Nthawi zina, matenda ena omwe ana athu amadwala amakhala ovuta kwambiri. Ndipo mankhwala omwe amaperekedwa kwa iwo nawonso ndi apadera. Lero tikambirana za mankhwala apadera otere. Mankhwalawa amatchedwa Odevixibat, omwe amaperekedwa kwa ana ena kuti athetse kuyabwa kwa pakhungu komwe kumayambitsidwa ndi matenda osowa a chiwindi. Ngati mwana wanu wapatsidwa mankhwala awa ndi dokotala, ndiye kuti nkhaniyi idzakhala yofunika kwambiri kwa inu.
Kodi mankhwala a Odevixibat ndi otani?
Mwachidule, Odevixibat ndi mankhwala omwe amaperekedwa kuti achepetse kuyabwa kwambiri komwe kumachitika chifukwa cha vuto la chiwindi cha mwana wanu. Amadziwika ndi dzina la msika la Bylvay.
Malinga ndi zamankhwala, mankhwalawa ndi a gulu la mankhwala otchedwa ileal bile acid transporter (IBAT) inhibitors . Izi zikutanthauza kuti mankhwalawa amawongolera kuyamwanso kwa bile acid m'matumbo athu kulowa m'thupi.
Mankhwalawa amagwiritsidwa ntchito makamaka poletsa kuyabwa kwa odwala omwe ali ndi vuto lotchedwa Progressive Familyal Intrahepatic Cholestasis (PFIC) . PFIC ndi matenda osowa kwambiri omwe amakhudza kayendedwe ka ndulu kuchokera ku maselo a chiwindi. Izi zimapangitsa kuti ndulu ikuluikulu m'thupi, zomwe zimayambitsa kuyabwa kosapiririka. Odevixibat imagwira ntchito poletsa chomwe chimayambitsa kuyabwa.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwala
Musanagwiritse ntchito mankhwalawa, ndikofunikira kudziwitsa dokotala wanu za thanzi lanu kapena la mwana wanu. Onetsetsani kuti mwatchula izi makamaka:
- Kusowa kwa mavitamini: Ngati dokotala wakuuzani kuti muli ndi mavitamini A, D, E, kapena K ochepa m'magazi mwanu, muuzeni.
- Mimba: Ngati muli ndi pakati, kapena mukukonzekera kukhala ndi mwana posachedwa, muyenera kuuza dokotala wanu.
- Ngati ndinu mayi woyamwitsa: Ngati ndinu mayi woyamwitsa, onetsetsani kuti mwadziwitsa namwino.
Kulankhula ndi dokotala popanda kubisa chidziwitso chamtunduwu ndikofunikira kwambiri pa chitetezo chanu ndi cha mwana wanu.
Njira yolondola yogwiritsira ntchito mankhwala
Kuti mupindule kwambiri ndi mankhwalawa, ndikofunikira kwambiri kugwiritsa ntchito bwino. Imwani mlingo woyenera, panthawi yoyenera, monga momwe dokotala wanu wanenera.
| Malangizo | Momwe mungachitire |
|---|---|
| Kumwa mankhwala | Imwani nthawi yomweyo tsiku lililonse, ndi kapu yabwino ya madzi. Ndi bwino kumwa ndi chakudya. |
| Kumeza kapisozi | Mezani kapisozi yonse . Musaiswe, kuiphwanya, kapena kutafuna pazifukwa zilizonse. |
| Ngati n'kovuta kumeza | Ngati mukuvutika kumeza kapisozi, tsegulani mosamala, sakanizani ufa womwe uli mkati ndi supuni ziwiri za chakudya chokhuthala monga yogurt kapena applesauce, ndipo mezani mwachangu popanda kutafuna. Musasakanize mankhwalawa ndi zakumwa (madzi, mkaka, madzi). |
| Ndi mankhwala ena | Ngati mukumwa mankhwala ochepetsa cholesterol (ma resins omangira bile acid) monga Cholestyramine, Colesevelam, kapena Colestipol, amwe maola 4 musanayambe kumwa Odevixibat kapena maola 4 mutatha kumwa. |
Kodi ndi liti pamene muyenera kupereka mankhwalawa kwa ana?
Madokotala amalimbikitsa mankhwalawa kwa ana aang'ono ngati miyezi itatu pazochitika zina zapadera. Komabe, pali zinthu zina zomwe muyenera kusamala nazo. Chifukwa chake, mukamapatsa mwana wanu mankhwalawa, tsatirani malangizo a dokotalayo molondola.
Kodi mungachite chiyani ngati mwamwa mankhwala ochulukirapo?
Ngati mukuganiza kuti inu kapena mwana wanu mwamwa mankhwala ochulukirapo, musazengereze.
Imbani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital . Kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.
Nanga bwanji ngati ndaphonya mlingo wa mankhwala?
Ngati mwaiwala kumwa mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndi kumwa mlingo wotsatira panthawi yomwe mwakonza.Musamwe mlingo wowirikiza kawiri kuti mubwezeretse mlingo woyiwalika.
Zinthu zina zomwe zingagwirizane ndi mankhwalawa
Mankhwala ena amatha kuyanjana ndi Odevixibat, makamaka, monga tanenera kale, ndi mankhwala omwe ali mgulu la bile acid binding resins .
- Cholestyramine
- Colesevelam
- Colestipol
Mndandandawu sunathe. Chifukwa chake, ndikofunikira kwambiri kuuza dokotala wanu za mankhwala onse omwe mukumwa (kuphatikizapo mankhwala a matenda ena, mavitamini, ndi zitsamba zachikhalidwe).
Zinthu zoti muzisamala nazo mukamamwa mankhwala
- Kuyezetsa pafupipafupi: Onetsetsani kuti mwapita kukaonana ndi dokotala wanu kapena mwana wanu. Lankhulani ndi dokotala wanu ngati zizindikiro zanu zikuchepa kapena zikuipiraipira.
- Mavitamini: Ndikofunikira kuonetsetsa kuti mukupeza mavitamini omwe mukufuna (makamaka mavitamini osungunuka mafuta A, D, E, ndi K) mukamamwa mankhwalawa. Lankhulani ndi dokotala wanu za zakudya zomwe mumadya komanso zowonjezera zilizonse zomwe mukumwa.
- Kuyezetsa magazi: Pa nthawi ya chithandizo, dokotala wanu angakuwuzeni kuti muyeze zinthu monga momwe chiwindi chanu chimagwirira ntchito. Musazisiye.
Kodi zotsatirapo zake zingakhale zotani?
Monga mankhwala ena aliwonse, Odevixibat ingayambitse zotsatira zina zoyipa. Zina mwa izi zitha kukhala zoopsa, choncho ndikofunikira kuzidziwa.
| Mtundu wa zotsatira zoyipa | Zizindikiro |
|---|---|
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala nthawi yomweyo | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa kwambiri, kutupa kwa nkhope, milomo kapena lilime. |
| Zizindikiro za kuvulala kwa chiwindi | Mkodzo wakuda wachikasu kapena bulauni, kumva kutopa, kutentha thupi, kusowa chilakolako cha chakudya, kupweteka kumtunda kwa kumanja kwa m'mimba, komanso chikasu cha maso kapena khungu (jaundice). |
| Kutsegula m'mimba | Kutsegula m'mimba kosalekeza. |
| Zomwe muyenera kuuza dokotala wanu ngati zikupitirira kapena zikukuvutitsani | |
| Kuwawa kwam'mimba | Kupweteka kwa m'mimba konse. |
| Kusanza | Kusanza. |
Kodi muyenera kusunga bwanji mankhwala anu?
- Sungani pamalo omwe ana ndi ziweto sangafikire .
- Sungani pamalo ouma (pakati pa madigiri 20 ndi 25 Celsius) , pamalo otentha.
- Musagwiritse ntchito mankhwala otha ntchito. Tayani.
Kodi mumachotsa bwanji mankhwala osagwiritsidwa ntchito?
Si bwino kutaya mankhwala otha ntchito kapena osafunikira m'zinyalala kapena m'chimbudzi. Funsani dokotala wanu kuti akupatseni upangiri. Ngati akunena kuti palibe vuto kutaya mankhwalawo m'zinyalala, tulutsani mankhwalawo m'botolo, sakanizani ndi masamba a tiyi ogwiritsidwa ntchito kale, khofi wophikidwa, kapena dothi, ndikuyika m'thumba lotsekedwa bwino.
Uthenga Wopita Nawo Kunyumba
- Odevixibat ndi mankhwala omwe amaperekedwa kwa kuyabwa komwe kumachitika chifukwa cha vuto linalake la chiwindi lotchedwa PFIC ndipo ayenera kugwiritsidwa ntchito pokhapokha ngati dokotala walangiza.
- Mezani kapisozi yonse. Musaiphwanye kapena kutafuna. Sakanizani ndi chakudya cholimba ngati mukuvutika kumeza.
- Uzani dokotala wanu za mankhwala ena onse omwe mukumwa komanso matenda anu.
- Ngati muwona zotsatirapo zoyipa zilizonse, monga zizindikiro za ziwengo kapena zizindikiro za kuwonongeka kwa chiwindi (maso achikasu, mkodzo wakuda), dziwitsani dokotala wanu nthawi yomweyo.
- Ngati mwamwa mankhwala opitirira muyeso, pitani ku National Poison Information Center kapena ETU nthawi yomweyo.
- Ngati muli ndi mafunso okhudza mankhwalawa, onetsetsani kuti mwalankhula ndi dokotala wanu.
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