Kodi mwatopa ndi ululu ndi kutupa komwe kumachitika chifukwa cha nyamakazi m'bondo lanu? Kodi mukuvutika kuyenda, kukwera masitepe, kapena kupinda bondo lanu pang'ono? Ululuwu ukhoza kukupangitsani kukhala kovuta kuchita ntchito zanu za tsiku ndi tsiku. Nthawi zina dokotala wanu angakulangizeni jakisoni wapadera m'malo olumikizira bondo chifukwa cha vutoli. Triamcinolone ndi imodzi mwa jakisoni wotere. Lero, tikambirana za izi mwachidule, zomwe jakisoni uyu amachita, ndani woyenera, komanso zinthu zomwe muyenera kusamala nazo.
Kodi kwenikweni chimachitika ndi katemerayu n’chiyani?
Mwachidule, iyi ndi mankhwala a steroid. Koma sizili ngati mapiritsi a steroid omwe timamwa pakamwa. Iyi ndi jakisoni yomwe imalowetsedwa mwachindunji m'malo opweteka a bondo. Imalowetsedwa kuti ichepetse kutupa, komwe ndi komwe kumayambitsa ululu ndi kutupa.
Chinthu china chapadera pa izi ndi chakuti ndi jakisoni wotulutsa nthawi yayitali . Izi zikutanthauza kuti mukangomubaya, mankhwalawa amatulutsidwa pang'onopang'ono m'malo olumikizirana mafupa, zomwe zimakupatsirani mpumulo waukulu pochepetsa ululu ndi kutupa kwa milungu ingapo. Zilretta ndi dzina lodziwika bwino la mankhwalawa.
Zinthu zoti muuze dokotala wanu musanalandire katemera
Izi ndizofunikira kwambiri. Musanapatsidwe katemerayu, dokotala wanu ayenera kudziwa mbiri yonse ya thanzi lanu. Onetsetsani kuti mwawauza ngati muli ndi vuto lililonse mwa izi:
| Matenda anu kapena vuto lanu | Zinthu zofunika kuziganizira kwambiri |
|---|---|
| Matenda opatsirana omwe alipo | Matenda aliwonse monga chifuwa chachikulu, herpes, chikuku, nkhuku, matenda a bowa. |
| Matenda a shuga | Katemerayu akhoza kuonjezera kuchuluka kwa shuga m'magazi. |
| Kuthamanga kwa Magazi Kwambiri | Kuthamanga kwa magazi kungapitirire kukwera. |
| Matenda a mtima kapena matenda a mtima aposachedwa | Ntchito ya mtima ingakhudzidwe. |
| Matenda ena | Glaucoma, matenda a chiwindi, mavuto a chithokomiro, matenda a Cushing, myasthenia gravis, khunyu, matenda am'mimba kapena m'matumbo (monga zilonda zam'mimba). |
| Matenda a ziwengo | Ngati muli ndi vuto la triamcinolone, ma steroid ena, benzyl alcohol, kapena mankhwala ena aliwonse, chakudya, kapena utoto. |
| Mimba kapena kuyamwitsa | Ngati muli ndi pakati, mukufuna kutenga pakati, kapena ndinu mayi woyamwitsa, ndikofunikira kwambiri. |
Kodi katemerayu amaperekedwa bwanji?
Iyi si jakisoni yomwe mungapite nayo kunyumba ndikudzipatsa nokha. Iyenera kuperekedwa ndi dokotala wanu kapena wogwira ntchito zachipatala wophunzitsidwa bwino kuchipatala kapena kuchipatala. Adzabaya jakisoniyo mosamala m'malo olumikizirana bondo lanu.
Chofunika kwambiri ndikutsatira malangizo a dokotala wanu mutangomaliza kubayidwa jakisoni. Mwachitsanzo, angakuuzeni kuti musamapanikizike kwambiri bondo lanu kwa tsiku limodzi kapena awiri.
Popeza mankhwalawa amaperekedwa ndi dokotala pa mlingo wovomerezeka, mwayi woti 'overdose' ichitike ndi wochepa kwambiri. Komabe, ngati mukukayikira kuti china chake chachitika, imbani nthawi yomweyo National Poisons Information Centre ku Colombo National Hospital , kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.
Mankhwala ena omwe angagwirizane ndi mankhwalawa
Inde, mankhwala ena amatha kusokonezana ndi jakisoni wa Triamcinolone, kotero ndikofunikira kwambiri kuuza dokotala wanu za mankhwala onse omwe mukumwa (kuphatikizapo mavitamini, mankhwala azitsamba, ndi zowonjezera).
- Mankhwala oletsa mavairasi a HIV kapena Edzi
- Aspirin
- Mankhwala ena a matenda a bowa (monga Ketoconazole, Itraconazole)
- Maantibayotiki ena, monga clarithromycin
- Mifepristone
- Nefazodone
- Mankhwala ena a steroid (mapiritsi, mafuta odzola, kapena ma inhalers)
- Katemera
Mndandanda uwu sunathe. Chifukwa chake, kuti mukhale otetezeka, chonde dziwitsani dokotala wanu za chilichonse chomwe mukumwa.
Zinthu zofunika kukumbukira mukalandira katemera
- Kuyezetsa: Onetsetsani kuti mwapita kwa dokotala wanu kuti akaone ngati muli ndi vuto.
- Dzitetezeni ku matenda: Mankhwala a steroid amatha kufooketsa chitetezo chamthupi chanu pang'ono. Choncho, yesetsani kupewa anthu omwe ali ndi matenda monga ndulu kapena chikuku panthawiyi. Ngati mwangozi mwakumana ndi munthu wotere, uzani dokotala wanu nthawi yomweyo.
- Kuchuluka kwa shuga m'magazi: Monga tanenera kale, katemerayu amatha kuwonjezera kuchuluka kwa shuga m'magazi. Ngati muli ndi matenda a shuga, yang'anani kuchuluka kwa shuga m'magazi anu nthawi zonse. Komanso, lankhulani ndi dokotala wanu za kusintha kulikonse komwe muyenera kuchita pa zakudya zanu kapena mankhwala a shuga.
- Khadi Lozindikiritsa: Ngati muyenera kulandira katemerayu kwa nthawi yayitali, ndi bwino kunyamula khadi lolembedwa dzina lanu, dzina la mankhwala, mlingo, ndi tsatanetsatane wa dokotala wanu.
Kodi ndi zotsatirapo zotani zomwe ndingakumane nazo?
Monga mankhwala ena aliwonse, mankhwalawa angayambitse zotsatirapo zina mwa anthu ena. Zina mwa izi ziyenera kunenedwa nthawi yomweyo, pomwe zina sizowopsa kwenikweni. Tiyeni tikambirane mwachidule.
| Zotsatira zoyipa | Makhalidwe |
|---|---|
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala nthawi yomweyo | |
| Ziwengo zoopsa | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Mavuto pamalo obayira jakisoni | Ululu wosapiririka, kufiira, kutentha, kapena kutupa. |
| Zizindikiro za matenda | Malungo, kuzizira, chifuwa, kupweteka pakhosi, mabala osachiritsa, matenda opatsirana m'mitsempha ya mkodzo. |
| Kuwonjezeka kwa shuga m'magazi (hyperglycemia) | Ludzu loposa lachizolowezi, kukodza pafupipafupi, kutopa kosazolowereka, kusawona bwino. |
| Matenda a Cushing | Mafuta amaikidwa pamimba, pakhosi, ndi kumbuyo chakumtunda, pakhungu pali mizere ya pinki/yofiirira, komanso pakhungu lopyapyala lomwe limatupa mosavuta. |
| Kusintha kwa maganizo | Nkhawa, kusokonezeka maganizo, kuvutika maganizo, ndi maganizo ofuna kudzipha. |
| Zizindikiro zina zazikulu | Kuthamanga kwa magazi, kutuluka magazi m'mimba (ndowe zakuda, kusanza komwe kumaoneka ngati khofi), kutupa kwa akakolo, manja, kapena mapazi. |
| Zotsatirapo zomwe nthawi zambiri sizili zoopsa, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Zotsatira zoyipa zofala | Ziphuphu, kupweteka kwa thupi ndi kutopa, mutu, njala yowonjezereka, nseru, kusowa tulo. |
Uthenga Wopita Nawo Kunyumba
- Triamcinolone ndi jakisoni wa steroid womwe umalowetsedwa m'malo olumikizirana mafupa kuti uchepetse ululu ndi kutupa komwe kumachitika chifukwa cha nyamakazi ya bondo.
- Popeza imagwira ntchito kwa nthawi yayitali, jakisoni imodzi yokha ingathandize milungu ingapo.
- Musanalandire katemerayu, ndikofunikira kuti muuze dokotala wanu za matenda anu onse komanso mankhwala onse omwe mukumwa.
- Anthu odwala matenda a shuga ayenera kusamala kwambiri, chifukwa izi zimatha kukweza shuga m'magazi.
- Ngati malo obayira jakisoni atupa kwambiri kapena kufiira, ngati mukupeza zizindikiro za matenda monga kutentha thupi, kapena ngati mukukumana ndi kusintha kwakukulu mumtima mwanu, dziwitsani dokotala wanu nthawi yomweyo.
- Nthawi zonse tsatirani malangizo a dokotala wanu ndendende. Ngati muli ndi nkhawa iliyonse, musazengereze kuwafunsa.
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