Nthawi zina dokotala amalemba mankhwala otchedwa 'Cortisone'. Akhoza kukhala a vuto la khungu, kupweteka kwa mafupa, kapena matenda monga mphumu. Anthu ena amachita mantha pang'ono akamva dzinali, chifukwa amadziwa kuti awa ndi mtundu wa "steroid". Koma ngati mwadziwitsidwa bwino ndikugwiritsa ntchito monga momwe dokotalayo akunenera, uwu ndi mankhwala ofunikira kwambiri omwe angathe kuletsa matenda ambiri. Chifukwa chake, lero tikambirana za cortisone iyi mosavuta komanso momveka bwino, monga china chilichonse.
Mwachidule, kodi cortisone iyi ndi chiyani?
Cortisone ndi mankhwala omwe ali m'gulu la mankhwala a corticosteroid . Tangoganizirani kuti pazifukwa zina pali kutupa, kufiira, kupweteka, kapena kutupa m'thupi lathu. Mankhwalawa amaletsa kutupako ndikuchepetsa zizindikiro zomwe zimayenderana nako.
Pachifukwa ichi, madokotala amalemba mankhwala a cortisone pa matenda osiyanasiyana. Mwachitsanzo:
- Matenda opuma monga mphumu
- Matenda osiyanasiyana a ziwengo (Allergies)
- Matenda a mafupa monga nyamakazi
- Matenda a pakhungu (monga eczema, ziphuphu)
- Matenda otupa m'mapapo ndi ziwalo zina
- Matenda ena a magazi
- Matenda okhudzana ndi adrenal gland
Mankhwalawa amagwiritsidwa ntchito pa matenda ena ambiri kuwonjezera pa mndandandawu. Ngati muli ndi mafunso okhudza chifukwa chake mwapatsidwa mankhwalawa, funsani dokotala wanu.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwala
Iyi ndi gawo lofunika kwambiri. Dokotala wanu asanakupatseni cortisone, ayenera kudziwa mavuto ena aliwonse omwe mungakhale nawo. Musawanyalanyaze chifukwa amatha kuyanjana ndi matenda ena. Ngati muli ndi vuto lililonse mwa zotsatirazi, uzani dokotala wanu musanayambe kumwa mankhwalawo.
| Kodi muli ndi mikhalidwe iyi? | N’chifukwa chiyani muyenera kudziwitsa? |
|---|---|
| Matenda a shuga | Cortisone imatha kuwonjezera kuchuluka kwa shuga m'magazi. |
| Kuthamanga kwa magazi kapena matenda a mtima | Mikhalidwe imeneyi ingaipireipire. |
| Zilonda zam'mimba kapena matenda am'mimba | Mankhwalawa angakhudze chigawo cha m'mimba. |
| Matenda omwe alipo - mwachitsanzo chifuwa chachikulu, katsabola, chikuku, herpes | Cortisone imatha kuwonjezera chiopsezo cha matenda chifukwa imaletsa chitetezo cha mthupi. |
| Matenda a impso kapena chiwindi | Kutulutsa ndi kukonza mankhwala kungasiyane. |
| Osteoporosis - matenda ochepetsa mafupa | Kugwiritsa ntchito cortisone kwa nthawi yayitali kungakhudze mafupa. |
| Glaucoma, matenda amisala, myasthenia gravis | Cortisone imakhudza matenda awa. |
| Kukhala ndi pakati, kuyesa kutenga pakati, kapena kuyamwitsa | Dokotala ayenera kuganizira za zotsatira zomwe zingachitike pa mwana. |
| Matenda a chifuwa cha mankhwala ena, zakudya, kapena utoto | Kuti mudziwe ngati muli ndi vuto la cortisone kapena chilichonse mwa zinthu zomwe zili mmenemo. |
Njira yolondola yogwiritsira ntchito mankhwala
- Imwani ndi kapu ya madzi: Imwani piritsi ndi kapu ya madzi.
- Imwani mukatha kudya: Ndi bwino kumwa limodzi ndi chakudya kapena kapu ya mkaka kuti muchepetse kuvutika m'mimba.
- Tengani m'mawa:Ngati mungofunika kumwa kamodzi patsiku, ndi bwino kumwa kaye m'mawa.
- Musasinthe mlingo: Musamwe mopitirira muyeso kapena mochepera kuposa momwe dokotala wanu wanenera.
- Musasiye mwadzidzidzi (chofunika kwambiri): Ichi ndi chinthu chofunikira kwambiri chomwe muyenera kukumbukira. Musasiye kumwa mankhwala mwadzidzidzi popanda upangiri wa dokotala. Kuchita zimenezi kungayambitse vuto lalikulu. Ngati mukufuna kusiya kumwa mankhwala, dokotala wanu adzachepetsa pang'onopang'ono mlingo.
Nanga bwanji ngati nditamwa mopitirira muyeso?
Tangoganizani kuti mwamwa mankhwala ochulukirapo kuposa omwe mwapatsidwa. Ngati izi zitachitika, musachite mantha, imbani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.
Nanga bwanji ngati ndaphonya mlingo? (Dose Yophonya)
Ngati mwaiwala kumwa mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe mapiritsi awiri nthawi imodzi kuti mubwezeretse mlingo womwe mwaiwala. Ngati mukukayika, lankhulani ndi dokotala wanu.
Kodi zotsatirapo zake zingakhale zotani?
Monga mankhwala ena aliwonse, cortisone ingayambitse zotsatirapo zake. Si aliyense amene amalandira. Koma ndikofunikira kudziwa za izo.
| Mitundu ya zotsatirapo zoyipa | |
|---|---|
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala nthawi yomweyo | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, kapena lilime |
| Kuvuta kupuma | Kupuma movutikira, kusintha kwa kuchuluka kwa mpweya wopuma |
| Kusintha kwa chopondapo | Zakuda, mipando yokhazikika |
| Kupweteka kwa thupi | Ululu m'chiuno, msana, nthiti, manja, kapena mapewa |
| Kuthamanga kwa magazi kowonjezeka | Mutu waukulu, chizungulire |
| Zizindikiro za matenda | Malungo, pakhosi, mabala osachiritsa |
| Zizindikiro za shuga wambiri m'magazi | Ludzu, njala, kukodza pafupipafupi, kutopa kwambiri, kusawona bwino |
| Zina mwazinthu | Maso otupa, kutupa kwa mapazi kapena akakolo |
| Ngati zotsatirapo zake zikupitirira, muyenera kuuza dokotala wanu. | |
| Kusintha kwa maganizo | Kusokonezeka, kusakhazikika, chisangalalo chopitirira muyeso |
| Mavuto a m'mimba | Mutu, nseru, kusanza, kuvutika m'mimba |
| Kusintha kwa khungu | Ziphuphu, khungu lochepa, ndi ziphuphu |
| Zina | Kusowa tulo, kunenepa |
Mankhwala ena omwe angagwirizane ndi cortisone (Kuyanjana kwa Mankhwala)
Si mankhwala onse omwe timamwa omwe amagwirizana ndi mankhwala ena. Ena mwa iwo amakhudzana. Timatcha kuti 'Kuyanjana kwa Mankhwala'.
Choncho ndi bwino kupatsa dokotala wanu mndandanda wathunthu wa mankhwala onse omwe mumamwa (mavitamini, mankhwala azitsamba, ngakhale zowonjezera). Muuzeninso ngati mumasuta kapena kumwa mowa.
Makamaka, muyenera kuuza dokotala wanu musanayambe kugwiritsa ntchito cortisone ngati mukumwa mankhwala otsatirawa:
- Zinthu zomwe siziyenera kutengedwa pamodzi pazifukwa zilizonse: `Mifepristone`, `RU-486` ndi mitundu ina ya katemera.
- Mankhwala ena omwe angagwirizane ndi izi: Aspirin, maantibayotiki ena (monga clarithromycin, erythromycin), mankhwala a khunyu (phenobarbital, phenytoin), mankhwala ochepetsa magazi monga Rifampin, Ketoconazole, ndi Warfarin.
Uthenga Wopita Nawo Kunyumba
- Cortisone ndi mankhwala ofunikira kwambiri omwe amaletsa kutupa, koma ayenera kugwiritsidwa ntchito pokhapokha ngati dokotala akuyang'anira.
- Pewani kusiya kumwa mankhwala mwadzidzidzi nthawi iliyonse popanda upangiri wa dokotala.
- Musanayambe kumwa mankhwala, uzani dokotala wanu za matenda ena onse omwe muli nawo komanso mankhwala ena onse omwe mukumwa.
- Dzitetezeni ku matenda pamene mukumwa mankhwalawa. Uzani dokotala wanu nthawi yomweyo ngati mukuyamba zizindikiro monga malungo kapena zilonda zosachiritsa.
- Ngati muli ndi kukayikira kapena mafunso, nthawi zonse lankhulani ndi dokotala musanapange chisankho nokha.
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