Tikakhala ndi chifuwa, ambiri a ife timazolowera kupita ku pharmacy kukapempha botolo la madzi a chifuwa, sichoncho? Limodzi mwa mankhwala otchuka komanso omwe amagwiritsidwa ntchito kwambiri ndi Dextromethorphan. Mwina simunamvepo za dzinali, koma n'zotheka kuti lili mu madzi a chifuwa omwe mudagwiritsa ntchito. Komabe, pali zinthu zambiri zomwe tiyenera kusamala nazo tikamagwiritsa ntchito mankhwalawa. Chifukwa chake, tiyeni tikambirane za izi mozama pang'ono lero.
Kodi Dextromethorphan ndi chiyani kwenikweni?
Mwachidule, Dextromethorphan ndi mankhwala oletsa chifuwa kapena oletsa chifuwa . Tikatsokomola, izi zimachitika chifukwa cha chizindikiro chochokera ku malo apadera muubongo wathu. Izi zimatchedwa cough reflex. Dextromethorphan imagwira ntchito pochepetsa ntchito ya malo amenewo. Izi zimachepetsa chifuwa chopweteka chomwe chimabwera pafupipafupi. Gulu la mankhwala awa amatchedwa cough suppressants.
Chofunika kwambiri ndichakuti mankhwalawa ndi oyenera chifuwa chouma chokhacho chomwe sichimatuluka madzi . Ngati mumwa mankhwalawa mukayamba kutsokomola, mamina m'mapapo sadzatuluka, ndipo matendawa akhoza kukhala oopsa kwambiri.
Ku Sri Lanka, mutha kupeza mankhwalawa pansi pa mayina osiyanasiyana monga Delsym ndi Robitussin. Komanso, nthawi zina amaphatikizidwa ndi mankhwala ena (monga mankhwala ozizira).
Zinthu zoti muuze dokotala wanu musanamwe mankhwalawa
Musanamwe mankhwala aliwonse, ndikofunikira kudziwitsa dokotala wanu za thanzi lanu. Ngati mukudwala matenda aliwonse otsatirawa mukumwa dextromethorphan, muyenera kuuza dokotala wanu.
| Kodi muli ndi vutoli? | N’chifukwa chiyani kuli kofunikira kuuza dokotala? |
|---|---|
| Matenda opuma monga mphumu kapena emphysema | Muzochitika zotere, kuletsa chifuwa kungapangitse kuti kupuma kukhale kovuta. |
| Kukhala ndi chifuwa chomwe chimatulutsa mamina ambiri | Kupanga ntchofu ndi njira yodzitetezera m'thupi. Kuiletsa kungayambitse matenda monga chibayo. |
| Matenda a chiwindi | Mankhwalawa amachotsedwa m'thupi ndi chiwindi. Ngati muli ndi matenda a chiwindi, mankhwalawa amatha kusonkhana m'thupi ndikuwonjezera zotsatirapo zake. |
| Ngati ndinu wosuta fodya | Chifuwa cha munthu wosuta chili ndi chifukwa chosiyana ndipo chiyenera kuthandizidwa mosiyana. |
| Matenda a dextromethorphan kapena mankhwala ena, zakudya, kapena utoto | Izi ndizofunikira kwambiri kuti tipewe kuyambitsa ziwengo. |
| Ngati muli ndi pakati kapena mukuyesera kutenga pakati | Mankhwalawa sakuvomerezeka pa miyezi itatu yoyambirira ya mimba. Gwiritsani ntchito pokhapokha ngati dokotala wakupatsani malangizo. |
| Ngati mwana akuyamwitsa (kuyamwitsa) | Popeza mankhwalawa amatha kupita kwa mwana kudzera mu mkaka wa m'mawere, musagwiritse ntchito popanda kufunsa dokotala wanu. |
Njira yolondola yogwiritsira ntchito mankhwala
Kuti mupindule kwambiri ndi mankhwalawa ndikuchepetsa zotsatirapo zake, ndikofunikira kwambiri kugwiritsa ntchito bwino.
- Gwedezani bwino: Ichi ndi choyezera, kutanthauza kuti tinthu ta mankhwala timayikidwa mumadzimadzi. Chifukwa chake muyenera kugwedeza botolo bwino musanagwiritse ntchito. Mwanjira imeneyi, mlingo uliwonse udzakhala ndi kuchuluka kofanana kwa mankhwala.
- Yesani molondola: Gwiritsani ntchito supuni, chikho, kapena chotsitsa chapadera chokha chomwe chimabwera ndi mankhwala. Simungapeze muyeso wolondola ndi supuni kapena supuni kunyumba. Ngati mutero, mutha kumwa mankhwala ambiri kapena ochepa kwambiri.
- Imwani mankhwalawa pa nthawi yake: Imwani mankhwalawo pa nthawi yake komanso nthawi zina monga momwe dokotala wanu wanenera. Musamamwe pafupipafupi.
- Akapatsidwa ana:Muyenera kusamala kwambiri popereka mankhwalawa kwa ana aang'ono. Nthawi zina madokotala amalimbikitsa mankhwalawa kwa ana azaka zopitilira ziwiri, koma ayenera kuperekedwa pokhapokha ngati dokotala wakupatsani upangiri . Musapereke mankhwalawa kwa ana aang'ono popanda kufunsa dokotala.
Kodi mungachite chiyani ngati mwamwa mankhwala ochulukirapo (overdose)?
Izi ndizofunikira kwambiri. Ngati mukuganiza kuti inuyo kapena wina m'banja mwanu wamwa mankhwala ochulukirapo, imbani National Poisons Information Centre ku Colombo National Hospital nthawi yomweyo. Apo ayi, pitani ku chipatala chapafupi cha Emergency Department (ETU) mwamsanga.
Nanga bwanji ngati ndaphonya mlingo wa mankhwala?
Ngati mwaiwala kumwa mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe mlingo wowirikiza kawiri.
Mankhwala ena omwe angagwirizane ndi mankhwalawa (Kuyanjana kwa Mankhwala)
Mankhwala ena amatha kuyanjana akagwiritsidwa ntchito limodzi, zomwe zingawonjezere zotsatirapo zake kapena kuchepetsa mphamvu ya mankhwalawo.
| Mankhwala omwe sayenera kumwedwa ndi Dextromethorphan | |
|---|---|
| MAOIs (Zoletsa za Monoamine Oxidase) | Izi ndi mtundu wa mankhwala omwe amagwiritsidwa ntchito pochiza matenda monga kuvutika maganizo (monga Marplan, Nardil). Kutenga zonsezi pamodzi kungayambitse matenda oopsa otchedwa Serotonin Syndrome, omwe angayambitse kuthamanga kwa magazi, kutentha thupi kwambiri, komanso khunyu. |
| Mankhwala ena ogwiritsidwa ntchito mosamala | |
| Mankhwala ena ochizira kuvutika maganizo ndi nkhawa | Kutenga izi pamodzi kungawonjezere zotsatirapo zoyipa monga kugona tulo, chizungulire, komanso kuchepa kwa chidwi. |
| Mankhwala ena a chifuwa, chimfine, kapena ziwengo | Mankhwala ambiriwa alinso ndi zinthu zomwe zimayambitsa kugona, zomwe zingawonjezere kugona kawiri kapena katatu. |
| Procarbazine (mankhwala oletsa khansa) | Pakhoza kukhalanso kuyanjana ndi mankhwalawa. |
Mndandandawu sunathe. Chifukwa chake, ndikofunikira kwambiri kuuza dokotala wanu za mankhwala onse, mavitamini, ndi mankhwala azitsamba omwe mukumwa. Komanso, uzani dokotala wanu ngati mukugwiritsa ntchito mowa, fodya, kapena mankhwala ena osokoneza bongo.
Zinthu zina zofunika kuziganizira mukamamwa mankhwala
- Musamwe mankhwala a chifuwa kwa nthawi yoposa sabata imodzi popanda kufunsa dokotala . Ngati chifuwa chanu chikupitirira, pakhoza kukhala chifukwa china.
- Ngati muli ndi chifuwa chophatikizana ndi kutentha thupi kwambiri, ziphuphu pakhungu, mutu wopitirira, kapena kupweteka pakhosi , pitani kwa dokotala nthawi yomweyo.
- Mankhwalawa angakupangitseni kugona komanso chizungulire . Choncho, musayendetse galimoto kapena kugwiritsa ntchito makina pamene mukumwa mankhwalawa.
- Makamaka ngati ndinu okalamba, pewani kudzuka kapena kukhala pansi mofulumira kwambiri, chifukwa izi zingayambitse chizungulire ndipo mungagwe.
- Kumwa mankhwalawa pamodzi ndi mowa kungapangitse kuti munthu agone komanso azungulire. Choncho, pewani kumwa mowa wonse mukamamwa mankhwalawa.
Kodi zotsatirapo zake zingakhale zotani chifukwa cha mankhwalawo?
Ngakhale kuti anthu ambiri sakumana ndi zotsatirapo zoyipa kwambiri, ndikofunikira kudziwa zomwe anthu ena angakumane nazo.
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa gulu lanu lachipatala nthawi yomweyo | |
|---|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Zotsatirapo zomwe ziyenera kufotokozedwa kwa dokotala ngati zikupitirira kapena zikuvutitsa | |
| Chizungulire | Kawirikawiri zimakhala zofatsa. |
| Kugona tulo | Izi ndi zotsatira zoyipa zomwe zimachitika kawirikawiri. |
| Kutopa | Kumva kutopa m'thupi. |
Uthenga Wopita Nawo Kunyumba
- Dextromethorphan ndi mankhwala a chifuwa chouma, chopanda ntchofu . Sikoyenera chifuwa chokhala ndi ntchofu.
- Nthawi zonse gwiritsani ntchito chipangizo chapadera choyezera chomwe chimabwera ndi mankhwala kuti muyese. Musagwiritse ntchito supuni za tiyi zapakhomo.
- Ngati muli ndi matenda ena, monga mphumu, matenda a chiwindi, kapena ngati mukumwa mankhwala ena (makamaka MAOIs), onetsetsani kuti mwadziwitsa dokotala wanu.
- Pewani kuyendetsa galimoto ndi kumwa mowa, chifukwa mankhwalawa angakupangitseni kugona.
- Ngati chifuwacho chimatenga nthawi yoposa sabata imodzi kapena chikugwirizana ndi zizindikiro zina monga malungo kapena ziphuphu pakhungu, funsani upangiri kwa dokotala.
- Ngati mwamwa mankhwala ochulukirapo, imbani National Poisons Information Centre nthawi yomweyo kapena pitani ku ETU .
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