Tikakhala ndi mutu, kupweteka thupi, kapena malungo, chinthu choyamba chomwe timachifuna nthawi zambiri ndi mankhwala ochepetsa ululu, sichoncho? Ibuprofen ndi mankhwala omwe ambiri a ife timagwiritsa ntchito nthawi ngati izi, ndipo amatha kugulidwa mosavuta ku pharmacy. Koma pali zinthu zambiri zofunika zomwe tiyenera kusamala nazo tikamagwiritsa ntchito mankhwalawa. Si mankhwala ochepetsa ululu okha. Chifukwa chake lero, tiyeni tikambirane za Ibuprofen iyi, zonse zomwe muyenera kudziwa.
Kodi Ibuprofen iyi ndi chiyani?
Mwachidule, Ibuprofen ndi mankhwala omwe amagwiritsidwa ntchito kuchepetsa ululu, kutupa, ndi malungo. Ndi m'gulu la mankhwala otchedwa non-steroidal anti-inflammatory drugs. M'mawu azachipatala, timatcha awa Non-Steroidal Anti-Inflammatory Drugs kapena (NSAIDs) .
Izi zikutanthauza kuti mankhwalawa amachita zinthu zingapo zazikulu:
- Amachepetsa ululu: Amachepetsa ululu wochepa mpaka wochepa monga mutu, kupweteka kwa dzino, kupweteka kwa minofu, ndi kupweteka kwa mafupa komwe kumachitika chifukwa cha nyamakazi.
- Amachepetsa kutupa (kutupa): Amaletsa matenda monga kutupa ndi kufiira komwe kumachitika chifukwa cha kuvulala kapena matenda m'thupi.
- Amachepetsa malungo: Amathandiza kuchepetsa malungo mwa kulamulira kutentha kwa thupi.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe ibuprofen
Ngakhale kuti nthawi zambiri timagwiritsa ntchito ibuprofen, si yabwino kwa anthu omwe ali ndi matenda enaake. Chifukwa chake, musanagwiritse ntchito ibuprofen, ngati muli ndi vuto lililonse pansipa, muyenera kuuza dokotala wanu za vutoli.
| Matenda kapena chizolowezi | N’chifukwa chiyani muyenera kudziwitsa? |
|---|---|
| Matenda a mtima, matenda a mtima, kulephera kwa mtima, kapena kuthamanga kwa magazi | Ibuprofen ingawonjezere chiopsezo cha matenda a mtima ndi sitiroko. |
| Opaleshoni ya mtima (Coronary Artery Bypass Graft - CABG) yomwe imachitika mkati mwa masabata awiri | Kugwiritsa ntchito ibuprofen pambuyo pa opaleshoni kungakhale koopsa kwambiri. |
| Zilonda zam'mimba, gastritis, kapena kutuluka magazi m'mimba | Ibuprofen imawonjezera chiopsezo cha kutuluka magazi m'mimba ndi m'matumbo. |
| Matenda a impso kapena chiwindi | Ziwalo zimenezi zimakhala ndi mwayi waukulu wowonongeka ndi Ibuprofen. |
| Matenda a mphumu | Ibuprofen ingawonjezere zizindikiro za odwala ena a mphumu. |
| Kugwiritsa ntchito mankhwala ochepetsa magazi (monga Warfarin) | Chiwopsezo cha kutuluka magazi chikhoza kukhala chachikulu kwambiri. |
| Kukhala ndi pakati, kuyesa kutenga pakati, kapena kuyamwitsa | Uphungu wa dokotala ndi wofunikira pankhani yogwiritsa ntchito Ibuprofen panthawi ya mimba (makamaka miyezi itatu yomaliza) komanso poyamwitsa. |
| Kumwa mowa kapena kusuta fodya pafupipafupi | Zizolowezi zimenezi zimawonjezera chiopsezo cha kutuluka magazi m'mimba mukatenga Ibuprofen. |
| Kutupa kwa ibuprofen kapena mankhwala ena a NSAID monga aspirin kapena naproxen | Pali chiopsezo cha kukhala ndi vuto lalikulu la ziwengo. |
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
Mankhwalawa ayenera kumwedwa pakamwa. Mezani piritsi ndi kapu ya madzi. Ngati mukumva kupweteka m'mimba kapena kutentha pamtima, imwani mankhwalawa mukudya kapena mukamwa mkaka. Izi zichepetsa mphamvu ya m'mimba.
Musamwe mankhwala opitirira mlingo womwe dokotala wanu wakupatsani. Komanso, simukuyenera kupitiriza kumwa mankhwalawa ululu ukatha.
Chenjezo: Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, musachite mantha. Imbani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital . Kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.
Mankhwalawa ndi a inu nokha. Musapatse wina aliyense mankhwalawa, ngakhale atakhala ndi zizindikiro zomwezo monga zanu.
Akapatsidwa ana ndi okalamba
Ngati mukupereka ibuprofen kwa ana osakwana zaka 12, pali manyuchi omwe amapangidwira cholinga ichi. Ngati mukupereka mapiritsi, muyenera kufunsa dokotala za mlingo woyenera wa kulemera kwa mwana wanu. Anthu azaka zopitilira 65 angamve zotsatira za mankhwalawa kwambiri. Chifukwa chake, nthawi zambiri amapatsidwa mlingo wocheperako.
Mankhwala ena omwe angagwirizane ndi ibuprofen
Ibuprofen ndi mankhwala omwe amatha kuyanjana ndi mankhwala ena, choncho ndikofunikira kuuza dokotala wanu ngati mukumwa mankhwala ena.
| Mankhwala omwe sayenera kumwedwa ndi ibuprofen | |
|---|---|
| Ketorolac | Iyi ndi NSAID ndipo ingayambitse mavuto aakulu. |
| Cidofovir, Methotrexate, ndi Pemetrexed | Mankhwala awa amagwiritsidwa ntchito pochiza khansa ndi matenda ena. Kumwa pamodzi ndi ibuprofen kungayambitse poizoni woopsa. |
| Zinthu zina zomwe zingagwirizane ndi ibuprofen | |
| Aspirin ndi mankhwala ena a NSAID (monga Naproxen, Diclofenac) | Zimawonjezera chiopsezo cha kutuluka magazi m'mimba ndi kuwonongeka kwa impso. |
| Warfarin (kuchepetsa magazi) | Chiwopsezo cha kutuluka magazi chimawonjezeka kwambiri. |
| Mowa | Zimawonjezera chiopsezo cha kutuluka magazi m'mimba. |
| Lithium, Diuretics | Mankhwalawa angakhudze momwe amagwirira ntchito. |
Zotsatirapo zoyipa komanso zoopsa zomwe zingakhalepo
Ngakhale kuti ibuprofen nthawi zambiri ndi mankhwala otetezeka, nthawi zina ingayambitse zotsatirapo zoyipa. Ngati mukukumana ndi zizindikiro izi , pitani kuchipatala nthawi yomweyo.
| Zotsatirapo zoyipa zomwe zimafuna chithandizo chamankhwala mwachangu | |
|---|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime, komanso kuvutika kupuma. |
| Zizindikiro za kutuluka magazi | Chimbudzi chakuda , masanzi abulauni kapena amagazi, mkodzo wofiira/wofiirira, ndi mawanga ofiira/ofiirira pakhungu. |
| Zizindikiro za matenda a mtima | Kupweteka pachifuwa kapena kufinya, kupuma movutikira, kupweteka kufalikira mpaka pamapewa, m'manja, kapena m'nsagwada. |
| Zizindikiro za Stroke | Kufooka mwadzidzidzi mbali imodzi ya nkhope, mkono, kapena mwendo, kuvutika kulankhula, kuvutika kuyenda, mutu waukulu. |
| Zizindikiro za kuwonongeka kwa chiwindi kapena impso | Kupweteka m'mimba yakumanja, maso/khungu kukhala lachikasu, kuchepa kwa mkodzo, kutupa kwa akakolo ndi mapazi. |
| Matenda aakulu a khungu | Kufiira kwa khungu, kutupa, kutuluka kwa matuza (ngakhale mkati mwa pakamwa). |
Palinso zotsatirapo zina zomwe nthawi zambiri sizimakhala zoopsa, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira. Izi zikuphatikizapo:
- Mutu
- Kusokonezeka m'mimba, nseru
- Chilakolako cha chakudya
Uthenga Wopita Nawo Kunyumba
- Ibuprofen ndi mankhwala abwino a malungo, ululu, ndi kutupa, koma ayenera kugwiritsidwa ntchito mosamala.
- Ngati muli ndi matenda monga matenda a mtima, matenda a impso, zilonda zam'mimba, kapena mphumu, onetsetsani kuti mwafunsa dokotala musanamwe ibuprofen.
- Musamwe mankhwala opitirira mlingo womwe dokotala wanu wakupatsani. Ngati mukumva kupweteka m'mimba, imwani mankhwalawa pamodzi ndi chakudya.
- Ngati mukumva zizindikiro monga kupweteka m'mimba, ndowe zakuda, kapena ziphuphu pakhungu, siyani kumwa mankhwalawo ndipo pitani kwa dokotala nthawi yomweyo.
- Amayi oyembekezera ayenera kupewa kugwiritsa ntchito ibuprofen kotheratu, makamaka m'miyezi itatu yomaliza ya mimba.
- Ngati muli ndi kukayikira kapena mafunso okhudza mankhwalawa, musaganize. Nthawi zonse funsani dokotala wanu kuti akupatseni upangiri.
👩🏽⚕️ Mafunso ena (Mafunso Ofunsidwa Kawirikawiri)
💬 Kodi makapisozi/mapiritsi a Loperamide / Imodium amagwiritsidwa ntchito pa matenda ati?
Iyi ndi imodzi mwa mankhwala opambana komanso otchuka kwambiri padziko lonse lapansi omwe amaletsa chimbudzi! Imaletsa nthawi yomweyo chimbudzi chosalekeza/chosalekeza mwa anthu omwe ali ndi vuto lotsegula m'mimba kwambiri, kutsegula m'mimba komwe kumachitika chifukwa cha poizoni wa chakudya, komanso 'IBS-D' (Irritable Bowel Syndrome).
💬 Kodi ndingatani kuti ndisiye kutsegula m'mimba/kusamba nthawi yomweyo nditamwa piritsi ili (Loperamide)?
Ngakhale kuti iyi ndi opioid yopangidwa, sifika ku ubongo (kotero sikukupangitsani kukhala oledzera). Mankhwalawa akafika m'matumbo, amamangirira ku ma mu-opioid receptors m'matumbo ndipo 100% amachepetsa myenteric plexus, yomwe imalamulira kuyenda kwa matumbo. Pamene kuyenda kwa matumbo kumachepetsa, imayamwa madzi kuchokera m'matumbo ndipo ndowe zimakhala zokhuthala.
💬 Kodi piritsi loletsa kutsegula m'mimba (Imodium) ili ndi chitetezo chokwanira? Kodi zoopsa zake ndi ziti?
Izi ndi zotetezeka kwambiri ngati mutamwa mlingo woyenera. Komabe, anthu ena amamwa mapiritsi ochepa awa nthawi imodzi kuti aledzere! (Loperamide Toxicity / Black Box Chenjezo). Kuchita izi kungayambitse kusintha kwakukulu kwa kayendedwe ka magetsi a mtima (Torsades de pointes / QT prolongation), zomwe zingayambitse matenda a mtima mkati mwa mphindi zochepa ndikufa! Komanso, ngati mutamwa izi muli ndi mabakiteriya (monga kutsegula m'mimba/C. diff), pali mwayi waukulu kuti mabakiteriyawo adzalowa m'thupi ndikupangitsa matumbo kuphulika (Toxic megacolon).
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