Tikadwala, nthawi zambiri timadalira mankhwala kuti atithandize kuchira msanga. Komabe, nthawi zina mankhwala omwe cholinga chake ndi kutichiritsa angayambitse mavuto osayembekezereka azaumoyo. Kodi mwazindikirapo kuti mutamwa mapiritsi kapena kulandira jakisoni, mumamva kuyabwa thupi lonse, ziphuphu zofiira, kapena kupuma movutikira? Ngati ndi choncho, mwina mukukumana ndi vuto la mankhwala osokoneza bongo . Ku Nirogi Lanka , tikufuna kukuthandizani kumvetsetsa bwino izi. Palibe chifukwa chochita mantha—podziwa bwino ndikuzindikira zizindikiro msanga, mutha kukhala otetezeka ndikupewa mavuto akulu.
Kodi Kudwala Matenda a Mankhwala N'chiyani?
Mwachidule, vuto la mankhwala limayamba pamene chitetezo cha mthupi lanu—njira yodzitetezera mkati mwa thupi lanu—chimachita molakwika mopitirira muyeso ndi mankhwala enaake. Ganizirani chitetezo cha mthupi lanu ngati gulu lodzipereka la chitetezo lomwe ntchito yake yaikulu ndi kuzindikira ndikulimbana ndi adani oopsa monga mabakiteriya, mavairasi, ndi majeremusi kuti mukhale athanzi.
Nthawi zina, gulu la chitetezo limalakwitsa. Angazindikire molakwika mankhwala othandiza ngati chiwopsezo choopsa. Mankhwalawo akangolowa m'thupi lanu, chitetezo chanu cha mthupi chimayamba kuukira chomwe chimaona kuti ndi "cholowa." Zizindikiro zosasangalatsa zomwe mumamva, monga kuyabwa kapena ziphuphu, kwenikweni zimakhala chifukwa cha mkangano wamkati uwu.
Nthawi yoyamba yomwe mwamwa mankhwala enaake, simungazindikire chilichonse. Komabe, chitetezo chanu cha mthupi chalemba kale mankhwalawa ngati "chiwopsezo" m'maganizo mwake. Ngati mwamwanso mankhwala omwewo, thupi lanu limakumbukira, ndipo nthawi yomweyo limatulutsa asilikali apadera otchedwa ma antibodies kuti awachotse. Izi ndi zomwe zimachitika mukakumana ndi vuto la mankhwala.
Chenjezo Lofunika Kwambiri la Chitetezo: Ziwengo zina za mankhwala zitha kupha anthu . Ngati inu kapena munthu amene mumamudziwa akukumana ndi zizindikiro zoopsa—monga kutupa kwa lilime kapena pakhosi, kuvutika kupuma, kugunda kwa mtima mofulumira, chizungulire chachikulu, kapena kutaya chidziwitso mutamwa mankhwala, muyenera kuchitapo kanthu mwachangu!
>
* Imbani 911 kapena ogwira ntchito zadzidzidzi zapafupi nthawi yomweyo.
* Fufuzani chithandizo chamankhwala mwachangu ku dipatimenti yadzidzidzi ya chipatala chapafupi mwachangu momwe mungathere.
Ndi mankhwala ati omwe nthawi zambiri amagwirizanitsidwa ndi ziwengo?
Ngakhale kuti mankhwala aliwonse amatha kuyambitsa vuto la ziwengo, ena nthawi zambiri amagwirizanitsidwa nawo, kuphatikizapo:
- Mankhwala opha tizilombo: Makamaka gulu la `Penicillin`, lomwe ndi vuto lalikulu kwa ambiri.
- Mankhwala a Sulfa: Gulu lapadera la maantibayotiki okhala ndi `Sulfonamides`.
- Mankhwala Oletsa Kutupa Osagwiritsa Ntchito Ma steroid (NSAIDs): Amagwiritsidwa ntchito kwambiri pa ululu ndi malungo, monga `Ibuprofen` (monga Advil®), `Aspirin` (monga Bayer®), ndi `Naproxen` (monga Aleve®).
- Acetaminophen (Tylenol®): Mankhwala ochepetsa ululu komanso malungo.
- Opiates: Mankhwala amphamvu ochepetsa ululu monga `Morphine` ndi `Codeine`.
- Mankhwala Ochizira Khansa: Mankhwala omwe amagwiritsidwa ntchito pochiza khansa.
- Mankhwala Oletsa Kugwidwa ndi Khungu.
- Zinthu Zosiyanasiyana (utoto): Zinthu zomwe zimagwiritsidwa ntchito poyesa kujambula zithunzi monga X-ray kapena CT scans kuti chithunzi chiwoneke bwino.
Ndi mankhwala ati omwe ndi omwe amachititsa kuti munthu ayambe kudwala kwambiri?
Malinga ndi ziwerengero, `Penicillin` imaonedwa kuti ndi chinthu chomwe chimayambitsa ziwengo za mankhwala. Pafupifupi 10% ya anthu amanena kuti ali ndi ziwengo za penicillin. Komabe, kafukufuku waposachedwapa wa zachipatala akusonyeza kuti mphamvu zina za penicillin zimatha kuchepa kapena kutha pakapita nthawi.
Kodi ziwengo za mankhwala ndi zofala bwanji?
Kuyankha kulikonse kosayembekezereka kapena kosasangalatsa ku mankhwala kumatchedwa kuyankha molakwika kwa mankhwala . Ndikofunikira kudziwa kuti ziwengo zenizeni za mankhwala zimakhala zosakwana 10% ya zotsatira zoyipa zonse za mankhwala. Zoposa 90% zimagawidwa ngati zotsatira zoyipa . Mosiyana ndi ziwengo, zotsatira zoyipa zimachitika mosasamala kanthu za chitetezo cha mthupi ndipo nthawi zambiri zimayembekezeredwa, zomwe zimadziwika kuti zimachitika ku mankhwala—monga kugona tulo kapena kusokonezeka m'mimba—kutengera momwe mankhwalawa amagwirira ntchito m'thupi lanu.
Kodi zizindikiro za ziwengo za mankhwala ndi ziti?
Zizindikiro nthawi zambiri zimawonekera mkati mwa mphindi zochepa mutamwa mankhwala, ngakhale kuti mtundu ndi kuopsa kwa izi zimasiyana kwambiri kuchokera kwa munthu ndi munthu.
Zizindikiro Zochepa za Allergy:
- Khungu loyabwa.
- Maso amadzi (epiphora).
- Matuza pakhungu: Kufiira, nthawi zina kumayenderana ndi ziphuphu zazing'ono kapena mawonekedwe ofanana ndi eczema.
- Ziphuphu: Khungu limatupa mwadzidzidzi, lotupa, komanso lofiira.
- Mphuno yotuluka madzi.
- Kutupa kwa angioedema: Kutupa kozungulira maso, milomo, kapena lilime.
Zizindikiro Zoopsa za Matenda a Shuga (Anaphylaxis):
Uwu ndiye vuto lofunika kwambiri. `Anaphylaxis` ndi vuto lalikulu la ziwengo lomwe limayambitsa imfa lomwe limafuna thandizo lachipatala mwachangu. Samalani zizindikiro izi:
- Kuvuta kumeza (Dysphagia).
- Kupuma movutikira: Kumva kupweteka pakhosi kapena kulephera kupeza mpweya wokwanira.
- Chizungulire kapena kumva mutu wopepuka.
- Kuthamanga kwa magazi pang'ono.
- Kugunda kwa mtima mofulumira kapena kosasinthasintha.
- Nkhawa kapena chisokonezo chadzidzidzi.
- Kutaya chidziwitso.
Zizindikiro Zochedwa:
Nthawi zina, zizindikiro sizingawonekere mpaka masiku kapena milungu ingapo mutamwa mankhwala. Kuphatikiza apo, zizindikirozi zimatha kupitirira kwa masiku angapo mutasiya kumwa mankhwalawo. Zomwe zimachitika mochedwa zimaphatikizapo:
- Malungo.
- Kutupa pakhungu.
- Kupweteka kapena kutupa kwa mafupa.
- Kuchuluka kwa maselo ofiira m'magazi (anemia) kapena kuchepa kwa kuchuluka kwa ma platelet (thrombocytopenia).
- Kuchuluka kwa maselo oyera a m'magazi (leukocytosis kapena leukopenia) kapena kuchuluka kwa eosinophils (eosinophilia).
- Kulephera kugwira ntchito kwa impso (nephritis) kapena ntchito ya chiwindi (hepatitis).
- Kutupa kwa ma lymph nodes.
Nchifukwa chiyani pali ziwengo za mankhwala?
Ngati muli ndi vuto la mankhwala osokoneza bongo, chitetezo chanu cha mthupi chimapanga ma antibodies apadera otchedwa Immunoglobulin E (IgE) mukayamba kumwa mankhwalawa (njira yotchedwa sensitization). Cholinga cha ma antibodies a IgE awa ndikuzindikira ndikuthandizira kuchotsa zinthu zovulaza. Thupi lanu limapanga ma antibodies enieni a IgE omwe amapangidwa kuti azitha kuthana ndi zinthu zinazake zomwe zimayambitsa matendawa.
Ma antibodies a IgE awa amalumikizana ndi maselo okhala ndi mankhwala otchedwa histamine, omwe amapezeka pakhungu lanu, m'magawo opumira, komanso m'matumbo (GI) tract (awa amadziwika kuti mast cells). Nthawi ina mukatenga mankhwala omwe mumakhala ndi vuto la ziwengo, ma antibodies a IgE awa amalumikizana ndi ma allergen omwe ali mu mankhwalawa. Izi zimapangitsa kuti ma mast cell atulutse histamine ndi mankhwala ena. Ndi histamine iyi yomwe imayambitsa zizindikiro za ziwengo nthawi yomweyo monga kuyabwa ndi ziphuphu, zomwe nthawi zambiri zimawonekera mkati mwa mphindi zochepa.
Kuphatikiza apo, mtundu wa maselo oyera a m'magazi otchedwa T-cells ungayambitsenso ziwengo. Pazochitikazi, maselo a T amazindikira mankhwalawa ngati "olowa m'dziko lina" ndipo amachitapo kanthu moyenera. Izi zimachitika pang'onopang'ono ndipo zimakhudza khungu makamaka, zomwe zimapangitsa kuti pakhale matenda monga ziphuphu kapena ziphuphu.
Kodi zimatenga nthawi yayitali bwanji kuti zizindikiro za ziwengo za mankhwala ziwonekere?
Izi zimasiyana malinga ndi munthu. Anthu ena akhoza kukhala ndi vuto la ziwengo nthawi yoyamba yomwe amwa mankhwala, pomwe ena angazindikire zizindikiro pokhapokha atamwa mankhwalawo kachiwiri kapena atagwiritsa ntchito kangapo.
Kodi ziwengo za mankhwala osokoneza bongo zimapatsirana?
Ayi, ziwengo za mankhwala sizimafalikira. Simungaperekedwe kwa wina chifukwa cha ziwengo za mankhwala.
Ndani angadwale matenda a ziwengo ndi mankhwala?
Aliyense akhoza kukhala ndi vuto la mankhwala osokoneza bongo. Komabe, ngati makolo anu ali ndi vuto la mankhwala osokoneza bongo, muli ndi chiopsezo chachikulu chotenga matendawa. Nthawi zambiri pamakhala chifukwa cha chibadwa.
Kodi mungatsimikizire bwanji ngati muli ndi vuto la mankhwala osokoneza bongo?
Dokotala wodziwa za ziwengo ndi mankhwala amatha kuzindikira bwino ziwengo—katswiri wa matenda a ziwengo. Adzachita mayeso osiyanasiyana kuti adziwe ngati mulidi ndi ziwengo ndipo, ngati zili choncho, njira yabwino kwambiri yochizira.
Dokotala asanakuyezeni, adzayang'ananso mbiri yanu yachipatala ndipo angakufunseni mafunso monga:
- Kodi munayamba liti kuzindikira zizindikiro izi?
- Ndi zizindikiro ziti zenizeni zomwe mukukumana nazo?
- Zizindikirozo zinatenga nthawi yayitali bwanji?
- Kodi munamwa mankhwala aliwonse kuti muchepetse zizindikiro izi?
- Kodi munafunika kupita kwa dokotala kapena kuchipatala chifukwa cha zizindikiro izi?
- Kodi mumamwa mavitamini kapena zowonjezera zitsamba?
- Kodi pali aliyense m'banja mwanu amene ali ndi vuto la mankhwala osokoneza bongo?
- Ndi mankhwala ati omwe mukumwa panopa (kuphatikizapo mankhwala omwe mumawagula musanayambe kugula)?
- Ndi mankhwala ati omwe mwagwiritsa ntchito m'masabata angapo apitawa?
- Kodi munakhalapo ndi zotsatira zofanana ndi mankhwala ena m'mbuyomu?
Kodi mayeso otani omwe amagwiritsidwa ntchito pozindikira ziwengo ndi ati?
Kutengera ndi mankhwala omwe akuganiziridwa kuti ndi omwe amayambitsa vutoli, dokotala wanu angakupatseni mayeso a khunguIzi zimathandiza kwambiri pozindikira ziwengo za mankhwala a penicillin.
Pakayezetsa khungu , dokotala amaika pang'ono pakhungu lanu zomwe zikuganiziridwa kuti zimayambitsa allergen. Nthawi zambiri, amatsuka malo ang'onoang'ono padzanja lanu kapena kumbuyo kwanu ndipo amagwiritsa ntchito lancet yopyapyala kwambiri kuti akande pamwamba ndi chinthucho.
Zotsatira zake nthawi zambiri zimapezeka mkati mwa mphindi 15. Ngati muli ndi vuto la ziwengo, mungaone kufiira ndi kukwera kwa bere pamalopo, mofanana ndi kulumidwa ndi udzudzu. Ngati izi zitachitika, zimasonyeza kuti mwina muli ndi vuto la ziwengo ndi mankhwalawo.
Nthawi zina, dokotala wanu angakulangizeni kuti muyese magazi . Izi zimathandiza kwambiri pakakhala zovuta kapena kuchedwa, kapena ngati dokotalayo akuganiza kuti mankhwalawa akhudza ziwalo zosiyanasiyana m'thupi lanu.
Kodi ziwengo za mankhwala zimachiritsidwa bwanji?
Dokotala wanu angakulangizeni njira zotsatirazi zochizira ku Nirogi Lanka:
- Siyani kumwa mankhwala: Mankhwala akatuluka m'thupi lanu, zizindikiro ziyenera kutha pang'onopang'ono. Ngati mankhwalawo adalembedwa chifukwa cha vuto linalake, dokotala wanu adzakupatsani njira ina yotetezeka, yopanda allergy.
- Mankhwala oletsa ma histamine: Mankhwalawa amaletsa ma histamine omwe amatulutsidwa ndi chitetezo chamthupi chanu, zomwe zimathandiza kuchepetsa zizindikiro zofala monga kuyabwa ndi ming'oma.
- Corticosteroids: Awa ndi mankhwala oletsa kutupa omwe amagwiritsidwa ntchito kuchepetsa kutupa, kufiira, ndi zina zomwe zimayambitsa kutupa chifukwa cha ziwengo zanu.
- Ma bronchodilator: Izi zimathandiza kuchepetsa zizindikiro za kupuma, monga kupuma movutikira kapena kupuma movutikira, mwa kumasula njira zanu zopumira.
- Epinephrine auto-injector (EpiPen®): Ngati nthawi zambiri mumachita zinthu zoopsa (monga anaphylaxis), dokotala wanu angakulembeni izi. Epinephrine imapereka yankho lothandiza nthawi yomweyo komanso lopulumutsa moyo ku zizindikiro za anaphylactic. Dokotala wanu adzakupatsani malangizo omveka bwino a momwe mungagwiritsire ntchito chipangizochi komanso nthawi yake.
- Kuchepetsa kuopsa kwa ziwengo: Mu njira yolamulidwayi, dokotala wanu amapereka pang'onopang'ono mlingo wa ziwengo womwe umawonjezeka pang'onopang'ono. Pakapita nthawi, chitetezo cha mthupi chanu chingaphunzire kupirira mankhwalawo popanda kuyambitsa vuto. Njirayi imayang'aniridwa mosamala, nthawi zina kwa masiku angapo, mpaka thupi lanu litakwanitsa kupirira bwino mankhwalawo.
Kodi ziwengo za mankhwala zimatenga nthawi yayitali bwanji?
Kwa anthu ambiri, zizindikiro zimatha patangopita maola ochepa kuchokera pamene mankhwala anasiya. Komabe, nthawi zina, zingatenge milungu ingapo kapena miyezi ingapo kuti zizindikirozo zithe kwathunthu.
Kodi chimachitika ndi chiyani ngati muli ndi vuto la mankhwala osokoneza bongo?
Palibe mankhwala ochiritsira matenda a ziwengo omwe amabwera chifukwa cha mankhwala. Komabe, mutha kuthana ndi vutoli bwino mwa kupewa zinthu zomwe zimadziwika kuti zimayambitsa ziwengo komanso kugwiritsa ntchito mankhwala omwe amaletsa chitetezo cha mthupi kuchita zinthu mopitirira muyeso.
Kodi ziwengo za mankhwala zingapewedwe?
Ngati muli ndi vuto la ziwengo la mankhwala, njira yokhayo yopewera vutoli ndi kupewa mankhwala enieniwo ndi mankhwala ena ofanana ndi mankhwala.
Ndikofunikira kusunga zolemba zanu zachipatala zatsopano pamodzi ndi chidziwitso chanu cha ziwengo. Izi zimatsimikizira kuti onse opereka chithandizo chamankhwala mtsogolo adzadziwa, zomwe zimachepetsa kwambiri chiopsezo chanu chokumana ndi matenda mwangozi.
Kodi ndingathe bwanji kuchita izi ndekha?
Ngati muli ndi vuto la mankhwala osokoneza bongo, nthawi zonse dziwitsani katswiri aliyense wa zaumoyo musanayambe chithandizo chatsopano (kuphatikizapo madokotala a mano kapena opaleshoni).
Kuphatikiza apo, ndi bwino kunyamula uthenga wokhudza ziwengo zanu ngati pachitika ngozi pomwe simungathe kulankhulana. Njira zina ndi izi:
- Kugwiritsa ntchito pulogalamu ya Thanzi ya foni yanu yam'manja: Konzani zambiri zanu zachipatala kuti zizitha kupezeka mosavuta kuchokera pazenera lotsekedwa la foni yanu.
- Kuvala chibangili kapena mkanda woteteza matenda.
- Kusunga khadi lokhala ndi laminated mu chikwama chanu kapena m'chikwama chanu.
- Kulemba tattoo ya dokotala: Ngakhale kuti ndi sitepe yovuta kwambiri, anthu ena amasankha izi kuti adziwe nthawi yomweyo.
Kodi ndiyenera kupita kwa dokotala liti?
Ngati mukumva zizindikiro zilizonse mutamwa mankhwala, chonde funsani dokotala wanu nthawi yomweyo.
Kodi ndiyenera kupita ku Chipinda cha Zadzidzidzi liti (ER)?
Ngati mukuona zizindikiro za vuto lalikulu la ziwengo , funani chithandizo chamankhwala mwamsanga kapena imbani 911. Zizindikiro zoopsa izi zikuphatikizapo:
- Kuvuta kupuma.
- Kuvuta kumeza.
- Kufooka mwadzidzidzi kapena chizungulire/kumva kukomoka.
- Kugunda kwa mtima mofulumira kapena kofooka.
- Kutaya chidziwitso.
Kumbukirani, zotsatira zoopsa zimaika moyo pachiswe ndipo zimafuna thandizo lachipatala mwamsanga.
Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga?
Pa nthawi yokambirana, mungafune kufunsa kuti:
- Kodi vuto langa la mankhwala osokoneza bongo linapezeka bwanji mwalamulo?
- Ndi mankhwala ati enieni omwe amayambitsa zizindikiro izi?
- Kodi ndi mankhwala ati otetezeka komanso ochiritsira omwe ndingagwiritse ntchito pa vuto langa?
- Kodi ndikufunika chithandizo chapadera cha ziwengo izi?
- Kodi ndi dongosolo liti la kasamalidwe lomwe mukundipangira?
Kwa ambiri a ife, mankhwala ndi chida chofunikira kwambiri pakuchiritsa. Komabe, chitetezo chamthupi china molakwika chimazindikira mankhwala ena ngati owopsa. Momwe mumachitira zinthu zingasiyane ndi ena; pomwe ena angakumane ndi kuyabwa pang'ono kapena maso otuluka madzi, ena amakumana ndi zoopsa zazikulu zomwe zingawopseze moyo. Ku Nirogi Lanka , tikugogomezera kuti ngati muwona zizindikiro zilizonse zokayikitsa mutamwa mankhwala, funsani dokotala wanu mwachangu kuti muwonetsetse kuti mwapeza matenda oyenera komanso kuti muli ndi dongosolo lotetezeka la chisamaliro chaumoyo wanu.
Mfundo Zofunika Kuziganizira (Uthenga Wopita Nawo Kunyumba)
- Kusamvana ndi mankhwala kumachitika pamene chitetezo cha mthupi chanu chachita molakwika ndi mankhwala enaake.
- Zizindikiro zimatha kuyambira pamavuto ofooka monga kuyabwa kapena ziphuphu mpaka ku zotsatira zoopsa zomwe zingawononge moyo kuphatikizapo kupuma movutikira kapena kutaya chidziwitso.
- Mankhwala opha tizilombo monga penicillin ndi mankhwala ena ochepetsa ululu (NSAIDs) ndi omwe amayambitsa ziwengo.
- Ngati muwona zizindikiro zachilendo mutamwa mankhwala, funsani dokotala wanu kapena wothandizira zaumoyo nthawi yomweyo.
- Ngati pali zizindikiro zoopsa—monga kupuma movutikira, kutupa pakhosi kapena lilime, kapena chizungulire—funani thandizo lachipatala mwamsanga kuchipatala chapafupi kapena imbani 911 nthawi yomweyo.
- Nthawi zonse dziwitsani onse omwe akukuthandizani pazachipatala, kuphatikizapo dokotala wanu wa mano, za ziwengo zilizonse zomwe mumadziwika kuti muli nazo pa mankhwala.
- Ganizirani kuvala chibangili chochenjeza zachipatala kapena kunyamula khadi lokhala ndi chidziwitso cha ziwengo zanu kuti muthandize opereka chithandizo pakagwa ngozi.
Tikukhulupirira kuti izi zikuthandizani kukhala ndi thanzi labwino. Khalani otetezeka ndi Nirogi Lanka!
👩🏽⚕️ Mafunso Ofunsidwa Kawirikawiri (Mafunso Ofunsidwa Kawirikawiri)
💬 Kodi Anasarca ndi chiyani kwenikweni?
Anasarca si kutupa kokha (edema) m'dzanja kapena mwendo. Ndi vuto lalikulu lachipatala. Limatanthauza kutupa kwakukulu m'thupi lonse—kuyambira kumutu mpaka kumapazi—komwe kumachitika chifukwa cha kulephera kwakukulu kwa ziwalo, zomwe zimapangitsa kuti madzi azisonkhana pansi pa khungu.
💬 Kodi zifukwa zazikulu zomwe zimayambitsa kutupa kwa thupi lonse ndi ziti?
Vutoli silimachitika popanda chifukwa chenicheni. Zinthu zitatu zazikulu zomwe zimayambitsa matendawa ndi izi: 1. Kulephera kwa mtima, komwe mtima sungapope magazi bwino; 2. Kulephera kwa impso kapena Nephrotic syndrome, yomwe imalepheretsa thupi kusunga mapuloteni ofunikira komanso kusamalira bwino madzi; ndi 3. Matenda oopsa a chiwindi, monga cirrhosis.
💬 Kodi chithandizo chadzidzidzi cha wodwala amene ali ndi vutoli ndi chiyani?
Wodwalayo ayenera kugonekedwa kuchipatala nthawi yomweyo, chifukwa madzi amatha kusonkhana m'mapapo ndikupangitsa kuti kupuma kulephere. Chithandizo chamankhwala chimaphatikizapo kupereka mankhwala ochepetsa mphamvu ya mkodzo m'mitsempha (IV), monga Furosemide, kuti thupi lichotse madzi ochulukirapo mwachangu kudzera mu mkodzo wochuluka.
Mawu Ofunika: ziwengo za mankhwala, ziwengo za mankhwala, zizindikiro za ziwengo, anaphylaxis, ziwengo za penicillin, poizoni wa mankhwala, ziphuphu pakhungu
