Palibe choipa kuposa chifuwa ndi mphuno yotsekeka mukakhala ndi chimfine. Simungathe kupuma bwino, simungagone usiku, ndipo simungathe kuchita chilichonse. Chifukwa chake mukapita kukaonana ndi dokotala nthawi ngati iyi, angakupatseni madzi ochepetsa zizindikirozi. Lero, tikulankhula za mankhwala osakaniza omwe amagwiritsidwa ntchito kwambiri. Ali ndi zosakaniza zitatu zophatikizidwa.
Kodi mankhwala awa ndi amtundu wanji?
Mwachidule, iyi ndi kuphatikiza kwa mankhwala atatu, omwe aliyense amachita ntchito yake yosiyana.
1. Dextromethorphan: Izi zimagwiritsidwa ntchito poletsa chifuwa . Zimaletsa kwakanthawi chizindikiro cha chifuwa chomwe chimapita ku ubongo.
2. Phenylephrine: Iyi ndi mankhwala ochepetsa kutsekeka kwa magazi . Amatsekereza mitsempha yamagazi mkati mwa mphuno kwakanthawi, kuchepetsa kutsekeka kwa mphuno ndi mphuno yotuluka madzi.
3. Pyrilamine: Iyi ndi mankhwala oletsa ziwengo omwe amagwiritsidwa ntchito pochiza ziwengo . Amaletsa zizindikiro za ziwengo monga kuyabwa, mphuno yotuluka madzi, ndi kuyetsemula.
Chofunika kwambiri ndichakuti mankhwalawa amangolamulira zizindikiro za chimfine kapena ziwengo. Sangathe kuchiritsa matenda m'thupi lanu.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa
Chabwino, iyi ndiye gawo lofunika kwambiri. Dokotala wanu asanakupatseni mankhwala awa, ayenera kudziwa mbiri yanu yonse yachipatala . Makamaka ngati muli ndi vuto lililonse la matenda otsatirawa, muyenera kuuza dokotala wanu .
- Mphumu
- Matenda a mitsempha yamagazi
- Matenda a shuga
- Eczema kapena matenda ena a pakhungu
- Glaucoma, vuto la kuthamanga kwa magazi m'maso
- Kuthamanga kwa magazi kapena matenda a mtima
- Matenda a impso kapena chiwindi
- Mavuto a prostate kapena kuvutika kukodza
- Zilonda zam'mimba kapena matenda ena am'mimba
- Matenda a chithokomiro
- Ngati muli ndi vuto la ziwengo ndi chilichonse mwa zinthu zomwe zili mu mankhwalawa kapena mankhwala ena aliwonse, chakudya, kapena chosungira.
- Ngati muli ndi pakati, kapena mukuyembekezera mwana posachedwa
- Ngati ndinu mayi woyamwitsa
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
Dziwani mfundo izi mukamagwiritsa ntchito mankhwalawa.
- Iyi ndi madzi omwa.
- Imwani mlingo womwe dokotala wanu wakupatsani, panthawi yoyenera. Musamwe pafupipafupi kapena mopitirira muyeso.
- Musagwiritse ntchito supuni zapakhomo kapena supuni zoyezera poyeza mankhwala. Sizolondola. Gwiritsani ntchito kapu kapena supuni yapadera yokha yomwe imabwera ndi mankhwala kapena yomwe ingapezeke ku pharmacy ndipo imatha kuyeza molondola mu ma milliliters (ml).
- Ngati aperekedwa kwa ana: Ngakhale kuti nthawi zina mankhwalawa amaperekedwa kwa ana opitirira zaka ziwiri, ayenera kuperekedwa kokha motsogozedwa ndi dokotala wa ana. Musapereke kwa ana nokha.
- Anthu opitirira zaka 65: Okalamba angamve bwino zotsatira za mankhwalawa, choncho nthawi zambiri amapatsidwa mlingo wochepa.
Kodi mungachite chiyani ngati mwamwa mankhwala ochulukirapo?
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo kuposa mlingo womwe mwapatsidwa, musazengereze. Imbani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital . Kapena pitani ku Emergency Department (ETU) ya chipatala chapafupi.
Zinthu zina zomwe zingagwirizane ndi mankhwalawa
Mukamamwa mankhwalawa, pakhoza kukhala zotsatirapo zoipa (kuyanjana) ndi zinthu zina zomwe mukugwiritsa ntchito. Choncho dziwani izi.
| Kuyanjana kwa Mankhwala | |
|---|---|
| Musamwe mankhwala ndi izi. | |
| Mankhwala ena akale a kuvutika maganizo amatchedwa MAOIs (monga Carbex, Eldepryl, Marplan, Nardil, Parnate). Onetsetsani kuti mwauza dokotala wanu ngati mukumwa mankhwala aliwonse mwa awa. | |
| Ngati mutenga izi, funsani dokotala wanu. | |
| Mowa kapena chinthu chilichonse chokhala ndi mowa | Zotsatirapo za mankhwala (kugona) zingakhale zoopsa kwambiri. |
| Mankhwala a kuvutika maganizo, nkhawa, kapena matenda ena amisala | Kugona ndi zotsatira zina zoyipa zingachuluke. |
| Mankhwala a kuthamanga kwa magazi | Zingasokoneze kugwira ntchito kwa mankhwala ena. |
| Mapiritsi ogonetsa | Kugona tulo tochuluka kungachitike. |
| Mankhwala ena a chifuwa ndi chimfine | Mankhwala ambiri ofanana ndi omwewo amatha kulowa m'thupi. |
Mndandanda uwu sungakhale wokwanira, choncho onetsetsani kuti mwauza dokotala wanu za mankhwala onse omwe mumamwa (ngakhale mavitamini, mankhwala azitsamba, ndi zowonjezera).
Zotsatirapo zomwe zingakhalepo chifukwa chomwa mankhwalawo
Monga mankhwala ena aliwonse, mankhwalawa angayambitse mavuto ena mwa anthu ena. Ena ndi oopsa, ena ndi ofala kwambiri.
| Ngati mukukumana ndi zizindikiro izi, uzani dokotala wanu nthawi yomweyo. | |
|---|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, kapena lilime. |
| Kuvuta kupuma | Kupuma movutikira, kupuma mofulumira. |
| Kusintha kwa masomphenya | Maso osawoneka bwino. |
| Kusintha kwa kugunda kwa mtima | Kumva ngati mtima wanu ukugunda mofulumira kapena mosinthasintha. |
| Kusintha kwa kuthamanga kwa magazi | Kukwera kapena kutsika kwambiri kwa kuthamanga kwa magazi. |
| Matenda amisala ndi amitsempha | Kusakhazikika, kusokonezeka, kunjenjemera, kukomoka. |
| Mavuto a kukodza | Kuvuta kukodza kapena kusintha kwa kuchuluka kwa mkodzo womwe mumatulutsa. |
| Kutopa kosazolowereka | Kumva kutopa kwambiri kapena kufooka. |
| Ngati zizindikiro izi zikupitirira kapena zikukuvutitsani, uzani dokotala wanu. | |
| Mutu | Kuvuta kugona |
| Chilakolako cha chakudya | Kumva kutentha kwa dzuwa pakhungu |
| Kusanza, kusanza | Kuwawa kwam'mimba |
Kodi mankhwalawo angasungidwe bwanji?
- Sungani pamalo otetezeka komanso kutali ndi ana. Izi ndizofunikira kwambiri.
- Sungani kutentha kwa chipinda (pakati pa madigiri 20 ndi 25 Celsius).
- Sungani kutali ndi dzuwa lachindunji ndi chinyezi.
- Tsekani bwino chivundikiro cha botolo.
- Tayani mankhwala otha ntchito.
Uthenga Wopita Nawo Kunyumba
- Mankhwalawa ndi osakaniza mankhwala omwe amaperekedwa kuti achepetse zizindikiro za chimfine ndi ziwengo, monga chifuwa ndi kutsekeka kwa mphuno. Sachiritsa matenda.
- Musanamwe mankhwala, uzani dokotala wanu za matenda onse omwe muli nawo komanso mankhwala ena onse omwe mukumwa.
- Gwiritsani ntchito supuni kapena chikho chapadera chokha chomwe chili ndi muyeso woyenera poyeza mankhwala. Musagwiritse ntchito supuni za kukhitchini kunyumba.
- Mankhwalawa angakupangitseni kugona, choncho pewani kuyendetsa galimoto ndi kuchita ntchito zomwe zimafuna kusamala. Pewani kumwa mowa kotheratu.
- Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, funsani nthawi yomweyo ku National Poison Information Centre kapena pitani ku chipatala chapafupi cha Emergency Department (ETU).
- Ngati mukukumana ndi mavuto aakulu monga kupuma movutikira, kutupa kwambiri, kapena kuvulala, dziwitsani dokotala wanu nthawi yomweyo.
👩🏽⚕️ Mafunso ena (Mafunso Ofunsidwa Kawirikawiri)
💬 Mapiritsi a Alosetron (Alosetron / Lotronex) ndi njira yomaliza yochizira matenda ati?
Iyi si mankhwala wamba! Iyi ndi mankhwala amphamvu kwambiri (5-HT3 receptor antagonist) omwe amaperekedwa makamaka kwa 'Akazi okha' omwe ali ndi 'IBS-D' (Irritable Bowel Syndrome with Diarrhea), ndipo palibe mankhwala ena omwe angachepetse, ndipo amakulolani kuchepetsa kutsegula m'mimba kwakukulu ndi kupweteka m'mimba komwe kwasokoneza moyo wanu!
💬 Kodi mapiritsi (Alosetron) omwe amaperekedwa kwa azimayi awa amaletsa bwanji kupweteka m'mimba/kutsegula m'mimba kwambiri pamene mankhwala ena onse alephera?
Mitsempha yambiri m'matumbo a akazi imakhudzidwa/imakhudzidwa kwambiri ndi mankhwala otchedwa 'Serotonin (5-HT3)'! Mankhwalawa akangolowa m'mimba, amatseka 100% ya ma serotonin receptors (5-HT3) m'matumbo amenewo ndikutseka. Popeza palibe njira yoti uthengawo upitirire, kukhudzidwa kwa mitsempha (Visceral hypersensitivity) kumatha nthawi yomweyo ndipo kufunikira kochita chimbudzi mwachangu komanso kupweteka m'mimba kumatha.
💬 N’chifukwa chiyani mayiko angapo padziko lonse lapansi aletsa kugwiritsa ntchito piritsili? Kodi zoopsa zake ndi ziti (Machenjezo a Black Box)?
Kuopsa kwake n’koopsa kwambiri! Kuopsa kwakukulu n’kwakuti izi zimaletsa magazi kupita m’mimba ndipo matumbo amawola 100% (Ischemic Colitis)! Wodwala akatuluka magazi mwadzidzidzi m’mimba, amafunika kugonekedwa m’chipatala, ndipo ena amamwalira. Komanso, izi zingayambitse kudzimbidwa kufika pa siteji yomaliza (Severe Complicated Constipation), ndipo matumbo amatha kutsekeka ndi kuphulika, kotero izi ziyenera kutengedwa pokhapokha ngati dokotala akuyang’anira bwino.
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