Kodi dokotala wanu wakupatsani mankhwala otchedwa Tolmetin ochizira kupweteka kwa mafupa, kutupa, kapena nyamakazi? Uwu ndi mankhwala omwe amaperekedwa kwa anthu ambiri m'dziko lathu chifukwa cha ululu wosiyanasiyana. Chifukwa chake, monga wogwiritsa ntchito mankhwalawa, ndikofunikira kwambiri kuti chitetezo chanu chikhale chotetezeka kudziwa chilichonse chokhudza mankhwalawa. Lero, tikambirana za mankhwalawa ndi zinthu zomwe muyenera kusamala nazo mukamaugwiritsa ntchito.
Kodi Tolmetin ndi chiyani kwenikweni?
Mwachidule, Tolmetin ndi mankhwala opha ululu. Malinga ndi zamankhwala, ndi ya gulu la mankhwala otchedwa NSAID (Non-Steroidal Anti-Inflammatory Drug) . Mankhwalawa amachepetsa ululu, kutupa, ndi kutupa m'thupi. Mankhwalawa amatha kupumula ku zinthu monga kupweteka kwa mafupa, kupweteka kwa minofu, komanso kusasangalala komwe kumachitika chifukwa cha nyamakazi.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa
Izi ndizofunikira kwambiri. Musanapereke Tolmetin kwa inu, ndikofunikira kuti dokotala wanu adziwe bwino za thanzi lanu. Onetsetsani kuti mwadziwitsa dokotala wanu ngati muli ndi vuto lililonse mwa izi:
- Matenda a mtima kapena mavuto a dongosolo la magazi: Ngati muli ndi kuthamanga kwa magazi, matenda a mtima, kulephera kwa mtima, kapena mwachitidwa opaleshoni ya bypass posachedwapa (Coronary Artery Bypass Graft - CABG).
- Matenda otuluka magazi: Ngati muli ndi vuto la magazi kuundana kapena mavuto ena otuluka magazi.
- Mavuto a m'mimba ndi m'matumbo: Ngati mudayamba mwadwalapo zilonda zam'mimba kapena kutuluka magazi m'mimba.
- Matenda a impso kapena chiwindi: Ngati muli ndi matenda a impso kapena chiwindi.
- Mavuto a kupuma: Ngati muli ndi matenda a m'mapapo monga mphumu.
- Zinthu zina: Ngati ndinu womwa mowa kwambiri, mumasuta fodya , muli ndi maselo ofiira ochepa m'magazi, mulibe madzi okwanira m'thupi, kapena mukumwa mankhwala a steroid (monga prednisone).
- Ziwengo: Ngati muli ndi vuto la Tolmetin, mankhwala ena ochepetsa ululu a NSAID (monga aspirin, ibuprofen), mankhwala ena, zakudya kapena zotetezera.
- Mimba ndi kuyamwitsa: Ndikofunikira kwambiri kudziwitsa dokotala wanu ngati mukufuna kutenga pakati, muli ndi pakati, kapena mukuyamwitsa .
Kulankhula ndi dokotala wanu popanda kubisa izi sikungokuthandizani kukhala otetezeka, komanso kudzakuthandizani kugwiritsa ntchito bwino mankhwala anu.
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
Kuti mankhwala agwire ntchito bwino, ayenera kugwiritsidwa ntchito moyenera.
- Tsatirani malangizo a dokotala wanu: Imwani mlingo womwe dokotala wanu wakupatsani, panthawi yomwe mwapatsidwa. Tsatirani malangizo a dokotala monga momwe anenera.
- Mezani kapisozi yonse: Musaswe, kuphwanya, kapena kutafuna kapisozi iyi. Mezani yonse ndi kapu ya madzi.
- Musanadye kapena mutatha kudya: Mankhwalawa ndi bwino kumwa pamimba yopanda kanthu . Ndiko kuti, osachepera mphindi 30 musanadye, kapena maola awiri mutatha kudya .
- Ngati m'mimba mwanu mwayamba kuvutika: Anthu ena angayambe kukwiya kapena kusasangalala m'mimba akamamwa mankhwalawa. Ngati izi zitachitika, mutha kufunsa dokotala wanu kuti akupatseni mankhwala oyenera oletsa asidi.
- Ngati muli ndi zaka zoposa 65: Okalamba angamve mphamvu ya mankhwalawa mokulirapo. Chifukwa chake, angafunike mlingo wocheperako. Dokotala wanu adzasankhanso izi.
- Kwa ana: Ngakhale kuti mankhwalawa amatha kuperekedwa kwa ana opitirira zaka ziwiri nthawi zina zapadera, njira zina zodzitetezera ndizofunikira.
Kodi mungachite chiyani ngati mwaphonya mlingo kapena mwamwa mopitirira muyeso?
Ngati mwaphonya mlingo: Imwani mlingo womwe mwaphonya nthawi yomweyo mukakumbukira. Komabe, ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe yakonzedwa. Musamwe mlingo wowirikiza kawiri.
Kuchuluka kwa mankhwala: Izi ndi zadzidzidzi. Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, pitani ku Dipatimenti Yoona za Zadzidzidzi (ETU) yapafupi nthawi yomweyo. Kapena imbani National Poisons Information Centre ku Chipatala cha Dziko Lonse cha Colombo .
Mankhwala ena omwe sayenera kugwiritsidwa ntchito ndi mankhwalawa ndipo omwe angagwirizane nawo
Ngati mukumwa Tolmetin, muyenera kusamala kwambiri mukamagwiritsa ntchito mankhwala ena. Ikhoza kukhudza kwambiri mankhwala ena.
| Kuyanjana kwa Mankhwala ndi Tolmetin | |
|---|---|
| Mankhwala omwe sayenera kumwedwa pamodzi | |
| Cidofovir | Methotrexate |
| Mankhwala ena ndi zinthu zina zomwe zingayambitse zotsatira zoyipa ziyenera kufotokozedwa kwa dokotala | |
| Mowa | Aspirin ndi mankhwala ena okhala ndi aspirin |
| Mankhwala ena a NSAID (monga Ibuprofen, Naproxen) | Mankhwala ochepetsa kuthamanga kwa magazi |
| Mankhwala ochepetsa mphamvu ya madzi m'thupi (Diuretics) | Lithiamu |
| Mitundu ya ma steroid (Prednisone, Cortisone) | Mankhwala oletsa magazi kuundana (monga Warfarin) |
Mndandandawu sunathe, choncho uzani dokotala wanu za mankhwala onse omwe mumamwa (kuphatikizapo mavitamini ndi mankhwala azitsamba) .
Zinthu zofunika kusamala kwambiri mukamamwa mankhwala
Dziwani zilonda zam'mimba ndi kutuluka magazi.
Mankhwalawa amatha kuwononga mkati mwa mimba, zomwe zimayambitsa zilonda zam'mimba komanso kutuluka magazi. Nthawi zina izi zimachitika popanda chenjezo . Kusuta fodya, kumwa mowa, kukhala wokalamba, komanso kukhala ndi thanzi lofooka kumawonjezera chiopsezo chanu. Ngati muli ndi ululu waukulu m'mimba, kusanza magazi (monga khofi), kapena kuchita ndowe zakuda kapena zamagazi , funsani upangiri wa dokotala nthawi yomweyo .
Kuopsa kwa matenda a mtima ndi sitiroko
Kugwiritsa ntchito mankhwala a NSAID kwa nthawi yayitali monga Tolmetin kungawonjezere pang'ono chiopsezo chanu cha matenda a mtima ndi sitiroko. Chiwopsezochi chimakhala chachikulu kwambiri ngati muli kale ndi matenda a mtima. Ngati mukumwa aspirin kuti mupewe matenda a mtima, onetsetsani kuti mwalankhula ndi dokotala musanagwiritse ntchito Tolmetin.
Matenda aakulu a pakhungu omwe angathe kuchitika
Anthu ena akhoza kuyamba kudwala kwambiri pakhungu patatha milungu ingapo mutayamba kumwa mankhwalawa. Uzani dokotala wanu nthawi yomweyo ngati muli ndi malungo, kupweteka kwa thupi, ziphuphu pakhungu zofiira kapena zofiirira zomwe pambuyo pake zimatuluka matuza ndi kutsekeka, kapena kutupa kwa nkhope kapena milomo, komanso kutupa kwa ma lymph nodes.
Ngati muli ndi pakati ndipo mukuyembekezera mwana
Kumwa mankhwalawa pakati pa masabata 20 ndi 30 a mimba kungavulaze mwana wosabadwayo. Chifukwa chake, ngati mumwa mankhwalawa panthawiyi, muyenera kuyang'aniridwa ndi dokotala. Musamwe mankhwalawa mutadutsa masabata 30 a mimba. Komanso, mankhwalawa akhoza kukhala ndi zotsatirapo zina pa kubereka.
Kugona ndi chizungulire
Mankhwalawa angakupangitseni kugona kapena kuzunguzika mutu. Choncho, pewani kuyendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa akukukhudzirani. Makamaka ngati ndinu okalamba, musadzuke mwadzidzidzi kuchokera pamalo omwe mumakhala. Dzukani pang'onopang'ono.
Kodi zotsatirapo zake zingakhale zotani?
Monga mankhwala ena aliwonse, Tolmetin ingayambitse zotsatirapo zina. Zina mwa izo zingakhale zoopsa, pomwe zina zimakhala zochepa.
| Zotsatirapo zomwe zingachitike chifukwa cha Tolmetin | |
|---|---|
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala nthawi yomweyo | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa; kutupa kwa nkhope, milomo, lilime. |
| Zizindikiro za kutuluka magazi | Chimbudzi chakuda kapena chamagazi; mkodzo wofiira kapena wakuda; masanzi omwe amaoneka ngati khofi wophikidwa; mawanga ofiira pakhungu; kutuluka magazi kosazolowereka kuchokera m'kamwa kapena m'mphuno. |
| Zizindikiro za magazi kuundana | Kupweteka pachifuwa; kuvutika kupuma; kupweteka, kutupa, kapena kutentha kwa mwendo. |
| Matenda a mtima/kulephera kwa mtima | Kuvuta kupuma; kupweteka kapena kulimba pachifuwa, pakhosi, kapena m'manja; kutopa kosazolowereka; kugunda kwa mtima mofulumira kapena kosakhazikika; kuwonjezeka kwa thupi mwadzidzidzi; kutupa kwa akakolo ndi mapazi. |
| Zizindikiro za Stroke | Kusintha kwa masomphenya; chisokonezo; kuvutika kulankhula kapena kumvetsetsa; mutu waukulu; dzanzi mwadzidzidzi kapena kufooka kwa nkhope, mkono, kapena mwendo. |
| Zizindikiro za kuwonongeka kwa impso/chiwindi | Kuvuta kukodza kapena kusintha kwa kuchuluka kwa mkodzo; mkodzo wachikasu/bulauni wakuda; maso kapena khungu kukhala lachikasu; kupweteka kumtunda kwa kumanja kwa m'mimba; kusowa chilakolako cha chakudya. |
| Zotsatirapo zomwe nthawi zambiri zimakhala zofala, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Chizungulire, mutu | Kupereka mpweya |
| Kutentha pamtima, kupweteka m'mimba | Kulira m'makutu |
| Kutsegula m'mimba, nseru, kusanza | |
Uthenga Wopita Nawo Kunyumba
- Tolmetin ndi mankhwala omwe ayenera kumwedwa pokhapokha ngati dokotala wakupatsani upangiri. Imwani mlingo wovomerezeka, monga momwe mwalangizidwira.
- Uzani dokotala wanu za matenda onse omwe muli nawo (makamaka matenda a mtima, impso, m'mimba) ndi mankhwala ena onse omwe mumamwa.
- Fufuzani thandizo lachipatala mwamsanga ngati mukukumana ndi mavuto ena aakulu monga kupweteka m'mimba, ndowe zakuda, kupweteka pachifuwa, kupuma movutikira, kapena kutupa kwambiri pakhungu.
- Mukamamwa mankhwalawa, musamwe mankhwala ena ochepetsa ululu monga Aspirin ndi Ibuprofen popanda chilolezo cha dokotala.
- Pewani kumwa mowa mukamamwa Tolmetin. Zimawonjezera chiopsezo cha kutuluka magazi m'mimba.
- Ngati muli ndi pakati, mukufuna kutenga pakati, kapena kuyamwitsa, onetsetsani kuti mwalankhula ndi dokotala musanamwe mankhwalawa.
👩🏽⚕️ Mafunso ena (Mafunso Ofunsidwa Kawirikawiri)
💬 Mapiritsi/makapisozi a Tolmetin / Tolectin ndi mankhwala amphamvu kwambiri a matenda ati?
Iyi si Panadol (Paracetamol) yanu yachizolowezi! Iyi ndi mankhwala amphamvu kwambiri, osagwiritsa ntchito steroidal anti-inflammatory (NSAID) omwe amapereka mphamvu 100% pa kutupa kosapiririka, kutupa ndi ululu wa mafupa womwe umayambitsidwa ndi osteoarthritis, rheumatoid arthritis ndi juvenile rheumatoid arthritis (JIA).
💬 Mafupa anu akatupa komanso kupweteka, kodi mungachotse bwanji ululu wonse mwa kumwa mapiritsi awa (Tolmetin)?
Pamene chiwalo cha mafupa chavulala, thupi lathu limapanga mankhwala otchedwa 'Prostaglandins' kuti apangitse ululu ndi kutupa/kufiira m'derali. Mankhwala amenewo amapangidwa ndi enzyme/makina otchedwa 'COX (Cyclooxygenase)'! Mankhwalawa akangolowa m'thupi, amatseka/kutseka kwathunthu ndi kutseka makina onse a COX (COX-1 ndi COX-2). Kenako, thupi silingathe kupanga Prostaglandins, ndipo kutupa ndi kupweteka m'mafupa kumachiritsidwa nthawi yomweyo.
💬 Kodi ndi 'zoopsa zoopsa' ziti (Chenjezo la Black Box) zomwe anthu omwe amatenga mankhwala amphamvu ochepetsa ululu (Tolmetin) ayenera kudziwa?
Ululu watha, koma zoopsa zake ndi zazikulu kwambiri! Choopsa chachikulu ndichakuti mukamwa izi, matumbo/mimba yanu imatha kubowoka popanda chenjezo lililonse, mutha kusanza magazi (Kutuluka magazi m'mimba/zilonda) ndikufa! Chinthu china choopsa kwambiri ndichakuti chiopsezo cha 'kuukira kwadzidzidzi kwa mtima' ndi sitiroko (zochitika za cardiovascular thrombotic events) chimawonjezeka ndi 100%, makamaka odwala mtima sayenera kumwa izi!
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