Kodi dokotala wanu wakuuzani kuti muli ndi matenda a chiwindi otchedwa Hepatitis C? Kodi wakupatsani mankhwala otchedwa Vosevi ngati chithandizo? Ngati ndi choncho, nkhaniyi idzakhala yofunika kwambiri kwa inu. Popeza mankhwalawa ndi ovuta kwambiri, ndikufotokozerani mu Chisinhala, ngati kuti mukulankhula ndi mnzanu. Tiyeni tikambirane za mankhwalawa, momwe tingawagwiritsire ntchito, ndi zinthu zomwe muyenera kusamala nazo.
Kodi kwenikweni chimachitika ndi mankhwala awa ndi chiyani?
Mwachidule, iyi ndi mankhwala oletsa mavairasi. Ndiko kuti, mankhwala omwe amalamulira ndikuchotsa kuchuluka kwa kachilombo m'thupi. Amapangidwira makamaka kuchiza matenda a kachilombo otchedwa Hepatitis C. Hepatitis C ndi kachilombo komwe kamawononga chiwindi. Mankhwalawa amaletsa kachilomboka kuti kasachuluke (kukula) m'thupi.
Mankhwalawa ali ndi zinthu zitatu zazikulu zomwe zimagwira ntchito: Sofosbuvir, Velpatasvir, ndi Voxilaprevir. Zonsezi zimagwira ntchito limodzi polimbana ndi kachilomboka.
Chofunika kwambiri ndichakuti mankhwalawa si oyenera matenda ofala a mavairasi monga chimfine ndi fuluwenza. Amangogwiritsidwa ntchito pa matenda a chiwindi cha mtundu wa C.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwala
Popeza mankhwalawa ndi amphamvu kwambiri, ndikofunikira kwambiri kudziwitsa dokotala wanu za thanzi lanu musanayambe kulandira chithandizo. Ngati muli ndi vuto lililonse mwa izi, onetsetsani kuti mwawauza.
- Ngati muli ndi matenda a shuga .
- Ngati muli ndi kachilombo ka HIV kapena Edzi .
- Ngati mwakhalapo kapena muli ndi matenda ena a chiwindi kupatula matenda a chiwindi C, kuphatikizapo matenda a chiwindi B (HBV) .
- Ngati muli ndi pakati kapena mukukonzekera kutenga pakati posachedwa .
- Ngati ndinu mayi amene akuyamwitsa mwana .
- Ngati muli ndi vuto la ziwengo ku Sofosbuvir, Velpatasvir, Voxilaprevir, kapena mankhwala ena aliwonse, chakudya, kapena utoto womwe uli mu mankhwalawa.
Kutengera ndi izi, dokotala adzasankha ngati mankhwalawa ndi oyenera kwa inu kapena ayi.
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
Kumwa mankhwala monga momwe dokotala wanenera n'kofunika kwambiri kuti chithandizo chipambane.
- Iyi ndi piritsi lomwa. Imwani ndi kapu ya madzi.
- Ndikofunikira kumwa mankhwalawa mukadya. Musamwe muli ndi mimba yopanda kanthu.
- Yesetsani kumwa mankhwala anu nthawi yomweyo tsiku lililonse momwe mungathere. Izi zithandiza kuti mankhwalawo azigwira ntchito mofanana m'thupi lanu.
- Ngakhale mutakhala bwino,Imwani mankhwala onse omwe dokotala wanu wakupatsani. Musasiye kumwa pakati. Kuchita zimenezi kungayambitse kachilomboka kubwerera.
- Ngati mwadzidzidzi 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.
Kodi mungachite chiyani ngati mwaphonya mlingo wa mankhwala?
Ngati mwaiwala kumwa mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi ya mlingo wanu wotsatira ili pafupi kwambiri (mwachitsanzo, ili pafupi maola ochepa), dumphani mlingo womwe mwaphonya ndikumwa mlingo wanu wotsatira panthawi yomwe mwakonza. Musamwe mlingo wowirikiza kawiri pazifukwa zilizonse.
Mankhwala ena omwe angagwirizane ndi mankhwalawa (Kuyanjana kwa Mankhwala)
Iyi ndi gawo lofunika kwambiri. Mankhwala ena omwe mukumwa angakhudze momwe mankhwalawa amagwirira ntchito. Komanso, mankhwalawa angasinthe momwe mankhwala ena amagwirira ntchito. Chifukwa chake, dziwitsani dokotala wanu za mankhwala onse omwe mukumwa (omwe adalembedwa ndi madokotala ena, omwe adagula ku pharmacy), mavitamini, komanso mankhwala azitsamba .
| Mtundu wa mankhwala | Zinthu zoti muganizire |
|---|---|
| Musamwe mankhwalawa pamodzi ndi mankhwala ena aliwonse. | |
| Rifampin (mankhwala a chifuwa chachikulu) | Izi zitha kulepheretsa Vosevi kugwira ntchito. |
| Onetsetsani kuti mwauza dokotala wanu ngati mukumwa mankhwalawa. | |
| Mankhwala ena a matenda a mtima | Mwachitsanzo: Amiodarone, Digoxin, Dabigatran, Warfarin |
| Mankhwala ochepetsa cholesterol (Statins) | Mwachitsanzo: Atorvastatin, Rosuvastatin, Simvastatin |
| Mankhwala a gastritis (Mankhwala Oletsa Asidi) | Mwachitsanzo: Omeprazole, Famotidine, Cimetidine ndi mankhwala amadzimadzi. (Izi zingafunike kumwedwa nthawi zosiyanasiyana.) |
| Mankhwala a khunyu/ kugwedezeka | Mwachitsanzo: Carbamazepine, Phenobarbital, ndi Phenytoin |
| Mankhwala ena a HIV/AIDS | Mwachitsanzo: Efavirenz, Tenofovir |
| Wort wa St. John (mankhwala ochokera ku zitsamba) | Izi zitha kuchepetsa mphamvu ya Vosevi. |
| Mankhwala ena | Mankhwala ena ambiri monga Cyclosporine, Rifabutin, Methotrexate, ndi Topotecan. |
Zinthu zofunika kusamala kwambiri mukamamwa mankhwala
- Kukumana ndi dokotala nthawi yotsatira: Onetsetsani kuti mwasunga nthawi yokumana ndi dokotala. Pa nthawi ya chithandizo, mungafunike kuyezetsa magazi kuti muwone momwe chiwindi chanu chikugwira ntchito komanso kuchuluka kwa mavairasi.
- Kubwezeretsanso kachilombo ka Hepatitis B (HBV): Izi ndizofunikira kwambiri. Ngati mudadwalapo kale kachilombo ka hepatitis B (HBV) , kachilombo ka HBV komwe sikagwira ntchito kangayambenso kugwira ntchito pamene mukumwa mankhwalawa. Chifukwa chake, ndikofunikira kuuza dokotala wanu ngati mudadwalapo kale kachilombo ka HBV. Ngati izi zitachitika, dokotala wanu adzakuyang'anirani mosamala.
- Matenda a Shuga: Ngati muli ndi matenda a shuga, mankhwalawa angayambitse kusintha kwa shuga m'magazi mwanu. Chifukwa chake, yang'anani shuga m'magazi mwanu nthawi zonse. Ngati kuli kofunikira, lankhulani ndi dokotala wanu ngati mukufunika kusintha zakudya zanu kapena mankhwala a shuga.
Kodi zotsatirapo zake zingakhale zotani?
Monga mankhwala ena aliwonse, mankhwalawa akhoza kukhala ndi zotsatirapo zina. Si aliyense amene amawapeza, koma ndikofunikira kuwadziwa bwino.
| Zotsatira Zam'mbali | Zoyenera kuchita |
|---|---|
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala nthawi yomweyo | |
| Zizindikiro za ziwengo: ziphuphu pakhungu, kuyabwa, kutupa kwa milomo, nkhope, lilime, kuvutika kupuma. | Imbani dokotala wanu nthawi yomweyo kapena pitani ku ETU kuchipatala chapafupi. |
| Zizindikiro za kuwonongeka kwa chiwindi: mkodzo wakuda wachikasu/bulauni, maso kapena khungu kukhala lachikasu, kupweteka kumtunda kwa kumanja kwa m'mimba, ndowe zoyera, kusowa chilakolako cha chakudya, kusanza, ndi kumva kutopa. | |
| Mutu waukulu, chizungulire, kupsinjika maganizo. | |
| Zotsatirapo zomwe nthawi zambiri sizimakhala zoopsa, koma zimatha kukhala zovutitsa | |
| Mutu | Ngati izi zikupitirira kapena zikukuvutitsani, dziwitsani dokotala wanu. |
| Kutopa | |
| Kusanza | |
| Kutsegula m'mimba | |
Uthenga Wopita Nawo Kunyumba
- Mankhwalawa (Vosevi) amagwiritsidwa ntchito pochiza matenda a chiwindi cha mtundu wa C okha.
- Imwani mankhwala nthawi zonse mukadya. Musamwe muli ndi mimba yopanda kanthu.
- Imwani mankhwalawo kwa nthawi yonse yomwe dokotala wakupatsani. Musasiye kumwa ngakhale mutamva bwino.
- Onetsetsani kuti mwauza dokotala wanu za mankhwala ena onse, mavitamini, ndi mankhwala azitsamba omwe mukumwa.
- Ngati muwona zizindikiro za kuwonongeka kwa chiwindi, monga chikasu cha maso, mkodzo wakuda, kapena kumva kutopa, dziwitsani dokotala wanu nthawi yomweyo.
- Ngati muli ndi mafunso kapena nkhawa zokhudzana ndi mankhwalawa, ndi bwino kufunsa dokotala amene akukuthandizani za mankhwalawa m'malo mofufuza pa intaneti.
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