Abale ndi alongo athu ena, makamaka omwe ali ndi matenda monga Thalassemia, amafunika kuikidwa magazi nthawi zonse. Izi ndi gawo lofunika kwambiri pa moyo wawo. Komabe, tikapitiriza kulandira magazi mwanjira imeneyi, chitsulo chochuluka chimatha kusonkhana m'thupi mwathu kuposa momwe thupi lathu limafunira. Monga thanki yamadzi yomwe imadzazidwa ndi madzi ndipo imapitiriza kuwira tikapitiriza kuthira madzi. Chitsulo chochulukachi chingawononge ziwalo zofunika monga mtima wathu ndi chiwindi. Chifukwa chake, mankhwala apadera omwe madokotala amapereka kuti achepetse chitsulo chochulukachi amatchedwa Deferiprone. Lero, tiyeni tikambirane za mankhwalawa.
Mwachidule, kodi Deferiprone ndi chiyani?
Deferiprone ndi mankhwala omwe amathandiza thupi lanu kuyamwa chitsulo chochuluka ndikuchitulutsa kudzera mu mkodzo. Monga maginito achitsulo, mankhwalawa amakoka tinthu tachitsulo tosafunikira kuchokera m'magazi anu. Izi zimathandiza kuti chitsulo cha thupi lanu chikhale chotetezeka. Mankhwalawa nthawi zambiri amagulitsidwa pansi pa dzina lodziwika bwino la Ferriprox. Amabwera ngati yankho lakumwa.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa
Ndikofunikira kwambiri kuti dokotala wanu adziwe bwino za thanzi lanu asanakupatseni mankhwala awa. Chifukwa chake, ngati muli ndi vuto lililonse mwa omwe ali pansipa, onetsetsani kuti mwawauza za vutoli.
- Matenda omwe alipo panopa: Uzani dokotala wanu ngati muli ndi matenda enaake, monga malungo, chifuwa, chimfine, kapena kupweteka pakhosi, chifukwa nthawi zina mankhwalawa amatha kuchepetsa kuchuluka kwa maselo oyera amagazi omwe amathandiza chitetezo cha mthupi.
- Matenda a chiwindi: Izi ndizofunikira kwambiri ngati muli ndi vuto la chiwindi lomwe lilipo kale.
- Kuchuluka kwa maselo m'magazi: Ngati mwapezeka ndi maselo oyera, maselo ofiira, kapena ma platelet ochepa m'magazi anu, chonde tidziwitseni.
- Matenda a ziwengo: Musaiwale kutiuza ngati muli ndi vuto lililonse la ziwengo chifukwa cha Deferiprone kapena mankhwala ena aliwonse, chakudya, kapena utoto.
- Mimba ndi kuyamwitsa: Ngati muli ndi pakati, mukufuna kutenga pakati, kapena kuyamwitsa, muyenera kuuza dokotala wanu. Tikambirana izi mwatsatanetsatane.
Njira yolondola yogwiritsira ntchito mankhwala
Kuti mupindule kwambiri ndi mankhwala, muyenera kuwagwiritsa ntchito motsatira malangizo.
1. Imwani pa nthawi yake: Yesetsani kumwa mankhwala anu nthawi yomweyo tsiku lililonse , monga momwe dokotala wanu wanenera. Izi zidzakuthandizani kuti musunge mankhwalawo m'thupi lanu nthawi zonse.
2. Muyeso wolondola: Mudzalandira chikho chapadera choyezera ndi mankhwala awa.Onetsetsani kuti muyeza mankhwalawo ndi mankhwala okhawo. Musagwiritse ntchito supuni kapena supuni zomwe muli nazo kunyumba, chifukwa muyeso wawo si wolondola.
3. Imwani mlingo wonse: Mukatha kumwa mankhwala, onjezerani madzi pang'ono (pafupifupi 10-15 ml) mu chikho choyezera, gwedezani bwino, ndikumwa madziwo. Izi zithandiza kusungunula mankhwala otsala mu chikhocho.
4. Musanadye kapena mutatha kudya: Mutha kumwa izi musanayambe kapena mutatha kudya. Komabe, ngati mukumva kupweteka m'mimba kapena kusasangalala, ndi bwino kumwa pamodzi ndi chakudya.
5. Mukamamwa mankhwala ena: Ngati mukumwa mankhwala oletsa asidi (zakumwa/mapiritsi omwe amagwiritsidwa ntchito pochiza gastritis), mavitamini okhala ndi chitsulo, zinc, kapena aluminiyamu, musamwe mankhwalawa pamodzi ndi mankhwala a Deferiprone awa. Muyenera kumwa mankhwala otere maola 4 musanayambe kumwa kapena maola 4 mutatha kumwa Deferiprone .
Musasiye kumwa mankhwala mpaka dokotala wanu atakuuzani kuti muchite zimenezo. Ndikofunikira kwambiri kumaliza mankhwala omwe mwapatsidwa, ngakhale mutamva bwino.
Nanga bwanji ngati ndaphonya mlingo wa mankhwala?
Aliyense akhoza kuiwala. 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 milingo iwiri nthawi imodzi pazifukwa zilizonse.
Mfundo zapadera zomwe muyenera kuzidziwa mukamamwa mankhwalawa
- Kuyezetsa magazi pafupipafupi: Mukayamba kumwa mankhwalawa, dokotala wanu adzakupemphani kuti mukamuone nthawi zonse ndikuyesa magazi. Makamaka, adzakupemphani kuti muyese magazi onse kamodzi pa sabata. Izi zili choncho chifukwa mankhwalawa nthawi zambiri sangayambitse kuchuluka kwa maselo oyera m'magazi (Agranulocytosis). Kuyezetsa magazi kumeneku kungakuthandizeni kudziwa ngati muli pachiwopsezo.
- Kusintha kwa mtundu wa mkodzo: Ndizachilendo kuti mkodzo wanu ukhale wofiira kapena bulauni pamene mukumwa mankhwalawa. Izi zikutanthauza kuti mankhwalawa akugwira ntchito ndipo chitsulo chochuluka chikutuluka m'thupi lanu. Palibe chifukwa chodera nkhawa ndi izi.
- Chenjezo la Mimba: Izi ndizofunikira kwambiri. Pewani kutenga mimba mukumwa mankhwalawa komanso kwa miyezi 6 mutasiya kumwa mankhwalawa. Ngati ndinu mwamuna, pewani kubereka mwana mukumwa mankhwalawa komanso kwa miyezi itatu mutasiya kumwa. Mankhwalawa angayambitse mavuto aakulu kwa mwana wosabadwa. Komanso, pewani kuyamwitsa mukumwa mankhwalawa komanso kwa milungu iwiri mutamaliza kumwa mankhwalawa.
Kodi zotsatirapo zake zingakhale zotani?
Monga mankhwala ena aliwonse, Deferiprone ingayambitse zotsatira zina zoyipa. Zina mwa izi ziyenera kunenedwa nthawi yomweyo, pomwe zina sizowopsa kwambiri.
| Zotsatira zoyipa za Deferiprone | |
|---|---|
| Zinthu zoti muuze dokotala wanu nthawi yomweyo | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo kapena lilime. |
| Zizindikiro za matenda | Malungo, kuzizira, chifuwa, kupweteka pakhosi kapena kupweteka. (Izi ndizofunikira kwambiri chifukwa zitha kukhala zizindikiro za maselo oyera otsika m'magazi) |
| Zizindikiro za kuwonongeka kwa chiwindi | Maso kapena khungu kukhala lachikasu, mkodzo wakuda wachikasu/bulauni, kupweteka kumtunda kwa kumanja kwa m'mimba, kutopa kwambiri, kusowa chilakolako cha chakudya. |
| Zinthu zomwe nthawi zambiri sizili zazikulu, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Zina mwazinthu | Mutu, nseru, kusanza, kupweteka m'mimba, kupweteka kwa mafupa kapena mafupa. |
Kodi mumatani ngati mwamwa mankhwala ochulukirapo?
Ngati mukuganiza kuti mwamwa mankhwala owonjezera, musachite mantha ndipo pitani nthawi yomweyo ku Dipatimenti Yoona za Zadzidzidzi (ETU) yapafupi. Kapena imbani National Poisons Information Centre ku Colombo National Hospital kuti mukalandire malangizo.
Kodi mumasunga ndi kutaya bwanji mankhwalawo?
Mankhwala ndi chinthu chomwe chiyenera kuchitidwa mosamala.
- Sungani pamalo omwe ana sangafikire: Sungani pamalo omwe ana aang'ono ndi ziweto sangafikire.
- Kusunga: Sungani kutentha kwa chipinda (pakati pa madigiri 20-25 Celsius). Ndi bwino kusunga mankhwalawo mu botolo loyambirira lomwe adalowamo.
- Kutha Ntchito: Botolo la mankhwalaTayani mankhwala otsala patatha masiku 35 mutatsegula.
- Njira Yotayira Mankhwala: Funsani dokotala wanu za njira yabwino kwambiri yotayira mankhwala osagwiritsidwa ntchito komanso otha ntchito. Ngati kuli koyenera kuwataya m'zinyalala, chotsani mankhwala amadzimadzi m'botolo, sakanizani ndi china chake monga masamba a tiyi ogwiritsidwa ntchito kapena khofi, ndikuyika mu thumba la pulasitiki lotsekedwa bwino ndikutaya.
Uthenga Wopita Nawo Kunyumba
- Deferiprone ndi mankhwala omwe amaperekedwa kuti achotse chitsulo chochuluka m'thupi chifukwa cha magazi omwe amaperekedwa pafupipafupi.
- Nthawi zonse gwiritsani ntchito chikho chapadera choyezera chomwe chimabwera ndi mankhwala kuti muyese.
- Uzani dokotala wanu za mankhwala ena onse, mavitamini, ndi matenda omwe mukumwa.
- Funsani upangiri wa dokotala nthawi yomweyo ngati mukuyamba zizindikiro za matenda monga kutentha thupi ndi kupweteka pakhosi. Izi zitha kukhala chizindikiro cha kuchepa kwa maselo oyera m'magazi.
- Pewani kutenga mimba kwathunthu mukumwa mankhwalawa komanso mpaka nthawi yomwe mwapatsidwa itatha.
- Mkodzo wofiira/wofiirira nthawi zambiri suyenera kuda nkhawa, ndi chizindikiro chakuti mankhwala akugwira ntchito.
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