Nthawi zina chifuwa chimakhala chokhumudwitsa kwambiri, sichoncho? Mutha kukhala mutatopa ndi chifuwa chomwe chakhala chikuchitika kwa masiku ambiri ndipo mukumva ngati chifuwa chanu chatsekedwa ndi ntchofu. Ngakhale madzi wamba sakuthandiza, dokotala wanu angakupatseni mankhwala amphamvu komanso apadera. Mankhwalawa, omwe amapangidwa ndi kuphatikiza kwa Codeine ndi Guaifenesin, ndi amodzi mwa mankhwala otere. Tiyeni tikambirane za izi mwachidule lero.
Kodi kwenikweni chimachitika ndi mankhwala awa ndi chiyani?
Pali zinthu ziwiri zazikulu zokhudza mankhwalawa: Ganizirani ngati mankhwala omwe amaletsa chifuwa, ndi ena omwe amathandiza kutulutsa ziphuphu.
1. Codeine: Iyi ndi mankhwala oletsa chifuwa cha opioid . Mwachidule, imagwira ntchito pochepetsa malo olumikizirana chifuwa muubongo mwathu. Izi zimathandiza kuletsa chifuwa chokhumudwitsa chomwe chimapitirira kubwera.
2. Guaifenesin: Iyi ndi mankhwala otulutsa mamina , zomwe zikutanthauza kuti imamasula mamina ndikuthandiza kuti atuluke m'mapapo mosavuta. Imachepetsa mamina okhuthala omwe amamatira pachifuwa, zomwe zimapangitsa kuti maminawo atuluke mosavuta.
Choncho pamene zonsezi zikugwirizana, chifuwa chimatha kuchepetsedwa ndipo mamina omwe ali m'thupi amatuluka, zomwe zimakupangitsani kumva bwino kwambiri.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa
Mankhwalawa si oyenera aliyense. Chifukwa chake, ndikofunikira kwambiri kudziwitsa dokotala wanu za thanzi lanu lonse. Ngati muli ndi vuto lililonse m'munsimu, auzeni musanapereke mankhwalawo.
| Mkhalidwe | N’chifukwa chiyani ndiyenera kuuza dokotala ? |
|---|---|
| Matenda a chiwindi kapena impso | Popeza ziwalo zimenezi n’zofunika kwambiri pochotsa mankhwala m’thupi, ngati ntchito yawo yasokonekera, mlingo wa mankhwalawo ungafunike kusinthidwa. |
| Mphumu kapena matenda ena opumira | Codeine imatha kuchepetsa kupuma pang'ono, kotero ingakhudze anthu omwe ali kale ndi mavuto opuma. |
| Kuvulala mutu, zotupa muubongo | Pazifukwa zotere, kupanikizika kwa ubongo kumatha kukwera, ndipo mankhwalawa angapangitse kuti vutoli likhale lovuta. |
| Mbiri ya kuledzera mowa kapena mankhwala osokoneza bongo | Popeza codeine ndi opioid, madokotala ayenera kusamala kwambiri akamapatsa anthu omwe ali pachiwopsezo chogwiritsa ntchito mankhwala osokoneza bongo. |
| Kuthamanga kwa magazi kotsika, matenda a mtima | Mankhwalawa angayambitse chizungulire kapena kutsika kwambiri kwa kuthamanga kwa magazi. |
| Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena mukuyamwitsa | Popeza mankhwalawa angakhudze mwana, ndikofunikira kukambirana ndi dokotala. |
| Matenda ena (matenda a Addison, chithokomiro, kapamba, matenda a ndulu) | Chilichonse mwa izi chingakhudze momwe mankhwala amagwirira ntchito kapena zotsatira zake. |
| Matenda a chifuwa cha mankhwala, chakudya kapena zinthu zina | Ndikofunikira kwambiri kudziwitsa dokotala wanu ngati muli ndi vuto la codeine, guaifenesin, kapena china chilichonse chomwe chili mu mankhwalawa. |
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
- Imwani ndi kapu ya madzi: Nthawi zonse imwani mankhwalawa ndi madzi ambiri.
- Tsatirani malangizo a dokotala wanu: Imwani mlingo wolembedwa, panthawi yolembedwa, monga momwe dokotala wanu wanenera. Musamwe mankhwala opitirira muyeso wolembedwa.
- Musanadye kapena mutadya?: Mutha kumwa mankhwalawa muli ndi chakudya kapena ayi. Komabe, ngati mukumva kupweteka m'mimba, ndi bwino kumwa mankhwalawa pamodzi ndi chakudya.
- Sikoyenera ana: Mankhwalawa saloledwa kugwiritsidwa ntchito kwa ana. Choncho, musawapatse ana popanda kufunsa dokotala.
- Musagawire mankhwala: Awa ndi mankhwala operekedwa kwa inu nokha. Musagawire ndi wina aliyense pazifukwa zilizonse.
Nanga bwanji ngati ndikufunika kumwa mankhwala ena?
Ngati mukuganiza kuti mwamwa mankhwala mopitirira muyeso, musazengereze. Imbani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital , kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.
Zinthu zina zomwe zingagwirizane ndi mankhwalawa
Mankhwalawa angagwirizane ndi mankhwala ena omwe mukumwa. Chifukwa chake, muyenera kuuza dokotala wanu za mankhwala onse omwe mukumwa (kuphatikizapo mavitamini ndi mankhwala a Ayurvedic).
Chenjezo Lapadera: Pewani kumwa mowa kotheratu mukamamwa mankhwalawa. Kuphatikiza mowa ndi mankhwalawa kungayambitse kugona kwambiri, kuvutika kupuma, komanso imfa.
Pewani kumwa mankhwalawa ndi izi:
- Mankhwala oletsa kupweteka m'mimba (mankhwala a chifuwa, chifuwa, ndi chimfine omwe amayambitsa kugona)
- Mankhwala ena oletsa nkhawa kapena tulo
- Mankhwala ena ochizira kuvutika maganizo (monga amitriptyline, fluoxetine)
- Mankhwala oletsa ululu
- Mankhwala ena ochepetsa ululu kapena opioid a chifuwa
- Mankhwala amtundu wa MAOI
Mndandandawu sunathe, choncho ndibwino kuuza dokotala wanu zonse zomwe mumamwa.
Zinthu zoti muzisamala nazo mukamamwa mankhwala
- Kugona ndi chizungulire: Mankhwalawa angakupangitseni kugona ndi chizungulire. Choncho, musayendetse galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani. Samalani mukadzuka kapena kukhala pansi mwachangu, makamaka ngati ndinu okalamba.
- Kulekerera ndi Kudalira: Mukapitiriza kugwiritsa ntchito mankhwalawa, mungamve kuti zotsatira zake zikuchepa. Izi zimatchedwa `Kulekerera`. Musawonjezere mlingo nokha. Komanso, thupi lanu likhoza kuzolowera mankhwala awa. Izi sizikutanthauza kuti ndinu 'wokonda kwambiri' mankhwalawo. Ngati dokotala wanu akufuna kusiya mankhwalawo, sadzasiya mwadzidzidzi koma pang'onopang'ono adzachepetsa mlingowo.
- Kudzimbidwa: Kudzimbidwa ndi zotsatira zoyipa zomwe zimachitika chifukwa cha codeine. Yang'anani ngati mumatuluka m'mimba masiku awiri kapena atatu aliwonse. Ngati simunatuluke m'mimba patatha masiku atatu, lankhulani ndi dokotala wanu. Kumwa madzi ambiri ndi kudya zakudya zokhala ndi ulusi wambiri kungathandize pa izi.
- Pakamwa pouma: Mungamve ngati pakamwa panu pouma. Izi zitha kuthetsedwa potafuna chingamu chopanda shuga ndikumwa madzi ambiri.
Kodi zotsatirapo zake zingakhale zotani?
Monga mankhwala ena aliwonse, mankhwalawa akhoza kukhala ndi zotsatirapo zake. Ena ndi oopsa, ena ndi ofala.
| Zotsatirapo zoyipa zomwe zimafuna chithandizo chamankhwala mwachangu | |
|---|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Kuvutika kupuma (CNS depression) | Kupuma pang'onopang'ono kapena pang'ono, kupuma movutikira, kugona tulo tochuluka, kusadziwa. |
| Kuthamanga kwa magazi kotsika | Chizungulire, kukomoka, kusawona bwino. |
| Zizindikiro zina zazikulu | Kusanza pafupipafupi, kusanza, kusowa chilakolako cha chakudya, kutopa kwambiri. |
| Zotsatirapo zomwe nthawi zambiri sizimakhala zoopsa (koma uzani dokotala ngati zikupitirira) | |
| Chizungulire, kugona | Kudzimbidwa |
| Pakamwa pouma | Mutu |
| Kusanza, kusanza | |
Kodi mankhwala angasungidwe bwanji ndi kutayidwa bwanji?
Popeza iyi ndi mankhwala okhala ndi opioid, iyenera kuchitidwa mosamala kwambiri .
- Sungani pamalo omwe ana ndi ziweto sangafikire.
- Ikani pamalo otetezeka kuti muiteteze ku kuba.
- Ndikofunikira kutaya bwino mankhwala omwe atha ntchito kapena omwe sakufunikanso. Mankhwalawa akhoza kupha ngati atapezeka m'manja mwa munthu wina (wamkulu, mwana, kapena chiweto).
- Njira yabwino yotayira mankhwala ndikufunsa pharmacy kapena chipatala chanu ngati ali ndi pulogalamu yochitira izi. Ngati sichoncho, chotsani makapisozi kapena mapiritsi a mankhwalawo m'chidebecho, sakanizani ndi zinthu monga khofi wogwiritsidwa ntchito kale, dothi, kapena zinyalala za amphaka, ziyikeni m'thumba lotsekedwa bwino, ndikuzitaya m'zinyalala.
Uthenga Wopita Nawo Kunyumba
- Imwani mlingo monga momwe dokotala wanu wanenera. Musasinthe kapena kuonjezera mlingo nokha.
- Mankhwalawa ndi a inu nokha. Musapatse wina aliyense pazifukwa zilizonse. Ndi osaloledwa komanso owopsa kwambiri.
- Pewani kumwa mowa kotheratu mukamamwa mankhwala.
- Pewani kuyendetsa galimoto ndi kuchita ntchito zofunika kusamala, chifukwa kugona kungabwere.
- Ngati mukukumana ndi mavuto aakulu monga kupuma movutikira, kugona tulo topitirira muyeso, kapena kusagwirizana ndi zakudya zinazake, funsani upangiri wa dokotala nthawi yomweyo.
- Nthawi zonse sungani mankhwala pamalo otetezeka omwe ana sangawafikire.
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