Kodi nthawi zina mutu umapweteka kwambiri moti umamva ngati mutu wako ukukanikizidwa mbali zonse ziwiri, ndipo minofu ya khosi lako ndi yolimba? Ngakhale mutamwa mankhwala ochepetsa ululu nthawi zonse, kodi zimakuvutitsanibe tsiku lonse? Inde, lero tikulankhula za mankhwala apadera omwe madokotala amalangiza pa mtundu uwu wa mutu wopweteka kwambiri (Tension Headache) pamene mankhwala ena sakuthandiza. Uku ndi kuphatikiza kwa mitundu ingapo ya mankhwala.
Mwachidule, kodi mankhwala awa ndi chiyani?
Ichi si mankhwala amodzi kwenikweni, koma kuphatikiza kwa zinthu zinayi zazikulu. Chilichonse chimagwira ntchito yosiyana.
1. Butalbital: Iyi ndi mankhwala ochokera m'gulu la mankhwala otchedwa barbiturates. Mwachidule, imachepetsa mitsempha yanu yapakati. Imamasula minofu yolimba m'mutu ndi m'khosi, kuchepetsa kupsinjika komwe kumayambitsa mutu.
2. Aspirin: Mwina mwamvapo za iyi. Ndi mankhwala ochepetsa ululu omwe ali mu gulu la NSAID (Nonsteroidal Anti-inflammatory Drug). Amachepetsa ululu ndi kutupa.
3. Kafeini: Kafeini ndi chinthu chomwecho chomwe chimapezeka mu tiyi ndi khofi. Apa, kafeini imawonjezera mphamvu zochepetsera ululu za mankhwala ena awiri ochepetsa ululu, aspirin ndi codeine.
4. Codeine: Iyi ndi mankhwala amphamvu ochepetsa ululu omwe ali m'gulu la opioid. Imagwira ntchito poletsa zizindikiro za ululu kuti zisafike muubongo wanu.
Chofunika kwambiri ndichakuti mankhwalawa amagwiritsidwa ntchito pochiza mutu womwe ulipo kale. Sagwiritsidwa ntchito popewa mutu womwe ulipo kale.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwala
Popeza iyi ndi mankhwala amphamvu ophatikizana, ndikofunikira kwambiri kuti dokotala wanu adziwe bwino za thanzi lanu. Ngati muli ndi vuto lililonse mwa lomwe latchulidwa pansipa, onetsetsani kuti mwadziwitsa dokotala wanu musanayambe kumwa mankhwalawa.
| Mkhalidwe wanu | N’chifukwa chiyani muyenera kudziwitsa? |
|---|---|
| Chotupa cha muubongo, kuvulala mutu | Mankhwalawa amatha kukhudza kupanikizika mu ubongo. |
| Matenda a mtima, chiwindi kapena impso | Popeza mankhwala amatuluka m'thupi kudzera m'ziwalo zimenezi, ntchito yawo ndi yofunika kwambiri. |
| Matenda otuluka magazi (Hemophilia), kuchepa kwa ma platelet m'magazi | Aspirin yomwe ili mu mankhwalawa ingapangitse kuti magazi azituluka m'thupi. |
| Mphumu kapena mavuto ena opuma | Codeine ndi butylbital zimatha kuchepetsa kupuma. |
| Kumwa mowa kapena kugwiritsa ntchito mankhwala osokoneza bongo | Chidziwitsochi n'chofunika kwambiri pochiza mankhwalawa, chifukwa chimabweretsa chiopsezo cha chizolowezi. |
| Kukhala ndi pakati, kuyesa kutenga pakati, kapena kuyamwitsa | Mankhwalawa angakhudze mwana wosabadwayo komanso mwana woyamwa. |
| Matenda a chifuwa cha mankhwala kapena zakudya zina | Ndikofunikira kudziwitsa dokotala ngati muli ndi vuto lililonse la ziwengo, makamaka aspirin ndi codeine. |
Kodi mumagwiritsa ntchito bwanji mankhwalawa?
- Imwani mlingo womwe dokotala wanu wakupatsani. Musamwe mankhwala opitirira muyeso womwe mwapatsidwa.
- Dzazani kapu ya madzi ndikumeza piritsi/kapisozi nayo.
- Ngati mukumva kupweteka m'mimba kapena kutentha pamtima, imwani mankhwalawa mukadya kapena kumwa mkaka.
- Mankhwalawa si oyenera ana osakwana zaka 12. Saperekedwanso kwa ana osakwana zaka 18 atachitidwa opaleshoni kuti achotse ma tonsils kapena adenoids.
Nanga bwanji ngati pachitika ngozi?
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, musazengereze. Imbani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital (nambala ya foni 0112 686 143), kapena pitani ku Emergency Department (ETU) ya chipatala chapafupi.
Mankhwalawa aperekedwa kwa inu nokha. Musagawane ndi wina aliyense, ngakhale zizindikiro zanu zili zofanana ndi zanu. Zingakhale zoopsa.
Kuyanjana kwa Mankhwala
Mankhwalawa angagwirizane ndi mankhwala ena, choncho ndikofunikira kwambiri kupatsa dokotala wanu mndandanda wathunthu wa mankhwala onse omwe mukumwa (kuphatikizapo mavitamini, mankhwala azitsamba, ndi zowonjezera).
Makamaka, pewani kumwa mankhwalawa pamodzi ndi mitundu iyi ya mankhwala kapena mungomwa kokha ngati dokotala wanu wakupatsani upangiri.
| Pewani kumwa mankhwala awa pamodzi ndi mankhwala awa | |
|---|---|
| Gulu la mankhwala | Zitsanzo |
| Mankhwala oletsa kuvutika maganizo a MAOI | Marplan, Nardil, Parnate (ngati pasanathe milungu iwiri kuchokera pamene adamwa izi) |
| Mankhwala ena | Ketorolac, Linezolid, Methylene buluu |
| Chonde dziwitsani dokotala wanu za mankhwala awa mwachindunji. | |
| Mowa | Chiwopsezo cha kugona tulo topitirira muyeso komanso kuvutika kupuma n'chokwera kwambiri. |
| Mankhwala ena omwe amayambitsa kugona | Mapiritsi ogonetsa, mankhwala ochepetsa nkhawa (monga Diazepam), ndi mankhwala ena amphamvu ochepetsa ululu. |
| Mankhwala ochepetsa magazi | Warfarin, Apixaban, Rivaroxaban |
| Mankhwala ena ochepetsa ululu (NSAIDs) | Ibuprofen, Naproxen |
Zinthu zofunika kuziganizira mukamamwa mankhwala
- Kugona: Mankhwalawa angakupangitseni kumva tulo kapena chizungulire. Choncho, pewani zinthu zomwe zimafuna kukhala maso, monga kuyendetsa galimoto kapena kugwiritsa ntchito makina, mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
- Mowa: Musamwe mowa mukamamwa mankhwalawa pazifukwa zilizonse. Zingayambitse kugona kwambiri, kupuma pang'onopang'ono, komanso imfa.
- Kutuluka magazi m'mimba: Pali chiopsezo chochepa cha zilonda zam'mimba kapena kutuluka magazi chifukwa cha aspirin yomwe ili mu mankhwalawa. Ngati mukumva kupweteka kwambiri m'mimba, kusanza komwe kumaoneka ngati kofi, kapena kutuluka ndowe zakuda, pitani kwa dokotala nthawi yomweyo.
- Kulekerera ndi Kudalira: Mukatenga mankhwalawa kwa nthawi yayitali, thupi lanu limatha kuzolowera. Izi zikutanthauza kuti mungafunike mlingo wokwera kuti muchepetse ululu womwewo (Kulekerera). Komanso, ngati musiya kumwa mankhwala mwadzidzidzi, mutha kukumana ndi zizindikiro zosiya kumwa. Izi si chizolowezi. Ngati dokotala wanu akufuna kuti musiye kumwa mankhwalawa, adzachita izi pochepetsa pang'onopang'ono mlingo.
- Kudzimbidwa: Kudzimbidwa ndi zotsatira zoyipa zomwe zimachitika chifukwa cha codeine. Ngati simunachite chimbudzi kwa masiku atatu, uzani dokotala wanu. Kumwa madzi ambiri ndi kudya zakudya zokhala ndi ulusi wambiri kungathandize pa izi.
Zotsatirapo zazikulu zomwe zingatheke
| Zotsatirapo zoyipa zomwe zimafuna chithandizo chamankhwala mwachangu | |
|---|---|
| Kusamvana kwa Thupi | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime. |
| Kupuma pang'onopang'ono (CNS Depression) | Kupuma pang'onopang'ono kwambiri, kugona kwambiri, komanso kutaya chidziwitso. |
| Zizindikiro za kutuluka magazi | Chimbudzi chakuda, kusanza magazi, mkodzo wakuda bulauni, mawanga ofiira/ofiirira pakhungu. |
| Zizindikiro za kuwonongeka kwa chiwindi | Ululu m'mimba pamwamba pa kumanja, maso/khungu kukhala lachikasu, mkodzo wakuda wachikasu/bulauni. |
| Zotsatira zoyipa zomwe ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Kudzimbidwa | Chizungulire |
| Kugona tulo | Pakamwa pouma |
| Kusanza/kutuluka nseru | Kupweteka m'mimba |
Uthenga Wopita Nawo Kunyumba
- Iyi ndi mankhwala amphamvu ochepetsa ululu. Musamwe mankhwala opitirira muyeso womwe dokotala wanu wakupatsani.
- Patsani dokotala wanu mndandanda wathunthu wa mankhwala ena onse, mavitamini, ndi mankhwala achikhalidwe omwe mukumwa.
- Pewani kumwa mowa kotheratu mukamamwa mankhwalawa. Ndi oopsa kwambiri.
- Fufuzani thandizo lachipatala mwamsanga ngati mukuona zizindikiro monga kugona kwambiri, kupuma movutikira, kuchita ndowe zakuda, kapena kukwiya kwambiri pakhungu.
- Chifukwa mankhwalawa akhoza kukhala ovuta kuwagwiritsa ntchito, sungani pamalo otetezeka omwe ana ndi ena sangawafikire. Musagawane ndi ena.
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