Ngati inu kapena munthu amene mumamudziwa ali ndi cystic fibrosis, dokotala wanu mwina adakupatsani mankhwala otchedwa Tezacaftor; Ivacaftor. Dzina la mankhwala awa ndi Symdeko. Popeza awa ndi mankhwala apadera komanso amakono, ndikofunikira kwambiri kudziwa bwino za mankhwalawa ndikugwiritsira ntchito moyenera. Chifukwa chake lero, tiyeni tikambirane za mankhwalawa, momwe amagwirira ntchito, momwe angamwere, ndi chilichonse chomwe muyenera kusamala nacho.
Kodi Tezacaftor; Ivacaftor ndi chiyani?
Mwachidule, iyi ndi piritsi yomwe imagwiritsidwa ntchito pochiza matenda otchedwa Cystic Fibrosis (CF). Komabe, si odwala onse a CF omwe amapatsidwa. Mankhwalawa amagwira ntchito kwa anthu omwe ali ndi kusintha kwina m'majini awo. Dokotala wanu adzachita mayeso ofunikira kuti adziwe ngati mankhwalawa ndi oyenera kwa inu. Amathandiza kukonza vuto la mapuloteni m'thupi lanu lomwe limayambitsidwa ndi CF. Dokotala wanu angakupatseninso mankhwalawo pazifukwa zina. Chifukwa chake ngati muli ndi mafunso, funsani dokotala wanu.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwalawa
Dokotala wanu asanakupatseni mankhwala awa, ayenera kudziwa mbiri yanu yonse ya thanzi. Choncho, ngati muli ndi vuto lililonse mwa zotsatirazi, onetsetsani kuti mwadziwitsa dokotala wanu .
- Ngati muli ndi matenda a impso.
- Ngati muli ndi matenda a chiwindi.
- Ngati mudakumanapo ndi vuto lachilendo la ziwengo ku Tezacaftor, Ivacaftor, kapena mankhwala ena aliwonse, chakudya, kapena chosungira.
- Ngati muli ndi pakati, kapena mukuyembekezera kutenga pakati posachedwa.
- Ngati ndinu mayi woyamwitsa.
Ndikofunikira kwambiri kuti mukhale otetezeka kuuza dokotala izi popanda kuzibisa.
Kodi ndimagwiritsa ntchito bwanji mankhwalawa molondola?
Kuti mupindule kwambiri ndi mankhwalawa, muyenera kumwa monga momwe mwalangizidwira.
- Imwani ndi chakudya chamafuta: Mankhwalawa nthawi zonse ayenera kumwedwa ndi chakudya chamafuta . Mwachitsanzo, mazira, tchizi, batala wa mtedza, avocado, ndi zina zotero zimathandiza thupi kuyamwa bwino mankhwalawa.
- Mezani piritsi lonse: Musaliswe, kuliphwanya, kapena kulitafuna . Mezani lonse ndi kapu ya madzi.
- Musamwe ndi Madzi a Grapefruit: Izi ndizofunikira kwambiri. Pewani kudya kapena kumwa mphesa kapena madzi a grapefruit konse mukamamwa mankhwalawa.Zingasokoneze mphamvu ya mankhwala.
- Imwani pa nthawi yake: Imwani mankhwala anu pa nthawi yomwe dokotala wanu wakupatsani, nthawi yoyenera. Ngati ndi kamodzi patsiku, yesani kuwamwa nthawi yomweyo tsiku lililonse.
- Musasiye kumwa mankhwala anu popanda uphungu wa dokotala wanu: Musasiye kumwa mankhwala anu popanda kufunsa dokotala wanu kaye, kaya ndi chifukwa choti mukumva bwino kapena pazifukwa zina zilizonse.
Ngati mupatsa ana mankhwalawa...
Mankhwalawa nthawi zina amalimbikitsidwa kwa ana azaka zopitirira 6. Komabe, ichi ndi chisankho chomwe chidzapangidwa ndi dokotala wanu wa ana. Tsatirani malangizo ake molondola.
Kodi mungachite chiyani ngati mwamwa mankhwala ochulukirapo (overdose)?
Ngati mukuganiza kuti mwamwa mankhwala owonjezera, musachite mantha ndipo imbani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital . Kapena, ngati n'kotheka , pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi mwamsanga.
Nanga bwanji ngati ndaphonya mlingo wa mankhwala?
Ngati mwaiwala kumwa mlingo, imwani mwamsanga mukangokumbukira. Koma ngati patatha maola osakwana 6 kuti mutenge mlingo wotsatira, thawani mlingo womwe mwaphonya. Ingomwani mlingo wotsatira panthawi yomwe mwakonza. Musamwe mlingo umodzi nthawi imodzi kuti mubwezeretse mlingo womwe mwaiwala.
Mankhwala ena omwe angagwirizane ndi mankhwalawa (Kuyanjana kwa Mankhwala)
Mankhwalawa angagwirizane ndi mankhwala ena. Chifukwa chake, ndikofunikira kuuza dokotala wanu za mankhwala onse omwe mukumwa (kuphatikizapo mavitamini, mankhwala azitsamba, ndi zowonjezera). Gome ili pansipa likufotokoza izi mozama.
| Mtundu wa mankhwala | Kufotokozera / Zitsanzo |
|---|---|
| Pewani kutenga zonsezi pamodzi. | |
| Mankhwala ena operekedwa kuti athandize munthu kukhala ndi thanzi labwino | Carbamazepine, Phenobarbital, ndi Phenytoin |
| Mankhwala a chifuwa chachikulu | Rifampin, Rifabutin |
| Chitsamba | Wort wa St. John |
| Chakumwa | Madzi a mphesa |
| Izi zingayambitsenso mikangano (gwiritsani ntchito pokhapokha mutalangizidwa ndi dokotala) | |
| Maantibayotiki ena | Clarithromycin, Erythromycin, Telithromycin |
| Mankhwala oletsa bowa | Fluconazole, Itraconazole, Ketoconazole, Posaconazole, Voriconazole |
| Mankhwala operekedwa pambuyo poika munthu wina | Cyclosporine, Everolimus, Sirolimus, Tacrolimus |
| Mankhwala a matenda a mtima | Digoxin |
Zotsatirapo zomwe zingakhalepo mukatenga mankhwala
Monga mankhwala ena aliwonse, mankhwalawa angayambitse mavuto ena mwa anthu ena. Ena ndi oopsa, ena ndi ofala.
| Mtundu wa zotsatira zoyipa | Zizindikiro |
|---|---|
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala nthawi yomweyo | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo kapena lilime, komanso kuvutika kupuma. |
| Kusintha kwa masomphenya | Kusawona bwino, kusintha kwa maso oyera (cataracts). |
| Zizindikiro za Kuvulala kwa Chiwindi | Mkodzo wakuda wachikasu kapena bulauni, maso kapena khungu kukhala lachikasu (jaundice), kusowa chilakolako cha chakudya, nseru, kupweteka kumtunda kwa kumanja kwa m'mimba, ndowe zoyera, kutopa kosazolowereka. |
| Zotsatira zoyipa zomwe ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Mutu | Mutu waukulu. |
| Chizungulire | Kumva chizungulire. Pewani kuyendetsa galimoto. |
| Kusanza | Kumva ngati kusanza. |
| Mavuto a sinus | Kutsekeka kwa mphuno, mamina. |
Ngati mukukumana ndi zizindikiro zina zachilendo zomwe sizinatchulidwe pamndandandawu, uzani dokotala wanu za zizindikirozo.
Uthenga Wopita Nawo Kunyumba
- Tezacaftor; Ivacaftor (Symdeko) ndi mankhwala apadera omwe amaperekedwa ku matenda enaake a majini a Cystic Fibrosis.
- Mankhwalawa ayenera kumwedwa nthawi zonse ndi chakudya chamafuta .
- Pewani kumwa madzi a mphesa kotheratu mukamamwa mankhwalawa.
- Uzani dokotala wanu za mankhwala ena onse omwe mukumwa.
- Ngati muwona zizindikiro zilizonse za kuwonongeka kwa chiwindi, monga kusintha kwa masomphenya kapena kusintha kwa khungu , funsani upangiri wa dokotala nthawi yomweyo.
- Mankhwalawa ndi a inu nokha. Musagawane ndi wina aliyense.
- Musazengereze kufunsa dokotala wanu za mavuto aliwonse.
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