Kodi inunso mukulandira katemera wa chifuwa chachikulu (TB)? Tiyeni tikambirane za katemera wa Isoniazid (INH) uyu!

Chifuwa chachikulu, kapena monga tonse tikudziwira, TB ndi matenda omwe amafunika chisamaliro. Chifukwa chake, imodzi mwa mankhwala akuluakulu omwe amaperekedwa pa izi ndi Isoniazid, ena amatchanso INH. Imatchedwanso Nydrazid pamsika. Mwina mwapatsidwanso mankhwalawa ngati jakisoni. Ngati ndi choncho, nkhaniyi idzakhala yofunika kwambiri kwa inu. Tiyeni tiwone zomwe muyenera kudziwa za mankhwalawa.

Kodi ndiyenera kumuuza chiyani dokotala asanayambe kumwa mankhwalawa?

Musanayambe kumwa Isoniazid, pali zinthu zingapo zomwe muyenera kuuza dokotala kapena namwino wanu. Izi ndi zina mwa zinthu zomwe zingayambitse mavuto mukamwa mankhwalawa. Onani ngati izi zikukukhudzani:

• Ngati muli ndi matenda a shuga.
• Ngati muli ndi kachilombo ka HIV.
• Ngati mumamwa mowa nthawi zonse.
• Ngati muli ndi matenda aliwonse a impso.
• Ngati muli ndi matenda aliwonse a chiwindi.
• Ngati muli ndi vuto la kusowa zakudya m'thupi, zikutanthauza kuti thupi lanu silikupeza michere yokwanira.
• Ngati zala zanu ndi zala zanu zachita dzanzi, kapena muli kale ndi vuto lina la mitsempha.
• Ngati munakhalapo ndi vuto la ziwengo ndi mankhwala a isoniazid awa, perekani mankhwala ena, chakudya, utoto wa chakudya, kapena zotetezera.
• Ngati muli ndi pakati kapena mukuyembekezera kutenga pakati.
• Ngati ndinu mayi woyamwitsa.

Ngati pali vuto lotere, ndikofunikira kwambiri kuuza dokotala.

Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?

Isoniazid nthawi zambiri imaperekedwa ngati jakisoni mu minofu. Nthawi zambiri imaperekedwa kwa inu ndi katswiri wa zaumoyo kuchipatala kapena kuchipatala.

Komabe, nthawi zina mungafunike kugwiritsa ntchito katemerayu kunyumba. Ngati ndi choncho, mudzaphunzitsidwa momwe mungakonzekerere komanso momwe mungabayire jakisoni. Muyenera kuchita chimodzimodzi monga momwe mwalangizidwira. Imwani mankhwalawo panthawi yoyenera, muyeso woyenera. Musamwe mopitirira muyeso kapena mochepera kuposa kuchuluka komwe dokotala wanu wakuuzani.

Ngakhale mutamva bwino, musachepetse kapena kusiya kumwa mankhwala anu mpaka dokotala wanu atakuuzani kuti muchite zimenezo. Kudumpha mlingo kungapangitse kuti chifuwa chanu cha TB chikhale chosalimba ku mankhwala awa ndi mankhwala ena. Izi zikutanthauza kuti zidzakhala zovuta kuchiza matendawa.

Chinthu china chofunika ndi kuyika singano ndi ma syringe omwe mwagwiritsa ntchito kale m'chidebe chopangira zinthu zoyaka. Musawataye m'zinyalala. Ngati mulibe, funsani ku pharmacy kapena kwa dokotala wanu.

Ngati mukupereka mankhwalawa kwa ana, muyenera kulankhula ndi dokotala wanu wa ana za mankhwalawa. Chisamaliro chapadera chingafunike.

Kumwa Mopitirira Muyeso: Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, imbani chipatala chapafupi choyang'anira poizoni kapena chipinda chodzidzimutsa nthawi yomweyo .

Kumbukiraninso: Mankhwalawa ndi a inu nokha. Musapatse wina aliyense, ngakhale atakhala ndi zizindikiro zomwezo monga inu.

Kodi mungachite chiyani ngati mwaphonya mlingo wa mankhwala?

Ngati mwaphonya mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yatsala pang'ono yoti mutenge mlingo wotsatira (mwachitsanzo, uli pafupi maola ochepa), dumphani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe milingo iwiri nthawi imodzi kuti mubwezeretse mlingo womwe mwaphonya. Ngati izi zitachitika, funsani dokotala wanu.

Zinthu zina zomwe zingagwirizane ndi mankhwalawa (Kuyanjana)

Pali mankhwala ena ndi zinthu zina zomwe zingayambitse mavuto akagwiritsidwa ntchito ndi mankhwalawa, Isoniazid, zomwe zikutanthauza kuti pali kuyanjana.

Musamwe izi pamodzi ndi isoniazid:

Musagwiritse ntchito mankhwalawa ngati mukumwa Isoniazid:

• Entacapone
• Tiyi wobiriwira (makamaka wochuluka)
• Levodopa
• Mankhwala a MAOI (zitsanzo: Carbex, Eldepryl, Marplan, Nardil, ndi Parnate)
• Procarbazine
• Ranolazine
• Tolcapone

Mavuto angachitikenso ndi mankhwalawa:

Mankhwala otsatirawa amathanso kukhudzana ndi Isoniazid, choncho ndikofunikira kuuza dokotala wanu ngati mukumwa:

• Acetaminophen (paracetamol monga momwe tonse timadziwira)
• Mowa
• Mankhwala oletsa asidi (mankhwala ochizira kutupa m'mimba ndi gastritis)
• Mankhwala a matenda a shuga
• Mankhwala ochizira matenda a bowa (monga Ketoconazole, Itraconazole)
• Mankhwala a matenda monga khunyu (monga Carbamazepine, Phenobarbital, Phenytoin, Valproic acid)
• Theophylline
• Zalcitabine

Mndandandawu sungakhale ndi zinthu zonse zomwe zingachitike. Chifukwa chake, onetsetsani kuti mwauza dokotala wanu za mankhwala onse, zitsamba, mankhwala osaperekedwa ndi dokotala, mavitamini, ndi zowonjezera zakudya zomwe mumamwa. Muuzeninso dokotala wanu ngati mumasuta fodya, mumamwa mowa, kapena mumagwiritsa ntchito mankhwala ena osaloledwa. Zina mwa zinthuzi zingakhudze mankhwala awa.

Zinthu zoti muzisamala nazo mukamamwa mankhwalawa

Pali zinthu zingapo zomwe muyenera kusamala nazo makamaka mukamamwa mankhwalawa:

• Pitani kwa dokotala wanu nthawi zonse kuti mukayezedwe nthawi zonse. Dokotala wanu adzalamula kuti magazi anu ayesedwe nthawi zonse. Izi ndizofunikira kwambiri.
• Mukamamwa mankhwalawa, mungapemphedwe kuti mumwe mavitamini owonjezera, makamaka vitamini B6. Lankhulani ndi dokotala wanu za zakudya zomwe mumadya komanso mitundu ya mavitamini omwe mumamwa.
• Mowa ungasokoneze kwambiri mphamvu ya mankhwalawa komanso ungawononge chiwindi. Choncho, pewani kumwa mowa kwathunthu mukamamwa mankhwalawa. Uwu ndi upangiri wofunikira kwambiri.
• Ngati muli ndi matenda a shuga, yang'anani shuga m'magazi mwanu nthawi zonse monga momwe dokotala wanu wanenera. Komanso, mayeso omwe amayesa shuga m'mkodzo wanu nthawi zina angapereke zotsatira zabodza. Lankhulani ndi dokotala wanu za izi.
• Mankhwalawa angachepetse kuchuluka kwa Vitamini D ndi Vitamini B6 m'thupi lanu. Chifukwa chake, muyenera kuonetsetsa kuti mukupeza mavitamini awa okwanira mukamamwa mankhwalawa. Kuwonjezera pa kudya zakudya zopatsa thanzi, lankhulani ndi dokotala wanu za kumwa mavitamini owonjezera ngati pakufunika kutero.

Zotsatirapo zomwe zingachitike chifukwa cha mankhwalawa

Monga mankhwala ena aliwonse, Isoniazid ingayambitse mavuto ena mwa anthu ena. Zina mwa izi ndi zoopsa, choncho muyenera kuuza dokotala wanu nthawi yomweyo. Zina sizili zoopsa kwenikweni, koma ngati zikukuvutitsani, muyenera kuuza dokotala wanu.

Uzani dokotala wanu nthawi yomweyo ngati mukukumana ndi zotsatirazi:

Ngati mukukumana ndi zizindikiro izi, uzani dokotala wanu kapena katswiri wa zaumoyo mwamsanga:

• Matenda a ziwengo: Ziphuphu pakhungu, ziphuphu, kuyabwa kwambiri, kutupa kwa milomo, lilime, nkhope kapena pakhosi, kuvutika kupuma.
• Kuvuta kupuma.
• Kusintha kwa masomphenya: kusawona bwino, kupweteka kwa maso.
• Mkodzo wakuda (monga mtundu wa tiyi).
• Malungo, pakhosi, kupweteka kwa thupi (izi zitha kukhala zizindikiro za matenda).
• Kuona zinthu m'maganizo, kapena kumva ngati munthu wataya chidziwitso.
• Kutaya chilakolako, kuchepetsa thupi.
• Mavuto okumbukira, kuvutika kuganizira.
• Kusanza, kusanza (makamaka ngati kupitirira).
• Ululu, dzanzi, kumva kuwawa, ndi kutaya kumva m'miyendo (izi zitha kukhala zotsatirapo pa mitsempha - matenda a mitsempha ya m'mitsempha).
• Kufiira kwa khungu, kutupa, kutuluka kwa khungu, ndi zilonda zofanana mkamwa.
• Zizindikiro za khunyu (Kugwidwa ndi khunyu).
• Kupweteka kwambiri m'mimba.
• Kutuluka magazi kosazolowereka (monga kutuluka magazi m'mphuno, kutuluka magazi m'kamwa) kapena kuvulala pakhungu .
• Kumva kutopa kwambiri komanso kutopa kwambiri.
• Kuoneka kwachikasu kwa maso ndi khungu (Jaundice): Izi zitha kukhala zizindikiro zoopsa za matenda a chiwindi.

Uzani dokotala wanu ngati zotsatirazi zikupitirira kapena zikukuvutitsani:

Zotsatirapozi nthawi zambiri sizimakhala zoopsa. Komabe, ngati zikupitirira kapena zikukuvutitsani kwambiri moti simungachite ntchito zanu za tsiku ndi tsiku, uzani dokotala wanu:

• Kukulitsa kapena kupweteka kwa mabere a amuna (Gynecomastia).
• Kutsegula m'mimba.
• Mutu.
• Monga kupweteka, kufiira, ndi kutupa pamalo omwe jakisoni amaperekedwa.
• Zili ngati m'mimba movutikira, kusadya bwino.
• Kusowa tulo, kusakhazikika.

Mndandandawu sungakhale ndi zotsatirapo zonse zomwe zingachitike. Ngati mukukumana ndi china chake chachilendo kapena chosasangalatsa kuwonjezera pa izi, musazengereze kufunsa dokotala wanu za izi.

Kodi ndimasunga bwanji mankhwalawa?

Mankhwalawa ayenera kusungidwa pamalo otetezeka omwe ana sangawafikire.

Ngati mukugwiritsa ntchito mankhwalawa kunyumba, mudzalangizidwa momveka bwino momwe mungasungire bwino (monga kutentha kwa chipinda, kutali ndi kuwala ndi chinyezi). Tayani mankhwala aliwonse osagwiritsidwa ntchito tsiku lotha ntchito lomwe lili pa chizindikirocho litadutsa.

Zinthu zofunika kwambiri kukumbukira

Chifuwa chachikulu ndi matenda ochiritsika ngati atachiritsidwa bwino. Choncho, Isoniazid (INH) ndi mankhwala ofunikira kwambiri omwe amaperekedwa pa izi.

• Gwiritsani ntchito mankhwala monga momwe dokotala wanu wanenera, kwa nthawi yonse ya chithandizo. Musadumphe mlingo kapena kusiya kumwa popanda upangiri wa dokotala, ngakhale mutamva bwino.
• Onetsetsani kuti mwauza dokotala wanu za mankhwala ena onse omwe mumamwa, matenda ena aliwonse omwe muli nawo, ndi zizolowezi zanu (makamaka kumwa mowa).
• Dziwani zotsatirapo zake. Ngati muli ndi vuto lililonse kapena mukumva china chake chachilendo, musaope kufunsa dokotala wanu.
• Pitani kuzipatala pa masiku omwe mwakonza ndipo kayezetseni.
• Pewani mowa kotheratu.

Thandizo lanu ndilofunika kwambiri kuti muchiritse matendawa mokwanira! Ngati muli ndi mafunso aliwonse, musaope kulankhula ndi dokotala wanu, namwino, kapena wamankhwala.

Chifuwa chachikulu , Isoniazid, INH, TB, mankhwala a TB, katemera wa INH, zotsatirapo zake