Chimfine chingakhale chizindikiro chokhumudwitsa kwambiri, chokhala ndi zizindikiro monga mphuno yotuluka madzi, maso oyabwa, ndi chifuwa champhamvu. Nthawi zina, dokotala wanu angakupatseni madzi apadera kuti athandize ndi zizindikirozi. Lero, tikambirana za mankhwala omwe amagwiritsidwa ntchito kwambiri omwe muyenera kusamala nawo kwambiri. Ali ndi mankhwala awiri, Codeine ndi Chlorpheniramine.
Mwachidule, kodi chimachitika ndi chiyani ndi mankhwalawa?
Izi ndi kuphatikiza kwa mankhwala awiri. Kunena zoona, izi ndi mankhwala a ``Combination``. Tiyeni tiwone zomwe zimachitika ndi mankhwala aliwonsewa.
- Codeine: Iyi ndi mankhwala oletsa chifuwa omwe ali m'gulu la `(Opioid)`. Imatha kuletsa chifuwa chachikulu mwa kuchepetsa ntchito ya malo ochizira chifuwa muubongo mwathu.
- Chlorpheniramine: Iyi ndi mankhwala omwe ali m'gulu la ``Antihistamines.'' Mwachidule, imathandiza kuchepetsa zizindikiro za ziwengo. Mwachitsanzo, imachepetsa mphuno yotuluka madzi, mphuno yotsekeka, maso ofiira komanso oyabwa, komanso kuyetsemula.
Izi zikutanthauza kuti kuphatikiza kwa mankhwala kumeneku kudzachepetsa chifuwa chanu komanso zizindikiro zina zosasangalatsa za chimfine ndi ziwengo.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa
Mankhwalawa si oyenera aliyense. Chifukwa chake, ndikofunikira kwambiri kuti dokotala wanu adziwe mbiri yanu yonse ya thanzi lanu asanakupatseni mankhwala awa. Onetsetsani kuti mwauza dokotala wanu ngati muli ndi vuto lililonse mwa izi:
| Kodi muli ndi mikhalidwe iyi? | N’chifukwa chiyani muyenera kudziwitsa? |
|---|---|
| Matenda a m'mapapo kapena kupuma monga mphumu | Chifukwa chakuti mankhwalawa amatha kufooketsa kupuma, akhoza kukhala oopsa kwa anthu omwe ali kale ndi mavuto opuma. |
| Matenda a chiwindi kapena impso | Kuchotsa mankhwala m'thupi kungakhale kovuta, ndipo zotsatira zake zingawonjezereke. |
| Glaucoma | Mankhwalawa amatha kuonjezera kuthamanga kwa maso ndikuwonjezera glaucoma. |
| Mbiri ya kuledzera mowa kapena mankhwala osokoneza bongo | Popeza codeine ndi mankhwala a opioid, pali chiopsezo cha kuledzera. |
| Kuvulala mutu, zotupa mu ubongo, kapena khunyu | Mankhwalawa angapangitse kuti mavutowa aipireipire. |
| Kuvuta kukodza (monga, prostate yokulirapo) | Izi zitha kukulitsa vutoli. |
| Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena ndinu mayi woyamwitsa | Popeza mankhwalawa angakhudze mwana, dokotala ayenera kusankha ngati kuli koyenera kuwagwiritsa ntchito. |
| Matenda ena (matenda a mtima, kuthamanga kwa magazi, chithokomiro, matenda a shuga, matenda amisala) | Mankhwalawa angakhudze matenda ena ndi mankhwala omwe amamwa. |
Komanso, musaiwale kutchula ngati muli ndi vuto lililonse la ziwengo chifukwa cha mankhwala awa, mankhwala ena, zakudya, kapena zosungira.
Kodi ndimagwiritsa ntchito bwanji mankhwalawa molondola?
- Gwedezani bwino: Popeza iyi ndi smulsion, muyenera kugwedeza botolo bwino musanagwiritse ntchito. Izi zithandiza kuti mankhwalawo asakanike bwino.
- Yesani molondola: Gwiritsani ntchito supuni kapena chidebe cholembedwa bwino poyeza mankhwala. Musagwiritse ntchito supuni zapakhomo kapena supuni , chifukwa sizingayese bwino. Ngati mutero, mutha kupeza mankhwala ambiri kapena ochepa kwambiri.
- Ngati muli ndi chakudya kapena ayi: Imwani ichi ndi kapu ya madzi. Ngati mukumva kupweteka m'mimba kapena nseru, imwani pamodzi ndi chakudya.
- Tengani nthawi yake:Imwani mankhwalawo panthawi yolembedwa komanso nthawi zina zomwe mwapatsidwa. Musamwe mobwerezabwereza kapena mopitirira muyeso wa mlingo womwe mwapatsidwa.
Nanga bwanji ngati nditamwa mankhwala ochulukirapo? (Kumwa mankhwala ochulukirapo)
Izi ndizofunikira kwambiri. Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo kuposa omwe mwapatsidwa, pitani ku Dipatimenti Yoona za Zadzidzidzi (ETU) yapafupi nthawi yomweyo . Kapena, imbani National Poisons Information Centre ku Colombo National Hospital . Si chinthu chochedwetsa.
Chofunika: Mankhwalawa aperekedwa kwa inu nokha. Musagawane ndi ena, makamaka ana.
Mankhwala ena omwe angagwirizane ndi mankhwalawa (Kuyanjana)
Mukamamwa mankhwalawa, kuyanjana ndi mankhwala ena omwe mukumwa kungachitike. Izi zitha kuwonjezera zotsatirapo zake kapena kusintha momwe mankhwalawa amagwirira ntchito.
| Pewani kumwa mankhwalawa ndi izi konse | |
|---|---|
| Mowa | Zinthu zoopsa monga kugona kwambiri, chizungulire, komanso kulephera kupuma bwino zimatha kuchitika. |
| MAOIs (gulu lakale la mankhwala omwe amagwiritsidwa ntchito pochiza kuvutika maganizo) | Zinthu zoopsa kwambiri, ngakhale zoopsa kwambiri, zimatha kuchitika. |
| Mankhwala ena omwe amayambitsa kugona (monga mapiritsi ogonetsa, mankhwala odetsa nkhawa, mankhwala ena a chifuwa/allergies) | Zimawonjezera kugona ndi kuvutika kupuma. |
| Ngati mukumwa izi, onetsetsani kuti mwadziwitsa dokotala wanu. | |
| Mankhwala ena ochizira kuvutika maganizo (monga Fluoxetine) | Zimawonjezera chiopsezo cha zotsatirapo zoyipa. |
| Mankhwala oletsa khunyu (monga Carbamazepine, Phenobarbital) | Kugwira ntchito kwa mankhwala onse awiri kungakhudzidwe. |
| Mankhwala ena a kachilombo ka HIV kapena matenda a bowa | Kuchuluka kwa codeine m'thupi kumatha kukwera kwambiri. |
Mndandandawu sunathe, choncho ndikofunikira kuuza dokotala wanu za mankhwala onse, mavitamini, zitsamba, ndi zowonjezera zomwe mukumwa.
Zinthu zoti muzisamala nazo mukamamwa mankhwala
Kugona ndi chizungulire
Mungamve tulo tofa nato kapena chizungulire mukamamwa mankhwalawa. Choncho, musayendetse galimoto, kugwiritsa ntchito makina, kapena kuchita china chilichonse chomwe chimafuna kukhala maso mpaka mutadziwa bwino momwe mankhwalawa amakukhudzirani. Ngati ndinu munthu wokalamba, imirirani pang'onopang'ono mukadzuka pampando wokhala pansi kapena wotuluka pabedi. Izi zichepetsa mwayi wokhala ndi chizungulire ndi kugwa. Pewani kumwa mowa kotheratu.
Kudzimbidwa
Zotsatira zoyipa za codeine ndi kudzimbidwa. Kuti mupewe izi , imwani madzi ambiri ndikudya zakudya zambiri zokhala ndi ulusi wambiri (zipatso, ndiwo zamasamba) . Ngati simungathe kupita kuchimbudzi kwa masiku awiri kapena atatu, lankhulani ndi dokotala wanu.
Pakamwa ndi maso ouma
Ngati pakamwa panu pali pouma, kutafuna chingamu chopanda shuga, kuyamwa maswiti opanda shuga, kapena kumwa madzi pafupipafupi kungathandize. Ngati muvala ma contact lens, maso anu angamve ouma. Mutha kugwiritsa ntchito madontho opaka mafuta pa izi. Ngati mavutowa akupitirira, uzani dokotala wanu.
Kodi zotsatirapo zake zingakhale zotani?
Monga mankhwala ena aliwonse, mankhwalawa akhoza kukhala ndi zotsatirapo zake. Zina zimakhala zazing'ono, koma zina zimafunika chithandizo chadzidzidzi.
| Zotsatirapo zomwe ziyenera kufotokozedwa nthawi yomweyo kwa dokotala wanu kapena ETU | |
|---|---|
| Kusamva bwino kwa ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Kuvutika maganizo chifukwa cha kupuma (CNS Depression) | Kupuma pang'onopang'ono kapena pang'ono, kupuma movutikira, kugona kwambiri, kutaya chidziwitso, kuvutika kukhala maso. |
| Kuthamanga kwa magazi kotsika | Chizungulire chachikulu, kukomoka, kusawona bwino. |
| Kusintha kwa maso | Kupweteka kwa maso mwadzidzidzi, kusawona bwino, kuona mphete mozungulira magetsi. |
| Kuvuta kukodza | Kulephera kukodza kapena kutulutsa mkodzo pang'ono. |
| Uzani dokotala wanu ngati zikupitirira kapena zikukuvutitsani. | |
| Kugona, chizungulire | Kudzimbidwa |
| Pakamwa pouma | Mutu, nseru, kusanza |
Kodi mungasunge bwanji ndikutaya mankhwala mosamala?
- Sungani pamalo omwe ana sangafikire: Sungani mankhwalawa pamalo omwe ana ndi ziweto sangafikire. Zingakhale zoopsa kwambiri ngati mwana amwa m'manja mwawo.
- Sungani pamalo otetezeka: Ichi ndi mankhwala omwe angagwiritsidwe ntchito molakwika. Chifukwa chake, sungani pamalo otetezeka omwe angatetezedwe ku kuba.
- Kuchotsa:Ndikofunikira kutaya bwino mankhwala osagwiritsidwa ntchito kapena omwe atha ntchito. Funsani dokotala wanu kapena pharmacy za mapulogalamu obweza mankhwala. Ngati sichoncho, yang'anani chizindikirocho kuti muwone ngati chili bwino kutaya zinyalala. Ngati chili bwino, chotsani mankhwalawo mu botolo, sakanizani ndi chinthu monga khofi wogwiritsidwa ntchito kapena dothi, ikani m'thumba, itsekeni, ndikuiponya m'zinyalala. Musamatsuke m'chimbudzi.
Uthenga Wopita Nawo Kunyumba
- Izi ndi kuphatikiza kwa mankhwala awiri omwe amaletsa chifuwa (Codeine) ndikuchepetsa zizindikiro za ziwengo (Chlorpheniramine).
- Gwiritsani ntchito mlingo ndi nthawi yokha yomwe dokotala wanu wakupatsani. Musamwe mankhwala opitirira muyeso womwe mwapatsidwa.
- Ndikofunikira kuti mudziwitse dokotala wanu za matenda onse omwe muli nawo komanso mankhwala ena onse omwe mukumwa mukatenga mankhwalawa.
- Pewani kuyendetsa galimoto kapena kugwiritsa ntchito makina chifukwa izi zingayambitse kugona kwambiri. Pewani kumwa mowa kwathunthu.
- Ngati mukukumana ndi mavuto ena monga kupuma movutikira, chizungulire chachikulu, kapena kutupa nkhope, funsani upangiri wa dokotala nthawi yomweyo.
- Sungani mankhwalawa kutali ndi ana ndi ziweto ndipo muwasunge pamalo otetezeka.
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