Kodi mulinso ndi ululu wosapiririka wa mafupa, kupweteka kwa msana, kupweteka kwa minofu, kapena kupweteka kwina kwa thupi? Mwina dokotala wanu wakulemberani piritsi lotchedwa Diflunisal. Uwu ndi mankhwala omwe nthawi zambiri amaperekedwa pa ululu wochepa mpaka wochepa komanso kutupa. Koma pali zinthu zingapo zomwe tiyenera kusamala nazo tikamagwiritsa ntchito mankhwalawa. Chifukwa chake, monga dokotala wanu wodalirika, ndikufotokozerani m'njira yosavuta lero.
Kodi Diflunisal ndi chiyani?
Mwachidule, diflunisal ndi mankhwala ochepetsa ululu. Koma imathandizanso kuchepetsa kutupa m'thupi. Mankhwala amtunduwu timawatcha 'mankhwala oletsa kutupa omwe si a steroidal' kapena NSAIDs (Madokotala Oletsa Kutupa Osagwiritsa Ntchito Steroidal) . Dokotala wanu angakupatseni izi pa matenda monga nyamakazi, kapena ululu mutatha opaleshoni. Imagwira ntchito pochepetsa kupanga mankhwala m'thupi omwe amayambitsa ululu ndi kutupa.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa
Musanayambe kumwa mankhwalawa, ndikofunikira kuuza dokotala wanu ngati muli ndi vuto lililonse mwa zotsatirazi. Izi ndizofunikira kwambiri pa chitetezo chanu.
| Matenda kapena vuto | N’chifukwa chiyani n’kofunika? |
|---|---|
| Ngati mwangochita opaleshoni ya mtima (CABG) posachedwapa (mkati mwa milungu iwiri) | Mankhwalawa angawonjezere chiopsezo cha matenda a mtima. |
| Matenda a mtima, kulephera kwa mtima, kuthamanga kwa magazi | Mikhalidwe imeneyi ingaipireipire. |
| Matenda a impso kapena chiwindi | Mankhwalawa akhoza kukhala ovuta kuwachotsa m'thupi ndipo angawonjezere zotsatirapo zake. |
| Mavuto monga zilonda zam'mimba ndi kutuluka magazi m'mimba | Mankhwalawa amawonjezera chiopsezo cha kutuluka magazi m'mimba. |
| Matenda a mphumu | Odwala ena a mphumu akhoza kukhala ndi vuto la ziwengo ku mankhwala a NSAID. |
| Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena ndinu mayi woyamwitsa | Uphungu wa dokotala ndi wofunikira chifukwa izi zingakhudze mwana. |
| Ngati muli ndi ziwengo ku mankhwala ena, zakudya, kapena zinthu zina | Palinso kuthekera kwa kukhala ndi vuto la Diflunisal. |
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
- Piritsi ili liyenera kumwedwa pakamwa.
- Yesani kumwa monga momwe dokotala wanu wanenera, pafupifupi nthawi yomweyo tsiku lililonse.
- Musaswe, kuphwanya, kapena kutafuna piritsi. Mezani lonse ndi kapu ya madzi.
- Mungathe kumwa izi muli ndi chakudya kapena ayi, koma ngati mukumva kupweteka m'mimba kapena kutentha pamtima, ndi bwino kumwa mutadya .
- Imwani mankhwala monga mwalangizidwira mpaka dokotala atakuuzani kuti musiye.
Chofunika: Mungalandire kabuku ka malangizo apadera (MedGuide) mukapatsidwa mankhwala awa. Nthawi zonse werengani ndi kumvetsetsa mosamala.
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, funsani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital kapena pitani ku Emergency Department (ETU) ya chipatala chapafupi. Mankhwalawa aperekedwa kwa inu nokha, choncho musawagawire ndi ena.
Zinthu zina zomwe zingagwirizane ndi mankhwalawa
Mankhwala ena angayambitse zotsatira zoopsa akamwedwa ndi diflunisal. Choncho uzani dokotala wanu za mankhwala onse, mavitamini, ndi mankhwala achikhalidwe omwe mukumwa.
| Pewani kumwa Diflunisal ndi izi | |
|---|---|
| Musamwe mankhwala awa ndi: | Mankhwala monga Cidofovir, Indomethacin, Ketorolac, Methotrexate, ndi Pemetrexed. |
| Mavuto angabwerenso ndi zinthu izi: |
|
Zinthu zofunika kuziganizira mukamamwa Diflunisal
Zilonda zam'mimba ndi kutuluka magazi
Mankhwalawa angayambitse zilonda zam'mimba komanso kutuluka magazi popanda chenjezo . Anthu omwe amasuta fodya, kumwa mowa, okalamba, komanso thanzi lawo lofooka ali pachiwopsezo chachikulu. Ngati muli ndi ululu waukulu m'mimba, kusanza komwe kumaoneka ngati khofi, kapena muli ndi ndowe zakuda , pitani kwa dokotala nthawi yomweyo.
Kuopsa kwa matenda a mtima ndi sitiroko
Mankhwalawa sateteza matenda a mtima kapena sitiroko. Ndipotu, angakulitse chiopsezo chanu ngati muwagwiritsa ntchito kwa nthawi yayitali kapena ngati muli kale ndi matenda a mtima. Choncho lankhulani ndi dokotala wanu za izi.
Matenda aakulu a khungu
Anthu ena amatha kukhala ndi vuto lalikulu la ziwengo ngakhale milungu ingapo mutayamba kumwa mankhwala. Ngati mukuyamba kutupa, kutupa, kapena khungu lanu likutuluka komanso kutentha thupi ndi kupweteka kwa thupi, kapena ngati nkhope kapena milomo yanu yatupa, pitani kwa dokotala nthawi yomweyo.
Chidziwitso chapadera kwa amayi apakati
Ngati muli ndi pakati, kumwa mankhwalawa pakati pa milungu 20 ndi 30 ya mimba kungavulaze mwana amene ali m'mimba. Choncho lankhulani ndi dokotala wanu za vutoli. Pewani kumwa mankhwalawa kwathunthu patatha milungu 30 ya mimba.
Kodi zotsatirapo zake zingakhale zotani?
Monga mankhwala ena aliwonse, Diflunisal ingayambitse zotsatirapo zoyipa.
| Mtundu wa zotsatira zoyipa | Zizindikiro |
|---|---|
| Zotsatirapo zoyipa zomwe zimafuna chithandizo chamankhwala mwachangu | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Kutuluka magazi | Zakuda, ndowe zokhazikika, kusanza magazi kapena khofi wothira, ndi mkodzo wofiira/wakuda. |
| Matenda a mtima/kulephera kwa mtima | Kupweteka pachifuwa, kupuma movutikira, kutupa kwa akakolo, mapazi, kuwonjezeka kwa thupi mwadzidzidzi. |
| Kuwonongeka kwa impso kapena chiwindi | Kuchepa kwa mkodzo, chikasu cha maso/khungu, kupweteka kumtunda kwa mimba. |
| Stroke | Kusanza mwadzidzidzi mbali imodzi ya nkhope, mkono, kapena mwendo, kuvutika kulankhula, kapena kuyenda. |
| Kawirikawiri si nkhani yaikulu (koma uzani dokotala ngati ikupitirira) | |
| Zotsatirapo zazing'ono | Mutu, nseru, kuvutika m'mimba, kusowa chilakolako cha chakudya. |
Uthenga Wopita Nawo Kunyumba
- Musamaswe, kuphwanya, kapena kutafuna mapiritsi a Diflunisal. Mezani onse. Ngati muli ndi vuto la m'mimba, imwani pamodzi ndi chakudya.
- Uzani dokotala wanu za mankhwala ena onse omwe mumamwa komanso matenda onse omwe muli nawo (makamaka mavuto a mtima, impso, chiwindi, ndi m'mimba).
- Samalani ngati pali zizindikiro za kutuluka magazi m'mimba, monga ndowe zakuda, kusanza komwe kumaoneka ngati khofi wophikidwa, komanso kupweteka kwambiri m'mimba. Ngati izi zitachitika, funsani upangiri wa dokotala nthawi yomweyo.
- Musamwe mankhwalawa pamodzi ndi mankhwala ena ochepetsa ululu monga aspirin kapena ibuprofen popanda upangiri wa dokotala.
- Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena kuyamwitsa, onetsetsani kuti mwalankhula ndi dokotala musanamwe mankhwalawa.
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