Kodi muli ndi vuto lotchedwa Inflammatory Bowel Disease (IBD)? Kapena mukuvutika ndi zizindikiro zokhudzana ndi vutoli? Ngati ndi choncho, dokotala wanu akhoza kukupatsani mankhwala omwe mungapereke kudzera m'matumbo. Ichi ndi chomwe timachitcha Hydrocortisone Rectal Enema. Mungamve mantha pang'ono komanso kusokonezeka mukamva dzinali. Koma musaganize chilichonse za izi. Tiyeni tikambirane za mankhwalawa, momwe angagwiritsire ntchito, ndi zonse zomwe muyenera kudziwa m'njira yosavuta, ngati kuti mukulankhula ndi mnzanu.
Mwachidule, kodi Enema ya Hydrocortisone iyi ndi chiyani?
Hydrocortisone ndi steroid . Ntchito yake yayikulu ndikuchepetsa kutupa , komwe ndi kutupa ndi kutupa m'thupi. Mankhwalawa amathandiza kuwongolera kutupa ndi kutupa komwe kwachitika m'matumbo anu. Popeza amaperekedwa kudzera mu rectum (monga enema), mankhwalawa amapita mwachindunji kumalo ovuta ndipo amagwira ntchito. Chifukwa chake, mutha kupeza mpumulo mwachangu. Ku Sri Lanka, mankhwalawa amatha kuwoneka pansi pa mayina monga `(Colocort)`.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwala
Musanagwiritse ntchito mankhwalawa, ndikofunikira kwambiri kudziwitsa dokotala wanu za thanzi lanu lonse. Chifukwa tiyenera kusamala kwambiri tikamagwiritsa ntchito mankhwalawa omwe ali ndi matenda ena. Ngati muli ndi zotsatirazi, musaiwale kuuza dokotala wanu za izi.
| Matenda omwe amakukhudzani | N’chifukwa chiyani muyenera kudziwitsa? |
|---|---|
| Matenda aliwonse omwe alipo (mabakiteriya, mavairasi, bowa) | Ma steroid amatha kuchepetsa chitetezo chamthupi ndikuwonjezera matenda. |
| Matenda a shuga | Izi zitha kuwonjezera kuchuluka kwa shuga m'magazi. |
| Glaucoma kapena cataract | Zingawonjezere kuthamanga kwa maso kapena kuipitsa vutoli. |
| Kuthamanga kwa Magazi Kwambiri | Kuthamanga kwa magazi kungapitirire kukwera. |
| Mavuto a chitetezo chamthupi | Kugwira ntchito kwa chitetezo chamthupi kungafooke kwambiri. |
| Matenda a mtima omwe adachitika kale | Mtima ungakhudzidwe. |
| Opaleshoni yaposachedwa ya m'mimba (ileocolostomy) | Njira yochiritsira ingakhudzidwe. |
| Kutsekeka kwa rectum, abscess, bowo, kapena fistula | Zinthu zimenezi zingakule kwambiri. |
| Matenda ena am'mimba kapena m'matumbo | Zizindikiro zina zitha kuipiraipira. |
| Kukhala ndi pakati kapena kuyesa kutenga pakati, kukhala mayi woyamwitsa | Uphungu wa dokotala ndi wofunikira chifukwa ungakhudze mwana. |
| Matenda a chifuwa cha mankhwala, chakudya, kapena utoto uliwonse | Kupewa ziwengo. |
Kodi mungagwiritse ntchito bwanji mankhwalawa moyenera?
Popeza mankhwalawa ndi achilendo pang'ono, ndikofunikira kwambiri kudziwa momwe angagwiritsire ntchito. Tsatirani njira zotsatirazi.
1.Chofunika kwambiri: Mankhwalawa ayenera kugwiritsidwa ntchito m'malo mwa m'mimba okha . Musamwe pakamwa pazifukwa zilizonse.
2. Sambani m'manja mwanu bwino ndi sopo musanagwiritse ntchito komanso mutagwiritsa ntchito.
3. Gona pansi momasuka. Malo abwino kwambiri ndi kugona cha kumanzere ndi bondo lanu lamanja litayikidwa pachifuwa . Malo amenewa amamasula rectum ndipo amathandizanso kulowetsa mankhwala mosavuta.
4. Pang'onopang'ono komanso mosamala ikani nsonga ya chogwiritsira ntchito mu rectum. Kenako finyani botolo kuti mutulutse mankhwala.
5. Mukayika mankhwala, gonani pansi pamalo omwewo kwa mphindi zosachepera 30. Izi zithandiza kuti mankhwalawo akhale mkati ndikugwira ntchito bwino.
6. Yesani momwe mungathere, sungani mankhwalawa m'thupi lanu kwa ola limodzi, ndipo ngati n'kotheka, usiku wonse . Mukatero mutha kupeza zotsatira zabwino kwambiri.
7. Musagwiritse ntchito mankhwala ochulukirapo kuposa momwe dokotala wanenera.
Chofunika kwambiri: Musasiye kumwa mankhwalawa mwadzidzidzi, ngakhale mutamva bwino. Kuchita zimenezi kungayambitse vuto lalikulu. Ngati mukufuna kusiya kumwa mankhwalawo, chitani pang'onopang'ono, monga momwe dokotala wanu akukulangizirani.
Nanga bwanji ngati nditamwa mankhwala ochulukirapo?
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, imbani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital . Kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.
Nanga bwanji ngati ndaphonya mlingo wa mankhwala?
Ngati mwaphonya mlingo, imwani mwamsanga mukangokumbukira. Koma ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndi kumwa mlingo wanu wotsatira panthawi yomwe mwakonza. Musamwe mlingo wowirikiza kawiri kapena kumwa mlingo wowonjezera.
Zinthu zina zomwe zingagwirizane ndi mankhwalawa
Mankhwalawa angagwirizane ndi mankhwala ena, mavitamini, kapena zowonjezera zomwe mukumwa. Chifukwa chake, ndikofunikira kwambiri kuuza dokotala wanu zonse zomwe mukumwa. Makamaka ngati mukugwiritsa ntchito chilichonse mwa izi:
- Aspirin ndi mankhwala ena ochepetsa ululu (NSAIDs) monga Ibuprofen ndi Naproxen
- Mankhwala ochepetsa magazi monga Warfarin
- Mankhwala a matenda a shuga
- Mankhwala oletsa khunyu monga Phenobarbital, Carbamazepine, ndi Phenytoin
- Mankhwala oletsa bowa monga ketoconazole
- Maantibayotiki monga Clarithromycin, Erythromycin, ndi Rifampin
- Mahomoni achikazi, kuphatikizapo mapiritsi oletsa kubereka
- Mapiritsi a madzi (Diuretics)
- Digoxin
- Cyclosporine
- Mitundu ina ya katemera `(Toxoids ndi katemera)`
Mndandandawu sunathe. Ngati mumasuta kapena kumwa mowa, uzani dokotala wanu za zimenezo.
Zinthu zoti muzisamala nazo mukamamwa mankhwala
- Kukaonana ndi dokotala nthawi zonse: Pitani kwa dokotala wanu masiku omwe mwakonza kuti muone momwe zinthu zilili.
- Ngati palibe kusintha: Ngati simukumva kusintha mutagwiritsa ntchito kwa masiku angapo, uzani dokotala wanu za vutoli.
- Zizindikiro zochenjeza: Musagwiritse ntchito mankhwalawa ngati muli ndi magazi m'chimbudzi chanu. Komanso, uzani dokotala wanu nthawi yomweyo ngati muli ndi magazi m'matumbo, kupweteka kwambiri, kutentha, kuyabwa, kutupa, kapena china chilichonse chachilendo.
- Kuopsa kwa matenda: Mankhwalawa angafooketse chitetezo cha mthupi lanu pang'ono. Izi zikutanthauza kuti mungakhale ndi mwayi wodwala kwambiri. Choncho, pewani anthu omwe ali ndi chimfine kapena fuluwenza. Ngati mwakumanapo ndi munthu amene ali ndi chikuku kapena katsabola, uzani dokotala wanu za vutoli.
- Shuga m'magazi: Mankhwalawa angawonjezere shuga m'magazi. 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 aliwonse, mankhwalawa angayambitse zotsatirapo zina mwa anthu ena. Zina zimakhala zoopsa, zina zimakhala zofala. Ndikofunikira kudziwa 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. |
| Matenda a Cushing | Mafuta amaikidwa pamimba, pakhosi, ndi kumbuyo chakumtunda, pakhungu pali mizere ya pinki/yofiirira, komanso pakhungu lopyapyala lomwe limatupa mosavuta. |
| Kuwonjezeka kwa shuga m'magazi (hyperglycemia) | Kuwonjezeka kwa ludzu, kukodza pafupipafupi, kutopa kosazolowereka, kusawona bwino. |
| Kuthamanga kwa magazi kowonjezeka | Mutu, chizungulire. |
| Zizindikiro za matenda | Malungo, kuzizira, chifuwa, pakhosi, mabala osachiritsa. |
| Kusintha kwa maganizo ndi khalidwe | Nkhawa, kusakhazikika, kuvutika maganizo, ndi maganizo ofuna kudzipha. |
| Kutuluka magazi m'mimba | Chimbudzi chakuda chomwe chimaoneka ngati magazi kapena phula, ndi kusanza zinthu zomwe zimaoneka ngati khofi. |
| Kutupa kwa thupi | Kutupa kwa akakolo, manja, kapena mapazi. |
Zomwe muyenera kuuza dokotala wanu ngati zikupitirira kapena zikukuvutitsani | |
| Kusasangalala ndi kutopa konse | Kusasangalala konse m'thupi. |
| Kuyabwa/kupsa pamalo pomwe pakugwiritsidwa ntchito | Kusamva bwino pang'ono kwa rectum. |
| Kupweteka kwa m'mimba, kutupa, kapena kutuluka magazi | Kutuluka magazi pang'ono kapena kupweteka mukatha kugwiritsa ntchito mankhwala. |
Uthenga Wopita Nawo Kunyumba
- Hydrocortisone enema ndi mankhwala a steroid omwe amaperekedwa kuti achepetse zilonda zam'mimba ndi kutupa.
- Izi ziyenera kugwiritsidwa ntchito m'malo olumikizirana mafupa okha. Musazimwe ndi pakamwa.
- Uzani dokotala wanu za matenda ena aliwonse omwe muli nawo komanso mankhwala ena aliwonse omwe mumamwa.
- Gwiritsani ntchito monga momwe dokotala wanu wanenera, kwa nthawi yonse. Musasiye kumwa mwadzidzidzi, ngakhale mutamva bwino.
- Ngati mukumva kutuluka magazi m'matumbo, kupweteka kwambiri, kutupa, kapena zizindikiro za vuto la ziwengo, funsani dokotala nthawi yomweyo.
- Mankhwalawa ndi a inu nokha. Musawagawire ena.
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