Pamene tikukalamba, mafupa amafooka pang'onopang'ono ndipo fupa limasweka ngakhale pang'ono kugwa, kodi si vuto lalikulu kwa anthu ambiri? Chiwopsezochi ndi chachikulu makamaka kwa amayi ndi abambo omwe ali ndi matenda otchedwa osteoporosis. Kotero lero tikulankhula za katemera wapadera womwe umaperekedwa kuti ulimbikitse mafupa ofookawa ndikuletsa kusweka kwa mafupa. Dzina lake ndi Teriparatide.
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Kodi Teriparatide ndi chiyani?
Mwachidule, teriparatide ndi mankhwala omwe amathandiza thupi lathu kupanga maselo atsopano a mafupa ndikulimbitsa mafupa athu. Zili ngati kupatsa mphamvu ogwira ntchito yomanga mafupa athu. Matenda a osteoporosis ndi matenda omwe amachititsa kuti mafupa asweke ndikuchepa. Katemerayu amagwira ntchito powongolera njira imeneyi ndikumanganso minofu ya mafupa yathanzi komanso yolimba. Izi zingathandize kupewa kusweka kwa mafupa mtsogolo.
Chofunika kwambiri ndichakuti, ichi si mankhwala ochepetsa ululu. Cholinga chake ndi kuchiza matendawa kaye. Izi zikutanthauza kumanganso mafupa ofooka.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwalawa
Dokotala wanu asanakupatseni katemerayu, ayenera kudziwa mbiri yanu yonse ya thanzi. Mankhwalawa si oyenera anthu omwe ali ndi matenda enaake. Choncho ngati muli ndi vuto lililonse mwa zotsatirazi, uzani dokotala wanu popanda kubisa chilichonse .
| Mkhalidwe wanu | N’chifukwa chiyani muyenera kuuza dokotala? |
|---|---|
| Matenda a mafupa kupatula matenda a osteoporosis (monga matenda a Paget) | Popeza mankhwalawa si oyenera matenda ena a mafupa, ndikofunikira kutsimikizira kuti matendawa ndi olondola. |
| Kuwonjezeka kwa calcium m'magazi | Katemera wa teriparatide amathanso kukweza calcium m'magazi kwakanthawi, zomwe zingakhale zoopsa ngati milingo imeneyo ili kale yokwera. |
| Kukhala ndi mbiri ya khansa ya mafupa | Mankhwalawa sakuvomerezeka kwa anthu omwe ali ndi mbiri yamtunduwu. |
| Miyala ya impso | Mankhwalawa angapangitse kuti calcium ichuluke mu mkodzo, zomwe zingawonjezere chiopsezo cha miyala mu impso. |
| Kukhala pansi pa chithandizo cha radiation | Mankhwalawa sangakhale oyenera anthu omwe akulandira chithandizo cha radiation. |
| Kukhala ndi pakati, kuyesa kutenga pakati, kapena kuyamwitsa | Popeza chitetezo cha mankhwala sichinadziwike pazochitika izi, kugwiritsa ntchito kwake kuyenera kupewedwa. |
| Kutupa kwa mankhwala ena, zakudya kapena zinthu zina | Ndikofunikira kwambiri kuuza dokotala wanu za ziwengo zilizonse zomwe muli nazo. |
Kodi katemerayu amagwiritsidwa ntchito bwanji kwenikweni?
Iyi ndi jakisoni kakang'ono komwe kamaperekedwa pansi pa khungu (jakisoni wa subcutaneous). Nthawi zambiri kamaperekedwa pakhungu la m'mimba kapena ntchafu. Musadandaule, dokotala wanu kapena namwino wophunzitsidwa bwino adzakuwonetsani momveka bwino momwe mungaperekere jakisoni iyi. Adzakuwonetsani momwe mungagwiritsire ntchito cholembera cha jakisoni, momwe mungasinthire mlingo wa mankhwala, komanso momwe mungayikitsire jakisoni mosamala.
- Imwani katemerayu pa nthawi yake: Pezani katemera wanu wa tsiku ndi tsiku monga momwe dokotala wanu wanenera, panthawi yoyenera. Musadumphe nthawi yokumana ndi dokotala.
- Kutaya zinthu zobaya: Musataye zinthu zobaya zakale kapena zolembera zopanda kanthu m'zinyalala. Ndi zoopsa kwambiri. Pali chidebe chapadera cha pulasitiki chokhuthala (chidebe chobaya) chomwe chaperekedwa kwa izi. Ziikeni mmenemo ndikuzibwezera kuchipatala zikadzaza. Ngati mulibe chidebe chotere, funsani dokotala wanu.
Kodi mungachite chiyani ngati mwaphonya mlingo wa mankhwala?
Ngati mwaiwala kumwa mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe mlingo umodzi nthawi imodzi.
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.
Zinthu zofunika kuziganizira mukamamwa mankhwala
- Kupita kwa dokotala: Pitani kwa dokotala wanu pa nthawi yomwe mwakonza. Mungafunike kuyezetsa magazi kuti muwone momwe mankhwalawo akukukhudzirani.
- Kalisiyamu ndi Vitamini D: Mukamwa mankhwalawa, thupi lanu limafunika calcium ndi vitamini D okwanira. Komabe, muyenera kumwa mapiritsi ena okha monga momwe dokotala wanu walangizira. Mungapemphedwe kuti musiye kumwa mapiritsiwa ngati calcium m'magazi mwanu yakwera kwambiri.
- Chizungulire ndi kugona: Mungamve chizungulire komanso kugona mutalandira katemera, makamaka mutatha kumwa mankhwala oyamba. Chifukwa chake, muyenera kupewa kuyendetsa galimoto kapena kugwiritsa ntchito makina kwa kanthawi mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
- Musadzuke mwadzidzidzi: Makamaka ngati ndinu munthu wokalamba, musadzuke mwadzidzidzi mutagona kapena mutagona. Kuchita zimenezi kungayambitse kutsika kwadzidzidzi kwa kuthamanga kwa magazi (postural hypotension) ndi chizungulire. Nyamukani pang'onopang'ono.
- Mankhwala ena: Uzani dokotala wanu za mankhwala ena aliwonse omwe mukumwa (monga digoxin, mankhwala a mtima), mavitamini, komanso mankhwala achikhalidwe, chifukwa ena angagwirizane ndi katemerayu.
Kodi zotsatirapo zake zingakhale zotani?
Monga mankhwala ena onse, jakisoni wa teriparatide ungayambitse zotsatirapo zoyipa, ngakhale kuti si aliyense amene amalandira. Dziwani izi:
| Ngati mukukumana ndi zizindikiro izi, uzani dokotala wanu nthawi yomweyo. | |
|---|---|
| Zizindikiro za ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo kapena lilime. |
| Zizindikiro za kuthamanga kwa magazi kotsika | Chizungulire chachikulu, maso abuluu, kutaya chidziwitso, kutopa kwambiri. |
| Zizindikiro za kuchuluka kwa calcium m'thupi | Kusanza, kusanza, kudzimbidwa, kuchepa mphamvu, kufooka kwa minofu. |
| Zizindikiro za miyala ya impso | Magazi mu mkodzo, kupweteka kumbuyo kapena m'chiuno, kupweteka pokodza. |
| Izi nthawi zambiri sizimakhala zoopsa, koma ngati zikupitirira, uzani dokotala wanu. | |
|---|---|
| Mutu | Kupweteka kwa mafupa |
| Kusanza | Kusasangalala m'mimba |
| Ululu, kufiira, kapena kutupa pamalo omwe jakisoni amaperekedwa | |
Kodi mumasunga bwanji mankhwalawo?
Izi ndizofunikira kwambiri. Kuti mankhwala asungidwe bwino, ayenera kusungidwa bwino.
- Nthawi zonse muziisunga mufiriji. Kutentha kuyenera kukhala pakati pa madigiri 2 ndi 8 Celsius. Nthawi zambiri, ndi bwino kuisunga pakhomo la firiji.
- Musayiike mufiriji. Musalole kuti mankhwala azizire. Musagwiritse ntchito mankhwala omwe azizira.
- Mukangotulutsa ndikugwiritsa ntchito, ikani chivundikirocho pa cholembera ndikuchiyikanso mufiriji.
- Mankhwala omwe ali m'khola ayenera kugwiritsidwa ntchito mkati mwa masiku 28 kuchokera pamene jakisoni yoyamba yaperekedwa . Tayani mankhwala otsalawo patatha masiku 28.
- Musagwiritse ntchito mankhwala omwe atha ntchito.
Uthenga Wopita Nawo Kunyumba
- Teriparatide ndi katemera wolimbitsa mafupa ofooka chifukwa cha kufooka kwa mafupa komanso amaletsa kusweka kwa mafupa.
- Musanayambe kumwa mankhwala, uzani dokotala wanu za matenda anu onse komanso mankhwala omwe mukumwa.
- Tsatirani malangizo ogwiritsira ntchito ndi nthawi yogwiritsira ntchito katemera monga momwe dokotala wanu wanenera. Tayani singano zomwe zagwiritsidwa ntchito mosamala.
- Ngati mukumva chizungulire mutamwa mankhwala, pewani kuyendetsa galimoto.
- Ngati mukuona zizindikiro za kuchuluka kwa calcium m'thupi, monga nseru, kusanza, kutopa kwambiri, kapena zizindikiro za ziwengo, funsani dokotala nthawi yomweyo.
- Sungani cholemberacho nthawi zonse mufiriji. Musachilole kuti chizizire.
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