Kodi inuyo kapena mwana wanu mukudwala eczema? Nthawi zina dokotala wanu angakulembereni kirimu yapadera kuti muchepetse vutoli. Tacrolimus ndi imodzi mwa kirimu zotere. Anthu ambiri amaidziwa ndi dzina loti 'Protopic'. Lero, tiyeni tikambirane mwachidule za kirimu ya Tacrolimus, momwe mungagwiritsire ntchito, komanso njira zodzitetezera zomwe muyenera kutsatira.
Zinthu zomwe muyenera kuuza dokotala wanu musanagwiritse ntchito mankhwalawa
Dokotala wanu asanakulembereni mankhwala awa, ndikofunikira kwambiri kuti mumufotokozere bwino za thanzi lanu. Onetsetsani kuti mwamuuza za matenda aliwonse omwe ali pansipa.
| Mkhalidwe wanu | N’chifukwa chiyani muyenera kudziwitsa? |
|---|---|
| Khansa ya pakhungu (monga cutaneous T-cell lymphoma) | Mankhwalawa si oyenera matenda ena a khansa ya pakhungu. |
| Zofooka kapena mavuto a chitetezo chamthupi | Chifukwa mankhwalawa amatha kusintha kwambiri momwe chitetezo cha mthupi chimagwirira ntchito. |
| Matenda a ma virus monga chickenpox ndi herpes | Kuyika mankhwalawa pamalo omwe pali matenda kungapangitse kuti vutoli liwonjezeke. |
| Kukhala ndi khungu lalikulu lopsa kapena lowonongeka | Pali chiopsezo chotenga mankhwala ambiri m'thupi kudzera pakhungu lowonongeka. |
| Matenda a khungu monga Netherton's syndrome | Kugwiritsa ntchito mankhwalawa kuyenera kuganiziridwa mosamala pazochitika zotere. |
| Atalandira chithandizo cha radiation posachedwapa | Pakhoza kukhala kuyanjana pakati pa mankhwalawa ndi chithandizo cha radiation. |
| Matenda a tacrolimus kapena mankhwala ena, zakudya, kapena zosungira | Izi ndizofunikira kwambiri kuti tipewe vuto la ziwengo. |
| Kukhala ndi pakati, kuyesa kutenga pakati, kapena kuyamwitsa | Pazochitikazi, muyenera kulankhula ndi dokotala wanu za zotsatira zomwe zingachitike pa mwana. |
Kodi mafuta awa mumawagwiritsa ntchito bwanji?
Kuti mupindule kwambiri ndi mankhwalawa, ndikofunikira kwambiri kuwagwiritsa ntchito moyenera.
Mankhwalawa ndi ogwiritsidwa ntchito pakhungu lokha . Musamwe pakamwa pazifukwa zilizonse.
- Sambani m'manja: Sambani m'manja mwanu bwino musanagwiritse ntchito mankhwalawo komanso mutagwiritsa ntchito. Komabe, ngati mukugwiritsa ntchito mankhwalawo m'manja onse awiri, sambani m'manja mwanu musanagwiritse ntchito.
- Musalole kuti ilowe m'maso mwanu: Ngati mwangozi mwailowa m'maso mwanu, tsukani maso anu bwino ndi madzi oyera.
- Pakani wosanjikiza woonda: Monga momwe dokotala wanu wanenera, pakani mankhwalawa wosanjikiza woonda pamalo okhudzidwa okha. Ngati pali chinyezi chilichonse pamalo okhudzidwa musanagwiritse ntchito mankhwalawa, pukutani ndi nsalu yoyera ndipo musiye kuti ziume.
- Imwani mankhwala anu pa nthawi yake: Yesetsani kumwa mankhwala anu nthawi yomweyo tsiku lililonse, monga momwe dokotala wanu wanenera. Musamwe mankhwala opitirira muyeso womwe walangizidwa.
- Musamavale bandeji: Musaphimbe malo omwe mankhwalawo anapakidwa ndi bandeji. Komabe, palibe vuto povala zovala wamba.
- Musasambe mukatha kupaka: Musasambe, musapite kusambira, kapena kusambira nthawi yomweyo mukatha kupaka mankhwala. Kuchita zimenezi kungachotse mankhwalawo.
- Musasiye: Ngakhale khungu lanu litayamba kuchira, musasiye kugwiritsa ntchito mankhwalawo mpaka dokotala wanu atakuuzani kuti muchite zimenezo.
Ngati imagwiritsidwa ntchito kwa ana ...
Madokotala nthawi zina amapereka mankhwalawa kwa ana azaka zopitilira ziwiri. Koma payenera kukhala zifukwa zapadera za izi. Ngati mukugwiritsa ntchito mankhwalawa kwa mwana, ndikofunikira kutsatira malangizo a dokotala molondola.Chofunika kwambiri.
Kodi mungachite chiyani ngati mwamwa mankhwala ochulukirapo?
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo mwangozi, kapena ngati wina wamwa, pitani ku Dipatimenti Yoona za Zadzidzidzi (ETU) yapafupi nthawi yomweyo . Kapena imbani National Poisons Information Centre ku Colombo National Hospital kuti mupeze malangizo.
Kumbukirani kuti mankhwalawa ndi a inu nokha. Musagawire mankhwala anu ndi ena.
Nanga bwanji ngati nditaiwala kumwa mankhwala anga?
Ngati mwaiwala kumwa mankhwala anu, imwani mwamsanga mukangokumbukira. Koma ngati nthawi yanu yotsatira yayandikira, thawani mlingo womwe mwaphonya ndi kumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe mlingo wowirikiza kawiri.
Kodi mankhwala awa angagwirizane bwanji ndi mankhwala awa?
Mukagwiritsa ntchito mafuta awa, zotsatira zake zimatha kusintha ndi mankhwala ena omwe mumamwa, komanso zakumwa zina. Choncho uzani dokotala wanu zonse zomwe mumagwiritsa ntchito.
| Kodi ndi kuyanjana kotani komwe kungachitike? | Zinthu zoti muganizire |
|---|---|
| Zakumwa zoledzeretsa | Kumwa mowa kungayambitse nkhope kapena khungu kufiira ndi kutupa. |
| Mankhwala ena othamanga magazi (monga Diltiazem, Nifedipine) | Mankhwalawa amatha kusintha momwe Tacrolimus imayamwidwira ndi thupi. |
| Mankhwala oletsa bowa (monga Itraconazole, Ketoconazole) | Izi zitha kusinthanso zotsatira za Tacrolimus. |
| Mankhwala monga Cimetidine, Erythromycin | Izi zingayambitsenso kuyanjana, choncho uzani dokotala wanu. |
| Katemera | Musanalandire katemera uliwonse, uzani dokotala wanu kuti mukugwiritsa ntchito Tacrolimus. |
Mndandandawu sunathe, choncho ndi bwino kuuza dokotala wanu za mankhwala onse omwe mumamwa (kuphatikizapo mavitamini ndi mankhwala azitsamba).
Zinthu zina zofunika kukumbukira mukamagwiritsa ntchito
- Samalani ndi kuwala kwa dzuwa: Khungu lanu likhoza kukhala losakhudzidwa ndi kuwala kwa dzuwa mukamagwiritsa ntchito mankhwalawa. Izi zikutanthauza kuti likhoza kufiira ndikupsa mosavuta. Choncho khalani kutali ndi dzuwa momwe mungathere. Ngati mutuluka panja, valani zovala zodzitetezera ndipo gwiritsani ntchito mafuta abwino oteteza ku dzuwa. Pewani kugwiritsa ntchito nyali za dzuwa kapena mabedi opaka utoto.
- Kukonza khungu: Mutha kuona kuti khungu lanu likusintha pakatha milungu ingapo mutagwiritsa ntchito mankhwalawa. Komabe, pitirizani kugwiritsa ntchito kwa nthawi yonse yomwe dokotala wanu wakuuzani. Ngati palibe kusintha pakatha milungu ingapo, kapena ngati vutoli likuipiraipira, onetsetsani kuti mwadziwitsa dokotala wanu .
Kodi zotsatirapo zake zingakhale zotani?
Monga mankhwala ena aliwonse, izi zingayambitse zotsatirapo zina mwa anthu ena, koma si aliyense amene amazilandira.
| Zotsatirapo zoyipa zomwe muyenera kuuza dokotala wanu nthawi yomweyo | |
|---|---|
| Matenda a nkhuku kapena herpes (zilonda zozizira, shingles) | Izi zingakhudze chitetezo chamthupi, choncho dziwitsani nthawi yomweyo. |
| Ma glands otupa | Izi zitha kukhala chizindikiro cha matenda kapena matenda ena oopsa. |
| Kutuluka magazi pakhungu, kusintha kwa mawonekedwe a khungu (kusintha kwa mtundu wa banga, mollus, kapena chotupa chatsopano) | Kusintha kwa khungu kuyenera kufotokozedwa kwa dokotala nthawi yomweyo. |
| Matenda a pakhungu kapena matenda a tsitsi (Infection of hair follicles) | Ngati mukuona zizindikiro monga kufiira kapena mafinya, uzani dokotala wanu . |
| Kumva kutopa kwambiri | Ichi chingakhale chizindikiro cha momwe mankhwalawa akukhudzira thupi. |
| Zotsatirapo zomwe nthawi zambiri sizili zoopsa, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Kupsa, kuyabwa, kupweteka, kapena dzanzi pamalo omwe mankhwalawo anagwiritsidwa ntchito | Izi zitha kuchitika kawirikawiri m'masiku oyambirira ndipo nthawi zambiri zimatha mkati mwa masiku ochepa. |
| Mutu, kupweteka kwa minofu, nseru | Ngati izi zikupitirira kapena zikukuvutitsani, uzani dokotala wanu. |
| Khungu limakhala losavuta kukhudzidwa ndi kutentha kapena kuzizira kuposa masiku onse | Izi ndi zotsatira zoyipa zomwe zimachitika kawirikawiri. |
Kodi ndiyenera kusunga bwanji mankhwalawa?
- Sungani pamalo omwe ana sangafikire. Ichi ndiye chinthu chofunikira kwambiri.
- Sungani kutentha kwa chipinda (pakati pa madigiri 15-30 Celsius).
- Tayani mankhwala aliwonse otsala tsiku lotha ntchito.
Uthenga Wopita Nawo Kunyumba
- Tacrolimus ndi kirimu wopaka pakhungu womwe umagwiritsidwa ntchito pochiza matenda a pakhungu monga eczema. Uyenera kugwiritsidwa ntchito pokhapokha ngati dokotala walangiza.
- Musanamwe mankhwala, onetsetsani kuti mwauza dokotala wanu za matenda ena omwe muli nawo, mankhwala omwe mukumwa, ndi ziwengo.
- Mukapaka mankhwalawo, ikani pang'onopang'ono ndipo kumbukirani kuwateteza ku dzuwa.
- Ngati mukuyamba kutupa, kusintha kwatsopano pakhungu, kapena matenda monga ndulu, pitani kwa dokotala nthawi yomweyo.
- Ngati muli ndi mafunso ena okhudza mankhwalawa, musaope kulankhula ndi dokotala wanu.
👩🏽⚕️ Mafunso ena (Mafunso Ofunsidwa Kawirikawiri)
💬 Kodi mafuta odzola/kirimu a Tacrolimus (Tacrolimus / Protopic) amawononga ndalama zingati?
Iyi si kirimu wamba wa steroid! Iyi ndi mankhwala amphamvu kwambiri (Topical Calcineurin Inhibitor) omwe amaperekedwa ndi chipatala kwa anthu omwe ali ndi 'Severe Eczema / Atopic Dermatitis', pomwe palibe mankhwala ena (ngakhale ma steroids) omwe amachepetsa ululu wa khungu! Izi sizimayambitsa khungu lochepa ngati ma steroids creams, omwe ndi phindu lalikulu pano.
💬 Kodi mungachiritse bwanji eczema ndi izi (Tacrolimus) zokha pomwe mafuta ena onse sagwira ntchito?
Eczema imayamba chifukwa chakuti 'ma T-cell' a chitetezo chathu chamthupi amapenga ndipo amachititsa kutupa/kutupa kwa khungu! Pamene mafuta ena amawatsatira, mafuta awa amapita molunjika kumtima kwa 'ma T-cell' opengawo ndikutseka/kutseka enzyme (Calcineurin) yomwe ikufunika kugwira ntchito panthawiyo. Popeza palibe njira yoti uthengawo udutse, kufiira ndi kuyabwa kwa khungu kumatha nthawi yomweyo.
💬 Kodi ndi chiopsezo chotani chachikulu (Chenjezo la Black Box) cha kirimu uyu?
Ndi mantha akulu kugwiritsa ntchito kirimu uyu! Anthu ena omwe amagwiritsa ntchito mankhwalawa kwa nthawi yayitali akuti adadwala 'khansa ya pakhungu ndi khansa ya lymph node (Lymphoma / Khansa ya Pakhungu)'! Chifukwa chake, ndikoletsedwa kupaka kwa ana osakwana zaka 2. Komanso, musapite ku 'dzuwa/kuwala kwa dzuwa (UV Light)' mukamagwiritsa ntchito izi, khungu lingapse nthawi yomweyo kapena chiopsezo cha khansa chingakule!
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