Kodi muli ndi matenda a autoimmune, vuto lomwe chitetezo cha mthupi lanu chimaukira maselo ake? Ngati ndi choncho, mwina mumamwa mankhwala tsiku lililonse kuti muchepetse matendawa. Ndi mliri wa COVID-19, mungakhale ndi nkhawa, "Kodi mankhwalawa afooketsa chitetezo cha mthupi langa ndikundipangitsa kuti ndidwale mosavuta?" Mwinanso mwamvapo kuti mankhwala awa (makamaka mankhwala oletsa chitetezo cha mthupi) ndi vuto lanu la autoimmune zitha kuwonjezera chiopsezo chanu cha zovuta ngati mutatenga kachilomboka. Zonsezi ndi zoona. Koma musachite mantha. Tiyeni tikambirane izi mwatsatanetsatane lero.
Chofunika kwambiri ndichakuti, musasiye kumwa mankhwala anu nokha popanda kufunsa dokotala pazifukwa zilizonse. Kambiranani nkhawa zanu zonse ndi mantha anu ndi dokotala wanu. Iye adzatha kukuuzani ngati muyenera kusintha chithandizo chanu kapena ayi.
Pali zinthu zambiri zomwe mungachite kuti mudziteteze ku COVID-19. Ndipo, ngati mutadwala, dokotala wanu adzaganizira mbali zonse za chithandizo chanu ndikupanga chisankho chabwino kwambiri.
Kodi chimachitika ndi chiyani kwenikweni ndi mankhwala odziteteza okha?
Mwachidule, matenda odziteteza okha ndi pamene chitetezo cha mthupi, chomwe chili ngati "gulu lankhondo" lomwe limateteza thupi lathu, chimaukira molakwika maselo ndi minofu yathu yathanzi. Zili ngati gulu lankhondo likuukira anthu ake.
Mankhwala omwe amagwiritsidwa ntchito pochiza vutoli amagwira ntchito mwa kusintha momwe chitetezo cha mthupi, chomwe chili kale chogwira ntchito mopitirira muyeso, chimagwirira ntchito. Koma si mankhwala onse omwe amagwira ntchito mofanana. Mankhwala ena amagwira ntchito mwa kupangitsa chitetezo cha mthupi chonse kugwira ntchito mopitirira muyeso. Ena amalimbana ndi maselo enaake omwe akukhudzidwa ndi vutoli ndikuwongolera ntchito zawo.
| Mtundu wa mankhwala | Kugwira ntchito bwino n'kosavuta |
|---|---|
| Corticosteroids Mwachitsanzo: prednisone, prednisolone | Izi zimachepetsa ntchito ya chitetezo chamthupi chonse. |
| Mankhwala/Zoletsa Matenda Osintha Matenda | Zimapangitsa kuti maselo ena a chitetezo chamthupi azivutika kugwira ntchito. |
| Mankhwala Oletsa Kutupa kwa Mthupi Mwachitsanzo: cyclosporine | Izi zimatha kuletsa ma lymphocyte, monga ma T cell, kugwira ntchito. |
| Zamoyo/zamoyo zofanana Mwachitsanzo: mankhwala oletsa TNF | Zimathandiza kuchepetsa kutupa m'thupi mwa kutsanzira mapuloteni enaake m'thupi. |
Kodi mankhwalawa amagwiritsidwa ntchito pa matenda otani?
Mankhwalawa amagwiritsidwa ntchito pa matenda osiyanasiyana a chitetezo chamthupi. Zitsanzo zina ndi izi:
- Matenda a nyamakazi: Matenda omwe amayambitsa kutupa ndi kupweteka m'malo olumikizirana mafupa.
- Matenda a m'matumbo otupa (IBD): Izi zikuphatikizapo matenda a m'matumbo monga matenda a Crohn ndi ulcerative colitis .
- Matenda a multiple sclerosis: Matenda omwe amakhudza mitsempha.
- Psoriasis: Matenda a pakhungu.
- Lupus: Matenda omwe angakhudze ziwalo zosiyanasiyana m'thupi.
- Matenda a chithokomiro
- Matenda a shuga amtundu woyamba
Ndiye ndisiye kumwa mankhwalawo?
Ayi. Muyenera kupitiriza kumwa mankhwala anu. Izi zikuphatikizapo IV (saline) ndi jakisoni uliwonse womwe mwapatsidwa. Komabe, ndikofunikira kwambiri kulankhula ndi dokotala wanu ndikumudziwitsa za izi. Iye adzakuuzani ngati pakufunika kusintha kulikonse pa chithandizo chanu.
Ganizirani izi motere. Kulamulira matenda anu odziteteza okha kungakhale kofunikira kwambiri kuposa chiopsezo chotenga COVID-19. Chifukwa ngati musiya kumwa mankhwala anu, matenda anu angayambe mwadzidzidzi. Ngati zimenezo zitachitika, mutha kugonekedwa kuchipatala. Zimenezi zimakuikani pachiwopsezo chachikulu chotenga COVID-19 kapena mavairasi ena.
Chinanso n'chakuti, mankhwala ambiri odziteteza okha amakhala m'thupi mwanu kwa miyezi ingapo. Izi zikutanthauza kuti ngakhale mutasiya kumwa mankhwala lero, zimatenga nthawi kuti zotsatira zake zithe. Choncho palibe phindu lomwe limabwera chifukwa chosiya mwadzidzidzi.
Komabe, pali nthawi zina pamene dokotala wanu angasankhe kusiya kapena kuchedwetsa chithandizo chanu kwa kanthawi. Izi zitha kuchitika ngati:
- Ngati mukuwonetsa zizindikiro za COVID-19.
- Ngati mwakhala mukukumana ndi munthu amene ali ndi kachilombo ka COVID-19.
Dokotala wanu asanasiye kumwa mankhwala, adzaganizira zinthu zingapo:
- Kodi kufalikira kwa COVID-19 kuli bwanji m'dera lomwe mukukhala?
- Mukugwiritsa ntchito mankhwala amtundu wanji?
- Kodi matenda anu ndi oopsa bwanji?
- Kodi muli ndi zaka zoposa 60?
- Kodi muli ndi mavuto ena azaumoyo, monga matenda a m'mapapo kapena matenda a mtima?
Kodi ndiyenera kuchita chiyani kuti ndidziteteze ku COVID-19?
Monga aliyense, muyenera kukhala aukhondo. Izi zikutanthauza kusamba m'manja nthawi zambiri ndi sopo ndi madzi kwa masekondi osachepera 20. Onetsetsani kuti mwatsuka manja anu, kumbuyo kwa manja anu, pakati pa zala zanu, ndi pansi pa misomali yanu. Ngati sopo ndi madzi sizikupezeka, gwiritsani ntchito sanitizer yamanja yomwe ili ndi mowa wosachepera 60%.
Monga munthu amene akumwa mankhwala odziteteza ku matenda a autoimmune, muyenera kusamala kwambiri ndi zinthu izi:
- Pewani kuyenda kosafunikira.
- Pewani malo odzaza anthu (kutalikirana ndi anthu). Khalani panyumba momwe mungathere.
- Zingakhale bwino ngati mungatumize wina kuti akagule zinthu monga zakudya kapena mankhwala.
- Sungani mtunda wa mamita osachepera 6 kuchokera kwa ena.
- Valani chophimba nkhope nthawi iliyonse mukatuluka.
- Pewani kukhudza maso, mphuno, ndi pakamwa panu mopanda chifukwa.
- Ngati n'kotheka, sungani mankhwala okwanira kwa milungu iwiri kapena inayi.
- Lankhulani ndi dokotala wanu za kulandira katemera woyenera wa COVID-19, komanso matenda ena monga chimfine, chibayo, chifuwa chachikulu, ndi ma shingles .
Kodi ndiyenera kuyimbira dokotala liti?
Ndikofunikira kwambiri kuti mudziwe zizindikiro za COVID-19. Ngati muli ndi zizindikiro zotsatirazi, dziwitsani dokotala wanu nthawi yomweyo.
Chofunika: Mankhwala a steroids ndi mankhwala ena oletsa chitetezo chamthupi angayambitse kutentha thupi koma osawonetsa kutentha thupi. Chifukwa chake, ngakhale mutakhala kuti mulibe kutentha thupi, dziwani zizindikiro zina.
| Zizindikiro za COVID-19: Nthawi yoti muyimbire dokotala ndi zadzidzidzi | |
|---|---|
| Ngati muli ndi zizindikiro izi, imbani dokotala wanu: | |
| Makhalidwe Abwino |
|
| Makhalidwe a dongosolo la m'mimba |
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| Izi ndi zadzidzidzi! Pitani ku Dipatimenti Yoona za Zadzidzidzi ya Chipatala chapafupi (ETU) nthawi yomweyo: | |
| Zizindikiro zochenjeza |
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Uthenga Wopita Nawo Kunyumba
- Ngati mukumwa mankhwala a matenda odziteteza ku matenda a autoimmune, musasiye kumwa popanda upangiri wa dokotala.
- Kuopsa kwa matenda ndi kuipiraipira kosalamulirika kwa matenda anu ndi zoopsa zazikulu, choncho ndikofunikira kupitiriza kulandira chithandizo moyenera.
- Kambiranani ndi dokotala wanu za katemera wa COVID-19 ndi katemera wina wovomerezeka.
- Tsatirani mosamala njira zodzitetezera monga kusamba m'manja, kusunga mtunda, komanso kuvala zophimba nkhope.
- Dziwani bwino za zizindikiro za COVID-19 ndi zomwe mungachite pakagwa ngozi. Ngati muli ndi kukayikira kulikonse, funsani dokotala wanu.
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