Tiyeni tiphunzire za mankhwala apadera (Leukotriene Modifiers) omwe amaletsa ziwengo ndi mphumu.

Kuthimula pafupipafupi, mphuno yotuluka madzi, ndipo nthawi zina kupuma movutikira... Kodi izi n'zosasangalatsa bwanji? Anthu ambiri amadwala ziwengo ndi mphumu. Kotero lero tikambirana za mtundu watsopano wa mankhwala omwe amagwiritsidwa ntchito poletsa matenda amenewa. Mankhwalawa amatchedwa 'Leukotriene Modifiers'.

Kodi Ma Leukotriene Modifiers ndi chiyani? Amagwira ntchito bwanji?

Tisanamvetse mankhwalawa, tiyeni tiphunzire za chinthu china chomwe chimachitika m'thupi lathu.

Mwachidule, chinthu chomwe chimakhala ndi vuto la allergen, mwachitsanzo fumbi, mungu, chikalowa m'thupi lathu, chitetezo chathu cha mthupi chimayankha. Monga gawo la yankho ili, thupi lathu limapanga mankhwala otchedwa 'leukotrienes' .

Mankhwalawa, otchedwa leukotriene, ndi omwe amachititsa zizindikiro zambiri za ziwengo ndi mphumu . Izi zili choncho chifukwa:

• Njira zopitira ku mapapo zimakhala zochepa, zomwe zimapangitsa kuti zikhale zovuta kupuma (kumakhala kupuma movutikira).
• Mafinya ndi madzi ena amapangidwa kwambiri mkati mwa njira zopumira.
• Minofu ya m'mphuno imatupa ndipo mphuno imatsekeka.

Kotero, zomwe Leukotriene Modifiers amachita ndikuletsa ntchito ya mankhwala otchedwa leukotriene. Kunena zoona, amaletsa mankhwala awa kuti asagwirizane ndi maselo m'thupi. Zili ngati kutseka chitseko. Ndipo zimenezo zimalamulira kuonekera kwa zizindikiro zokhumudwitsa zomwe tinakambirana kale. Koma kumbukirani, izi nthawi zambiri si mankhwala oyamba.

Kodi mankhwalawa amathandiza bwanji kuchepetsa zizindikiro za ziwengo?

Kutsinya, mphuno yotuluka madzi, mphuno yotuluka madzi, ndi mphuno yotsekeka ndi zizindikiro zodziwika bwino za ziwengo (allergy rhinitis). Kuphatikiza apo, maso oyabwa, otupa, otuluka madzi (allergy conjunctivitis) ndi pakhosi zimathanso kuchitika. Anthu omwe ali ndi vutoli amadziwa momwe zimakhalira zovuta kukhala nazo.

Mankhwala oletsa kuyabwa a leukotriene, omwe amaletsa ntchito ya leukotrienes, ndi othandiza kwambiri poletsa kuyetsemula ndi kuyabwa komwe kumachitika kumayambiriro kwa ziwengo, komanso kutsekeka kwa mphuno komwe kumachitika pakapita nthawi.

Kodi mankhwalawa angagwiritsidwe ntchito bwanji pa mphumu?

Mankhwalawa amagwiritsidwa ntchito makamaka popewa komanso kuwongolera mphumu kwa nthawi yayitali. Amalimbikitsidwanso popewa mphumu yomwe imayamba chifukwa cha kuchita masewera olimbitsa thupi.

Komabe, izi ndizofunikira kwambiri : Mankhwalawa sangagwiritsidwe ntchito okha kuti athetse vuto la mphumu. Izi zikutanthauza kuti kumwa mankhwalawa sikungathandize ngati mphumuyo ili yoopsa kwambiri ndipo mukuvutika kupuma. Nthawi zina, muyenera kugwiritsa ntchito inhaler yothandiza komanso yothandiza. Mankhwalawa a Leukotriene Modifier ndi ofunikira kuti matendawa asamavutike.

Kodi ndi mankhwala ati omwe amaperekedwa nthawi zambiri ku Sri Lanka otchedwa Leukotriene Modifiers?

Ngakhale mankhwala a mphumu monga `zafirlukast (Accolate)` ndi `zileuton (Zyflo)` ali m'gululi, mankhwala omwe amagwiritsidwa ntchito kwambiri ku Sri Lanka, omwe amavomerezedwa pa matenda a chifuwa chachikulu komanso mphumu, ndi `montelukast` . Mutha kuwadziwa ndi dzina lodziwika bwino la `Singulair`.

Nazi zotsatira za montelukast monga momwe zapezekera mu kafukufuku:

Chifukwa chake, madokotala nthawi zambiri amalimbikitsa kuyesa kupopera mankhwala a intranasal steroid musanapereke mankhwala a Leukotriene Modifier, chifukwa zotsatira zake zingakhale zamphamvu kwambiri.

Kodi pali zotsatirapo zilizonse?

Monga mankhwala ena aliwonse, anthu ena amatha kukhala ndi zotsatirapo zoyipa. Zofala kwambiri ndi izi:

• Kumva ngati muli ndi malungo
• Mutu
• Kuwawa kwam'mimba
• Kusanza kapena kusanza
• Kutsekeka kwa mphuno

Chinthu chofunika kusamala nacho kwambiri!

Bungwe la FDA lapereka chenjezo lokhudza chiopsezo cha zotsatirapo zoyipa kwambiri za thanzi la maganizo ndi mankhwala a `Montelukast`. Ngakhale izi sizichitika kawirikawiri , ndikofunikira kuzidziwa.

Ngati inu kapena mwana wanu mukukumana ndi zizindikiro izi mukumwa mankhwalawa, siyani kumwa mankhwalawa nthawi yomweyo ndipo uzani dokotala wanu:

• Kusakhazikika, kusokonezeka
• Maloto achilendo kapena owopsa
• Kuvutika maganizo
• Maganizo odzipha

Ngati mukuona chinthu chonga ichi, musazengereze. Funsani dokotala nthawi yomweyo.

Ndani sayenera kugwiritsa ntchito mankhwalawa?

• Ana aang'ono: Chitetezo cha mankhwala awa a mphumu mwa makanda osakwana miyezi 12 ndi matenda osatha a chifuwa cha rhinitis mwa makanda osakwana miyezi 6 sichinadziwikebe. Chifukwa chake, musapereke mankhwalawa kwa ana aang'ono popanda upangiri wa dokotala.
• Amayi oyembekezera ndi oyamwitsa: Ngati muli ndi pakati, mukukonzekera kutenga pakati, kapena kuyamwitsa, muyenera kulankhula ndi dokotala musanamwe mankhwalawa.

Mankhwalawa amabwera mu mawonekedwe a mapiritsi, mapiritsi otafuna, ndi tinthu tating'onoting'ono. Zingatenge masiku atatu mpaka masabata awiri kuti mupeze phindu lonse la mankhwalawa. Choncho musasiye kumwa chifukwa choti simukumva bwino pakatha masiku awiri kapena atatu. Gwiritsani ntchito nthawi yonse monga momwe dokotala wanu wanenera.