Kodi mulinso ndi mavuto monga kupweteka kwa mafupa, kutupa kwa mafupa, ndi matenda a pakhungu? Nthawi zina zimakhala zovuta kwambiri kukhala ndi matenda otere. Chifukwa chake, mankhwala apadera komanso amakono omwe madokotala amalimbikitsa kuti athetse mavuto otere ndi Upadacitinib (tikudziwa bwino dzina lake RINVOQ). Lero, tiyeni tikambirane mwachidule komanso mwaubwenzi za mankhwalawa, zomwe amachita, komanso zomwe muyenera kusamala nazo mukamamugwiritsa ntchito.
Kodi Upadacitinib ndi chiyani?
Mwachidule, iyi ndi mankhwala omwe amagwira ntchito pokhudza chitetezo chamthupi chanu. Timatcha izi 'JAK inhibitors'. Chitetezo chamthupi lathu nthawi zina chimakhala chogwira ntchito mopitirira muyeso ndipo chimayamba kuukira maselo athu. Ichi ndichifukwa chake matenda monga nyamakazi amayamba. Chifukwa chake mankhwalawa amachita ndikuwongolera magwiridwe antchito osafunikira a chitetezo chamthupi.
Mankhwalawa amagwiritsidwa ntchito makamaka pazifukwa zotsatirazi:
- Matenda a Nyamakazi: Kutupa ndi kupweteka kwa mafupa.
- Matenda a Psoriatic Arthritis: Kutupa kwa mafupa komwe kumachitika ndi matenda a pakhungu otchedwa psoriasis.
- Matenda a pakhungu otchedwa Atopic Dermatitis: Matenda a pakhungu otchedwa 'eczema'.
- Ankylosing Spondylitis: Matenda a nyamakazi omwe amakhudza kwambiri mafupa a msana.
- Ulcerative Colitis: Matenda otupa m'matumbo akulu.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa
Upadacitinib ndi mankhwala amphamvu kwambiri, choncho ndikofunikira kwambiri kupatsa dokotala wanu kufotokozera kwathunthu mbiri yanu ya thanzi. Onetsetsani kuti mwauza dokotala wanu ngati muli ndi vuto lililonse pansipa.
- Ngati muli ndi vuto la magazi kuundana .
- Ngati munakhalapo ndi khansa kapena muli nayo panopa.
- Ngati muli ndi matenda a shuga .
- Ngati muli ndi matenda a mtima, kuthamanga kwa magazi, kapena cholesterol yokwera .
- Ngati muli ndi chitetezo chamthupi chofooka.
- Ngati pali matenda amtundu uliwonse , makamaka matenda opatsirana ndi mavairasi monga nsabwe ndi herpes, komanso matenda a bakiteriya monga chifuwa chachikulu (TB), ndikofunikira kukambirana za matendawa.
- Ngati muli ndi matenda a impso kapena chiwindi .
- Ngati muli ndi maselo oyera ochepa m'magazi, maselo ofiira, kapena ma platelet m'magazi anu.
- Ngati muli ndi vuto lopuma, matenda a m'mapapo monga mphumu kapena COPD.
- Ngati ndinu wosuta fodya.
- Ngati muli ndi mavuto a m'mimba (monga Diverticulitis).
- Ngati mwakhalapo ndi sitiroko .
- Ngati mwalandira katemera posachedwapa kapena mukukonzekera kulandira katemera .
- Ngati mukuyesera kutenga mimba, muli ndi pakati, kapena ndinu mayi woyamwitsa .
- Ngati muli ndi vuto la ziwengo ndi mankhwalawa kapena mankhwala ena aliwonse kapena chakudya.
Chonde onani mndandandawu mosamala ndikukambirana zonsezi ndi dokotala wanu. Iye adzatha kusankha ngati mankhwalawa ndi otetezeka kwa inu.
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
Njira yogwiritsira ntchito izi ndi yosavuta, koma yofunika kwambiri.
- Mezani piritsi lonseli ndi kapu ya madzi .
- Musaswe, kuphwanya, kapena kutafuna piritsi. Mezani momwe lilili.
- Yesani kumwa mankhwalawa nthawi yomweyo tsiku lililonse. Izi zithandiza kuti mphamvu ya mankhwala m'thupi ikhale yofanana.
- Mungathe kumwa musanadye kapena mutadya, koma ngati mukumva kupweteka m'mimba, ndi bwino kumwa limodzi ndi chakudya.
- Pitirizani kugwiritsa ntchito mankhwalawa mpaka dokotala wanu atakuuzani kuti musiye .
Kodi mungachite chiyani ngati mwaphonya mlingo wa mankhwala?
Ngati mwaphonya mlingo, imwani mwamsanga mukangokumbukira. Koma ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndi kumwa mlingo wanu wotsatira panthawi yomwe mwakonza. Musamwe milingo iwiri nthawi imodzi.
Nanga bwanji ngati nditamwa mankhwala ochulukirapo?
Ngati mukuganiza kuti mwamwa mankhwala ambiri kuposa momwe mukuganizira, pitani ku Dipatimenti Yothandiza Pangozi (ETU) yapafupi kapena imbani National Poisons Information Centre ku Colombo National Hospital kuti mukalandire malangizo.
Zinthu zina zomwe zingagwirizane ndi mankhwalawa
Mukamamwa upadacitinib, kungakhale koopsa kumwa mankhwala ena pamodzi. Choncho uzani dokotala wanu za mankhwala onse omwe mumamwa (kuphatikizapo mavitamini ndi mankhwala azitsamba).
| Kuyanjana komwe kungatheke ndi Upadacitinib | |
|---|---|
| Musatenge ndi izi konse: | |
| Baricitinib | Tofacitinib |
| Izi zingayambitsenso mavuto (uzani dokotala wanu): | |
| Mankhwala ena omwe amaletsa chitetezo chamthupi (monga Azathioprine, Cyclosporine) | Mankhwala ena opha tizilombo toyambitsa matenda (monga Ketoconazole) |
| Mankhwala ena oletsa kachilombo ka HIV kapena chiwindi | Mankhwala ena oletsa kupweteka kwa mutu (monga Phenytoin, Carbamazepine) |
| Katemera wamoyo | Rifampin (mankhwala a chifuwa chachikulu) |
Zinthu zofunika kuziganizira mukamamwa mankhwala
- Kuopsa kwa matenda: Mankhwalawa angachepetse mphamvu ya chitetezo cha mthupi, kotero mungakhale ndi mwayi wopeza matenda . Chifukwa chake, ngati mukumva zizindikiro monga malungo, kuzizira, kupweteka pakhosi, kapena kupweteka kwa thupi, musadzipatse mankhwala ndipo lankhulani ndi dokotala wanu. Ndibwinonso kupewa malo omwe odwala amacheza.
- Pewani kutenga mimba: Pewani kutenga mimba mukumwa mankhwalawa. Zingayambitse mavuto aakulu kwa mwana wosabadwa. Muyenera kugwiritsa ntchito njira zolerera zokwana kwa milungu inayi mutasiya kumwa mankhwalawa. Lankhulani ndi dokotala wanu za izi.
- Pewani kuyamwitsa: Pewani kuyamwitsa mwana wanu mukumwa mankhwalawo komanso kwa masiku 6 mutasiya kuyamwitsa.
- Kuopsa kwa khansa: Anthu omwe akumwa mankhwalawa akhoza kukhala ndi chiopsezo chowonjezeka pang'ono chotenga mitundu ina ya khansa (monga khansa ya pakhungu). Musachite mantha ndi izi, koma dziwani zoopsa zake polankhula ndi dokotala wanu.
- Dzitetezeni ku dzuwa: Khungu lanu likhoza kukhala losakhudzidwa ndi kuwala kwa dzuwa mukamamwa mankhwalawa. Choncho, ngati mukufuna kukhala padzuwa, ikani mafuta abwino oteteza ku dzuwa ndipo valani zovala zophimba thupi lanu.
Zotsatirapo zoyipa kwambiri - ngati muzindikira izi, uzani dokotala wanu nthawi yomweyo!
Ngati mukukumana ndi zizindikiro zotsatirazi, zikhoza kukhala chizindikiro cha matenda aakulu. Choncho, dziwitsani dokotala wanu nthawi yomweyo.
| Zotsatirapo/zizindikiro | Kufotokozera |
|---|---|
| Kusamvana kwa Thupi | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime. |
| Magazi Oundana | Kupweteka kwa mwendo, kutupa, kutentha, kupuma movutikira, kupweteka pachifuwa. |
| Matenda amtima | Kulimba kapena kupweteka pachifuwa, phewa, mkono, kapena nsagwada, nseru, kuvutika kupuma. |
| Stroke | Kusanza mwadzidzidzi kapena kufooka pankhope, mkono, kapena mwendo, kuvutika kulankhula, kusokonezeka, kapena kuyenda movutikira. |
| Kuvulala kwa Chiwindi | Kupweteka kumtunda kwa kumanja kwa m'mimba, kusowa chilakolako cha chakudya, nseru, khungu kapena maso kukhala achikasu, mkodzo wakuda. |
| Zizindikiro za matenda | Malungo, kuzizira, chifuwa, pakhosi, mabala osachiritsa. |
Zotsatira zoyipa zofala
Zotsatirapo zina zazing'ono zingachitikenso. Mwachitsanzo, zinthu monga mphuno yotuluka madzi kapena nseru. Ngati izi zikupitirira kapena zikukuvutitsani, uzani dokotala wanu za izo.
Uthenga Wopita Nawo Kunyumba
- Upadacitinib ndi mankhwala amphamvu omwe amachiritsa matenda monga nyamakazi ndi matenda ena a pakhungu.
- Mukamagwiritsa ntchito mankhwalawa, tsatirani malangizo a dokotala wanu molondola. Mezani piritsi lonse, popanda kuliswa, kuliphwanya, kapena kulitafuna.
- Uzani dokotala wanu za mankhwala ena onse omwe mukumwa komanso matenda aliwonse omwe muli nawo.
- Fufuzani thandizo lachipatala mwamsanga ngati mukukumana ndi mavuto aakulu monga zizindikiro za matenda monga malungo, chifuwa, kupweteka pachifuwa, kapena kutupa kwa miyendo.
- Pewani kutenga mimba mukumwa mankhwala. Lankhulani ndi dokotala wanu za izi.
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