Kodi inuyo kapena munthu wina wapafupi nanu adaikidwa chiwalo china, monga impso kapena chiwindi? Ngati ndi choncho, dokotala wanu mwina adakuuzani kuti mumwe mankhwala apadera mutachita opaleshoni. Mycophenolate Mofetil ndi imodzi mwa mankhwala omwe amaperekedwa nthawi zambiri. Mungakhale ndi mafunso ambiri okhudza mankhwalawa. Musadandaule, lero tikambirana za izi mosavuta komanso momveka bwino.
Kodi kwenikweni chimachitika ndi mankhwala otchedwa Mycophenolate?
Mwachidule, iyi ndi mankhwala omwe amachepetsa kapena kulamulira ntchito ya chitetezo cha mthupi lanu. Timatcha izi kuti ndi `immunosuppressant`.
Taganizirani izi motere. Mukalandira chiwalo chatsopano, "asilikali" a thupi lanu (monga maselo oteteza thupi) amaona chiwalo chatsopanocho ngati "mdani." Choncho amaukira chiwalo chatsopanocho ndikuyesera kuchikana (kukana chiwalo). Madokotala amakupatsirani mankhwala awa kuti aletse "nkhondo" imeneyo ndikuthandiza chiwalo chatsopanocho kuti chizolowere thupi lanu. Mwa kuyankhula kwina, uwu ndi mankhwala ofunikira kwambiri omwe amateteza chiwalo chanu chatsopanocho.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa
Musanayambe kumwa mankhwalawa, ndikofunikira kwambiri kudziwitsa dokotala wanu za thanzi lanu lonse. Ngati pali vuto lililonse lomwe latchulidwa patebulo ili lomwe likukhudzana ndi inu, onetsetsani kuti mwawauza.
| Chidziwitso chomwe muyenera kudziwa |
|---|
| Ngati muli ndi pakati , mukuyesera kutenga pakati , kapena mukuyamwitsa . (Izi ndizofunikira kwambiri) |
| Ngati muli ndi vuto lililonse la ziwengo (mankhwala awa, mankhwala ena, zakudya, utoto, ndi zina zotero). |
| Ngati muli ndi khansa kapena matenda a magazi (monga kuchepa kwa magazi m'thupi ). |
| Ngati muli ndi matenda (makamaka matenda opatsirana ndi mavairasi monga nsabwe ndi herpes). |
| Ngati muli ndi matenda monga matenda a impso , mavuto am'mimba , kapena kutsegula m'mimba . |
| Ngati mwalandira katemera posachedwapa kapena mukukonzekera kulandira katemera wina mtsogolo. |
| Ngati muli ndi vuto la majini losowa kwambiri lotchedwa Phenylketonuria. |
Kodi ndimagwiritsa ntchito bwanji mankhwalawa molondola?
Monga momwe dokotala akunenera, ndikofunikira kwambiri kumwa mlingo woyenera panthawi yoyenera.
- Ngati mwapatsidwa izi ngati chotsukira, muyenera kugwedeza botolo bwino musanagwiritse ntchito .
- Gwiritsani ntchito chipangizo chapadera choyezera (dosing dispenser) chomwe chili ndi mankhwala kuti muyese. Musagwiritse ntchito supuni za tiyi zapakhomo kapena makapu a madzi.
- Ndi bwino kumwa mankhwalawa m'mimba yopanda kanthu . Izi zikutanthauza ola limodzi musanadye kapena maola awiri mutatha kudya. Pokhapokha ngati dokotala wanu atakuuzani kuti mumwe pamodzi ndi chakudya, imwani m'mimba yopanda kanthu nthawi zina zonse.
- Imwani kapu ya madzi mukamamwa mankhwala.
- Chofunika kwambiri: Musasiye kumwa mankhwalawa mwadzidzidzi pazifukwa zilizonse popanda upangiri wa dokotala. Kuchita zimenezi kungapangitse kuti thupi lanu likane chiwalo chatsopanocho.
- Musalole kuti mankhwalawa akhudze khungu lanu kapena maso anu . Ngati izi zitachitika, tsukani nthawi yomweyo ndi madzi ambiri.
Chofunika Kwambiri: Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, pitani ku Dipatimenti Yoona za Zadzidzidzi (ETU) yapafupi nthawi yomweyo. Kapena imbani National Poisons Information Centre ku Colombo National Hospital .
Nanga bwanji ngati ndaphonya mlingo wa mankhwala?
Ngati mwaiwala kumwa mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe mlingo wowirikiza kawiri.
Zinthu zina zomwe zingagwirizane ndi mankhwalawa
Mycophenolate imatha kuyanjana ndi mankhwala ena, mavitamini, ndi mankhwala azitsamba. Chifukwa chake, uzani dokotala wanu za mankhwala onse omwe mukumwa (omwe amalembedwa ndi dokotala, omwe amagulitsidwa pamtengo wotsika, mavitamini, ndi mankhwala azitsamba).
Mankhwalawa angagwirizane ndi zotsatirazi makamaka:
- Katemera wamoyo:Simungalandire katemera wina pamene mukumwa mankhwalawa.
- Mapiritsi oletsa kubereka: Mankhwalawa angathandize kuchepetsa mphamvu ya mapiritsi oletsa kubereka.
- Maantibayotiki ena (monga ciprofloxacin, penicillin).
- Mankhwala a gastritis (monga omeprazole, pantoprazole).
- Mankhwala ochepetsa mafuta m'thupi (monga cholestyramine).
- Mankhwala ena enieni monga Acyclovir, Azathioprine, Cyclosporine.
Mndandandawu sunathe, choncho ndibwino kuuza dokotala wanu zonse zomwe mumamwa.
Zinthu zofunika kusamala kwambiri mukamamwa mankhwala
1. Mimba ndi njira zolerera (zofunika kwambiri!)
Ili ndi chenjezo lofunika kwambiri lokhudza mankhwalawa. Mankhwalawa angayambitse zilema zazikulu m'mimba mwa mwana wosabadwayo.
- Kwa akazi:
- Pewani kutenga mimba kwathunthu mukumwa mankhwalawa komanso kwa milungu 6 mutasiya.
- Musanayambe kumwa mankhwala, muyenera kutenga mayeso a mimba kuti muwonetsetse kuti mulibe mimba.
- Panthawiyi, muyenera kugwiritsa ntchito njira ziwiri zodalirika kwambiri zolerera pamodzi . Kugwiritsa ntchito mapiritsi olerera okha sikungakhale kokwanira. Lankhulani ndi dokotala wanu za izi ndipo mufunseni njira zabwino kwambiri.
- Kwa amuna:
- Ngati mukumwa mankhwalawa, muyenera kugwiritsa ntchito kondomu nthawi iliyonse mukagonana ndi mayi amene angathe kutenga pakati.
- Ngakhale mutasiya kumwa mapiritsi, muyenerabe kugwiritsa ntchito makondomu mwanjira imeneyi kwa masiku 90 .
- Pewani kupereka umuna kwathunthu panthawiyi.
2. Chitetezo ku matenda
Chifukwa mankhwalawa amafooketsa chitetezo chamthupi chanu, mutha kutenga matenda mosavuta. Ngakhale chimfine kapena chimfine chaching'ono chingakhale chachikulu. Chifukwa chake:
- Ngati mukupeza zizindikiro zilizonse za matenda, monga kutentha thupi, kupweteka kwa thupi, kupweteka pakhosi, kapena chifuwa, imbani dokotala nthawi yomweyo.
- Khalani kutali kwambiri ndi malo odzaza anthu momwe mungathere.
- Sambani m'manja nthawi zambiri.
3. Chitetezo ku dzuwa
Mankhwalawa angapangitse khungu lanu kukhala losavuta kukhudzidwa ndi kuwala kwa dzuwa. Chifukwa chake, mukatuluka padzuwa:
- Valani zovala zophimba khungu lonse momwe mungathere.
- Gwiritsani ntchito mafuta abwino oteteza ku dzuwa .
- Valani chipewa.
4. Mayeso azachipatala
Dokotala wanu adzakufunsani kuti muyesedwe magazi nthawi zonse. Mayesowa ndi ofunikira kwambiri kuti muwone momwe mankhwalawa akukhudzira thupi lanu. Choncho musaphonye nthawi iliyonse yokumana ndi dokotala kuchipatala.
Kodi ndi zotsatirapo zotani zomwe ndingakumane nazo?
Monga mankhwala ena aliwonse, izi zingayambitse zotsatira zina zoyipa. Si aliyense amene amazilandira.
| Zotsatirapo zomwe zimafuna chithandizo chamankhwala mwachangu | |
|---|---|
| Zizindikiro za ziwengo monga ziphuphu pakhungu, kuyabwa, kutupa kwa nkhope, milomo, kapena lilime | Malungo, kuzizira , kapena zizindikiro zina za matenda |
| Kutuluka magazi kosazolowereka kapena kuvulala kwa khungu | Chimbudzi chakuda kapena chamagazi |
| Kutopa kapena kutopa kosazolowereka, chizungulire | Kusintha kwa masomphenya |
| Zomwe muyenera kuuza dokotala wanu ngati zikupitirira kapena zikukuvutitsani | |
| Kutsegula m'mimba kapena kudzimbidwa | Kusanza, kusanza |
| Kutaya chilakolako | Kuvutika kugona |
Uthenga Wopita Nawo Kunyumba
- Mycophenolate ndi mankhwala ofunikira kwambiri omwe amateteza chiwalo chanu chomwe chaikidwa m'thupi komanso amawongolera chitetezo chamthupi chanu.
- Musasiye kumwa mankhwalawa popanda upangiri wa dokotala.
- Azimayi ndi amuna onse ayenera kutsatira njira zolerera zokhwima kuti apewe kutenga mimba akamamwa mankhwalawa.
- Ngati mukupeza zizindikiro zilizonse za matenda, monga kutentha thupi kapena kuzizira, dziwitsani dokotala wanu nthawi yomweyo.
- Valani mafuta oteteza ku dzuwa komanso zovala zophimba nkhope kuti mudziteteze ku dzuwa.
- Uzani dokotala wanu tsatanetsatane wa mankhwala ena onse omwe mukumwa.
- Pitani kuzipatala zachipatala pa masiku omwe akonzedwa ndipo mukayezedwe mokwanira.
👩🏽⚕️ Mafunso ena (Mafunso Ofunsidwa Kawirikawiri)
💬 Kodi Trandolapril (Trandolapril / Mavik) imagwiritsidwa ntchito pa matenda ati?
Iyi ndi mankhwala othandiza kwambiri (ACE Inhibitor) omwe amaletsa 'High Blood Pressure' ndipo amathandiza odwala omwe adadwala matenda a mtima/myocardial infarction ndipo mtima wawo wafooka/wafooka kuti abwererenso kuntchito! Ngakhale kuti ndi ya banja limodzi ndi Enalapril, ndi mankhwala omwe amakhala m'thupi kwa nthawi yayitali ndipo amapereka chitetezo cha maola 24.
💬 Kodi kumwa piritsi la kuthamanga kwa magazi (Trandolapril) kumachepetsa bwanji kuthamanga kwa magazi ndi kupweteka kwa mtima?
Mankhwala oopsa otchedwa 'Angiotensin II' amachepetsa/kulimbitsa mitsempha yonse yamagazi m'thupi mwathu ndikukweza kuthamanga kwa magazi! Mankhwala amenewo amapangidwa ndi makina otchedwa 'ACE' (Angiotensin-Converting Enzyme). Piritsi ili likalowa m'thupi, makina a ACE amenewo amatsekedwa/kutsekedwa ndi kutsekedwa 100%. Popeza mankhwala oopsa amenewo sapangidwanso, mitsempha yamagazi imakula/kupumula (Vasodilation), kuthamanga kwa magazi kumatsika nthawi yomweyo ndipo katundu pamtima umachepa.
💬 Kodi ndi zoopsa ziti zomwe zimakwiyitsa komanso zoopsa (Chenjezo la Black Box) zomwe zimachitika chifukwa chomwa piritsi la kuthamanga kwa magazi (ACE Inhibitor)?
Choopsa chachikulu ndichakuti, monga mapiritsi ena othamanga magazi, izi ndizoletsedwa kwa amayi apakati (Mimba/Poizoni wa mwana wosabadwayo)! Izi zingayambitse impso za mwana kuvunda ndi kufa. Chotsatira china chokhumudwitsa komanso chofala kwambiri (ACE) ndi 'chifuwa chouma chosatha' chopanda ntchofu. Komanso, anthu ena amatha kutupa milomo, nkhope ndi pakhosi mwadzidzidzi komanso kuvutika kupuma (Angioedema - anthu akuda ali pachiwopsezo chachikulu).
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