Kodi nthawi zambiri mumagona masana? Kaya mumagona tulo tochuluka bwanji usiku, kodi mumamvabe kutopa komanso kutopa masana? Kapena munayamba mwamvapo ngati mwadzidzidzi mwataya chikumbumtima ndikugwa pansi? Lero, tikambirana za mankhwala apadera omwe ali ndi dzina lovuta pang'ono lomwe limaperekedwa pamavuto okhudzana ndi tulo ngati awa.
Kodi mankhwala awa ndi amtundu wanji?
Mwachidule, iyi ndi mankhwala amadzimadzi omwe amaperekedwa kuti athetse mavuto angapo okhudzana ndi tulo. Makamaka, madokotala amalemba mankhwalawa pa:
- Matenda Osatha Kugona: Ichi ndi vuto la kugona tulo tosalamulirika masana.
- Idiopathic Hypersomnia: Ichinso ndi vuto la kugona kwambiri masana, koma n'kovuta kupeza chifukwa chenicheni.
- Cataplexy: Ichi ndi vuto lachilendo kwambiri. Ndi pamene minofu ya thupi imataya ntchito yake mwadzidzidzi ikakumana ndi malingaliro amphamvu , monga kuseka mokweza kapena kudabwa.
Mankhwalawa amagwira ntchito pochepetsa tulo masana ndikukuthandizani kugona bwino usiku. Amachepetsanso kuchuluka kwa cataplexy. Mankhwalawa amapezeka ku Sri Lanka pansi pa dzina la `(Xywav)`.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa
Musanayambe kumwa mankhwalawa, ndikofunikira kwambiri kuuza dokotala wanu za mbiri yanu yonse ya thanzi. Mankhwalawa angagwirizane ndi matenda ena. Ngati muli ndi vuto lililonse lomwe latchulidwa patebulo ili m'munsimu, onetsetsani kuti mwauza dokotala wanu za vutoli.
| Mkhalidwe wanu | N’chifukwa chiyani muyenera kuuza dokotala? |
|---|---|
| Kuvutika maganizo kapena matenda ena amisala | Chifukwa mankhwala awa nthawi zina amatha kukhudza momwe munthu akumvera. |
| Maganizo ofuna kudzipha (kwa inuyo kapena wachibale wanu) | Izi ndizofunikira kuti munthu aziganizira kwambiri za maganizo amenewa akamamwa mankhwala. |
| Kumwa mowa kapena kugwiritsa ntchito mankhwala osokoneza bongo | Kumwa mankhwalawa pamodzi ndi mowa n’koopsa kwambiri. Komanso, uwu ndi mankhwala omwe ali ndi chiopsezo choledzera. |
| Matenda a chiwindi | Mlingo ungafunike kusinthidwa chifukwa chiwindi chimakhudza njira yochotsera mankhwala m'thupi. |
| Matenda a kupuma (monga mphumu, COPD) kapena kupuma movutikira | Mankhwalawa angapangitse kupuma kukhala kofooka pang'ono, kotero kungakhale koopsa ngati muli kale ndi vuto la kupuma. |
| Matenda a majini otchedwa succinic semialdehyde dehydrogenase deficiency | Uwu ndi matenda osowa kwambiri. Ngati muli ndi matendawa, mankhwala awa si oyenera konse. |
| Kutupa kwa mankhwala ena, zakudya kapena zinthu zina | Kuti mudziwe ngati pali vuto la ziwengo ndi mankhwala kapena chilichonse mwa zosakaniza zake. |
| Kukhala ndi pakati, kuyesa kutenga pakati, kapena kuyamwitsa | Kuganizira zotsatira zomwe zingachitike pa mwana panthawi ya mimba ndi kuyamwitsa. |
Kodi mungagwiritse ntchito bwanji mankhwalawa moyenera?
Mmene mumagwiritsira ntchito mankhwalawa ndi kofunika kwambiri. Tsatirani zomwe dokotala wanena.
- Muyeso: Gwiritsani ntchito sirinji yapadera kapena chikho chomwe chimabwera ndi mankhwala kuti muyese. Musagwiritse ntchito supuni zapakhomo kapena supuni za supu. Sizingakupatseni muyeso wolondola.
- Kusakaniza: Sakanizani mankhwala ndi kuchuluka kwa madzi komwe dokotala wakupatsani, ndipo imwani.
- Nthawi yoti mutenge: Izi ziyenera kumwedwa pamimba yopanda kanthu . Ndiko kuti, osachepera maola awiri mutatha kudya.
- Musanagone: Mankhwalawa ayenera kumwedwa usiku musanagone, nthawi yomweyo mutagona , chifukwa mukatha kumwa mankhwalawa, mudzagona mwachangu.
- Mlingo wachiwiri: Anthu ena amapatsidwa mankhwala otere kawiri pa usiku. Ngati zili choncho, tengani mlingo woyamba kenako mlingo wachiwiri maola 2.5 mpaka 4 mutatha kumwa.
- MedGuide: Mukapatsidwa mankhwala, mudzalandira kabuku ka malangizo apadera ka ``(MedGuide)`` pamodzi ndi mankhwalawo. Werengani mosamala nthawi zonse. Ngati muli ndi mafunso, funsani dokotala wanu.
Kodi mungachite chiyani ngati mwamwa mankhwala ochulukirapo?
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, imbani nthawi yomweyo ku National Poison Information Centre ku Colombo National Hospital, kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi. Musazengereze.
Chofunika kwambiri: Mankhwalawa ndi anu okha . Musagawane ndi wina aliyense.
Nanga bwanji ngati ndaphonya mlingo wa mankhwala?
Ngati mwaiwala kumwa mlingo, musadandaule. Iwalani kwathunthu za mlingo womwe mwaphonya. Imwani mlingo wotsatira monga mwachizolowezi. Musamwe mlingo iwiri nthawi imodzi kuti mubwezeretse mlingo womwe mwaphonya.
Zinthu zina zomwe zingagwirizane ndi mankhwalawa
Mankhwalawa amatha kuyanjana ndi mankhwala ena ndi mowa, choncho muyenera kusamala kwambiri pa izi.
| Zinthu zomwe siziyenera kutengedwa pamodzi | |
|---|---|
| Mowa | Kumwa mankhwalawa pamodzi ndi mowa kungayambitse kuvutika maganizo kwambiri chifukwa cha kupuma, kutaya chidziwitso, komanso imfa. Izi ndi zoopsa kwambiri. |
| Mapiritsi ena ogonetsa | Kumwa mankhwala awiri ofanana kungayambitse mavuto aakulu monga kugona kwambiri komanso kupuma movutikira. |
| Mankhwala ena omwe angayambitse mavuto | |
| Mankhwala oletsa nkhawa kapena tulo (monga Benzodiazepines - alprazolam, diazepam) | Zimayambitsa kugona kwambiri komanso kuvutika kupuma kwambiri. |
| Mankhwala ena ochizira kuvutika maganizo (monga amitriptyline, fluoxetine) | Zotsatira za mankhwala onsewa zimatha kusiyana. |
| Mankhwala ochepetsa ululu (makamaka `Opioids`) | Chiwopsezo cha kulephera kupuma ndi chachikulu kwambiri. |
| Mankhwala a ziwengo (Antihistamines) | Zingawonjezere kugona. |
Mndandandawu sunathe. Choncho, uzani dokotala wanu za mankhwala onse omwe mukumwa (kuphatikizapo mavitamini ndi mankhwala azitsamba) .
Zinthu zofunika kuziganizira mukamamwa mankhwala
- Makhalidwe osazolowereka a kugona: Anthu ena omwe akumwa mankhwalawa amatha kuchita zinthu monga kuyenda m'tulo, kuphika/kudya, komanso kuyimba foni. Choopsa kwambiri ndichakuti sangakumbukire chilichonse mwa izi akadzuka m'mawa. Ngati izi zikuchitikirani inu kapena wachibale wanu, uzani dokotala wanu nthawi yomweyo.
- Kusintha kwa maganizo: Mankhwalawa nthawi zina angayambitse kusintha kwa maganizo, monga nkhawa, kuvutika maganizo, ndi maganizo ofuna kudzipha . Ngati muwona kusintha kwakukulu kwadzidzidzi m'makhalidwe anu kapena m'maganizo anu, musanyalanyaze. Lankhulani ndi dokotala wanu nthawi yomweyo.
- Kuyendetsa Galimoto: Musachite chilichonse chomwe chimafuna kukhala maso, monga kuyendetsa galimoto kapena kugwiritsa ntchito makina, mpaka mutadziwa bwino momwe mankhwalawa amakukhudzirani.
- Kuopsa kwa chizolowezi: Pali chiopsezo cha chizolowezi cha mankhwala awa. Musamwe mankhwala ochulukirapo kuposa mlingo womwe dokotala wanu wakupatsani kapena kwa nthawi yayitali kuposa nthawi yomwe mwapatsidwa.
Kodi zotsatirapo zake zingakhale zotani?
Monga mankhwala ena aliwonse, mankhwalawa akhoza kukhala ndi zotsatirapo zake. Ena ndi oopsa, ena ndi ofala.
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala nthawi yomweyo | |
|---|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime. |
| Kusokonezeka kwa mitsempha yapakati (CNS depression) | Kupuma pang'onopang'ono kapena pang'ono, kupuma movutikira, chizungulire kwambiri, kutaya chidziwitso. |
| Kusintha kwa maganizo ndi khalidwe | Kusokonezeka kwachilendo, malingaliro oipa, malingaliro ofuna kudzipha, kuvutika maganizo kwambiri. |
| Kupuma movutikira | Kupuma movutikira komanso kukodola mokweza munthu akagona. |
| Kuyenda tulo | Kudzuka kuchokera ku tulo ndi kuyenda kapena kuchita zinthu zina. |
| Ngati zikupitirira kapena zikukuvutitsani, uzani dokotala wanu. | |
| Chizungulire | Mutu |
| Kusanza/kutuluka nseru | Chilakolako cha chakudya |
| Kunyowetsa pabedi | |
Kodi mungasunge bwanji mankhwala otetezeka?
- Sungani kutali ndi ana ndi ziweto.
- Popeza ichi ndi mankhwala omwe angagwiritsidwe ntchito molakwika, chisungeni pamalo otetezeka omwe angatetezedwe kwa akuba.
- Sungani kutentha kwa chipinda (pakati pa madigiri 20-25 Celsius).
- Tayani mankhwala otha ntchito. Ayenera kumwedwa mkati mwa maola 24 mutasakaniza ndi madzi. Tayani zotsala zilizonse.
Uthenga Wopita Nawo Kunyumba
- Nthawi zonse imwani mankhwalawa monga momwe dokotala wanu wanenera, mu mlingo womwe waperekedwa.
- Musamwe pamodzi ndi mowa kapena mapiritsi ena ogonetsa pazifukwa zilizonse chifukwa akhoza kupha munthu.
- Uzani dokotala wanu za mankhwala ena onse omwe mukumwa komanso matenda onse omwe muli nawo.
- Dziwani mavuto aakulu monga kusintha kwa maganizo ndi kuyenda tulo. Ngati zoterezi zitachitika, funsani upangiri wa dokotala nthawi yomweyo.
- Mankhwala awa ndi operekedwa kwa inu nokha. Sungani pamalo otetezeka omwe ena sangawafikire.
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