Kodi dokotala wanu wakuuzani kuti muli ndi ma platelet ochepa ndipo muli pachiwopsezo chotaya magazi ? Mwina mwapatsidwa mankhwala otchedwa Elthrombopag kuti muwachiritse. Popeza awa ndi mankhwala apadera, mungakhale ndi mafunso ambiri okhudza mankhwalawa. Musadandaule, tikambirana za mankhwalawa mwachidule, momwe mungagwiritsire ntchito, komanso zomwe muyenera kusamala nazo.
Mwachidule, kodi Elthrombopag ndi chiyani?
Ichi ndi suspension , zomwe zikutanthauza kuti imabwera mu mawonekedwe amadzimadzi. Ntchito yake yayikulu ndikuwonjezera kuchuluka kwa ma platelet m'thupi lanu.
Taganizirani momwe timasiyira kutuluka magazi tikapeza bala kwinakwake m'thupi lathu. Maselo ang'onoang'ono awa otchedwa ma platelets amathandiza pa izi. Amalumikizana kuti apange magazi oundana ndikuletsa kutuluka magazi. Choncho pamene kuchuluka kwa ma platelets kumachepa, ngakhale bala laling'ono lingayambitse kutuluka magazi kwambiri.
Mankhwalawa amagwiritsidwa ntchito makamaka pa:
- Anthu omwe ali ndi kuchuluka kochepa kwa ma platelet chifukwa cha matenda a chiwindi kapena vuto lotchedwa immune thrombocytopenia ( ITP ), vuto la chitetezo chamthupi.
- Amagwiritsidwanso ntchito pochiza matenda otchedwa `aplastic anemia`. Mu mkhalidwe uwu, mafuta a m'mafupa amapanga maselo atsopano ochepa kwambiri a magazi (maselo ofiira, maselo oyera, ndi ma platelet).
Mwachidule, mankhwalawa amalimbikitsa mafuta a m'mafupa kuti apange ma platelet ambiri, zomwe zimachepetsa chiopsezo cha kutuluka magazi kosafunikira.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwala
Dokotala wanu asanakupatseni mankhwala awa, adzafuna kudziwa mbiri yonse ya thanzi lanu. Chifukwa chake, ngati chilichonse mwa izi chikukukhudzani, onetsetsani kuti mwadziwitsa dokotala wanu.
- Matenda ena omwe muli nawo:
- Khansa
- Matenda a chiwindi kapena impso
- Matenda a maso kapena vuto la maso
- Ngati muli ndi mbiri ya magazi kuundana
- Ngati ndulu yachotsedwa opaleshoni
- Matenda ena omwe amayambitsa kuchepa kwa maselo a m'magazi (maselo oyera, maselo ofiira, ma platelet)
- Ziwengo: Ngati muli ndi vuto la ziwengo ndi mankhwala awa, Elthrombopag, kapena mankhwala ena aliwonse, chakudya, kapena chosungira.
- Mimba ndi kuyamwitsa:
- Ngati muli ndi pakati kapena mukufuna kutenga mimba.
- Ngati ndinu mayi woyamwitsa.
Ndikofunikira kwambiri kuti mukhale otetezeka kuuza dokotala izi popanda kuzibisa.
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
Uwu ndi mankhwala omwe ayenera kugwiritsidwa ntchito mosamala. Ndikofunikira kwambiri kumwa mlingo woyenera panthawi yoyenera, monga momwe dokotala wanenera.
1. Momwe mungamwere: Uwu ndi mankhwala amadzimadzi. Gwedezani botolo bwino musanagwiritse ntchito. Mudzapatsidwa sirinji, singano, kapena supuni yolembedwa mwapadera kuti muyese mankhwalawo. Musayese ndi supuni wamba zapakhomo, chifukwa sizolondola.
2. Nthawi yoti mutenge (izi ndizofunikira kwambiri!):
- Mankhwalawa ayenera kumwedwa pamimba yopanda kanthu .
- Izi zikutanthauza kuti, osachepera mphindi 30 musanadye kapena maola awiri mutadya .
- Njira ina ndikutenga izi ndi chakudya chokhala ndi calcium yochepa .
3. Ubale ndi calcium ndi mchere wina:
- Kumwa zakudya, zakumwa, kapena mavitamini okhala ndi calcium, iron, magnesium, kapena zinc nthawi imodzi ndi mankhwalawa kumachepetsa kuyamwa kwa mankhwalawa.
- Mwachidule, ngati mudya mkaka, yogati, kapena tchizi, kumwa mapiritsi achitsulo, kapena kumwa mankhwala oletsa asidi (madzimadzi/mapiritsi a gastritis), muyenera kusiya mpata pakati pa nthawi yomwe mukumwa ndi nthawi yomwe mukumwa mankhwalawa.
- Lamulo ndi ili: Muyenera kumwa mankhwalawa maola awiri musanayambe kumwa kapena maola anayi mutatha kumwa mankhwala owonjezera a calcium/iron omwe atchulidwa pamwambapa.
Tangoganizani kuti mwamwa kapu ya mkaka nthawi ya 8 koloko m'mawa. Kenako muyenera kumwa mankhwalawa nthawi ya 12 koloko masana. Kapena, ngati mwamwa mankhwalawa nthawi ya 6 koloko m'mawa, mutha kumwa kapu ya mkaka nthawi ya 8 koloko m'mawa. Lankhulani ndi dokotala wanu ndipo konzani nthawi zenizenizi.
Nanga bwanji ngati ndaphonya mlingo wa mankhwala?
Ngati mwaphonya mlingo, musadandaule. Musabwezere mlingo womwe mwaphonya. Ingomwani mlingo wotsatira panthawi yomwe mwakonza. Musamwe mlingo woposa womwe mwapatsidwa (kuposa umodzi) patsiku.
Nanga bwanji ngati nditamwa mankhwala ochulukirapo?
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, pitani ku Dipatimenti Yoona za Zadzidzidzi (ETU) yapafupi nthawi yomweyo. Kapena imbani National Poisons Information Centre ku Colombo National Hospital .
Zinthu zina zofunika kusamala nazo mukamamwa mankhwala
- Kupimidwa nthawi zonse ndi dokotala: Dokotala wanu angakufunseni kuti mupimidwe magazi nthawi zonse. Kupimidwa kumeneku kudzayang'ana ngati kuchuluka kwa ma platelet m'magazi anu kuli pamlingo wofunikira komanso ngati chiwindi chanu chikugwira ntchito bwino. Musasiye mayesowa.
- Kusintha kwa masomphenya: Anthu ena angasinthe masomphenya ndi mankhwalawa. Chifukwa chake, dokotala wanu angakulangizeni kuti muyeze maso musanayambe komanso mukumwa mankhwalawo. Ngati muwona kuti maso anu sakuwoneka bwino kapena mukuwona mphete zozungulira magetsi, uzani dokotala wanu nthawi yomweyo.
- Zotsatira za chiwindi: Mankhwalawa akhoza kukhala ndi mphamvu pa chiwindi, makamaka kwa anthu omwe ali ndi matenda a chiwindi cha mtundu wa C.
- Kudziteteza ku kuvulala: Ngakhale kuchuluka kwa ma platelet m'magazi anu kutakhala kwabwinobwino, ndi bwino kupewa masewera ndi zochitika zoopsa zomwe zingayambitse kuvulala.
- Mimba ndi kuyamwitsa: Ndikofunikira kugwiritsa ntchito njira zolerera zoyenerera kuti mupewe kutenga mimba mukumwa mankhwalawa komanso kwa masiku 7 mutasiya kumwa mankhwalawa. Lankhulani ndi dokotala wanu za izi. Komanso, pewani kuyamwitsa mukumwa mankhwalawa.
- Mankhwala a Elthrombopag amagwiritsidwa ntchito kuonjezera kuchuluka kwa ma platelet m'magazi ndikuchepetsa chiopsezo cha kutuluka magazi.
- Mankhwalawa ayenera kumwedwa pamimba yopanda kanthu . Musamwe pamodzi ndi chakudya kapena mankhwala okhala ndi mchere monga calcium kapena iron. Siyani mphindi imodzi kwa maola awiri.
- Imwani mlingo woyenera pa nthawi yomwe mwapatsidwa. Ngati mwaphonya mlingo, imwani panthawi ina yomwe mwakonza.
- Ngati mukukumana ndi zizindikiro zachilendo, monga ziphuphu pakhungu, chikasu cha maso, kusintha kwa masomphenya, kapena kutupa kwa miyendo, uzani dokotala wanu nthawi yomweyo.
- Uzani dokotala wanu za mankhwala ena onse omwe mukumwa.
- Ngati muli ndi mafunso ena okhudza mankhwalawa, musaope kufunsa dokotala wanu.
Kugwa kwakukulu kapena ngozi kungayambitse kutuluka magazi mkati mwa thupi komwe sikuoneka kuchokera kunja. Samalani kwambiri mukamagwiritsa ntchito zida zakuthwa monga mipeni ndi lumo. Ndi bwino kugwiritsa ntchito lumo lamagetsi mukameta. Tsukani mano anu nthawi zonse. Ngati mukumva mabala kapena mawanga ofiira pakhungu lanu, uzani dokotala wanu .
Kodi zotsatirapo zake zingakhale zotani?
Monga mankhwala ena aliwonse, mankhwalawa angayambitse zotsatira zina zoyipa. Komabe, si aliyense amene amalandira. Tebulo lomwe lili pansipa likupatsani chithunzi chomveka bwino cha izi.
| Kugawa zotsatira zoyipa | |
|---|---|
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala wanu nthawi yomweyo | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Zizindikiro za kuvulala kwa chiwindi | Kupweteka kumtunda kwa kumanja kwa m'mimba, kusowa chilakolako cha chakudya, nseru, ndowe zowala, mkodzo wakuda wachikasu kapena bulauni, maso kapena khungu kukhala lachikasu, komanso kutopa kwambiri. |
| Zizindikiro za magazi kuundana | Kupweteka kwa mwendo, kutupa kapena kutentha, kuvutika kupuma, kupweteka pachifuwa. |
| Kusintha kwa masomphenya | Kuona molakwika, kuona kuwala kozungulira magetsi, kutayika kwa masomphenya. |
| Kawirikawiri palibe chodetsa nkhawa (koma uzani dokotala wanu ngati chikupitirira) | |
| Kuvulala pang'ono | Chifuwa, kutsegula m'mimba (kusanza), kutopa, kutentha thupi, mutu, nseru. |
Zinthu zina zomwe zingagwirizane ndi mankhwalawa
Ndikofunikira kwambiri kuuza dokotala wanu za mankhwala ena aliwonse, mavitamini, kapena mankhwala azitsamba omwe mukumwa, chifukwa ena angakhudzidwe ndi mankhwalawa.
| Mtundu wa zinthu zomwe zingayambitse mavuto | Zitsanzo |
|---|---|
| Mankhwala oletsa asidi | Mapiritsi kapena zakumwa zomwe zimagwiritsidwa ntchito pa gastritis. |
| Zakudya zowonjezera mchere | Mapiritsi kapena zakumwa zokhala ndi calcium, iron, magnesium, zinc, selenium. |
| Mankhwala ena ochepetsa mafuta m'thupi | Mankhwala monga Atorvastatin ndi Rosuvastatin. |
| Mankhwala Oletsa Kutsekeka kwa Magazi | Mankhwala monga Warfarin, Apixaban, Rivaroxaban. |
| Mankhwala opha ululu | Mankhwala omwe ali mgulu la `NSAIDs`, monga Ibuprofen ndi Naproxen. |
Mndandandawu sunathe, choncho uzani dokotala wanu za mankhwala onse omwe mukumwa.
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