Dokotala wanu mwina anakuuzani kuti mugwiritse ntchito mankhwala opumira (DPI) pochiza kuthamanga kwa magazi m'mapapo mwanu. Mungakhalenso ndi mankhwala otchedwa Treprostinil m'manja mwanu. Popeza awa ndi mankhwala apadera, tiyeni tiphunzire zambiri za iwo, sichoncho? Lero, tikambirana za mankhwalawa, momwe tingawagwiritsire ntchito, komanso zomwe muyenera kusamala nazo.
Kodi kwenikweni chimachitika ndi mankhwala awa ndi chiyani?
Mankhwalawa amagwiritsidwa ntchito pochiza matenda otchedwa Pulmonary Arterial Hypertension (PAH). Tangoganizani kuti mitsempha yamagazi yomwe imanyamula magazi kuchokera mumtima mwathu kupita ku mapapo yatsekedwa. Kenako mtima umayenera kugwira ntchito molimbika kuti upompe magazi kupita ku mapapo. Izi ndi zomwe timatcha PAH.
Mwachidule, mukagwiritsa ntchito inhaler iyi, mankhwalawa amadutsa m'thupi lanu ndikumasula mitsempha yamagazi m'mapapu anu. Izi zimachepetsa kuthamanga kwa magazi mkati mwa mitsemphayo. Izi zimathandiza mtima wanu kupompa magazi mosavuta. Chifukwa chake, mutha kupuma mosavuta komanso kukhala wotanganidwa kwambiri.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwala
Ndikofunikira kwambiri kuti dokotala wanu akuuzeni zambiri zokhudza thanzi lanu musanayambe kumwa mankhwalawa.
| Nkhani yomwe muyenera kuifotokoza | N’chifukwa chiyani zimenezo n’zofunika? |
|---|---|
| Ngati muli ndi matenda a chiwindi | Chiwindi ndi komwe mankhwala amachotsedwa m'thupi. Ngati muli ndi vuto la chiwindi, mlingo wanu ungafunike kusinthidwa. |
| Ngati muli ndi kuthamanga kwa magazi kotsika | Mankhwalawa amathanso kuchepetsa kuthamanga kwa magazi, kotero ngati muli kale ndi kuthamanga kwa magazi kotsika, muyenera kusamala nawo. |
| Ngati muli ndi matenda ena opuma monga mphumu kapena COPD | Mankhwalawa nthawi zina angayambitse kutsekeka kwa mpweya (kupuma movutikira). Chifukwa chake, ngati muli ndi vuto lililonse mwa izi, muyenera kuuza dokotala wanu. |
| Ngati muli ndi vuto la ziwengo pa chilichonse | Chonde tiuzeni ngati muli ndi vuto lililonse la mankhwala awa, mankhwala ena, zakudya, kapena utoto. |
| Ngati muli ndi pakati kapena mukuyembekezera mwana | Lankhulani ndi dokotala wanu za zotsatira za mankhwalawa panthawi ya mimba. |
| Ngati mayi akuyamwitsa mwana wake | Lankhulani ndi dokotala wanu kuti muwonetsetse kuti mankhwalawa apita kwa mwana wanu kudzera mu mkaka wa m'mawere. |
Kodi mumagwiritsa ntchito bwanji inhaler iyi moyenera?
Uwu ndi mankhwala omwe mumamwa pakamwa. Muyenera kumwa monga momwe dokotala wanu wakuuzani, panthawi yoyenera, komanso muyeso woyenera. Nthawi zambiri amatengedwa maola 4 aliwonse. Musamamwe mopitirira muyeso womwe mwauzidwa. Pitirizani kumwa mpaka dokotala wanu atakuuzani kuti musiye.
Chofunika Kwambiri: Mankhwalawa ayenera kugwiritsidwa ntchito ndi inhaler yapadera (Tyvaso DPI Inhaler) yomwe imabwera nayo. Komanso, muyenera kutaya inhaler yakale ndikuyamba kugwiritsa ntchito yatsopano masiku 7 aliwonse.
MALANGIZO OGWIRITSA NTCHITO omwe amabwera ndi mankhwalawo akufotokoza momveka bwino momwe mungagwiritsire ntchito. Werengani mosamala. Ngati simukumvetsa, funsani dokotala wanu kuti akuuzeni zambiri.
Kodi mungachite chiyani ngati mwaphonya mlingo wa mankhwala?
Musadandaule. Imwani mlingo womwe mwaphonya nthawi yomweyo mukakumbukira. Koma ngati nthawi yatsala pang'ono yoti mutenge mlingo wotsatira (mwachitsanzo, pasanathe maola awiri), dumphani mlingo womwe mwaphonya ndikutenga mlingo wotsatira panthawi yake. Musamwe mlingo umodzi nthawi imodzi.
Nanga bwanji ngati nditamwa mankhwala ochulukirapo?
Tangoganizani kuti mwamwa mankhwala ochulukirapo mwangozi. Ngati izi zitachitika, musachite mantha, koma imbani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital. Malo ogona adzakupatsani upangiri wofunikira. Kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.
Zinthu zoti muzisamala nazo mukamamwa mankhwalawa
- Kugona ndi chizungulire: Mankhwalawa angakupangitseni kugona pang'ono komanso chizungulire. Choncho, musachite chilichonse chomwe chimafuna chisamaliro chambiri, monga kuyendetsa galimoto kapena kugwiritsa ntchito makina, mpaka mutadziwa bwino momwe izi zimakukhudzirani.
- Musadzuke mwadzidzidzi: Makamaka ngati ndinu wamkulu, musadzuke mwadzidzidzi kuchokera pamalo omwe mumakhala kapena kutuluka pabedi. Kuchita zimenezi kungayambitse chizungulire ndipo mungagwe. Choncho dzukani pang'onopang'ono.
- Chiwopsezo cha kutuluka magazi: Izi zitha kuwonjezera pang'ono chiopsezo cha kutuluka magazi. Uzani dokotala wanu ngati mukumva kuvulala kapena kutuluka magazi mosavuta.
- Mankhwala ena: Uzani dokotala wanu za mankhwala onse omwe mukumwa, kuphatikizapo mavitamini ndi mankhwala azitsamba (monga kashaya, aristha). Mankhwala ena amatha kusokonezana ndi mankhwalawa. Izi ndi zoona makamaka ndi mankhwala ena a kuthamanga kwa magazi, monga Gemfibrozil ndi Rifampin .
Kodi zotsatirapo zake zingakhale zotani?
Monga mankhwala ena aliwonse, mankhwalawa akhoza kukhala ndi zotsatirapo zake. Ena ndi oopsa, ena ndi ofala.
| Zotsatira zoyipa | Zizindikiro zomwe mumaziona |
|---|---|
| Zizindikiro zazikulu zomwe ziyenera kufotokozedwa kwa dokotala nthawi yomweyo | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Kutuluka magazi kosazolowereka | Kusanza magazi (monga khofi wothira), ndowe zimasintha kukhala zakuda kapena zouma, mkodzo umasintha kukhala wofiira/wakuda, madontho ang'onoang'ono ofiira/ofiirira amawonekera pathupi, ndi mabala popanda chifukwa. |
| Kuthamanga kwa magazi kotsika | Chizungulire, maso abuluu, ndi kutaya chidziwitso. |
| Kuvuta kupuma | Kupuma movutikira, kupuma movutikira. |
| Kawirikawiri palibe chodetsa nkhawa nacho, koma ngati chikupitirira, nazi zina zomwe munganene: | |
| Chifuwa, pakhosi ndi mphuno yotuluka madzi | Matenda ofala omwe amayamba chifukwa chopuma mankhwala. |
| Mutu, nseru, kuvutika m'mimba | Izi nthawi zambiri zimawonedwa m'magawo oyamba. |
| Kufiira kwa nkhope | Pamene mitsempha ya magazi ikukulirakulira, magazi amapita kumaso, zomwe zimapangitsa kuti nkhope iwoneke yofiira. |
Kodi mungasunge bwanji mankhwala ndi inhaler?
Ichi ndi chinthu chomwe muyenera kudziwa motsimikiza.
- Makhadi a ma blister osatsegulidwa: Sungani awa mufiriji. Koma musawasunge mufiriji. Awatulutseni mufiriji mphindi 10 musanawagwiritse ntchito.
- Ngati zasungidwa kutentha kwa chipinda: Mapaketi osatsegulidwa akhoza kusungidwa kutentha kwa chipinda (pakati pa 20-25 Celsius) kwa milungu isanu.
- Zidutswa zotseguka: Izi ziyenera kugwiritsidwa ntchito mkati mwa masiku atatu mutatsegula. Musayikenso zidutswa zotseguka mufiriji.
- Chopumira: Ichi chikhoza kusungidwa mufiriji kapena kutentha kwa chipinda. Onetsetsani kuti mwachitaya ndipo mupeze china chatsopano patatha masiku 7 mutachigwiritsa ntchito.
Mukataya mankhwala otha ntchito kapena osafunikiranso m'zinyalala, sakanizani mankhwalawo ndi chinthu monga khofi wophikidwa, dothi, kapena zinyalala za amphaka, ndipo muwatseke bwino m'thumba kapena m'chidebe musanawataye.
Uthenga Wopita Nawo Kunyumba
- Gwiritsani ntchito mankhwalawa monga momwe dokotala wanu wanenera, panthawi yoyenera komanso muyeso woyenera.
- Musasiye kumwa mankhwala mwadzidzidzi popanda upangiri wa dokotala.
- Uzani dokotala wanu za matenda ena aliwonse omwe muli nawo komanso mankhwala onse omwe mukumwa.
- Ngati pali zotsatirapo zoyipa (zifukwa za ziwengo, kutuluka magazi, chizungulire chachikulu), funsani thandizo la dokotala nthawi yomweyo.
- Sungani mankhwala anu ndi chopumira chanu moyenera. Musaiwale kusintha chopumira chanu masiku 7 aliwonse.
- Mankhwalawa ndi a inu nokha. Musagawane ndi ena.
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