Mwina mukudziwa kuti ana ambiri ndi akuluakulu omwe ali ndi mphumu amapatsidwa mankhwala tsiku lililonse. Nthawi zambiri mungadzifunse kuti, "N'chifukwa chiyani ndiyenera kumwa mankhwala tsiku lililonse, ngakhale masiku omwe ndikumva bwino?" Ndipotu, pali chifukwa chachikulu cha izi. Mankhwala oletsa kupuma awa omwe nthawi zambiri amatchedwa Mankhwala Oletsa kapena Mankhwala Osamalira - adapangidwa makamaka kuti mpweya wanu ukhale woyera, wotseguka, komanso wathanzi, zomwe zimapangitsa kuti kupuma kwanu kukhale kosavuta tsiku lililonse.
Kodi mphumu ndi chiyani?
Mwachidule, mphumu ndi vuto lomwe limakhudza njira zanu zopumira—njira zomwe zimatengera mpweya m'mapapu anu. Ndi mphumu, njira zanu zopumira zimakhala zofooka kwambiri, zomwe zimachita mosavuta ngakhale ndi zinthu zazing'ono zomwe zimayambitsa. Izi zikachitika, mkati mwa njira zanu zopumira mpweya zimatha kutupa, ndipo minofu yozungulira imatha kulimba. Tangoganizirani chubu chomwe chatupa mkati ndikukanikizidwa kuchokera kunja; mwachibadwa chimakhala chovuta kwambiri kuti mpweya udutse. Ndicho chifukwa chake mungakumane ndi zizindikiro monga kupuma movutikira, kulimba pachifuwa, kapena kukhosomola. Mphumu ya aliyense ndi yosiyana, kuyambira kuphulika pang'ono, nthawi zina mpaka zovuta zomwe zimachitika pafupipafupi.
Kodi Mankhwala Oletsa Kudwala Kwa Nthawi Yaitali Ndi Chiyani?
Ngati muli ndi mphumu, dokotala wanu mwina angakupatseni mitundu iwiri ya mankhwala. Choyamba ndi Reliever Medicine , chomwe mumagwiritsa ntchito kuti mupeze mpumulo mwachangu zizindikiro zikayamba, monga mukamamva kupuma movutikira kapena kupuma movutikira. Taganizirani izi monga kugwiritsa ntchito chozimitsira moto kuti muzimitse moto mwadzidzidzi.
Komabe, Mankhwala Oletsa Kupweteka Kwa Nthawi Yaitali amagwira ntchito mosiyana kwambiri. Mankhwalawa si oti akonzedwe nthawi yomweyo; m'malo mwake, amagwira ntchito ngati maziko a nyumba yanu. Monga momwe maziko olimba amasungira nyumba kukhala yokhazikika, mankhwala awa amagwira ntchito yochepetsa kutupa ndi kukhudzidwa ndi mpweya wanu pakapita nthawi, zomwe zimapangitsa kuti mphumu yanu isayang'aniridwe bwino. Ichi ndichifukwa chake nthawi zambiri amatchedwa mankhwala a "controller" kapena "maintenance".
Kodi mankhwalawa amagwira ntchito bwanji? Kodi amagwira ntchito pang'onopang'ono kapena mwachangu?
Iyi ndi gawo lofunika kwambiri. Mankhwala oletsa matenda a nthawi yayitali amagwira ntchito pang'onopang'ono kwambiri. Mosiyana ndi mankhwala opumira omwe amathandiza kuchepetsa ululu mwachangu, simudzamva kusintha nthawi yomweyo mukawagwiritsa ntchito. Mankhwalawa amafunika nthawi—nthawi zina masiku angapo kapena milungu ingapo—kuti agwire bwino ntchito. Taganizirani ngati kubzala mbewu m'munda mwanu; zimatenga nthawi kuti ikule, iphuke, ndikubala zipatso. Imakula bwino pokhapokha mutayithira ndikuisamalira nthawi zonse tsiku lililonse. Umu ndi momwe mankhwalawa amagwirira ntchito.
Ntchito yawo yaikulu ndi kuchepetsa kutupa kosatha m'njira zanu zopumira ndikuwathandiza kuti azitsegula kuti asadzakhalenso ndi mavuto.
Ndiye, kodi ndiyenera kumwa mankhwala awa tsiku lililonse ngakhale nditakhala bwino?
Inde, ndithudi! Apa ndi pomwe anthu ambiri amalakwitsa. Mungaganize kuti, “Pakali pano ndilibe zizindikiro za mphumu,” kapena “Sindikutsokomola, ndiye chifukwa chiyani ndiyenera kumwa mankhwala anga?” Komabe, chifukwa chomwe mumamvera bwino ndichakuti mumagwiritsa ntchito mankhwala anu oletsa kutupa nthawi zonse.
Taganizirani za munthu amene ali ndi matenda a shuga mellitus amene amagwiritsa ntchito insulin. Ngakhale atakhala kuti ali ndi thanzi labwino, ayenera kupitiriza kumwa mankhwala monga momwe dokotala wawo wanenera kuti vutoli lisakule kwambiri. Mphumu si yosiyana.
Mukamwa mankhwala awa tsiku lililonse, monga momwe dokotala wanu wanenera, thupi lanu limakhala ndi mwayi wochira. Izi zimathandiza kuti njira zanu zopumira zisatukuke komanso kuti zisatsekeke, zomwe zimakupatsani mwayi wopuma mosavuta kwa nthawi yayitali. Ngati musiya kumwa mankhwalawo, zizindikirozo zitha kubwerera patatha masiku angapo.
Kodi mitundu ikuluikulu ya Mankhwala Oletsa Kudwala Kwa Nthawi Yaitali ndi iti?
Pali mitundu ingapo ya mankhwala m'gululi. Dokotala wanu mwina anakulemberani imodzi mwa izi:
- Mankhwala Opumira a Corticosteroids (ICS):Awa ndi mankhwala odziwika bwino komanso ofunikira kwambiri oletsa kutupa. Musachite mantha ndi mawu oti "steroid"; awa ndi osiyana kwambiri ndi ma steroids omwe mumamwa ngati mapiritsi. Chifukwa amaperekedwa kudzera mu inhaler mwachindunji m'mapapu anu, mphamvu ya thupi lonse pa thupi lanu ndi yochepa kwambiri. Amagwira ntchito pochepetsa kutupa m'njira zanu zopumira, monga momwe amapaka mafuta pabala kuti lichiritse.
- Beta-Agonists Yogwira Ntchito Kwanthawi Yaitali (LABA): Izi zimagwira ntchito pomasula minofu yozungulira njira zanu zopumira, zomwe zimathandiza kuti zikhale zotseguka. Sizigwiritsidwa ntchito kawirikawiri zokha; nthawi zambiri, zimaphatikizidwa ndi Inhaled Corticosteroids mu inhaler imodzi. Zikagwiritsidwa ntchito pamodzi, zimapereka mphamvu yabwino kwambiri pa mphumu.
- Mankhwala Ena: Palinso mankhwala omwa, monga Leukotriene Modifiers. Nthawi zina, dokotala wanu angakulangizeni izi kuwonjezera pa mankhwala ena.
Mankhwala ambiriwa amabwera ngati chopumira , chipangizo chopangidwira kupereka mankhwalawa mwachindunji m'mapapu anu mukamapuma. Kwa ana ena aang'ono, mankhwalawa amathanso kuperekedwa kudzera mu nebulizer.
Kodi chimachitika ndi chiyani ngati simugwiritsa ntchito mankhwala awa moyenera tsiku lililonse?
Iyi ndi mfundo yomwe muyenera kuiganizira kwambiri. Ngati dokotala wanu wakuuzani kuti mugwiritse ntchito inhaler yanu kawiri patsiku, koma mwasankha kugwiritsa ntchito kamodzi kokha chifukwa "mukumva bwino lero," kapena ngati mwasiya kumwa mankhwala kwa masiku angapo, nazi zomwe zingachitike:
- Zizindikiro za mphumu zingabwererenso: Kutsokomola, kupuma movutikira, ndi kulimba pachifuwa pang'onopang'ono ziyamba kuwonjezeka.
- Zizindikiro za usiku: Mungayambe kudzuka usiku chifukwa cha kutsokomola kapena kupuma movutikira.
- Kuwonjezeka kwa chiopsezo cha matenda oopsa a mphumu: Ichi ndi chiopsezo choopsa kwambiri. Mukapanda kumwa mankhwala anu, njira zanu zopumira zimataya chitetezo chawo. Izi zikutanthauza kuti ngakhale zinthu zazing'ono monga fumbi, utsi, kapena chimfine zimatha kuyambitsa matenda oopsa a mphumu, zomwe zingafunike kupita kuchipatala chadzidzidzi.
- Kuwonongeka kwa mapapo kwa nthawi yayitali: Kuphulika kwa mphumu pafupipafupi kumatha kuwononga mapapo anu pakapita nthawi.
Chifukwa chake, ndikofunikira kwambiri kutsatira malangizo a dokotala wanu okhudza mlingo ndi nthawi ya mankhwala anu owongolera.
Kodi muyenera kuda nkhawa ndi zotsatirapo zake?
Anthu ambiri amada nkhawa akangomva mawu oti “steroid.” N’zoona kuti mitundu ina ya ma steroids ingayambitse mavuto ngati itengedwa kwa nthawi yayitali. Komabe, mlingo wa Inhaled Corticosteroids wa mphumu ndi wochepa kwambiri. Komanso, chifukwa amaperekedwa mwachindunji m’mapapo, kuchuluka kwa mankhwala omwe thupi lonse limayamwa n’kochepa.
Komabe, zotsatirapo zina zazing'ono zimatha kuchitika, monga:
- Matenda ofatsa a pakamwa kapena pakhosi (monga oral thrush).
- Mawu omveka bwino.
Izi n'zosavuta kupewa:
1. Nthawi zonse tsukani pakamwa panu bwino ndi madzi mukatha kugwiritsa ntchito inhaler yanu.
2. Gwiritsani ntchito chipangizo chanu chopumira ndi chopachikira mpweya.(Funsani dokotala wanu kuti mudziwe zambiri za izi).
Ngakhale kuti zotsatirapo zina sizimachitika kawirikawiri, dokotala wanu amakulemberani mankhwala awa chifukwa ubwino wake ndi woposa zoopsa zazing'ono. Ngati simukumva bwino, chonde musazengereze kukambirana ndi dokotala wanu ku Nirogi Lanka.
Kufunika kolankhula ndi dokotala wanu
Inu ndi dokotala wanu mumagwira ntchito limodzi kuti mudziwe njira yabwino yothetsera mphumu yanu poganizira izi:
- Zizindikiro zanu zenizeni.
- Moyo wanu.
- Momwe mungagwiritsire ntchito mankhwalawa mosavuta.
Dokotala wanu amaganizira zonsezi kuti adziwe mankhwala oyenera komanso mlingo woyenera kwa inu. Chifukwa chake, khalani omasuka kukambirana ndi dokotala wanu mafunso kapena nkhawa zilizonse zomwe muli nazo (monga momwe mungagwiritsire ntchito inhaler, nkhawa za zotsatirapo zake) ndi iye. Izi zikupatsani mtendere wamumtima ndikukuthandizani kuthana ndi mphumu yanu bwino.
Mfundo Zazikulu: Zimene Muyenera Kuzikumbukira
Mwachidule, nazi mfundo zofunika kwambiri zomwe muyenera kukumbukira kuti muchepetse mphumu yanu bwino ndi Nirogi Lanka:
- Mankhwala Oletsa Kupweteka Kwa Nthawi Yaitali (Control Inhalers) apangidwa kuti amwedwe tsiku lililonse, ngakhale mutakhala bwino ndipo mulibe zizindikiro zilizonse.
- Mankhwalawa amagwira ntchito pang'onopang'ono kuti achepetse kutupa m'njira zanu zopumira, zomwe ndizofunikira kwambiri popewa kuukira kwa mphumu asanayambe.
- Gwiritsani ntchito mankhwala anu ochepetsa ululu pokhapokha ngati mukumva zizindikiro zadzidzidzi. Kumbukirani kuti mankhwala anu oletsa kupuma ndi maziko anu a tsiku ndi tsiku a thanzi la kupuma.
- Kusiya kumwa mankhwala omwe mwapatsidwa tsiku lililonse kungayambitse matenda a mphumu ndipo kungayambitse matenda oopsa komanso oopsa.
- Musamade nkhawa kwambiri ndi zotsatirapo zake. Mukagwiritsa ntchito inhaler yanu moyenera ndikutsuka pakamwa panu mukatha kugwiritsa ntchito, mutha kupewa zotsatirapo zoyipa zomwe zimachitika kawirikawiri.
- Khalani pafupi ndi dokotala wanu kuti muwunikenso ndikusintha ndondomeko yanu ya zochita za Asthma nthawi zonse.
Kumbukirani, mukalandira chithandizo choyenera, mphumu siyenera kukulepheretsani kukhala ndi moyo wokangalika, wabwinobwino, komanso wokhutiritsa. Kugwiritsa ntchito mankhwala anu oletsa kutupa nthawi zonse ndiye chida chabwino kwambiri chomwe muli nacho kuti muzitha kulamulira matendawa.
` Mphumu, Mankhwala Oletsa Nthawi Yaitali, Mankhwala Oletsa, Mankhwala Osamalira, Mankhwala Opumira a Corticosteroids, Kasamalidwe ka Mphumu
