Nthawi zina timayenera kupanga zisankho zovuta komanso zovuta kwambiri m'moyo. Chimodzi mwa zinthu ngati zimenezi ndi pamene tifunika kuchotsa mimba msanga pazifukwa zachipatala kapena zaumwini. Mifepristone ndi mankhwala omwe amagwiritsidwa ntchito moyang'aniridwa ndi dokotala pazochitika zotere. Ndi chinthu chomwe chiyenera kugwiritsidwa ntchito mosamala kwambiri komanso pokhapokha ngati dokotala akupereka upangiri woyenera. Chifukwa chake, lero tikambirana izi mwatsatanetsatane, m'njira yosavuta yomwe mungamvetse.
Kodi kwenikweni chimachitika ndi mankhwala awa ndi chiyani?
Mwachidule, mankhwala awa otchedwa Mifepristone amagwiritsidwa ntchito kuthetsa magawo oyambirira a mimba. Progesterone ndi mahomoni ofunikira m'thupi lathu omwe amathandiza kukhalabe ndi mimba. Taganizirani za mahomoni a progesterone awa ngati madzi omwe chomera chimafunikira kuti chikule. Madzi a progesterone awa ndi ofunikira kuti chomera chotchedwa mimba chikule.
Mifepristone imaletsa kugwira ntchito kwa hormone ya progesterone. Zili ngati kusiya kuthirira chomera. Kenako mimba singathe kupitirira, makoma a chiberekero amasintha, ndipo mimba imatha.
Mankhwalawa nthawi zambiri amaperekedwa kwa wodwalayo pamodzi ndi mankhwala ena (nthawi zambiri Misoprostol). Njira yonseyi iyenera kuchitika pokhapokha ngati dokotala wodziwa bwino ntchito yake akuyang'anira wodwalayo.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa
Dokotala wanu asanakupatseni mankhwalawa, ayenera kudziwa mbiri yonse ya thanzi lanu. Izi zili choncho chifukwa kugwiritsa ntchito mankhwalawa pazifukwa zina kungakhale koopsa. Chifukwa chake, ngati pali chilichonse mwa izi chomwe chikukukhudzani, onetsetsani kuti mwadziwitsa dokotala wanu.
| Mkhalidwe umene ungakukhudzeni | N’chifukwa chiyani zimenezo n’zofunika? |
|---|---|
| Ngati papita masiku opitilira 70 (masabata 10) kuyambira nthawi yanu yomaliza ya msambo | Mankhwalawa ndi othandiza komanso otetezeka pokhapokha panthawi yoyembekezera. |
| Ngati pali kukayikiridwa kuti pali mimba yotuluka m'mimba kapena yotuluka m'mimba | Uwu ndi vuto loopsa kwambiri. Mankhwalawa sagwira ntchito pa vutoli. Amafunika chithandizo chapadera chamankhwala. |
| Ngati mwaika IUD (Intrauterine Device) | IUD iyenera kuchotsedwa musanamwe mankhwala awa. |
| Ngati mukumwa mankhwala ochepetsa magazi (monga warfarin, apixaban) | Mifepristone ingakulitse chiopsezo chotaya magazi ambiri. |
| Ngati mupitiliza kugwiritsa ntchito mankhwala a steroid monga Prednisolone | Izi zitha kusokoneza ntchito ya mifepristone. |
| Ngati muli ndi vuto la kutuluka magazi kapena ntchito yochepa ya adrenal gland | Matendawa ali ndi chiopsezo cha mavuto aakulu. |
| Ngati muli ndi vuto la Mifepristone, Misoprostol kapena zosakaniza zina zilizonse | Ndikofunikira kudziwa izi kuti tipewe vuto lalikulu la ziwengo. |
| Ngati ndinu mayi amene akuyamwitsa mwana | Muyenera kulankhula ndi dokotala wanu za kuyamwitsa ndikupeza upangiri. |
| Ngati simungathe kubwera kudzalandira mayeso otsatira kapena ngati simungathe kupita kuchipatala mwachangu pakagwa ngozi | Izi ndizofunikira kwambiri chifukwa ngati vuto lichitika, chithandizo chachangu chimafunika. |
Momwe mungagwiritsire ntchito mankhwalawa ndi zomwe muyenera kusamala nazo
Mankhwalawa ayenera kumwedwa pakamwa, mu mlingo wovomerezeka, monga momwe dokotala wanu wanenera. Mudzapatsidwa kabuku kapadera (MedGuide) mukapatsidwa mankhwalawa. Werengani mosamala, chifukwa ali ndi mfundo zofunika kwambiri pa chitetezo chanu.
Chofunika kwambiri ndichakuti mankhwalawa ndi a inu nokha. Musagawane ndi wina aliyense pazifukwa zilizonse. Akhoza kukhala oopsa kwambiri.
Nanga bwanji ngati mlingo wa mankhwala ukuwonjezeka?
Ngati mukuganiza kuti mwamwa mankhwala ambiri kuposa momwe mukuganizira, imbani National Poison Information Centre ku National Hospital nthawi yomweyo. Kapena pitani ku Emergency Department (ETU) ya chipatala chapafupi.
Zinthu zina zomwe zingagwirizane ndi mankhwalawa
Mankhwala ena, zitsamba, komanso zakudya zina zimatha kusokonezana ndi Mifepristone ndikuyambitsa mavuto. Chifukwa chake ndikofunikira kwambiri kuuza dokotala wanu za mankhwala aliwonse omwe mumamwa, ngakhale mavitamini.
| Kodi n’chiyani chingayambitse mavuto? | Kufotokozera |
|---|---|
| Musamwe Mifepristone ndi izi | |
| Mankhwala ena omwe amaletsa magazi kuundana | Mankhwala monga warfarin, enoxaparin, ndi rivaroxaban. Mankhwalawa amawonjezera kwambiri chiopsezo cha kutuluka magazi ambiri. |
| Ma steroid omwe amatengedwa nthawi yayitali | Mankhwala monga prednisone ndi dexamethasone amatha kusokoneza mphamvu ya Mifepristone. |
| Izi zingayambitsenso mavuto - uzani dokotala wanu. | |
| Mankhwala oletsa bowa | Mankhwala monga ketoconazole ndi itraconazole. |
| Maantibayotiki ena | Mankhwala monga clarithromycin ndi erythromycin. |
| Madzi a mphesa | Izi zitha kuwonjezera kuchuluka kwa mankhwala m'thupi. |
| Wort wa St. John | Chitsamba ichi chingachepetse mphamvu ya mankhwala. |
Zizindikiro zoopsa zomwe zimafuna thandizo lachipatala mwamsanga
Pali zinthu zina zomwe muyenera kusamala nazo mutamwa mankhwalawa. Ngati muli ndi chilichonse mwa izi, zitha kukhala zadzidzidzi.
Kutuluka Magazi Kwambiri
Ndi zachilendo kutuluka magazi m'mimba mutamwa mapiritsi. Koma kutuluka magazi ambiri ndi chizindikiro choopsa. Samalani kwambiri ndi izi.
Pitani kuchipatala nthawi yomweyo: Ngati mukutuluka magazi ambiri kwa maola awiri, mukunyowetsa ma sanitary pads awiri okhuthala mu ola limodzi, muyenera kupita ku chipinda chadzidzidzi (ETU) nthawi yomweyo.
Zadzidzidzi zina
- Matenda oopsa kwambiri: kutupa pakhungu, kuyabwa kwambiri, kutupa kwa nkhope, milomo, lilime kapena pakhosi.
- Malungo aakulu: Kukhalapo kwa malungo amphamvu.
- Kupweteka kwambiri m'mimba, kufooka kosazolowereka, kusanza, kutsegula m'mimba: Ngati zizindikirozi zikugwirizana ndi kutentha thupi kosalekeza, chikhoza kukhala chizindikiro cha matenda.
Ngati muwona zizindikiro izi, imbani dokotala wanu kapena pitani kuchipatala nthawi yomweyo. Komanso, musaiwale kutenga kabuku ka MedGuide komwe munapatsidwa mukapita kuchipatala.
Zotsatira zoyipa zofala
Izi nthawi zambiri sizimakhala zoopsa, koma ngati zikupitirira kapena zikukuvutitsani, uzani dokotala wanu.
- Kupweteka m'mimba
- Mutu (kupweteka mutu)
- Chizungulire
- Kumva kuzizira (kuzizira/kuzizira)
Chofunika kwambiri ndichakuti ngati mimba siitha kwathunthu mutagwiritsa ntchito mankhwalawa, opaleshoni idzafunika kuti imalizidwe. Chifukwa chake, ndikofunikira kwambiri kuti mukhale otetezeka kuti mupite ku masiku otsatira omwe dokotala wakupatsani.
Uthenga Wopita Nawo Kunyumba
- Mifepristone ndi mankhwala omwe ayenera kugwiritsidwa ntchito pokhapokha ngati dokotala akuyang'anira komanso mosamala kwambiri.
- Musanamwe mankhwalawa, onetsetsani kuti mwauza dokotala wanu za matenda anu onse komanso mankhwala ena onse omwe mukumwa.
- Yang'anirani ngati pali zizindikiro za kutuluka magazi ambiri (kunyowetsa mapadi awiri pa ola limodzi). Ngati izi zitachitika, pitani ku chipinda chadzidzidzi (ETU) nthawi yomweyo.
- Kupita ku mayeso otsatira omwe dokotala wanu wakupatsani panthawi yake ndikofunikira kuti mukhale otetezeka.
- Mankhwalawa ndi a inu nokha. Musagawane ndi ena.
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