Tiyeni tiphunzire za mankhwala omwe amagwiritsidwa ntchito pochiza chifuwa chachikulu (TB) (Isoniazid, Pyrazinamide, Rifampin)

Mungachite mantha pang'ono dokotala wanu akakuuzani kuti muli ndi chifuwa chachikulu (TB). Koma ngati mumwa mankhwala oyenera panthawi yoyenera, mutha kuchiza matendawa kwathunthu. Mu chithandizochi, simupatsidwa mankhwala amodzi okha, koma mankhwala angapo pamodzi. Lero tikulankhula za piritsi lopangidwa pophatikiza mankhwala atatu ofunikira kwambiri.

Kodi mankhwala awa ndi ati?

Izi kwenikweni ndi kuphatikiza kwa mankhwala atatu. Mankhwalawa ndi Isoniazid, Pyrazinamide, ndi Rifampin . Onse atatuwa ndi maantibayotiki amphamvu kwambiri omwe amapha majeremusi a TB. Mwachidule, zomwe mankhwalawa amachita ndikumenya mabakiteriya a TB m'thupi lanu ndikuwapha.

Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwala

Musanayambe chithandizochi, ndikofunikira kwambiri kudziwitsa dokotala wanu zonse zokhudza thanzi lanu. Mankhwalawa angagwirizane ndi matenda ena. Ngati muli ndi zotsatirazi, onetsetsani kuti mwadziwitsa dokotala wanu.

• Matenda a Shuga: Mankhwalawa angayambitse kusintha kwa shuga m'magazi.
• Gout: Mankhwalawa angawonjezere ululu wa mafupa.
• Mkhalidwe wa HIV kapena Edzi: Mankhwala ena omwe amamwa pa vutoli angagwirizane ndi mankhwala a chifuwa chachikulu.
• Matenda a impso kapena chiwindi: Mankhwalawa amachotsedwa m'thupi kudzera mu impso ndi chiwindi, kotero ngati pali zofooka m'ziwalo izi, mlingo wa mankhwalawo ungafunike kusinthidwa.
• Kumwa mowa: Kumwa mowa nthawi zonse kungapangitse kuti chiwindi chizivutika kwambiri.
• Kusowa zakudya: Ngati wina ali ndi vuto la kudya, tchulaninso zimenezo.
• Mavuto a mitsempha: Ngati muli ndi vuto la mitsempha, monga kumva kuwawa m'manja mwanu.
• Ngati muvala ma contact lens: Mankhwalawa angayambitse kung'ambika kwa ma contact lens ndikusintha mtundu wake.
• Matenda a ziwengo ku mankhwala ena: Ngati munakhalapo ndi vuto la ziwengo ku isoniazid, rifampin, rifabutin, kapena mankhwala ena aliwonse kapena chakudya.
• Ngati muli ndi pakati kapena mukufuna kutenga mimba.
• Ngati ndinu mayi amene akuyamwitsa.

Musabise izi kwa dokotala wanu, chifukwa zonsezi ndizofunikira kwa iye kuti akupatseni chithandizo chotetezeka kwambiri.

Kodi ndimagwiritsa ntchito bwanji mankhwalawa molondola?

Izi n'zosavuta, koma zofunika kwambiri.

1. Imwani musanayambe kudya: Ichi ndi chinthu chofunika kwambiri. Muyenera kumwa mankhwala ola limodzi musanadye kapena maola awiri mutatha kudya. Mezani piritsi ndi kapu ya madzi. Mwanjira imeneyi, mankhwalawo adzayamwa bwino.

2. Imwani mankhwala anu nthawi yomweyo tsiku lililonse: Yesetsani kumwa mankhwala anu nthawi yomweyo tsiku lililonse momwe mungathere. Izi zithandiza kuti milingo ya mankhwala m'thupi lanu ikhale yofanana.

3. Malizitsani maphunziro omwe mwapatsidwa: Mutha kumva bwino pakatha masiku ochepa. Koma muyenera kumwa mankhwalawo kwa nthawi yonse yomwe mwapatsidwa ndi dokotala wanu (miyezi 6 kapena kuposerapo). Musasiye kumwa pakati. Ngati mutatero, matendawa angabwererenso ndipo mabakiteriya angakule omwe safuna mankhwalawo.

4. Musamwe pamodzi ndi mankhwala oletsa asidi: Ngati mukumwa mankhwala oletsa asidi a gastritis, imwani osachepera ola limodzi mutamwa mankhwala anu a chifuwa chachikulu.

5. Ngati mwaphonya mlingo: Imwani mlingo womwe mwaphonya nthawi yomweyo mukakumbukira. Komabe, ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe yakonzedwa. Musamwe milingo iwiri nthawi imodzi.

6. Ngati mwamwa mankhwala ochulukirapo: Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, pitani ku Dipatimenti Yothandiza Pangozi (ETU) yapafupi. Kapena imbani National Poisons Information Centre ku Colombo National Hospital kuti mupeze malangizo.

Zinthu zina zomwe zingagwirizane ndi mankhwalawa

Mitundu itatu iyi ya mankhwala imatha kuyanjana ndi mankhwala ena ambiri. Choncho uzani dokotala wanu za mankhwala onse omwe mukumwa. Izi zikutanthauza kuti mankhwala a matenda ena, mankhwala ochepetsa ululu omwe amagulitsidwa mumsika (monga Paracetamol), mavitamini, mankhwala achikhalidwe, mapiritsi oletsa kubereka, muyenera kuwauza chilichonse.

Makamaka, dziwani izi:

• Mapiritsi oletsa kubereka: Mankhwalawa angachepetse mphamvu ya mapiritsi oletsa kubereka. Choncho, ngati simukukonzekera kukhala ndi mwana, lankhulani ndi dokotala wanu za kugwiritsa ntchito njira ina yolerera.
• Mankhwala Ochepetsa Ululu: Ngati mumwa mankhwala monga Paracetamol pafupipafupi, zotsatira zake pa chiwindi zitha kukwera.
• Mankhwala a shuga: Mlingo wa mankhwala a shuga ungafunike kusinthidwa chifukwa kuchuluka kwa shuga m'magazi kungasinthe.
• Mankhwala omwe amaletsa magazi kuundana (monga Warfarin): Mphamvu ya mankhwalawa ingasinthe.

Zinthu zoti muzisamala nazo mukamamwa mankhwala

Kusintha kwa masomphenya

Anthu ena angasinthe maso awo akamamwa mankhwalawa. Ngati muwona kusintha kulikonse, monga kusawona bwino kapena kuvutika kuwona mitundu , uzani dokotala wanu nthawi yomweyo.

Matenda a khungu

Nthawi zina pakhungu pamakhala ziwengo zazikulu. Ngati khungu lanu likuyamba kuyabwa, kufiira, kapena kutuluka matuza, komanso kutentha thupi ndi kutupa pakamwa ndi milomo, pitani kuchipatala nthawi yomweyo.

Zotsatira zomwe zingachitike pa chiwindi

Mankhwalawa angakhudze chiwindi. Ngati muli ndi zizindikiro monga kupweteka kumtunda kwa kumanja kwa m'mimba, kusowa chilakolako cha chakudya, nseru, maso ndi khungu kukhala lachikasu, mkodzo wakuda wachikasu/bulauni, kapena ndowe zotsalira , zitha kukhudza chiwindi. Pitani kwa dokotala nthawi yomweyo.

Mavitamini

Mukamamwa mankhwalawa, kuchuluka kwa vitamini B6 (Pyridoxine) ndi vitamini D m'thupi kumatha kuchepa. Dokotala wanu nthawi zambiri amakupatsirani mapiritsi ena a vitamini pa izi.

Zotsatirapo zomwe zingakhalepo chifukwa cha mankhwalawa

Monga mankhwala ena aliwonse, mankhwalawa akhoza kukhala ndi zotsatirapo zina. Ambiri mwa iwo si oopsa, koma pali zinthu zina zomwe tiyenera kudziwa.