Kodi dokotala wanu anakupatsani jakisoni wa ululu wa bondo lanu, kapena mphumu yanu yaikulu, kapena mwina vuto lalikulu la ziwengo? Ikhoza kukhala Triamcinolone. Dzinalo lingamveke ngati loopsa pang'ono, koma musadandaule. Uwu ndi mankhwala othandiza kwambiri omwe amagwiritsidwa ntchito pa matenda ambiri. Tiyeni tikambirane momveka bwino lero.
Kodi Triamcinolone ndi chiyani?
Mwachidule, triamcinolone ndi jakisoni wa gulu la mankhwala otchedwa 'steroids'. Koma awa si 'anabolic steroids' omwe othamanga amagwiritsa ntchito popanga matupi awo. Awa ndi mtundu wa steroid wotchedwa 'corticosteroids'.
Mankhwalawa amagwira ntchito mofanana ndi mahomoni otchedwa cortisol omwe matupi athu amapanga mwachibadwa. Cortisol ndi mahomoni ofunikira omwe amalamulira momwe matupi athu amachitira zinthu monga matenda, kupsinjika maganizo, ndi zoopsa.
Jakisoni uyu amachita zinthu zitatu zazikulu:
1. Kuchepetsa kutupa m'thupi: Tangoganizirani chiwalo chomwe chatupa, chofiira, komanso chopweteka. Izi zikutanthauza kuti pali kutupa pamenepo. Mankhwalawa amaletsa kutupa kumeneko.
2. Kulamulira chitetezo chamthupi chomwe chimagwira ntchito mopitirira muyeso: Nthawi zina chitetezo chamthupi lathu, chitetezo chamthupi, chimakhala chogwira ntchito mopitirira muyeso ndipo chimayamba kuukira thupi lathu. Izi ndi zomwe zimachitika m'mikhalidwe monga ziwengo ndi mphumu. Mankhwalawa amalamulira kuchita zinthu mopitirira muyeso.
3. Kupatsa thupi mahomoni ofunikira a cortisol: Chifukwa cha matenda ena, kupanga kwa cortisol m'thupi kumachepa. Nthawi ngati zimenezi, mankhwala awa amaperekedwa ngati njira ina.
Chifukwa chake, mankhwalawa amagwiritsidwa ntchito pochiza matenda ambiri, monga nyamakazi, mphumu yoopsa, ziwengo zoopsa, ndi matenda otupa m'matumbo.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa
Izi ndizofunikira kwambiri . Muyenera kupatsa dokotala wanu chithunzi chonse cha thanzi lanu. Musabise chilichonse chifukwa ndi chinthu chaching'ono. Mankhwalawa amatha kusokoneza matenda ena. Onetsetsani kuti mwauza dokotala wanu ngati muli ndi vuto lililonse mwa izi, makamaka:
| Mkhalidwe kapena mfundo yomwe muli nayo | N’chifukwa chiyani chidziwitso chili chofunika? |
|---|---|
| Matenda a shuga | Mankhwalawa angawonjezere kuchuluka kwa shuga m'magazi. |
| Kuthamanga kwa magazi | Pali chiopsezo cha kukwera kwa kuthamanga kwa magazi chifukwa cha mankhwala. |
| Kulephera kwa mtima kapena kudwala matenda a mtima posachedwapa | Ntchito ya mtima ingakhudzidwe. |
| Matenda a maso (monga glaucoma, cataracts) | Pali kuthekera kowonjezera kuthamanga kwa maso kapena kuipitsa mkhalidwe womwe ulipo. |
| Matenda amtundu uliwonse (TB, bowa, kachilombo) | Ma steroid amatha kuwonjezera chiopsezo cha matenda chifukwa amaletsa chitetezo cha mthupi. |
| Matenda a chiwindi kapena impso | Njira yochotsera mankhwala m'thupi ingakhudzidwe. |
| Zilonda zam'mimba kapena mavuto a m'mimba | Mikhalidwe imeneyi ingaipireipire. |
| Kuchepa kwa mafupa (osteoporosis) | Kugwiritsa ntchito mankhwala a steroid kwa nthawi yayitali kungayambitse kufooka kwa mafupa. |
| Mavuto amisala | N'zotheka kuyambitsa kusintha kwa maganizo kapena kusintha momwe zinthu zilili panopa. |
| Ali ndi pakati, akuyesera kutenga pakati, kapena akuyamwitsa | Uphungu wa dokotala ndi wofunikira chifukwa ungakhudze mwana wosabadwayo kapena khanda. |
| Kutenga mitundu ina ya ma steroid (monga prednisone) | Ndikofunikira kudziwa izi kuti musinthe mlingo wa mankhwala. |
| Kudwala matenda a chifuwa cha mankhwala awa kapena mankhwala ena aliwonse kapena chakudya | Izi ndizofunikira kwambiri kuti tipewe zotsatira za ziwengo. |
Momwe mungagwiritsire ntchito mankhwalawa ndi zomwe muyenera kusamala nazo
Jakisoni iyi si chinthu chomwe mungapite nacho kunyumba. Nthawi zonse imaperekedwa ndi dokotala kapena namwino wophunzitsidwa bwino kuchipatala kapena ku chipatala . Choncho simuyenera kuda nkhawa ndi mlingo kapena nthawi yake.
Chofunika: Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo mwangozi, imbani National Poisons Information Centre ku Colombo National Hospital nthawi yomweyo. Kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.
Mankhwala ena omwe angagwirizane ndi mankhwalawa
Mankhwala amodzi omwe mumamwa angakhudze mphamvu ya mankhwala ena. Ndicho chimene timachitcha 'Kuyanjana ndi Mankhwala'. Chifukwa chake, muyenera kuuza dokotala wanu za mankhwala onse omwe mumagwiritsa ntchito, kaya alembedwa ndi madokotala, ogulidwa ku pharmacy, mavitamini, mankhwala achikhalidwe, kapena ngakhale mankhwala a Ayurvedic.
Samalani kwambiri ndi mankhwala otsatirawa:
- Katemera: Mitundu ina ya katemera ingakhale yosagwira ntchito bwino ikatenga mankhwala a steroid.
- Mankhwala a shuga: Popeza ma steroids amawonjezera shuga m'magazi, mlingo wa mankhwala a shuga ungafunike kusinthidwa.
- Mankhwala Ochepetsa Ululu (NSAIDs): Kumwa mankhwala monga Ibuprofen ndi Naproxen pamodzi ndi ma steroids kungapangitse kuti magazi azituluka m'mimba.
- Mankhwala ochepetsa magazi (monga Warfarin): Izi zitha kusokoneza kugwira ntchito kwa mankhwalawa .
- Mankhwala ena opha tizilombo toyambitsa matenda ndi opha tizilombo toyambitsa matenda .
- Mapiritsi oletsa kubereka ndi mitundu ina ya mahomoni.
Mndandandawu sunathe. Chifukwa chake, ndibwino kuuza dokotala wanu za mankhwala onse omwe mukumwa .
Kodi zotsatirapo zake zingakhale zotani?
Monga mankhwala ena aliwonse, triamcinolone ikhoza kukhala ndi zotsatirapo zake. Si aliyense amene amalandira. Koma ndikofunikira kudziwa za izo. Tiyeni tizigawe m'magulu awiri.
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala wanu nthawi yomweyo | |
|---|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Matenda a Cushing | Mafuta amadzaza m'mimba, pakhosi, ndi pankhope, pakhungu pali mizere ya pinki/yofiirira, ndipo khungu limachepa. |
| Kuwonjezeka kwa shuga m'magazi | Ludzu lochuluka, kukodza pafupipafupi, kufooka kwachilendo, kusawona bwino. |
| Kuthamanga kwa magazi kowonjezeka | Zizindikiro monga mutu ndi chizungulire. |
| Zizindikiro za matenda | Malungo, kuzizira, chifuwa, pakhosi, mabala osachiritsa. |
| Kusintha kwa maganizo ndi khalidwe | Nkhawa, kusakhazikika, kuvutika maganizo, maganizo osazolowereka. |
| Kutuluka magazi m'mimba | Chimbudzi chakuda kapena chokhazikika, kusanza khofi wophikidwa. |
| Zina | Kutupa kwa akakolo, manja, kapena mapazi. Kupweteka kwambiri, kufiira, kapena kutupa pamalo obayira jakisoni. Kusintha kwa masomphenya. |
| Uzani dokotala wanu ngati zikupitirira kapena zikukuvutitsani. | |
| Ziphuphu | Mutu |
| Kuwonjezeka kwa njala | Kulemera |
| Kusanza | Kuvuta kugona |
Uthenga Wopita Nawo Kunyumba
- Triamcinolone ndi jakisoni wamphamvu wa steroid woperekedwa ndi dokotala womwe umawongolera kutupa ndi ziwengo.
- Musanamwe mankhwala, onetsetsani kuti mwauza dokotala wanu za matenda onse omwe muli nawo komanso mankhwala ena onse omwe mukumwa (kuphatikizapo mankhwala achikhalidwe).
- Mukamamwa mankhwalawa, yang'anirani zizindikiro za matenda monga malungo ndi chifuwa, zizindikiro za shuga wambiri m'magazi, kapena kusintha kwakukulu kwa malingaliro.
- Fufuzani thandizo lachipatala mwamsanga ngati mukukumana ndi vuto lalikulu monga kutupa pankhope, kuvutika kupuma, kupweteka kwambiri, kapena kusintha kwa masomphenya.
- Ngati muli ndi mafunso, nkhawa, kapena nkhawa zokhudzana ndi mankhwalawa, musazengereze kufunsa dokotala wanu. Thanzi lanu ndilofunika kwambiri.
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