Kodi dokotala adakulemberani mankhwala a steroid? Akhoza kukhala Prednisone. Anthu ena amachita mantha pang'ono akamva dzinali. "O, izi sizothandiza thupi, sichoncho?", "Kodi n'zoona kuti zimapangitsa mbolo kukhala yayikulu?" Mafunso ambiri amabwera m'maganizo. Koma iyi ndi mankhwala ofunikira kwambiri, komanso opulumutsa moyo. Ndicho chifukwa chake taganiza zolankhula za Prednisone lero, yomwe ndi yothandiza kwa anthu ambiri.
Kodi Prednisone ndi chiyani kwenikweni?
Mwachidule, Prednisone ndi steroid yopangidwa ndi anthu. M'mawu azachipatala, izi zimatchedwa 'corticosteroids.' Zimachita zinthu zingapo zofunika m'thupi lathu.
1. Kuchepetsa kutupa: Tangoganizirani kuti muli ndi mphumu. Kenako njira zopumira zimatupa, zomwe zimapangitsa kuti zikhale zovuta kupuma. Munthu amene ali ndi nyamakazi amakhala ndi mafupa otupa komanso opweteka. Chomwe Prednisone imachita ndikuletsa kutupa ndi kutupa kosafunikira kumeneku m'thupi. Chifukwa chake, imagwiritsidwa ntchito pa matenda ambiri monga mphumu, ziwengo zosiyanasiyana, matenda a mafupa, matenda otupa m'matumbo.
2. Kulamulira chitetezo chamthupi: Nthawi zina chitetezo chamthupi, chomwe chimayenera kuteteza thupi lathu, chimayamba molakwika kuukira thupi lathu. Pazochitika zotere, Prednisone imathandiza kuchepetsa ndikuwongolera chitetezo chamthupi chomwe chayamba kugwira ntchito mopitirira muyeso.
3. Monga cholowa m'malo mwa mahomoni: Ma adrenal glands athu mwachibadwa amapanga mahomoni otchedwa `Cortisol`. Izi ndizofunikira kwambiri momwe thupi lathu limachitira ndi nkhawa, matenda, ndi zoopsa. Anthu ena sapanga mahomoni okwanira a cortisol m'matupi awo. Pazochitika zotere, Prednisone imaperekedwa ngati cholowa m'malo.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa
Prednisone ndi mankhwala amphamvu kwambiri, choncho ndikofunikira kwambiri kudziwitsa dokotala wanu zonse zokhudza thanzi lanu, makamaka ngati muli ndi vuto lililonse mwa izi:
- Ngati muli kale ndi matenda a shuga.
- Ngati muli ndi kuthamanga kwa magazi.
- Ngati muli ndi matenda a mtima.
- Ngati muli ndi glaucoma.
- Ngati muli ndi matenda aliwonse a impso kapena chiwindi.
- Ngati muli ndi matenda, makamaka matenda opatsirana ndi mavairasi monga nsabwe kapena herpes.
- Mavuto a m'mimba kapena m'matumbo, makamaka ngati muli ndi gastritis kapena zilonda zam'mimba.
- Ngati mukulandira chithandizo cha matenda amisala kapena muli ndi mbiri yakale ya matenda amisala.
- Ngati muli ndi matenda a osteoporosis.
- Myasthenia gravis ndi vuto la kufooka kwa minofu.
- Kusowa kwa calcium kapena vuto la chithokomiro.
- Matenda ngati `Cushing's syndrome`.
- Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena mukuyamwitsa.
- Ngati muli ndi vuto la mankhwala awa kapena mankhwala ena aliwonse, chakudya, kapena lactose.
Njira yolondola yogwiritsira ntchito mankhwala
Monga momwe dokotala akunenera, ndikofunikira kwambiri kumwa mlingo woyenera panthawi yoyenera.
- Mezani piritsi ili ndi galasi la madzi.
- Nthawi zonse tengani mankhwalawa musanayambe kudya kapena mutadya. Musamwe musanayambe kudya. Izi zingathandize kuchepetsa kutentha pamtima.
- Ngati mungofunika kumwa kamodzi patsiku, imwani m'mawa nthawi iliyonse yomwe mungathe .
- Musamwe mankhwala ochulukirapo kapena ochepera kuposa mlingo womwe dokotala wanu wakupatsani.
- Chofunika kwambiri: Musasiye kumwa mankhwalawa mwadzidzidzi popanda upangiri wa dokotala wanu. Kuchita zimenezi kungapangitse thupi lanu kulephera kupirira ndipo kungayambitse vuto lalikulu. Ngati dokotala wanu akufuna kuti musiye kumwa mankhwalawa, adzachita zimenezi mwa kuchepetsa pang'onopang'ono mlingo kwa masiku angapo (kuchepetsa).
Kodi mungachite chiyani ngati mwaphonya mlingo wa mankhwala?
Ngati mwaphonya mlingo, imwani mwamsanga mukangokumbukira. Koma ngati nthawi yanu yotsatira yatsala pang'ono, thawani mlingo womwe mwaphonya. Ndi bwino kulankhula ndi dokotala wanu za izi. Musamwe milingo iwiri nthawi imodzi popanda upangiri.
Nanga bwanji ngati nditamwa mankhwala ochulukirapo?
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, musachite mantha ndipo nthawi yomweyo imbani National Poisons Information Centre ku Colombo National Hospital , kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.
Mankhwala ena omwe angagwirizane ndi Prednisone
Prednisone ndi mankhwala omwe angagwirizane ndi mankhwala ena. Chifukwa chake, muyenera kuuza dokotala wanu za mankhwala ena onse omwe mukumwa (mankhwala a matenda ena, mavitamini, ndi mankhwala azitsamba).
| Gulu la mankhwala | Zinthu zoti muganizire |
|---|---|
| Mankhwala omwe sayenera kumwedwa | Mankhwala monga Metyrapone ndi Mifepristone sayenera kumwedwa pamodzi ndi Prednisone. |
| Mankhwala opha ululu | Kumwa mankhwala ochepetsa ululu a NSAID monga Aspirin, Ibuprofen, ndi Naproxen kungapangitse kuti pakhale chiopsezo cha zilonda zam'mimba. Onetsetsani kuti mwafunsa dokotala musanamwe mankhwalawa. |
| Mankhwala a shuga | Popeza prednisone imawonjezera shuga m'magazi, mlingo wa mankhwala a shuga ungafunike kusinthidwa. |
| Mankhwala ochepetsa magazi | Ikhoza kukhudzana ndi mankhwala monga warfarin. |
| Mankhwala ena | Mankhwala monga Phenytoin, Rifampin, Ketoconazole, Cyclosporine, Digoxin, ndi mapiritsi ena oletsa kubereka amathanso kusokonezana ndi Prednisone. |
Zotsatirapo zomwe zingachitike chifukwa cha mankhwala
Monga mankhwala ena aliwonse, Prednisone ingayambitse zotsatirapo zoyipa. Zambiri mwa izi zimakhala ndi nthawi yochepa yomwe mumamwa mankhwalawo. Koma pali zinthu zina zomwe tiyenera kusamala nazo kwambiri.
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala wanu nthawi yomweyo | |
|---|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime. |
| Zizindikiro za matenda a Cushing | Mafuta amadzaza thupi lonse ndi kumbuyo kwa khosi (buffalo hump), nkhope yozungulira (mwezi), mizere ya pinki/yofiirira pakhungu, khungu lopyapyala lomwe limatupa mosavuta. |
| Shuga wambiri m'magazi (hyperglycemia) | Ludzu lochuluka, kukodza pafupipafupi, kutopa kwambiri, kusawona bwino. |
| Zizindikiro za matenda | Malungo, kuzizira, chifuwa, pakhosi, mabala osachiritsa. |
| Kusintha kwa maganizo | Mkwiyo wopitirira muyeso, kusokonezeka maganizo, kuvutika maganizo, kusowa tulo, maganizo osazolowereka. |
| Kutuluka magazi m'mimba | Chimbudzi chakuda kapena chokhazikika, kusanza chinthu chomwe chimaoneka ngati khofi wophikidwa, kapena magazi. |
| Zina | Kuthamanga kwa magazi, kutupa kwa akakolo, manja kapena mapazi. |
| Zinthu zomwe nthawi zambiri sizili zazikulu, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Ziphuphu | Mutu |
| Kuwonjezeka kwa njala | Kulemera |
| Kusanza | Kuvuta kugona |
Kumbukirani, ngati muli ndi zizindikiro za kuthamanga kwa magazi (kupweteka mutu kwambiri, kulira m'makutu, kupweteka pachifuwa), uzani dokotala wanu. Koma musasiye kumwa mankhwala anu popanda malangizo ake.
Ndi chiyani china chomwe muyenera kusamala nacho mukamamwa mankhwalawo?
- Zakudya: Dokotala wanu angakuuzeni kuti muchepetse kumwa mchere. Ndi bwinonso kuchepetsa kudya zakudya zokhala ndi shuga ndi mafuta ambiri.
- Matenda: Chitetezo cha mthupi lanu chikhoza kufooka pang'ono mukamamwa mankhwalawa, choncho pewani anthu omwe ali ndi matenda (makamaka nkhuku ndi chikuku).
- Opaleshoni: Ngati mukufuna opaleshoni iliyonse, dziwitsani gulu lachipatala kuti mukumwa Prednisone (kapena mwamwa mkati mwa miyezi 12 yapitayi).
Uthenga Wopita Nawo Kunyumba
- Prednisone ndi mankhwala ofunikira kwambiri omwe ayenera kugwiritsidwa ntchito moyang'aniridwa ndi dokotala. Musachite mantha ndi mankhwalawo mopanda chifukwa.
- Imwani mlingo womwe dokotala wakupatsani, panthawi yomwe mwapatsidwa, mutatha kudya.
- Chofunika kwambiri ndi kupewa kusiya kumwa mankhwala mwadzidzidzi popanda upangiri wa dokotala pazifukwa zilizonse.
- Uzani dokotala wanu za mankhwala ena onse omwe mukumwa.
- Fufuzani thandizo lachipatala mwamsanga ngati mukukumana ndi zotsatirapo zoyipa. Prednisone ikagwiritsidwa ntchito moyenera, ingathandize kwambiri kuthetsa matenda ambiri.
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