Kodi dokotala wanu wakupatsani katemera wotchedwa Peginterferon Alfa-2a ngati mankhwala a matenda a chiwindi a B kapena C osatha? Dzina la mankhwalawa ndi lovuta pang'ono, kotero mwina mukusokonezeka pang'ono, mwinanso mantha. Koma musadandaule. Lero, tikambirana za mankhwalawa, momwe mungagwiritsire ntchito, zomwe muyenera kusamala nazo, komanso zotsatirapo zake m'njira yosavuta komanso yochezeka.
Mwachidule, ndi mankhwala opangidwa omwe amagwira ntchito ngati mapuloteni opangidwa ndi thupi lathu. Ntchito yake yayikulu ndikuthandiza thupi kulamulira matenda opatsirana ndi mavairasi otchedwa hepatitis B ndi C. Nthawi zina angagwiritsidwenso ntchito pa matenda ena. Ngati muli ndi mafunso okhudza mankhwalawa, mutha kufunsa dokotala wanu.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa
Ndikofunikira kwambiri kuti dokotala wanu adziwe mbiri yonse ya thanzi lanu musanayambe chithandizochi. Choncho ngati muli ndi vuto lililonse mwa zotsatirazi, onetsetsani kuti mwalankhula ndi dokotala wanu za vutoli.
- Ngati muli ndi vuto la uchidakwa.
- Matenda monga matenda a chiwindi otchedwa autoimmune hepatitis.
- Matenda okhudzana ndi magazi kapena matenda otuluka magazi.
- Matenda a m'mimba (colitis). Mwachitsanzo, matenda a zilonda zam'mimba kapena matenda a Crohn.
- Kuvutika maganizo kapena matenda ena amisala.
- Matenda a shuga.
- Kuledzera ndi mankhwala osokoneza bongo.
- Matenda a mtima.
- Ngati munakhalapo ndi matenda a khansa kale.
- Matenda a impso.
- Matenda monga lupus, psoriasis, kapena rheumatoid arthritis.
- Mavuto a chithokomiro.
- Ngati mwakhalapo ndi vuto la ziwengo chifukwa cha peginterferon kapena mankhwala ena aliwonse, chakudya, utoto, kapena mankhwala osungira.
- Ngati muli ndi pakati kapena mukufuna kutenga mimba.
- Ngati ndinu mayi amene akuyamwitsa mwana.
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
Iyi ndi jakisoni pansi pa khungu. Musagwedeze botolo pazifukwa zilizonse. Chipatala kapena chipatala chidzakuuzani momwe mungakonzekerere ndi jakisoni wa katemerayu. Gwiritsani ntchito mlingo weniweni, panthawi yeniyeni, monga momwe dokotala wanu walangizira. Musagwiritse ntchito mopitirira muyeso womwe walangizidwa.
Chofunika kwambiri: Muyenera kuyika singano ndi ma syringe omwe mwagwiritsa ntchito kale m'chidebe chosungiramo zinthu. Musawaike m'zinyalala. Ngati mulibe, funsani dokotala wanu momwe mungapezere imodzi.
Ngati mukupereka mankhwalawa kwa ana, muyenera kulankhula ndi dokotala wa ana za mankhwalawa. Nthawi zina, amaperekedwa kwa ana azaka zitatu, koma ndi njira zodzitetezera zapadera.
Kodi mungachite chiyani ngati mwamwa mankhwala ochulukirapo?
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, imbani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital , kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.
Kumbukirani, mankhwalawa aperekedwa kwa inu nokha. Musagawane ndi wina aliyense.
Kodi mungachite chiyani ngati mwaphonya mlingo wa mankhwala?
Ngati mwaphonya mlingo ndipo mwakumbukira mkati mwa masiku awiri, imwani mwamsanga mukangokumbukira. Koma ngati tsiku latha, imwani tsiku lotsatira. Koma ngati masiku opitirira awiri, funsani dokotala wanu choti muchite kenako. Musamwe mlingo wowonjezera kapena milingo iwiri nthawi imodzi.
Zinthu zina zomwe zingagwirizane ndi mankhwalawa
Zinthu zina zingagwirizane ndi mankhwalawa, choncho uzani dokotala wanu zonse zomwe mukumwa.
- Mowa
- Mankhwala ena a kachilombo ka HIV
- Methadone
- Theophylline
Mndandandawu sunathe. Choncho uzani dokotala wanu za mankhwala onse omwe mumamwa (olembedwa ndi dokotala, osalembedwa ndi dokotala, mankhwala azitsamba, mavitamini). Komanso, uzani dokotala wanu ngati mumasuta fodya, mumamwa mowa, kapena mumagwiritsa ntchito mankhwala ena osokoneza bongo.
Kodi ndi zinthu ziti zomwe muyenera kusamala nazo mukamamwa mankhwala?
- Kuyezetsa magazi nthawi zonse: Pitani kwa dokotala wanu masiku omwe mwakonza kuti muwone thanzi lanu. Mungafunikenso kuyezetsa magazi nthawi zonse.
- Matenda a pakhungu: Matenda ena a pakhungu angachitike ngakhale patatha milungu ingapo mutagwiritsa ntchito mankhwalawa. Uzani dokotala wanu nthawi yomweyo ngati muyamba kutupa ndi zizindikiro monga malungo kapena kuzizira. Matendawa amatha kukhala ofiira kapena ofiirira, kenako matuza ndipo khungu likhoza kuyamba kutseguka. Kapena, ngati muwona kutupa kofiira ndi kutupa kwa nkhope, milomo, kapena kutupa kwa khosi kapena m'khwapa, funsani upangiri wa dokotala nthawi yomweyo.
- Kugona ndi chizungulire: Mungamve ngati mukugona kapena mukuzungulire. Choncho , pewani zinthu zomwe zimafuna kukhala maso, monga kuyendetsa galimoto kapena kugwiritsa ntchito makina, mpaka mutadziwa bwino momwe mankhwalawa amakukhudzirani. Musayime kapena kukhala tsonga mwadzidzidzi, makamaka ngati ndinu okalamba. Pewani kumwa mowa kwathunthu, chifukwa vutoli likhoza kukulirakulira mukamwa mowa.
- Mulingo wa shuga m'magazi:Mankhwalawa angawonjezere shuga m'magazi. Ngati muli ndi matenda a shuga, funsani dokotala wanu ngati mukufuna kusintha zakudya kapena mankhwala anu.
Kodi ndi zotsatirapo zotani zomwe ndingakumane nazo?
Monga mankhwala ena aliwonse, mankhwalawa akhoza kukhala ndi zotsatirapo zina. Tiyeni tikambirane mwachidule.
| Zotsatira zoyipa | Kufotokozera |
|---|---|
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala wanu nthawi yomweyo | |
| Matenda oopsa a ziwengo | Kuyabwa, ziphuphu, kutupa kwa nkhope, milomo, kapena lilime. |
| Kuvuta kupuma | Kuvuta kupuma, kupweteka pachifuwa. |
| Kusintha kwa maganizo | Mkwiyo waukulu, kuvutika maganizo, mkwiyo, ndi malingaliro ofuna kudzipha. |
| Mavuto a mitsempha | Kusokonezeka, kuvutika kulankhula kapena kumvetsetsa, kuvutika kuyenda, chizungulire, kulephera kukhazikika bwino, kusanza kapena kupweteka miyendo, kufooka mwadzidzidzi kwa nkhope, mkono kapena mwendo. |
| Zizindikiro zina zazikulu | Kutsegula m'mimba ndi magazi, kusintha kwa maso, kugunda kwa mtima mofulumira kapena kosasinthasintha, kuthamanga kwa magazi, kutentha thupi, kupweteka m'mimba kapena pansi pa msana, kutuluka magazi kosazolowereka kapena kuvulala, kuvutika kukodza, kutupa kapena kutsekeka kwa khungu (ngakhale mkati mwa pakamwa). |
| Zizindikiro za shuga wambiri m'magazi | Ludzu kapena njala yambiri kuposa masiku onse, kukodza pafupipafupi, kutopa kwambiri, kusawona bwino. |
| Zotsatirapo zomwe ziyenera kufotokozedwa kwa dokotala ngati zikupitirira kapena zikuvutitsa | |
| Zovuta zonse | Kupweteka thupi, khungu louma komanso loyabwa, kutayika tsitsi, kusowa chilakolako cha chakudya, nseru, kusowa tulo, komanso kumva kutopa kwambiri. |
| Mavuto pamalo obayira jakisoni | Ululu kapena kutupa komwe kunabayidwa jakisoni. |
Kodi ndiyenera kusunga bwanji mankhwalawo?
Sungani mankhwalawa kutali ndi ana. Sungani mufiriji pa madigiri 2 mpaka 8 Celsius (36-46 Fahrenheit). Musamaundane. Tetezani ku kuwala. Musasiye kunja kwa firiji kwa maola opitilira 24. Tayani mankhwala otha ntchito.
Uthenga Wopita Nawo Kunyumba
- Peginterferon Alfa-2a ndi jakisoni wopangidwa pansi pa khungu lomwe limagwiritsidwa ntchito pochiza matenda a chiwindi a B ndi C osatha.
- Musanayambe chithandizochi, uzani dokotala wanu za matenda ena onse omwe muli nawo komanso mankhwala onse omwe mukumwa.
- Nenani za zizindikiro zilizonse zachilendo, makamaka zomwe zimachitika pakhungu kapena kusintha kwa maganizo (kukhumudwa, maganizo ofuna kudzipha) kwa dokotala nthawi yomweyo mukumwa mankhwala.
- Imwani mankhwala anu panthawi yomwe mwakonza. Ngati mwaphonya mlingo, funsani dokotala wanu. Musamwe mankhwala awiri nthawi imodzi.
- Pewani kumwa mowa kotheratu.
- Tayani singano ndi ma syringe omwe agwiritsidwa ntchito mosamala mu chidebe chapadera.
👩🏽⚕️ Mafunso ena (Mafunso Ofunsidwa Kawirikawiri)
💬 Kodi mapiritsi a Ezetimibe ndi Simvastatin / Vytorin amagwiritsidwa ntchito pa chiyani?
Iyi si piritsi wamba la cholesterol! Iyi ndi mankhwala amphamvu kwambiri komanso ogwira mtima omwe ali ndi mitundu iwiri ya mankhwala (Combination Medicine) mu piritsi limodzi kwa iwo omwe 'cholesterol yoipa (High LDL)' singachepetsedwe/kulamuliridwa ndi piritsi limodzi! Izi zimaletsa matenda a mtima ndi sitiroko 100%.
💬 Kodi mankhwala awiriwa (Vytorin) amagwira ntchito bwanji limodzi kuti achotse cholesterol m'thupi lathu?
Izi zimaukira mbali ziwiri! 1. Ezetimibe - Zimapita ku matumbo athu ndikutseka zipata zonse (chonyamula NPC1L1) chomwe chimatenga cholesterol/mafuta kuchokera muzakudya zomwe timadya kulowa m'thupi (magazi) ndikutulutsa mwamphamvu ndi ndowe (Zimaletsa kuyamwa). 2. Simvastatin - Zimapita ku chiwindi chathu ndikutseka kwathunthu makina omwe amapanga mafuta/cholesterol yatsopano m'chiwindi (HMG-CoA Reductase). Nkhondo iyi idzathetsa cholesterol.
💬 Kodi ndi zoopsa ziti zomwe muyenera kuzidziwa mukamamwa piritsi lamphamvu la cholesterol (Vytorin)?
Ngakhale izi zili bwino, chiopsezo chachikulu ndi 'Myopathy/Rhabdomyolysis'! Ngati mukumva kupweteka kwa minofu kosapiririka, kufooka, ndi mkodzo wakuda, uzani dokotala wanu nthawi yomweyo, apo ayi impso zanu zingasiye kugwira ntchito ndipo mungamwalire. Komanso, izi ndizoletsedwa kwa 'amayi apakati' ndi omwe ali ndi 'matenda a chiwindi'!
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