiwindi ndi chomwe chimagwira ntchito mankhwala ambiri m'thupi).
• Ngati mayeso apeza kuti zigawo zina za magazi ndizochepa ( kuchuluka kwa magazi kotsika ).
• Ngati mudadwalapo khunyu kale.
• Ngati muli ndi dzanzi m'zala zanu kapena zala zanu, kapena ngati muli ndi matenda ena a mitsempha .
• Ngati muli ndi vuto la chifuwa chifukwa cha bismuth subcitrate potassium, metronidazole, tetracycline , kapena mankhwala ena aliwonse omwe ali mu mankhwalawa, chakudya, utoto wa chakudya, kapena zosungira chakudya, ndiye kuti, ngati muli ndi vuto la chifuwa .
• Ngati muli ndi pakati , kapena mukufuna kutenga mimba posachedwa. (Izi ndizofunikira kwambiri, chifukwa zina mwa zosakaniza zomwe zili mu mankhwalawa sizothandiza kwa mwana).
• Ngati ndinu mayi woyamwitsa ( mankhwalawa akhoza kupita kwa mwana wanu kudzera mu mkaka wa m'mawere).

Kumbukirani kuti ndikofunikira kwambiri kuti chitetezo chanu chikhale chotetezeka kupereka chidziwitsochi kwa dokotala wanu kuti akupatseni chithandizo chabwino kwambiri.

Kodi mungagwiritse ntchito bwanji mankhwalawa moyenera?

Mankhwalawa ayenera kumwedwa pakamwa. Mezani onse ndi galasi lonse la madzi (osachepera 240 ml). Imwani tsiku lililonse panthawi yomwe mwapatsidwa, monga momwe dokotala wanu kapena wamankhwala adanenera. Nthawi zambiri mudzauzidwa kuti mumwe mankhwalawa pamodzi ndi chakudya.

Chofunika kwambiri ndichakuti, musayime pakati. Imani pokhapokha ngati dokotala wanu wakuuzani. Ngakhale mutamva bwino pang'ono, muyenera kumaliza masiku omwe mwapatsidwa, kutanthauza kuti, nthawi yomwa . Kupanda kutero, mabakiteriya a H. pylori sadzafa kwathunthu, ndipo akhoza kudzukanso, kenako zidzakhala zovuta kwambiri kuchiritsa matendawa.

Chinanso, ngati muli ndi mapiritsi, manyuchi, kapena mankhwala oletsa asidi (mankhwala a zilonda zam'mimba) omwe ali ndi mchere monga aluminiyamu, calcium, iron, magnesium, ndi zinc, musamwe nthawi imodzi ndi mankhwalawa. Muyenera kumwa maola awiri musanayambe kumwa mankhwalawa kapena maola awiri mutamwa mankhwalawa. Chifukwa mcherewo umachepetsa kuyamwa kwa tetracycline mu mankhwalawa. Ngati muli ndi kukayikira kulikonse pa izi, funsani dokotala wanu kapena wamankhwala momveka bwino.

Mankhwalawa nthawi zambiri saloledwa kugwiritsidwa ntchito kwa ana.Choncho muyeneranso kulankhula ndi dokotala za izi.

Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo (overdose): Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, kutanthauza kuti, ochulukirapo kuposa momwe mwalangizidwira, musazengereze. Pitani ku dipatimenti yapafupi yadzidzidzi yachipatala nthawi yomweyo, kapena imbani malo owongolera poizoni .

Dziwani: Mankhwalawa aperekedwa kwa inu nokha. Musapatse wina aliyense , ngakhale atakhala ndi matenda ofanana ndi anu kapena ali ndi zizindikiro zofanana. Mankhwala oyenera munthu aliyense akhoza kukhala osiyana.

Kodi mumatani ngati mwaphonya mlingo wa mankhwala?

Ngati mwadzidzidzi mwaiwala kumwa mlingo, musadandaule. Imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yatsala pang'ono yoti mutenge mlingo wotsatira (mwachitsanzo, ngati mlingo wotsatira uyenera kuperekedwa mkati mwa maola awiri kapena atatu), dumphani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe mlingo wowirikiza kawiri kuti mubwezeretse mlingo womwe mwaphonya . Kuchita izi kumawonjezera chiopsezo cha zotsatirapo zoyipa.

Ndi zinthu zina ziti zomwe zingagwirizane ndi mankhwalawa?

Tsopano izi ndizofunikira kwambiri. Mankhwalawa amatha kuyanjana ndi mankhwala ena, mavitamini, ndi zitsamba zomwe mukumwa. Ngati izi zitachitika, mphamvu ya mankhwalawa ikhoza kuchepa, kapena pakhoza kukhala zotsatirapo zoyipa.

Musamwe izi pamodzi ndi mankhwala awa!

Ngati mukumwa mankhwala awa, sikoyenera kumwa makapisozi a Pylera . Chifukwa chake, muyenera kuuza dokotala wanu za izi.

• Acitretin ( mankhwala ochizira matenda a khungu)
• Mowa kapena chakumwa chilichonse kapena chakudya chokhala ndi mowa (tidzakambirana za izi mwatsatanetsatane pambuyo pake, izi ndi zoopsa kwambiri!)
• Cisapride (mankhwala ogwiritsidwa ntchito pa matenda am'mimba, omwe sagwiritsidwanso ntchito kwambiri)
• Disulfiram (mankhwala operekedwa kwa anthu omwe ali ndi vuto la mowa)
• Dronedarone ( mankhwala oletsa kusinthasintha kwa mtima)
• Pimozide ( mankhwala a matenda amisala)
• Thioridazine (mankhwala a matenda amisala)

Palinso kuthekera kotsutsana ndi izi.

Mankhwalawa angagwirizane ndi zinthu izi, choncho ngati mukugwiritsa ntchito izi, dziwitsani dokotala wanu.

• Mankhwala oletsa asidi ( zakumwa/mapiritsi omwe amagwiritsidwa ntchito pochiza zilonda zam'mimba), mavitamini, kapena mankhwala ena aliwonse okhala ndi aluminiyamu, calcium, iron, magnesium, kapena zinc (monga tafotokozera kale, izi zimachepetsa kuyamwa kwa mankhwala).
• Busulfan (mankhwala oletsa khansa).
• Mankhwala ena omwe amaletsa magazi kuundana, monga warfarin , angawonjezere chiopsezo cha kutuluka magazi akamwedwa limodzi ndi mankhwalawa.
• Cimetidine ( mankhwala ena ochizira zilonda zam'mimba).
• Mahomoni a Estrogen kapena progestin (omwe amapezeka m'mapiritsi oletsa kubereka komanso mankhwala a mahomoni).
• Lithium ( mankhwala ochizira matenda amisala).
• Mankhwala ena omwe amakhudza kayendedwe ka mtima.
• Phenobarbital (mankhwala ogwiritsidwa ntchito pochiza khunyu).
• Phenytoin (mankhwala ogwiritsidwa ntchito pochiza khunyu).

Mndandandawu suli ndi zonse. Chifukwa chake, uzani dokotala wanu za mankhwala onse omwe mumamwa, kuphatikizapo mankhwala olembedwa ndi dokotala, mankhwala osalembedwa ndi dokotala, zitsamba, ndi zowonjezera zakudya, komanso ngati mumasuta fodya, mumamwa mowa, kapena mumagwiritsa ntchito mankhwala ena . Zina mwa izi zingakhudze mankhwala awa.

Zinthu zofunika kukumbukira mukamamwa mankhwalawa

Pali zinthu zingapo zomwe muyenera kusamala nazo mukamagwiritsa ntchito mankhwalawa. Ngati mutsatira izi, mutha kuchepetsa kwambiri chiopsezo cha mavuto.

• Ngati zizindikiro zanu (monga kupweteka m'mimba ndi kutupa) sizikuchepa , kapena ngati zikuipiraipira, uzani dokotala wanu. Mankhwalawa sagwira ntchito bwino, kapena pakhoza kukhala vuto lina.
• Ngati muli ndi vuto lotsegula m'mimba , musamwe mankhwala operekedwa ndi dokotala. Ngati muli ndi vuto lotsegula m'mimba kwa masiku opitilira awiri, kapena ngati ndowe yanu ili ndi madzi ambiri, ngati muli ndi vuto lotsegula m'mimba komanso kutentha thupi, kapena ngati mukuona magazi m'ndowe yanu, muyenera kuuza dokotala wanu nthawi yomweyo.
• Khungu lanu likhoza kukhala losamva ku dzuwa pamene mukumwa mankhwalawa. Izi zikutanthauza kuti khungu lanu likhoza kufiira msanga, kupsa, kapena kutupa likakumana ndi dzuwa. Izi zimachitika chifukwa cha tetracycline . Chifukwa chake, pewani kuwala kwa dzuwa masana momwe mungathere. Ngati muyenera kutuluka padzuwa, valani zovala zophimba thupi lanu bwino, valani chipewa chachikulu, ndipo gwiritsani ntchito mafuta oteteza ku dzuwa (SPF 30 kapena kupitirira apo). Pewani nyali za dzuwa kapena malo opaka utoto .
• Atsikana ayenera kudziwa bwino izi: Ngati mukumwa mapiritsi oletsa kubereka omwe ali ndi estrogen ndi/kapena progestin ("piritsi"), mphamvu ya mapiritsi amenewo ingachepe mukamwa Pylera . Izi zikutanthauza kuti muli ndi mwayi waukulu wotenga mimba . Chifukwa chake, nthawi zonse muyenera kugwiritsa ntchito njira yowonjezera yolepheretsa, monga kondomu , mukamamwa mankhwalawa komanso kwa sabata imodzi mutasiya kumwa mankhwalawa. Lankhulani ndi dokotala wanu za izi ndikupeza upangiri woyenera.
• Mowa: Metronidazole, mankhwala omwe ali mgulu la mankhwalawa, angayambitse vuto lalikulu komanso losasangalatsa akaphatikizidwa ndi mowa. Izi zimatchedwa Disulfiram-like reaction . Zizindikiro zake zitha kuphatikizapo kutuluka m'magazi, mutu, nseru, kusanza, kupweteka pachifuwa, kupuma movutikira, thukuta, ludzu lochuluka, komanso kugunda kwa mtima mwachangu. Izi zitha kutenga mphindi 30 mpaka maola angapo ndipo nthawi zina zimakhala zoopsa kwambiri. Chifukwa chake , pewani kumwa mowa kwathunthu mukamamwa mankhwalawa komanso kwa masiku osachepera atatu mutasiya kumwa mankhwalawa . Samalaninso ndi makeke, chokoleti, ndi zotsukira pakamwa zomwe zili ndi mowa.

Kodi zotsatirapo zake zingakhale zotani chifukwa cha mankhwalawa?

Monga mankhwala ena aliwonse, mankhwalawa angayambitse mavuto ena mwa anthu ena. Si aliyense amene angakumane nawo, koma ndibwino kudziwa za iwo ngati zingatheke. Zotsatira zina zimakhala zoopsa ndipo ziyenera kuuzidwa kwa dokotala nthawi yomweyo. Zina sizili zoopsa kwambiri ndipo zimatha pakapita masiku ochepa.

Ngati zinthu izi zitachitika, pitani kwa dokotala mwachangu!

Ngati mukukumana ndi zizindikiro izi, uzani dokotala wanu mwamsanga, kapena pitani kuchipatala chapafupi.

• Matenda a ziwengo — kutupa kwa khungu mwadzidzidzi, ziphuphu, kuyabwa kwambiri, kutupa kwa nkhope, milomo, lilime, ndi pakhosi (izi zingayambitse kupuma movutikira).
• Chizungulire, kumva ngati mukutaya mphamvu kapena kugwirizana bwino mukamayenda, kusokonezeka, kulankhula movutikira, komanso kuvutika kuyenda.
• Kupanikizika kowonjezereka kuzungulira ubongo — Mutu waukulu, kusawona bwino, kusintha mwadzidzidzi kwa masomphenya, nseru, kusanza.
• Kupweteka miyendo, dzanzi kapena kutayika kwa kumverera , kufooka kwa minofu, kuvutika kuyenda, kutayika kwa mphamvu (izi zitha kukhala chifukwa cha zotsatira pa mitsempha).
• Kutupa pakhungu, malungo, ndi kutupa kwa ma lymph nodes (kungakhale matenda oopsa monga DRESS syndrome).
• Kufiira, kutupa, kutsekeka kapena kutsekeka kwa khungu (kungachitike mkamwa kapena pamilomo - izi zitha kukhala vuto lalikulu monga matenda a Stevens-Johnson).
• Kugwidwa ndi khunyu .
• Kutsegula m'mimba kwambiri (kangapo patsiku, madzi), malungo, kupweteka kwambiri m'mimba (izi zitha kukhala mtundu wina wa kutsegula m'mimba komwe kumachitika chifukwa cha bakiteriya wotchedwa Clostridium difficile).
• Kwa akazi: Kutuluka magazi m'mimba mwawo (mtundu wosadziwika bwino, fungo loipa), kuyabwa (izi zitha kukhala matenda a yisiti).

Izi nthawi zambiri sizimakhala zoopsa, koma ngati zikupitirira, uzani dokotala wanu.

Zotsatirapozi nthawi zambiri zimatha patatha masiku ochepa, koma ngati zikupitirira kapena kukuvutitsani kwambiri, uzani dokotala wanu.

• Chimbudzi chakuda - Ichi ndi chizindikiro cha mankhwala.Zingayambitsidwe ndi bismuth, koma nthawi zambiri sizimadetsa nkhawa. Zimatha mukasiya kumwa mankhwala.
• Kusintha kwa mtundu wa dzino (kungachitike ngati mutenga tetracycline , makamaka pamene mano a mwana wanu okhazikika akutuluka, koma makapisozi a Pylera awa ndi a akuluakulu okha).
• Lilime limasintha kukhala lakuda kapena lakuda – Izi zitha kuchitikanso chifukwa cha bismuth , ndipo zimatha kuchepa pakati pa lilime. Musadandaule.
• Kutsegula m'mimba (ngati sikoopsa, monga momwe zimakhalira ndi chopondapo).
• Kukoma kwachitsulo mkamwa - Izi zitha kuchitika chifukwa cha metronidazole . Kutsuka pakamwa panu mukatha kudya kungathandize kuchepetsa vutoli pang'ono.
• Kusanza, mwina kusanza (izi zitha kuchepetsedwa pomwa mankhwala pamodzi ndi chakudya).
• Kuzindikira kuwala (monga tafotokozera kale).

Mndandandawu suli ndi zotsatirapo zonse zomwe zingachitike. Ngati muwona china chake chachilendo kapena chovutitsa, uzani dokotala wanu.

Kodi muyenera kusunga bwanji mankhwala anu?

Ndikofunikira kwambiri kusunga mankhwalawa kutali ndi ana ndi ziweto .

• Sungani kutentha kwa chipinda. Ndiko kuti, pakati pa 20°C ndi 25°C (68°F ndi 77°F). Tetezani ku kutentha kwambiri, chinyezi, ndi kuwala kwa dzuwa mwachindunji. Musasunge pamalo onyowa, monga bafa.
• Musagwiritse ntchito mankhwala omwe atha ntchito . Onani tsiku lotha ntchito lomwe lili pa phukusi la mankhwala. Tayani mankhwala aliwonse omwe atha ntchito tsiku limenelo.

Kodi mumataya bwanji mankhwala osagwiritsidwa ntchito komanso omwe atha ntchito?

Izi ndizofunikiranso. Kutaya mankhwala mosasamala m'zinyalala kapena m'chimbudzi kungawononge chilengedwe.

• Chinthu chabwino kwambiri choti muchite ndikupita ku pulogalamu yopezera mankhwala m'dera lanu ndikuwapereka. Mutha kudziwa zambiri za malo awa ku pharmacy yanu, kuchipatala, kapena ku polisi.
• Ngati palibe njira yobweza, yang'anani phukusi lomwe lili mkati mwa phukusi la mankhwala kuti muwone ngati lili ndi malangizo oti mutaye mankhwalawo m'zinyalala kapena muwatulutsire m'chimbudzi. Ngati simukudziwa, funsani dokotala wanu kapena wamankhwala.
• Ngati mungathe kuutaya mu zinyalala (ndipo muyenera kuchita izi mosamala), tengani mankhwalawo mu makapisozi (ophwanyidwa ngati n'kotheka), sakanizani bwino ndi chinthu chomwe palibe amene amadya ndipo sichikopa nyama, monga zinyalala za amphaka ogwiritsidwa ntchito, dothi, kapena khofi wovunda, muyike mu thumba la pulasitiki lotsekedwa bwino kapena mu chidebe chakale, ndikuutaya mu zinyalala kutali ndi ana.

Zinthu zoti mukumbukire mwachidule

Chabwino, tiyeni tikambirane mfundo zofunika kwambiri kuchokera pa zomwe takambirana. Izi ndi zinthu zomwe zingathandize kuti chithandizo chanu chikhale chopambana.

• Kusonkhanitsa mankhwala uku (Bismuth subcitrate potassium; metronidazole; tetracycline - Pylera) imaperekedwa kuti ichiritse zilonda zam'mimba zomwe zimayambitsidwa ndi bakiteriya H. pylori .
• Imwani mankhwala monga momwe dokotala wanenera, mu mlingo woyenera, panthawi yoyenera, kwa nthawi yoyenera . Musasiye kumwa , ngakhale mutamva bwino.
• Uzani dokotala wanu za mankhwala ena onse omwe mumamwa (pa matenda ena, mavitamini, zitsamba), matenda ena aliwonse omwe muli nawo, ndi ziwengo zilizonse zomwe muli nazo .
• Musamwe mowa pamene mukumwa mankhwalawa, ndipo musamwe mowa kwa masiku osachepera atatu mutasiya kumwa mankhwalawa.
• Ngati muli ndi pakati, mukuyembekezera mwana, kapena ndinu mayi woyamwitsa, onetsetsani kuti mwadziwitsa dokotala wanu musanamwe mankhwalawa.
• Samalani khungu lanu mukapita padzuwa. Gwiritsani ntchito mafuta oteteza ku dzuwa.
• Ngati mukumwa mapiritsi oletsa kubereka , gwiritsani ntchito njira ina yolerera (monga kondomu) mukamamwa mankhwalawa.
• Ngati mukukumana ndi mavuto ena aakulu (monga kudwala kwambiri, kutsegula m'mimba kwambiri, khunyu), pitani kwa dokotala nthawi yomweyo .

Ngati mugwiritsa ntchito mankhwalawa moyenera, mutha kuchiritsa zilonda zam'mimba ndikuchotsa mabakiteriya a H. pylori . Kumbukirani, izi ndi mfundo wamba. Dokotala wanu yekha ndi amene angakupatseni upangiri wabwino kwambiri pa vuto lanu. Chifukwa chake, musaope kulankhula ndi dokotala wanu kapena wamankhwala ngati muli ndi mafunso kapena nkhawa. Ndikukufunirani kuti muchire mwachangu!

` H. pylori, zilonda zam'mimba, Pylera, Bismuth Subcitrate Potassium, Metronidazole, Tetracycline, maantibayotiki