Chimodzi mwa zovuta zazikulu komanso zovuta kwambiri zomwe munthu amakhala nazo ndi khansa ndi ululu. Ululu uwu ukhoza kuyambitsidwa ndi khansa yokha, kapena ukhoza kukhala zotsatira zoyipa za mankhwala a khansa. Komabe, chofunika kwambiri kukuuzani ndichakuti ululu uwu si chinthu chomwe muyenera kupirira mwakachetechete . Pali mankhwala ndi njira zambiri zomwe zingakuthandizeni kuthana nawo, kukuthandizani kugona bwino, kudya bwino, ndikugwira ntchito yanu. Ndicho chimene tikukamba lero.
Uzani dokotala ululu ukayamba!
Ichi ndi chinthu choyamba komanso chofunikira kwambiri chomwe muyenera kuchita. Ngati mukumva ululu kulikonse, musayese kudziwa ngati ndi chifukwa cha khansa kapena chithandizocho. Kaya ululuwo ndi wochepa bwanji, uzani dokotala nthawi yomweyo . Kumbukirani, zimakhala zosavuta kuwongolera ululu ukakhala wofatsa. Ukakula kwambiri ndipo muyenera kumwa mankhwala, zingatenge nthawi yayitali komanso mankhwala ambiri kuti muchepetse ululuwo. Chifukwa chake, musayese kukhala ngwazi ndi ululuwo. Pezani thandizo nthawi yomweyo.
Mankhwala ochepetsa ululu omwe amagwiritsidwa ntchito kwambiri
Mankhwalawa akhoza kukhala okwanira kuchepetsa ululu wochepa mpaka wochepa. Ngakhale ena mwa iwo angagulidwe pa kauntala ku pharmacy, monga wodwala khansa, simuyenera kumwa mankhwala aliwonse popanda kufunsa dokotala wanu kaye .
| Mtundu wa mankhwala | Zinthu zoti mudziwe |
|---|---|
| Acetaminophen | Iyi ndi mankhwala a paracetamol omwe amagwiritsidwa ntchito kwambiri. Ndi otetezeka akamwedwa mu mlingo wovomerezeka. Komabe, kumwa mlingo waukulu kwa nthawi yayitali kungawononge chiwindi. Kumwa ndi mowa kumawononganso chiwindi. Ngati muli ndi matenda a chiwindi, onetsetsani kuti mwalankhula ndi dokotala wanu musanamwe mankhwalawa. |
| NSAIDs (Mankhwala Oletsa Kutupa Osagwiritsa Ntchito Steroidal) | Izi zikuphatikizapo (Aspirin) , (Ibuprofen) , ndi (Naproxen).Izi zikuphatikizapo mankhwala monga. Izi zimathandiza kuchepetsa ululu ndi kutupa. Komabe, zingayambitse zotsatirapo zina monga kutupa m'mimba, gastritis, ndi zilonda zam'mimba. Zingathenso kuwononga impso ndikuwonjezera kuthamanga kwa magazi. Kugwiritsa ntchito izi kungakhale koopsa ngati muli ndi matenda a impso. |
Kumbukirani, ngati mukumwa mankhwala ena a khansa, kapena ngati muli ndi matenda ena monga matenda a shuga, kuthamanga kwa magazi, kapena matenda a impso, ndikofunikira kuti mudziwitse dokotala wanu musanamwe mankhwala ochepetsa ululu.
Mankhwala ochepetsa ululu - Opioids
Ngati ululu wanu uli wochepa kapena wovuta kwambiri, dokotala wanu angakupatseni mankhwala otchedwa opioid. Nthawi zina mankhwalawa amaperekedwa okha kapena pamodzi ndi mankhwala ena ochepetsa ululu.
Pali mitundu iwiri ikuluikulu ya izi:
- Opioids Ofooka: Mwachitsanzo, mankhwala monga `(Codeine)`.
- Mankhwala Oopsa a Opioid: Awa ndi mankhwala omwe amagwiritsidwa ntchito pochiza ululu waukulu kwambiri. Zitsanzo zikuphatikizapo mankhwala monga `(Fentanyl)`, `(Hydromorphone)`, `(Methadone)`, `(Morphine)`, ndi `(Oxycodone)`.
Kodi zotsatirapo zake za mankhwalawa ndi ziti?
Anthu ena angakumane ndi zotsatirazi akamamwa mankhwalawa:
- Kudzimbidwa
- Kugona tulo
- Kusanza, kusanza, ndi kutsekula m'mimba
Ngati mukukumana ndi zizindikiro izi, musachite mantha. Musasiye kumwa mankhwala anu nokha . Uzani dokotala wanu nthawi yomweyo. Iye akhoza kusintha mlingo kapena kukupatsani mankhwala ena, monga mankhwala oletsa nseru, kuti achepetse zotsatirapo zake.
Mankhwala ena omwe amathandiza kupweteka
Nthawi zina, pali mankhwala ena omwe amagwiritsidwa ntchito limodzi ndi mankhwala monga opioids kuti achepetse ululu. Izi zimawonjezera mphamvu ya mankhwala ochepetsa ululu komanso zimathandiza kuchepetsa zotsatirapo zake.
- Mankhwala Okhudza Kupweteka kwa Mitsempha: Nthawi zina ululu wa khansa umamveka ngati kubaya, kuluma, kapena kutentha. Izi zimatchedwa ululu wa mitsempha. Mankhwala oletsa khunyu ndi mankhwala ena oletsa kuvutika maganizo amagwiritsidwa ntchito pochiza ululu wamtunduwu.
- Ma Steroid: Awa ndi mankhwala omwe amachepetsa kutupa m'thupi. Ndi othandiza makamaka pa ululu wokhudzana ndi msana, zotupa muubongo, kapena mafupa.
Kodi njira zoperekera mankhwala m'thupi ndi ziti?
Mankhwala ochepetsa ululu amaperekedwa m'thupi m'njira zosiyanasiyana. Dokotala wanu adzasankha njira yoyenera kwambiri kutengera vuto lanu.
| Njira | Kufotokozera |
|---|---|
| Mankhwala omwa | Imabwera mu mawonekedwe a mapiritsi, makapisozi, zakumwa, mapiritsi a sublingual, kapena kupopera pakamwa. |
| Ma suppositories | Mankhwala amenewa amalowetsedwa m'thupi kudzera m'matumbo. |
| Majakisoni | Jakisoni pansi pa khungu kapena msana. |
| Chigamba cha Khungu | Zigamba zimenezi zikapakidwa pakhungu, pang'onopang'ono zimayamwa mankhwalawo m'thupi. |
| Mankhwala operekedwa m'mitsempha (IV) | Mankhwalawa amaperekedwa mwachindunji mumtsempha. Nthawi zina, njira imagwiritsidwa ntchito pomwe mudina batani kuti mupeze mlingo weniweni wa mankhwala (Patient-Controlled Analgesia - PCA) . |
Kodi mukuopa kukhala ndi chizolowezi chogwiritsa ntchito mankhwala?
Anthu ambiri, makamaka akamagwiritsa ntchito mankhwala amphamvu ochepetsa ululu monga `(Opioids),` amaopa kukhala oledzera nawo. Uku ndi mantha oyenera. Koma chomwe tiyenera kumvetsetsa apa ndichakuti m'malo movutika ndi ululu wosapiririka, kumwa mankhwala oyenera ndikuletsa ululu motsogozedwa ndi dokotala kungakuthandizeni kwambiri kukhala ndi moyo wabwino.
Kuti mugwiritse ntchito mankhwala ochepetsa ululu mosamala, kumbukirani zinthu izi:
- Ngati inu kapena wina aliyense m'banja mwanu mudayamba mwagwiritsapo ntchito mankhwala osokoneza bongo, uzani dokotala wanu za vutoli.
- Imwani mankhwala anu monga momwe dokotala wanu wanenera, komanso panthawi yoyenera. Musadikire mpaka ululu utakula kwambiri musanamwe mankhwala. Njira yabwino yochepetsera ululu ndikuwachiza akayamba.
- Ngati mukuona kuti ululu sukuwongolera ndi mankhwala, musawonjezere mlingo nokha . Uzani dokotala wanu. Pakapita nthawi, thupi lanu limatha kuzolowera mankhwala (kulekerera). Kenako mungafunike kuwonjezera mlingo kapena kusintha mankhwala ena. Dokotala wanu yekha ndi amene angapange chisankho chimenecho.
- Mukakonzeka kusiya kumwa mankhwala anu, dokotala wanu sadzasiya kumwa mankhwalawo nthawi imodzi. Adzachepetsa pang'onopang'ono mlingo. Izi zidzapatsa thupi lanu nthawi yoti lizolowere.
Uthenga Wopita Nawo Kunyumba
- Kupweteka kwa khansa si chinthu chomwe muyenera kumva mwakachetechete. Ngakhale mutamva kupweteka pang'ono, uzani dokotala wanu nthawi yomweyo.
- Pali mitundu yosiyanasiyana ya mankhwala oletsa ululu. Dokotala wanu adzasankha yomwe ili yoyenera kwa inu.
- Ngakhale ngati ndi mankhwala opha ululu omwe mungagule ku pharmacy, musagwiritse ntchito popanda kufunsa dokotala wanu.
- Tsatirani mlingo ndi nthawi yogwiritsira ntchito mankhwala molondola. Musasinthe mlingo kapena kusiya kumwa mankhwalawo monga mwa kufuna kwanu.
- Ndi zachilendo kuopa kukhala ndi chizolowezi chogwiritsa ntchito mankhwala. Kambiranani momasuka ndi dokotala wanu za mantha amenewo. Kuthetsa ululu wanu motsogozedwa ndi dokotala kungakuthandizeni kukhala ndi moyo wabwino.
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