Nthawi zina mwina mwawona dokotala wanu akuganiza zokupatsani jakisoni wamphamvu chifukwa cha mphumu yoopsa, vuto lalikulu la ziwengo lomwe lafalikira m'thupi lanu lonse, kapena kupweteka kwa mafupa komwe kwakhala kukuvutitsani kwa nthawi yayitali. Mankhwala amphamvu kwambiri omwe amagwiritsidwa ntchito pazochitika zotere ndi methylprednisolone. Uwu ndi mtundu wa mankhwala a steroid. Ngakhale anthu ambiri amaopa mawu oti "steroids", akagwiritsidwa ntchito moyenera komanso malinga ndi upangiri wa dokotala, amathanso kupulumutsa miyoyo. Chifukwa chake lero, tiyeni tikambirane za mankhwalawa mwachidule.
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Kodi kwenikweni chimachitika ndi mankhwala awa ndi chiyani?
Mwachidule, methylprednisolone ndi mankhwala opangidwa omwe amagwira ntchito ngati mahomoni achilengedwe m'thupi lathu. Izi zimachita zinthu zitatu zazikulu.
1. Amachepetsa Kutupa M'thupi: Tangoganizirani kuti chimodzi mwa ziwalo zanu chatupa, chafiira, komanso chopweteka. Ndicho chimene timatcha kutupa. Mankhwalawa amawongolera zomwe zimayambitsa kutupa, kufiira, ndi kupweteka.
2. Amalamulira chitetezo chamthupi chomwe chimagwira ntchito mopitirira muyeso: Mwachitsanzo, m'matenda ena, makamaka chifukwa cha ziwengo, chitetezo chamthupi lathu chimayamba kugwira ntchito mopitirira muyeso. Izi zitha kutivulaza. Mankhwalawa amalamulira kuchita zinthu mopitirira muyeso ndipo amatonthoza thupi.
3. Amalowa m'malo mwa hormone ya cortisol m'thupi: Cortisol ndi hormone yofunika kwambiri yomwe imathandiza thupi lathu kuthana ndi kupsinjika maganizo, matenda, ndi zoopsa. Mu matenda ena, kupanga hormone iyi m'thupi kumachepa. Kenako mankhwala awa amaperekedwa kuti athetse vuto limenelo.
Pazifukwa izi, madokotala amagwiritsa ntchito mankhwalawa pa matenda osiyanasiyana.
- Mphumu
- Zotsatira zoopsa za ziwengo
- Matenda a mafupa monga nyamakazi
- Matenda otupa m'matumbo
- Matenda a adrenal gland
- Matenda ena okhudzana ndi magazi kapena mafupa
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwala
Izi ndizofunikira kwambiri. Musanakupatseni mankhwala awa, ndikofunikira kuti dokotala wanu adziwe mbiri yanu yonse ya thanzi. Ngati muli ndi vuto lililonse mwa lomwe latchulidwa pansipa, onetsetsani kuti mwadziwitsa dokotala wanu.
| Mkhalidwe wanu | N’chifukwa chiyani muyenera kudziwitsa? |
|---|---|
| Matenda a shuga | Mankhwalawa amatha kuwonjezera shuga m'magazi. |
| Kuthamanga kwa magazi | Kuthamanga kwa magazi kungakwere kwambiri. |
| Matenda a mtima | Zingakhudze ntchito ya mtima. |
| Matenda a maso (Glaucoma, ndi zina zotero) | Zingawonjezere kuthamanga kwa maso kapena kusokoneza masomphenya. |
| Matenda omwe alipo panopa - makamaka matenda opatsirana ndi mavairasi monga nkhuku ndi herpes | Mankhwalawa angapangitse kuti matendawa achuluke kwambiri. |
| Matenda a chiwindi | Mmene chiwindi chimagwirira ntchito mankhwalawo chingakhudzidwe. |
| Matenda amisala | N'zotheka kuyambitsa kusintha kwa maganizo. |
| Matenda a mafupa | Kugwiritsa ntchito nthawi yayitali kungafooketse mafupa. |
| Mavuto a m'mimba/m'mimba | Zimawonjezera chiopsezo cha zilonda zam'mimba. |
| Katemera amene wangolandira kumene kapena amene wakonzedwa kulandira posachedwapa | Kugwira ntchito kwa katemera kungakhudzidwe. |
| Kukhala ndi pakati kapena kuyesa kutenga mimba | Muyenera kukambirana ndi dokotala wanu za zotsatira zomwe zingachitike pa mwana wosabadwayo. |
| Kuyamwitsa | Ndikofunikira kukambirana ngati mankhwalawa angapitirire kwa mwana kudzera mu mkaka wa m'mawere. |
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Mankhwala awa si omwe mungapite nawo kunyumba. Methylprednisolone ndi mankhwala omwe amaperekedwa ndi dokotala kapena namwino wophunzitsidwa bwino kuchipatala kapena ku chipatala chokha .
- Izi nthawi zambiri zimaperekedwa ngati jakisoni mumtsempha .
- Nthawi zina imalowetsedwa pang'onopang'ono m'thupi kudzera mu saline infusion .
- Kapena mungapereke jakisoni mu minofu .
Ngati mupereka mankhwala awa kwa ana, muyenera kusamala kwambiri. Dokotala ndiye adzapanga zisankho pankhaniyi.
Nanga bwanji ngati mwamwa mopitirira muyeso mwangozi?
Izi zimaperekedwa kuchipatala, kotero mwayi woti izi zichitike ndi wochepa. Komabe, ngati mukuona kuti mlingo wa mankhwala wawonjezeka, muyenera kudziwitsa gulu lachipatala nthawi yomweyo. Nthawi zambiri, mumakhala pansi pa kuyang'aniridwa, kotero palibe chodetsa nkhawa. Ngati mukukumana ndi mavuto aliwonse kunja kwa chipatala, pitani ku ETU (Emergency Treatment Unit) yapafupi nthawi yomweyo. Komanso, ngati kuli kofunikira, mutha kuyimbira National Poisons Information Centre ku Colombo National Hospital kuti mupeze upangiri.
Mankhwala ena omwe angagwirizane ndi mankhwalawa
Ndikofunikira kwambiri kuuza dokotala wanu za mankhwala onse omwe mukumwa, chifukwa mankhwala ena amatha kusokonezana ndi methylprednisolone ndikuyambitsa mavuto.
| Mtundu wa mankhwala | Kufotokozera |
|---|---|
| Musamwe Methylprednisolone pamodzi ndi izi. | |
| Katemera wa kachilombo ka moyo | Pali chiopsezo cha matenda oopsa. |
| Mifepristone | Ma steroids amachititsa kuti mankhwalawa asagwire bwino ntchito. |
| Ngati mukugwiritsa ntchito izi, dziwitsani dokotala wanu. | |
| Aspirin ndi NSAIDs (monga Ibuprofen, Naproxen) | Zimawonjezera chiopsezo cha kutuluka magazi m'mimba. |
| Mankhwala a shuga | Mlingo ungafunike kusinthidwa pamene kuchuluka kwa shuga m'magazi kungasinthe. |
| Mankhwala omwe amaletsa magazi kuundana (monga Warfarin) | Chiopsezo cha kutuluka magazi chingasiyane. |
| Mankhwala ena opha maantibayotiki, opha mavairasi, ndi a khunyu | Izi zingakhudze momwe methylprednisolone imagwirira ntchito. |
Mndandandawu sunathe, choncho onetsetsani kuti mwauza dokotala wanu za mankhwala onse, mankhwala azitsamba, mavitamini, ndi zowonjezera zomwe mumamwa.
Zinthu zofunika kuziganizira mukamamwa mankhwala
Chofunika kwambiri ndichakuti, musasiye kumwa mankhwalawa mwadzidzidzi popanda upangiri wa dokotala. Kuchita izi kungayambitse vuto lalikulu la kusiya kumwa. Muyenera kuchepetsa pang'onopang'ono mlingo monga momwe dokotala wanu akukulangizirani.
- Kuopsa kwa matenda: Chitetezo cha mthupi lanu chimafooka pang'ono mukamwa mankhwalawa. Kotero mutha kutenga matenda mosavuta. Pewani anthu omwe ali ndi matenda monga ndulu ndi chikuku. Uzani dokotala wanu ngati muli ndi zilonda zomwe sizikuchira, malungo, kapena chifuwa.
- Shuga m'magazi:Ngati muli ndi matenda a shuga, yang'anani shuga m'magazi mwanu nthawi zonse, chifukwa mankhwalawa angapangitse kuti shuga m'magazi mwanu achuluke.
- Kusintha kwa masomphenya: Ngati mukuona kuti maso anu sakuoneka bwino kapena mukumva kupweteka kwa maso, uzani dokotala wanu nthawi yomweyo.
- Thanzi la Mafupa: Pali chiopsezo cha matenda a osteoporosis mukagwiritsa ntchito mankhwalawa kwa nthawi yayitali. Lankhulani ndi dokotala wanu za izi ndipo imwani calcium ndi vitamini D ngati pakufunika kutero.
Zotsatirapo zomwe zingatheke
Monga mankhwala ena onse, mankhwalawa akhoza kukhala ndi zotsatirapo zake. Komabe, si aliyense amene amawapeza. Samalani ndi zizindikiro zomwe zili pansipa.
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala wanu nthawi yomweyo | |
|---|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa milomo, nkhope, lilime, komanso kuvutika kupuma. |
| Zizindikiro za matenda a Cushing | Kuchulukana kwa mafuta m'malo monga m'mimba, pakhosi, ndi kumbuyo chakumtunda, mabala otambasula a pinki/ofiirira pakhungu, ndi khungu lopyapyala lomwe limatupa mosavuta. |
| Kuwonjezeka kwa shuga m'magazi (hyperglycemia) | Ludzu loposa masiku onse, kukodza pafupipafupi, kutopa kwambiri, kusawona bwino. |
| Kusintha kwa maganizo ndi khalidwe | Nkhawa, kusokonezeka maganizo, kusokonezeka maganizo, mkwiyo waukulu, kuvutika maganizo. |
| Kutuluka magazi m'mimba | Chimbudzi chakuda kapena chokhazikika, kusanza magazi omwe amaoneka ngati khofi. |
| Kutupa kwa akakolo, manja, kapena mapazi | Zitha kuchitika chifukwa cha kusunga madzi m'thupi. |
| Zotsatirapo zomwe nthawi zambiri sizifuna chithandizo chamankhwala (uzani dokotala ngati zikukuvutitsani) | |
| Ziphuphu | Mutu |
| Kuwonjezeka kwa njala | Kulemera |
| Kuvutika kugona | Kusanza |
Ngati muwona china chake chachilendo chomwe sichili pamndandandawu, musaope kulankhula ndi dokotala wanu za icho.
Uthenga Wopita Nawo Kunyumba
- Methylprednisolone ndi jakisoni wamphamvu wa steroid woperekedwa pa matenda osiyanasiyana.
- Musanamwe mankhwalawa, muyenera kuuza dokotala wanu za matenda anu onse komanso mankhwala ena onse omwe mukumwa.
- Pewani kusiya kumwa mankhwalawa mwadzidzidzi popanda upangiri wa dokotala.
- Mukamamwa mankhwalawo, samalani ndi zizindikiro za matenda, kuchuluka kwa shuga m'magazi, komanso kusintha kwa maganizo.
- Ngati pali zotsatirapo zoyipa kapena zachilendo, dziwitsani dokotala wanu nthawi yomweyo.
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