Masiku ano, ambiri a ife timamwa mankhwala pa matenda angapo. Mwina mukumwa chimodzi chifukwa cha kuthamanga kwa magazi, china chifukwa cha cholesterol yanu, ndi china chifukwa cha matenda anu a shuga. Mwinanso mumwa mankhwala ochepetsa ululu ku pharmacy chifukwa cha kupweteka kwa pakhosi. Koma kodi munayamba mwaganizapo kuti mankhwala awa "amalankhulana" wina ndi mnzake, ndipo nthawi zina "amamenyana" wina ndi mnzake? Ndicho chimene timachitcha kuti kuyanjana kwa mankhwala, kapena kungoti "Kuyanjana kwa Mankhwala". Iyi ndi nkhani yofunika kwambiri yomwe tonsefe tiyenera kudziwa.
Kodi kuyanjana kwa mankhwala ndi chiyani?
Mwachidule, "Kuyanjana kwa Mankhwala" ndi pamene mankhwala omwe mumamwa amasintha momwe amagwirira ntchito chifukwa cha chinthu china chomwe chimalowa m'thupi lanu (chingakhale mankhwala ena, chakudya, chakumwa, mavitamini), kapena matenda ena omwe muli nawo. Izi zili ngati magalimoto pamsewu. Ngati galimoto iliyonse ipita njira yakeyake, palibe vuto. Koma ngati galimoto imodzi ibwera njira yolakwika, pakhoza kuchitika ngozi, eti? Chinthu chomwecho chimachitika ndi mankhwala.
Pamene kuyanjana kwamtunduwu kukuchitika, zinthu zitatu zazikulu zitha kuchitika:
- Kuchepa kwa mphamvu ya mankhwala: Izi zikutanthauza kuti mankhwalawo sakugwira ntchito bwino. Ngakhale mutamwa mankhwala ochepetsa kuthamanga kwa magazi, ngati thupi silikuyamwa bwino chifukwa cha china chake, kuthamanga kwa magazi sikudzachepa.
- Kuchuluka kwa mankhwala: Nthawi zina mankhwala amayamba kugwira ntchito mopitirira muyeso, zomwe zingawononge kwambiri kuposa kupindulitsa.
- Zotsatirapo kapena poizoni: Mankhwala awiri amatha kuyanjana ndi kuyambitsa zotsatirapo zatsopano kapena poizoni.
Tangoganizirani, mankhwala aliwonse omwe mumatenga angagwirizane ndi zinthu monga:
- Mankhwala ena omwe mumamwa (akhoza kukhala mankhwala ochokera kwa dokotala kapena mankhwala ogulitsidwa kunja kwa chipatala (OTC) omwe mumagula ku pharmacy).
- Zakudya zowonjezera monga mavitamini, mapiritsi achitsulo, ndi zitsamba.
- Mukhoza kugula chakudya kapena zakumwa.
- Mowa.
- Fodya.
- Mankhwala ena.
Sikuti zinthu izi zokha, komanso mankhwala ena sangakhale oyenera kwa inu chifukwa cha matenda ena omwe muli nawo. Mwachitsanzo, mankhwala a matenda ena angapangitse kuti vuto lina likhale lalikulu kwambiri.
Koma musadandaule. Nthawi zambiri, kuyanjana kwa mankhwala kumeneku kumakhala kwakanthawi kochepa ndipo kumatheka. Dokotala wanu angasinthe mlingo wa mankhwala anu kapena kukuuzani kuti musiye kudya zakudya zina kwakanthawi. Koma kuyanjana kwina kungakhale koopsa kwambiri komanso koika moyo pachiswe. Choncho kudziwa bwino za mankhwalawa ndikuchitapo kanthu kuti mupewe kungakuthandizeni kupeza bwino chithandizo chanu.
Ndani ali pachiwopsezo chachikulu?
Kugwiritsa ntchito mankhwala osokoneza bongo kungachitike kwa aliyense wa msinkhu uliwonse, koma ngati mukumwa mankhwala ambiri kapena muli ndi matenda osiyanasiyana, chiopsezo chimakhala chachikulu kwambiri.
Kawirikawiri, pamene tikukalamba, timadwala matenda osatha. Choncho kuchuluka kwa mankhwala omwe timamwa kumawonjezeka. Taganizirani izi, pamene pali mankhwala ndi njira zambiri zogwirira ntchito limodzi m'thupi lanu, mwayi woti china chake chisayende bwino umakhala wokwera, eti?
Zili ngati kukonza phwando. Ngati mulankhula ndi anzanu ochepa omwe mumawadziwa bwino, mudzatha kukhala ndi phwando labwino kwambiri. Koma alendo ambiri omwe mukulankhula nawo, m'pamenenso padzakhala kusamvana. Monga anthu omwe ali pa phwando, mankhwala amatha kuyanjana wina ndi mnzake m'njira yosakhala yaubwenzi.
Choncho musayese kuthana ndi zinthuzi nokha. Simungathe kuneneratu momwe mankhwala amodzi angakhudzire thupi lanu, osatinso zomwe zingachitike ngati mutamwa mankhwala ambiri pamodzi.
Ndicho chifukwa chake ndikofunikira kulankhula ndi dokotala wanu musanamwe mankhwala atsopano kapena zowonjezera, kapena musanasinthe mndandanda wa mankhwala omwe muli nawo panopa. Dokotala wanu angakuthandizeni kudziwa mankhwala omwe ali abwino kwa inu, opindulitsa kwambiri, komanso otetezeka, komanso ngati ndi otetezeka kumwa okha kapena kuphatikiza ndi mankhwala ena.
Kodi mitundu ikuluikulu ya kuyanjana kwa mankhwala ndi iti?
Kuyanjana kumeneku kungagawidwe m'magulu anayi akuluakulu. Tiyeni tiwone zomwe zili.
| Mtundu wolumikizirana | Kufotokoza mwachidule |
|---|---|
| Kuyanjana kwa mankhwala ndi mankhwala | Mankhwala amodzi angakhudze momwe mankhwala ena omwe mukumwa amagwirira ntchito. |
| Kugwirizana kwa mankhwala ndi zowonjezera | Mankhwala amagwira ntchito ndi vitamini, mchere, kapena zowonjezera zitsamba zomwe mumamwa. |
| Kuyanjana kwa mankhwala ndi chakudya/chakumwa | Kanthu komwe mumadya kapena kumwa kangakhudze mphamvu ya mankhwala. |
| Kugwirizana kwa mankhwala ndi vuto la mankhwala | Zotsatira zosayembekezereka za mankhwala omwe mumamwa chifukwa cha matenda omwe muli nawo. |
1. Kuyanjana kwa mankhwala osokoneza bongo ndi mankhwala osokoneza bongo
Uwu ndi mtundu womwe timauona nthawi zambiri. Mankhwala amodzi amasintha momwe mankhwala ena amagwirira ntchito. Izi zitha kuchitika:
- Pakati pa mankhwala awiri operekedwa ndi dokotala.
- Pakati pa mankhwala awiri omwe mudagula ku pharmacy.
- Pakati pa mankhwala olembedwa ndi dokotala ndi mankhwala omwe mudagula ku pharmacy.
Komanso, fodya, mowa, kapena mankhwala ena osokoneza bongo angagwirizane ndi mankhwala omwe mukumwa ndipo angayambitse zotsatira zosafunikira.
Zinthu zomwe zingachitike ndi mtundu uwu wa kuyanjana:
- Zotsatirapo zake zingachuluke: Tangoganizirani kumwa mankhwala awiri okhala ndi chinthu chimodzi chogwira ntchito pamodzi. Mwachitsanzo, ngati mumwa mankhwala ochepetsa ululu okhala ndi acetaminophen pakhosi lopweteka kenako ndi mankhwala ena okhala ndi acetaminophen pa chimfine, kuchuluka kwa acetaminophen komwe kumafika m'thupi lanu kudzawonjezeka. Izi zitha kuwonjezera zotsatirapo zake kapena kuyambitsa poizoni m'chiwindi.
- Mankhwala sagwira ntchito bwino: Mankhwala ena amagwira ntchito motsutsana. Limodzi lingatseke puloteni m'thupi, pomwe lina limayambitsa. Pankhaniyi, mankhwala onse awiri sadzakhala ndi zotsatira zomwe akufuna.
- Momwe mankhwala amagwirira ntchito zingasinthe: Mankhwala ena amakhudza momwe mankhwala ena amalowetsedwa bwino m'thupi. Komanso, mankhwala ena amasintha liwiro lomwe chiwindi chathu chimaphwanya mankhwala ena. Izi zingayambitse kuti mankhwalawo asweke mwachangu kwambiri ndikuyamba kugwira ntchito, kapena akhoza kukhala m'thupi kwa nthawi yayitali ndikukhala amphamvu kwambiri.
Choncho, musanamwe mankhwala atsopano (kaya ndi olembedwa ndi dokotala kapena mankhwala ena aliwonse), onetsetsani kuti mwalankhula ndi dokotala wanu. Muuzeni za mankhwala onse omwe mukumwa panopa. Ngati mukumwa mowa, ndudu, kapena mankhwala ena, ndikofunikira kuti chitetezo chanu chikhale chotseguka.
2. Kuyanjana kwa mankhwala ndi zowonjezera
Nthawi zambiri timaganiza kuti chifukwa zinthu monga mavitamini ndi zowonjezera ku zitsamba ndi "zachilengedwe," sizingavulaze. Ndi kulakwitsa kwakukulu. Zowonjezera zina zimatha kuchepetsa kapena kuwonjezera mphamvu ya mankhwala omwe mumamwa, kapena kuyambitsa zotsatirapo zoopsa.
Chimodzi mwa zoopsa kwambiri mwa izi ndi wort wa St. John.Ndi mankhwala ochokera ku zitsamba. Amalumikizana ndi mankhwala ambiri, nthawi zina m'njira yoika moyo pachiswe. Mwachitsanzo, St. John's wort ingayambitse matenda oopsa otchedwa Serotonin Syndrome ikamwedwa ndi SSRIs, gulu la mankhwala omwe amagwiritsidwa ntchito pochiza matenda monga kuvutika maganizo.
Zinthu zina zomwe zingayambitse mavuto ambiri:
- Adyo wochotsa: Izi ndi mankhwala ochepetsa magazi. Ngati mukumwa mankhwala ochepetsa magazi monga Warfarin, kapena ngati mukukonzekera opaleshoni, kumwa mankhwalawa kungayambitse kutuluka magazi kwambiri.
- Goldenseal: Izi zimakhudzanso momwe chiwindi chimaswera mankhwala ndipo zingayambitse mavuto ndi mankhwala ambiri.
- Mapiritsi owonjezera a tiyi wobiriwira: Awa si tiyi wobiriwira womwe timamwa, koma ndi mapiritsi owonjezera. Izi zimatha kuyanjana ndi ``pseudoephedrine'' yomwe imapezeka m'mankhwala ena ozizira.
Izi ndi zitsanzo zochepa chabe. Musanamwe mankhwala enaake, ndikofunikira kufunsa dokotala wanu kuti muwonetsetse kuti ndi otetezeka kwa inu. Muyenera kuganizira kawiri za kumwa mankhwalawa, makamaka ngati muli ndi vuto lililonse mwa izi:
- Ngati mukumwa mankhwala omwe ali ndi njira zochepa zochiritsira: Izi zikutanthauza kuti mulingo wa mankhwalawo uyenera kukhala wolondola kwambiri m'thupi. Ngakhale atakhala ochepa kwambiri kapena ochepa kwambiri akhoza kukhala oopsa. Ma supplements ena amatha kusokoneza mgwirizanowu. Zitsanzo: Carbamazepine, Phenytoin, ndi Warfarin, zomwe zimagwiritsidwa ntchito poletsa magazi kuundana.
- Ngati mukukonzekera opaleshoni: Zakudya zina zowonjezera zimatha kukhudza mankhwala omwe amagwiritsidwa ntchito pochiza ululu, kuwonjezera kutuluka kwa magazi, komanso kukhudza kuthamanga kwa magazi kapena kugunda kwa mtima.
3. Kuyanjana pakati pa mankhwala ndi chakudya/chakumwa
Inde, zomwe mumadya ndi kumwa zingasinthe momwe mankhwala anu amagwirira ntchito. Zakudya ndi zakumwa zina:
- Zingalepheretse kuti mankhwalawo alowe m'thupi.
- Kagayidwe ka mankhwala kangasinthe, kuwonjezera kapena kuchepetsa mphamvu yake.
- Zingachedwetse kuchotsa mankhwalawa m'thupi ndi kuyambitsa poizoni.
Tiyeni tiwone zakudya ndi zakumwa zazikulu zomwe zimayambitsa mavuto amtunduwu.
| Mtundu wa chakudya/chakumwa | Mankhwala omwe angayambitse zotsatira zoyipa (zitsanzo) |
|---|---|
| Chipatso champhesa | Mankhwala ena ochepetsa cholesterol (statins), mankhwala operekedwa pambuyo poika ziwalo zina, ndi mankhwala ena opitilira 85 amakhudzana ndi izi. |
| Zakudya za mkaka | Amachepetsa kuyamwa kwa mankhwala monga levothyroxine, maantibayotiki ena, ndi bisphosphonates pa matenda a mafupa. |
| Zakudya zokhala ndi vitamini K wambiri (masamba obiriwira) | Zimasokoneza ntchito ya mankhwala ochepetsa magazi (Warfarin). (Ayenera kumwedwa pang'ono malinga ndi upangiri wa dokotala). |
| Zakudya zokhala ndi tyramine yambiri (tchizi yakale, nyama yokonzedwa bwino) | Ikhoza kuyanjana ndi mankhwala monga monoamine oxidase inhibitors (MAOIs) pochiza kuvutika maganizo ndipo imayambitsa kuthamanga kwa magazi koopsa. |
| Mowa | Mankhwala monga `Metronidazole` amatha kuyanjana ndi mankhwala ambiri, kuphatikizapo `Warfarin` ndi `Paracetamol`, zomwe zimayambitsa zotsatira zoopsa. |
Ichi ndichifukwa chake mankhwala ena amati amatengedwa m'mimba yopanda kanthu musanadye, ndipo ena amati amatengedwa pamodzi ndi chakudya. Choncho, tsatirani malangizo a dokotala wanu molondola.
4. Kuyanjana pakati pa mankhwala ndi vuto la mankhwala
Chomwe chimachitika pankhaniyi ndi chakuti mankhwala omwe mumamwa pa matenda ena amawonjezera matenda ena omwe muli nawo.
Mwachitsanzo, mankhwala ena otsegula mphuno omwe amagwiritsidwa ntchito pochiza mphuno yotsekeka ya chimfine amatha kuwonjezera kuthamanga kwa magazi. Ngati muli kale ndi kuthamanga kwa magazi, izi zitha kukhala zoopsa kwambiri kwa inu.
Komanso, mankhwala ochepetsa ululu (NSAIDs) (monga Ibuprofen, Naproxen) ndi ma steroids ena amathanso kukweza kuthamanga kwa magazi. Ngati muli ndi vuto lililonse mwa zotsatirazi, muyenera kusamala kwambiri mukamamwa mankhwala atsopano.
- Matenda a shuga
- Kuthamanga kwa magazi
- Matenda a glaucoma
- Prostate yokulirapo
- Chilonda cha m'mimba
Kodi kuyanjana kwa mankhwala osokoneza bongo kumeneku kungapewedwe bwanji?
Pali zinthu zosavuta koma zofunika kwambiri zomwe mungachite kuti mudziteteze ku zoopsa izi.
1. Sungani mndandanda wazinthu zonse zomwe mumagula.
Pangani buku kapena pepala lokhala ndi tsatanetsatane wa mankhwala onse, mavitamini, ndi zowonjezera zitsamba zomwe mumamwa. Lembani mfundo zotsatirazi mmenemo:
- Dzina lonse la mankhwala/chowonjezera.
- Chosakaniza chogwira ntchito chomwe chili nacho.
- N’chifukwa chiyani mukutenga?
- Kuchuluka kwa mankhwala oti mumwe (muyeso) ndi nthawi yoti mumwe.
- Ziyenera kutenga nthawi yayitali bwanji?
- Malangizo apadera, monga musanadye komanso mutadya.
- Dzina la dokotala amene anakupatsani mankhwala.
Sungani mndandanda uwu wamakono. Perekani dokotala wa banja lanu, katswiri, ndi madokotala ena onse kopi yatsopano ya mndandanda uwu. Ngati n'kotheka, pezani mankhwala anu onse ku pharmacy yomweyo. Mwanjira imeneyi, iwonso adzadziwa za mankhwala anu. Sungani kopi ya mndandandawu m'chikwama chanu nthawi zonse.
2. Lankhulani ndi dokotala wanu musanayambe chilichonse.
Ichi ndiye chinthu chofunika kwambiri. Kulankhulana ndiye chinsinsi apa.
- Pemphani nthawi zonse musanamwe mankhwala atsopano , mavitamini, kapena zowonjezera zitsamba. Zilibe kanthu ngati ndi chinthu chomwe mungapeze ku pharmacy kapena ngati mwakhala mukumwa kwa zaka zambiri. Matupi athu ndi zosowa zathu zachipatala zimasintha pakapita nthawi.
- Ngati simukumvetsa kalikonse kokhudza mankhwalawo, funsani.
- Funsani choti muchite ngati mwaphonya mlingo wa mankhwala.
- Uzani dokotala wanu ngati mukukumana ndi zotsatirapo zatsopano.
- Mundiuze ngati mukuona kuti mankhwalawo sakugwira ntchito.
Dokotala wanu akakupatsani mankhwala atsopano, musaiwale kufunsa mafunso awa:
- Ndiyenera kumwa mankhwala angati komanso kangati patsiku?
- Kodi ndiyenera kumwa ndi chakudya kapena ndili ndi njala m'mimba?
- Ndi zakudya ndi zakumwa ziti zomwe ndiyenera kupewa ndikamamwa mankhwalawa?
- Kodi ndiyenera kusiya kumwa mankhwala ena aliwonse omwe ndikumwa panopa?
- Kodi ndi zotsatirapo ziti zomwe mungayembekezere? Kodi muyenera kukambirana chiyani ngati zitachitika?
3. Sungani chilichonse mwadongosolo.
Ndikofunikanso kumwa mankhwala anu moyenera komanso panthawi yoyenera. Zinthu ngati izi zingathandize:
- Ikani kalendala yokhala ndi nthawi ya mankhwala pamalo oonekera, monga pa firiji.
- Gwiritsani ntchito bokosi la mapiritsi lomwe lili ndi mlingo wa tsiku ndi tsiku (sungani pamalo omwe ana sangafikire).
- Ikani zikumbutso pafoni yanu.
- Uzani wina kunyumba za nthawi yomwe mumamwa mankhwala.
Ndi bwino kukhala ndi chidziwitso pa zinthu monga 'zowunikira momwe mankhwala amagwirizanirana ndi mankhwala' pa intaneti. Koma sizilowa m'malo mwa upangiri wa dokotala wanu. Chifukwa dokotala wanu amadziwa inuyo komanso mbiri yanu yonse yachipatala.
Uthenga Wopita Nawo Kunyumba
- Uzani dokotala wanu za mankhwala onse omwe mumamwa, kaya ndi vitamini, mankhwala owonjezera azitsamba, mowa, kapena ndudu.
- Nthawi zonse sungani mndandanda wazinthu zonse zomwe mumatenga ndipo muwonetse kwa dokotala aliyense.
- Musanayambe mankhwala atsopano (ngakhale mankhwala ogulitsidwa kunja kwa sitolo), onetsetsani kuti mwafunsa dokotala wanu.
- Ngati simukumvetsa malangizo a mankhwala anu, musaope kufunsanso. Ndikofunikira pa chitetezo chanu.
- Thanzi lanu likhoza kukhala lovuta, koma ndi chidziwitso choyenera komanso kulankhulana bwino ndi dokotala wanu, mutha kukhala otetezeka komanso athanzi.
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