Mwina inunso munapatsidwa mankhwala otchedwa Meloxicam ndi dokotala wanu chifukwa cha kupweteka kwa mafupa, kupweteka kwa msana, nyamakazi, kapena ululu wina. Uwu ndi mankhwala opha ululu omwe amagwiritsidwa ntchito kwambiri m'dziko lathu. Koma si mankhwala opha ululu okha. Chifukwa chake, pali zinthu zingapo zomwe tonsefe tiyenera kusamala nazo tikamagwiritsa ntchito mankhwalawa. Tiyeni tikambirane mwatsatanetsatane lero.
Kodi mankhwala awa otchedwa Meloxicam ndi chiyani?
Mwachidule, Meloxicam ndi mankhwala omwe amagwiritsidwa ntchito pochiza ululu wochepa mpaka wochepa, kutupa, ndi matenda monga nyamakazi. Ndi a gulu la mankhwala otchedwa NSAID (mankhwala osagwiritsa ntchito steroidal oletsa kutupa). Mwina mudamvapo za mankhwala monga Ibuprofen ndi Diclofenac, koma ali mgulu lomwelo.
Mankhwalawa amagwira ntchito powongolera njira zomwe zimachitika m'thupi lathu zomwe zimayambitsa ululu ndi kutupa. Chifukwa chake, amapereka mpumulo wabwino ku zinthu monga kutupa ndi kupweteka kwa mafupa. Nthawi zina, madokotala amathanso kupereka mankhwalawa pa matenda ena.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwala
Iyi ndi gawo lofunika kwambiri. Musanayambe kugwiritsa ntchito Meloxicam, ndikofunikira kuuza dokotala wanu momveka bwino za matenda ena aliwonse omwe muli nawo komanso mankhwala ena aliwonse omwe mukumwa. Chifukwa kugwiritsa ntchito mankhwalawa ndi matenda ena kungakhale koopsa.
Kumbukirani, dokotala wanu akadziwa zambiri za mbiri yanu yonse ya thanzi, ndiye kuti angathe kukupatsani chithandizo chomwe mukufuna.
Ngati muli ndi vuto lililonse mwa zotsatirazi, onetsetsani kuti mwadziwitsa dokotala wanu.
| Kodi muli ndi mikhalidwe iyi? | N’chifukwa chiyani muyenera kudziwitsa? |
|---|---|
| Mphumu kapena matenda ena opumira | Kwa anthu ena, mankhwala a NSAID amatha kukulitsa zizindikiro za mphumu. |
| Matenda a mtima, kuthamanga kwa magazi, mbiri ya matenda a mtima, kapena kuchitidwa opaleshoni ya mtima (monga CABG) | Meloxicam ingawonjezere pang'ono chiopsezo cha matenda a mtima ndi sitiroko, makamaka kwa anthu omwe ali ndi matenda a mtima. |
| Mbiri ya zilonda zam'mimba, gastritis, kapena kutuluka magazi m'mimba | Mankhwalawa amawonjezera chiopsezo cha zilonda zam'mimba kapena kutuluka magazi. |
| Matenda a impso kapena matenda a chiwindi | Pali chiopsezo cha kuwonongeka kwa ziwalo izi. |
| Kumwa mankhwala ochepetsa magazi (monga Warfarin, Aspirin, Clopidogrel) kapena mankhwala a steroid (monga Prednisolone) | Kutenga Meloxicam ndi mankhwalawa kumawonjezera kwambiri chiopsezo cha kutuluka magazi. |
| Kusuta kapena kumwa mowa pafupipafupi | Zizolowezi zimenezi zimawonjezera chiopsezo cha zilonda zam'mimba. |
| Kuyesa kutenga pakati, kukhala ndi pakati, kapena kuyamwitsa | Izi sizoyenera amayi apakati (makamaka miyezi itatu yomaliza) ndi amayi oyamwitsa. |
| Kukhala ndi vuto la ziwengo ku Meloxicam, Aspirin, kapena mankhwala ena aliwonse kapena chakudya | Ndikofunikira kudziwa izi kuti mupewe chiopsezo cha ziwengo. |
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
- Tsatirani malangizo a dokotala wanu: Imwani mlingo monga momwe dokotala wanu wanenera, panthawi yoyenera. Ngati mutenga kamodzi patsiku, yesani kuutenga nthawi yomweyo tsiku lililonse.
- Ndi chakudya kapena ayi: Mankhwalawa angatengedwe musanadye kapena mutadya. Komabe, ngati muli ndi vuto monga kutentha pamtima kapena gastritis, ndi bwino kumwa mukatha kudya .
- Musawonjezere mlingo: Musamwe mankhwala ochulukirapo kuposa momwe dokotala wanenera chifukwa chakuti mukuganiza kuti ululu ndi wochuluka kwambiri. Kuchita zimenezi kudzawonjezera chiopsezo cha zotsatirapo zake.
- Ngati muli ndi zaka zoposa 65: Okalamba angafunike mlingo wocheperako, choncho tsatirani malangizo a dokotala wanu molondola.
Kodi mungachite chiyani ngati mwamwa mankhwala ochulukirapo?
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, musachite mantha. Chochitapo kanthu mwachangu ndikuyimbira National Poisons Information Centre ku Colombo National Hospital , kapena kupita ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.
Nanga bwanji ngati ndaphonya mlingo wa mankhwala?
Ngati mwaiwala kumwa mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati uli pafupi kwambiri ndi mlingo wanu wotsatira (monga, mkati mwa maola ochepa), dumphani mlingo womwe mwaphonya ndikumwa mlingo wanu wotsatira panthawi yomwe mwakonza. Musamwe mlingo umodzi nthawi imodzi.
Zinthu zoti mupewe komanso kusamala ndi Meloxicam
Mankhwalawa angagwirizane ndi mankhwala ena omwe mukumwa, choncho uzani dokotala wanu za mankhwala onse omwe mukumwa (kuphatikizapo mavitamini ndi mankhwala azitsamba).
- Musamwe pamodzi ndi: Ketorolac (NSAID ina yamphamvu), Cidofovir (mankhwala oletsa mavairasi).
- Samalani kwambiri mukatenga izi ndi:
- Mankhwala ena ochepetsa ululu a NSAID (monga Aspirin, Ibuprofen, Diclofenac, Naproxen). Kumwa mankhwalawa pamodzi kumawonjezera chiopsezo cha zilonda zam'mimba.
- Mankhwala ochepetsa magazi (monga Warfarin, Apixaban, Dabigatran)
- Mankhwala ena a kuthamanga kwa magazi ndi matenda a mtima.
- Mankhwala ena a matenda amisala.
- Mankhwala monga Lithium, Methotrexate, Cyclosporine.
- Mankhwala ochepetsa mphamvu ya madzi m'thupi.
Zinthu zofunika kusamala nazo mukamamwa mankhwala
1. Zilonda zam'mimba ndi kutuluka magazi: Ichi ndiye chiopsezo chachikulu cha mankhwala a NSAID. Zilonda zam'mimba zimatha kuyamba ndikutuluka magazi popanda chenjezo . Ngati mukumva zizindikiro monga kupweteka m'mimba, kupweteka pachifuwa, ndowe zakuda, kapena kusanza komwe kumawoneka ngati khofi, siyani kumwa mankhwalawo nthawi yomweyo ndikuonana ndi dokotala.
2. Kuopsa kwa matenda a mtima ndi sitiroko: Mankhwalawa saletsa matenda a mtima kapena sitiroko. Komanso, mukagwiritsa ntchito kwa nthawi yayitali kapena ngati muli kale ndi matenda a mtima, chiopsezochi chingawonjezeke pang'ono. Ngati mukukumana ndi zizindikiro zadzidzidzi monga kupweteka pachifuwa, kuvutika kupuma, dzanzi m'manja, kapena kuvutika kulankhula, pitani kuchipatala nthawi yomweyo.
3. Pewani mowa: Kumwa mowa mukumwa Meloxicam kumawonjezera kwambiri chiopsezo cha kutuluka magazi m'mimba.
4. Matenda a pakhungu: Ngakhale kuti ndi osowa, mankhwalawa angayambitse matenda a pakhungu. Ngati mukumva malungo ndi kupweteka kwa thupi, komanso khungu lofiira, kuyabwa, matuza, khungu lotupa, kapena zilonda mkamwa mwanu, funsani dokotala nthawi yomweyo.
5. Mimba: Kumwa mankhwalawa pakati pa masabata 20 ndi 30 a mimba kungavulaze mwana amene ali m'mimba. Musamwe mankhwalawa konse pakatha masabata 30.
6.Kugona ndi chizungulire: Mankhwalawa angapangitse anthu ena kugona ndi chizungulire. Choncho, pewani kuchita zinthu zomwe zimafuna kukhala maso, monga kuyendetsa galimoto kapena kugwiritsa ntchito makina, mpaka thupi lanu litazolowera mankhwalawo.
Zotsatirapo zoyipa za mankhwalawa
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala wanu kapena ETU nthawi yomweyo | |
|---|---|
| Kusamvana kwa Thupi | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime, komanso kuvutika kupuma. |
| Kutuluka magazi | Chimbudzi chakuda kapena chochedwa, kusanza komwe kumaoneka ngati khofi wophikidwa, mkodzo wofiira/wofiirira wakuda, ndi madontho ang'onoang'ono ofiira/ofiirira pakhungu. |
| Zizindikiro za matenda a mtima | Kupweteka/kuuma pachifuwa, paphewa, pa mkono, kapena pa nsagwada, kupuma movutikira, kutuluka thukuta, kukomoka. |
| Zizindikiro za sitiroko | Kufooka kwadzidzidzi kwa nkhope, mkono, kapena mwendo, kuvutika kulankhula, kuvutika kuyenda, mutu waukulu. |
| Zizindikiro za kuwonongeka kwa impso kapena chiwindi | Kuchepa kwa mkodzo wotuluka, kutupa kwa akakolo, manja, ndi mapazi, chikasu cha maso kapena khungu, kupweteka kumtunda kwa kumanja kwa mimba, ndi mkodzo wakuda. |
| Zotsatirapo zomwe zimapezeka kawirikawiri, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| |
Uthenga Wopita Nawo Kunyumba
- Meloxicam ndi mankhwala omwe ayenera kumwedwa pokhapokha ngati dokotala walangiza. Si mankhwala omwe angagulidwe ku pharmacy chifukwa cha ululu.
- Musanayambe kumwa mankhwala, uzani dokotala wanu za matenda anu onse komanso mankhwala onse omwe mukumwa.
- Ngati mukumva kupweteka m'mimba, ndowe zakuda, kupweteka pachifuwa, kapena kutupa kwambiri pakhungu mukumwa mankhwala, funsani dokotala nthawi yomweyo.
- Mukamamwa mankhwalawa, musamwe mankhwala ena ochepetsa ululu (NSAIDs) monga Ibuprofen ndi Diclofenac popanda kufunsa dokotala wanu.
- Pewani kumwa mowa kotheratu mukamamwa mankhwala.
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