Mungakumbukire kuti nthawi zina mukakhala ndi vuto lalikulu la ziwengo, kupweteka kwa mafupa, kapena mphumu, dokotala wanu adzakupatsani jakisoni wapadera. Anthu ambiri amaopa jakisoni wa "steroid" uwu. Koma kwenikweni, ngati agwiritsidwa ntchito moyenera, awa ndi mankhwala ofunikira kwambiri omwe angathandize kupulumutsa miyoyo. Lero tikulankhula za mankhwala amphamvu kwambiri, jakisoni wa methylprednisolone.
Mwachidule, kodi Methylprednisolone ndi chiyani?
Methylprednisolone ndi mankhwala omwe ali m'gulu la mankhwala otchedwa "Steroids". Tangoganizani kuti thupi lathu limapanga mahomoni otchedwa "Cortisol" mwachibadwa. Homoni iyi ndi yomwe imapatsa thupi lathu mphamvu zothana ndi zinthu monga kupsinjika maganizo, matenda, ndi kuvulala. Chifukwa chake, Methylprednisolone ndi mankhwala amphamvu opangidwa omwe ali ofanana ndi momwe homoni iyi ya cortisol imagwirira ntchito.
Izi zili ndi ntchito ziwiri zazikulu:
1. Kuchepetsa kutupa m'thupi: Tangoganizani kuti chiwalo chimodzi cha mafupa anu chatupa, chafiira, komanso chopweteka. Izi zikutanthauza kuti pali kutupa pamenepo. Mankhwalawa amaletsa kutupa kumeneko.
2. Kulamulira ntchito yosafunikira ya chitetezo chamthupi: Nthawi zina chitetezo chathu chamthupi, chomwe ndi chitetezo chamthupi, chimayamba kugwira ntchito mosafunikira ndipo chimayamba kuwononga thupi lathu. Chitsanzo ndi matenda monga nyamakazi. Mankhwalawa amalamulira ntchito yosafunikirayo.
Chifukwa chake, jakisoni uyu amagwiritsidwa ntchito pochiza matenda angapo, monga mphumu, ziwengo zoopsa, nyamakazi, ndi matenda otupa m'matumbo.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa:
Izi ndizofunikira kwambiri . Musanakupatseni jakisoni iyi, ndikofunikira kuti dokotala wanu adziwe mbiri yanu yonse ya thanzi. Mankhwalawa akhoza kusokoneza matenda ena. Onani tebulo ili m'munsimu.
| Ngati muli ndi zinthu izi... | N’chifukwa chiyani kuli kofunikira kuuza dokotala? |
|---|---|
| Matenda a shuga | Mankhwala a steroid amatha kuonjezera shuga m'magazi, choncho mungafunike kusintha mlingo wa mankhwala anu a shuga. |
| Kuthamanga kwa magazi | Mankhwalawa angawonjezere kuthamanga kwa magazi. |
| Matenda a mtima | Pali mwayi wochepa woti matenda a mtima adzaipiraipira. |
| Matenda opatsirana (monga chickenpox, herpes) | Chifukwa chakuti ma steroid amafooketsa chitetezo chamthupi, matenda omwe alipo amatha kuipiraipira. |
| Zilonda/mavuto a m'mimba kapena m'mimba | Mankhwalawa angawonjezere pang'ono chiopsezo cha zilonda zam'mimba. |
| Matenda a chiwindi, mavuto a chithokomiro, glaucoma | Ngati pali zinthu izi, mphamvu ya mankhwala ingasinthe. |
| Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena ndinu mayi woyamwitsa | Dokotala ayenera kusamala kwambiri popereka mankhwala awa pazochitika zotere. |
| Ngati muli ndi vuto la mankhwala ena, zakudya, kapena zinthu zina | Izi ndizofunikira kudziwa ngati muli ndi vuto la chifuwa cha mankhwalawa kapena chilichonse mwa zosakaniza zake. |
Chofunika kwambiri ndi kupatsa dokotala wanu mndandanda wathunthu wa mankhwala onse omwe mukumwa (kuphatikizapo mavitamini ndi mankhwala azitsamba) komanso mbiri yanu yachipatala.
Kodi mumagwiritsa ntchito bwanji mankhwalawa?
Mankhwala awa si omwe mungawatengere kunyumba n’kuwabaya. Jakisoni wa Methylprednisolone amaperekedwa ndi dokotala kapena namwino wophunzitsidwa bwino kuchipatala kapena ku chipatala.Imaperekedwa ku malo olumikizirana mafupa, minofu, kapena minofu ina. Choncho simuyenera kuda nkhawa kuti mwaphonya mlingo.
Ngati mukuganiza kuti mwamwa mankhwala mopitirira muyeso mwangozi, imbani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital . Kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.
Mankhwala ena omwe angagwirizane ndi mankhwalawa (Kuyanjana kwa Mankhwala)
Mankhwala ena angayambitse mavuto akamwedwa ndi methylprednisolone, choncho ndikofunikira kwambiri kuuza dokotala wanu za mankhwala onse omwe mukumwa.
- Mankhwala omwe sayenera kumwedwa pamodzi: Katemera wina wa kachilombo kamoyo ndi mankhwala monga Mifepristone sayenera kumwedwa pamodzi.
- Mankhwala ena omwe angayambitse mavuto: Mankhwala ochepetsa ululu (NSAIDs - mwachitsanzo Ibuprofen), aspirin, mankhwala ena a shuga, mankhwala opha mabakiteriya (monga Ketoconazole), Warfarin wochepetsa magazi, maantibayotiki ena, ndi mapiritsi oletsa kubereka amatha kusokonezana ndi mankhwalawa.
Dokotala wanu adzayang'ana mndandanda wa mankhwala omwe mwalandira ndikusintha chilichonse chofunikira.
Zinthu zofunika kusamala nazo mukamamwa mankhwala
Dziwani zizindikiro.
Ngati zizindikiro zanu sizikusintha kapena kuipiraipira, uzani dokotala wanu . Musasiye kumwa mankhwala a steroid mwadzidzidzi popanda upangiri wa dokotala. Kuchita zimenezi kungayambitse vuto lalikulu.
Samalani ndi matenda.
Mukamamwa mankhwalawa, chitetezo chanu cha mthupi chidzachepa pang'ono, kotero mumakhala ndi mwayi wopeza matenda.
- Pewani anthu omwe ali ndi matenda monga katsabola ndi chikuku.
- Ngati mukumva zizindikiro monga malungo, chifuwa, kuzizira, kapena kupweteka kwa thupi, uzani dokotala wanu .
- Ngati chilonda chagwa, chisamalireni ngati sichichira msanga.
Mfundo zina
- Ngati muli ndi matenda a shuga, yang'anani shuga m'magazi mwanu nthawi zonse, chifukwa mankhwalawa angapangitse kuti shuga m'magazi mwanu achuluke.
- Ngati mukuwona zinthu zina (monga kusawona bwino), uzani dokotala wanu nthawi yomweyo.
- Ngati mugwiritsa ntchito mankhwalawa kwa nthawi yayitali , mungakhale pachiwopsezo chotenga matenda a osteoporosis. Lankhulani ndi dokotala wanu za izi.
Kodi zotsatirapo zake zingakhale zotani?
Monga mankhwala ena aliwonse, methylprednisolone ingayambitse zotsatirapo zoyipa. Si aliyense amene amalandira, koma ndikofunikira kudziwa za izo.
| Mtundu wa zotsatira zoyipa | Zizindikiro |
|---|---|
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala wanu nthawi yomweyo | |
| Zotsatira zoopsa za ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime, komanso kuvutika kupuma. |
| Matenda a Cushing | Mafuta amadzaza m'mimba, pakhosi, ndi kumbuyo chakumtunda, pakhungu pali mizere ya pinki/yofiirira, komanso khungu lopyapyala lomwe limatupa mosavuta. |
| Kuwonjezeka kwa shuga m'magazi (hyperglycemia) | Ludzu lochuluka, kukodza pafupipafupi, kutopa kwambiri, kusawona bwino. |
| Kuthamanga kwa magazi kowonjezeka | Zizindikiro monga mutu ndi chizungulire. |
| Kusintha kwa maganizo ndi khalidwe | Mkwiyo wosafunikira, kusakhazikika maganizo, kusokonezeka maganizo, kuvutika maganizo, ndi maganizo ofuna kudzipha. |
| Kutuluka magazi m'mimba | Chimbudzi chakuda kapena chokhazikika, kusanza khofi wophikidwa. |
| Kutupa kwa akakolo, manja, kapena mapazi | Zitha kuchitika chifukwa cha kusunga madzi m'thupi. |
| Zinthu zomwe nthawi zambiri sizili zazikulu, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Zotsatirapo zazing'ono | Ziphuphu, njala yowonjezereka, kunenepa kwambiri, mutu, nseru, kusowa tulo, kusamva bwino komanso kutopa. |
Uthenga Wopita Nawo Kunyumba
- Methylprednisolone ndi mankhwala amphamvu a steroid omwe ayenera kugwiritsidwa ntchito pokhapokha ngati dokotala akuwayang'anira.
- Musanamwe mankhwalawa, uzani dokotala wanu momveka bwino za matenda anu onse komanso mankhwala onse omwe mukumwa .
- Dzitetezeni ku matenda ndipo samalirani zinthu monga kuchuluka kwa shuga m'magazi ndi kuthamanga kwa magazi pamene mukumwa mankhwala.
- Ngati pali zotsatirapo zoyipa zilizonse, funsani upangiri wa dokotala nthawi yomweyo.
- Musasiye kumwa mankhwala a steroid mwadzidzidzi popanda upangiri wa dokotala.
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