Kotero, ndi nyengo yamvula kachiwiri, aliyense akudwala chimfine ndi chifuwa. Kukhala ndi mphuno yotsekeka tsiku lonse, kutsokomola ndi kupweteka pachifuwa, ndi ntchofu ndizovuta kwambiri, sichoncho? Chifukwa chake, nthawi ngati izi, ambiri a ife timapita ku pharmacy kukagula mankhwala amodzi okha a chifuwa, chimfine, ndi chimfine. Lero, tikambirana za mankhwala osakaniza omwe amagwiritsidwa ntchito kwambiri. Ali ndi zosakaniza zitatu zazikulu. Izi ndi Dextromethorphan, Guaifenesin, ndi Pseudoephedrine.
Mwachidule, kodi mankhwala awa ndi chiyani?
Uku ndi kuphatikiza kwa mitundu itatu ya mankhwala. Monga momwe zilili ndi zosakaniza zomwe zili mu mbale, chilichonse mwa izi chili ndi ntchito yake. Tiyeni tiwone zomwe zili.
- Dextromethorphan: Izi zimagwira ntchito poletsa chifuwa chanu. Ubongo wathu uli ndi malo olumikizirana omwe amatumiza zizindikiro kuti apangitse chifuwa. Mankhwalawa amagwira ntchito poletsa pang'ono malo olumikizirana, ndikuletsa chifuwa chopweteka komanso chouma chomwe nthawi zambiri chimabwerera.
- Guaifenesin: Ichi chimadziwika kuti 'expectorant'. Mwachidule, chimagwira ntchito pochepetsa mamina okhuthala komanso omata pachifuwa mwanu, kuwamasula, ndikuwathandiza kutuluka mosavuta. Mamina akatulutsidwa, kulimba ndi kusasangalala pachifuwa mwanu kudzakhala kochepa kwambiri.
- Pseudoephedrine: Iyi ndi 'mankhwala ochepetsa kutsekeka kwa magazi'. Izi zikutanthauza kuti mukakhala ndi chimfine, mitsempha yamagazi yaying'ono mkati mwa mphuno yanu imatupa, zomwe zimapangitsa kuti mphuno yanu itsekeke. Mankhwalawa amagwira ntchito pochepetsa kutupa, kuchotsa kutsekeka kwa mphuno yanu, ndikupangitsa kuti kupuma kukhale kosavuta.
Koma ndikofunikira kukumbukira kuti mankhwalawa amangolamulira zizindikiro kwakanthawi. Sachiritsa matenda aliwonse m'thupi lanu, monga matenda a bakiteriya.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa
Ndikofunikira kwambiri kuuza dokotala wanu za thanzi lanu musanagwiritse ntchito mankhwala aliwonse. Makamaka musanamwe mankhwalawa, onetsetsani kuti mwadziwitsa dokotala wanu ngati muli ndi vuto lililonse mwa izi:
- Matenda a shuga
- Kuvuta kukodza (monga kukula kwa prostate)
- Glaucoma
- Kuthamanga kwa magazi kapena matenda a mtima
- Matenda a chiwindi
- Ngati muli ndi vuto la ziwengo chifukwa cha Dextromethorphan, Guaifenesin, Pseudoephedrine, kapena mankhwala ena aliwonse, chakudya, kapena utoto womwe uli mu mankhwalawa.
- Ngati muli ndi pakati kapena mukufuna kutenga mimba.
- Ngati ndinu mayi woyamwitsa.
Kutengera ndi izi, dokotala wanu adzasankha ngati mankhwalawa ndi oyenera kwa inu, kapena ngati pakufunika njira ina.
Kodi mumagwiritsa ntchito bwanji mankhwalawa molondola?
Kuti mupindule kwambiri ndi mankhwala, muyenera kuwagwiritsa ntchito bwino.
- Mezani piritsi lonse ndi kapu ya madzi. Musaliphwanye kapena kulitafuna. Izi zingapangitse kuti mankhwalawo alowe m'thupi mwachangu kwambiri, makamaka ngati alembedwa kuti 'ER' (Extended Release).
- Ngati mukumva kupweteka m'mimba kapena kutentha pamtima mutamwa mankhwalawo, imwani pamodzi ndi chakudya kapena kapu ya mkaka.
- Imwani mlingo wolembedwa, panthawi yomwe dokotala wanu wakupatsani. Ndikofunikira kumwa pa nthawi yake. Musamwe mopitirira muyeso wa mlingo wolembedwa.
- Ngati mupereka kwa ana: Onetsetsani kuti mwalankhula ndi dokotala wanu za kupereka mankhwalawa kwa ana. Chisamaliro chapadera chingafunike.
- Ngati muli ndi zaka zoposa 60: Okalamba angamve bwino kwambiri zotsatira za mankhwalawa. Choncho mungafunike kuchepetsa mlingo. Funsani dokotala wanu za izi.
Chochita ngati mwamwa mankhwala ochulukirapo? (Kupitirira muyeso)
Ngati mukuganiza kuti mwamwa mankhwala ambiri mwangozi kuposa momwe mukuganizira, chitanipo kanthu nthawi yomweyo. Chinthu chabwino kwambiri chomwe mungachite pankhaniyi ndikuyimbira National Poisons Information Centre ku National Hospital ku Colombo. Kapena pitani ku Emergency Department (ETU) ya chipatala chapafupi. Musataye nthawi.
Nanga bwanji ngati ndaphonya mlingo wa mankhwala?
Ngati mwaiwala kumwa mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndi kumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe mlingo wowirikiza kawiri kuti mubwezeretse mlingo womwe mwaiwala.
Ndi mankhwala ena ati omwe angagwirizane ndi mankhwalawa?
Ichi ndi gawo lofunika kwambiri. Mankhwala ena angayambitse mavuto aakulu akamwedwa ndi mankhwala a chifuwa awa. Choncho uzani dokotala wanu za mankhwala onse omwe mukumwa.
| Mtundu wa mankhwala | Kufotokozera |
|---|---|
| Musamwe mankhwalawa pamodzi ndi mankhwala ena aliwonse. | |
| Mankhwala a MAOI | Awa ndi mankhwala omwe amagwiritsidwa ntchito kwambiri pochiza matenda monga kuvutika maganizo (monga Carbex, Eldepryl, Marplan, Nardil, Parnate). Si bwino kumwa mankhwala a chifuwa awa ngakhale kwa milungu iwiri mutasiya kumwa mankhwalawa. |
| Ergot Alkaloids | Mankhwala ena omwe amagwiritsidwa ntchito pa mutu waching'alang'ala amagwera m'gulu ili (monga ergotamine). |
| Mankhwala olimbikitsa | Mankhwala ena amaperekedwa kwa odwala omwe ali ndi vuto la kuchepa kwa chidwi (ADHD), kuchepa thupi, kapena kusowa tulo. |
| Mankhwalawa angagwirizane ndi mankhwala awa (funsani upangiri wa dokotala) | |
| Mankhwala ochepetsa kuthamanga kwa magazi | Pseudoephedrine ingasinthe momwe mankhwala othamanga magazi amagwirira ntchito. |
| Mankhwala ena a chimfine | Akamwedwa limodzi ndi mankhwala ena a chifuwa ndi chimfine, mankhwala ambiri ofananawo amatha kulowa m'thupi. |
| Digoxin, Kafeini, Theophylline | Mankhwala a matenda monga matenda a mtima ndi mphumu. Samalaninso ndi khofi, tiyi, ndi zakumwa zopatsa mphamvu zomwe zili ndi caffeine. |
Mndandandawu sunathe, choncho uzani dokotala wanu za mankhwala onse, mavitamini, ndi mankhwala azitsamba omwe mukumwa.
Zinthu zina zofunika kuziganizira mukamamwa mankhwala
- Ngati zizindikiro zanu sizikusintha patatha masiku 5, kapena ngati zikuipiraipira (monga kutentha thupi kumawonjezeka, chifuwa chikuipiraipira), pitani kwa dokotala nthawi yomweyo.
- Anthu ena angavutike kugona usiku atamwa mankhwalawa. Ngati izi zili zovuta, imwani mlingo womaliza wa tsiku maola angapo musanagone.
- Kuti mamina atuluke mosavuta, muyenera kusunga madzi okwanira m'thupi lanu.
Imwani madzi ambiri tsiku lonse mukumwa mankhwalawa. Izi zithandiza kuchepetsa mamina ndikuchepetsa kutsekeka kwa chifuwa.
Kodi zotsatirapo zake zingakhale zotani?
Monga mankhwala ena aliwonse, mankhwalawa angayambitse mavuto ena mwa anthu ena. Ena ndi oopsa, ena ndi ofatsa.
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala wanu nthawi yomweyo | |
|---|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime. |
| Kusintha kwa kugunda kwa mtima | Kugunda kwa mtima kapena kugunda kwa mtima kosasinthasintha. |
| Kusintha kwa maganizo | Kusakhazikika, mantha, nkhawa, kunjenjemera, kuona/kumva zinthu zomwe si zenizeni (kuona zinthu zosayenera). |
| Zizindikiro zina zazikulu | Kuthamanga kwa magazi, kutentha thupi, kupuma movutikira, kukomoka, kuvutika kukodza, kutopa kwambiri. |
| Zotsatirapo zomwe nthawi zambiri sizili zoopsa, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Mavuto a m'mimba | Kusanza m'mimba, nseru, kupweteka m'mimba, kusowa chilakolako cha chakudya. |
| Matenda ena ang'onoang'ono | Mutu, kugona pang'ono. |
Kodi ndiyenera kusunga kuti mankhwalawo?
Sungani mankhwalawa pamalo omwe ana sangafikire . Sungani pamalo otentha (pakati pa 15-30 Celsius), kutali ndi kuwala ndi chinyezi. Tayani mankhwala otha ntchito.
Uthenga Wopita Nawo Kunyumba
- Musanamwe mankhwala osakaniza awa, onetsetsani kuti mwadziwitsa dokotala wanu ngati muli ndi matenda ena monga kuthamanga kwa magazi, matenda a shuga, kapena matenda a mtima.
- Tsatirani mlingo ndi ndondomeko zomwe dokotala wanu wakupatsani. Musamwe mankhwala opitirira mlingo woyenera.
- Mankhwalawa amangochepetsa zizindikiro ndipo sachiza matenda oyamba. Ngati zizindikiro sizikuchira patatha masiku ochepa kapena ngati zikuipiraipira, funsani upangiri kwa dokotala.
- Fufuzani thandizo lachipatala mwamsanga ngati pali zotsatirapo zoyipa (kugunda kwa mtima, kupuma movutikira, kusakhazikika kwambiri).
- Ndikofunikira kwambiri kuuza dokotala wanu za mankhwala ena onse omwe mukumwa.
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