Kodi mukufuna kudziwa zambiri zokhudza jakisoni wa methotrexate? Tiyeni tikambirane!

Kodi dokotala wanu wakupatsani mankhwala otchedwa Methotrexate ? Kapena mwapereka mankhwala awa kwa munthu amene mumamudziwa? Mwina dzinalo likumveka ngati lodziwika bwino. Uwu ndi mankhwala omwe amaperekedwadi pa matenda osiyanasiyana, ndipo amafunika kusamala. Ndiye, kodi tikambirane za mankhwalawa mwatsatanetsatane komanso mosavuta lero?

Kodi mankhwala awa ndi otani? (Kodi Methotrexate ndi chiyani?)

Mwachidule, Methotrexate ndi mankhwala omwe amachepetsa kutupa m'thupi . Kodi mukukumbukira kuti nthawi zina mafupa anu akamapweteka ndi kutupa, zimakhala chifukwa cha kutupa mkati mwa thupi? Ndicho chifukwa chake nthawi zambiri amagwiritsidwa ntchito pa matenda omwe amabwera ndi kutupa.

Mwachitsanzo:

• Nyamakazi : Uku ndi kutupa kwa mafupa . Izi zimayambitsa kupweteka, kutupa, ndipo nthawi zina kuwonongeka kwa mafupa kwa nthawi yayitali. Methotrexate imatha kuchepetsa kutupa kumeneku, kuchepetsa ululu , komanso kuthandiza kupewa kuwonongeka kwina kwa mafupa.
• Psoriasis: Uwu ndi matenda a pakhungu. Anthu ena ali ndi khungu lofiira komanso losalimba, eti? Ndicho chifukwa chake mankhwalawa amaperekedwa.

Sikuti izi zokha, komanso Methotrexate imagwiritsidwanso ntchito pochiza mitundu ina ya khansa . Chomwe mankhwalawa amachita ndikuchepetsa kukula kwa maselo a khansa.

Kotero mwina mukumvetsa kuti iyi si mankhwala operekedwa pa matenda amodzi okha. Dokotala wanu ndiye amene adzasankhe ngati mukufuna mankhwala awa kapena ayi, komanso ngati adzaperekedwa pa matenda ena. Choncho ngati muli ndi mafunso ena, musaope kufunsa dokotala wanu kapena wamankhwala.

Kodi ndiyenera kumuuza chiyani dokotala ndisanayambe kumwa mankhwalawa?

Dokotala wanu asanakupatseni Methotrexate, adzakufunsani mafunso. Palinso zinthu zingapo zomwe muyenera kuwauza . Mankhwalawa si a aliyense. Muyenera kusamala kwambiri mukamawapatsa anthu omwe ali ndi matenda enaake.

Ngati muli ndi chilichonse mwa zinthu izi, onetsetsani kuti mwauza dokotala wanu:

• Ngati pali madzi m'mimba kapena madzi m'mapapo.
• Ngati mumakonda kumwa mowa nthawi zonse, izi ndizofunikira kwambiri.
• Ngati pali matenda m'thupi, kapena ngati pali zofooka m'thupi.
• Ngati muli ndi matenda a impso.
• Ngati muli ndi matenda a chiwindi.
• Ngati muli ndi magazi ochepa, monga maselo oyera a magazi, ma platelet, kapena maselo ofiira a magazi, madokotala amatchanso kuti "magazi ochepa."
• Ngati muli ndi matenda a m'mapapo.
• Ngati mwalandira chithandizo cha radiation posachedwapa, kapena mukukonzekera kutero mtsogolo.
• Ngati mwalandira katemera posachedwapa, kapena mukukonzekera kulandira katemera wina mtsogolo, muyenera kusamala kwambiri ndi katemera wina wa kachilombo kamoyo.
• Ngati muli ndi zilonda zam'mimba.
• Ngati muli ndi vuto la kutupa m'matumbo monga ulcerative colitis.
• Ngati munakhalapo ndi vuto la methotrexate kale, mankhwala ena, zakudya, utoto, kapena zotetezera.
• Ngati mukuyesera kutenga mimba kapena muli ndi pakati pa nthawi ino, iyi ndi mfundo yofunika kwambiri .
• Ngati ndinu mayi woyamwitsa.

Ndikofunikira kwambiri kuti mukhale otetezeka kuuza dokotala wanu za izi popanda kuzibisa. Kenako dokotalayo angakusankhireni chithandizo choyenera.

Kodi mumagwiritsa ntchito bwanji mankhwalawa?

Methotrexate si mankhwala omwe nthawi zambiri amatengedwa ngati mapiritsi. Amaperekedwa ngati jakisoni . Ndiko kuti, kudzera mu singano.

Pali njira zingapo zochitira izi:

• Kuthira mu mtsempha: Nthawi zina amaperekedwa ngati madzi amchere, osakanikirana nawo, kenako pang'onopang'ono amathira mu mtsempha.
• Jakisoni mu minofu.
• Kubaya m'madzi amsana: Ichi ndi chinthu chomwe chimachitika m'malo enaake apadera.

Mankhwalawa nthawi zambiri amaperekedwa kuchipatala kapena ku chipatala , chifukwa nthawi zina pamafunika kuyang'aniridwa ndi dokotala popereka mankhwalawa.

Komabe, nthawi zina , dokotala wanu angakupatseni malangizo oti mumwe mankhwalawa kunyumba. Ngati ndi choncho, mudzalangizidwa momwe mungachitire. Ndikofunikira kwambiri kumwa mankhwalawo monga momwe mwalangizidwira, panthawi yoyenera . Musamwe mankhwala ochulukirapo kuposa momwe dokotala wanenera, kapena kumwa pafupipafupi.

Chikumbutso chapadera:

Ngati mwapatsidwa mankhwala awa a nyamakazi kapena psoriasis, nthawi zambiri amatengedwa kamodzi pa sabata. Musamwe tsiku lililonse. Izi ndizofunikira kwambiri! Tsatirani malangizo a dokotala wanu molondola.

Mukamagwiritsa ntchito jakisoni, ndikofunikira kwambiri kutaya singano ndi ma syringe omwe agwiritsidwa ntchito bwino . Musawaponye m'zinyalala. M'malo mwake, ayikeni mu chidebe chapadera cha sharping . Ngati mulibe, funsani wamankhwala wanu kapena dokotala wanu. Izi ndi zotetezeka kwa chilengedwe komanso kwa ena.

Kodi mankhwalawa angaperekedwe kwa ana aang'ono?

Inde, nthawi zina madokotala amapatsa ana azaka ziwiri mankhwala awa pa matenda enaake. Koma pali zinthu zina zomwe muyenera kusamala nazo mukamawapatsa. Ngati mukupereka mankhwala awa kwa mwana, dokotalayo adzakufotokozerani.

Chimachitika ndi chiyani ngati mwamwa mankhwala ochulukirapo? (Kumwa mankhwala ochulukirapo)

Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, imbani malo owongolera poizoni kapena chipinda chodzidzimutsa nthawi yomweyo. Musazengereze.

Chinthu china: Mankhwalawa ndi a inu nokha. Musapatse wina aliyense mankhwalawa , ngakhale atakhala ndi zizindikiro zomwezo monga inu. Mankhwala oyenera komanso mlingo woyenera wa munthu aliyense ndi wosiyana.

Kodi mungachite chiyani ngati mwaphonya mlingo wa mankhwala?

Ndikofunikira kwambiri kuti musaphonye mlingo wovomerezeka wa mankhwalawa. Ngati simungathe kukwaniritsa nthawi yanu yokumana ndi dokotala kapena simunalandire mlingo, imbani dokotala wanu kapena gulu lake nthawi yomweyo.

Ngati mukumwa mankhwala anu kunyumba ndipo mwaphonya mlingo, lankhulani ndi dokotala wanu za izi. Musamwe mlingo wowirikiza kawiri kapena mlingo wowonjezera 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 mankhwala ena ambiri. Izi zikutanthauza kuti mankhwala ena omwe mukumwa angasinthe momwe Methotrexate imagwirira ntchito, kapena Methotrexate ingasinthe momwe mankhwala ena amagwirira ntchito. Nthawi zina, zotsatirapo zake zingachuluke.

Musamwe methotrexate ndi mankhwala awa:

• Acitretin ( ndi mankhwala ochizira matenda a khungu)

Komanso, mankhwala otsatirawa angagwirizane ndi Methotrexate. Choncho onetsetsani kuti mwadziwitsa dokotala wanu ngati mukumwa chilichonse mwa izi:

• Aspirin kapena mankhwala ofanana ndi aspirin, mankhwala okhala ndi salicylates.
• Azathioprine
• Maantibayotiki enaMitundu: Mwachitsanzo `(chloramphenicol)`, `(penicillin)`, `(tetracycline)`.
• Mankhwala ena omwe amaletsa kapena kuchiza magazi kuundana: Mwachitsanzo `(warfarin)`, `(apixaban)`, `(dabigatran)`, `(rivaroxaban)`.
• Mankhwala ena ochizira matenda am'mimba: Mwachitsanzo `(esomeprazole)`, `(omeprazole)`, `(pantoprazole)`.
• Cyclosporine
• Dapsone
• Mankhwala ochepetsa mphamvu ya madzi m'thupi (Diuretics )
• Folic acid. (Komabe, nthawi zina dokotala angapereke mlingo wochepa wa folic acid ndi methotrexate kuti achepetse zotsatirapo zake. Izi ndi zomwe dokotalayo akufuna.)
• Golide (woperekedwa chifukwa cha matenda ena a nyamakazi)
• Hydroxychloroquine
• Katemera wa kachilombo ka moyo
• Mankhwala opatsirana: Zitsanzo zikuphatikizapo `(acyclovir)`, `(adefovir)`, `(amphotericin B)`, `(bacitracin)`, `(cidofovir)`, `(foscarnet)`, `(ganciclovir)`, `(gentamicin)`, `(pentamidine)`, `(vancomycin)`.
• Mercaptopurine
• Mankhwala a NSAID (N.S.A.I.D.) ndi mankhwala ochepetsa ululu komanso oletsa kutupa: Mwachitsanzo, ibuprofen kapena naproxen.
• Pamidronate
• Pemetrexed
• Penicillamine
• Phenylbutazone
• Phenytoin
• Probenecid
• Pyrimethamine
• Ma retinoids (monga vitamini A): Zitsanzo zake ndi isotretinoin ndi tretinoin.
• Mankhwala a steroid: Mwachitsanzo, prednisone kapena cortisone.
• Sulfonamides: Zitsanzo zikuphatikizapo `(sulfasalazine)` ndi `(trimethoprim/sulfamethoxazole)`.
• Theophylline
• Zoledronic acid

Mndandanda uwu mwina sungakhale wokwanira. Chifukwa chake, uzani dokotala wanu za mankhwala onse omwe mumamwa (omwe dokotala wanu wakupatsani, omwe amagulitsidwa pamtengo wotsika), mankhwala achikhalidwe, mavitamini (zowonjezera zakudya), komanso ngati mumasuta fodya, mumamwa mowa, kapena mumagwiritsa ntchito mankhwala ena. Zinthu zina zingakhudze mankhwala anu.

Ndi zinthu ziti zomwe muyenera kusamala nazo mukamamwa mankhwalawa?

Mukatenga methotrexate, mungamve kusasangalala komanso kudwala pang'ono kuposa masiku onse.Mungamve choncho. Izi sizachilendo. Izi zili choncho chifukwa mankhwalawa, makamaka akaperekedwa kwa odwala khansa, sangakhudze maselo a khansa okha komanso maselo athanzi. Chifukwa chake, ngati mukukumana ndi zotsatirapo zilizonse zoyipa, uzani dokotala wanu. Komabe, pitirizani kumwa mankhwala omwe mwapatsidwa mpaka dokotala wanu atakuuzani kuti musiye, ngakhale mutakhala kuti simukumva bwino.

Dokotala wanu adzayang'anira thanzi lanu mosamala pamene mukumwa mankhwala awa. Akhozanso kuchita mayeso aliwonse ofunikira.

• Pewani kumwa mowa. Izi ndizofunikira kwambiri chifukwa mowa ukhoza kuwonjezera mphamvu ya mankhwalawa pa chiwindi.
• Mankhwalawa angayambitse zotsatirapo zoyipa kwambiri . Pofuna kuchepetsa chiopsezochi, dokotala wanu angakupatseni mankhwala ena musanayambe kumwa methotrexate. Tsatirani malangizo a dokotala wanu molondola.
• Mankhwalawa angapangitse khungu lanu kukhala losavuta kukhudzidwa ndi kuwala kwa dzuwa . Choncho, chepetsani kukhudzana ndi dzuwa momwe mungathere. Ngati muyenera kutuluka padzuwa, valani zovala zophimba khungu lanu, valani magalasi a dzuwa, ndipo gwiritsani ntchito mafuta oteteza khungu ku dzuwa. Musagwiritse ntchito nyali za dzuwa kapena mabedi/mahema opaka utoto.
• Mungamve ngati muli ndi tulo kapena chizungulire . Choncho, mpaka mutadziwa momwe mankhwalawa amakukhudzirani, pewani kuyendetsa galimoto, kugwiritsa ntchito makina, kapena kuchita chilichonse chomwe chimafuna kusamala . Pewani kuyimirira kapena kukhala pansi mofulumira kwambiri, makamaka ngati ndinu okalamba. Izi zingachepetse chiopsezo cha chizungulire ndi kugwa.
• Muyenera kuyesedwa magazi pamene mukumwa mankhwalawa. Chitani mayeso monga momwe dokotala wanu wakuuzani.
• Ngati muli ndi zizindikiro monga malungo, kuzizira, pakhosi, kapena chimfine , imbani dokotala wanu kuti akupatseni malangizo. Musamwe mankhwala nokha. Mankhwalawa angathandize kuchepetsa mphamvu ya thupi lanu yolimbana ndi matenda . Choncho yesetsani kupewa anthu odwala momwe mungathere.
• Mankhwalawa angakulitse chiopsezo chanu chotuluka magazi kapena kuvulala. Ngati muwona kutuluka magazi kosazolowereka (monga kutuluka magazi m'mphuno, kutuluka magazi m'kamwa, ndowe zakuda), uzani dokotala wanu nthawi yomweyo.
• Samalani kwambiri mukamatsuka mano, kutsuka mano, kapena kugwiritsa ntchito chotsukira mano. Izi zingayambitse matenda kapena kutuluka magazi mosavuta. Ngati mukumwa mankhwala aliwonse a mano, uzani dokotala wanu wa mano kuti mukumwa mankhwalawa.
• Ngati muli ndi kutsegula m'mimba kwambiri, nseru, kusanza, kapena thukuta kwambiri , lankhulani ndi dokotala wanu. Ngati mwataya madzi ambiri m'thupi lanu, kungakhale koopsa kuti mumwe mankhwalawa.
• Lankhulani ndi dokotala wanu za chiopsezo cha khansa.Akuti ngati mumwa mankhwalawa, chiopsezo chanu chotenga mitundu ina ya khansa chingawonjezeke pang'ono. Musanachite mantha, funsani dokotala wanu kuti akupatseni upangiri.

Samalani kwambiri panthawi ya mimba, kuyamwitsa, komanso kubereka.

Iyi ndi mfundo yofunika kwambiri.

• Musatenge mimba mukatenga mankhwalawa komanso kwa miyezi 6 mutasiya kumwa mankhwalawa. Ngati mukukonzekera kutenga pakati kapena mukuganiza kuti muli ndi pakati, uzani dokotala wanu nthawi yomweyo.
• Ngati mwamuna akumwa mankhwala awa, sayenera kubereka mwana pamene akumwa mankhwalawo komanso kwa miyezi itatu atasiya kumwa mankhwalawo.
• Zingayambitse mavuto aakulu kwa mwana wosabadwa. Funsani dokotala wanu kuti akuuzeni zambiri za izi.
• Musayamwitse mwana wanu pamene mukumwa mankhwalawa komanso kwa sabata imodzi mutasiya kumwa mankhwalawa.
• Mankhwalawa angakhudze kuthekera kwanu kutenga pakati kapena kubereka mwana . Ngati muli ndi mafunso okhudza kubereka kwanu, lankhulani ndi dokotala wanu.

Ngakhale malangizo awa ndi aatali pang'ono, onse ndi ofunikira kwambiri pa chitetezo chanu. Ngati pali chilichonse chomwe simukumvetsa, funsani dokotala wanu kachiwiri.

Kodi zotsatirapo zake zingakhale zotani chifukwa cha mankhwalawa?

Monga mankhwala ena aliwonse, methotrexate ingayambitse mavuto mwa anthu ena. Si aliyense amene amawapeza, ena amawapeza. Mavuto ena ndi aakulu, ndipo muyenera kuuza dokotala wanu nthawi yomweyo ngati atachitika. Ena si aakulu, koma ngati akupitirira kapena akuvutitsa, muyenera kuuza dokotala wanu.

Zotsatirapo zomwe muyenera kuuza dokotala wanu nthawi yomweyo:

• Matenda a ziwengo: ziphuphu pakhungu, kuyabwa, ziphuphu (ziphuphu), kutupa kwa nkhope, milomo, lilime, kapena pakhosi.
• Kuundana kwa magazi: kupweteka kwa mwendo, kutupa, kapena kutentha, kuvutika kupuma, kupweteka pachifuwa.
• Chifuwa chouma, kupuma movutikira, kapena kupuma movutikira.
• Matenda: Malungo, kuzizira, chifuwa, pakhosi, mabala osachiritsa, kupweteka kapena kuvutika kukodza, kusamva bwino, komanso kusamva bwino.
• Kuvulala kwa impso: Kuchepa kwa mkodzo, kutupa kwa akakolo, manja, kapena mapazi.
• Kuvulala kwa chiwindi: Kupweteka kumtunda kwa kumanja kwa m'mimba, kusowa chilakolako cha chakudya, nseru, ndowe zowala, mkodzo wakuda wachikasu kapena bulauni, khungu kapena maso achikasu, kutopa kapena kufooka kosazolowereka.
• Kuchepa kwa maselo ofiira m'magazi (Anemia): Kutopa kapena kufooka kosazolowereka, chizungulire, mutu, kupuma movutikira.
• Kufiira, kutupa, kutsekeka, kapena kutsekeka kwa khungu kungachitikenso mkamwa.
• Kugwidwa ndi khunyu.
• Kutupa kapena kutuluka magazi kosazolowereka.

Zotsatirapo zomwe nthawi zambiri sizifuna upangiri wa dokotala, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira kapena zikuvutitsa:

• Kutsegula m'mimba
• Chizungulire
• Kutaya tsitsi (Izi sizichitika kwa aliyense, koma kwa anthu ena okha. Tsitsi likhoza kumeranso mutasiya kugwiritsa ntchito mankhwala.)
• Kusanza
• Zilonda pakamwa kapena pakhosi zomwe zimakhala ndi ululu, kufiira, kapena kutupa.
• Kusanza

Mndandandawu sungakhale ndi zotsatirapo zonse zoyipa. Ngati muwona china chake chachilendo kuwonjezera pa izi, funsani dokotala wanu za izi. Muthanso kunena za zotsatirapo zoyipa ku FDA, koma ku Sri Lanka, ndibwino kuuza dokotala wanu mwachindunji.

Kodi mankhwala awa mumasunga kuti?

Popeza mankhwalawa nthawi zambiri amaperekedwa kuchipatala kapena kuchipatala , simuyenera kuwasunga kunyumba. Choncho simuyenera kuda nkhawa nawo. Ngati simupatsidwa kawirikawiri kunyumba, dokotala wanu kapena wamankhwala adzakuuzani momwe mungasungire (monga, kaya muwasunge mufiriji kapena kutali ndi dzuwa).

Pomaliza, zinthu zofunika kwambiri zomwe muyenera kukumbukira (Uthenga Wopita Nawo Kunyumba)

Kotero, mwina tsopano mukumvetsa kuti Methotrexate ndi mankhwala othandiza kwambiri, koma omwe amafunika kusamala.

• Tsatirani malangizo a dokotala wanu molondola. Onetsetsani kuti mukutsatira mlingo, nthawi ya tsiku, ndi tsiku la sabata (makamaka kamodzi pa sabata pa nyamakazi ndi psoriasis).
• Uzani dokotala wanu za mankhwala ena onse omwe mumamwa, matenda ena aliwonse omwe muli nawo, ndi ziwengo zilizonse zomwe muli nazo .
• Ngati muli ndi pakati, mukufuna kutenga pakati, kapena kuyamwitsa, onetsetsani kuti mwauza dokotala wanu. Izi ndizofunikira kwambiri.
• Dziwani zotsatirapo zake. Ngati mukukumana ndi zotsatirapo zake zoopsa, uzani dokotala wanu nthawi yomweyo.
• Pewani mowa kotheratu.
• Musamalumphe mayeso a magazi omwe anakonzedwa komanso nthawi yokumana ndi dokotala.
• Ngati muli ndi mafunso kapena kukayikira kulikonse, musaope kufunsa dokotala. Muli ndi ufulu wodziwa chilichonse momveka bwino.

Kumbukirani, mankhwalawa ndi oti akuthandizeni kuwongolera vuto lanu. Choncho, tiyeni tigwire ntchito ndi dokotala ndikutsatira bwino malangizowa. Tikukufunirani kuti muchire mwachangu!

Methotrexate , nyamakazi, psoriasis, khansa, mankhwala, zotsatirapo zake, mankhwala, kupweteka kwa mafupa