Kodi mukufuna kudziwa zambiri zokhudza jakisoni wa Methotrexate? Tiyeni tikambirane! - Nirogi Lanka

Kodi dokotala wanu wakupatsani mankhwala a Methotrexate ( DMARD )? Kapena mwina winawake amene mumamudziwa akumwa? Dzinalo lingamveke lodziwika bwino, koma ili ndi mankhwala amphamvu omwe amagwiritsidwa ntchito pochiza matenda osiyanasiyana omwe amafunika kusamalidwa mosamala. Tiyeni tikambirane mwachidule za Nirogi Lanka m'njira yosavuta komanso yomveka bwino.

Kodi Methotrexate ndi chiyani?

Mwachidule, Methotrexate imagwiritsidwa ntchito makamaka kuchepetsa kutupa m'thupi. Mungakumbukire kuti mafupa anu akamamva kupweteka kapena kutupa, nthawi zambiri zimakhala chifukwa cha kutupa komwe kumabwera chifukwa cha kutupa. Mankhwalawa nthawi zambiri amaperekedwa kuti athetse matenda osiyanasiyana omwe amadziwika ndi kutupa kumeneku.

Mwachitsanzo:

• Matenda a nyamakazi : Izi zikutanthauza kutupa kwa mafupa. Zimayambitsa ululu, kutupa, ndipo zimatha kuwononga mafupa kwa nthawi yayitali. Methotrexate imathandiza kuchepetsa kutupa kumeneku, kuchepetsa ululu komanso kupewa kuwonongeka kwina kwa mafupa anu.
• Psoriasis: Ili ndi vuto la pakhungu. Mutha kuwona mawanga ofiira komanso otupa pakhungu lanu. Methotrexate imagwiritsidwanso ntchito pochiza vutoli.

Kupatula izi, Methotrexate imagwiritsidwanso ntchito pochiza mitundu ina ya khansa . Pazochitika izi, mankhwalawa amagwira ntchito pochepetsa kukula kwa maselo a khansa.

Monga mukuonera, mankhwalawa amagwiritsidwa ntchito pa matenda osiyanasiyana. Dokotala wanu adzaona ngati mankhwalawa ndi oyenera kwa inu komanso matenda omwe akuperekedwa. Ngati muli ndi mafunso aliwonse, chonde musazengereze kufunsa dokotala wanu kapena wamankhwala.

Kodi muyenera kukambirana chiyani ndi dokotala wanu musanayambe kumwa mankhwalawa?

Musanayambe kugwiritsa ntchito Methotrexate, dokotala wanu adzakufunsani mafunso angapo. Palinso mfundo zofunika zomwe muyenera kuzigawana nawo, chifukwa mankhwalawa si oyenera aliyense ndipo amafunika kusamala kwa iwo omwe ali ndi mavuto enaake azaumoyo.

Chonde dziwitsani dokotala wanu ngati muli ndi chilichonse mwa izi:

• Madzi m'mimba kapena m'mapapo.
• Kumwa mowa nthawi zonse. Izi ndizofunikira kwambiri.
• Matenda aliwonse omwe akuchitika kapena chitetezo chamthupi chofooka.
• Matenda a impso.
• Matenda a chiwindi.
• Kuchuluka kwa magazi m'magazi (makamaka maselo oyera a magazi, ma platelet, kapena maselo ofiira a magazi).
• Matenda a m'mapapo.
• Chithandizo cha radiation chaposachedwa kapena chomwe chikubwera.
• Katemera waposachedwa kapena womwe ukubwera, makamaka ndi katemera wa kachilombo kamoyo.
• Zilonda zam'mimba.
• Matenda otupa m'matumbo monga ulcerative colitis.
• Matenda aliwonse omwe adachitika kale chifukwa cha Methotrexate, mankhwala ena, zakudya, utoto, kapena zotetezera.
• Ngati mukufuna kutenga pakati kapena muli ndi pakati pa nthawi ino, izi ndizofunikira kwambiri .
• Ngati mukuyamwitsa.

Kukhala womasuka komanso woona mtima kwa dokotala wanu n'kofunika kwambiri kuti mukhale otetezeka. Kumathandiza gulu lanu lachipatala kusankha njira yoyenera yochizira matenda anu.

Kodi mankhwalawa amaperekedwa bwanji?

Methotrexate nthawi zambiri simatengedwa ngati piritsi lomwa; imaperekedwa ngati jakisoni .

Njira zobayira jakisoni zingaphatikizepo:

• Kulowetsedwa m'mitsempha (IV): Kawirikawiri kumasakanizidwa mu drip ya saline ndikuperekedwa pang'onopang'ono mumtsempha.
• Jakisoni wa m'mitsempha: Kubayidwa mwachindunji mu minofu.
• Jakisoni wa m'mimba: Amalowetsedwa m'madzi am'msana, ndipo amagwiritsidwa ntchito pokhapokha pazochitika zinazake zachipatala.

Nthawi zambiri, mankhwalawa amaperekedwa kuchipatala kapena ku chipatala motsogozedwa ndi dokotala.

Nthawi zina, dokotala wanu angakulimbikitseni kuti mudzipatse nokha mankhwala kunyumba. Ngati izi zitachitika, mudzaphunzitsidwa njira yoyenera. Ndikofunikira kutsatira malangizo a mlingo molondola. Musapitirire kuchuluka kapena kuchuluka kwa mankhwala omwe mwapatsidwa.

Chikumbutso Chapadera:

Ngati mukumwa izi chifukwa cha nyamakazi kapena psoriasis, nthawi zambiri zimatengedwa kamodzi pa sabata (OSATI tsiku lililonse). Izi ndizofunikira kwambiri. Tsatirani malangizo a dokotala wanu mosamala.

Mukamagwiritsa ntchito jakisoni, ndikofunikira kutaya singano ndi ma syringe omwe agwiritsidwa ntchito bwino . Musawaponye m'zinyalala wamba. Gwiritsani ntchito 'chidebe chopangira sharps' . Ngati mulibe, funsani wamankhwala kapena dokotala wanu kuti akutsogolereni. Izi ndizofunikira kwambiri pa chitetezo cha chilengedwe komanso chitetezo cha ena.

Kodi imagwiritsidwa ntchito kwa ana?

Inde, nthawi zina, madokotala amapereka mankhwalawa kwa ana azaka ziwiri kapena kuposerapo pa matenda enaake. Dokotala wanu adzapereka tsatanetsatane wathunthu ngati izi zikugwira ntchito kwa mwana wanu.

Kodi chimachitika ndi chiyani ngati mumwa mopitirira muyeso?

Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, funsani malo owongolera poizoni m'dera lanu kapena pitani ku dipatimenti yadzidzidzi yapafupi nthawi yomweyo. Musadikire.

Dziwani: Mankhwalawa ndi a inu nokha. Musagawane ndi ena , ngakhale atakhala ndi zizindikiro zomwezo. Mlingo wake ndi wosiyana kwambiri ndi wa munthu wina aliyense.

Kodi muyenera kuchita chiyani ngati mwaphonya mlingo?

Ndikofunikira kwambiri kuti musaphonye mlingo womwe mwakonza . Ngati simungathe kufika pa nthawi yanu yokumana kapena kuphonya tsiku lanu la mankhwala, funsani dokotala wanu kapena gulu lawo lachipatala nthawi yomweyo.

Ngati mumadzipatsa nokha mankhwala kunyumba, kambiranani ndi dokotala zomwe mungachite ngati mwaphonya mlingo. Musamwe mankhwala owirikiza kawiri kapena owonjezera kuti mubwezeretse mlingo womwe mwaphonya.

Ndi mankhwala ena ati omwe angagwirizane ndi mankhwalawa? (Kuyanjana)

Iyi ndi gawo lofunika kwambiri. Methotrexate ndi mankhwala omwe amatha kuyanjana ndi zinthu zina zambiri. Izi zikutanthauza kuti mankhwala ena omwe mumamwa angasinthe momwe Methotrexate imagwirira ntchito, kapena mosiyana. Nthawi zina, kuyanjana kumeneku kumatha kuwonjezera chiopsezo cha zotsatirapo zoyipa.

Musamwe Methotrexate mulimonse momwe zingakhalire ngati mukumwa:

• Acitretin (yomwe nthawi zambiri imaperekedwa kwa matenda a khungu).

Kuphatikiza apo, mankhwala otsatirawa angagwirizane ndi Methotrexate. Ngati mukumwa chilichonse mwa izi, chonde uzani dokotala wanu nthawi yomweyo:

• Aspirin kapena mankhwala okhudzana ndi aspirin, ndi mankhwala okhala ndi salicylates.
• Azathioprine
• Maantibayotiki ena, monga chloramphenicol, penicillin, ndi tetracycline.
• Mankhwala ochepetsa magazi kapena oletsa magazi kuundana: monga warfarin, apixaban, dabigatran, kapena rivaroxaban.
• Mankhwala am'mimba: monga esomeprazole, omeprazole, kapena pantoprazole.
• Cyclosporine
• Dapsone
• Mankhwala ochepetsa mphamvu ya madzi (mapiritsi a madzi).
• Folic acid. (Komabe, dokotala wanu nthawi zina angakupatseni mlingo wochepa wa folic acid pamodzi ndi Methotrexate kuti muchepetse zotsatirapo zake. Izi zidzatsimikiziridwa ndi dokotala wanu yekha.)
• Mankhwala agolide (nthawi zina amagwiritsidwa ntchito pa mitundu ina ya nyamakazi).
• Hydroxychloroquine
• Katemera wa kachilombo ka moyo
• Mankhwala oletsa matenda: kuphatikizapo acyclovir, adefovir, amphotericin B, bacitracin, cidofovir, foscarnet, ganciclovir, gentamicin, pentamidine, ndi vancomycin.
• Mercaptopurine
• Mankhwala Oletsa Kutupa Osagwiritsa Ntchito Steroidal (NSAIDs): monga ibuprofen kapena naproxen.
• Pamidronate
• Pemetrexed
• Penicillamine
• Phenylbutazone
• Phenytoin
• Probenecid
• Pyrimethamine
• Ma retinoids (zochokera ku Vitamini A): monga isotretinoin ndi tretinoin.
• Ma steroid: monga prednisone kapena cortisone.
• Sulfonamides: monga sulfasalazine ndi trimethoprim/sulfamethoxazole.
• Theophylline
• Zoledronic acid

Mndandanda uwu mwina sungakhale wokwanira. Chifukwa chake, chonde fotokozerani dokotala wanu momveka bwino za mankhwala aliwonse omwe mumamwa (mankhwala ochokera kwa dokotala, omwe amaperekedwa ndi dokotala, mankhwala azitsamba, ndi zowonjezera zakudya). Komanso, fotokozani momwe mumagwiritsira ntchito fodya, mowa, kapena zinthu zina zilizonse, chifukwa izi zingakhudzenso dongosolo lanu la chithandizo ku Nirogi Lanka.

Zinthu zofunika kuziganizira mukamamwa mankhwalawa

Sizachilendo kumva kudwala pang'ono kapena kutopa mukamagwiritsa ntchito Methotrexate, chifukwa mankhwalawa amatha kukhudza maselo a khansa komanso athanzi. Chonde uzani dokotala wanu za zotsatirapo zilizonse zoyipa . Musasiye kumwa mankhwala pokhapokha ngati dokotala wanu wakuuzani kuti muchite zimenezo, ngakhale mutakhala kuti simukumva bwino.

Pa nthawi ya chithandizo chanu ndi mankhwalawa, dokotala wanu adzayang'anira thanzi lanu mosamala ndipo angakupatseni mayeso achizolowezi kuti akutsimikizireni kuti ndinu otetezeka.

• Pewani kumwa mowa. Izi ndizofunikira kwambiri, chifukwa mowa ukhoza kuwonjezera chiopsezo cha kuwonongeka kwa chiwindi ukamwedwa ndi mankhwalawa.
• Mankhwalawa angayambitse zotsatirapo zoyipa kwambiriKuti muchepetse zoopsazi, dokotala wanu angapereke mankhwala ena pamodzi ndi Methotrexate. Chonde tsatirani malangizo a dokotala wanu molondola.
• Mankhwalawa angathandize khungu lanu kukhala losavuta kukhudzidwa ndi kuwala kwa dzuwa . Chepetsani nthawi yomwe mumakhala padzuwa. Ngati muyenera kukhala panja, valani zovala zodzitetezera, magalasi a dzuwa, ndipo gwiritsani ntchito mafuta oteteza ku dzuwa. Musagwiritse ntchito nyali za dzuwa kapena mabedi/mahema opaka utoto.
• Mungamve ngati muli ndi tulo kapena chizungulire . Mpaka mutadziwa momwe mankhwalawa amakukhudzirani, pewani kuyendetsa galimoto, kugwiritsa ntchito makina olemera, kapena kuchita ntchito zomwe zimafuna kusamala kwambiri. Dzukani pang'onopang'ono kuchokera pakukhala kapena kugona pansi, makamaka ngati ndinu wamkulu, kuti mupewe chizungulire ndi kugwa.
• Muyenera kuyezetsa magazi nthawi zonse mukamamwa mankhwalawa. Onetsetsani kuti mwachita izi monga momwe dokotala wanu wakonzera.
• Ngati mukuyamba kutentha thupi, kuzizira, kupweteka pakhosi, kapena zizindikiro monga chimfine , funsani dokotala nthawi yomweyo kuti akupatseni upangiri. Musadzipatse mankhwala. Mankhwalawa angathandize kuchepetsa mphamvu ya thupi lanu yolimbana ndi matenda , choncho yesetsani kupewa kukhudzana kwambiri ndi anthu odwala.
• Mankhwalawa angakulitse chiopsezo chanu chotuluka magazi kapena kuvulala. Ngati muwona kutuluka magazi kosazolowereka (monga kutuluka magazi m'mphuno, kutuluka magazi m'kamwa, kapena ndowe zakuda/zosakhalitsa), dziwitsani dokotala wanu nthawi yomweyo.
• Samalani kwambiri mukamatsuka mano, kutsuka mano, kapena kugwiritsa ntchito chotsukira mano , chifukwa mumakhala pachiwopsezo chachikulu cha matenda kapena kutuluka magazi. Ngati mukufuna ntchito iliyonse ya mano, dziwitsani dokotala wanu wa mano kuti mukumwa mankhwalawa.
• Funsani dokotala wanu ngati mukutsegula m'mimba kwambiri, nseru, kusanza, kapena thukuta kwambiri . Kutaya madzi ambiri kungapangitse kumwa mankhwalawa kukhala koopsa.
• Kambiranani ndi dokotala wanu za chiopsezo chomwe chingakhalepo cha khansa. Kafukufuku wina akusonyeza kuti kugwiritsa ntchito mankhwalawa kwa nthawi yayitali kungawonjezere pang'ono chiopsezo cha mitundu ina ya khansa. Musazengereze kufunsa dokotala wanu kuti akupatseni chidziwitso chomveka bwino kuti akuthandizeni ndi nkhawa zanu.

Zinthu Zapadera Zofunika Kuziganizira Pankhani ya Mimba, Kuyamwitsa, ndi Kubereka

Izi ndizofunikira kwambiri.

• Musatenge mimba mukumwa mankhwalawa kwa miyezi 6 mutasiya kumwa. Ngati mukukonzekera kutenga mimba kapena mukuganiza kuti muli ndi pakati, dziwitsani dokotala wanu nthawi yomweyo.
• Ngati ndinu mwamuna, musamabereke mwana pamene mukumwa mankhwalawa kwa miyezi itatu mutasiya kumwa.
• Mankhwalawa akhoza kuvulaza kwambiri mwana wosabadwa . Lankhulani ndi dokotala wanu kuti mudziwe zambiri.
• Musayamwitse mwana wanu panthawi ya chithandizo ndipo kwa sabata imodzi mutatenga mlingo womaliza.
• Mankhwalawa angakhudze chonde chanu . Ngati muli ndi nkhawa zokhudza kuthekera kwanu kutenga pakati, kambiranani ndi dokotala wanu.

Malangizo awa angawoneke ngati ochulukirapo, koma ndi ofunikira kwambiri kuti mukhale otetezeka. Ngati pali chilichonse chomwe sichikudziwika bwino, chonde funsani dokotala wanu kuti akufotokozereni zambiri.

Kodi zotsatirapo zake zingakhale zotani chifukwa cha mankhwalawa?

Monga mankhwala onse, Methotrexate ingayambitse mavuto ena. Si aliyense amene angakumane nawo. Mavuto ena ndi aakulu ndipo amafunika thandizo lachipatala mwamsanga , pomwe ena ndi ochepa koma ayenera kukambirana ndi dokotala ngati apitirira kapena ayamba kuvutitsa.

Zotsatirapo zomwe zimafuna chithandizo chamankhwala mwachangu:

• Matenda a ziwengo: Kutupa pakhungu, kuyabwa, ziphuphu, kapena kutupa kwa nkhope, milomo, lilime, kapena pakhosi.
• Kuundana kwa magazi: Ululu, kutupa, kapena kutentha kwa mwendo, kupuma movutikira, kapena kupweteka pachifuwa.
• Chifuwa chouma, kupuma movutikira, kapena kupuma movutikira.
• Matenda: Malungo, kuzizira, chifuwa, kupweteka pakhosi, mabala osachira, kukodza kowawa, kapena kumva ngati munthu sakuchira.
• Kuvulala kwa impso: Kuchepa kwa mkodzo kapena kutupa kwa akakolo, manja, kapena mapazi.
• Kuvulala kwa chiwindi: Kupweteka m'mimba yakumanja, kusowa chilakolako cha chakudya, nseru, ndowe zotumbululuka, mkodzo wakuda, chikasu cha khungu kapena maso, kapena kutopa kwambiri.
• Kuchepa kwa magazi m'thupi (Kuchepa kwa maselo ofiira m'magazi): Kutopa kosazolowereka, kufooka, chizungulire, mutu, kapena kupuma movutikira.
• Zotsatira za khungu: Kufiira, kutupa, kutsekeka, kapena kutuluka kwa khungu; izi zingakhudzenso mkati mwa pakamwa.
• Kugwidwa ndi khunyu.
• Kutupa kapena kutuluka magazi kosazolowereka.

Zotsatira zoyipa zomwe sizingafunike chisamaliro chadzidzidzi koma ziyenera kunenedwa ngati zikupitirira:

• Kutsegula m'mimba
• Chizungulire
• Kutaya tsitsi (Izi sizikhudza aliyense; nthawi zambiri tsitsi limakulanso pambuyo posiya kugwiritsa ntchito mankhwala.)
• Kusanza
• Zilonda pakamwa kapena pakhosi zomwe zimayenderana ndi ululu, kufiira, kapena kutupa.
• Kusanza

Mndandanda uwu si wokwanira. Ngati mukukumana ndi vuto lililonse lachilendo mukumwa mankhwala awa, chonde funsani dokotala wanu. Ngati muli pamavuto adzidzidzi, imbani 911 kapena pitani ku dipatimenti yapafupi yadzidzidzi nthawi yomweyo.

Kodi ndiyenera kusunga bwanji mankhwalawa?

Kawirikawiri, mankhwalawa amaperekedwa kuchipatala kapena kuchipatala motsogozedwa ndi akatswiri, kotero simungafunike kuwasunga kunyumba. Ngati mwapatsidwa mankhwala operekedwa kunyumba, dokotala wanu kapena wamankhwala adzakupatsani malangizo enieni okhudza kusungira (monga firiji kapena kutentha kwa chipinda).

Uthenga Womaliza Wopita Nawo Kunyumba Kuchokera ku Nirogi Lanka

Pakadali pano, mwina mukumvetsa kuti Methotrexate ndi mankhwala othandiza kwambiri, koma omwe amafunika kuyang'aniridwa mosamala.

• Tsatirani malangizo a dokotala wanu mosamala. Tsatirani bwino mlingo, nthawi, ndi masiku enieni operekedwa (makamaka pa matenda monga nyamakazi kapena psoriasis, komwe nthawi zambiri amatengedwa kamodzi pa sabata).
• Ululani zonse. Uzani dokotala wanu za mankhwala ena onse omwe mumamwa, matenda omwe alipo, ndi ziwengo zilizonse zodziwika bwino.
• Chenjezo la mimba ndi kuyamwitsa. Ndikofunikira kuuza dokotala wanu ngati muli ndi pakati, mukukonzekera kutenga pakati, kapena kuyamwitsa. Izi ndizofunikira kwambiri pa chitetezo chanu ndi thanzi la mwana wanu.
• Yang'anirani zotsatirapo zake. Khalani maso ndipo dziwitsani dokotala wanu nthawi yomweyo za zotsatirapo zake zilizonse zokhudzana ndi izi kapena zoopsa.
• Pewani kumwa mowa kotheratu.
• Musaphonye mayeso a magazi omwe anakonzedwa kapena nthawi yokumana ndi dokotala.
• Funsani mafunso. Ngati muli ndi kukayikira kapena nkhawa zilizonse, chonde musazengereze kufunsa dokotala wanu. Muli ndi ufulu wonse womvetsetsa bwino dongosolo lanu la chithandizo ndi Nirogi Lanka.

Kumbukirani, mankhwalawa ndi chida chothandizira kuthana ndi vuto lanu. Mwa kugwira ntchito limodzi ndi gulu lanu lazachipatala, titha kutsimikizira kuti chithandizocho chagwira ntchito bwino kwambiri. Tikukufunirani kuti muchire mwachangu!

Methotrexate , Matenda a Nyamakazi, Psoriasis, Khansa, Jakisoni, Zotsatirapo Zake, Mankhwala, Matenda a Nyamakazi