Kodi dokotala wanu wakuuzani inu kapena wina m'banja mwanu kuti ali ndi matenda a m'mapapo omwe amayambitsa zipsera? Ikhoza kukhala chinthu chonga `Idiopathic Pulmonary Fibrosis (IPF)`, vuto lomwe palibe chifukwa chenicheni chomwe chingapezeke. Mwina mudamvapo za mankhwala `Nintedanib` (omwe nthawi zambiri amadziwika ndi dzina loti `Ofev`), omwe amagwiritsidwa ntchito pazochitika zotere. Popeza awa ndi mankhwala omwe amafunika kugwiritsidwa ntchito mosamala, tikambirana za iwo mosavuta komanso mwaubwenzi.
Kodi mankhwala awa otchedwa Nintedanib ndi chiyani?
Mwachidule, Nintedanib ndi mankhwala omwe amaletsa ndikuchepetsa zipsera m'mapapo mwanu. Amagwiritsidwa ntchito makamaka pochiza matenda osiyanasiyana.
- Idiopathic Pulmonary Fibrosis (IPF): Iyi ndi matenda omwe mapapu amauma pang'onopang'ono komanso amabala popanda chifukwa chodziwika.
- Matenda a m'mapapo opitirira muyeso otchedwa fibrosing interstitial: Izi zikutanthauza gulu la matenda omwe amakhalapo kwa nthawi yayitali ndipo amayambitsa zipsera m'mapapo.
- Matenda a m'mapapo okhudzana ndi matenda a m'mapapo otchedwa systemic sclerosis: Mankhwalawa amagwiritsidwanso ntchito pa mavuto a m'mapapo okhudzana ndi matenda a 'systemic sclerosis'.
Mankhwalawa sachiza matendawa kwathunthu, koma amalamulira ndikuchepetsa kuwonongeka komwe kumachitika m'mapapo chifukwa cha matendawa.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa
Ndikofunikira kwambiri kuuza dokotala wanu za mbiri yanu yonse ya thanzi musanayambe kugwiritsa ntchito Nintedanib. Onetsetsani kuti mwauza dokotala wanu ngati muli ndi vuto lililonse mwa zotsatirazi.
| Matenda kapena chizolowezi | N’chifukwa chiyani zimenezo n’zofunika? |
|---|---|
| Matenda otuluka magazi kapena mbiri ya banja la matenda otere | Mankhwalawa angawonjezere chiopsezo cha kutuluka magazi. |
| Mbiri ya matenda a mtima kapena magazi kuundana | Muyenera kudziwa za chiopsezo cha matenda a mtima ndi magazi kuundana. |
| Matenda a chiwindi | Kugwira ntchito kwa chiwindi kungakhudzidwe, choncho chiyenera kufufuzidwa pafupipafupi. |
| Kupezeka kwa mapuloteni mu mkodzo | Muyenera kudziwa zotsatira zomwe zingachitike pa impso. |
| Atachitidwa opaleshoni posachedwapa | Njira yochiritsira mabala ingakhudzidwe. |
| Kusuta fodya kapena ndudu | Kusuta fodya kungachepetse mphamvu ya mankhwala. |
| Mavuto a m'mimba kapena m'mimba | Pali chiopsezo chochepa cha ming'alu m'matumbo. |
| Kukhala ndi pakati kapena kuyesa kutenga mimba | Chofunika kwambiri: Mankhwalawa akhoza kuvulaza kwambiri mwana wosabadwa. |
| Kuyamwitsa mwana | Sikoyenera chifukwa mankhwalawa amatha kupita kwa mwana kudzera mu mkaka wa m'mawere. |
| Matenda a chifuwa cha mankhwala ena, zakudya, ndi utoto | Izi ndizofunikira kudziwa ngati mudzakhala ndi vuto la chifuwa ndi mankhwalawa. |
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
- Mankhwalawa ayenera kumwedwa pakamwa ndi kapu ya madzi .
- Ndi bwino kumwa mankhwalawa mukadya . Izi zingathandize kuchepetsa kuvutika m'mimba.
- Mezani kapisozi yonse. Musaiswe, kuiphwanya, kapena kutafuna.
- Pitirizani kugwiritsa ntchito monga mwalangizidwira mpaka dokotala atakuuzani kuti musiye.
- Ngati mwangozi mwapeza ufa wa mankhwalawo mkati mwa kapisozi m'manja mwanu, sambani m'manja mwanu nthawi yomweyo ndi sopo ndi madzi.
- Ngati mukuganiza kuti mwamwa mankhwala owonjezera, musazengereze. Imbani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital . Kapena pitani ku Emergency Department (ETU) ya chipatala chapafupi.
Kodi mungachite chiyani ngati mwaphonya mlingo wa mankhwala?
Ngati mwaiwala kumwa mlingo, musamwe mapiritsi awiri nthawi ina kuti mubwezeretse mlingo womwe munaphonya. Ingomwani mlingo wanu wotsatira panthawi yanu yanthawi zonse.
Kodi pangakhale mavuto ndi mankhwala ena? (Kuyanjana kwa mankhwala)
Inde, mankhwala ena amatha kusokonezana ndi Nintedanib. Choncho uzani dokotala wanu za mankhwala onse omwe mumamwa, kuphatikizapo mavitamini, mankhwala azitsamba, ndi zowonjezera.
- Aspirin ndi mankhwala ena ofanana nawo
- Mankhwala omwe amaletsa magazi kuundana (monga Warfarin, Apixaban, Rivaroxaban )
- Maantibayotiki ena (monga Erythromycin, Clarithromycin )
- Mankhwala ena omwe amagwiritsidwa ntchito pa khunyu (monga Carbamazepine, Phenytoin )
- Ketoconazole (mankhwala opha mabakiteriya)
- Rifampin (mankhwala a chifuwa chachikulu)
- Wort wa St. John (mankhwala ogwiritsidwa ntchito pa thanzi la maganizo)
Mndandandawu sunathe, choncho ndibwino kuuza dokotala wanu zonse zomwe mumamwa.
Zinthu Zofunika Kuziganizira Mukatenga Nintedanib
Chisamaliro chapadera pa mimba: Ichi ndiye chinthu chofunikira kwambiri. Musatenge mimba mukamamwa Nintedanib. Muyenera kugwiritsa ntchito njira zolerera zodalirika kwa miyezi itatu mutasiya kumwa mankhwalawa. Mankhwalawa akhoza kuvulaza kwambiri mwana wosabadwa. Ngati mukuganiza kuti muli ndi pakati, uzani dokotala wanu nthawi yomweyo. Komanso, musayamwitse pamene mukumwa mankhwalawa.
- Kuyezetsa magazi pafupipafupi: Dokotala wanu adzafunika kukuonani nthawi zonse kuti aone momwe mulili. Adzalamulanso kuti magazi anu ayese momwe chiwindi chanu chimagwirira ntchito.
- Kusanza ndi kutsegula m'mimba: Mankhwalawa angayambitse kuvutika m'mimba, kusanza, ndi kutsegula m'mimba. Ngati izi zitachitika , imwani madzi ambiri, monga madzi ndi madzi a mandimu. Kutaya madzi ambiri kungakhale koopsa. Ngati simungathe kuwongolera vutoli, uzani dokotala wanu.
- Chiwopsezo cha kutuluka magazi:Mankhwalawa angayambitse mabala ndikuwonjezera chiopsezo cha kutuluka magazi. Uzani dokotala wanu ngati muli ndi magazi osazolowereka (monga mkamwa, mphuno) kapena mabala.
- Kusuta: Ngati mukusuta, uzani dokotala wanu ngati mukuona kuti mankhwalawo sakugwira ntchito bwino. Ngakhale mutasankha kusiya kusuta, uzani dokotala wanu .
Kodi zotsatirapo zake zoopsa zingakhale zotani?
Ngati mukukumana ndi zizindikiro zotsatirazi, dziwitsani dokotala wanu nthawi yomweyo. Nthawi zina, mungafunike kupita ku Dipatimenti Yodzidzimutsa (ETU) ya chipatala chapafupi.
| Zotsatira zoyipa | Zizindikiro zazikulu |
|---|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Kutuluka magazi | Chimbudzi chakuda kapena chamagazi, kusanza komwe kumaoneka ngati khofi wophikidwa, mkodzo wofiira kapena wakuda, madontho ang'onoang'ono ofiira/ofiirira pakhungu, mabala osazolowereka. |
| Magazi oundana | Kupweteka kwa mwendo, kutupa kapena kutentha, kuvutika kupuma, kupweteka pachifuwa. |
| Matenda amtima | Kulimba/kupweteka pachifuwa, mapewa, manja, kapena nsagwada, nseru, kuvutika kupuma, kumva kuzizira, kukomoka. |
| Kuvulala kwa chiwindi | Kupweteka kumtunda kwa kumanja kwa m'mimba, kusowa chilakolako cha chakudya, nseru, ndowe zowala, mkodzo wakuda wachikasu/bulauni, khungu kapena maso achikasu, kutopa kosazolowereka. |
| Stroke | Kufooka kwadzidzidzi kwa nkhope, mkono, kapena mwendo, kuvutika kulankhula, kusokonezeka, kuvutika kuyenda, mutu waukulu. |
| Misozi ya m'mimba/m'mimba | Malungo, kupweteka m'mimba, kusintha kwadzidzidzi kwa matumbo. |
| Kutsegula m'mimba kwambiri kapena kusanza | Kutsegula m'mimba kapena kusanza kosalamulirika. |
Zotsatira zoyipa zomwe zimachitika kawirikawiri komanso zochepa kwambiri
Izi nthawi zambiri zimachepa pakapita nthawi, koma ngati zikupitirira kapena zikukuvutitsani, uzani dokotala wanu.
- Mutu
- Kutaya chilakolako cha chakudya ndi kuchepetsa thupi
- Kumva nseru (kumva kupweteka m'mimba)
Kodi mumasunga ndi kutaya bwanji mankhwalawo?
- Sungani pamalo omwe ana ndi ziweto sangafikire.
- Sungani kutentha kwa chipinda (pakati pa madigiri 20-25 Celsius). Tetezani ku kutentha kwambiri ndi chinyezi.
- Chotsani mankhwala omwe atha ntchito. Njira yabwino yochitira izi ndikupempha chipatala kapena pharmacy kuti awatengere ku pulogalamu yobwezera mankhwala. Ngati izi sizingatheke, funsani dokotala wanu.
Uthenga Wopita Nawo Kunyumba
- Nintedanib ndi mankhwala apadera omwe amaletsa zipsera m'mapapo. M'malo mochiza matendawa, amachepetsa kupitirira kwa matendawa.
- Musanayambe kumwa mankhwalawa, uzani dokotala wanu za matenda anu onse komanso mankhwala ena onse omwe mukumwa.
- Chofunika kwambiri: Pewani kutenga mimba mukumwa mankhwalawo komanso kwa miyezi itatu mutasiya kumwa. Ndi koopsa kwambiri kwa mwana amene ali m'mimba.
- Dziwani zizindikiro za zotsatirapo zoyipa monga kuwonongeka kwa chiwindi, kutuluka magazi, komanso kulephera kwa mtima. Ngati mukukayikira, funsani upangiri wa dokotala nthawi yomweyo.
- Lumikizanani ndi dokotala wanu nthawi zonse. Musaope kuwauza mafunso kapena nkhawa zilizonse.
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