Ngati inu kapena wokondedwa wanu muli ndi cystic fibrosis (CF), mwina mukudziwa bwino mavuto omwe mumakhala nawo. Koma chifukwa cha kupita patsogolo kwa mankhwala, mankhwala atsopano ndi ziyembekezo zatsopano zikuwonjezeredwa nthawi zonse. Lero, tikambirana za mankhwala apadera omwe abweretsa chiyembekezo chatsopano. Dzina la mankhwalawa ndi Trikafta. Tiyeni tiwone kuti mankhwalawa ndi chiyani, momwe amagwirira ntchito, komanso njira zodzitetezera zomwe muyenera kutsatira mukamagwiritsira ntchito, m'njira yosavuta yomwe mungamvetse.
Kodi kwenikweni chimachitika ndi mankhwala awa ndi chiyani?
Mwachidule, Trikafta ndi mankhwala omwe amagwiritsidwa ntchito pochiza cystic fibrosis (CF). Ndi kuphatikiza kwa mankhwala atatu: Elexacaftor, Tezacaftor, ndi Ivacaftor.
Tangoganizirani, mamina mkati mwa mapapo a munthu yemwe ali ndi CF ndi okhuthala komanso omata. Monga guluu wokhuthala. Izi zimapangitsa kuti kupuma kukhale kovuta, ndipo matenda amapezeka pafupipafupi. Izi zimachitika chifukwa pali vuto la kuyenda kwa mchere ndi madzi m'maselo a thupi.
Apa ndi pomwe Trikafta imayambira. Imagwira ntchito pokonza vutoli pogwiritsa ntchito mchere ndi madzi, kuthandiza thupi kukhala lolimba. Izi zimathandiza kuti mamina okhuthala m'mapapo asungunuke, achepe, komanso achotsedwe mosavuta m'thupi . Izi zingathandize kuwongolera zizindikiro za CF kwambiri.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwala
Iyi ndi gawo lofunika kwambiri. Dokotala wanu asanakupatseni mankhwala awa, ayenera kukhala ndi chithunzi chonse cha thanzi lanu. Choncho, ngati pali chilichonse mwa izi chomwe chikukukhudzani, onetsetsani kuti mwalankhula ndi dokotala wanu za izi.
- Matenda a impso: Ngati muli ndi vuto lililonse lokhudzana ndi impso.
- Matenda a chiwindi: Ngati muli ndi vuto lililonse la chiwindi.
- Matenda a ziwengo: Tiuzeni ngati muli ndi vuto lililonse la ziwengo, osati kokha ku zosakaniza zomwe zili mu mankhwalawa, komanso ku mankhwala ena aliwonse, chakudya, kapena utoto.
- Mimba: Ngati muli ndi pakati kapena mukukonzekera kukhala ndi mwana posachedwa.
- Ngati ndinu mayi woyamwitsa: Ngati ndinu mayi amene akuyamwitsa mwana.
Ndikofunikira kwambiri kuti mukhale otetezeka kuuza dokotala izi popanda kuzibisa.
Kodi ndimagwiritsa ntchito bwanji mankhwalawa molondola?
Kuti mupindule kwambiri ndi mankhwala, muyenera kuwagwiritsa ntchito bwino. Kumbukirani zinthu izi.
1. Imwani ndi chakudya: Ichi ndiye chinthu chofunikira kwambiri. Mankhwalawa ayenera kumwedwa ndi chakudya chokhala ndi mafuta.Musamwe mankhwalawo muli ndi njala m'mimba. Mwachitsanzo, imwani mankhwalawo pamodzi ndi chinthu chokhala ndi mafuta, monga dzira, batala wa mtedza, tchizi, kapena yogati. Mankhwalawa amalowa bwino m'thupi akamwedwa pamodzi ndi chakudya.
2. Mezani piritsi: Musalithyole, kuliphwanya, kapena kulitafuna . Mezani piritsi lonse ndi madzi pang'ono.
3. Imwani pa nthawi yake: Yesetsani kumwa mankhwala anu nthawi yomweyo tsiku lililonse momwe mungathere. Izi zidzakuthandizani kuti musunge mankhwala okwanira m'thupi lanu.
4. Izi ndizofunikira kwambiri: Musamwe mankhwalawa pamodzi ndi madzi a mphesa pazifukwa zilizonse. Madzi a mphesa amatha kuyanjana ndi mankhwalawa ndikuyambitsa zotsatirapo zoopsa m'thupi.
5. Musasiye: Pitirizani kumwa mankhwalawo mpaka dokotala wanu atakuuzani kuti musiye.
Ngati mukupereka mankhwalawa kwa ana, muyenera kukambirana ndi dokotala wanu. Ngakhale kuti nthawi zina mankhwalawa amaperekedwa kwa ana azaka zopitirira 6, pali njira zina zodzitetezera.
Kodi mungachite chiyani ngati mwaphonya mlingo wa mankhwala ndipo mwamwa mowa wambiri?
Ngati mwaphonya mlingo wa mankhwala
Musadandaule za kuphonya mlingo. Chinthu chabwino kuchita mukangokumbukira ndikulankhula ndi dokotala wanu. Iye adzakuuzani choti muchite kenako. Musamwe mlingo wowirikiza kawiri kuti mubwezeretse mlingo womwe munaphonya .
Kuchuluka kwa mankhwala osokoneza bongo
Tangoganizani kuti mwamwa mankhwala ochulukirapo mwangozi. Izi ndi zadzidzidzi. Ngati izi zitachitika , imbani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital. Kapena pitani ku chipatala chapafupi cha Emergency Treatment Unit (ETU) mwamsanga.
Zinthu zina zomwe zingagwirizane ndi mankhwalawa (Kuyanjana)
Mankhwala ena, zakudya, ndi zitsamba zimatha kusokonezana ndi Trikafta, zomwe zimachepetsa mphamvu yake kapena kuyambitsa zotsatirapo zoopsa. Chifukwa chake, ndikofunikira kudziwitsa dokotala wanu za mankhwala onse omwe mukumwa.
| Zinthu zomwe zingachitike ndi Trikafta | |
|---|---|
| Musamwe mankhwala ndi izi. | |
| Vuto | Zitsanzo |
| Mankhwala ena a khunyu | Carbamazepine, Phenobarbital, ndi Phenytoin |
| Mankhwala ena a chifuwa chachikulu | Rifabutin, Rifampin |
| Mankhwala azitsamba | Wort wa St. John |
| Juwisi wazipatso | Madzi a mphesa |
| Onetsetsani kuti mwauza dokotala wanu ngati mukumwa izi. | |
| Maantibayotiki ena | Clarithromycin, Erythromycin |
| Mankhwala oletsa bowa | Fluconazole, Ketoconazole, Itraconazole |
| Mankhwala ena osiyanasiyana | Mankhwala monga Cyclosporine, Digoxin, Warfarin, Tacrolimus, Glimepiride, Glipizide a matenda a shuga |
Mndandandawu sunathe. Uzani dokotala wanu za mankhwala aliwonse, mavitamini, kapena mankhwala azitsamba omwe mukumwa. Komanso, uzani dokotala wanu ngati mumasuta kapena kumwa mowa.
Zinthu zina zofunika kuzikumbukira mukamamwa mankhwala
- Kufufuza nthawi zonse:Dokotala adzakuyang'anirani nthawi zonse. Musaphonye nthawi yokumana ndi dokotala. Muuzeni ngati zizindikiro zanu sizikutha kapena zikuipiraipira.
- Kuyezetsa maso ndi magazi: Dokotala wanu angafune kukuyezani maso ndi magazi anu musanayambe kumwa mankhwalawa komanso pamene mukuyamba kumwa.
- Kusintha kwa masomphenya: Ngati muwona kusintha kulikonse m'masomphenya anu (masomphenya osawoneka bwino, kuwona mphete mozungulira magetsi), uzani dokotala wanu nthawi yomweyo.
- Mutu ndi Kuyendetsa Galimoto: Mankhwalawa nthawi zina angayambitse chizungulire komanso mutu wopepuka. Choncho, pewani kuyendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani. Kumwa mowa kungapangitse vutoli kukhala loipa kwambiri.
Tiyeni tiphunzire za zotsatirapo zake.
Monga mankhwala ena aliwonse, Trikafta ingayambitse zotsatirapo zake. Ngakhale kuti si aliyense amene amalandira mankhwalawa, ndikofunikira kuwadziwa bwino.
| Mtundu wa zotsatira zoyipa | Zizindikiro |
|---|---|
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala nthawi yomweyo | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime, komanso kuvutika kupuma. |
| Kuvulala kwa chiwindi | Kupweteka kumtunda kwa kumanja kwa m'mimba, kusowa chilakolako cha chakudya, nseru, khungu kapena maso achikasu, mkodzo wakuda wachikasu/bulauni, kutopa kosazolowereka. |
| Kusintha kwa masomphenya | Kuona molakwika, kuwona mphete mozungulira magetsi, kutayika kwa masomphenya. |
| Zizindikiro zofanana ndi chimfine | Malungo, kupweteka kwa thupi, chifuwa, mutu, ndi kutopa. |
| Zotsatirapo zomwe nthawi zambiri siziyenera kuda nkhawa nazo, koma ziyenera kufotokozedwa kwa dokotala wanu ngati zikupitirira | |
| Kupweteka m'mimba, kutsegula m'mimba | Mutu |
| Mphuno yotuluka madzi kapena mphuno yodzaza | Ululu wokhudzana ndi sinus |
Uthenga Wopita Nawo Kunyumba
- Nthawi zonse imwani Trikafta pamodzi ndi chakudya chokhala ndi mafuta. Musamwe muli ndi mimba yopanda kanthu.
- Musamwe mankhwalawa pamodzi ndi madzi a mphesa pazifukwa zilizonse.
- Uzani dokotala wanu za mankhwala ena onse, mavitamini, komanso zitsamba zachikhalidwe zomwe mukumwa.
- Ngati mukukumana ndi mavuto aakulu monga chikasu cha maso, kuyabwa kwambiri pakhungu, kapena kusintha kwa masomphenya, funsani upangiri wa dokotala nthawi yomweyo.
- Mankhwalawa ndi a inu nokha. Musagawane ndi wina aliyense.
- Ngati muli ndi mafunso kapena nkhawa zokhudzana ndi mankhwalawo, lankhulani ndi dokotala wanu za izi momasuka.
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