Pali masiku ena omwe sindingathe kugona ngakhale usiku chifukwa cha kupweteka kwa thupi, kupweteka kwa msana, ndi mutu. Ndikagona, ndimagwedezeka ndikutembenuka, ndipo sindingathe kugona konse. Lero, tikambirana za mankhwala omwe angathandize kuchepetsa ululu ndikundithandiza kugona mwachangu.
Kodi mankhwala awa ndi chiyani? Tiyeni timvetse mosavuta.
Izi kwenikweni ndi kuphatikiza kwa mankhwala awiri. Mwachidule, piritsi ili lili ndi zinthu ziwiri zomwe thupi lanu limafunikira.
1. Naproxen: Iyi ndi mankhwala ochepetsa ululu. Mu zamankhwala, timaitcha NSAID (Nonsteroidal Anti-inflammatory Drug) . Imagwira ntchito pochepetsa ululu ndi kutupa m'thupi lanu.
2. Diphenhydramine: Iyi ndi mankhwala oletsa kutupa . Nthawi zambiri amagwiritsidwa ntchito pa ziwengo. Komabe, mankhwalawa amayambitsa kugona ngati zotsatira zoyipa. Chifukwa chake, mankhwala awiriwa akaphatikizidwa, ululu umachepa ndipo tulo timayamba kuyenda bwino. Ngakhale kuti sapezeka pansi pa dzinali ku Sri Lanka, mankhwalawa amapezeka pansi pa mayina amakampani monga `(Aleve PM)` kunja.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa
Ndikofunikira kwambiri kuti dokotala wanu adziwe bwino za thanzi lanu musanasankhe ngati mankhwala awa ndi oyenera kwa inu. Ngati muli ndi vuto lililonse mwa zotsatirazi, onetsetsani kuti mwauza dokotala wanu za vutoli.
| Kodi muli ndi mikhalidwe iyi? | N’chifukwa chiyani ndiyenera kudziwitsa? (Kufotokozera kosavuta) |
|---|---|
| Mphumu | Mankhwala ena a NSAID angaletsedwe kwa odwala mphumu. |
| Matenda otuluka magazi kapena kumwa mankhwala ochepetsa magazi | Mankhwalawa amawonjezera chiopsezo cha kutuluka magazi m'matumbo. |
| Mbiri ya matenda a mtima, kuthamanga kwa magazi, matenda a mtima, kapena sitiroko | Mankhwala a NSAID amatha kuwonjezera chiopsezo cha matenda a mtima ndi sitiroko. |
| Opaleshoni yaposachedwa ya bypass (CABG) | Sikoyenera kumwa mankhwalawa mkati mwa milungu iwiri yoyamba mutachita opaleshoni. |
| Matenda a impso kapena chiwindi | Chifukwa chakuti mankhwalawa amatuluka m'thupi kudzera mu impso ndi chiwindi, amatha kuwononga ziwalo zimenezo. |
| Zilonda zam'mimba kapena kutuluka magazi | Mankhwalawa amawonjezera chiopsezo cha zilonda zam'mimba kubwereranso kapena kutuluka magazi. |
| Matenda a glaucoma | Diphenhydramine imatha kuonjezera kuthamanga kwa maso ndikuwonjezera glaucoma. |
| Kumwa mowa kapena kusuta fodya pafupipafupi | Zizolowezi zonsezi zimawonjezera chiopsezo cha kutuluka magazi m'mimba. |
| Kukhala ndi pakati kapena kuyembekezera mwana/kuyamwitsa | Mankhwalawa akhoza kukhala oopsa kwa mwana panthawi ya mimba, makamaka m'miyezi yomaliza. |
Njira yolondola yogwiritsira ntchito mankhwala
Kumbukirani izi mukamagwiritsa ntchito mankhwalawa.
- Imwani ndi kapu ya madzi. Izi zithandiza kuti mankhwalawo alowe bwino m'thupi.
- Ngati mukumva kupweteka m'mimba kapena kutentha pamtima mutamwa mankhwalawa, imwani pamodzi ndi chakudya kapena kapu ya mkaka .
- Musamwe mowa wochuluka kuposa momwe dokotala wanenera. Ndipo sungani nthawi yomwe mwapatsidwa.
- Mankhwalawa nthawi zambiri savomerezeka kwa ana osakwana zaka 12. Chifukwa chake, onetsetsani kuti mwafunsa upangiri wa dokotala musanapereke mankhwalawa kwa mwana wanu.
Nanga bwanji ngati ndamwa mankhwala ochulukirapo mwangozi?
Ngati mukuganiza kuti mwamwa mankhwala ambiri kuposa momwe mukuganizira, pitani ku chipinda chapafupi chadzidzidzi (ETU) nthawi yomweyo.Kupanda kutero, ngati n'kotheka, imbani National Poisons Information Centre ku Colombo National Hospital kuti mupeze upangiri. Izi ndizofunikira kwambiri, chifukwa kumwa mankhwala ochulukirapo kungayambitse mavuto aakulu azaumoyo.
Chofunika kwambiri ndichakuti mankhwalawa ndi a inu nokha. Musapatse wina mankhwala anu. Ngakhale munthuyo atakhala ndi zizindikiro zomwezo monga inu, zingakhale zoopsa.
Mankhwala ena omwe angagwirizane ndi mankhwalawa
Ndikofunikira kwambiri kuuza dokotala wanu za mankhwala onse, mavitamini, ndi mankhwala achikhalidwe omwe mukumwa, chifukwa mankhwala ena amatha kuwonjezera zotsatirapo zake kapena kusintha momwe mankhwalawo amagwirira ntchito.
| Musamwe mankhwala awa pamodzi nawo! | |
|---|---|
| Cidofovir | Ketorolac (NSAID ina yamphamvu) |
| MAOIs (mtundu wa mankhwala ochizira kuvutika maganizo) | |
| Ngati mugwiritsa ntchito izi, onetsetsani kuti mwauza dokotala wanu: | |
| Mowa | Mankhwala ena a NSAID (monga Ibuprofen, Aspirin) |
| Mankhwala ochepetsa magazi | Mankhwala ochizira kuthamanga kwa magazi |
| Mapiritsi ena ogonetsa | Mankhwala ena a matenda amisala |
| Mitundu ya ma steroid (ma steroid - mwachitsanzo Prednisone) | Mapiritsi a madzi (Diuretics) |
Samalani kwambiri ndi zinthu izi mukamamwa mankhwala.
Dziwani mfundo izi kuti mukhale otetezeka mukamagwiritsa ntchito mankhwalawa.
Kuyendetsa galimoto ndi mowa
Mankhwalawa angakupangitseni kugona komanso kumva chizungulire . Choncho, musayendetse galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa bwino momwe mankhwalawa amakukhudzirani. Komanso, kumwa mowa mukumwa mankhwalawa kungapangitse kuti munthu agone komanso azungulire. Choncho, pewani kumwa zonsezi pamodzi.
Kutuluka magazi m'mimba ndi kuvulala
Chosakaniza cha NSAID chomwe chili mu mankhwalawa, Naproxen, chingawononge khoma la m'mimba, zomwe zimayambitsa zilonda komanso nthawi zina kutuluka magazi. Izi zitha kuchitika popanda chenjezo . Ngati mukumva zizindikiro zotsatirazi, pitani kwa dokotala nthawi yomweyo:
- Kupweteka kwambiri m'mimba
- Kusanza monga khofi kapena kusanza magazi
- Chidebe chakuda chokhazikika
Kuopsa kwa matenda a mtima ndi sitiroko
Kugwiritsa ntchito mankhwala a NSAID kwa nthawi yayitali, makamaka kwa anthu omwe ali ndi matenda a mtima, kungawonjezere pang'ono chiopsezo cha matenda a mtima ndi sitiroko . Ngati mukukumana ndi zizindikiro monga kulimba pachifuwa, kupuma movutikira, kulankhula movutikira, kapena kufooka mbali imodzi ya thupi lanu, onani kuti ndi vuto ladzidzidzi ndipo pitani kuchipatala.
Matenda a pakhungu kwambiri
Kawirikawiri, anthu ena amatha kukhala ndi vuto lalikulu pakhungu chifukwa cha mankhwalawa. Ngati mukukumana ndi zizindikiro izi, monga kutentha thupi, kupweteka kwa thupi, kutupa pakhungu, kutupa, kapena khungu lotupa, siyani kumwa mankhwalawa nthawi yomweyo ndipo pitani kwa dokotala.
Zotsatirapo zomwe zingachitike chifukwa cha mankhwala
Monga mankhwala ena aliwonse, izi zingayambitse zotsatirapo zoyipa, koma si aliyense amene amazilandira.
| Ngati mukukumana ndi zizindikiro izi, pitani kwa dokotala nthawi yomweyo. | |
|---|---|
| Matenda oopsa a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Zizindikiro za kutuluka magazi | Chimbudzi chakuda, kusanza komwe kumaoneka ngati khofi wophikidwa, mkodzo wakuda/wofiira. |
| Zizindikiro za matenda a mtima/stroke | Kupweteka pachifuwa, kuvutika kupuma, dzanzi mbali imodzi ya thupi. |
| Zizindikiro za kuwonongeka kwa chiwindi/impso | Maso achikasu, kupweteka m'mimba pamwamba pa kumanja, kuchepa kwa mkodzo, komanso kutupa kwa miyendo. |
| Izi nthawi zambiri sizimakhala zoopsa, koma ngati zikupitirira, uzani dokotala wanu. | |
| Kugona tulo | Pakamwa pouma (kutafuna chingamu chopanda shuga kapena madzi akumwa kungathandize) |
| Mutu | Kudzimbidwa |
Uthenga Wopita Nawo Kunyumba
- Mankhwalawa ndi osakaniza mankhwala awiri omwe amachiza ululu ndi kusowa tulo nthawi imodzi.
- Ndikofunikira kuuza dokotala wanu za matenda ena aliwonse omwe muli nawo komanso mankhwala ena aliwonse omwe mukumwa.
- Pewani kumwa mowa ndi kumwa mankhwala ena ochepetsa ululu (makamaka NSAIDs) mukamamwa mankhwalawo.
- Fufuzani thandizo lachipatala mwamsanga ngati mukukumana ndi mavuto ena aakulu, monga kupweteka m'mimba, ndowe zakuda, kapena kutupa kwa khungu.
- Mankhwalawa angayambitse kugona, choncho samalani mukamachita ntchito zomwe zimafuna kusamala, monga kuyendetsa galimoto.
- Mankhwalawa ndi ogwiritsidwa ntchito kwa kanthawi kochepa. Ngati mukufuna kupitiriza kuwagwiritsa ntchito kwa masiku opitilira 10, lankhulani ndi dokotala wanu.
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