Matenda a Gout ndi matenda opweteka kwambiri komanso opweteka, sichoncho? Mwadzidzidzi, chiwalo monga chala chachikulu cha chala kapena bondo chimafiira ndi kutupa, zomwe zimapangitsa kupweteka kwambiri komwe kumakhala kovuta kupirira. Chifukwa chachikulu cha izi ndikuti kuchuluka kwa uric acid m'thupi kumawonjezeka. Chifukwa chake, dokotala wanu mwina adakupatsani mankhwala otchedwa Lesinurad kuti athetse vutoli. Chifukwa chake, lero tikambirana mwachidule za mankhwala awa, momwe amakhudzira thupi lathu, komanso zomwe tiyenera kusamala kwambiri tikamagwiritsa ntchito.
Kodi Lesinurad ndi chiyani? Imagwira ntchito bwanji?
Mwachidule, Lesinurad ndi mankhwala omwe amathandiza kuchepetsa kuchuluka kwa uric acid m'magazi mwanu. Uric acid ndi zinthu zonyansa zomwe matupi athu amapanga. Izi nthawi zambiri zimasefedwa ndi impso ndikutulutsidwa mu mkodzo. Koma anthu ena amapanga uric acid wochuluka m'thupi lawo, kapena sazichotsa bwino. Kenako uric acid iyi imasonkhana m'thupi ndikudziyika yokha m'malo olumikizirana mafupa ngati makristalo. Pamenepo ndi pamene ululu wa gout umayamba.
Zimene Lesinurad amachita ndikuwonjezera kutulutsa kwa uric acid mu impso. Koma pali chinthu chofunikira kwambiri apa.
Lesinurad sigwiritsidwa ntchito yokha. Nthawi zonse imagwiritsidwa ntchito limodzi ndi mankhwala ena a gout, monga allopurinol kapena febuxostat. Mankhwalawa amatchedwa xanthine oxidase inhibitors. Amachepetsa kupanga kwa uric acid m'thupi. Lesinurad imathandiza kuchotsa kuchuluka kochepa.
Izi zikutanthauza kuti mankhwala awiriwa amagwira ntchito limodzi kuti athetse vuto lanu la gout.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa
Musanayambe kumwa Lesinurad, ndikofunikira kwambiri kudziwitsa dokotala wanu za thanzi lanu lonse. Onetsetsani kuti mwawauza makamaka za izi.
- Ngati muli ndi matenda aliwonse a impso , munasamutsidwa impso , kapena mukulandira chithandizo cha dialysis .
- Ngati muli ndi matenda aliwonse a chiwindi .
- Ngati muli ndi khansa .
- Ngati muli ndi matenda okhudzana ndi uric acid omwe amapezeka kuyambira kubadwa, monga Lesch-Nyhan syndrome.
- Ngati muli ndi ziwengo ndi mankhwala awa, Lesinurad, mankhwala ena, zakudya, kapena utoto.
- Ngati muli ndi pakati , mukuyesera kutenga pakati , kapena mukuyamwitsa .
- Ngati muli ndi vuto monga kutaya madzi m'thupi .
Kutengera ndi izi, dokotala adzasankha ngati mankhwalawa ndi oyenera kwa inu kapena ayi, kapena ngati mlingo wake uyenera kusinthidwa.
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa molondola?
Kuti mupindule kwambiri ndi mankhwala, ndikofunikira kuwagwiritsa ntchito motsatira malangizo.
- Nthawi: Piritsi ili liyenera kumwedwa m'mawa uliwonse.
- Momwe mungamwere: Imwani mankhwalawa ndi kapu ya madzi mukadya .
- Chofunika: Imwani pamodzi ndi mankhwala ena a gout omwe dokotala wanu wakupatsani (allopurinol kapena febuxostat). Musamwe Lesinurad yokha.
- Mlingo: Musamwe mankhwala ochulukirapo kuposa momwe dokotala wanenera.
- Kusiya: Musasiye kumwa mankhwala mwadzidzidzi popanda upangiri wa dokotala.
Kodi mungachite chiyani ngati mwaphonya mlingo wa mankhwala?
Tiyerekeze kuti mwaiwala kumwa mankhwala anu m'mawa. Ngati zimenezo zitachitika, musamwe mankhwalawo mochedwa tsiku lomwelo. Dumphani nthawi imeneyo ndi kumwa mankhwala anu nthawi yanu yanthawi zonse m'mawa wotsatira. Musamwe mlingo wowirikiza kawiri.
Nanga bwanji ngati nditamwa mankhwala ochulukirapo?
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, musachite mantha ndipo nthawi yomweyo imbani National Poisons Information Centre ku Colombo National Hospital , kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.
Mankhwala ena omwe angagwirizane ndi mankhwalawa (Kuyanjana)
Mankhwala ena omwe mumamwa angagwirizane ndi Lesinurad. Choncho uzani dokotala wanu za mankhwala onse omwe mumamwa (kuphatikizapo mavitamini ndi zowonjezera zitsamba). Samalani kwambiri ndi mitundu iyi ya mankhwala.
| Gulu la mankhwala | Zitsanzo |
|---|---|
| Aspirin ndi mankhwala ena ofanana ndi amenewa ochepetsa ululu | Aspirin |
| Maantibayotiki ena | Rifampin |
| Mankhwala a kuthamanga kwa magazi ndi matenda a mtima | Amiodarone, Amlodipine |
| Mankhwala ochepetsa mafuta m'thupi | Atorvastatin |
| Mankhwala oletsa bowa | Fluconazole |
| Mankhwala a khunyu | Carbamazepine, Valproic acid |
| Mahomoni achikazi ndi njira zolerera | Mapiritsi oletsa kubereka, jakisoni, mabala, mphete |
| Zina | Sildenafil |
Zinthu zofunika kusamala kwambiri mukamamwa mankhwala
- Kutupa kwa gout: Mukayamba kumwa mankhwalawa, gout yanu ikhoza kukulirakulira. Izi zikutanthauza kuti mungamve kupweteka ndi kutupa. Izi zimatchedwa kutupa kwa gout . Koma musaope kusiya kumwa mankhwalawa. Izi ndi zachilendo. Dokotala wanu adzakupatsani mankhwala ena kuti athandize kuchepetsa ululu.
- Imwani madzi ambiri: Izi ndizofunikira kwambiri. Kuti muchotse uric acid m'thupi, imwani malita awiri a madzi (magalasi 8-10) patsiku. Ngati mukutsegula m'mimba kapena kusanza, uzani dokotala wanu. Izi zingayambitse kutaya madzi m'thupi.
- Kuyezetsa magazi: Dokotala wanu angakuwuzeni kuti muyezetse magazi kuti aone momwe impso zanu zimagwirira ntchito pamene mukumwa mankhwalawa. Onetsetsani kuti mwachita.
- Kuletsa kubereka: Izi ndizofunikira kwambiri kwa akazi. Ngati mukugwiritsa ntchito njira yolerera kubereka yokhala ndi mahomoni, monga mapiritsi, jakisoni, kapena ma patches, kumwa Lesinurad kungapangitse kuti izi zisagwire ntchito bwino. Chifukwa chake, ngati mukufuna kupewa kutenga mimba, onetsetsani kuti mwalankhula ndi dokotala wanu za kugwiritsa ntchito njira ina yolerera kubereka (monga makondomu).
Zotsatirapo zoyipa za mankhwalawa
Monga mankhwala ena aliwonse, pali kuthekera kwa zotsatirapo zake. Zina zimakhala zoopsa, zina zimakhala zofala.
| Ngati mukukumana ndi zizindikiro izi, pitani kwa dokotala nthawi yomweyo. | |
|---|---|
| Ziwengo zoopsa | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime, komanso kuvutika kupuma. |
| Zizindikiro za matenda a mtima | Kupweteka pachifuwa kapena kusapeza bwino, kuvutika kupuma, nseru, kusanza, kukomoka, kupweteka m'nsagwada kapena msana. |
| Zizindikiro za kuwonongeka kwa impso | Kuvuta kukodza, kuchepa kwa mkodzo, kupweteka m'mbali. |
| Zizindikiro za Stroke | Kusintha kwa masomphenya, chisokonezo, kuvutika kulankhula kapena kumvetsetsa, mutu waukulu, dzanzi mwadzidzidzi kapena kufooka kwa nkhope, mkono, kapena mwendo. |
| Zizindikiro zomwe nthawi zambiri sizili zazikulu, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Zovuta zonse | Mutu, kupweteka m'mimba, kumva kudwala (ngati malungo). |
Uthenga Wopita Nawo Kunyumba
- Musamwe Lesinurad yokha. Nthawi zonse imwani pamodzi ndi mankhwala ena a gout (Allopurinol/Febuxostat) omwe dokotala wanu wakupatsani.
- Imwani mankhwala m'mawa uliwonse, mukadya.
- Imwani madzi ambiri tsiku lonse (osachepera malita awiri).
- Ngakhale ululu wanu wa gout utakula kwambiri mukayamba kumwa mankhwala, musachite mantha ndipo siyani kumwa. Lankhulani ndi dokotala wanu za vutoli.
- Ngati ndinu mkazi amene mukugwiritsa ntchito njira zolerera, funsani dokotala wanu za njira yotetezeka kwambiri.
- Ngati muwona zizindikiro zilizonse za zotsatirapo zoyipa, funsani upangiri wa dokotala nthawi yomweyo.
💬 Comments (0)
Palibe ndemanga zomwe zatumizidwa pano. Onjezani ndemanga yanu pano koyamba.
Onjezani ndemanga yanu