Nthawi zina ululu umene timakumana nawo sutha ndi mankhwala opha ululu wamba amodzi kapena awiri, sichoncho? Mukakhala ndi ululu wosapiririka womwe sungathe kupirira, ndipo mankhwala ena opha ululu sakugwira ntchito kwa inu kapena sanakuthandizeni, dokotala wanu angakulembereni mankhwala amphamvu opha ululu. Celecoxib ndi Tramadol ndi mankhwala osakaniza awiri omwe amaperekedwa pazochitika zotere. Tiyeni tikambirane izi mosavuta.
Kodi mankhwala awa otchedwa Celecoxib ndi Tramadol ndi ati?
Mwachidule, iyi ndi kuphatikiza kwa mitundu iwiri ikuluikulu ya mankhwala ochepetsa ululu. Ikhoza kukhala pansi pa dzina la SEGLENTIS.
1. Celecoxib: Iyi ndi mankhwala a gulu la mankhwala otchedwa NSAID (Nonsteroidal Anti-inflammatory Drug) . Imagwira ntchito pochepetsa kutupa, komwe kumayambitsa ululu ndi kutupa m'matupi athu.
2. Tramadol: Iyi ndi mankhwala amphamvu ochepetsa ululu omwe ali m'gulu la opioid . Imagwira ntchito pochepetsa ululu poletsa zizindikiro za ululu zomwe zimapita mwachindunji ku ubongo.
Kuphatikiza kwa mankhwala awiriwa nthawi zambiri kumathandiza kuchepetsa ululu waukulu.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa
Musanagwiritse ntchito mankhwalawa, muyenera kuuza dokotala wanu ngati muli ndi vuto lililonse mwa zotsatirazi. Zina mwa izi zingayambitse zotsatirapo zoopsa ndi mankhwalawa.
| Matenda anu kapena chizolowezi chanu | N’chifukwa chiyani muyenera kuuza dokotala za nkhaniyi? (Mwachidule) |
|---|---|
| Matenda otuluka magazi | Mankhwalawa angawonjezere chiopsezo cha kutuluka magazi. |
| Chotupa cha muubongo kapena kuvulala mutu | Pali chiopsezo cha kupanikizika kwakukulu muubongo. |
| Opaleshoni yaposachedwa ya bypass (CABG) | Chiwopsezo cha matenda a mtima ndi sitiroko chingawonjezeke. |
| Kuledzera ndi mankhwala osokoneza bongo kapena mowa | Tramadol ndi opioid, kotero pali chiopsezo chachikulu cha kuledzera. |
| Matenda a mtima, kuthamanga kwa magazi | Chiwopsezo cha matenda a mtima ndi sitiroko chingawonjezeke. |
| Matenda a impso kapena chiwindi | Mankhwalawa akhoza kukhala ovuta kuwachotsa m'thupi ndipo angawonjezere zotsatirapo zake. |
| Kutuluka magazi kapena zilonda m'mimba kapena m'matumbo | Mankhwalawa angapangitse kuti matenda amenewa achuluke kwambiri. |
| Matenda a mphumu kapena matenda ena a m'mapapo (asthma, COPD) | Kupuma movutikira kungachitike. |
| Kumwa mowa, kusuta fodya | Zimawonjezera chiopsezo cha kutuluka magazi m'mimba ndi zotsatirapo zina zoyipa. |
| Mimba, kuyesa kutenga mimba, kuyamwitsa | Mankhwalawa akhoza kuvulaza mwana wosabadwa. |
| Mankhwala ena (makamaka ochepetsa magazi, mankhwala amisala, ma steroids, MAOIs) | Kuyanjana koopsa ndi mankhwala ena kungachitike. |
| Ziwengo za chilichonse | Chifukwa mankhwalawa angayambitsenso ziwengo. |
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
- Imwani mankhwalawa ndi kapu ya madzi .
- Imwani monga momwe dokotala wanu wanenera, panthawi yomwe mwapatsidwa . Ndi bwino kumwa nthawi yomweyo tsiku lililonse.
- Mungathe kumwa mankhwalawa muli ndi chakudya kapena ayi. Komabe, ngati mukumva kupweteka m'mimba kapena kutentha pamtima, tengani mankhwalawa muli ndi chakudya.
- Musamwe mankhwala ochulukirapo kuposa mlingo womwe dokotala wanu wakupatsani pazifukwa zilizonse.
- Ngati muli ndi zaka zoposa 65, mungamve bwino zotsatira za mankhwalawa. Chifukwa chake, mungaperekedwe mlingo wocheperako.
Chofunika kwambiri: Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, musazengereze. Imbani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital . Kapena pitani ku Emergency Department (ETU) ya chipatala chapafupi.
Mankhwalawa aperekedwa kwa inu nokha. Musagawane mankhwalawa ndi wina aliyense. Ndi owopsa komanso osaloledwa.
Kodi mungachite chiyani ngati mwaphonya mlingo wa mankhwala?
Ngati mwaiwala kumwa mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe mlingo umodzi nthawi imodzi pazifukwa zilizonse.
Mankhwala ena omwe angagwirizane ndi mankhwalawa (Kuyanjana kwa Mankhwala)
Mankhwalawa amatha kuyanjana ndi mankhwala ena, choncho ndikofunikira kuuza dokotala wanu za mankhwala onse, mavitamini, ndi mankhwala azitsamba omwe mukumwa.
| Musatenge izi! | |
|---|---|
| Ketorolac (NSAID ina yamphamvu) | MAOIs (gulu lakale la mankhwala a matenda amisala) |
| Linezolid (mankhwala opha tizilombo) | Buluu wa Methylene |
| Samalani kwambiri mukatenga izi pamodzi (pokhapokha ngati mutsatira malangizo a dokotala) | |
| Mowa | Mankhwala ena ochepetsa ululu a opioid |
| Mankhwala ena a NSAID monga Aspirin, Ibuprofen, ndi Naproxen | Mankhwala omwe amaletsa magazi kuundana (monga Warfarin, Apixaban) |
| Mankhwala ochizira kuvutika maganizo ndi nkhawa | Mapiritsi ogonetsa |
| Mankhwala a khunyu | Ma steroid monga Prednisone |
| Mankhwala ochepetsa mphamvu ya mkodzo | Mankhwala oletsa bowa ndi maantibayotiki ena |
Mndandandawu sunathe, choncho uzani dokotala wanu za mankhwala onse omwe mukumwa.
Zinthu zoti muzisamala nazo mukamamwa mankhwala
Kugona ndi kusamala
Mankhwalawa angakupangitseni kugona kapena kuzunguzika . Choncho musayendetse galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe zimakukhudzirani. Makamaka ngati ndinu okalamba, musadzuke mwadzidzidzi mutangokhala. Izi zingakupangitseni kumva chizungulire ndikugwa.
Kumwa mowa
Pewani kumwa mowa kotheratu mukamamwa mankhwalawa. Kuphatikiza mankhwalawa ndi mowa kungayambitse mavuto monga kupuma movutikira, kugona tulo topitirira muyeso, komanso kutaya chikumbumtima.
Kudzimbidwa
Kudzimbidwa ndi zotsatira zoyipa za Tramadol. Ngati simunachite chimbudzi kwa masiku atatu, lankhulani ndi dokotala wanu. Kumwa madzi ambiri ndi kudya zakudya zokhala ndi ulusi wambiri (zipatso, ndiwo zamasamba) kungathandize.
Kutuluka magazi m'mimba
Celecoxib (NSAID) yomwe ili mu mankhwalawa ingayambitse zilonda zam'mimba ndi m'matumbo kapena kutuluka magazi. Izi zitha kuchitika popanda chenjezo .Kusuta fodya, kumwa mowa, ukalamba, ndi thanzi lofooka zimawonjezera chiopsezochi. Ngati mukumva kupweteka kwambiri m'mimba, kusanza komwe kumaoneka ngati khofi, kapena ndowe zakuda , pitani kwa dokotala nthawi yomweyo.
Kuzolowera mankhwala ndi kusiya nthawi imodzi
Mukatenga mankhwalawa kwa nthawi yayitali, thupi lanu lidzazolowera (kulekerera). Izi zikutanthauza kuti mungafunike mlingo wokwera pang'ono kuti muchepetse ululu mofanana ndi kale. Izi ndi zachilendo.
Chofunika kwambiri ndichakuti, musasiye kumwa mankhwalawa mwadzidzidzi popanda upangiri wa dokotala wanu. Kuchita izi kungayambitse zizindikiro zazikulu zosiya kumwa mankhwala. Ngati mukufuna kusiya kumwa mankhwala, dokotala wanu adzachepetsa pang'onopang'ono mlingo.
Matenda aakulu a pakhungu omwe angathe kuchitika
Ngakhale kuti sizichitika kawirikawiri, anthu ena angakumane ndi zotsatirapo zoopsa pakhungu chifukwa cha mankhwalawa. Izi zitha kuchitika ngakhale milungu ingapo mutayamba kumwa mankhwalawa. Ngati mukumva malungo, kupweteka kwa thupi, komanso kutupa kofiira, matuza, kapena khungu lotupa, funsani upangiri wa dokotala nthawi yomweyo.
Kodi zotsatirapo zake zomwe zimayembekezeredwa ndi ziti?
Monga mankhwala ena aliwonse, mankhwalawa akhoza kukhala ndi zotsatirapo zake. Ena ndi owopsa, ena ndi abwinobwino.
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala nthawi yomweyo | |
|---|---|
| Ziwengo zoopsa | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope/milomo/lilime, kuvutika kupuma. |
| Kuvuta kupuma (CNS Depression) | Kupuma pang'onopang'ono , pang'ono, kugona kwambiri, kusadziwa. |
| Zizindikiro za kutuluka magazi | Zakuda, ndowe zochedwa, kusanza komwe kumaoneka ngati khofi wophikidwa, magazi mu mkodzo, ndi mawanga ofiira/ofiirira pakhungu. |
| Zizindikiro za matenda a mtima | Kupweteka pachifuwa, kulimba, kupweteka komwe kumafika pa phewa/mkono/msagwada. |
| Zizindikiro za Stroke | Kusanza, kufooka, kuvutika kulankhula mbali imodzi ya nkhope/mkono/mwendo. |
| Kuwonongeka kwa chiwindi/impso | Kupweteka m'mimba yakumtunda kumanja, maso/khungu kukhala lachikasu, kuchepa kwa mkodzo, komanso kutupa kwa miyendo. |
| Ndi zachilendo, koma ngati zikukuvutitsani, uzani dokotala wanu. | |
| Kudzimbidwa | Kusanza/kutuluka nseru |
| Kugona/chizungulire | Chilakolako cha chakudya |
| Pakamwa pouma | Mutu |
Uthenga Wopita Nawo Kunyumba
- Imwani mankhwala awa monga momwe dokotala wanenera .
- Uzani dokotala wanu za matenda ena aliwonse omwe muli nawo komanso mankhwala ena aliwonse omwe mumamwa.
- Musagawire mankhwala awa ndi wina aliyense pazifukwa zilizonse. Sungani pamalo omwe ana ndi ziweto sangafikire.
- Ngati mukuvutika kupuma, kupweteka kwambiri m'mimba, ndowe zakuda, kapena kutupa kwambiri pakhungu, funsani dokotala nthawi yomweyo.
- Musasiye kumwa mankhwala mwadzidzidzi popanda upangiri wa dokotala.
- Pewani kumwa mowa kotheratu mukamamwa mankhwalawa.
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