Nthawi zina, ululu umene timamva m'thupi lathu ndi kutupa kwa mafupa athu zimakhala zosapiririka, sichoncho? Nthawi ngati izi, dokotala angakulembereni mankhwala ochepetsa ululu. Lero, tikulankhula za mtundu wapadera wa mankhwala omwe amaperekedwa pa ululu wochepa mpaka wocheperako, kutupa, ndi matenda monga nyamakazi. Taganizirani izi ngati upangiri wochokera kwa mnzanu wodalirika.
Kodi kwenikweni chimachitika ndi mankhwala awa ndi chiyani?
Mwachidule, iyi ndi mankhwala omwe amalamulira njira zamagetsi m'thupi lanu zomwe zimayambitsa ululu ndi kutupa. Malinga ndi zamankhwala, ndi ya gulu la mankhwala otchedwa NSAIDs (Non-Steroidal Anti-Inflammatory Drugs). Ndiko kuti, mankhwala omwe amachepetsa kutupa komwe kulibe ma steroids. Mankhwalawa amagwiritsidwa ntchito kuchepetsa ululu, kutupa, komanso nthawi zina kutentha thupi.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa:
Ndikofunikira kwambiri kuti dokotala wanu adziwe mbiri yanu yonse yachipatala musanapereke mankhwala awa. Mankhwalawa angagwirizane ndi matenda enaake. Chifukwa chake, ngati muli ndi matenda aliwonse omwe atchulidwa pansipa, onetsetsani kuti mwauza dokotala wanu za vutoli.
| Mkhalidwe wanu | N’chifukwa chiyani zimenezo n’zofunika? |
|---|---|
| Mphumu | Kwa odwala ena a mphumu, mtundu uwu wa mankhwala ukhoza kukulitsa zizindikiro. |
| Mbiri ya zilonda zam'mimba kapena kutuluka magazi | Mankhwalawa amawonjezera chiopsezo cha zilonda zam'mimba kapena kutuluka magazi. |
| Matenda a impso kapena chiwindi | Mlingo ungafunike kusinthidwa chifukwa mankhwalawo angakhudze ziwalo izi. |
| Matenda a Mtima | Mankhwalawa ayenera kuperekedwa mosamala kwa anthu omwe ali ndi matenda a mtima. |
| Kumwa zakumwa zoledzeretsa zoposa zitatu patsiku | Kuphatikiza mowa ndi mankhwala awa kumawonjezera kwambiri chiopsezo cha kutuluka magazi m'mimba. |
| Kukhala ndi pakati kapena kuyembekezera mwana | Mankhwalawa sakuvomerezeka panthawi ya mimba, makamaka m'miyezi itatu yapitayi. |
| Kukhala mayi woyamwitsa | Ndikofunikira kudziwitsa dokotala, chifukwa mbali zina za mankhwala zimatha kupita kwa mwana kudzera mu mkaka wa m'mawere. |
| Kutupa kwa mankhwala ena, zakudya kapena zinthu zina | Ngati muli ndi vuto la aspirin kapena mankhwala ena ochepetsa ululu, tchulaninso zimenezo. |
Njira yolondola yogwiritsira ntchito mankhwala
- Imwani mankhwalawa ndi kapu ya madzi .
- Ngati mukumva kupweteka m'mimba kapena kutentha pamtima, imwani mankhwalawa mukudya kapena mutadya .
- Imwani mankhwala anu panthawi yolembedwa ndi dokotala komanso nthawi zina zomwe mwauzidwa. Musamwe nthawi iliyonse yomwe mukufuna.
- Musamwe mankhwala ochulukirapo kuposa momwe dokotala wanu wanenera (overdose).
Malangizo apadera kwa okalamba ndi ana: Anthu azaka zopitilira 65 angamve mphamvu ya mankhwalawa mwamphamvu pang'ono. Chifukwa chake, angafunike mlingo wocheperako. Komanso, ngati mankhwalawa aperekedwa kwa ana, ayenera kuchitidwa pokhapokha ngati alangizidwa ndi dokotala.
Kodi mungachite chiyani ngati mwaphonya mlingo ndipo mwamwa mowa wambiri?
Ngati mwaphonya mlingo: Imwani mlingo womwe mwaphonya nthawi yomweyo. Komabe, ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe yakonzedwa. Musamwe milingo iwiri nthawi imodzi.
Kumwa mankhwala ochulukirapo: Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, pitani ku Dipatimenti Yothandiza Pangozi (ETU) yapafupi nthawi yomweyo. Kapena ku National Poisons Information Centre ku Colombo National Hospital.Lankhulani ndi kupeza uphungu. Musatenge izi mopepuka.
Mankhwala ena omwe angagwirizane ndi mankhwalawa
Iyi ndi gawo lofunika kwambiri. Mukamamwa mankhwalawa, kumwa mankhwala ena kungayambitse mavuto aakulu. Choncho, uzani dokotala wanu za mankhwala onse omwe mukumwa (kuphatikizapo mavitamini, mankhwala azitsamba).
| Mtundu wa mankhwala | Chiwopsezo |
|---|---|
| Musatenge izi pamodzi. | |
| Ketorolac (mankhwala ena amphamvu ochepetsa ululu) | Chiwopsezo cha kutuluka magazi m'mimba n'chokwera kwambiri. |
| Mankhwala omwe amaletsa magazi kuundana (monga Warfarin) | Kuchuluka kwa magazi kumawonjezera chiopsezo cha kutuluka magazi. |
| Methotrexate, Probenecid | Zinthu zoopsa zimatha kuchitika m'thupi. |
| Funani upangiri kwa dokotala chifukwa mankhwalawa angayambitse mavuto. | |
| Mankhwala ena a NSAID (monga Ibuprofen, Naproxen, Diclofenac) | Zimawonjezera chiopsezo cha kuvutika m'mimba ndi kutuluka magazi. |
| Mowa | Zimawonjezera chiopsezo cha kutuluka magazi m'mimba. |
| Mankhwala a shuga | Shuga m'magazi angachepe mwadzidzidzi. |
| Mapiritsi a steroid (monga Prednisone) | Zimawonjezera chiopsezo cha zilonda zam'mimba. |
Zinthu zina zofunika kukumbukira mukamamwa mankhwala
- Kuopsa kwa kutuluka magazi m'mimba: Ichi ndiye chinthu chofunikira kwambiri. Mankhwalawa angayambitse zilonda zam'mimba ndi kutuluka magazi nthawi iliyonse popanda chenjezo . Kuopsa kwake kumakhala kwakukulu ngati musuta kapena kumwa mowa. Chifukwa chake, ndi bwino kupewa zizolowezi zonsezi mukamamwa mankhwalawa.
- Kugona ndi chizungulire: Mungamve ngati mukugona komanso mukuzungulire. Choncho, pewani kuyendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
- Musamwe mankhwala ena ochepetsa ululu: Musamwe mankhwala ena ochepetsa ululu omwe mungagule ku pharmacy, monga Ibuprofen kapena Naproxen, popanda kufunsa dokotala wanu.
Tiuzeninso za zotsatira zake zoyipa.
Monga mankhwala ena onse, mankhwalawa akhoza kukhala ndi zotsatirapo zake. Ena ndi oopsa, ena ndi ofala. Chofunika kwambiri ndikuchitapo kanthu mwachangu ngati muwona china chake chachilendo.
| Ngati mukukumana ndi zizindikiro izi, pitani kwa dokotala nthawi yomweyo! | |
|---|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime, komanso kuvutika kupuma. |
| Zizindikiro za kutuluka magazi | Chimbudzi chakuda chochedwa, kusanza komwe kumaoneka ngati khofi wophikidwa, mkodzo wofiira/wofiirira wakuda, ndi madontho ang'onoang'ono ofiira/ofiirira pakhungu. |
| Zizindikiro za kuwonongeka kwa impso | Kuchepa kwa mkodzo wotuluka, kutupa kwa akakolo, manja, ndi mapazi. |
| Zizindikiro za kuwonongeka kwa chiwindi | Kupweteka kumtunda kwa mimba, kusowa chilakolako cha chakudya, chikasu cha maso/khungu, mkodzo wakuda wachikasu/bulauni. |
| Kulira m'makutu | Ngati mukumvabe phokoso loti "likulira" m'makutu mwanu. |
| Kawirikawiri si nkhani yaikulu, koma ngati ikupitirira, uzani dokotala wanu. | |
| kutentha pamtima | Kusanza, nseru, kusasangalala m'mimba. |
Uthenga Wopita Nawo Kunyumba
- Musanamwe mankhwalawa, uzani dokotala wanu za matenda ena onse omwe muli nawo komanso mankhwala ena onse omwe mukumwa.
- Imwani mankhwalawo monga momwe dokotala wanenera, muyeso woyenera komanso panthawi yoyenera.
- Pewani kumwa mowa ndi kusuta fodya mukamamwa mankhwalawa, chifukwa zimawonjezera kwambiri chiopsezo cha kutuluka magazi m'mimba.
- Pewani kumwa mankhwala ena ochepetsa ululu monga Ibuprofen ndi Diclofenac popanda upangiri wa dokotala.
- Ngati mukukumana ndi zotsatirapo zoyipa, monga ndowe zakuda kapena kusanza komwe kumaoneka ngati khofi, funsani upangiri wa dokotala nthawi yomweyo.
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