⚡ Interactive Clinical Tool
Renal function (eGFR)
Measure kidney function based on creatinine value
Ndi mankhwala ati omwe angakhudze impso?
Tiyeni tiwone mankhwala ena akuluakulu omwe timakumana nawo tsiku ndi tsiku omwe angakhudze impso.Mankhwala opha tizilombo
Tonsefe timamwa maantibayotiki pofuna kutentha thupi, kuchira mabala, kapena matenda ena. Nthawi zambiri amakhala otetezeka. Komabe, maantibayotiki ena, makamaka akamwedwa mopitirira muyeso kapena kwa nthawi yayitali, amatha kukhudza impso. Mwachidule, mankhwala ena amatha kupanga makhiristo osasungunuka akamadutsa mu impso, ndikuletsa kutuluka kwa mkodzo. Mankhwala ena amatha kuwononga mwachindunji maselo a impso. Komanso, anthu ena amakhala ndi vuto la ziwengo ku maantibayotiki ena, omwe angakhudzenso impso. Chifukwa chake, ndikofunikira kwambiri kumwa maantibayotiki kwa nthawi yolembedwa, monga momwe dokotala wanenera .Mankhwala ochepetsa mphamvu ya madzi m'thupi (kapena "mapiritsi a madzi")
Kawirikawiri timatcha mankhwalawa kuti 'mapiritsi amadzi'. Madokotala amagwiritsa ntchito mankhwalawa pochiza kuthamanga kwa magazi ndi kutupa m'mbali zosiyanasiyana za thupi. Amagwira ntchito pochotsa madzi ochulukirapo m'thupi kudzera mu mkodzo. Komabe, mukamagwiritsa ntchito mankhwalawa, nthawi zina thupi limatha kutaya madzi m'thupi, zomwe zikutanthauza kuti palibe madzi okwanira m'thupi. Izi sizothandiza pa thanzi la impso. Chifukwa chake, ngati mukugwiritsa ntchito mankhwalawa, ndikofunikira kumwa madzi okwanira ndikutsatira malangizo a dokotala wanu .Mankhwala oletsa kutupa omwe si a steroidal (NSAIDs)
Apa ndi malo omwe anthu ambiri ayenera kuda nkhawa. Mankhwala ochepetsa ululu omwe timagula ku pharmacy popanda mankhwala a mutu, kupweteka kwa msana, ndi kupweteka kwa bondo ndi a gulu ili. Mwachitsanzo, mankhwala monga Aspirin, Ibuprofen , Naproxen, Diclofenac. M'mawu azachipatala, timawatcha awa Non-Steroidal Anti-Inflammatory Drugs kapena (NSAIDs).Ngakhale kumwa mankhwala awa kwa kanthawi kochepa, nthawi zambiri si vuto, kuwagwiritsa ntchito mosalekeza, pamlingo waukulu, popanda upangiri uliwonse wa dokotala, kungakhale koopsa.Zingawononge impso mwachindunji.Kafukufuku akusonyeza kuti pafupifupi 5% ya odwala padziko lonse lapansi omwe amalephera kugwira ntchito bwino kwa impso amayamba chifukwa chogwiritsa ntchito molakwika mankhwala ochepetsa ululu amenewa kwa nthawi yayitali.
Zoletsa Pump ya Proton (PPIs) - Mankhwala a Gastritis
Matenda a m'mimba, kutentha pamtima, ndi zilonda zam'mimba ndi mavuto ofala kwa anthu ambiri masiku ano. Mankhwala omwe amagwiritsidwa ntchito pochiza matenda amenewa amatchedwa Proton Pump Inhibitors (PPIs) (monga Omeprazole, Esomeprazole, Lansoprazole), omwe amachepetsa kuchuluka kwa asidi wopangidwa m'mimba. Ngakhale kuti mankhwalawa ndi othandiza kwambiri, kafukufuku waposachedwapa wasonyeza kuti kugwiritsa ntchito mankhwalawa kwa nthawi yayitali kungayambitse kuwonongeka kwa impso komanso kulephera kwa impso. Ngati mukumwa mankhwala a gastritis kwa nthawi yayitali, ndikofunikira kulankhula ndi dokotala wanu za izi ndikukambirana ngati muyenera kupitiriza kumwa mankhwalawa kapena ngati mungasinthe kugwiritsa ntchito njira ina yotetezeka (monga H2 blockers).| Gulu la Mankhwala Osokoneza Bongo | Kugwiritsa Ntchito Kawirikawiri | Zotsatira za Impso |
|---|---|---|
| Mankhwala opha tizilombo | Matenda a bakiteriya | Kutsekeka kwa njira ya mkodzo, kuwonongeka kwa maselo a impso, ziwengo. |
| Mankhwala ochepetsa mphamvu ya mkodzo | Kuthamanga kwa magazi, kutupa kwa thupi | Kuwonongeka kwa impso chifukwa cha kusowa madzi m'thupi. |
| Mankhwala Ochepetsa Ululu (NSAIDs) | Ululu, malungo, kutupa | Kuopsa kwa impso kulephera kugwira ntchito bwino kwa nthawi yayitali. |
| Mankhwala a Gastritis(PPI) | Gastritis, kutupa pachifuwa | Kuopsa kwa matenda a impso pogwiritsa ntchito mankhwalawa kwa nthawi yayitali. |
Ngati muli kale ndi matenda a impso...
Ngati impso zanu zafooka kale, kutanthauza kuti, ngati mwapezeka kale ndi matenda a impso , muyenera kusamala kwambiri. Chifukwa mankhwala ena omwe si vuto kwa munthu wamba akhoza kuvulaza impso zanu. Mwachitsanzo, mankhwala ena a cholesterol, mankhwala ena a shuga, mankhwala oletsa asidi m'mimba, mankhwala opha mavairasi ndi bowa, muyenera kulankhula ndi dokotala wanu musanagwiritse ntchito. Dokotala wanu angasankhe kuchepetsa mlingo wa mankhwalawo kapena kukusinthani ku mankhwala otetezeka. Izi zikugwiranso ntchito ku ma scan ena. Mukachita MRI kapena CT scan, nthawi zina madzi apadera (utoto wosiyana) amabayidwa kuti aone mkati mwa thupi bwino. Ngakhale kuti ndi osowa kwambiri, madzi awa amatha kuwononga impso. Timatcha matenda awa (Contrast-Induced Nephropathy - CIN) ndi (Nephrogenic Systemic Fibrosis - NSF). Chifukwa chake, mukatumiza ku scan, musaiwale kuuza dokotala kuti muli ndi matenda a impso .Uthenga Wopita Nawo Kunyumba
- Imwani mankhwala omwe dokotala wakupatsani pa mlingo wokhazikika komanso kwa nthawi yokhazikika. Pewani kusintha mlingo kapena kusiya kumwa mankhwala nokha.
- Musagwiritse ntchito mankhwala ochepetsa ululu ( NSAIDs ) omwe amagulitsidwa mu register kwa nthawi yayitali popanda kufunsa dokotala.
- Ngati mwakhala mukugwiritsa ntchito mankhwala omwewo a gastritis (makamaka PPIs ) kwa nthawi yayitali, lankhulani ndi dokotala wanu za izi ndipo mufunseni ngati akufunikirabe.
- Nthawi iliyonse mukapita kwa dokotala wanu, muuzeni za mankhwala onse , mavitamini , ndi zowonjezera zitsamba zomwe mukumwa panopa.
- Ngati muli ndi matenda a impso omwe munali nawo kale, kumbutsani dokotala wanu za matendawa musanayambe kumwa mankhwala atsopano kapena kuyesedwa .
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