Dokotala wanu akakuuzani inu kapena munthu wina m'banja mwanu kuti muyenera kulandira jakisoni wa mankhwala otchedwa Pentamidine, n'zachibadwa kukhala ndi chidwi pang'ono, komanso mwina mantha. "Kodi mankhwalawa ndi chiyani?", "Chifukwa chiyani akuperekedwa?", "Chidzachitike ndi chiyani ndi awa?" zimabwera m'maganizo mwanga. Lero, tiyeni tikambirane m'njira yosavuta komanso yochezeka za mankhwala otchedwa Pentamidine awa, chifukwa chake amaperekedwa, zotsatira zake, ndi zinthu zomwe tiyenera kuda nkhawa nazo.
Mwachidule, kodi Pentamidine ndi chiyani?
Pentamidine ndi mankhwala amphamvu omwe ali m'gulu la mankhwala oletsa matenda. Amaperekedwa ngati jakisoni. Ntchito yake yayikulu ndikuchiza mtundu wa chibayo wotchedwa Pneumocystis carinii pneumonia (timaitcha kuti PCP mwachidule).
Kumbukirani, PCP si ngati chibayo chomwe chimabwera pambuyo pa chimfine. Ndi matenda oopsa kwambiri m'mapapo omwe amatha kuchitika, makamaka kwa anthu omwe ali ndi chitetezo chamthupi chofooka. Chifukwa chake ichi ndi chomwe mankhwala amphamvu ngati awa amagwiritsidwa ntchito pochiza.
Madokotala nthawi zina angakupatseni mankhwala awa pa matenda ena, choncho ngati muli ndi mafunso, funsani dokotala wanu za mankhwalawa.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwala
Ndikofunikira kwambiri kuti dokotala wanu adziwe za thanzi lanu lonse musanasankhe kukupatsani mankhwala awa. Muyenera kuwauza makamaka ngati muli ndi vuto lililonse lomwe latchulidwa pansipa.
- Ngati muli ndi matenda a shuga .
- Ngati muli ndi matenda a mtima kapena vuto la kugwira ntchito kwa mtima.
- Ngati muli ndi matenda a impso .
- Ngati kale munali ndi vuto monga pancreatitis .
- Ngati muli ndi vuto la ziwengo ndi Pentamidine, mankhwala ena aliwonse, chakudya, utoto, kapena mankhwala osungira.
- Ngati muli ndi pakati , kapena mukuyembekezera mwana posachedwa.
- Ngati ndinu mayi woyamwitsa .
Kutengera ndi izi, dokotala adzasankha ngati akupatseni mankhwala awa kapena ayi, kapena njira zodzitetezera.
Kodi mankhwalawa amaperekedwa bwanji m'thupi?
Mankhwala awa si omwe mungapite nawo kunyumba. Jakisoni wa Pentamidine amaperekedwa kuchipatala kapena kuchipatala, moyang'aniridwa ndi ogwira ntchito zachipatala ophunzitsidwa bwino. Izi zili choncho chifukwa ndi mankhwala amphamvu ndipo zotsatirapo zake ziyenera kuthetsedwa mwachangu.
Pali njira ziwiri zoperekera katemera:
1.Kupereka katemera m'mitsempha: Kupereka katemera mu minofu m'chiuno kapena m'dzanja.
2. Kulowetsedwa m'mitsempha: Mankhwala, monga saline, amalowetsedwa pang'onopang'ono m'thupi kudzera m'mitsempha.
Kodi mumapereka izi kwa ana aang'ono?
Inde, nthawi zina zapadera, mankhwalawa amatha kuperekedwa kwa ana aang'ono ngati miyezi 4. Koma ayenera kuchitidwa mosamala kwambiri komanso moyang'aniridwa ndi dokotala wa ana.
Nanga bwanji ngati mlingo wa mankhwala ukuwonjezeka?
Popeza izi zimaperekedwa kuchipatala, chiopsezo cha kumwa mankhwala mopitirira muyeso kapena mopitirira muyeso n'chochepa kwambiri. Ngati pali kukayikira kulikonse kwa chinthu choterocho, ogwira ntchito zachipatala adzachitapo kanthu nthawi yomweyo. Ngati muli ndi nkhawa iliyonse pa izi, ndikofunikira kupita ku ETU (Emergency Treatment Unit) nthawi yomweyo kapena kuyimbira foni National Poisons Information Centre ku Colombo National Hospital .
Mankhwala ena omwe angagwirizane ndi mankhwalawa (Kuyanjana kwa Mankhwala)
Popeza Pentamidine ndi mankhwala amphamvu, imatha kuyanjana ndi mankhwala ena omwe mukumwa. Chifukwa chake, ndikofunikira kwambiri kuuza dokotala wanu za mankhwala onse omwe mukumwa, kuphatikizapo mankhwala olembedwa ndi dokotala, mankhwala ogulitsidwa kunja kwa chipatala, mankhwala achikhalidwe a Ayurvedic, mavitamini, ndi zowonjezera. Pansipa pali zitsanzo za mankhwala ena omwe angagwirizane ndi Pentamidine.
| Gulu la mankhwala | Mankhwala omwe amafunikira chisamaliro chapadera (zitsanzo) |
|---|---|
| Mankhwala olamulira kayendedwe ka mtima | Mitundu yosiyanasiyana ya mankhwala omwe amaperekedwa kwa anthu omwe ali ndi vuto la mtima wosakhazikika. |
| Maantibayotiki ena | Mwachitsanzo: clarithromycin, erythromycin, moxifloxacin, gentamicin, vancomycin. |
| Mankhwala a matenda amisala | Mankhwala oletsa kuvutika maganizo (monga amitriptyline), ndi mankhwala ena a matenda amisala (monga haloperidol, chlorpromazine). |
| Mankhwala a shuga | Pentamidine imatha kusintha kuchuluka kwa shuga m'magazi, choncho muyenera kusamala kwambiri mukamapereka mankhwala a shuga. |
| Mankhwala ena oletsa matenda | Mankhwala oletsa malungo (monga chloroquine), mankhwala ena oletsa mavairasi (monga foscarnet, ganciclovir). |
| Mankhwala ena a khansa (Chemotherapy) | Mankhwala ena oletsa khansa. |
Mndandanda uwu sunathe, choncho onetsetsani kuti mwauza dokotala wanu za mankhwala onse omwe mukumwa.
Zotsatirapo zomwe zingakhalepo ndi zinthu zomwe muyenera kuzidziwa mukamamwa mankhwalawo
Ogwira ntchito zachipatala adzayang'anira thanzi lanu mosamala pamene mukumwa mankhwala awa. Adzayang'anira ngati zizindikiro zanu zikuchepa kapena zikuipiraipira.
Samalani ndi kuchuluka kwa shuga m'magazi mwanu!
Zotsatira zake zazikulu za pentamidine ndikuti zimatha kusintha kuchuluka kwa shuga m'magazi. Nthawi zina zimatha kukhala zokwera kwambiri, ndipo nthawi zina zimatha kukhala zochepa kwambiri. Ndikofunikira kudziwa zizindikiro izi.
- Zizindikiro za shuga wambiri m'magazi: ludzu lochuluka, kukodza pafupipafupi, fungo loipa la mpweya wochokera ku zipatso, komanso kugona tulo topitirira muyeso.
- Zizindikiro za shuga wotsika m'magazi: njala yoopsa, khungu lotumbululuka, mutu, kusowa mtendere, kunjenjemera, ndi thukuta.
Ngati mukukumana ndi zizindikiro izi , uzani dokotala kapena namwino amene akukuthandizani nthawi yomweyo.
| Zotsatirapo Zake | |
|---|---|
| Ngati zizindikirozi zichitika, dziwitsani ogwira ntchito zachipatala nthawi yomweyo. | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo kapena lilime. |
| Kuvuta kupuma | Kuvuta kupuma, kupuma movutikira. |
| Kusintha kwa kugunda kwa mtima | Kupweteka pachifuwa, kugunda kwa mtima mofulumira kapena kosasinthasintha. |
| Zizindikiro zina zoopsa | Kusanza, malungo, kuzizira, kutuluka magazi kapena mabala osazolowereka, chikasu cha maso kapena khungu, kuvutika kukodza, kupweteka kapena kufiira pamalo omwe jakisoniyo adabayidwa. |
| Izi nthawi zambiri sizimakhala zoopsa, koma ngati zikupitirira, uzani dokotala wanu. | |
| Mavuto a m'mimba | Kutsegula m'mimba, nseru, kupweteka m'mimba, kusanza. |
| Zinthu zina zazing'ono | Mutu, kukoma kwachitsulo mkamwa, kupweteka kwa minofu. |
Uthenga Wopita Nawo Kunyumba
- Pentamidine ndi katemera wamphamvu wogwiritsidwa ntchito pochiza matenda oopsa a chibayo otchedwa Pneumocystis carinii pneumonia (PCP) .
- Mankhwalawa amaperekedwa kuchipatala, moyang'aniridwa ndi ogwira ntchito zachipatala. Mankhwalawa si oti munthu atenge kunyumba.
- Ngati muli ndi matenda a shuga, matenda a mtima, matenda a impso, kapena ziwengo zina, uzani dokotala wanu musanayambe kumwa mankhwala.
- Ndikofunikira kudziwitsa dokotala wanu za mankhwala ena onse omwe mukumwa (kuphatikizapo mankhwala achikhalidwe).
- Dziwani kusintha kwa shuga m'magazi mwanu (monga ludzu lochuluka, kugwedezeka) mukamamwa mankhwalawa. Ngati muwona kusintha kulikonse, uzani ogwira ntchito kuchipatala nthawi yomweyo.
- Ngati mukukumana ndi zizindikiro monga ziwengo zoopsa, kupweteka pachifuwa, kapena kupuma movutikira, dziwitsani ogwira ntchito zachipatala nthawi yomweyo.
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