Nthawi zina ululu umene timakumana nawo sutha ndi mankhwala wamba, sichoncho? Ululu umene umabwera pambuyo pa opaleshoni kapena kuvulala kwakukulu ndi wosapiririka. Lero tikulankhula za mankhwala apadera komanso amphamvu ochepetsa ululu omwe madokotala amapereka pa nthawi ngati izi, pamene mankhwala ena ochepetsa ululu sagwira ntchito kapena sangagwiritsidwe ntchito.
Kodi mankhwala awa ndi amtundu wanji?
Mwachidule, iyi ndi mitundu iwiri ya mankhwala. Izi zikutanthauza kuti piritsi limodzi lili ndi mitundu iwiri ya mankhwala ochepetsa ululu.
1. Hydrocodone: Iyi ndi mankhwala amphamvu ochepetsa ululu a opioid . Kunena zoona, imagwira ntchito poletsa zizindikiro za ululu kuti zisafike muubongo wathu. Izi zikutanthauza kuti imachepetsa ululu womwe timamva.
2. Ibuprofen: Iyi ndi mankhwala omwe ali m'gulu la NSAID (Nonsteroidal Anti-inflammatory Drug) . Amagwira ntchito pochepetsa kutupa ndi kutupa pamalo omwe ululu umapweteka.
Zikaphatikizidwa zonsezi, zimakhala ndi mphamvu yayikulu yoletsa ululu waukulu. Koma kumbukirani kuti, uwu si mankhwala okha a mutu wamba. Uwu ndi mankhwala omwe ayenera kugwiritsidwa ntchito motsogozedwa ndi dokotala.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwalawa
Chabwino, tsopano izi ndizofunikira kwambiri. Ndikofunikira kuti dokotala wanu adziwe bwino za thanzi lanu musanapereke mankhwalawa. Chifukwa mankhwalawa sangakhale oyenera anthu omwe ali ndi matenda enaake, kapena angafunike kuperekedwa mosamala kwambiri. Chifukwa chake ngati muli ndi matenda aliwonse omwe ali pansipa, onetsetsani kuti mwadziwitsa dokotala wanu.
| Matenda/chizolowezi | N’chifukwa chiyani zimenezo n’zofunika? |
|---|---|
| Matenda a mtima, kuthamanga kwa magazi, matenda a mtima, sitiroko, kapena opaleshoni yaposachedwa ya bypass (CABG) | Mankhwalawa angapangitse kuti munthu adwale matenda a mtima komanso sitiroko. |
| Zilonda zam'mimba, kutuluka magazi m'mimba, kapena matenda ena am'mimba/m'mimba | Ibuprofen ikhoza kuipitsa matenda amenewa ndikuwonjezera chiopsezo cha kutuluka magazi. |
| Mphumu kapena mavuto ena opuma | Hydrocodone ingapangitse kuti kupuma kukhale kovuta. |
| Matenda a impso kapena chiwindi | Njira yochotsera mankhwala m'thupi ingakhudzidwe. |
| Kumwa mowa pafupipafupi, kusuta fodya, kapena kugwiritsa ntchito mankhwala osokoneza bongo | Chiwopsezo cha zotsatirapo zake n'chokwera kwambiri. |
| Kutenga mankhwala ochepetsa magazi | Zimawonjezera kwambiri chiopsezo cha kutuluka magazi. |
| Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena ndinu mayi woyamwitsa | Mankhwalawa akhoza kukhala oopsa kwa mwana (makamaka patatha milungu 20 ya mimba). |
| Kuphatikiza apo: mutu, khunyu, kuvutika maganizo, kudzimbidwa, ziwengo. | Ndikofunikira kudziwitsa dokotala za vuto lililonse mwa izi. |
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
- Mankhwalawa ayenera kumwedwa pakamwa ngati piritsi. Musaswe, kuphwanya, kapena kutafuna piritsi. Mezani piritsi lonse ndi madzi.
- Imwani monga momwe dokotala wanenera, panthawi yoyenera.
- Ngati simukumva bwino mutatha kumwa mankhwala, idyani chakudya.
- Mankhwalawa nthawi zambiri amaperekedwa kwa anthu azaka zopitirira 16. Ngati muli ndi zaka zopitirira 65, dokotala angachepetse mlingo chifukwa zotsatira za mankhwalawa zingakhale zolimba pang'ono.
Chenjezo: Ngati mwadzidzidzi mukuganiza kuti mwamwa mankhwala ochulukirapo, pitani ku Dipatimenti Yothandiza Pangozi (ETU) ya chipatala chapafupi. Kapena imbani National Poisons Information Centre ku Colombo National Hospital .
Mankhwala awa ndi a inu nokha. Mankhwala omwe mudapereka chifukwa cha ululu wanu, mupatse wina amenenso akumva ululu.Ayi . Zimenezo n’zoopsa kwambiri.
Nanga bwanji ngati ndaphonya mlingo wa mankhwala?
Ngati ndinu munthu amene mumamwa mankhwalawa nthawi yomweyo tsiku lililonse, imwani mlingo womwe mwaphonya mwamsanga mukangokumbukira. Komabe, ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe milingo iwiri nthawi imodzi.
Ndi zinthu zina ziti zomwe sizikugwirizana ndi mankhwalawa?
Muyenera kusamala kwambiri ndi mankhwala ndi zakumwa zina zomwe mumamwa mukamamwa mankhwalawa, chifukwa amatha kuyanjana ndi zinthu zina ndikuyambitsa zotsatirapo zoyipa.
- Mowa: Musamwe mowa ndi mankhwalawa pazifukwa zilizonse . Kuchita zimenezi kungayambitse kugona kwambiri, kuvutika kupuma, komanso imfa.
- Mankhwala ena ochepetsa ululu: Musamwe mankhwala ena ochepetsa ululu a NSAID monga Ibuprofen, Aspirin, kapena Naproxen pamodzi ndi mankhwalawa. Kuchita zimenezi kumawonjezera kwambiri chiopsezo cha kutuluka magazi m'mimba. Ngakhale mankhwala omwe mumagula ku pharmacy omwe mumawagula angakhale ndi mankhwalawa, choncho werengani mosamala chizindikirocho.
- Mankhwala ena omwe amayambitsa kugona: Kumwa mankhwalawa pamodzi ndi mapiritsi ogonetsa, mankhwala odetsa nkhawa, ndi mankhwala ena a ziwengo (antihistamines) kungapangitse kugona kukhala kovuta kwambiri.
- Mankhwala ochepetsa magazi: Akamwedwa ndi mankhwala monga Warfarin ndi Apixaban, chiopsezo chotuluka magazi chimawonjezeka.
Kuphatikiza apo, imatha kuyanjana ndi zinthu zina zambiri, monga mankhwala ochepetsa nkhawa, mankhwala oletsa kugwidwa ndi khunyu, ndi mankhwala opha mavairasi. Chifukwa chake, uzani dokotala wanu za mankhwala onse omwe mumamwa, kuphatikizapo mavitamini ndi mankhwala azitsamba .
Zinthu zofunika kuziganizira mukamamwa mankhwala
- Ngati ululu sutha: Pakapita nthawi, zingamveke ngati mankhwala opweteka sakugwira ntchito bwino monga kale. Izi zimatchedwa kulekerera. Izi ndi zachilendo. Ngati izi zitachitika, lankhulani ndi dokotala wanu. Musawonjezere mlingo nokha.
- Kusiya mwadzidzidzi: Si bwino kusiya kumwa mankhwalawa mwadzidzidzi. Kuchita zimenezi kungayambitse zizindikiro zosiya kumwa. Ngati pakufunika kutero, dokotala wanu adzachepetsa pang'onopang'ono mlingo.
- Kugona ndi chizungulire: Mankhwalawa angakupangitseni kugona komanso chizungulire. Choncho , musayendetse galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe zimakukhudzirani.
- Kuopsa kwa kutuluka magazi m'mimba: Kuopsa kumeneku kumakhala kwakukulu kwa osuta fodya, oledzera mowa, ndi okalamba. Ngati muli ndi kupweteka m'mimba kwambiri, kusanza komwe kumaoneka ngati kofi, kapena magazi m'chimbudzi chanu (chimbudzicho ndi chakuda), uzani dokotala wanu nthawi yomweyo.
- Kudzimbidwa:Kudzimbidwa kumachitika kawirikawiri ndi mankhwalawa. Ngati simungathe kupita kuchimbudzi kwa masiku atatu, uzani dokotala wanu. Imwani madzi ambiri ndipo idyani zakudya zokhala ndi ulusi wambiri.
- Matenda a pakhungu: Ngakhale kuti ndi osowa, matenda a pakhungu amatha kuchitika. Ngati mukumva malungo, kupweteka kwa thupi, komanso khungu lofiira, kuyabwa, matuza, kapena khungu lotupa, pitani kuchipatala nthawi yomweyo.
Zotsatirapo zomwe zingakhalepo chifukwa cha mankhwalawa
| Zotsatira zoyipa | Kufotokozera |
|---|---|
| Zotsatirapo zoyipa zomwe zimafuna chithandizo chamankhwala mwachangu | |
| Ziwengo zoopsa | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime, komanso kuvutika kupuma. |
| Kusokonezeka kwa mitsempha yapakati (CNS Depression) | Kupuma pang'onopang'ono kapena pang'ono, kugona tulo tochuluka, kusadziwa, komanso kuvutika kudzuka. |
| Zizindikiro za kutuluka magazi | Chimbudzi chakuda kapena chochedwa, kusanza komwe kumaoneka ngati khofi wophikidwa, mkodzo wofiira/wofiirira wakuda, mawanga ofiira/ofiirira pakhungu. |
| Matenda a mtima/sitiroko | Chifuwa, phewa, kupweteka kwa mkono, kupuma movutikira, dzanzi pankhope/dzanja/mwendo, kuvutika kulankhula. |
| Kuwonongeka kwa chiwindi/impso | Kupweteka m'mimba yakumtunda kumanja, maso/khungu kukhala lachikasu, kuchepa kwa mkodzo, komanso kutupa kwa miyendo. |
| Kawirikawiri (ngati zikupitirira, uzani dokotala wanu ) | |
| Zotsatira zoyipa zofala | Kudzimbidwa, chizungulire, kugona, pakamwa pouma, mutu, kuvutika m'mimba, nseru. |
Uthenga Wopita Nawo Kunyumba
- Uwu ndi mankhwala amphamvu ochepetsa ululu pa ululu waukulu. Gwiritsani ntchito pokhapokha ngati dokotala wakupatsani upangiri.
- Uzani dokotala wanu za matenda anu onse ndi mankhwala ena onse omwe mukumwa musanayambe kumwa mankhwalawo.
- Musamwe mowa mukamamwa mankhwalawa pazifukwa zilizonse. Samalani ndi mankhwala ena omwe angakupangitseni kugona.
- Mezani piritsi lonse popanda kuswa, kuphwanya, kapena kutafuna.
- Ngati mukukumana ndi zizindikiro zoopsa monga kupuma movutikira, kupweteka kwambiri m'mimba, ndowe zakuda, kapena kutaya chikumbumtima, funsani dokotala nthawi yomweyo.
- Sungani mankhwalawa pamalo otetezeka omwe ana ndi ziweto sangafikire. Musawapatse ena.
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