Kodi muli ndi vuto lotchedwa `Ulcerative Colitis` lomwe limayambitsa kupweteka m'mimba, kulakalaka kupita kuchimbudzi pafupipafupi, komanso nthawi zina magazi m'chimbudzi chanu? Ngati ndi choncho, dokotala wanu mwina adakupatsani mankhwala otchedwa `Mesalamine`. Amabwera pansi pa mayina osiyanasiyana monga `Delzicol`, `Asacol`, `Pentasa`. Chifukwa chake, lero tikambirana za mankhwalawa, zomwe amachita, momwe angagwiritsire ntchito, komanso zomwe muyenera kusamala nazo m'njira yosavuta yomwe mungamvetse.
Kodi kwenikweni chimachitika ndi mankhwala otchedwa Mesalamine awa?
Mwachidule, `Mesalamine` ndi mankhwala ochiza `Ulcerative Colitis`. Ngati muli ndi matendawa, muli ndi kutupa, kapena vuto lofanana ndi kutupa, kwa khoma lamkati la matumbo anu akuluakulu (njira yogayira chakudya). Taganizirani ngati bala la pakhungu, komwe malo ozungulira amakhala ofiira, otupa, komanso opweteka.
Chifukwa chake, mankhwala a `Mesalamine` awa amagwira ntchito poletsa kutupa . Ndi a gulu la mankhwala otchedwa `salicylates`. Sikuti amangoletsa zizindikiro zanu zokha, komanso amathandiza kupewa kuphulika kwa matendawo akatha.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa
Musanayambe kumwa Mesalamine, ndikofunikira kwambiri kudziwitsa dokotala wanu za thanzi lanu lonse. Onetsetsani kuti mwamuuza ngati muli ndi vuto lililonse lomwe latchulidwa pansipa.
| Matenda kapena vuto | N’chifukwa chiyani zimenezo n’zofunika? |
|---|---|
| Matenda a impso | Chifukwa nthawi zina mesalamine ingakhudze impso. |
| Matenda a chiwindi | Mankhwalawa angakhudzenso ntchito ya chiwindi. |
| Kutsekeka kwa matumbo kapena pyloric stenosis | Ngati pali chotseka m'mimba kapena m'matumbo, mankhwalawo akhoza kutsekedwa. |
| Matenda a mesalamine, aspirin, kapena mankhwala/zakudya zina | Ngati muli ndi vuto la ziwengo, zotsatirapo zake zingakhale zoopsa. |
| Kukhala ndi pakati kapena kuyesa kutenga mimba | Ndikofunikira kufunafuna upangiri wa dokotala musanamwe mankhwala aliwonse panthawi ya mimba. |
| Kuyamwitsa | Mbali zina za mankhwalawa zimatha kupita kwa mwana kudzera mu mkaka wa m'mawere, choncho uzani dokotala wanu za izi. |
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
Kugwiritsa ntchito mankhwalawa moyenera ndikofunikira kwambiri kuti mupeze zotsatira.
- Mezani kapisozi yonse: Musaswe, musaphwanye, kapena kutafuna mankhwala awa. Mezani yonse ndi kapu ya madzi.
- Imwani pa nthawi yake: Yesetsani kumwa mankhwala anu nthawi yomweyo tsiku lililonse momwe mungathere. Izi zidzakuthandizani kuti milingo ya mankhwala m'thupi lanu ikhale yofanana.
- Musanadye kapena mutadya?: Izi zitha kumwedwa ndi chakudya kapena ayi. Komabe, ngati mukumva kupweteka m'mimba kapena kutentha pamtima, ndi bwino kuzimwa ndi chakudya.
- Musasiye: Musasiye kumwa mankhwala anu mpaka dokotala wanu atakuuzani kuti muchite zimenezo. Ndikofunikira kumaliza kumwa mankhwala omwe mwapatsidwa, ngakhale zizindikiro zanu zitayamba kuchira.
- Kwa ana aang'ono: Mankhwalawa angalimbikitsidwe kwa ana azaka zopitirira 5 nthawi zina. Komabe, muyenera kulankhula ndi dokotala wanu za mankhwalawa.
Chenjezo: Ngati mwadzidzidzi mukuganiza kuti mwamwa mankhwala ochulukirapo kuposa mlingo womwe mwapatsidwa, imbani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital . Kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi. Mankhwalawa ndi anu okha, musawagawire ndi ena.
Kodi mungachite chiyani ngati mwaphonya mlingo wa mankhwala?
Ngati mwaiwala kumwa mlingo, imwani mwamsanga mukangokumbukira. Koma ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndi kumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe mlingo wowirikiza kawiri.
Zinthu zofunika kukumbukira mukamagwiritsa ntchito mankhwalawa
- Mankhwala ena: Uzani dokotala wanu ngati mukumwa mankhwala ena aliwonse ochepetsa ululu, monga NSAIDs (monga ibuprofen, naproxen), kapena mankhwala ena monga azathioprine kapena mercaptopurine. Mankhwalawa amatha kuyanjana ndi mesalamine. Ndi bwino kuuza dokotala wanu za mankhwala ndi mavitamini onse omwe mukumwa.
- Mayeso azachipatala: Dokotala adzakuyang'anirani nthawi zonse. Pitani kwa iwo nthawi yoyenera. Auzeni ngati zizindikiro zanu zikuchepa kapena zikuipiraipira. Angakuuzeninso kuti muyeze magazi.
- Kusintha Mitundu: Musasinthe mtundu wa Mesalamine womwe mukumwa popanda kufunsa dokotala wanu, chifukwa mlingo wake si wofanana pa mitundu yonse.
- Dzitetezeni ku dzuwa: Khungu lanu likhoza kukhala losakhudzidwa ndi dzuwa mukamamwa mankhwalawa. Choncho, ngati mukupita ku dzuwa, valani zovala zazitali manja ndipo gwiritsani ntchito mafuta oteteza ku dzuwa.
- Chipolopolo cha piritsi chokhala ndi ndowe: Mu mitundu ina ya Mesalamine, chipolopolo chakunja cha piritsi sichingasungunuke ndikutuluka pamodzi ndi ndowe. Izi zili bwino ngati zitachitika kamodzi kapena kawiri. Koma ngati izi zimachitika kawirikawiri , uzani dokotala wanu za izi.
- Imwani madzi ambiri: Funsani dokotala wanu kuti muyenera kumwa magalasi angati a madzi patsiku. Ndikofunikira kwambiri kupewa kutaya madzi m'thupi.
Zotsatirapo zomwe zingachitike chifukwa cha mesalamine
Monga mankhwala ena aliwonse, `Mesalamine` ingayambitse zotsatirapo zina. Koma musadandaule, si aliyense amene amadwala. Chofunika kwambiri ndikudziwa izi ndikudziwitsa dokotala wanu nthawi yomweyo ngati muwona chilichonse choopsa.
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala wanu nthawi yomweyo | |
|---|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime. |
| Kuvulala kwa impso | Kuchepa kwa mkodzo wotuluka, kutupa kwa akakolo, manja, ndi mapazi. |
| Kuvulala kwa chiwindi | Kupweteka m'mimba yakumanja, kusowa chilakolako cha chakudya, maso/khungu kukhala lachikasu, mkodzo wakuda wachikasu/bulauni. |
| Matenda a mtima (Myocarditis) | Kuvuta kupuma, kupweteka pachifuwa, kutopa kosazolowereka, kugunda kwa mtima mofulumira. |
| Mesalamine tsankho syndrome | Kupweteka kwambiri m'mimba, kutsegula m'mimba, mutu, malungo, kupweteka kwa minofu. |
| Mavuto aakulu a khungu | Kufiira, kutupa, khungu lotupa (likhozanso kuchitika mkamwa). |
| Zinthu zomwe nthawi zambiri sizili zazikulu, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Kupweteka m'mimba | Kutsegula m'mimba |
| Mutu | Kusanza |
| Chikhure | Zizindikiro zofanana ndi kuzizira |
Kodi mumateteza bwanji mankhwala anu?
Sungani mankhwala pamalo omwe ana ndi ziweto sangafikire. Ndi bwino kuwasunga kutentha kwa chipinda (pakati pa madigiri 20-25 Celsius). Musagwiritse ntchito mankhwala otha ntchito. Tayani bwino. Mutha kufunsa dokotala wanu za izi.
Uthenga Wopita Nawo Kunyumba
- Mesalamine ndi mankhwala omwe amachepetsa kutupa m'matumbo komwe kumachitika chifukwa cha Ulcerative Colitis.
- Mezani mankhwala onsewa ndi madzi osasweka, kuphwanya, kapena kutafuna .
- Ngati muli ndi vuto la impso, chiwindi, kapena ziwengo zina , onetsetsani kuti mwadziwitsa dokotala wanu musanayambe kumwa mankhwala.
- Ngati mukukumana ndi mavuto aakulu (monga kupweteka kwambiri m'mimba, ziphuphu pakhungu, kuchepa kwa kukodza) , funsani upangiri wa dokotala nthawi yomweyo.
- Musasiye kumwa mankhwala anu mpaka dokotala wanu atakuuzani kuti muchite zimenezo. Ngati muli ndi vuto lililonse, kambiranani naye za iwo.
👩🏽⚕️ Mafunso ena (Mafunso Ofunsidwa Kawirikawiri)
💬 Kodi mapiritsi a Mesalamine (Mesalamine / Asacol, Lialda) amagwiritsidwa ntchito pa matenda ati?
Iyi ndi imodzi mwa mankhwala ogwira mtima kwambiri (5-Aminosalicylic acid / 5-ASA) padziko lonse lapansi omwe amatha kuchiza ululu wosapiririka m'mimba, kutsegula m'mimba, ndi zilonda zazikulu m'matumbo (Ulcerative Colitis)! Imathandiza nthawi yomweyo kutupa kwakukulu ndikubwezeretsa wodwalayo kukhala wabwinobwino.
💬 Kodi mapiritsi awa (Mesalamine) amachiritsa bwanji zilonda/kusapeza bwino m'mimba?
Zilonda/kutupa kwa m'mimba kumachitika chifukwa cha mankhwala otchedwa 'Prostaglandins/Leukotrienes' omwe amapangidwa m'matumbo. Katswiri wa piritsili ndi wakuti silimayamwa ndi thupi ngakhale litalowa m'mimba, limasweka mwachindunji m'matumbo akulu (colon) (Topical action). Likalowa m'matumbo, limatseka/kutseka kwathunthu mafakitale onse a mankhwala (COX/LOX) omwe amapanga zilonda. Kenako kutupa ndi kutuluka magazi zimasiya pomwepo.
💬 Kodi ndi zoopsa ziti zomwe muyenera kuzidziwa mukamamwa mankhwala am'mimba awa (Mesalamine)?
Izi n'zotetezeka, koma anthu ena akhoza kukhala ndi 'Mesalamine-induced Acute Intolerance Syndrome', yomwe ingayambitse kupweteka m'mimba, kutuluka magazi, komanso kutsegula m'mimba kwambiri! Ngati mukukumana ndi zizindikiro izi, muyenera kusiya kumwa mankhwalawa nthawi yomweyo. Komanso, popeza amapangidwa kuchokera ku aspirin/salicylate, anthu omwe ali ndi vuto la aspirin sayenera kumwa mankhwalawa!
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