Kodi dokotala wanu adakupatsanipo kapisozi wofiira, wa lalanje? Mwina mukudziwa bwino mankhwalawa, makamaka ngati mukuchiza matenda a bakiteriya monga chifuwa chachikulu. Mankhwalawa amatchedwa Rifampin. Ndi mankhwala opha tizilombo ofunikira kwambiri komanso amphamvu. Chifukwa chake lero tikambirana za mankhwalawa, zinthu zomwe muyenera kusamala nazo mukamawagwiritsa ntchito, komanso zotsatirapo zake zomwe zingachitike.
Kodi Rifampin ndi chiyani?
Mwachidule, Rifampin ndi mtundu wa mankhwala opha tizilombo toyambitsa matenda. Izi zikutanthauza kuti mankhwalawa amathandiza kupha mabakiteriya oopsa omwe amalowa m'thupi mwathu ndikuchiritsa matenda. Ndi mankhwala akuluakulu omwe amaperekedwa kwa chifuwa chachikulu (TB) . Madokotala amalangizanso kuti agwiritsidwe ntchito pa matenda ena ambiri a bakiteriya.
Koma chinthu chimodzi choyenera kukumbukira ndichakuti izi zimagwira ntchito pa mabakiteriya okha. Mankhwalawa sachiza matenda opatsirana ndi mavairasi monga chimfine ndi fuluwenza.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwala
Musanayambe kumwa rifampin, onetsetsani kuti mwauza dokotala wanu mfundo zotsatirazi, chifukwa muyenera kusamala kwambiri mukamagwiritsa ntchito rifampin ndi matenda awa.
| Kodi muli ndi mikhalidwe iyi? | N’chifukwa chiyani n’kofunika? |
|---|---|
| Matenda a shuga | Rifampin ingasinthe momwe mankhwala a shuga amagwirira ntchito. |
| Matenda a chiwindi | Mankhwalawa amatha kukhudza kwambiri chiwindi, choncho ndi ofunika kwambiri ngati muli ndi matenda a chiwindi. |
| Kachilombo ka HIV kapena Edzi | Rifampin ingagwirizane ndi mankhwala ena omwe amagwiritsidwa ntchito pochiza kachilombo ka HIV. |
| Ngati mumakonda kumwa mowa pafupipafupi | Kuphatikiza mowa ndi rifampin kungapangitse kuti chiwindi chiwonongeke kwambiri. |
| Ngati muvala ma contact lens | Rifampin imatha kusokoneza mtundu wa misozi yanu ndikupangitsa kuti magalasi anu azioneka odetsedwa kwamuyaya. |
| Ngati muli ndi pakati kapena mukuyembekezera mwana | Ndikofunikira kwambiri kufunsa upangiri wa dokotala pankhani yogwiritsira ntchito mankhwala panthawi ya mimba. |
| Ngati ndinu mayi woyamwitsa | Mankhwalawa amatha kupita kwa mwana kudzera mu mkaka wa m'mawere, choncho lankhulani ndi dokotala wanu. |
| Ngati muli ndi ziwengo ndi mankhwala ena | Ndikofunikira kudziwitsa dokotala wanu ngati muli ndi vuto lililonse la rifampin kapena mankhwala ena kapena chakudya. |
Kodi mumagwiritsa ntchito bwanji mankhwalawa molondola?
- Tsatirani malangizo a dokotala wanu: Imwani mankhwalawa ndi kapu ya madzi, monga momwe dokotala wanu wanenera, nthawi yomweyo tsiku lililonse.
- Malizitsani maphunzirowa: Ngakhale mutamva bwino, pitirizani kumwa mankhwalawo mpaka dokotala atakuuzani kuti musiye. Apo ayi, matendawa angabwererenso.
- Momwe mungamwere ndi mankhwala oletsa asidi: Ngati mukumwa mankhwala oletsa asidi a gastritis, imwani osachepera ola limodzi mutamwa rifampin. Musamwe pamodzi.
- Bwanji ngati mwaphonya mlingo? Ngati mwaiwala kumwa mankhwala anu, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe yakonzedwa. Musamwe milingo iwiri nthawi imodzi.
- Ngati mwamwa mankhwala mopitirira muyeso: Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, imbani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital , kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.
Mankhwala ena omwe angagwirizane ndi Rifampin
Rifampin imatha kuyanjana ndi mankhwala ena ambiri, choncho ndikofunikira kwambiri kuuza dokotala wanu za mankhwala onse omwe mukumwa (kuphatikizapo mavitamini ndi mankhwala azitsamba).
Chenjezo lapadera: Zokhudza mapiritsi oletsa kubereka!
Ngati ndinu mkazi amene mukugwiritsa ntchito mapiritsi oletsa kubereka, mphamvu ya mapiritsi amenewo ingachepe kwambiri mukamamwa rifampin. Izi zikutanthauza kuti pali chiopsezo chotenga mimba. Chifukwa chake, onetsetsani kuti mwalankhula ndi dokotala wanu za kugwiritsa ntchito njira ina yolerera kubereka, monga makondomu, mukamamwa mankhwalawa komanso kwa kanthawi mukasiya kumwa.
Kuphatikiza apo, rifampin ikhoza kuyanjana ndi mankhwala otsatirawa:
- Mankhwala ena omwe amatengedwa chifukwa cha HIV kapena chiwindi
- Mankhwala oletsa magazi kuundana (monga Warfarin)
- Mankhwala ena a kuthamanga kwa magazi ndi matenda a mtima
- Mankhwala ena a matenda a shuga
- Mankhwala oletsa bowa (monga ketoconazole, fluconazole)
- Mankhwala ena a matenda amisala
- Acetaminophen (Paracetamol)
Mndandanda uwu sunathe, choncho chonde dziwitsani dokotala wanu za mankhwala onse omwe mukumwa.
Zinthu zofunika kusamala nazo mukamamwa mankhwala
- Samalani ndi zizindikiro: Ngati zizindikiro zanu sizikusintha, kapena ngati zikuipiraipira, uzani dokotala wanu nthawi yomweyo.
- Kutsegula m'mimba: Ngati kutsegula m'mimba kwanu kumatenga masiku opitilira awiri ndipo kuli koipa ngati madzi, musamwe mankhwala ochokera ku pharmacy ndipo imbani dokotala wanu.
- Matenda a pakhungu: Nthawi zina matenda a pakhungu amatha kuchitika milungu ingapo mutayamba kumwa mankhwala. Ngati mukumva zizindikiro monga malungo, kupweteka kwa thupi, matuza ofiira/ofiirira pakhungu, khungu lotupa, kapena kutupa kwa nkhope, milomo, kapena ziphuphu pakhosi kapena m'khwapa, funsani upangiri wa dokotala nthawi yomweyo.
- Mavitamini: Ndi bwino kuonetsetsa kuti mukupeza vitamini B6 ndi vitamini D okwanira mukamamwa rifampin. Lankhulani ndi dokotala wanu za izi.
Kodi zotsatirapo zake zingakhale zotani?
Monga mankhwala ena aliwonse, rifampin ingayambitse zotsatirapo zina. Zina zimakhala zazing'ono, pomwe zina zimafunika chisamaliro chadzidzidzi.
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala wanu nthawi yomweyo | |
|---|---|
| Zizindikiro za kuwonongeka kwa chiwindi | Kupweteka kumtunda kwa mimba kumanja, kusowa chilakolako cha chakudya, nseru, maso kapena khungu kukhala lachikasu, mkodzo wakuda wachikasu/bulauni, komanso kumva kutopa. |
| Ziwengo zoopsa | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime, komanso kuvutika kupuma. |
| Zizindikiro za kutuluka magazi | Chimbudzi chakuda kapena chamagazi, kusanza komwe kumaoneka ngati khofi wophikidwa, mkodzo wofiira/wofiirira wakuda, madontho ang'onoang'ono ofiira/ofiirira pakhungu, ndi mabala osadziwikiratu. |
| Matuza a pakhungu kapena kutsekeka | Kufiira, kutupa, kapena kutsekeka kwa khungu, kuphatikizapo kuzungulira pakamwa. |
| Zotsatirapo zomwe nthawi zambiri sizili zoopsa, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Kusintha kwa mtundu wa madzi amthupi | Mkodzo, thukuta, misozi, ndi malovu zimatha kusintha mtundu kukhala wofiira ngati lalanje. Izi ndi zachilendo ndipo palibe chodetsa nkhawa. |
| Matenda ena ang'onoang'ono | Mutu , chizungulire , kugona tulo, nseru, kusanza, kusowa chilakolako cha chakudya, kutentha pamtima. |
Uthenga Wopita Nawo Kunyumba
- Rifampin ndi mankhwala amphamvu opha tizilombo omwe ayenera kumwedwa nthawi yonse yomwe dokotala wanu wakupatsani.
- Onetsetsani kuti mwauza dokotala wanu za mankhwala ena onse omwe mukumwa, makamaka mapiritsi oletsa kubereka.
- Ndizachilendo kuti mkodzo, thukuta, ndi misozi yanu zisinthe mtundu kukhala wofiira ngati lalanje pamene mukumwa mankhwalawa. Musadandaule ndi zimenezo. Komabe, ngati muvala ma contact lens, amatha kukhala ndi utoto wokhazikika.
- Funani thandizo lachipatala mwamsanga ngati mukuona zizindikiro za kuwonongeka kwa chiwindi (khungu/maso achikasu, kupweteka m'mimba) kapena ziwengo zazikulu pakhungu (matuza, ziphuphu pakhungu).
- Pewani kumwa mowa. Kungawonjezere kuwonongeka kwa chiwindi.
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