Ngati inu kapena munthu amene mumamudziwa ali ndi matenda a Multiple Sclerosis (MS), ndikofunikira kudziwa njira zomwe zilipo. Dokotala wanu mwina adakupatsani katemera wotchedwa Interferon Beta-1a. Ndizachilendo kumva mantha pang'ono komanso chidwi mukamva dzinalo. Chifukwa chake lero, tikambirana za mankhwalawa m'njira yosavuta, ngati kuti tikulankhula ndi mnzanu.
Kodi kwenikweni Interferon Beta-1a ndi chiyani?
Mwachidule, Interferon Beta-1a ndi mankhwala omwe amathandiza kuwongolera matenda a Multiple Sclerosis (MS). Si mankhwala a MS , koma amachita zinthu zofunika kwambiri.
Tangoganizani kuti MS ndi matenda omwe amaukira mitsempha ya thupi lanu mosalekeza. Mankhwalawa amathandiza kuchepetsa kuchuluka kwa kuukira kumeneku komanso kuchuluka kwa kufooka kwa thupi komwe matendawa amayambitsa pakapita nthawi. Mwanjira ina, amathandiza kuchepetsa kupitirira kwa matendawa. Mankhwalawa amapezeka m'mafakitale osiyanasiyana, monga Avonex ndi Rebif.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa
Musanayambe kumwa mankhwalawa, ndikofunikira kwambiri kukambirana mbiri yanu yonse ya thanzi ndi dokotala wanu, makamaka ngati muli ndi vuto lililonse lomwe latchulidwa pansipa.
| Matenda kapena vuto | Zomwe muyenera kudziwa |
|---|---|
| Thanzi la maganizo | Ngati muli ndi vuto la kuvutika maganizo, munali nalo kale, kapena mukuganiza zodzipha. |
| Matenda a mtima | Ngati muli ndi matenda a mtima monga kulephera kwa mtima. |
| Matenda a chiwindi | Ngati muli ndi matenda aliwonse a chiwindi. |
| Mavuto a magazi | Ngati muli ndi matenda omwe amachititsa kuchepa kwa maselo oyera a magazi, maselo ofiira a magazi, kapena ma platelet m'magazi. |
| Chitetezo chamthupi | Ngati muli ndi matenda ena okhudzana ndi chitetezo chamthupi. |
| Matenda a ziwengo | Ngati muli ndi vuto la mankhwala awa, mitundu ina ya interferon, albumin, kapena mankhwala ena, zakudya, kapena utoto. |
| Mimba ndi kuyamwitsa | Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena mukuyamwitsa. |
Kodi mumapereka bwanji jakisoni uyu moyenera?
Chifukwa ndi jakisoni, mudzaphunzitsidwa bwino momwe mungaperekere jakisoni. Majakisoni ena, monga Rebif, amabayidwa pansi pa khungu , pomwe ena, monga Avonex, amabayidwa mu minofu .
Chofunika kwambiri ndichakuti, musayesere izi nokha mpaka dokotala kapena namwino atakuphunzitsani momwe mungachitire bwino.
Adzakusonyezani momveka bwino momwe mungakonzekerere mankhwalawo, komwe mungawabayire, komanso momwe mungawabayire. Komanso, n'koletsedwa kuyika singano ndi ma syringe ogwiritsidwa ntchito kale m'zinyalala wamba. Funsani dokotala wanu kapena chipatala chanu za "chidebe chapadera cha sharps" komwe mungawayike. Ndikofunikira kwambiri pa chitetezo chanu ndi chitetezo cha ena.
Nanga bwanji ngati ndaphonya mlingo wa mankhwala?
Ngati mwaphonya mlingo, imwani mwamsanga mukangokumbukira. Koma ngati nthawi yatsala pang'ono yoti mutenge mlingo wotsatira, thawani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yokhazikika. Musamwe mlingo wowirikiza kawiri. Nthawi zambiri, payenera kukhala kusiyana kwa maola pafupifupi 48 pakati pa mlingo. Ngati mwangozi mwamwa mlingo iwiri motsatizana, imbani dokotala wanu nthawi yomweyo.
Kodi mungachite chiyani ngati mwamwa mankhwala ochulukirapo?
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, musachite mantha ndipo chitanipo kanthu mwachangu. Imbani National Poisons Information Centre ku Colombo National Hospital. Kapena, pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi nanu.
Zinthu zofunika kusamala nazo mukamamwa mankhwala
Ndikofunikira kukhala pafupi ndi dokotala wanu mukamamwa mankhwalawa.
- Ngati zizindikiro zanu sizikuchepa kapena zikuipiraipira, uzani dokotala wanu .
- Dokotala adzafunika kuchita zinthu monga kuyezetsa magazi kuti aone momwe chiwindi chanu chikugwira ntchito komanso momwe magazi anu alili.
- Mankhwalawa nthawi zina angayambitse vuto losowa kwambiri koma lalikulu lotchedwa Thrombotic Thrombocytopenic Purpura (TTP), vuto la magazi kuundana. Izi zitha kupha, choncho funsani upangiri wa dokotala nthawi yomweyo ngati mukukumana ndi zizindikiro izi:
- Madontho ofiirira pakhungu kapena mkamwa
- Maso kapena khungu kukhala lachikasu
- Zizindikiro monga malungo, malaise, ndi kuzizira
- Kuwawa kwam'mimba
- Kumva kutopa kwambiri
- Kupweteka pachifuwa, kuvutika kupuma
- Ululu, kutupa, kapena kutentha kwa mwendo
- Kusokonezeka, mutu waukulu, kuvutika kulankhula kapena kuyenda, kusintha kwa masomphenya
Zotsatirapo zomwe zingakhalepo chifukwa cha mankhwalawa
Monga mankhwala ena aliwonse, mankhwalawa akhoza kukhala ndi zotsatirapo zake. Zina ndi zazikulu, zina ndizofala. Tiyeni tikambirane mwachidule.
| Zotsatira zoyipa | Kufotokozera |
|---|---|
| Zotsatirapo zomwe muyenera kuuza dokotala wanu nthawi yomweyo | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime. |
| Kusintha kwa maganizo | Kuvutika maganizo, maganizo ofuna kudzipha, kusintha kwa maganizo. |
| Zizindikiro za mtima | Kuvuta kupuma, kugunda kwa mtima mofulumira kapena kosakhazikika, kunenepa mwadzidzidzi, kutupa kwa akakolo ndi mapazi, kutopa kwambiri. |
| Zizindikiro za kuwonongeka kwa chiwindi | Mkodzo wakuda wachikasu/bulauni, kutopa, kusowa chilakolako cha chakudya, kupweteka kumtunda kwa mimba, maso/khungu kukhala lachikasu. |
| Zizindikiro zina zazikulu | Kutuluka magazi kapena mabala osazolowereka, khunyu, kusintha kwa mtundu wakuda/wabuluu, kutupa, kapena mafinya pamalo omwe adabayidwa. |
| Zotsatirapo zomwe nthawi zambiri sizili zoopsa, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Malungo | Kumva kutentha thupi komanso kupweteka kwambiri mutalandira jakisoni. |
| Mutu ndi kupweteka kwa minofu | Kupweteka mutu, minofu kapena kupweteka. |
| Malo obayira jakisoni | Kufiira, kupweteka, ndi kutupa pang'ono pamalo omwe jakisoni amaperekedwa. |
| Zina | Kusagona tulo, kutopa, kusintha kwa kayendedwe ka msambo. |
Kodi mankhwalawo mumasunga bwanji kwenikweni?
Izi ndizofunikira kwambiri. Kuti mankhwala apitirize kukhala abwino, ayenera kusungidwa bwino.
- Nthawi zonse sungani pamalo omwe ana ndi ziweto sangafikire.
- Mankhwalawa nthawi zambiri ayenera kusungidwa mufiriji, kutentha kwa madigiri 2 mpaka 8 Celsius. Musawasunge mufiriji. Kuchita izi kungapangitse kuti mankhwalawo azizire ndi kuwonongeka.
- Tetezani ku kuwala. Izi zikutanthauza kuti ndibwino kuisunga m'bokosi.
- Ngati mukuyenda popanda firiji, mitundu ina (monga Rebif) ikhoza kusungidwa kutentha kwa chipinda (pansi pa madigiri 25 Celsius) kwa masiku 30, ndipo ina (monga Avonex) kwa masiku 7. Koma funsani dokotala wanu kuti mudziwe zambiri.
- Musagwiritse ntchito mankhwala otha ntchito. Funsani dokotala wanu za njira zotetezeka zowatayira.
Uthenga Wopita Nawo Kunyumba
- Interferon Beta-1a si mankhwala a MS, koma ndi mankhwala ofunikira kwambiri omwe amathandiza kuwongolera matendawa ndikusunga moyo wabwino.
- Musanayambe chithandizo, uzani dokotala wanu za matenda anu onse komanso ziwengo.
- Yesetsani kupereka jakisoni moyenera. Tayani singano zomwe mwagwiritsa ntchito mosamala.
- Samalani ndi zizindikiro za zotsatirapo zoyipa (makamaka kusintha kwa maganizo, zizindikiro za mtima, mavuto a chiwindi). Ngati mukukumana ndi chilichonse mwa izi, uzani dokotala wanu nthawi yomweyo.
- Mankhwalawa ndi a inu nokha. Musagawane ndi ena.
- Sungani mankhwalawo kutentha koyenera, kotetezedwa ku kuwala, komanso kutali ndi ana.
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