Tiyeni tiphunzire za makapisozi a mankhwala omwe amagwiritsidwa ntchito pochiza chifuwa chachikulu (Isoniazid; Rifampin)

Dokotala wanu mwina anakuuzani kuti mwina muli ndi chifuwa chachikulu (TB). Limodzi mwa mapiritsi apadera omwe amagwiritsidwa ntchito pochiza matendawa limatchedwa `Isoniazid; Rifampin`. Mwachidule, iyi ndi `Antibiotic` yomwe imapha majeremusi a chifuwa chachikulu. Koma kumbukirani, sichitha matenda opatsirana monga chimfine kapena fuluwenza.

Kodi ndi zinthu ziti zomwe muyenera kuuza dokotala wanu musanagwiritse ntchito mankhwalawa?

Musanayambe kumwa mankhwalawa, ndikofunikira kwambiri kudziwitsa dokotala wanu za thanzi lanu. Chifukwa matenda ena angasinthe momwe mumagwiritsira ntchito mankhwalawa, kapena mungafunike kusamala kwambiri. Onetsetsani kuti mwauza dokotala wanu ngati muli ndi zotsatirazi:

• Matenda a shuga: Ngati shuga m'magazi mwanu ndi wokwera.
• Gout : Matenda omwe mafupa amatupa komanso kupweteka chifukwa cha kuchuluka kwa uric acid.
• Matenda a HIV kapena Edzi: Izi ndi matenda omwe amakhudza chitetezo cha mthupi.
• Ngati mumamwa mowa nthawi zonse: Mowa ukhoza kuwononga chiwindi ukaphatikizidwa ndi mankhwalawa.
• Matenda a impso: Ngati impso sizikugwira ntchito bwino.
• Matenda a chiwindi: Ngati pali vuto lililonse ndi chiwindi.
• Zakudya zosayenera: Izi zikutanthauza kuti simukupeza zakudya zomwe mukufuna.
• Matenda a mitsempha, monga dzanzi m'manja: Ngati muli ndi dzanzi m'miyendo, kapena mavuto ena okhudzana ndi mitsempha.
• Ngati muvala ma contact lens: Mankhwalawa angafunike kuti musinthe magalasi. Lankhulani ndi dokotala wanu za izi.
• Ngati mudayamba mwakhala ndi vuto la ziwengo ndi mankhwala awa (Isoniazid, Rifampin), kapena mankhwala ena, chakudya, kapena utoto, monga ``Rifabutin''.
• Ngati muli ndi pakati kapena mukufuna kutenga mimba.
• Ngati ndinu mayi woyamwitsa.

Mwa kuuza dokotala wanu zinthu izi, akhoza kukonzekera chithandizo chomwe chingakukomereni kwambiri.

Kodi mumagwiritsa ntchito bwanji mankhwalawa molondola?

Ndikofunikira kwambiri kugwiritsa ntchito mankhwalawa moyenera kuti muchire msanga . Muyenera kumwa panthawi yoyenera, muyeso woyenera, monga momwe dokotala wanenera.

• Muyenera kumwa mankhwalawa pakamwa: Mezani mankhwalawo ndi kapu ya madzi.
• Imwani nthawi yomweyo tsiku lililonse: Ndi bwino kumwa mankhwala anu nthawi yomweyo tsiku lililonse, monga momwe dokotala wanu wanenera.
• Tengani m'mimba yopanda kanthu:Ichi ndi chinthu chofunika kwambiri. Muyenera kumwa mankhwalawa ola limodzi musanadye kapena maola awiri mutadya. Pamenepo ndi pomwe mankhwalawa adzayamwa bwino. Mwachitsanzo, ngati mudya nthawi ya 8 koloko m'mawa, imwani mankhwalawa nthawi isanakwane 7 koloko m'mawa kapena nthawi ya 10 koloko m'mawa.
• Gwiritsani ntchito kwa nthawi yomwe mwapatsidwa: Muyenera kumwa mankhwalawa mpaka dokotala atanena kuti, "Zakwanira, siyani." Ngakhale mutamva bwino patatha masiku angapo, musasiye kumwa . Ngati mutero, kachilombo ka chifuwa chachikulu sikadzatheratu, matendawa akhoza kubwereranso, ndipo kachilomboka kangasinthe n’kukhala kosagonja ku mankhwalawo. Zimenezo n’zoopsa.
• Ngati mukumwa mankhwala oletsa asidi: Ngati mukumwa mankhwala oletsa asidi chifukwa cha kutentha pamtima kapena gastritis, musamwe nthawi imodzi ndi mankhwala a chifuwa chachikulu awa. Ndi bwino kumwa mankhwala oletsa asidi osachepera ola limodzi mutatha kumwa mankhwala a chifuwa chachikulu.
• Ngati aperekedwa kwa ana: Madokotala amapereka mankhwalawa kwa ana azaka zopitilira 15 pazochitika zina zapadera. Koma pali zinthu zina zomwe muyenera kusamala nazo. Chifukwa chake, ngati mukupereka mankhwalawa kwa mwana, lankhulani ndi dokotala wanu mosamala ndikupeza upangiri.
• Kumwa mankhwala ochulukirapo: Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, pitani ku dipatimenti yadzidzidzi yapafupi nthawi yomweyo, kapena imbani malo owongolera poizoni.
• Mankhwala awa ndi a inu nokha: Dokotala wakupatsani mankhwala awa okha. Musapatse wina aliyense mankhwala anu, ngakhale atakhala ndi matenda ofanana ndi anu.

Kumbukirani, chifuwa chachikulu si matenda oti munthu angosewera nawo. Chifukwa chake, ndikofunikira kuti moyo utenge mankhwalawo monga momwe dokotala wanenera, kwa nthawi yomwe wapatsidwa!

Kodi mungachite chiyani ngati mwaphonya mlingo wa mankhwala?

Zingatheke. Aliyense amaiwala. Imwani mankhwala anu nthawi yomweyo mukakumbukira. Komabe, ngati nthawi yatsala pang'ono kuti mutenge mlingo wotsatira (mwachitsanzo, mkati mwa maola ochepa), dumphani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe milingo iwiri nthawi imodzi, kapena kumwa yoposa mlingo woyenera. Kuchita izi kungayambitse zotsatirapo zoyipa.

Ndi mankhwala ena ati omwe sayenera kugwiritsidwa ntchito ndi mankhwalawa, kapena ndiyenera kusamala nawo?

Iyi ndi mfundo yofunika kwambiri. Mankhwala ena angayambitse mavuto akaphatikizidwa ndi `Isoniazid; Rifampin`. Si bwino kumwa izi pamodzi ndi mankhwala ena . Mankhwala ena otere ndi awa:

• `Artemether; lumefantrine` (mankhwala a malungo)
• 'Atomoxetine'
• Mankhwala ena oletsa mavairasi a HIV kapena chiwindi
• `Elagolix`
• `Idelalisib`
• `Isavuconazonium`
• `Lonafarnib`
• `Lorlatinib`
• `Lurasidone`
• `Praziquantel`
• `Ranolazine`
• `Voriconazole`

Pakhoza kukhala mankhwala ena omwe sali pamndandandawu. Chifukwa chake, mukayamba mankhwala a chifuwa chachikulu awa, muyenera kuuza dokotala wanu za mankhwala onse omwe mukumwa (omwe dokotala wanu wakupatsani, omwe mwagula ku pharmacy, mankhwala achikhalidwe, mavitamini, chilichonse).

Palinso mankhwala ena omwe muyenera kusamala kwambiri mukamawamwa pamodzi ndi mankhwala a chifuwa chachikulu awa. Nazi zitsanzo zingapo:

• Acetaminophen (Paracetamol)
• Mankhwala oletsa asidi (muwamwe nthawi ina monga tafotokozera kale)
• Mankhwala ena ochizira kuthamanga kwa magazi , matenda a mtima, ndi matenda a mtima
• Mankhwala ena ochizira kuvutika maganizo, nkhawa, kapena psychosis
• Mankhwala ena a matenda a shuga (monga glipizide, glyburide)
• Mankhwala ena a matenda a bowa (monga fluconazole, itraconazole)
• Mankhwala ena omwe amagwiritsidwa ntchito pochiza khunyu (monga carbamazepine, phenytoin)
• Mankhwala ena omwe amakuthandizani kugona
• Mankhwala omwe amaletsa magazi kuundana (monga warfarin)
• Mitundu ya mahomoni, kuphatikizapo mapiritsi oletsa kubereka
• Mankhwala a steroid (monga prednisolone)

Mndandandawu sunathe. Uzani dokotala wanu za mankhwala ena aliwonse, zitsamba, mavitamini, kapena zowonjezera zomwe mukumwa, komanso ngati mumasuta fodya, mumamwa mowa, kapena mumagwiritsa ntchito mankhwala ena. Zinthu zina zingakhudze mankhwala awa.

Kodi muyenera kusamala ndi chiyani mukamamwa mankhwalawa?

Ndi bwino kusamala ndi kusintha kwa thupi lanu pamene mukumwa mankhwala.

• Ngati zizindikiro sizikusintha kapena kuipiraipira: Ngati mukuona kuti zizindikiro zanu sizikusintha ngakhale mutamwa mankhwala, kapena zikuipiraipira, uzani dokotala wanu nthawi yomweyo.
• Kutsegula m'mimba: Ngati muli ndi vuto lotsegula m'mimba kwa masiku opitilira awiri, kapena ngati ndowe yanu ili ndi madzi ambiri, musamwe mankhwala ogulitsidwa kunja kwa chipatala. Lankhulani ndi dokotala wanu nthawi yomweyo.
• Matenda aakulu pakhungu: Izi ndi zinthu zofunika kuziganizira. Izi zitha kuchitika milungu ingapo kapena miyezi mutayamba kumwa mankhwala. Ngati muyamba kutupa ndi malungo, ngati kutupako kufiira kapena kofiirira kenako matuza ndi khungu likatuluka, kapena ngati muyamba kutupa ndi ma lymph nodes pankhope panu, milomo, khosi, kapena m'khwapa, muyenera kuuza dokotala wanu nthawi yomweyo.
• Kuyeza magazi: Dokotala wanu adzalamula mayeso angapo a magazi kuti awone kuchuluka kwa magazi anu pamene mukumwa mankhwalawa. Onetsetsani kuti mwamaliza.
• Kusintha kwa masomphenya: Masomphenya anu angayang'aniridwe musanayambe kumwa mankhwala komanso pamene mukumwa. Ngati muwona kusintha kulikonse m'masomphenya anu (monga kusawona bwino, kutayika kwa kuwonekera bwino), uzani dokotala wanu nthawi yomweyo.
• Kuletsa kubereka: Ngati mukugwiritsa ntchito mapiritsi oletsa kubereka, sangagwire ntchito bwino mukamamwa mankhwalawa. Chifukwa chake, lankhulani ndi dokotala wanu za kugwiritsa ntchito njira ina yolerera kubereka.
• Vitamini B6 ndi Vitamini D: Mukamamwa mankhwalawa, muyenera kuonetsetsa kuti mukupeza Vitamini B6 ndi Vitamini D okwanira. Lankhulani ndi dokotala wanu za zakudya ndi mavitamini omwe mukumwa. Dokotala wanu angakulangizeninso kuti mumwa mavitaminiwa.

Kodi zotsatirapo zake zingakhale zotani chifukwa cha mankhwalawa?

Monga mankhwala ena aliwonse, mankhwalawa angayambitse mavuto ena mwa anthu ena. Koma si aliyense amene angatero. Ena mwa iwo ndi oopsa ndipo muyenera kuuza dokotala wanu nthawi yomweyo. Ena mwa iwo ndi abwinobwino ndipo amatha pakatha masiku ochepa.

Zotsatirapo zomwe muyenera kuuza dokotala wanu nthawi yomweyo:

• Matenda a ziwengo: Ziphuphu pakhungu, kuyabwa, ziphuphu, kutupa kwa nkhope, milomo, lilime, ndi pakhosi.
• Kutuluka magazi: Zakuda, ndowe zokhazikika, kusanza khofi wothira, mkodzo wofiira kapena wakuda, madontho ang'onoang'ono ofiira/ofiirira pakhungu, komanso kuvulala kapena kutuluka magazi mosavuta.
• Kuvulala kwa chiwindi: Kupweteka kumtunda kwa mimba, kusowa chilakolako cha chakudya, nseru, ndowe zowala, mkodzo wakuda wachikasu/bulauni, maso/khungu lachikasu, kutopa kwambiri.
• Ziphuphu, malungo, ndi kutupa kwa ma lymph nodes.
• Kufiira, kutupa, kutsekeka, ndi kutsekeka kwa khungu (ngakhale m'malo omwe malovu amamezedwa).
• Kutsegula m'mimba kwambiri, malungo.
• Kuvuta kupuma.
• Matenda otchedwa TTP (Thrombotic Thrombocytopenic Purpura): madontho ofiirira pakhungu kapena mkati mwa pakamwa, khungu loyera, chikasu cha maso/khungu, kutopa kwambiri, kutentha thupi, kugunda kwa mtima mofulumira kapena kosasinthasintha, chisokonezo, kusintha kwa masomphenya, kuvutika kulankhula/kuyenda.

Ngati mukuona chinthu chonga ichi , pitani kwa dokotala nthawi yomweyo.

Zotsatirapo zomwe nthawi zambiri sizimakhala zazikulu, koma ngati zikupitirira, muyenera kuuza dokotala wanu :

• Kusintha kwa mtundu wa madzi amthupi monga mkodzo, malovu, ndi thukuta (likhoza kukhala lofiira ngati lalanje, zomwe sizachilendo, musadandaule).
• Chisokonezo.
• Chizungulire.
• Kugona tulo.
• Kutopa.
• Mpweya m'mimba.
• Mutu .
• Kutentha pamtima.
• Kusowa chilakolako.
• Kusanza.
• Kupweteka, dzanzi, kapena kumva kuwawa m'miyendo.
• Kusanza.

Ngati zinthuzi zikupitirira, kapena ngati zikukuvutitsani, uzani dokotala wanu.

Kodi mumasunga bwanji mankhwalawo moyenera? Kodi mumataya bwanji ngati akalamba?

Ndikofunikanso kusunga mankhwala anu moyenera.

• Sungani pamalo omwe ana ndi ziweto sangafikire.
• Sungani kutentha kwa chipinda (25 digiri Celsius / 77 Fahrenheit). Sungani kutali ndi chinyezi chochuluka.
• Musagwiritse ntchito mankhwala otha ntchito. Tayani.

Momwe mungatayire mankhwala akale kapena omwe sakufunikanso:

• Chinthu chabwino kwambiri kuchita ndikufunsa kampani ya mankhwala kapena bungwe loona za malamulo ndikupereka izi ku malo omwe ali ndi pulogalamu yochotsera mankhwala.
• Ngati sichoncho, yang'anani paketi ya mankhwala kapena kapepala komwe kali mkati mwake kuti muwone ngati angatayidwe m'zinyalala kapena kutayidwa m'chimbudzi. Ngati simukudziwa, funsani dokotala wanu kapena wamankhwala.
• Ngati mungathe kuitaya mu zinyalala, tengani mankhwalawo mu paketi, sakanizani ndi zinthu monga zinyalala za amphaka, dothi, kapena khofi, ikani mu thumba kapena chidebe chotseka, ndikuitaya mu zinyalala.

Uthenga Wopita Nawo Kunyumba

Chabwino, tiyeni tikukumbutseninso mfundo zofunika kwambiri kuchokera pa zomwe takambirana.

Isoniazid; Rifampin ndi mankhwala opha tizilombo toyambitsa matenda omwe amaperekedwa pa chifuwa chachikulu.

Monga momwe dokotala wanenera, ndikofunikira kumwa mankhwalawa m'mimba yopanda kanthu, panthawi yoyenera, komanso nthawi yoyenera .

Onetsetsani kuti mwauza dokotala wanu za mankhwala ena aliwonse omwe mukumwa komanso matenda ena aliwonse omwe muli nawo.

Samalani ndi zotsatirapo zake, makamaka ngati muwona zotsatirapo zoopsa pakhungu, mavuto a chiwindi, kapena kutuluka magazi, ndipo pitani kwa dokotala nthawi yomweyo.

Musasiye kumwa mankhwalawo pakati. Kuti muchiritse bwino, imwani mankhwalawo nthawi yonse yomwe dokotala wakuuzani.

Ngati muli ndi mafunso ena okhudza izi, musazengereze kufunsa dokotala wanu kapena wamankhwala. Ndikufunirani thanzi labwino!

Isoniazid , Rifampin, Chifuwa chachikulu, TB, maantibayotiki, chifuwa chachikulu, maantibayotiki, mankhwala, zotsatirapo zake