Dokotala wanu mwina anakupatsani jakisoni wa methotrexate pansi pa khungu lanu. Mwina muli ndi vuto monga nyamakazi, kapena mwina muli ndi vuto la khungu monga psoriasis. Ndizachibadwa kumva mantha pang'ono komanso chidwi chofuna kudziwa za mankhwalawa. Lero, tiyeni tikambirane za mankhwalawa m'njira yosavuta yomwe mungamvetse.
Kodi Methotrexate ndi chiyani kwenikweni?
Mwachidule, methotrexate ndi mankhwala omwe amachepetsa kutupa m'thupi lanu. Mukakhala ndi matenda monga nyamakazi, chitetezo chamthupi chanu chimaukira mafupa anu. Izi zimayambitsa kupweteka ndi kutupa. Zomwezo zimachitikanso ndi ma shingles.
Choncho chomwe mankhwalawa amachita ndikuwongolera momwe chitetezo chanu chamthupi chimagwirira ntchito mosafunikira ndikuchepetsa kutupa. Izi sizimangochepetsa ululu ndi kutupa , komanso zimaletsa kuwonongeka kwa nthawi yayitali kwa mafupa kapena khungu lanu .
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwalawa
Kuti mukhale otetezeka, ndikofunikira kukambirana nkhaniyi ndi dokotala wanu. Ngati muli ndi vuto lililonse mwa zotsatirazi, onetsetsani kuti mwawauza musanayambe kumwa mankhwalawo.
- Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena mukuyamwitsa. (Izi ndizofunikira kwambiri)
- Ngati muli ndi vuto lomwe m'mimba kapena m'mapapo mwanu muli madzi ambiri
- Ngati mumamwa mowa nthawi zonse
- Ngati muli ndi matenda kapena chitetezo chamthupi chofooka
- Ngati muli ndi matenda a impso
- Ngati muli ndi matenda a chiwindi
- Ngati muli ndi maselo ofiira ochepa m'magazi, maselo oyera, kapena ma platelet
- Ngati muli ndi matenda a m'mapapo
- Ngati mwalandira chithandizo cha radiation
- Ngati muli ndi matenda monga zilonda zam'mimba kapena ulcerative colitis
- Ngati muli ndi vuto la ziwengo chifukwa cha methotrexate kapena mankhwala ena aliwonse, chakudya, kapena utoto.
Kodi katemerayu amagwiritsidwa ntchito bwanji kwenikweni?
Katemerayu amaperekedwa ngati jakisoni wopangidwa pansi pa khungu. Chipatala kapena chipatala chidzakuphunzitsani momwe mungaperekere kunyumba. Choncho musachite mantha.
Ichi ndi chinthu chomwe muyenera kukumbukira: Mankhwalawa ayenera kuperekedwa kamodzi kokha pa sabata. Musamwe tsiku lililonse pazifukwa zilizonse! Pezani katemera tsiku lomwelo komanso nthawi yomwe dokotala wanu wakuuzani.
Musataye singano ndi ma syringe ogwiritsidwa ntchito kale m'zinyalala. Pali chidebe chapadera cha iwo (chidebe cha sharps). Ngati mulibe, funsani dokotala wanu momwe mungapezere chimodzi.
Kodi mungachite chiyani ngati mwamwa mopitirira muyeso?
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo molakwika, musazengereze. Imbani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital . Kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.
Nanga bwanji ngati ndayiwala kulandira katemera?
Ngati mwaphonya mlingo womwe mwakonza, kapena ngati simukudziwa ngati mwalandira katemera molondola, musalandire mlingo wina. Imbani dokotala wanu nthawi yomweyo kuti akupatseni malangizo.
Mankhwala ena omwe sagwirizana ndi mankhwalawa (Kuyanjana kwa Mankhwala)
Methotrexate ndi mankhwala omwe angagwirizane ndi mankhwala ena. Chifukwa chake, ndikofunikira kwambiri kuuza dokotala wanu za mankhwala onse omwe mukumwa (kuphatikizapo mavitamini, mankhwala azitsamba, ndi zowonjezera). Nazi zitsanzo zochepa chabe.
| Mtundu wa mankhwala | Zitsanzo |
|---|---|
| Mankhwala a matenda ena a pakhungu | Acitretin |
| Mankhwala ochepetsa ululu ndi oletsa kutupa (NSAIDs) | Aspirin, Ibuprofen, ndi Naproxen |
| Maantibayotiki ena | Penicillin, Tetracycline, Trimethoprim/sulfamethoxazole |
| Mankhwala a gastritis (PPIs) | Esomeprazole, Omeprazole, Pantoprazole |
| Katemera wa kachilombo ka moyo | Pewani kulandira katemera wamoyo pamene mukumwa mankhwalawa. |
| Mankhwala ena | Hydroxychloroquine, Sulfasalazine, Theophylline, Phenytoin |
Zinthu zomwe muyenera kusamala nazo mukamamwa mankhwala
Mowa ndi kuwala kwa dzuwa
Pewani kumwa mowa kotheratu mukamamwa mankhwalawa. Komanso, mankhwalawa angapangitse khungu lanu kukhala losakhudzidwa ndi kuwala kwa dzuwa. Choncho, chepetsani kutentha kwa dzuwa momwe mungathere. Ngati mupita ku dzuwa, ikani mafuta oteteza ku dzuwa ndipo valani zovala zophimba thupi lanu.
Chitetezo ku matenda
Methotrexate ingachepetse mphamvu ya thupi lanu yolimbana ndi matenda. Chifukwa chake,
- Ngati mukumva zizindikiro monga malungo, chimfine, kapena kupweteka pakhosi, musadzipatse mankhwala ndipo pitani kwa dokotala nthawi yomweyo.
- Yesetsani kupewa anthu omwe ali ndi matenda monga chimfine.
- Samalani mukamatsuka mano anu ndi floss. Kutuluka magazi m'kamwa ndi matenda enaake nthawi zambiri kumakhalapo. Ngati mukulandira chithandizo chilichonse cha mano, uzani dokotala wanu wa mano kuti mukumwa mankhwalawa.
Mimba ndi kubereka ana
Izi ndizofunikira kwambiri. Ngati ndinu mkazi, musatenge mimba pazifukwa zilizonse mukamamwa mankhwalawa. Musakonzekere kukhala ndi mwana kwa miyezi yosachepera 6 mutasiya kumwa mankhwalawa. Ngati ndinu mwamuna, pewani kubereka mwana mukamamwa mankhwalawa komanso kwa miyezi itatu mutasiya kumwa mankhwalawa. Mankhwalawa akhoza kuvulaza kwambiri mwana wosabadwa. Funsani dokotala wanu kuti akuuzeni zambiri za izi.
Komanso, pewani kuyamwitsa mwana wanu mukamamwa mankhwalawa komanso kwa sabata imodzi mutasiya kumwa.
Kodi zotsatirapo zake zingakhale zotani?
Monga mankhwala ena aliwonse, mankhwalawa akhoza kukhala ndi zotsatirapo zake. Ena ndi oopsa, ena ndi ofala.
| Zotsatira Zam'mbali | Kufotokozera |
|---|---|
| Zotsatirapo zomwe muyenera kuuza dokotala wanu nthawi yomweyo | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi |
| Kuvulala kwa chiwindi | Kupweteka m'mimba yakumanja, kusowa chilakolako cha chakudya, nseru, ndowe zowala, mkodzo wachikasu wakuda, maso kapena khungu kukhala lachikasu, kutopa kwambiri |
| Mavuto okhudzana ndi mapapo | Chifuwa chouma chosamveka bwino, kupuma movutikira |
| Zizindikiro za matenda | Malungo, kuzizira, kupweteka pakhosi, mabala osachiritsa, matenda a mkodzo |
| Kutuluka magazi kosazolowereka | Kutupa kosamveka bwino ndi khungu labuluu, mkamwa wotuluka magazi |
| Kuvulala kwa impso | Kuchepa kwa mkodzo wotuluka, kutupa kwa akakolo, manja, kapena mapazi |
| Ngati zikupitirira kapena zikukuvutitsani, uzani dokotala wanu. | |
| Zotsatira zoyipa zofala | Kusanza, kusanza, kutsegula m'mimba, chizungulire, zilonda pakamwa, kutayika tsitsi. |
Uthenga Wopita Nawo Kunyumba
- Methotrexate iyenera kuperekedwa kamodzi kokha pa sabata . Pewani kumwa tsiku lililonse.
- Uzani dokotala wanu za mankhwala ena onse, mavitamini omwe mukumwa, ndi matenda aliwonse omwe muli nawo.
- Pewani kutenga mimba mukamamwa mankhwalawa komanso nthawi yonse yomwe dokotala wanu akulangiza.
- Fufuzani thandizo lachipatala mwamsanga ngati pali zotsatirapo zoyipa (malungo, kupuma movutikira, kutuluka magazi kosazolowereka).
- Pewani mowa kotheratu.
- Nthawi zonse tsatirani malangizo ndi malangizo a dokotala wanu molondola.
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