Kodi muli ndi mavuto opuma kapena matenda monga mphumu? Kapena mwana wanu? Nthawi zina madokotala amalemba mankhwala apadera kuti athetse vutoli. Lero tikambirana za mankhwala amodzi otere. Awa ndi mankhwala amadzimadzi omwe amaperekedwa pogwiritsa ntchito nebulizer. Tiyeni tiwone kuti ndi chiyani, momwe tingagwiritsire ntchito, komanso zomwe muyenera kusamala nazo.
Kodi mankhwala awa ndi amtundu wanji? Kodi tingadziwe motsimikiza?
Mankhwalawa amatchedwa Cromolyn. Mwina munamvapo za mankhwalawa pansi pa dzina la Intal. Ndi mankhwala omwe amathandiza kupewa zizindikiro za mphumu zisanachitike. Izi zikutanthauza kuti amagwiritsidwa ntchito poletsa mphumu kuti isakule kwambiri.
Tangoganizirani, mkati mwa matupi athu muli maselo otchedwa "mast cells." Maselo amenewa amatulutsa mankhwala omwe nthawi zina amayambitsa zizindikiro za ziwengo kapena kutupa m'njira zopumira. Kutulutsidwa kwa mankhwala amenewo ndi komwe mankhwala otchedwa "Cromolyn" amachepetsa. Kenako, kutupa ndi kutsekeka kwa mapapo kumachepa, zomwe zimapangitsa kuti kupuma kukhale kosavuta.
Chofunika Kwambiri: Mankhwalawa sangagwiritsidwe ntchito pa matenda a mphumu mwadzidzidzi, kutanthauza kuti, matenda omwe amayambitsa kupuma movutikira komanso kutsekeka pachifuwa. Pazochitika zotere, mankhwala opumulira a ``reliever`` amagwiritsidwa ntchito. ``Cromolyn`` iyi ndi mankhwala ``prevention`` omwe amaletsa zizindikiro kuti zisachitike. Izi zikutanthauza kuti, mutha kupindula nawo pokhapokha ngati mugwiritsa ntchito tsiku lililonse, monga momwe dokotala akunenera.
Mankhwalawa ali m'gulu la mankhwala otchedwa ``mast cell stabilizers``. Mwachidule, amakhazikitsa ``mast cells`` omwe tidakambirana kale ndipo amawongolera kutulutsa mankhwala ovutawo kuchokera kwa iwo.
Kodi ndiyenera kumuuza chiyani dokotala ndisanayambe kugwiritsa ntchito mankhwalawa?
Musanayambe kumwa Cromolyn, ndikofunikira kuuza dokotala wanu kapena wamankhwala ku pharmacy komwe mumagula mankhwala anu. Adzafuna kudziwa ngati mankhwalawa ndi oyenera kwa inu kapena ngati pali nkhawa zinazake zomwe muyenera kudziwa.
Auzeni zinthu izi:
- Kodi muli ndi matenda a impso?
- Kodi muli ndi matenda aliwonse a chiwindi?
- Kodi munayamba mwakhalapo ndi vuto la ziwengo chifukwa cha mankhwala a Cromolyn awa, mankhwala ena aliwonse, chakudya, utoto, kapena zotetezera? Ndiko kuti, kodi munayamba mwakhalapo ndi ziphuphu, ziphuphu, kuyabwa, kapena kupuma movutikira?
- Kodi muli ndi pakati panopa? Kapena mukuyembekezera kutenga pakati posachedwa?
- Kodi ndinu mayi woyamwitsa?
Kuwapatsa chidziwitsochi n'kofunika kwambiri kuti mukhale otetezeka.
Kodi mumagwiritsa ntchito bwanji mankhwalawa molondola?
Mankhwalawa amagwiritsidwa ntchito pogwiritsa ntchito chipangizo chapadera chotchedwa nebulizer.
Kodi nebulizer ndi chiyani?
Mwina simunawonepo. Iyi ndi makina ang'onoang'ono. Tikayikamo mankhwala amadzimadzi, makinawa amatulutsa mankhwalawa ngati nthunzi yosalala kwambiri (aerosol kapena nthunzi). Zili ngati nthunzi yotuluka mu bafa lotentha tsiku lozizira, koma iyi ndi mankhwala. Kenako timagwiritsa ntchito chigoba chomwe mungachiyike pakamwa ndi mphuno mwanu, kapena chotsukira pakamwa chomwe mungagwiritse ntchito kudzera pakamwa panu, ndipo timapuma nthunziyo. Kenako mankhwalawa amapita mwachindunji m'mapapo. Njirayi ndi yosavuta kwambiri kwa ana aang'ono kapena kwa anthu omwe ali ndi vuto logwiritsa ntchito inhaler moyenera.
Kotero, madzi a Cromolyn awa amaikidwa mu nebulizer motere, ndipo nthunzi yomwe imatulukamo ndi yomwe muyenera kutenga kudzera pakamwa panu, kapena kudzera pakamwa ndi mphuno yanu, ndikutumiza ku mapapo anu.
Ndikofunikira kwambiri kuti musasakanize mankhwalawa ndi mankhwala ena aliwonse mu nebulizer. Musaike china chilichonse pokhapokha ngati dokotala wanu wakuuzani mwachindunji kuti muchite zimenezo.
Gwiritsani ntchito mankhwala monga momwe dokotala wanu wanenera, panthawi yoyenera, komanso muyeso woyenera. Musagwiritse ntchito mopitirira muyeso kapena mochepera kuposa momwe dokotala wanu wakuuzani kuti mugwiritse ntchito.
Mukapatsidwa mankhwala awa, mudzalandira phukusi la odwala. Lili ndi zambiri zokhudza mankhwala awa. Werengani mosamala phukusili nthawi iliyonse mukalandira mankhwala owonjezera, chifukwa zambirizo zingasinthe nthawi ndi nthawi.
Kodi mankhwalawa ayenera kuperekedwa kwa ana aang'ono?
Lankhulani ndi dokotala wanu za kupereka mankhwalawa kwa ana aang'ono. Nthawi zina, angaperekedwe kwa ana aang'ono ngati zaka ziwiri. Komabe, pali njira zapadera zodzitetezera. Chifukwa chake, chilichonse chiyenera kuchitika motsatira malangizo a dokotala.
Kodi mungachite chiyani ngati mwamwa mankhwala ochulukirapo?
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, imbani chipatala chapafupi chowongolera poizoni kapena chipinda chodzidzimutsa nthawi yomweyo. Musazengereze, chabwino?
Chinanso, mankhwalawa ndi a inu nokha. Musapatse wina aliyense mankhwalawa, ngakhale atakhala ndi zizindikiro zomwezo monga inu, koma si bwino kupatsa aliyense mankhwala omwe sanalembedwe ndi dokotala.
Nanga bwanji ngati nditaphonya nthawi yokumana ndi dokotala?
Ngati mwaphonya mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yatsala pang'ono kuti mutenge mlingo wotsatira ikafika (mwachitsanzo, ngati mlingo wotsatira uyenera kuperekedwa mkati mwa maola awiri kapena atatu), dumphani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe yakonzedwa. Musamwe mlingo wowirikiza kawiri. Kuchita izi kungapangitse kuti muwonjezere kuchuluka kwa mankhwala omwe mumamwa.
Kodi mankhwalawa amagwirizana ndi zinthu zina?
Cromolyn nthawi zambiri sayembekezeredwa kuyambitsa kuyanjana kwakukulu ndi mankhwala ena. Komabe, monga tanenera kale,Musasakanize mankhwalawa ndi mankhwala ena aliwonse mu nebulizer pokhapokha ngati gulu lanu lachipatala likulangizani kutero.
Mndandandawu sungakhale ndi zotsatirapo zonse zomwe zingachitike. Chifukwa chake, uzani dokotala wanu za mankhwala onse omwe mumamwa (kuphatikizapo mavitamini, mankhwala azitsamba, mankhwala osaperekedwa ndi dokotala, ndi zowonjezera zakudya), komanso ngati mumasuta fodya, mumamwa mowa, kapena mumagwiritsa ntchito mankhwala osokoneza bongo. Zinthu zina zingakhudze mankhwala anu.
Ndiyenera kusamala ndi chiyani ndikamamwa mankhwalawa?
- Pitani kwa dokotala nthawi zonse kuti mukaone momwe zizindikiro zanu zilili, kaya zikuchepa kapena zikuipiraipira. Ndikofunikira kwambiri.
- Ngati zizindikiro zanu sizikusintha, ndiye kuti, ngati palibe kusintha mutamwa mankhwala, uzani dokotala wanu.
- Ngati zizindikiro zanu zikuipiraipira, kapena ngati mukufunika kugwiritsa ntchito mankhwala anu opumira omwe amagwira ntchito nthawi zambiri (monga masiku opitilira awiri pa sabata), lankhulani ndi dokotala nthawi yomweyo. Izi zitha kutanthauza kuti mphumu yanu siikulamuliridwa bwino.
- Ngati mukumva kukoma kowawa kapena kosasangalatsa mkamwa mwanu mutamwa mankhwalawa, tsukani pakamwa panu bwino ndi madzi mutamwa mankhwalawa. Izi zithandiza kuchepetsa kukoma pang'ono.
- Ngati mukugwiritsa ntchito mankhwalawa panthawi yochita masewera olimbitsa thupi, kapena kuti mupewe bronchospasm chifukwa cha zinthu zoyambitsa mkwiyo, monga fumbi kapena utsi, imwani mankhwalawa mphindi 10-15 musanagwiritse ntchito mankhwalawa (monga kuyamba kuchita masewera olimbitsa thupi).
Kodi zotsatirapo zake zingakhale zotani chifukwa cha mankhwalawa?
Monga mankhwala ena onse, mankhwalawa akhoza kukhala ndi zotsatirapo zazing'ono. Zina mwa izo si zazikulu kwenikweni, koma pali zinthu zina zomwe muyenera kudziwa.
Zotsatirapo zomwe muyenera kuuza dokotala wanu nthawi yomweyo:
Ngati zizindikiro zilizonsezi zichitika, siyani kumwa mankhwalawo ndipo pitani kwa dokotala nthawi yomweyo.
- Matenda a ziwengo: Izi zikuphatikizapo ziphuphu pakhungu, kuyabwa kwambiri, ziphuphu, kutupa kwa nkhope, milomo, lilime kapena pakhosi. Izi zitha kukhala zoopsa.
- Ngati mukupuma movutikira kapena mukuvutika kupuma mutamwa mankhwala: Nthawi zina, chifuwa chanu chimalimba nthawi yomweyo mutamwa mankhwalawo. Ngati izi zitachitika, muyeneranso kuuza dokotala wanu .
Zotsatirapo zomwe nthawi zambiri sizifuna chithandizo chamankhwala (koma ngati zikupitirira kapena zikuvutitsa, muyenera kuuza dokotala wanu ):
Izi nthawi zambiri zimatha pakatha masiku ochepa, koma ngati zikupitirira, uzani dokotala wanu ngati zikukuvutitsani.
- Chifuwa
- Mutu
- Kusanza (kumva ngati m'mimba mwanu mukugwedezeka)
- Kutsimula
- Mphuno yotuluka madzi kapena mphuno yotsekeka
Mndandandawu sungakhale ndi zotsatirapo zonse zoyipa. Ngati muwona china chake chachilendo kapena chovutitsa, lankhulani ndi dokotala wanu. Ku United States, muthanso kunena za zotsatirapo zoyipa ku FDA (Food and Drug Administration) poyimbira 1-800-FDA-1088. Ku Sri Lanka, mutha kunena izi kwa dokotala wanu kapena ku Drug Regulatory Authority ya Unduna wa Zaumoyo.
Kodi mumasunga bwanji mankhwalawa kukhala otetezeka?
- Sungani mankhwalawa pamalo okwera kwambiri omwe ana ndi ziweto zapakhomo sangafikire.
- Sungani kutentha kwa chipinda (pakati pa madigiri 20 ndi 25 Celsius / madigiri 68 ndi 77 Fahrenheit). Musayiike pamalo otentha kwambiri kapena ozizira.
- Tetezani ku kuwala. Izi zikutanthauza kuti musaike pamalo a dzuwa mwachindunji.
- Sungani mabotolo osatsegulidwa m'matumba awo a zojambulazo. Izi zidzateteza mankhwalawo ku kuwala ndi chinyezi.
- Musagwiritse ntchito mankhwala otha ntchito. Tayani bwino. Funsani ogulitsa mankhwala anu kuti akupatseni malangizo a momwe mungawatayire bwino.
Pomaliza: Nkhaniyi ikupereka chidule cha mankhwala awa. Mwina sangakhale ndi mfundo zonse. Ngati muli ndi mafunso ena okhudza Cromolyn, chonde lankhulani ndi dokotala wanu, wamankhwala, kapena wothandizira zaumoyo wina.
Ndiye, tiyeni tiwone zina mwa zinthu zomwe tiyenera kukumbukira kuchokera pa zomwe takambiranazi?
Chabwino, tiyeni tikambirane mfundo zazikulu zomwe tinakambirana ndi yankho la Cromolyn nebulizer:
- Chofunika kwambiri: Uwu ndi mankhwala oletsa zizindikiro za mphumu. Si mankhwala ochizira matenda a mphumu.
- Kugwiritsa ntchito moyenera: Gwiritsani ntchito mankhwala monga momwe dokotala wanu wanenera, mu kuchuluka koyenera, panthawi yoyenera, kudzera mu nebulizer. Musawasakanize ndi mankhwala ena.
- Uzani dokotala wanu : Onetsetsani kuti mwauza dokotala wanu za matenda ena aliwonse omwe muli nawo (makamaka matenda a impso kapena chiwindi), ziwengo, mankhwala ena omwe mukumwa, komanso ngati muli ndi pakati kapena mukuyamwitsa.
- Dziwani zotsatirapo zake: Ngati mukukumana ndi zotsatirapo zake zoopsa (kuvutika kupuma, kuvutika kupuma), uzani dokotala wanu nthawi yomweyo. Ngati zotsatirapo zake zikupitirira, uzani dokotala wanu.
- Kuyezetsa pafupipafupi: Pitani kwa dokotala wanu masiku omwe mwakonza kuti mukayeze matenda anu. Muuzeni nthawi yomweyo ngati zizindikiro zanu zikukulirakulira.
- Kusunga mankhwala moyenera: Sungani mankhwalawo bwino, mosamala, komanso kutali ndi ana. Tayani mankhwalawo akatha ntchito.
Ngati mukumbukira zinthu izi ndikutsatira malangizo a dokotala wanu mosamala, mudzatha kulamulira bwino mphumu yanu ndikukhalabe ndi thanzi labwino!
'Cromolyn, Nebulizer, Mphumu, Kuvuta Kupuma, Zotsatirapo Zake, Mankhwala, Mapapo, Intal











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