Matenda ena, mwachitsanzo, anthu omwe ali ndi matenda monga Thalassemia, amafunika kupereka magazi m'thupi pafupipafupi. Tikalandira magazi kwa nthawi yayitali motere, kuchuluka kwa chitsulo m'thupi mwathu kumatha kukwera mosafunikira. Timatcha izi kukhala ndi chitsulo chochuluka. Chitsulo chowonjezekachi chikhoza kusungidwa m'ziwalo zofunika monga mtima wathu ndi chiwindi ndikuziwononga. Chifukwa chake, mankhwala apadera omwe madokotala amagwiritsa ntchito kuchotsa chitsulo chochulukirapochi m'thupi amatchedwa Deferasirox. Tiyeni tikambirane za izi lero.
Kodi Deferasirox ndi chiyani? Kodi kwenikweni imagwira ntchito yanji?
Mwachidule, mankhwala awa otchedwa Deferasirox amagwira ntchito ngati maginito. Amamangirira ku tinthu ta chitsulo tosafunikira, tochuluka m'magazi mwathu, kuwagwira, ndikuwathandiza kuti achotsedwe m'thupi. Njirayi imatchedwa Chelation mu sayansi ya zamankhwala. Izi zimaletsa kuwonongeka komwe chitsulo chochuluka chingabweretse ku ziwalo zathu zofunika. Mankhwalawa amatha kuperekedwa ndi mayina otchuka monga Jadenu.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa
Dokotala wanu ayenera kudziwa mbiri yonse ya thanzi lanu asanakupatseni mankhwala awa. Onetsetsani kuti mwawauza za vuto lililonse mwa zotsatirazi, makamaka ngati muli nalo:
- Ngati muli ndi khansa.
- Ngati muli ndi vuto la maso kapena matenda a maso.
- Ngati muli ndi vuto lililonse la kumva.
- Ngati muli ndi matenda a impso kapena chiwindi.
- Ngati muli ndi vuto lomwe limapangitsa kuti chiwerengero cha maselo oyera a m'magazi, ma platelet, kapena maselo ofiira a m'magazi chichepe (kuchepa kwa magazi).
- Ngati muli ndi vuto la ziwengo ndi mankhwala a Deferasirox awa kapena mankhwala ena aliwonse, chakudya, kapena utoto.
- Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena mukuyamwitsa.
Mankhwalawa ayenera kugwiritsidwa ntchito moyenera.
Ndikofunikira kwambiri kutsatira malangizo enieni ogwiritsira ntchito mankhwalawa.
- Imwani musanayambe kudya: Mankhwalawa ayenera kumwedwa musanayambe kudya . Izi zikutanthauza kuti, mphindi 30 musanadye, kapena maola awiri mutadya.
- Imwani pa nthawi yake: Imwani mlingo womwe mwapatsidwa pa nthawi yomwe mwapatsidwa ndi dokotala. Musamwe mopitirira muyeso wa nthawi zomwe mwapatsidwa patsiku.
- Musasiye kumwa mankhwalawa: Musasiye kumwa mankhwalawa mwadzidzidzi popanda upangiri wa dokotala.
Akapatsidwa ana aang'ono
Mankhwalawa akhoza kuperekedwa kwa ana azaka zopitirira ziwiri nthawi zina. Komabe, chisankho ichi chidzapangidwa ndi dokotala wa mwana wanu. Chifukwa chake, ngati mukupereka mankhwalawa kwa mwana, tsatirani malangizo a dokotalayo ndendende.
Nanga bwanji ngati ndaphonya mlingo wa mankhwala?
Ngati mwaphonya mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yatsala pang'ono yoti mutenge mlingo wotsatira, thawani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe mwakonza.Musamwe mankhwala awiri nthawi imodzi.
Nanga bwanji ngati nditamwa mankhwala ochulukirapo?
Tangoganizani kuti mwamwa mankhwala ochulukirapo panthawi yolakwika. Ngati zimenezo zitachitika, musachite mantha ndipo nthawi yomweyo imbani National Poison Information Centre ku Colombo National Hospital . Kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.
Mankhwala ena omwe angagwirizane ndi Deferasirox
Mankhwalawa angagwirizane ndi mankhwala ena, choncho ndikofunikira kwambiri kuuza dokotala wanu za mankhwala ena onse omwe mukumwa (kuphatikizapo mavitamini ndi mankhwala azitsamba).
| Mtundu wa mankhwala | Kufotokozera ndi zitsanzo |
|---|---|
| Zinthu zomwe simuyenera kumwa ndi mankhwalawa | |
| Zowonjezera zachitsulo | Kumwa mankhwalawa kumachotsa chitsulo chochuluka m'thupi, kotero kumwa mapiritsi achitsulo panja sikungathandize. |
| Mankhwala ena a Hepatitis C | Mwachitsanzo: Dasabuvir, Ombitasvir, Paritaprevir, Ritonavir |
| Mankhwala ena omwe angayambitse kusagwirizana (uzani dokotala ngati mukumwa mankhwalawa) | |
| Mankhwala oletsa asidi | Mankhwala a gastritis omwe ali ndi aluminiyamu. |
| Mankhwala Ochepetsa Ululu (NSAIDs) | Mwachitsanzo: Mankhwala monga Ibuprofen ndi Naproxen. |
| Mapiritsi oletsa kubereka | Mankhwalawa angachepetse mphamvu ya mapiritsi oletsa kubereka. |
| Mankhwala ena | Mankhwala ena ambiri, monga mankhwala ochepetsa cholesterol (Cholestyramine, Simvastatin), mankhwala a khunyu (Phenobarbital), mankhwala ochepetsa magazi (Warfarin), steroids (Prednisone), Cyclosporine, Rifampin, ndi zina zotero. |
Samalani thupi lanu mukamamwa mankhwala.
Ndikofunikira kwambiri kulabadira kusintha kwa thupi lanu mukamamwa mankhwalawa.
Matenda Oopsa Pakhungu: Mankhwalawa nthawi zina angayambitse matenda aakulu pakhungu. Izi zitha kuchitika ngakhale milungu ingapo mutayamba kumwa mankhwala. Ngati muyamba kutupa kofiira komwe kumaphatikizapo malungo, kupweteka kwa thupi, ngati kufiira ndi matuza, ngati khungu layamba kung'ambika, kapena ngati muyamba kutupa kofiira komwe kumaphatikizapo ziphuphu pakhosi kapena m'khwapa , pitani kwa dokotala nthawi yomweyo.
- Mayeso azachipatala: Dokotala wanu adzayang'ana maso anu, kumva kwanu, ndi magazi anu (makamaka momwe impso ndi chiwindi zimagwirira ntchito) musanayambe kumwa mankhwalawa komanso pamene mukumwa. Musadumphe mayesowa.
- Kutuluka magazi m'mimba: Ngati muli ndi ndowe zakuda, zonyowa, kapena kusanza komwe kumaoneka ngati khofi, kungakhale chizindikiro cha kutuluka magazi kuchokera ku chilonda m'mimba kapena m'matumbo. Ngati izi zitachitika, uzani dokotala nthawi yomweyo.
- Chizungulire: Mankhwalawa angapangitse anthu ena kuzunguzika mutu. Musayendetse galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani. Samalani mukadzuka kapena kukhala pansi mwadzidzidzi.
- Kusowa madzi m'thupi mwa ana: Ngati mwana wanu wapatsidwa mankhwalawa ndipo ali ndi kupweteka m'mimba kwambiri, kusanza, kapena thukuta kwambiri, uzani dokotala wanu nthawi yomweyo. Kupereka mankhwalawa kungakhale koopsa ngati thupi litaya madzi ambiri (kusowa madzi m'thupi).
Zotsatirapo zomwe zingachitike ndi mankhwalawa
Monga mankhwala ena aliwonse, Deferasirox ingayambitse zotsatirapo zina. Zina mwa izo ndi zazikulu, pomwe zina ndizofala.
| Zotsatira zoyipa | Kufotokozera |
|---|---|
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala nthawi yomweyo | |
| Ziwengo zoopsa | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime, komanso kuvutika kupuma. |
| Zizindikiro za kuwonongeka kwa chiwindi | Khungu kapena maso achikasu, mkodzo wakuda wachikasu/bulauni, kupweteka kumtunda kwa kumanja kwa m'mimba, kusowa chilakolako cha chakudya, kutopa kwambiri. |
| Zizindikiro za kuwonongeka kwa impso | Kuchepa kwa mkodzo, kuvutika kukodza. |
| Kusintha kwa masomphenya kapena kumva | Kusawona bwino, kusamva bwino. |
| Kutuluka magazi kosazolowereka | Kutupa kosafunikira komanso kutuluka magazi pakhungu. |
| Zotsatira zoyipa zomwe ziyenera kufotokozedwa kwa dokotala wanu ngati zikupitirira kapena zikuvutitsa: | |
| Mavuto a m'mimba | Kupweteka m'mimba, kutsegula m'mimba, nseru, kusanza. |
| Kusowa tulo | Kuvuta kugona. |
Uthenga Wopita Nawo Kunyumba
- Deferasirox ndi mankhwala omwe amaperekedwa kuti achotse chitsulo chochuluka m'thupi. Ayenera kumwedwa monga momwe dokotala wanenera, pamimba yopanda kanthu.
- Uzani dokotala wanu za mankhwala ena onse omwe mumamwa, makamaka mankhwala ochepetsa ululu ndi mankhwala oletsa asidi, chifukwa mankhwalawa angagwirizane ndi mankhwala ena.
- Ngati mukukumana ndi zizindikiro zazikulu monga kutupa pakhungu, ndowe zakuda, kapena chikasu m'maso, pitani kwa dokotala nthawi yomweyo.
- Mukamamwa mankhwalawa, onetsetsani kuti dokotala wanu wakupatsani mayeso a magazi, maso, ndi khutu.
- Mankhwalawa ndi a inu nokha. Musagawane ndi ena.
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