Mwina muli ndi zilonda zam'mimba , zomwe dokotala wakuuzani kuti zimayambitsidwa ndi bakiteriya wotchedwa H. pylori . Lero tikambirana za kuphatikiza kwapadera kwa mankhwala omwe amaperekedwa kuti aphe bakiteriyayu. Pali mitundu itatu ya mankhwala mu izi. Chifukwa chake pali zinthu zina zomwe muyenera kusamala nazo mukamagwiritsa ntchito izi. Tiyeni tiwone mwatsatanetsatane.
Kodi mankhwala awa ndi chiyani kwenikweni? (Kodi mankhwala awa ndi chiyani kwenikweni?)
Mwachidule, kuphatikiza kwa mankhwala atatuwa, Bismuth Subsalicylate , Metronidazole, ndi Tetracycline , kumagwiritsidwa ntchito pochiza zilonda m'mimba mwanu kapena m'matumbo ang'onoang'ono. Zilondazi nthawi zambiri zimayambitsidwa ndi bakiteriya wotchedwa H. pylori. Kuphatikiza kumeneku kumagwira ntchito popha kapena kuletsa kukula kwa mabakiteriya. Kuli ndi salicylate , maantibayotiki otchedwa tetracycline, ndi maantibayotiki ena otchedwa metronidazole. Mwina munamvapo za izi pansi pa dzina lodziwika bwino la Helidac. Madokotala angagwiritsenso ntchito mankhwalawa pazinthu zina. Ngati muli ndi mafunso okhudza izi, funsani dokotala wanu kapena wamankhwala .
Kodi ndi zinthu ziti zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa?
Musanayambe kumwa mankhwalawa, ndikofunikira kuuza dokotala wanu ngati muli ndi vuto lililonse mwa izi. Izi ndi zofunika kwambiri:
- Ngati muli ndi vuto la majini losowa kwambiri monga Cockayne syndrome.
- Ngati mudadwalapo matenda a magazi kale, mwachitsanzo, matenda a sickle cell anemia , kuchepa kwa magazi, kapena leukemia.
- Ngati mumamwa mowa nthawi zonse.
- Ngati muli ndi matenda, makamaka matenda opatsirana ndi mavairasi, monga nsabwe, zilonda zozizira, kapena herpes.
- Ngati muli ndi vuto la kugunda kwa mtima kosakhazikika kapena vuto lina la kugunda kwa mtima.
- Ngati muli ndi matenda a impso.
- Ngati muli ndi matenda a chiwindi.
- Ngati mwauzidwa kuti muli ndi maselo ochepa m'magazi.
- Ngati mwalandira katemera posachedwapa, kapena mukukonzekera kulandira katemera wina mtsogolo.
- Ngati muli ndi khunyu.
- Ngati muli ndi dzanzi m'miyendo yanu kapena vuto lina la mitsempha.
- Ngati muli ndi vuto la ziwengo chifukwa cha zosakaniza zomwe zili mu mankhwalawa (bismuth subsalicylate), (metronidazole), (tetracycline), kapena mankhwala ena, zakudya, utoto wopangidwa, kapena zosungira.
- Ngati muli ndi pakati kapena mukufuna kutenga mimba.
- Ngati ndinu mayi woyamwitsa.
Ndikofunikira kwambiri kuti chitetezo chanu chikhale chotetezeka kuuza dokotala wanu za zinthu izi.
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
Mankhwalawa ayenera kumwedwa ndi galasi lonse la madzi. Ndi bwino kumwa nthawi yomweyo tsiku lililonse, monga momwe zalembedwera pa chizindikiro cha mankhwala. Musasiye kumwa mankhwalawa popanda upangiri wa dokotala. Ndikofunikira kumwa mankhwalawa nthawi yonse ya chithandizo, ngakhale mutakhala bwino.
Komanso, ngati mukumwa mankhwala ena okhala ndi `(aluminium)`, `(calcium)`, `(iron)`, `(magnesium)` kapena `(zinc)` (monga `antacids`, mavitamini ena), musamwe nthawi yomweyo ndi mankhwala awa. Izi zikutanthauza kuti, imwani enawo maola angapo musanayambe kapena mutamwa mankhwalawa. Ngati mukufuna kudziwa zambiri za izi, funsani dokotala wanu.
Chofunika: Mankhwalawa saloledwa kugwiritsidwa ntchito kwa ana. Choncho, musawapatse ana anu.
Bwanji ngati mwamwa mankhwala ochulukirapo? Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, pitani kuchipatala chapafupi nthawi yomweyo, kapena imbani malo owongolera poizoni.
Chinthu china: Mankhwalawa aperekedwa kwa inu nokha. Musapatse wina aliyense pazifukwa zilizonse , ngakhale atakhala ndi zizindikiro zomwezo zomwe muli nazo.
Kodi mumatani ngati mwaphonya nthawi yokumana ndi dokotala?
Ngati mwaphonya mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe yakonzedwa. Musamwe milingo iwiri nthawi imodzi.
Ndi mankhwala ena ati omwe angagwirizane ndi mankhwalawa?
Iyi ndi mfundo yofunika kwambiri. Mankhwala ena angayambitse mavuto akamwedwa ndi mankhwalawa.
Zinthu zomwe simuyenera kumwa ndi mankhwalawa:
Ngati mukugwiritsa ntchito mankhwala otsatirawa, musamwe mankhwala osakaniza awa `(Bismuth Subsalicylate; Metronidazole; Tetracycline)`:
- `(Acitretin)`
- Mowa kapena chinthu chilichonse chokhala ndi mowa (mankhwala ena otsukira pakamwa ndi madzi ena otsukira pakamwa angakhalenso ndi mowa)
- `(Cisapride)`
- `(Disulfiram)`
- `(Dronedarone)`
- `(Ketorolac)`
- `(Pimozide)`
- `(Probenecid)`
- `(Thioridazine)`
Zinthu zina zomwe zingagwirizane ndi mankhwalawa ndi izi:
Komanso, zotsatirazi zingagwirizane ndi mankhwalawa:
- Mankhwala oletsa asidi, mavitamini, kapena zinthu zina zokhala ndi aluminiyamu, calcium, iron, magnesium, kapena zinc (takambirana kale za nthawi yoti mutenge izi, eti?)
- `(Busulfan)`
- Mankhwala ena omwe amaletsa magazi kuundana, mwachitsanzo `(warfarin)`
- `(Cimetidine)`
- Mahomoni a Estrogen kapena progestin (monga mapiritsi oletsa kubereka)
- `(Lithiamu)`
- Mankhwala ena omwe amakhudza kayendedwe ka mtima
- `(Phenobarbital)`
- `(Phenytoin)`
Mndandanda uwu sungakhale wokwanira. Choncho, uzani dokotala wanu za mankhwala onse omwe mumamwa (Dr. Deepua, omwe amagulitsidwa ndi dokotala), mankhwala azitsamba, mavitamini, ndi zakudya zina zomwe mumagwiritsa ntchito, komanso ngati mumasuta fodya, mumamwa mowa, kapena mumagwiritsa ntchito mankhwala ena. Zinthu zina zingakhudze mankhwala anu.
Ndi zinthu ziti zomwe muyenera kusamala nazo mukamamwa mankhwala?
- Ngati zizindikiro zanu sizikusintha, kapena ngati zikuoneka kuti zikuipiraipira, uzani dokotala wanu nthawi yomweyo.
- Ngati muli ndi vuto lotsegula m'mimba, musagule mankhwala ku pharmacy ndi kumwa. Ngati muli ndi vuto lotsegula m'mimba kwa masiku opitilira awiri, kapena ngati vuto lotsegula m'mimba ndi lalikulu komanso lodzaza ndi madzi, lankhulani ndi dokotala wanu.
- Mukamamwa mankhwalawa, khungu lanu likhoza kukhala losavuta kumva ku dzuwa. Izi zikutanthauza kuti khungu lanu lidzafiira ndipo lidzayaka mofulumira mukakhala padzuwa kuposa kale. Choncho samalani ndi dzuwa lamphamvu momwe mungathere. Ngati mutuluka, valani zovala zophimba khungu lanu, ndipo gwiritsani ntchito 'sunscreen' yabwino. Kugwiritsa ntchito 'sun lamps' motere ndikupita ku 'tanning beds' si lingaliro labwino pakadali pano.
- Ngati mukugwiritsa ntchito mahomoni a estrogen ndi/kapena progestin (monga mapiritsi oletsa kubereka) poletsa kubereka, mphamvu ya mahomoni amenewo ingachepe mukamamwa mankhwalawa. Chifukwa chake, ndi bwino kugwiritsa ntchito njira ina yolerera kubereka, monga kondomu kapena diaphragm, mukamamwa mankhwalawa komanso kwa masiku angapo pambuyo pake. Lankhulani ndi dokotala wanu za izi.
- Mankhwala ena akhoza kukhala ndi mowa. Funsani dokotala wanu kapena wamankhwala ngati mankhwala omwe mukumwa ali ndi mowa. Mankhwala ena, monga `(Metronidazole)` (omwe ali mu mankhwalawa) ndi `(Disulfiram)`, angayambitse vuto losasangalatsa kwambiri mukamwedwa ndi mowa. Mutha kumva kusamba, mutu, nseru, kusanza, thukuta, komanso ludzu lowonjezeka. Izi zitha kutenga mphindi 30 mpaka maola angapo. Chifukwa chake, pewani kumwa mowa kwathunthu mukamamwa mankhwalawa.
Kodi zotsatirapo zake zingakhale zotani chifukwa cha mankhwalawa?
Monga mankhwala ena aliwonse, izi zingayambitse zotsatira zina zoyipa, ngakhale kuti si aliyense amene amazilandira.
Zotsatirapo zomwe muyenera kuuza dokotala wanu nthawi yomweyo:
Ngati chinthu chonga ichi chikukuchitikirani, uzani dokotala wanu mwamsanga:
- Matenda a ziwengo: ziphuphu pakhungu, kuyabwa, ziphuphu (mabala akuluakulu), kutupa kwa nkhope, milomo, lilime kapena pakhosi.
- Chizungulire, kumva ngati kuti mukutaya mphamvu mukamayenda, kusokonezeka, komanso kuvutika kulankhula.
- Mutu waukulu womwe umakhala ngati kupanikizika kozungulira ubongo, kusawona bwino, kusintha kwa masomphenya, nseru, kusanza.
- Ululu, dzanzi, kapena kusamva bwino m'miyendo, kufooka kwa minofu, kuvutika kuyenda, komanso kulephera kukhazikika bwino.
- Matuza pakhungu, malungo, ndi kutupa kwa ma lymph nodes.
- Kufiira kwa khungu, kutupa, kutuluka kwa khungu, zilonda mkamwa.
- Kugwidwa ndi khunyu.
- Kutsegula m'mimba kwambiri, malungo.
- Azimayi amatha kumva kutuluka kwa madzi m'mimba, kuyabwa, kapena fungo loipa.
Zotsatirapo zomwe nthawi zambiri sizili zoopsa, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira:
Izi nthawi zambiri sizimakhala zoopsa, koma ngati zikupitirira kapena zikukuvutitsani, uzani dokotala wanu:
- Chimbudzi chakuda (izi zitha kuchitika chifukwa cha bismuth, koma nthawi zambiri sichowopsa).
- Kusintha mtundu wa dzino.
- Lilime lakuda kapena lakuda.
- Kutsegula m'mimba (pokhapokha ngati kuli koopsa).
- Kumva kukoma kwachitsulo mkamwa.
- Kusanza.
- Kusamva kuwala (monga tanenera kale, samalani mukapita padzuwa).
Mndandandawu sungakhale ndi zotsatirapo zonse zomwe zingachitike. Ngati muwona china chake chachilendo, funsani dokotala wanu.
Kodi muyenera kusunga bwanji mankhwala anu?
- Sungani mankhwalawa pamalo omwe ana ndi ziweto sangafikire .
- Sungani kutentha kwa chipinda (pakati pa madigiri 20 ndi 25 Celsius, pakati pa madigiri 68 ndi 77 Fahrenheit).
- Musagwiritse ntchito mankhwala omwe atha ntchito (omwe atha ntchito "tsiku lotha ntchito"), atayeni.
Kodi ndingathe bwanji kutaya mankhwala osagwiritsidwa ntchito kapena omwe atha ntchito?
- Ngati n'kotheka, perekani mankhwalawa ku malo omwe ali ndi "pulogalamu yobwezera mankhwala." Mutha kufunsa pharmacy yanu kapena apolisi za malo otere.
- Ngati sizingatheke, yang'anani chizindikiro chomwe chili pa phukusi la mankhwala kuti muwone ngati ayenera kutayidwa m'zinyalala kapena kutayidwa m'chimbudzi. Ngati simukudziwa, funsani dokotala wanu kapena wamankhwala.
- Ngati akunena kuti ndi bwino kutaya zinyalala, tulutsani mankhwalawo mu botolo kapena paketi, sakanizani ndi zinthu monga zinyalala za amphaka, dothi, kapena khofi wophwanyidwa, ikani zosakanizazo mu thumba kapena chidebe, zitsekeni bwino, ndikuzitaya mu zinyalala.
Chinthu chofunika kwambiri kukumbukira ndi
Chabwino, nazi zinthu zina zomwe muyenera kukumbukira kuchokera pa zomwe takambirana:
Kuphatikiza kwa mankhwala `(Bismuth Subsalicylate; Metronidazole; Tetracycline)` kumeneku kumagwiritsidwa ntchito pochiza zilonda zam'mimba zomwe zimayambitsidwa ndi bakiteriya `(H. pylori)`. Ndikofunikira kwambiri kumwa mankhwalawa nthawi yonse monga momwe dokotala wanu wanenera. Musaiwale kuuza dokotala wanu za mankhwala ena aliwonse omwe mukumwa kapena matenda ena aliwonse omwe muli nawo. Dziwani zotsatirapo zake ndipo uzani dokotala wanu ngati muli ndi vuto lililonse. Pewani kumwa mankhwalawa ndi mowa.
Tsamba lazidziwitso ili ndi chidule chokha. Silingakhale ndi tsatanetsatane wonse. Ngati muli ndi mafunso ena okhudza mankhwalawa, lankhulani ndi dokotala wanu, wamankhwala, kapena wopereka chithandizo chamankhwala.
` H. pylori, zilonda zam'mimba, bismuth subsalicylate, metronidazole, tetracycline, Helidac, zotsatira zoyipa za mankhwala, kuyanjana kwa mankhwala











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