Nthawi zina zimamveka ngati maloto kugona tulo tabwino usiku, sichoncho? Chimodzi mwa zifukwa zazikulu za izi ndi kudzuka pafupipafupi kuti mukodze usiku. Vutoli limakupangitsani kumva kutopa tsiku lonse komanso kusatha kuchita chilichonse bwino. Vutoli limatchedwa 'nocturnal polyuria' m'mawu azachipatala. Mwachidule, thupi limapanga mkodzo wochuluka kuposa momwe ungafunikire usiku. Chifukwa chake, dokotala wanu mwina adakupatsani mankhwala otchedwa Desmopressin a vutoli. Lero, tikambirana za mankhwalawa, zomwe amachita, komanso zomwe muyenera kusamala nazo mukamamugwiritsa ntchito.
Kodi mankhwala a Desmopressin ndi otani?
Chabwino, choyamba tiyeni tiwone zomwe mankhwalawa amachitadi. Desmopressin ndi mankhwala opangidwa omwe amagwira ntchito ngati mahomoni achilengedwe m'matupi athu. Ntchito yake yayikulu ndikukhudza impso zathu ndikulamulira kuchuluka kwa mkodzo womwe timapanga usiku.
Taganizirani izi motere. Kawirikawiri, thupi la munthu wathanzi limachepetsa kuchuluka kwa mkodzo womwe umapangidwa usiku, kotero timatha kugona usiku wonse. Koma sizichitika kwa munthu amene ali ndi vuto la nocturnal polyuria. Zili ngati kusiya pompo yamadzi yotseguka kwa kanthawi, ndipo impso zimapitiriza kupanga mkodzo. Chifukwa chake mankhwala a desmopressin awa amagwira ntchito ngati kutseka pompo yamadzi kwa kanthawi. Izi zikutanthauza kuti, amauza impso kuti zichepetse kuchuluka kwa mkodzo womwe umapangidwa usiku. Kenako mumadzuka kukakodza usiku pafupipafupi kwambiri, ndipo mumagonanso tulo tabwino usiku.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa
Izi ndizofunikira kwambiri. Musanayambe kumwa mankhwala aliwonse, dokotala wanu ayenera kudziwa bwino thanzi lanu. Pokhapokha mutadziwa ngati mankhwalawa ndi otetezeka kwa inu. Onetsetsani kuti mwauza dokotala wanu ngati muli ndi vuto lililonse lomwe latchulidwa pansipa, makamaka musanayambe kumwa desmopressin.
| Matenda omwe muyenera kunena | N’chifukwa chiyani zimenezo n’zofunika? |
|---|---|
| Ngati mulingo wa sodium (mchere) m'magazi uli wochepa | Desmopressin imatha kuchepetsa kwambiri kuchuluka kwa sodium m'magazi. Izi zitha kukhala zoopsa, kotero dokotala wanu ayenera kudziwa izi. |
| Ngati muli ndi matenda a impso | Popeza mankhwalawa amagwira ntchito kudzera mu impso, zotsatira za mankhwalawa zimatha kusintha ngati impso sizikugwira ntchito bwino. |
| Ngati muli ndi vuto la mtima | Mankhwalawa angakhudze momwe mtima umagwirira ntchito chifukwa amasintha kuchuluka kwa madzi m'thupi. |
| Ludzu lochuluka, kufunikira kumwa madzi nthawi zonse | Vutoli likhoza kukhala chizindikiro cha matenda ena. Komanso, muyenera kusamala ndi kuchuluka kwa madzi omwe mumamwa mukamamwa mankhwalawa. |
| Matenda a cystic fibrosis | Dokotala ayenera kudziwa kuti mchere ndi madzi m'thupi zimasintha ndi vutoli. |
| Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena ndinu mayi woyamwitsa | Pazochitikazi, chisamaliro chapadera chiyenera kutengedwa pankhani ya zotsatira za mankhwala, kotero upangiri wa dokotala ndi wofunikira. |
| Ngati muli ndi ziwengo ku mankhwala ena, zakudya, kapena zinthu zina | Mwina muli ndi vuto la desmopressin kapena chilichonse mwa zinthu zomwe zili mmenemo, choncho ndikofunika kutiuza pasadakhale. |
Kumbukirani, kuti mukhale otetezeka, ndikofunikira kwambiri kuuza dokotala wanu za mankhwala onse omwe mukumwa (kuphatikizapo mavitamini ndi mankhwala achikhalidwe).
Kodi ndimagwiritsa ntchito bwanji piritsi ili?
Desmopressin si piritsi lomwe mumameza ndi madzi ngati piritsi wamba. Ndi mtundu womwe umasungunuka pansi pa lilime. Umatchedwa ``piritsi la sublingual''. Chifukwa chake, tsatirani izi nthawi yomweyo mukamagwiritsa ntchito.
1. Itengeni pa nthawi yoyenera:Imwani mankhwala anu nthawi yomweyo tsiku lililonse, monga momwe dokotala wanu wakuuzani. Nthawi zambiri amakulemberani pafupifupi ola limodzi musanagone usiku.
2. Musamwe ndi madzi: Ichi ndiye chinthu chofunika kwambiri. Musamwe piritsi ili ndi madzi.
3. Imwani piritsi ndi manja ouma: Onetsetsani kuti manja anu ndi ouma bwino musanamwe piritsi. Tulutsani piritsi mu paketi ya mapiritsi. Ngati piritsi lasweka kapena laphwanyika, musagwiritse ntchito ndipo tengani latsopano.
4. Ikani pansi pa lilime: Imwani piritsilo ndikuliyika pansi pa lilime.
5. Lolani lisungunuke: Musatafune, kuphwanya, kapena kumeza piritsilo. Lidzasungunuka kwathunthu pansi pa lilime.
6. Mezani piritsi mutasungunuka: Mezani piritsi litasungunuka kwathunthu.
Mudzalandira kabuku ka malangizo apadera ka ``MedGuide`` kokhala ndi mankhwala awa. Werengani mosamala nthawi iliyonse. Komanso, pitirizani kugwiritsa ntchito mankhwalawa mpaka dokotala wanu atakuuzani kuti musiye.
Kodi mungachite chiyani ngati mwamwa mankhwala ochulukirapo?
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo kuposa omwe mwapatsidwa, pitani ku Dipatimenti Yoona za Zadzidzidzi ya chipatala chapafupi (ETU) nthawi yomweyo. Kapena imbani National Poisons Information Centre ku Colombo National Hospital kuti mupeze malangizo. Mankhwalawa ndi a inu nokha. Musagawane ndi ena.
Mankhwala ena omwe angagwirizane ndi mankhwalawa
Mankhwala ena angayambitse mavuto akamwedwa ndi desmopressin, choncho ndikofunikira kuuza dokotala wanu za mankhwala onse omwe mukumwa.
| Mtundu wa mankhwala | Zitsanzo |
|---|---|
| Pewani kumwa desmopressin pamodzi ndi mankhwalawa. | |
| Mankhwala oletsa kutupa m'thupi (loop diuretics) - (mankhwala omwe amachotsa madzi ndi mchere m'thupi) | Furosemide |
| Mankhwala a steroid | Prednisolone `(prednisone)`, cortisone `(cortisone)` |
| Onetsetsani kuti mwauza dokotala wanu ngati mukumwa mankhwalawa. | |
| Mankhwala ena ochizira kuvutika maganizo | Amitriptyline, fluoxetine |
| Mankhwala ena operekedwa pa matenda a khunyu | Carbamazepine, lamotrigine |
| NSAIDS (mankhwala ochizira ululu ndi kutupa) | Ibuprofen, naproxen |
| Ma opioid ndi mankhwala amphamvu ochepetsa ululu. | Mwachitsanzo: Tramadol |
Mndandandawu sunathe, choncho uzani dokotala wanu za mankhwala onse, mavitamini, kapena zitsamba zomwe mumamwa.
Zinthu zofunika kukumbukira mukamamwa mankhwala
Ndikofunikira kusamala thupi lanu mukamamwa desmopressin.
- Pitani kwa dokotala nthawi zonse: Mukayamba kumwa mankhwala, onetsetsani kuti mwapita kukaonana ndi dokotala wanu. Mwanjira imeneyi, iye akhoza kuwona momwe mankhwalawo akukukhudzirani.
- Samalani kuchuluka kwa sodium m'magazi mwanu: Chinthu chachikulu chomwe chingachitike ndi mankhwalawa ndichakuti kuchuluka kwa sodium (mchere) m'magazi anu kumatha kutsika. Izi zimatchedwa hyponatremia. Chiwopsezochi chimakhala chachikulu makamaka ngati mumamwa madzi ambiri, mumwa mankhwala ena ochepetsa sodium, kapena muli ndi matenda monga kusanza kapena kutsegula m'mimba.
- Tsatirani malangizo a kuchuluka kwa madzi omwe mungamwe: Dokotala wanu adzakulangizani kuchuluka kwa madzi omwe mungamwe patsiku mukamamwa mankhwalawa. Mungapemphedwe kuti musamamwe madzi ambiri, makamaka usiku mutamwa mankhwalawa. Tsatirani malangizo amenewo momwemo.
Kodi pali zotsatirapo zilizonse?
Monga mankhwala ena aliwonse, desmopressin ingayambitse mavuto ena mwa anthu ena, koma si aliyense amene amalandira.
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala wanu nthawi yomweyo | |
|---|---|
| Zizindikiro za ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi, komanso kuvutika kupuma. |
| Zizindikiro za sodium yochepa | Mutu wadzidzidzi, chisokonezo, kuiwala, kutopa, kusokonezeka, kusanza. |
| Zizindikiro za kusunga madzi m'thupi | Kutupa kwa akakolo, manja, kapena mapazi, komanso kuvutika kupuma. |
| Zotsatirapo zomwe nthawi zambiri sizili zoopsa, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Kuzungulira | Sinthani malo anu pafupipafupi. Mukadzuka kuchokera pamalo omwe mukukhala, musamaime nthawi imodzi. |
| Pakamwa pouma | Kutafuna chingamu chopanda shuga kapena kumwa madzi mutakambirana ndi dokotala kungathandize. |
| Mutu | Pumulani. Mutha kufunsa dokotala kuti akupatseni mankhwala ochepetsa ululu. |
Kodi mungasunge bwanji mankhwala mosamala?
- Sungani pamalo omwe ana ndi ziweto sangafikire.
- Sungani kutentha kwa chipinda (pakati pa madigiri 20-25 Celsius). Sungani kutali ndi kutentha kwambiri ndi chinyezi.
- Ndi bwino kusunga mankhwalawo mu phukusi loyambirira lomwe adaperekedwa.
- Musagwiritse ntchito mankhwala otha ntchito. Funsani dokotala wanu zomwe mungachite ndi mankhwala otsala kapena otha ntchito.
Uthenga Wopita Nawo Kunyumba
- Desmopressin ndi mankhwala omwe amaletsa kukodza kwambiri usiku. Ndi piritsi lomwe limasungunuka pansi pa lilime, osati kumezedwa ndi madzi.
- Musanayambe kumwa mankhwalawa, uzani dokotala wanu za matenda anu onse komanso mankhwala onse omwe mukumwa.
- Mukamamwa mankhwalawo, kuchuluka kwa sodium m'magazi kungachepe. Ngati mukumva zizindikiro monga mutu, chisokonezo, kapena kufooka, dziwitsani dokotala wanu nthawi yomweyo.
- Imwani mlingo womwe mwapatsidwa monga momwe dokotala wanu wanenera, panthawi yomwe mwapatsidwa. Musawonjezere mlingo kapena kugawana mankhwala ndi ena.
- Ngati muli ndi mafunso okhudza mankhwalawa, funsani dokotala wanu.
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