Hyperthyroidism, vuto lomwe chithokomiro chooneka ngati gulugufe chomwe chili m'khosi mwathu chimatulutsa mahomoni ambiri, ndi vuto la thanzi lomwe anthu ambiri m'dziko lathu amakumana nalo. Limodzi mwa mankhwala akuluakulu omwe madokotala amapereka pa chithandizochi ndi Propylthiouracil. Tonsefe timadziwa izi ndi dzina lake lalifupi la PTU. Chifukwa chake ngati mwapatsidwa mankhwala awa, ndikofunikira kwambiri kudziwa zonse zokhudza mankhwalawa mosavuta komanso momveka bwino.
Kodi PTU (Propylthiouracil) ndi mankhwala amtundu wanji?
Mwachidule, PTU ndi mankhwala omwe amauza chithokomiro chanu kuti "chigwire ntchito molimbika pang'ono, tsopano chitani mahomoni ochepa." Izi zikutanthauza kuti, chomwe mankhwalawa amachita ndikuchepetsa kuchuluka kwa mahomoni a chithokomiro omwe amapangidwa ndi chithokomiro.
Madokotala amagwiritsa ntchito kwambiri mankhwalawa:
- Kuwongolera kuchuluka kwa mahomoni a chithokomiro (Hyperthyroidism).
- Yang'anirani kuchuluka kwa mahomoni anu musanachite opaleshoni ya chithokomiro.
- Musanalandire chithandizo cha ayodini chochokera ku radioactive.
Mankhwalawa nthawi zina angakupatseni dokotala wanu pa matenda ena, choncho ngati muli ndi mafunso, funsani dokotala wanu za mankhwalawa.
Ndi zinthu ziti zomwe ndiyenera kuuza dokotala ndisanayambe kugwiritsa ntchito mankhwalawa?
Musanayambe kugwiritsa ntchito PTU, ndikofunikira kudziwitsa dokotala wanu za zinthu zotsatirazi, chifukwa izi zingakhudze mwachindunji chithandizo chanu.
- Ngati muli ndi matenda a chiwindi: PTU nthawi zina ingakhudze chiwindi, kotero ngati muli ndi vuto la chiwindi lomwe lilipo kale, dokotala wanu ayenera kudziwa za vutoli.
- Ngati muli ndi vuto la magazi, monga kuchepa kwa maselo oyera m'magazi: Izi ndizofunikira kwambiri chifukwa mankhwalawa amatha kuchepetsa kuchuluka kwa maselo oyera m'magazi anu.
- Ngati muli ndi vuto la ziwengo chifukwa cha PTU kapena mankhwala ena aliwonse, chakudya, kapena utoto.
- Ngati mukufuna kutenga mimba kapena muli kale ndi pakati: Muyenera kulankhula ndi dokotala wanu makamaka za kugwiritsa ntchito mankhwalawa panthawi ya mimba.
- Ngati ndinu mayi woyamwitsa.
Kodi mumagwiritsa ntchito bwanji mankhwalawa molondola?
Imeneyi ndi piritsi yomwe mumamwa pakamwa. Ndikofunikira kwambiri kumwa kuchuluka kwa mankhwala omwe mwapatsidwa, monga momwe dokotala wanu wanenera, panthawi yomwe mwapatsidwa. Imwani mankhwalawo monga momwe dokotala wanu wanenera, katatu patsiku. Musamwe mopitirira muyeso womwe mukuganiza kapena siyani kumwa.
Chofunika kwambiri ndichakuti musasiye kumwa mankhwalawa mwadzidzidzi popanda upangiri wa dokotala. Kuchita zimenezi kungayambitsenso zizindikiro zanu.
Mankhwalawa nthawi zambiri savomerezedwa kwa ana. Komabe, nthawi zina, mankhwalawa angaperekedwe kwa ana azaka zopitilira 6 motsogozedwa ndi dokotala. Dokotala wanu yekha ndiye angasankhe.
Nanga bwanji ngati ndaphonya mlingo wa mankhwala?
Ngati mwaiwala kumwa mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndi kumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe mlingo wowirikiza kawiri kuti mubwezeretse mlingo womwe mwaiwala.
Nanga bwanji ngati nditamwa mankhwala ochulukirapo?
Ngati mukuganiza kuti mwamwa mankhwala ambiri kuposa momwe mukuganizira, pitani ku Dipatimenti Yoona za Zadzidzidzi (ETU) yapafupi nthawi yomweyo. Kapena imbani National Poisons Information Centre ku Colombo National Hospital kuti mupeze malangizo.
Mankhwala ena omwe angagwirizane ndi PTU
Ngati mukumwa PTU ndipo mukumwanso mankhwala ena, pakhoza kukhala kuyanjana pakati pa awiriwa. Chifukwa chake, ndikofunikira kwambiri kuuza dokotala wanu za mankhwala onse omwe mukumwa.
| Mtundu wa mankhwala | Mkhalidwe wogwiritsidwa ntchito |
|---|---|
| Aminophylline, Theophylline | Kwa matenda opumira monga mphumu |
| Mankhwala monga Metoprolol, Propranolol | Kwa matenda a kuthamanga kwa magazi, matenda a mtima |
| Digoxin | Matenda a mtima |
| Warfarin | Kuletsa magazi kuundana (kuchepetsa magazi) |
Mndandanda uwu sunathe.Choncho, musaiwale kuuza dokotala wanu za mankhwala onse omwe mumamwa (kuphatikizapo mavitamini, mankhwala azitsamba, ndi zowonjezera). Komanso, muwauze ngati mumasuta kapena kumwa mowa.
Zotsatirapo zomwe zingakhalepo chifukwa cha mankhwalawa
Monga mankhwala ena aliwonse, PTU ingayambitse zotsatira zina zoyipa. Zina mwa izi zimafuna chisamaliro chachangu, pomwe zina sizimawopsa kwambiri.
| Zotsatira zoyipa za PTU | |
|---|---|
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala nthawi yomweyo | |
| Zizindikiro za kuwonongeka kwa chiwindi | Mkodzo wakuda wachikasu/bulauni, maso kapena khungu kukhala lachikasu, kupweteka kumtunda kwa kumanja kwa m'mimba, kusowa chilakolako cha chakudya, nseru, kutopa kwambiri. |
| Zizindikiro za matenda (chifukwa cha kuchepa kwa maselo oyera m'magazi) | Malungo, kuzizira, kupweteka pakhosi, zilonda pakamwa. |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo kapena lilime, komanso kuvutika kupuma. |
| Zizindikiro zina zazikulu | Kupweteka kwa mafupa, kutuluka magazi kapena kuvulala kosazolowereka, kusintha kwa masomphenya, dzanzi m'miyendo, kuvutika kukodza. |
| Zotsatirapo zomwe nthawi zambiri sizili zoopsa (koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira) | |
| Zotsatirapo zazing'ono | Kusanza, kusanza, kuvutika m'mimba, mutu, chizungulire, kugona, kusintha kwa kukoma, kutayika kwa tsitsi. |
Zinthu zomwe muyenera kusamala nazo mukamamwa mankhwala
- Kuyezetsa magazi nthawi zonse: Funsani dokotala wanu nthawi zonse kuti muwone ngati vuto lanu likuyenda bwino. Iye adzalamula kuyezetsa magazi (`kuchuluka kwa magazi`,` kuyezetsa ntchito ya chithokomiro`). Musasiye izi.
- Samalani zizindikiro za matenda: Ngati mukuyamba kutentha thupi kapena kupweteka pakhosi, musanyalanyaze. Kungakhale chizindikiro cha kuchepa kwa maselo oyera m'magazi, choncho imbani dokotala nthawi yomweyo.
- Mimba: Ngati mukukonzekera kutenga pakati, uzani dokotala wanu musanayambe kumwa mankhwalawa. Ngati mukuganiza kuti mwina muli ndi pakati mukumwa mankhwalawa, dziwitsani dokotala wanu nthawi yomweyo.
- Opaleshoni: Ngati mukuchitidwa opaleshoni iliyonse, onetsetsani kuti mwauza dokotalayo kuti mukugwiritsa ntchito PTU.
Uthenga Wopita Nawo Kunyumba
- Nthawi zonse imwani piritsi la PTU monga momwe dokotala wanu wanenera, panthawi yoyenera.
- Musasiye kumwa mankhwala kapena kusintha mlingo popanda upangiri wa dokotala.
- Funani upangiri wa dokotala nthawi yomweyo ngati mukuyamba zizindikiro monga malungo, kupweteka pakhosi, kapena chikasu cha maso kapena khungu.
- Uzani dokotala wanu za mankhwala ena onse, mavitamini, ndi mankhwala achikhalidwe omwe mukumwa.
- Kupita kukayezetsa magazi nthawi zonse ndi kukayezetsa magazi n'kofunika kwambiri kuti mukhale ndi thanzi labwino.
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