Nthawi zina, pamene mahomoni a m'thupi lathu sali bwino, matenda osiyanasiyana amatha kuchitika. Fludrocortisone ndi mankhwala apadera omwe madokotala amapereka pochiza matenda monga matenda a Addison, omwe amapezeka pamene mahomoni omwe amalamulira kuchuluka kwa mchere ndi madzi m'thupi lathu achepa. Nthawi zambiri amabwera pansi pa dzina lodziwika bwino la Florinef. Chifukwa chake ngati dokotala wanu wakupatsani mankhwalawa, ndikofunikira kwambiri kudziwa. Tiyeni tikambirane mwatsatanetsatane lero.
Kodi kwenikweni chimachitika ndi mankhwala awa ndi chiyani?
Mwachidule, Fludrocortisone ndi mankhwala omwe ali m'gulu la mankhwala otchedwa corticosteroids. Amagwira ntchito potengera mahomoni omwe matupi athu amapanga mwachibadwa. Homoni iyi imathandiza kuti mchere (sodium) ndi madzi zikhale bwino m'thupi.
Mu matenda monga matenda a Addison kapena adrenogenital syndrome, thupi silingathe kupanga mahomoni okwanira awa. Izi zingapangitse kuti mchere m'thupi uchepe kwambiri. Mapiritsi a Fludrocortisone amagwira ntchito pokonza kusowa kwawo ndikubwezeretsa mchere ndi madzi m'thupi.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwala
Musanayambe kugwiritsa ntchito fludrocortisone, ndikofunikira kwambiri kuuza dokotala wanu za matenda ena aliwonse omwe muli nawo, chifukwa matenda ena amafunika chisamaliro chapadera mukamagwiritsa ntchito mankhwalawa.
| Uzani dokotala wanu ngati muli ndi matenda awa. |
|---|
| • Matenda a shuga |
| • Kuthamanga kwa magazi kwambiri |
| • Matenda a mtima kapena kulephera kwa mtima |
| • Matenda a chiwindi |
| • Zilonda zam'mimba kapena zam'mimba kapena matenda monga colitis, diverticulitis |
| • Matenda a mafupa (osteoporosis) |
| • Myasthenia gravis (matenda omwe amayambitsa kufooka kwa minofu) |
| • Mavuto a chithokomiro |
| • Matenda a Cushing |
| • Matenda opatsirana monga herpes, chikuku, katsabola, chifuwa chachikulu |
| • Ngati muli ndi vuto la fludrocortisone, ma steroid ena, lactose, kapena mankhwala ena aliwonse kapena chakudya. |
| • Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena mukuyamwitsa |
Kodi mumagwiritsa ntchito bwanji mankhwalawa molondola?
Kuti mupindule kwambiri ndi mankhwala, muyenera kuwagwiritsa ntchito bwino.
- Imwani piritsi ili ndi kapu ya madzi.
- Ndi bwino kumwa limodzi ndi chakudya kapena kapu ya mkaka kuti mupewe kuvutika m'mimba.
- Ngati muyenera kumwa kamodzi patsiku, imwani m'mawa .
- Imwani mlingo wokhawo womwe dokotala wanu wakupatsani. Musamwe mankhwala opitirira muyeso womwe mwapatsidwa.
- Chofunika kwambiri ndichakuti musasiye kumwa mankhwalawa mwadzidzidzi. Kuchita zimenezi kungayambitse vuto lalikulu. Ngati mukufuna kusiya kumwa mankhwala, dokotala wanu adzachepetsa pang'onopang'ono mlingo.
Pakufunika chisamaliro chapadera popereka mankhwalawa kwa ana. Komanso, anthu azaka zopitilira 65 akhoza kukhala ndi chidwi kwambiri ndi zotsatira za mankhwalawa, kotero angapatsidwe mlingo wocheperako. Zonsezi zidzasankhidwa ndi dokotala wanu.
Kodi mungachite chiyani ngati mwaphonya mlingo wa mankhwala?
Ngati mwaiwala kumwa mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe mlingo umodzi nthawi imodzi pazifukwa zilizonse.
Nanga bwanji ngati nditamwa mankhwala ochulukirapo?
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, musachite mantha. Koma muyenera kuchitapo kanthu nthawi yomweyo.Pitani nthawi yomweyo ku Dipatimenti Yoona za Zadzidzidzi (ETU) yapafupi kapena imbani National Poisons Information Centre ku Colombo National Hospital kuti mupeze upangiri.
Mankhwala ena omwe angagwirizane ndi fludrocortisone
Ndikofunikira kwambiri kuuza dokotala wanu za mankhwala onse omwe mukumwa, chifukwa mankhwala ena amatha kusokonezana ndi Fludrocortisone.
| Musamwe Fludrocortisone pamodzi ndi mankhwalawa. |
|---|
| • mifepristone, RU-486 |
| Samalani kwambiri ngati mukumwa mankhwala awa (uzani dokotala wanu ). |
| • Aspirin ndi mankhwala ena ofanana nawo • Ma barbiturates (monga phenobarbital) • Digoxin • Mankhwala ochotsa madzi m'thupi (Diuretics) • Mahomoni achikazi (estrogens, progestins) ndi mapiritsi oletsa kubereka • Mahomoni a amuna • Mankhwala a matenda a shuga (monga insulin) • Mankhwala omwe amaletsa magazi kuundana (monga warfarin) • Phenytoin • Rifampin • Amphotericin B • Katemera wamtundu uliwonse |
Mndandandawu sunathe. Uzani dokotala wanu za mankhwala onse, mavitamini, ndi mankhwala achikhalidwe omwe mukumwa. Komanso, muwauze ngati mumasuta kapena kumwa mowa.
Zinthu zoti muzisamala nazo mukamamwa mankhwala
- Pitani kwa dokotala nthawi zonse ndipo muone ngati muli ndi vuto lililonse.
- Ngati mukumwa mankhwalawa kwa nthawi yayitali, sungani khadi lokhala ndi dzina lanu, adilesi yanu, dzina la mankhwala omwe mukumwa, mlingo wake, ndi tsatanetsatane wa dokotala wanu pakagwa ngozi.
- Pali chiopsezo chowonjezeka pang'ono chodwala mukamagwiritsa ntchito mankhwalawa. Choncho pewani anthu odwala. Ngati mukumana ndi munthu amene ali ndi matenda monga chikuku kapena katsabola, uzani dokotala wanu nthawi yomweyo.
- Ngati mukuchitidwa opaleshoni, onetsetsani kuti mwauza dokotala kuti mwamwa mankhwala awa m'miyezi 12 yapitayi.
- Lankhulani ndi dokotala wanu za zakudya zomwe mumadya. Iye angakuuzeni kuti muchepetse mchere womwe mumadya.
- Chifukwa cha mankhwala awaShuga m'magazi angakwere. Ngati muli ndi matenda a shuga, funsani dokotala wanu ngati mukufuna kusintha zakudya zanu kapena mankhwala anu.
Kodi zotsatirapo zake zingakhale zotani?
Monga mankhwala ena onse, mankhwalawa akhoza kukhala ndi zotsatirapo zake. Ena ndi oopsa, ena ndi ofala.
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala nthawi yomweyo |
|---|
| • Kuvutika maganizo, kusinthasintha maganizo pafupipafupi, kudziona ngati wapamwamba kwambiri, kapena kuganiza kuti ena akulakwitsa. • Zizindikiro za shuga wambiri m'magazi: ludzu lochuluka, njala, kukodza pafupipafupi, kutopa kwambiri, kusawona bwino • Kulemera mwadzidzidzi • Kutupa kwa miyendo kapena mapazi |
| Zotsatirapo zomwe nthawi zambiri sizili zoopsa, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira |
| • Chizungulire • Mutu • Kusowa chilakolako cha chakudya • Kusanza, kusanza • Kusowa tulo |
Uthenga Wopita Nawo Kunyumba
- Fludrocortisone ndi mankhwala omwe ayenera kugwiritsidwa ntchito motsatira malangizo a dokotala, mu mlingo wovomerezeka komanso kwa nthawi yovomerezeka.
- Chofunika kwambiri ndichakuti musasiye kumwa mankhwala mwadzidzidzi pazifukwa zilizonse. Ngati mukufuna kutero, muyenera kufunsa upangiri kwa dokotala.
- Uzani dokotala wanu za mankhwala ena aliwonse, mavitamini, kapena zowonjezera zomwe mukumwa.
- Ngati mukukumana ndi zizindikiro zachilendo monga kunenepa mwadzidzidzi, kutupa miyendo, kapena ludzu lalikulu, dziwitsani dokotala wanu nthawi yomweyo.
- Mukamamwa mankhwalawa, ndikofunikira kwambiri kuonana ndi dokotala wanu pa nthawi yoyezetsa.
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