Nthawi zina mutu umakhala woipa kwambiri, sichoncho? Pali nthawi zina ululu umakhala woipa kwambiri moti simungathe kuchita chilichonse, monga mutu wanu ukugunda. Nthawi zina ngati izi, timautcha 'Kupsinjika Mutu'. Chifukwa chake, dokotala akhoza kukupatsani mankhwala apadera a mtundu uwu wa mutu. Lero tikulankhula za kuphatikiza mankhwala omwe amagwiritsidwa ntchito kwambiri, omwe ndi mapiritsi okhala ndi Butalbital, Aspirin, ndi Caffeine.
Kodi mankhwalawa ndi chiyani? Amagwiritsidwa ntchito chiyani?
Mwachidule, iyi ndi kuphatikiza kwa mankhwala atatu, omwe aliyense amachita ntchito yake yosiyana.
- Butalbital: Iyi ndi mankhwala ochokera m'gulu la mankhwala otchedwa ``Barbiturates.'' Ntchito yake yayikulu ndikutonthoza ubongo wanu ndi dongosolo lanu la mitsempha. Zimakuthandizani kupumula mwa kuchepetsa kupsinjika kwa minofu ndi kusakhazikika komwe kumayenderana ndi mutu.
- Aspirin: Mwina munamvapo dzinali kale. Aspirin ndi mtundu wa mankhwala opha ululu otchedwa nonsteroidal anti-inflammatory drug (NSAID). Imagwira ntchito pochepetsa kupanga mankhwala oyambitsa ululu m'thupi, zomwe zimathandiza kuchepetsa ululu ndi kutupa.
- Kafeini: Kafeini yomweyi yomwe imapezeka mu khofi ndi tiyi. Zimene kafeiniyi imachita pano ndikuwonjezera mphamvu ya aspirin yochepetsa ululu ndikuchepetsa pang'ono mitsempha yamagazi muubongo. Izi zimathandiza kuchepetsa ululu wa mutu mwachangu.
Chofunika: Mankhwalawa amagwiritsidwa ntchito kokha pochepetsa mutu wopweteka kwambiri womwe wayamba kale. Kawirikawiri sagwiritsidwa ntchito popewa mutu wopweteka kapena kuchiza mutu wopweteka kwambiri.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa
Musanayambe kumwa mankhwalawa, ndikofunikira kwambiri kudziwitsa dokotala wanu mbiri yonse ya thanzi lanu, makamaka ngati muli ndi vuto lililonse mwa izi:
- Ngati muli ndi vuto la magazi.
- Ngati mumamwa mowa nthawi zonse.
- Ngati muli ndi matenda a mtima.
- Ngati muli ndi matenda a impso kapena chiwindi.
- Ngati muli ndi matenda a m'mapapo, mwachitsanzo , mphumu kapena COPD .
- Ngati muli ndi matenda osowa otchedwa `Porphyria`.
- Ngati munali ndi zilonda zam'mimba kale kapena mavuto ena m'mimba ndi m'matumbo.
- Ngati muli ndi vuto la kugwiritsa ntchito mankhwala osokoneza bongo.
- Ngati muli ndi vuto la ziwengo chifukwa cha aspirin, caffeine, kapena mankhwala ena aliwonse, chakudya, kapena utoto.
- Izi ndi zofunika kuzitchula ngati mukufuna kutenga mimba, muli ndi pakati, kapena ndinu mayi woyamwitsa .
Mankhwalawa ayenera kugwiritsidwa ntchito moyenera.
Tsatirani malangizo a dokotala wanu nthawi yomweyo mukamagwiritsa ntchito mankhwalawa.
- Imwani piritsi ndi galasi lonse la madzi .
- Ngati mukumva kupweteka m'mimba kapena kutentha pamtima mutamwa mankhwalawa, imwani pamodzi ndi chakudya kapena kapu ya mkaka .
- Musamwe mankhwala opitirira muyeso womwe dokotala wanu wakupatsani. Izi sizingathandize kuchepetsa ululu mwachangu, koma chiopsezo cha zotsatirapo zake chidzawonjezeka kwambiri.
Kodi mungachite chiyani ngati mwamwa mankhwala ochulukirapo?
Tangoganizani kuti mwamwa mankhwala ochulukirapo. Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, imbani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital mwamsanga . Kapena pitani ku Emergency Department (ETU) ya chipatala chapafupi. Chitani izi ngati zadzidzidzi.
Chofunika: Mankhwalawa aperekedwa kwa inu nokha. Musapatse wina aliyense amene ali ndi zizindikiro zomwezo zomwe muli nazo. Zingakhale zoopsa.
Mankhwala ena omwe angagwirizane ndi mankhwalawa (Kuyanjana kwa Mankhwala)
Ngati mukumwa mankhwala awa, pali mankhwala ena omwe simuyenera kumwa nthawi imodzi ndipo muyenera kusamala kwambiri mukamawamwa. Ndikofunikira kwambiri kuuza dokotala wanu za mankhwala onse omwe mukumwa (kuphatikizapo mavitamini ndi mankhwala azitsamba).
| Kuyanjana kwa Mankhwala | |
|---|---|
| Musatenge izi ndi chilichonse. | |
| Mankhwala oledzeretsa kapena mowa | Cidofovir, Methotrexate, Probenecid, Warfarin, Voriconazole, Procarbazine |
| Mitundu ina ya mankhwala ochizira kuvutika maganizo: `MAOIs` (monga Carbex, Eldepryl, Marplan, Nardil, Parnate) | |
| Samalani kwambiri mukamamwa mankhwalawa pamodzi ndi mankhwala ena (uzani dokotala wanu). | |
| Mankhwala ena ochepetsa ululu | Mankhwala a NSAID monga Ibuprofen, Naproxen |
| Mankhwala ochepetsa magazi | Heparin ndi mankhwala ena ofanana nawo |
| Mankhwala ena | Mankhwala oletsa kuvutika maganizo, mankhwala oletsa kuvutika maganizo, ma benzodiazepine, ndi mankhwala ochepetsa ululu. |
Zinthu zoyenera kusamala nazo mukamagwiritsa ntchito mankhwalawa
Kulekerera ndi Kuledzera
Mutagwiritsa ntchito mankhwalawa kwa kanthawi, mungazindikire kuti mlingo womwewo womwe munkamwa kuti muchepetse ululu wanu sukwanira. Izi zimatchedwa kulekerera . Izi ndi zachilendo. Koma sizikutanthauza kuti mwayamba kugwiritsa ntchito mankhwala osokoneza bongo. Kuledzera ndi kugwiritsa ntchito mankhwala kuti musangalale ndi maganizo popanda chifukwa chachipatala. Kumwa mankhwala chifukwa chakuti muli ndi ululu ndi chifukwa chachipatala. Ngati mukufuna kusintha mlingo, lankhulani ndi dokotala wanu za izi.
Musasiye kumwa mankhwalawa mwadzidzidzi popanda upangiri wa dokotala. Kuchita zimenezi kungayambitse zizindikiro zoopsa zosiya kumwa. Ngati mukufunika kusiya, dokotala wanu adzachepetsa pang'onopang'ono mlingo.
Zoopsa zina
- Kugona ndi chizungulire: Mankhwalawa angakupangitseni kugona ndi chizungulire. Choncho , pewani kuyendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
- Zilonda zam'mimba ndi kutuluka magazi: Popeza mankhwalawa ali ndi aspirin, pali chiopsezo cha zilonda zam'mimba ndi kutuluka magazi. Chiwopsezochi chimawonjezeka chifukwa cha zinthu monga kusuta fodya, kumwa mowa, ndi ukalamba. Fufuzani chithandizo chamankhwala mwachangu ngati muli ndi ululu waukulu m'mimba, kusanza komwe kumawoneka ngati khofi, kapena ndowe zakuda .
- Ziwengo pakhungu: Nthawi zina, milungu ingapo mutayamba kumwa mankhwalawa, mungakhale ndi malungo ndi ziphuphu zomwe zimakhala ndi matuza ofiira kapena ofiirira pakhungu lanu. Ngati izi zitachitika, pitani kwa dokotala nthawi yomweyo.
Zotsatirapo zomwe zingachitike chifukwa cha mankhwala
Monga mankhwala ena aliwonse, izi zingayambitse zotsatirapo zina mwa anthu ena.
| Mtundu wa zotsatira zoyipa | Makhalidwe |
|---|---|
| Ngati mukukumana ndi zizindikiro izi, uzani dokotala wanu nthawi yomweyo. | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Kutuluka magazi | Zakuda, ndowe zochedwa, masanzi omwe amaoneka ngati khofi wophikidwa, mkodzo wofiira/wofiirira wakuda, mawanga ofiira/ofiirira pakhungu. |
| Kusokonezeka kwa mitsempha yapakati (CNS Depression) | Kupuma pang'onopang'ono, kugona tulo topitirira muyeso, kuvutika kukhala maso, chizungulire chachikulu. |
| Kuwonongeka kwa chiwindi kapena impso | Kupweteka m'mimba yakumanja, kusowa chilakolako cha chakudya, maso kapena khungu kukhala lachikasu, kuchepa kwa mkodzo, komanso kutupa kwa akakolo. |
| Izi nthawi zambiri sizimakhala zoopsa, koma ngati zikupitirira, uzani dokotala wanu. | |
| Zotsatirapo zazing'ono | Chizungulire, kugona tulo, nseru, kusanza, kupweteka m'mimba, kusowa chilakolako cha chakudya. |
Uthenga Wopita Nawo Kunyumba
- Mankhwalawa ayenera kugwiritsidwa ntchito pokhapokha ngati dokotala wakupatsani mankhwala. Ndi ongochepetsa mutu wopweteka womwe umakhala ngati wapanikizika. Sikuti ndi oletsa mutu.
- Onetsetsani kuti mwauza dokotala wanu za mankhwala ena onse omwe mukumwa komanso matenda ena aliwonse omwe muli nawo.
- Pewani kumwa mowa kotheratu mukamamwa mankhwalawa.
- Ngati mukumva zizindikiro monga kupweteka kwambiri m'mimba, ndowe zakuda, kapena kutupa pakhungu, funsani dokotala nthawi yomweyo.
- Musasiye kumwa mankhwala mwadzidzidzi popanda upangiri wa dokotala.
- Sungani mankhwalawa pamalo otetezeka omwe ana ndi ziweto sangafikire . Uwu ndi mankhwala omwe angagwiritsidwe ntchito molakwika.
👩🏽⚕️ Mafunso ena (Mafunso Ofunsidwa Kawirikawiri)
💬 Butalbital/Aspirin/Caffeine - Mapiritsi a Fiorinal ndi mankhwala apadera omwe amaperekedwa pa matenda ati?
Iyi si Panadol yanu yachizolowezi! Iyi ndi mankhwala amphamvu kwambiri (omwe ali ndi Barbiturates) omwe amachiritsa 'mutu wovuta komanso wosapiririka womwe sumatha ndi mapiritsi ena kapena mankhwala odzola, ndipo umamva ngati mutu wanu watsala pang'ono kuphulika! Koma madokotala amalembanso izi pa mutu wa mutu, ngakhale kuti ndi woopsa.
💬 Mutu ukakupweteka ngati kuti ukuphulika, kodi mungathetse bwanji mutu wonse mwa kumwa mapiritsi awa (Fiorinal)?
Izi zili ndi mankhwala atatu amphamvu mu imodzi! 1. Aspirin, yomwe imachepetsa 100% ya mankhwala (Prostaglandins) omwe amayambitsa kupweteka mutu. 2. Caffeine, yomwe imachepetsa mitsempha yamagazi (Vasoconstriction) yomwe imayambitsa kutupa ndi kupweteka mutu ndikuchepetsa kuthamanga kwa magazi. 3. Yoopsa komanso yamphamvu kwambiri mwa izi ndi 'Barbiturate'; Izi zimapita ku ubongo ndikuchepetsa ntchito yonse ya ubongo, kumasula minofu bwino (CNS Depressant), kumapangitsa wodwalayo kugona tulo tofa nato ndikuthetsa mutu.
💬 Kodi ndi 'zoopsa zoopsa' ndi chizolowezi (Chenjezo la Black Box) ziti zomwe anthu omwe amamwa mapiritsi owopsa awa (Butalbital) ayenera kudziwa?
Chimenecho ndiye choopsa chachikulu! 'Butalbital' yomwe ili mu izi ndi mankhwala osokoneza bongo a 'Highly Addictive / Controlled Substance', monga heroin ndi chamba! Ngati mupitiliza kumwa izi, mudzayamba misala (Withdrawal). Choopsa china chachikulu ndichakuti ngati mumwa izi ndi mapiritsi ena ogonetsa (Benzodiazepines), kapena mukangoledzera, pali chiopsezo chachikulu chakuti wodwalayo agwere mu coma, kusiya kupuma ndikufa (Fatal Respiratory Depression)!
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