Nthawi zina, dokotala wanu angakulembereni mankhwala amadzimadzi ochizira matenda a bakiteriya kwa inu kapena mwana wanu, sichoncho? Mankhwala ena otere ndi Trimethoprim. Ndi mankhwala opha mabakiteriya, kutanthauza kuti amapha mabakiteriya m'thupi. Kotero lero, tiyeni tikambirane za mankhwalawa ndi zomwe muyenera kusamala nazo mukamawagwiritsa ntchito.
Kodi mankhwalawa amagwiritsidwa ntchito pa chiyani kwenikweni?
Mwachidule, Trimethoprim ndi mankhwala opha tizilombo toyambitsa matenda omwe amachiritsa mitundu ina ya matenda a bakiteriya .
Kumbukirani chinthu chimodzi chofunikira kwambiri. Mankhwalawa sagwira ntchito pa matenda opatsirana ndi mavairasi . Izi zikutanthauza kuti sangachiritse zinthu monga chimfine kapena fuluwenza. Dokotala wanu adzakupatsani mankhwalawa pokhapokha ngati akutsimikiza kuti muli ndi kachilombo ka bakiteriya.
Mankhwalawa akhoza kukhala ndi mayina osiyanasiyana, monga Primsol kapena TRIMPEX, koma onse ali ndi chogwiritsira ntchito chomwecho, trimethoprim.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwala
Musanagwiritse ntchito mankhwalawa, ndikofunikira kuuza dokotala wanu mfundo zotsatirazi. Izi ndizofunikira kwambiri pa chitetezo chanu.
| Mkhalidwe woti unenedwe | N’chifukwa chiyani zimenezo n’zofunika? |
|---|---|
| Ngati muli ndi vuto la kuchepa kwa magazi m'thupi | Mankhwalawa angakhudze matenda ena a kuchepa kwa magazi m'thupi. |
| Ngati muli ndi matenda a impso kapena chiwindi | Popeza mankhwala amachotsedwa m'thupi kudzera mu impso ndi chiwindi, ngati pali vuto ndi ziwalo izi, mlingo wa mankhwalawo uyenera kusinthidwa. |
| Ngati pali kusowa kwa zakudya m'thupi kapena kusowa zakudya m'thupi | Popeza mankhwalawa amakhudza vitamini folic acid, amatha kukhudza anthu omwe ali kale ndi mavuto okhudzana ndi zakudya. |
| Ngati muli ndi vuto la trimethoprim kapena mankhwala ena, zakudya, kapena utoto. | Izi ndizofunikira kwambiri popewa ziwengo zazikulu. |
| Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena mukuyamwitsa | Popeza mankhwalawa amatha kukhudza mwana m'mimba ndipo amatha kupita kwa mwana kudzera mu mkaka wa m'mawere, ndikofunikira kukambirana izi ndi dokotala wanu. |
Kodi mumagwiritsa ntchito bwanji mankhwalawa?
- Mankhwalawa ndi akumwa. Imwani monga momwe dokotala wanu wanenera, panthawiyo.
- Gwiritsani ntchito chikho cha mankhwala, sirinji yokamwa, kapena supuni yapadera yoperekedwa ndi dokotala wanu kuti muyese mlingo woyenera . Musagwiritse ntchito supuni za tiyi kapena supuni zapakhomo. Sizolondola. Chifukwa chake, kuchuluka kwa mankhwala omwe aperekedwa kungakhale kochepa kapena kochulukirapo.
- Gwiritsani ntchito mankhwalawa kwa masiku onse omwe dokotala wanu wakupatsani. Musasiye kumwa mankhwalawa chifukwa choti mwamva bwino. Kuchita zimenezi kungayambitse matenda kubwerera.
- Ngati mukupereka mankhwala awa kwa mwana wanu, makamaka ngati ali ndi miyezi yosakwana 6, tsatirani malangizo a dokotala wanu molondola.
Nanga bwanji ngati mwamwa mankhwala ochulukirapo? (Kumwa mankhwala ochulukirapo)
Ngati mukuganiza kuti mwamwa mankhwala ambiri kuposa momwe mukuganizira, imbani nthawi yomweyo ku National Poison Information Centre ku Colombo National Hospital . Kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.
Chofunika: Mankhwalawa aperekedwa kwa inu nokha. Musapatse wina aliyense amene ali ndi zizindikiro zomwezo zomwe muli nazo.
Kodi mungachite chiyani ngati mwaphonya mlingo wa mankhwala?
Imwani mlingo womwe mwaphonya nthawi yomweyo mukakumbukira. Komabe, ngati nthawi yatsala pang'ono yoti mutenge mlingo wotsatira, thawani mlingo womwe mwaphonya ndi kumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe milingo iwiri nthawi imodzi kuti mubwezeretse mlingo womwe mwaphonya.
Mankhwala ena omwe angagwirizane ndi mankhwalawa (Kuyanjana)
Iyi ndi gawo lofunika kwambiri. Muyenera kuuza dokotala wanu za mankhwala onse omwe mukumwa. Izi zikuphatikizapo mankhwala ogulitsidwa kunja kwa chipatala, mavitamini, mankhwala azitsamba, ndi china chilichonse chomwe mukumwa.
Musamwe izi ndi mankhwala awa:
- dofetilide (mankhwala a matenda a mtima)
Mankhwalawa angagwirizane ndi mankhwala otsatirawa. Chifukwa chake, uzani dokotala wanu ngati mukumwa izi:
- Mankhwala oletsa kuthamanga kwa magazi (ACE inhibitors): Awa ndi mankhwala omwe amagwiritsidwa ntchito pochiza kuthamanga kwa magazi (monga enalapril, lisinopril).
- dapsone
- digoxin (yothandiza matenda a mtima)
- fluorouracil (yothandiza khansa)
- MAOIs: Mankhwala ena omwe amagwiritsidwa ntchito pochiza matenda amisala.
- Mankhwala omwe amaletsa magazi kuundana, mwachitsanzo warfarin .
- phenytoin (ya khunyu)
- procainamide
- pyrimethamine
- Mankhwala ena ochepetsa mphamvu ya okodzetsa
- trimetrexate
Mndandanda uwu sunathe. Chifukwa chake, ndikofunikira kudziwitsa dokotala wanu za mankhwala onse omwe mukumwa.
Zinthu zofunika kukumbukira mukamagwiritsa ntchito mankhwalawa
- Pitani kuzipatala monga momwe dokotala wanenera.
- Ngati zizindikiro zanu sizikuchepa kapena zikuipiraipira, uzani dokotala wanu nthawi yomweyo.
- Samalani ndi dzuwa: Khungu lanu likhoza kukhala losakhudzidwa kwambiri ndi dzuwa (photosensitivity) mukamamwa mankhwalawa. Choncho pewani kutuluka padzuwa momwe mungathere. Ngati mutuluka, valani zovala zoteteza ku dzuwa, magalasi abwino a dzuwa, ndipo gwiritsani ntchito mafuta oyenera oteteza ku dzuwa mutakambirana ndi dokotala wanu. Musagwiritse ntchito nyali za dzuwa kapena mabedi opaka utoto.
Zotsatirapo zomwe zingachitike chifukwa cha mankhwala
Monga mankhwala ena aliwonse, trimethoprim ingayambitse zotsatirapo zina. Zina zimakhala zoopsa, zina zimakhala zofala.
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala wanu nthawi yomweyo | |
|---|---|
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| Zotsatirapo zomwe ziyenera kufotokozedwa kwa dokotala ngati zikupitirira kapena zikuvutitsa | |
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Mndandandawu suli ndi zotsatirapo zonse zomwe zingachitike. Ngati muwona china chake chachilendo, lankhulani ndi dokotala nthawi yomweyo.
Kodi mungasunge bwanji mankhwala otetezeka?
- Sungani pamalo omwe ana sangafikire.
- Sungani kutentha kwa chipinda (pakati pa madigiri 15 ndi 25 Celsius).
- Tetezani ku kuwala ndi chinyezi. Izi zikutanthauza kuti musasunge m'malo onyowa monga m'bafa.
- Tsekani bwino chivundikiro cha botolo la mankhwala.
- Tayani mankhwala otha ntchito.
Uthenga Wopita Nawo Kunyumba
- Trimethoprim ndi mankhwala opha tizilombo omwe amagwiritsidwa ntchito pochiza matenda a bakiteriya. Sagwira ntchito pa chimfine.
- Gwiritsani ntchito mankhwalawa kwa masiku onse omwe dokotala wakupatsani. Musasiye kumwa ngakhale zizindikiro zanu zitayamba kuchepa.
- Onetsetsani kuti mwauza dokotala wanu za mankhwala ena onse, mavitamini, ndi matenda omwe mukumwa.
- Tetezani khungu lanu ku dzuwa mukamamwa mankhwalawa, chifukwa angapangitse khungu lanu kukhala losakhudzidwa ndi dzuwa.
- Ngati pali zotsatirapo zoyipa (kuvutika kupuma, ziphuphu pakhungu, kutupa), funsani upangiri wa dokotala nthawi yomweyo.
- Ngati pali vuto lililonse, lankhulani ndi dokotala wanu.
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