Kodi mulinso ndi ululu wosapiririka komanso kutupa kwa mafupa chifukwa cha nyamakazi? Ngati zili choncho, dokotala wanu mwina anakupatsani piritsi lotchedwa Sulindac. Imeneyi ndi mankhwala opha ululu omwe anthu ambiri amagwiritsa ntchito. Choncho, tiyeni tiphunzire bwino za mankhwalawa, zomwe amachita, komanso zomwe muyenera kusamala nazo.
Kodi mankhwala awa ndi amtundu wanji?
Mwachidule, Sulindac ndi mankhwala opweteka komanso otupa. Nthawi zambiri amagwiritsidwa ntchito pochiza matenda a mafupa, makamaka nyamakazi. Muthanso kuwaona pansi pa dzina lodziwika bwino la Clinoril.
Mankhwalawa ndi a gulu la mankhwala otchedwa NSAID (Nonsteroidal Anti-inflammatory Drug) . Izi zikutanthauza kuti amachepetsa kupanga mankhwala m'thupi lathu omwe amayambitsa kupweteka, kutupa, ndi malungo. Angagwiritsidwenso ntchito pazinthu zina, kotero ngati muli ndi mafunso, funsani dokotala wanu.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwala
Chabwino, tsopano iyi ndiyo gawo lofunika kwambiri. Musanayambe kumwa mankhwalawa, ndikofunikira kuuza dokotala wanu za mavuto aliwonse azaumoyo omwe muli nawo. Chifukwa mankhwalawa si oyenera anthu omwe ali ndi matenda enaake. Ngati muli ndi vuto lililonse pansipa, onetsetsani kuti mwawauza za vutoli.
| Kodi muli ndi mikhalidwe iyi? |
|---|
| Matenda otuluka magazi |
| Atachitidwa opaleshoni ya mtima (coronary artery bypass graft) (CABG) kale |
| Mavuto a kusowa madzi m'thupi |
| Kumwa mowa pafupipafupi |
| Matenda a mtima, matenda a mtima, kapena kulephera kwa mtima |
| Kuthamanga kwa magazi |
| Matenda a impso kapena miyala ya impso |
| Matenda a chiwindi |
| Kuchuluka kwa maselo ofiira a m'magazi |
| Matenda a m'mapapo kapena kupuma monga mphumu |
| Matenda a Lupus |
| Kutuluka magazi m'mimba, zilonda zam'mimba, kapena mavuto ena a m'mimba |
| Kugwiritsa ntchito fodya |
| Kusamva bwino kwa Sulindac kapena mankhwala ena, zakudya, kapena utoto |
| Kukhala ndi pakati kapena kuyesa kutenga mimba |
| Kuyamwitsa mwana |
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
Piritsi ili liyenera kumwedwa pakamwa. Imwani tsiku lililonse, nthawi yomweyo, monga momwe dokotala wanu wanenera. Chofunika kwambiri ndikumwa nthawi yomweyo mutadya kapena nthawi yomweyo mutadya. Musamwe pamimba yopanda kanthu. Izi zithandiza kuchepetsa chiopsezo cha kusokonezeka m'mimba. Pitirizani kumwa mankhwalawo mpaka dokotala wanu atakuuzani kuti musiye.
Anthu azaka zopitilira 65 akhoza kukhala ndi mphamvu zambiri pa mankhwalawa, kotero angafunike kuchepetsa mlingo.
Nanga bwanji ngati nditamwa mankhwala ochulukirapo?
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.
Mankhwalawa aperekedwa kwa inu nokha. Musagawane ndi wina aliyense.
Kodi mungachite chiyani ngati mwaphonya mlingo wa mankhwala?
Ngati mwaiwala kumwa mlingo, imwani mwamsanga mukangokumbukira. Koma ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndi kumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe mlingo wowirikiza kawiri.
Mankhwala ena omwe angagwirizane ndi mankhwalawa
Izi ndizofunikira kwambiri. Mukatenga Sulindac, imatha 'kugwirizana' ndi mankhwala ena omwe mukumwa. Izi zikutanthauza kuti mphamvu ya mankhwalawo ingasinthe, kapena zotsatira zake zingawonjezere. Choncho uzani dokotala wanu za mankhwala onse omwe mukumwa, ngakhale mavitamini ndi mankhwala azitsamba.
| Musamwe Sulindac pamodzi ndi mankhwala otsatirawa: | |
|---|---|
| Cidofovir | Ketorolac |
| Methotrexate | Pemetrexed |
| Mavuto angachitikenso ndi mankhwala otsatirawa: | |
| Mowa | Mankhwala okhala ndi aspirin ndi aspirin |
| Cyclosporine, Diflunisal, Lithium, Probenecid | Mankhwala ochepetsa mphamvu ya mkodzo |
| Mankhwala a shuga | Mankhwala a kuthamanga kwa magazi |
| Mankhwala omwe amaletsa magazi kuundana (monga Warfarin) | Mankhwala ena a NSAID (mankhwala ochizira ululu ndi kutupa - mwachitsanzo Ibuprofen, Naproxen) |
| Ma Steroid (monga Prednisone, Cortisone) | Dimethyl sulfoxide (DMSO) |
Zinthu zofunika kuziganizira mukamamwa mankhwala
Pitani kwa dokotala nthawi zonse kuti muwone ngati zizindikiro zanu zikuchepa. Ngati zizindikiro zanu sizikuchepa kapena zikuipiraipira, muuzeni za vutoli.
Samalani ndi kutuluka magazi m'mimba.
Mankhwalawa angayambitse zilonda zam'mimba komanso kutuluka magazi m'matumbo. Izi zitha kuchitika ngakhale palibe zizindikiro. Kusuta fodya, kumwa mowa, kukalamba, komanso kukhala ndi thanzi lofooka kumawonjezera chiopsezochi. Ngati muli ndi ululu m'mimba, kusanza magazi, kapena ndowe zakuda, imbani dokotala nthawi yomweyo.
Kuopsa kwa matenda a mtima ndi sitiroko
Mankhwalawa saletsa matenda a mtima kapena sitiroko. Ndipotu, kugwiritsa ntchito mankhwalawa nthawi zonse kungawonjezere chiopsezo cha matenda a mtima kwa anthu omwe ali ndi matenda a mtima. Ngati mukumwa aspirin kuti mupewe matenda a mtima, lankhulani ndi dokotala wanu za izi musanamwe mankhwalawa.
Matenda aakulu a pakhungu omwe angathe kuchitika
Nthawi zina pakhungu pamakhala zotsatirapo zoopsa. Izi zitha kuchitika ngakhale milungu ingapo mutayamba kumwa mankhwala. Ngati mukumva kutupa kofiira komwe kumaphatikizapo malungo, kupweteka kwa thupi, kapena matuza mkamwa mwanu ndipo khungu likutuluka, pitani kwa dokotala nthawi yomweyo.
Zoopsa zina
- Chizungulire: Mankhwalawa angakhudze luso lanu lotha kuganizira zinthu mwachangu komanso kuchitapo kanthu mwachangu. Choncho , musayendetse galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe zimakukhudzirani. Dzukani pang'onopang'ono mukadzuka pamalo omwe mukukhala.
- Mimba: Ngati muli ndi pakati kapena mukukonzekera kutenga pakati, lankhulani ndi dokotala wanu za mankhwalawa. Angavulaze mwana wanu. Angakhudzenso kuthekera kwanu kutenga pakati.
Kodi zotsatirapo zake zingakhale zotani?
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala nthawi yomweyo |
|---|
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| Zotsatirapo zomwe nthawi zambiri sizili zoopsa, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira |
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Kodi muyenera kusunga bwanji mankhwala anu?
Sungani mankhwalawa pamalo omwe ana ndi ziweto sangafikire . Sungani kutentha kwa chipinda (pakati pa madigiri 20-25 Celsius). Musagwiritse ntchito mankhwala omwe atha ntchito. Mankhwala omwe atha ntchito komanso omwe sagwiritsidwa ntchito ayenera kuwonongedwa. Funsani dokotala wanu ngati kuli bwino kuwataya mu zinyalala kapena ngati pali njira ina. Ngati mukuwataya mu zinyalala, tulutsani mapiritsiwo mu paketi, sakanizani ndi china chake monga masamba a tiyi ogwiritsidwa ntchito, khofi wophikidwa, kapena dothi, muwaike m'thumba, mutseke bwino, ndikutaya.
Uthenga Wopita Nawo Kunyumba
- Sulindac ndi mankhwala omwe ali mgulu la NSAID omwe amachepetsa ululu ndi kutupa komwe kumachitika chifukwa cha matenda monga nyamakazi.
- Nthawi zonse imwani mankhwalawa mukadya kapena nthawi yomweyo mutadya, osati pamimba yopanda kanthu.
- Musanayambe kumwa mankhwala, uzani dokotala wanu za matenda onse omwe muli nawo (makamaka mavuto a mtima, impso, chiwindi, ndi m'mimba) ndi mankhwala ena onse omwe mukumwa.
- Dziwani zoopsa zazikulu monga kutuluka magazi m'mimba, matenda a mtima, sitiroko, ndi zotsatirapo zoopsa pakhungu.
- Ngati mukumva kupweteka kwambiri m'mimba, ndowe zakuda, kupweteka pachifuwa, kapena kutupa pakhungu, funsani dokotala nthawi yomweyo.
- Mankhwalawa aperekedwa kwa inu nokha. Musagawane ndi ena.
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