Mwina inu kapena munthu wina m'banja mwanu mwagonekedwa m'chipatala, ndipo dokotala wabwera nati, "Matendawa ndi oopsa pang'ono, tiyeni tiyambe kumwa mankhwala amphamvu opha tizilombo toyambitsa matenda m'mitsempha." Nthawi ngati zimenezi, imodzi mwa mankhwala ogwiritsidwa ntchito kwambiri komanso ofunikira kwambiri m'dziko lathu komanso padziko lonse lapansi ndi jakisoni uyu, womwe ndi kuphatikiza kwa mankhwala awiri otchedwa Piperacillin ndi Tazobactam. Mwina munamvapo za izi ndi dzina lodziwika bwino la Zosyn. Lero, tiyeni tikambirane mwachidule za mankhwala awa, zomwe amachita, komanso zomwe tiyenera kusamala nazo tikamamwa.
Mwachidule, kodi Piperacillin; Tazobactam ndi chiyani?
Uwu ndi mankhwala amphamvu opha tizilombo toyambitsa matenda . Izi zikutanthauza kuti mankhwalawa amatha kupha mabakiteriya omwe amalowa m'thupi mwathu ndikuchiritsa matenda omwe amayamba chifukwa cha mankhwalawa. Ndi a gulu la mankhwala otchedwa Penicillin. Mwina munamvapo za Penicillin kale.
Koma apa ndi pomwe anthu ambiri amalakwitsa. Mankhwalawa amagwira ntchito kokha pa matenda a bakiteriya . Sakhudza matenda opatsirana ndi mavairasi monga chimfine, chimfine, chifuwa, ndi COVID-19. Chifukwa chake, awa ndi mankhwala omwe ayenera kugwiritsidwa ntchito pokhapokha ngati dokotala wakupatsani mankhwala. Mwachitsanzo, amaperekedwa makamaka pa matenda oopsa a bakiteriya monga chibayo, matenda amkodzo, matenda oopsa a pakhungu, ndi matenda amkati mwa m'mimba.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwalawa
Izi ndizofunikira kwambiri. Ndikofunikira kuti dokotala wanu adziwe mbiri yanu yonse ya thanzi lanu asanasankhe kukupatsani jakisoni iyi. Onetsetsani kuti mwawauza za vuto lililonse mwa zotsatirazi, makamaka ngati muli nalo:
| Mkhalidwe wanu | N’chifukwa chiyani muyenera kuuza dokotala za vutoli? |
|---|---|
| Ziwengo za mankhwala aliwonse | Ichi ndiye chinthu chofunikira kwambiri. Makamaka ngati mudakumanapo ndi vuto la Penicillin kapena mankhwala ena opha tizilombo m'gulu la Cephalosporin, zomwe zingakhale zoopsa kwa inu. Komanso, tiuzeni za vuto lina lililonse lomwe muli nalo pa mankhwala, zakudya, kapena utoto uliwonse. |
| Matenda a impso | Mankhwalawa amachotsedwa m'thupi kudzera mu impso. Choncho ngati impso zanu sizikugwira ntchito bwino, mlingo wa mankhwalawo uyenera kusinthidwa moyenera. Kupanda kutero, mankhwalawa akhoza kusonkhana m'thupi ndikuwonjezera zotsatirapo zake. |
| Matenda a magazi otsekeka kapena kutuluka magazi | Mankhwalawa nthawi zina amatha kuchepetsa magazi omwe amaundana, choncho ngati muli kale ndi vuto la kutuluka magazi, ndikofunika kuuza dokotala wanu. |
| Mulingo wochepa wa potaziyamu | Mankhwalawa angapangitse kuti potaziyamu m'thupi lanu achepe kwambiri. Choncho ngati muli kale ndi vutoli, muyenera kuliganizira kwambiri mukamalandira chithandizo. |
| Matenda a m'mimba kapena m'matumbo (monga colitis) | Mankhwala ena opha tizilombo toyambitsa matenda angayambitse kutupa kwa matumbo (colitis). Uzani dokotala wanu ngati muli ndi mbiri ya matendawa. |
| Ngati muli ndi pakati kapena mukuyesera kutenga pakati | Mankhwala aliwonse ayenera kumwedwa mosamala kwambiri panthawi ya mimba. Choncho ngati muli mu mkhalidwe umenewu, dziwitsani dokotala wanu. |
| Ngati ndinu mayi woyamwitsa | Mankhwala ochepa kwambiri amenewa amatha kulowa mu mkaka wa m'mawere. Choncho ngati ndinu mayi woyamwitsa, lankhulani ndi dokotala wanu za nkhaniyi. |
Kodi mumagwiritsa ntchito bwanji mankhwalawa?
Mankhwalawa amaperekedwa ngati jakisoni mumtsempha (jakisoni wa m'mitsempha kapena wa m'mitsempha) . Nthawi zambiri amaperekedwa ndi wogwira ntchito zachipatala kuchipatala kapena ku chipatala. Mankhwalawa amachepetsedwa madzi kenako amalowetsedwa m'thupi kudzera mu saline solution.
Komabe, pazochitika zina zoopsa za matenda, mungafunike kupitiriza chithandizochi kunyumba mutatuluka kuchipatala. Ngati zili choncho, inu kapena wosamalira wanu mudzaphunzitsidwa momwe mungachitire bwino, kukonzekera mankhwala, ndi kupereka jakisoni.
Chofunika kwambiri ndikumwa mankhwalawa kwa masiku onse omwe dokotala wanu wakupatsani. Musasiye kuganiza kuti, "Ndikumva bwino tsopano." Ngati mutatero, matendawa sangachiritsidwe kwathunthu ndipo angabwererenso.
Ngati mukugwiritsa ntchito mankhwalawa kunyumba, musataye singano ndi ma syringe ogwiritsidwa ntchito kale m'zinyalala. Ayenera kuyikidwa mu chidebe chapadera ('chidebe cha sharps'). Ngati mulibe, funsani dokotala wanu momwe mungapezere chimodzi.
Kodi mankhwalawa angaperekedwe kwa ana aang'ono?
Inde. Mankhwalawa amalimbikitsidwanso kwa ana opitirira miyezi iwiri pazochitika zina zapadera. Koma amachitidwa motsogozedwa ndi dokotala wa ana, mosamala kwambiri.
Kodi mungachite chiyani ngati mlingo wa mankhwala wawonjezeka?
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo kuposa omwe mwapatsidwa, pitani ku Dipatimenti Yoona za Zadzidzidzi (ETU) yapafupi nthawi yomweyo. Kapena imbani National Poisons Information Centre ku Colombo National Hospital .
Kodi mungachite chiyani ngati mwaphonya mlingo wa mankhwala?
- Ngati muli kuchipatala: Adzaonetsetsa kuti mwalandira mankhwala anu pa nthawi yake. Ngati pazifukwa zina simungathe kufika kuchipatala pa nthawi yake, muwadziwitse pasadakhale.
- Kunyumba: Ngati mwaphonya mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yatsala pang'ono yoti mutenge mlingo wotsatira, thawani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe milingo iwiri nthawi imodzi pazifukwa zilizonse.
Ndi mankhwala ena ati omwe angagwirizane ndi mankhwalawa?
Inde, mankhwala ena amatha kusokonezana ndi Piperacillin; Tazobactam. Choncho, uzani dokotala wanu za mankhwala onse omwe mukumwa (kuphatikizapo mavitamini, mankhwala azitsamba, ndi zowonjezera).
| Mtundu wa mankhwala | Kufotokozera |
|---|---|
| Mankhwala ochepetsa magazi | Ngati mumwa mankhwala monga Warfarin, Heparin, ndi Aspirin, chiopsezo chotuluka magazi chikhoza kuwonjezeka. |
| Methotrexate | Mankhwalawa, omwe amagwiritsidwa ntchito pochiza khansa ndi matenda ena a nyamakazi, amatha kuyanjana ndi Piperacillin m'thupi ndikuwonjezera zotsatirapo zake. |
| Probenecid | Mankhwalawa, omwe amaperekedwa kwa gout, amachedwetsa kuchotsedwa kwa Piperacillin m'thupi, zomwe zingawonjezere kuchuluka kwake. |
| Vancomycin | Uwu ndi mankhwala ena amphamvu opha tizilombo toyambitsa matenda. Mankhwalawa akaperekedwa pamodzi, pamakhala mwayi waukulu woti impso ziwonongeke. |
| Vecuronium | Piperacillin ingasinthe momwe mankhwala monga awa amagwiritsidwa ntchito pochiza ululu panthawi ya opaleshoni. |
Zinthu zoti muziganizire panthawi ya chithandizo
- Samalani ndi zizindikiro: Uzani dokotala wanu ngati zizindikiro zanu zikuchepa kapena zikuipiraipira.
- Kusintha kwa khungu: Matenda ena aakulu pakhungu angachitike ngakhale milungu ingapo mutayamba kumwa mankhwalawa. Ngati muwona kufiira kulikonse, matuza, khungu likutuluka pamodzi ndi malungo, kupweteka kwa thupi, kapena zizindikiro zina , uzani dokotala wanu nthawi yomweyo. Komanso, samalani ndi kutupa kwa nkhope, milomo, kapena ziphuphu m'khosi kapena m'khwapa.
- Kutsegula m'mimba: N'zachibadwa kuti anthu ena azitsegula m'mimba akamamwa maantibayotiki. Komabe, ngati muli ndi kutsegula m'mimba kwakukulu komanso kopanda madzi komwe kumatenga masiku opitilira awiri, lankhulani ndi dokotala wanu m'malo momwa mankhwala operekedwa ndi dokotala.
- Kwa anthu omwe ali ndi matenda a shuga: Ngati mukulandira chithandizo cha matenda a shuga, mayeso abodza a shuga m'mkodzo angachitike mukumwa mankhwala awa. Choncho lankhulani ndi dokotala wanu za njira yabwino kwambiri yothanirana ndi matenda anu a shuga.
Zotsatirapo zomwe zingachitike chifukwa cha mankhwala
Monga mankhwala ena aliwonse, mankhwalawa akhoza kukhala ndi zotsatirapo zina. Koma si aliyense amene amalandira. Tiyeni tigawane izi m'magulu awiri.
| Ngati zizindikirozi zachitika, funsani upangiri wa dokotala nthawi yomweyo. | |
|---|---|
| Zotsatira zoopsa za ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi, komanso kuvutika kupuma. |
| Zizindikiro zazikulu za khungu | Kufiira kwa khungu, kutupa, kutuluka kwa matuza (ngakhale mkati mwa pakamwa). |
| Zotsatira pa impso | Kuchepa kwa mkodzo wotuluka, kutupa kwa akakolo, manja, kapena mapazi. |
| Kutsegula m'mimba kwambiri | Kutsegula m'mimba kwa madzi, malungo, kupweteka m'mimba. |
| Zina | Kugwidwa ndi khunyu, kutuluka magazi m'mimba kapena kuyabwa. |
| Zinthu zoti muuze dokotala wanu ngati mukuziona nthawi zonse, koma zikupitirira | |
| Mavuto a m'mimba | Kutsegula m'mimba, kudzimbidwa, nseru. |
| Zinthu zina zazing'ono | Mutu, kuvutika kugona, kupweteka kapena kufiira komwe kunabayidwa jakisoni. |
Uthenga Wopita Nawo Kunyumba
- Piperacillin; Tazobactam ndi mankhwala amphamvu opha tizilombo toyambitsa matenda omwe amaperekedwa kokha pa matenda a bakiteriya. Siwothandiza pa chimfine.
- Ngati muli ndi vuto lililonse la penicillin kapena china chilichonse, onetsetsani kuti mwadziwitsa dokotala wanu musanayambe kumwa mankhwalawo.
- Uzaninso dokotala wanu za matenda ena, monga matenda a impso ndi mavuto otuluka magazi.
- Imwani mankhwalawo kwa masiku onse omwe dokotala wakupatsani. Musayime pakati.
- Ngati mukumva zizindikiro monga ziphuphu zoopsa pakhungu kapena kutsegula m'mimba kwambiri panthawi ya chithandizo, dziwitsani dokotala wanu nthawi yomweyo.
- Mankhwalawa ndi a inu nokha. Musagawane ndi ena.
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