Mwina munadabwa pang'ono dokotala wanu atakupatsani mankhwala otchedwa Penicillamine. Awa si mankhwala omwe timamva kapena kugwiritsa ntchito nthawi zambiri. Koma ndi mankhwala ofunikira kwambiri pa matenda enaake apadera. Chifukwa chake lero, tiyeni tikambirane za mankhwala otchedwa Penicillamine, momwe tingawagwiritsire ntchito, komanso zinthu zomwe muyenera kusamala nazo.
Kodi kwenikweni chimachitika ndi mankhwala awa ndi chiyani?
Mwachidule, Penicillamine ndi mankhwala omwe amathandiza kugwira, kumangirira, ndikuchotsa zinthu zina m'thupi. Makamaka, amamangirira ku zitsulo zolemera ndi mankhwala otchedwa cystine m'matupi athu.
Chifukwa chake, mankhwalawa amagwiritsidwa ntchito makamaka pochiza matenda atatu:
- Matenda a Wilson: Ili ndi vuto la majini. Limapangitsa thupi kusonkhanitsa mkuwa wochuluka . Mkuwa wochulukawu ukhoza kuwononga ziwalo monga chiwindi ndi ubongo. Penicillamine imathandiza kuchotsa mkuwa wochulukawu m'thupi.
- Cystinuria: Ichinso ndi vuto la majini. Pa vutoli, miyala ya impso imapangidwa chifukwa cha amino acid yotchedwa cystine. Mankhwalawa amamangirira ku cystine, zomwe zimapangitsa kuti isungunuke ndikulola kuti ituluke mu mkodzo. Izi zimachepetsa kupangika kwa miyala ya impso.
- Matenda a Nyamakazi: Uwu ndi matenda omwe amayambitsa kutupa, kupweteka, ndi kutupa kwa mafupa. Nthawi zina madokotala amapereka mankhwala awa kwa nyamakazi yoopsa yomwe sinayankhe mankhwala ena.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwala
Kuti mukhale otetezeka, muyenera kuuza dokotala wanu izi musanayambe kumwa mankhwalawa.
- Ngati muli ndi vuto la kuchepa kwa magazi m'thupi kapena matenda ena okhudzana ndi magazi.
- Ngati muli ndi matenda a impso .
- Ngati muli ndi matenda a mitsempha ndi minofu otchedwa Myasthenia Gravis .
- Ngati mwakhalapo ndi vuto la ziwengo chifukwa cha Penicillamine, penicillin , kapena mankhwala ena aliwonse, chakudya, kapena utoto.
- Ngati muli ndi pakati kapena mukufuna kutenga mimba .
- Ngati ndinu mayi woyamwitsa .
Kutengera ndi izi, dokotala adzasankha ngati mankhwalawa ndi oyenera kwa inu kapena ayi, ndipo ngati ndi choncho, momwe mungawaperekere.
Kodi ndimagwiritsa ntchito bwanji mankhwalawa molondola?
Kuti mupindule kwambiri ndi mankhwalawa, ndikofunikira kwambiri kuwagwiritsa ntchito moyenera.
Chofunika kwambiri: Mankhwalawa ayenera kumwedwa nthawi zonse m'mimba yopanda kanthu.Izi zikutanthauza ola limodzi musanadye kapena maola awiri mutatha kudya. Musamwe ndi chakudya kapena mkaka.
- Imwani piritsi/kapisozi ndi kapu ya madzi.
- Ngati mukumwa mankhwala ena, makamaka mapiritsi a iron, mavitamini, kapena mankhwala oletsa asidi, siyani ola limodzi pakati pa kumwa mankhwalawa.
- Imwani mankhwala nthawi ndi nthawi monga momwe dokotala wanu wanenera. Ngati mumwa kamodzi patsiku, yesani kumwa nthawi yomweyo tsiku lililonse.
- Musasiye kumwa mankhwala. Ngati musiya kumwa mankhwala kwa masiku angapo kenako n’kuyambanso kumwa, mumakhala ndi vuto la ziwengo.
- Ngakhale mutamva bwino, musasiye kumwa mankhwala popanda upangiri wa dokotala.
- Ngati mankhwalawa aperekedwa kwa ana, ayenera kuperekedwa kokha motsogozedwa ndi dokotala wa ana.
Kodi mumatani ngati mwamwa mankhwala ochulukirapo?
Ngati mukuganiza kuti mwamwa mankhwala opitirira mlingo womwe mwapatsidwa, musachite mantha. Pitani ku Dipatimenti Yoona za Zadzidzidzi (ETU) yapafupi nthawi yomweyo. Kapena imbani National Poisons Information Centre ku Colombo National Hospital kuti mupeze malangizo.
Nanga bwanji ngati ndaphonya mlingo wa mankhwala?
Imwani mlingo womwe mwaphonya nthawi yomweyo mukakumbukira. Komabe, ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe milingo iwiri nthawi imodzi pazifukwa zilizonse.
Mankhwala ena omwe angagwirizane ndi mankhwalawa
Penicillamine ndi mankhwala omwe angagwirizane ndi mankhwala ena, choncho uzani dokotala wanu za mankhwala onse omwe mukumwa.
- Ndikofunikira kupewa kumwa mankhwala oletsa malungo pamodzi ndi mankhwalawa.
- Mapiritsi achitsulo
- Mankhwala oletsa asidi okhala ndi aluminiyamu kapena magnesium
- Mankhwala a khansa (chemotherapy)
- Mankhwala agolide a nyamakazi
- Ma multivitamini okhala ndi zitsulo, mchere, kapena chitsulo
- Mankhwala ochepetsa ululu monga Oxyphenbutazone, Phenylbutazone
Mndandandawu sunathe, choncho onetsetsani kuti mwauza dokotala wanu za mankhwala onse omwe mumamwa, kuphatikizapo mavitamini, mankhwala azitsamba, ndi zowonjezera.
Zinthu zoti muzisamala nazo mukamamwa mankhwala
- Kuyezetsa magazi nthawi zonse: Mukumwa mankhwala awa, dokotala wanu adzakufunsani kuti muyezedwe magazi nthawi zonse. Musazengereze izi. Izi ndizofunikira kwambiri kuti mukhale otetezeka.
- Khalani oleza mtima: Zingatenge miyezi iwiri kapena itatu kuti zizindikiro zithe ndipo mumve bwino. Choncho musachite mantha.
- Zakudya zapadera:Mungauzidwe kuti mutsatire zakudya zapadera. Komanso, funsani dokotala wanu ngati mukufuna kumwa mankhwala owonjezera a vitamini, monga vitamini B6.
- Ngati mukumwa mankhwalawa chifukwa cha cystinuria, ndikofunikira kumwa madzi ambiri . Dokotala akuti mumwe magalasi awiri amadzi, makamaka musanagone usiku, ndi magalasi ena awiri amadzi mukadzuka pakati pa usiku .
- Opaleshoni: Ngati mukufuna opaleshoni iliyonse, onetsetsani kuti mwauza dokotalayo kuti mukumwa Penicillamine.
Ndi zotsatirapo ziti zomwe zingachitike?
Monga mankhwala ena aliwonse, mankhwalawa angayambitse mavuto ena mwa anthu ena. Ena ndi oopsa, ena si oopsa kwambiri.
| Zotsatira zoyipa | Kufotokozera ndi choti muchite |
|---|---|
| Zotsatirapo zoyipa zomwe muyenera kuuza dokotala wanu nthawi yomweyo | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo kapena lilime. |
| Kuvuta kupuma | Kuvuta kupuma. |
| Malungo, pakhosi, kuzizira | Izi zitha kukhala zizindikiro za matenda. |
| Kutuluka magazi kosazolowereka kapena kuvulala | Kutuluka magazi m'mphuno pafupipafupi, kutuluka magazi m'kamwa, komanso kuvulala. |
| Matuza a pakhungu kapena khungu lotupa | Kufiira, kutupa, kapena kutsekeka kwa khungu, kuphatikizapo mkati mwa pakamwa. |
| Zizindikiro zina zazikulu | Chimbudzi chakuda, mkodzo wakuda, kusintha kwa masomphenya, zilonda pakamwa, kupweteka kwa mafupa, kusintha kwa kuchuluka kwa mkodzo, kutopa kosazolowereka. |
| Zotsatirapo zomwe ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Mavuto a m'mimba | Kusanza, kusanza, kupweteka m'mimba, kudzimbidwa, kusowa chilakolako cha chakudya. |
| Zina mwazinthu | Kusintha kwa kukoma, makwinya kapena khungu lotayirira, kukwiya. |
Ngati mukukumana ndi zizindikiro zina zachilendo zomwe sizinatchulidwe pamndandandawu, chonde dziwitsani dokotala wanu za zizindikirozo.
Uthenga Wopita Nawo Kunyumba
- Nthawi zonse imwani Penicillamine muli ndi njala m'mimba, ola limodzi musanadye kapena maola awiri mutadya. Musamwe pamodzi ndi mkaka kapena mankhwala ena.
- Pewani kusiya kumwa mankhwala kapena kudumpha mlingo popanda malangizo a dokotala.
- Uzani dokotala wanu za mankhwala ena onse, mavitamini, ndi zowonjezera zomwe mukumwa.
- Ndikofunikira kwambiri kupita kukayezetsa magazi ndi kukayezetsa magazi nthawi yake.
- Ngati mukukumana ndi mavuto aakulu monga kutupa pakhungu, kutentha thupi, kapena kupuma movutikira, dziwitsani dokotala wanu nthawi yomweyo.
- Sungani mankhwalawa pamalo omwe ana sangafikire, kutentha kwa chipinda, ndipo mutseke bwino kuti mpweya usatuluke.
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