Iwe kana mumwe munhu ari pedyo newe akamboonekwa aine chirwere cheTB ndokutanga kurapwa here? Kana zvakadaro, ungave wakambonzwa nezvemushonga wekuti 'Isoniazid' (INH). Kunyangwe zita racho ringanzwika serakaoma, usazvidya moyo. Uyu mushonga unokosha uye une simba unorwisa TB. Saka, kuti tibvise kusava nechokwadi kwako kwese nekutya, ngatitaurei nezvemushonga uyu nenzira iri nyore uye yakajeka nhasi.
Mushonga uyu unonzi Isoniazid (INH) chii chaizvo?
Muchidimbu, Isoniazid mushonga unopiwa kurapa kana kudzivirira chirwere cherurindi (TB). Rurindi chirwere chinokonzerwa nemabhakitiriya. Mushonga uyu unoshanda nekumisa kukura kwemabhakitiriya erurindi mumuviri.
Dzimwe nguva, mushonga uyu unogona kushandiswa nezvimwe zvikonzero zvichienderana nekurairwa nachiremba. Asi, ramba uchiyeuka, unofanira kushandiswa chete sezvakarairwa nachiremba.
Zvinhu zvaunofanira kuudza chiremba wako usati watanga mushonga
Usati watanga mushonga uyu, zvakakosha kuti chiremba wako azive zvizere nezvehutano hwako. Iva nechokwadi chekuudza chiremba wako kana uine chimwe chezvirwere zvinotevera:
| Hutano hwako | Sei uchifanira kuzivisa chiremba? |
|---|---|
| Chirwere cheshuga | Isoniazid inogona kukonzera shanduko muhuwandu hweshuga muropa. |
| Mamiriro eHIV | Panogona kunge paine kusawirirana pakati pekurapwa kweHIV neIsoniazid. |
| Kunwa doro kakawanda | Njodzi yekukuvadzwa kwechiropa yakakura kwazvo. |
| Chirwere cheitsvo | Chipimo chemushonga chingada kuchinjwa. |
| Chirwere chechiropa | Izvi zvakakosha zvikuru nekuti isoniazid inogona kukanganisa chiropa. |
| Kushaya chikafu chinovaka muviri | Mashandiro anoita mushonga mumuviri anogona kukanganisa. |
| Zvirwere zvetsinga zvakaita sekuoma kwemakumbo nemakumbo | Mushonga uyu une njodzi yekukonzera peripheral neuropathy. |
| Kuva nepamuviri, kuedza kubata pamuviri, kana kuyamwisa | Unofanira kutaura nachiremba wako nezvemigumisiro inogona kuitika pamwana. |
| Kurwara nemimwe mishonga, chikafu, kana zvimwe zvinhu | Kuti uzive kana une allergy neIsoniazid kana chimwe chezvinhu zviri mairi. |
Ndingashandisa sei mushonga uyu chaizvo?
Ichi ndicho chikamu chaunofanira kungwarira zvikuru . Kuti uwane mushonga uyu zvakanyanya, unofanira kuushandisa nemazvo.
- Tora mushonga usina chinhu: Ichi ndicho chinhu chakakosha. Mapiritsi eIsoniazid anofanira kutorwa usina chinhu. Kureva kuti, tora mushonga uyu kwemaminitsi makumi matatu usati wadya kana maawa maviri mushure mekudya . Usatore mushonga uyu pamwe chete nechikafu. Izvi zvinoderedza kupinda kwemushonga mumuviri.
- Negirazi remvura: Inwa piritsi negirazi remvura rakazara.
- Nenguva: Iva netsika yekutora mushonga wako panguva imwe chete zuva nezuva.
- Usasiye mishonga: Izvi zvakafanana nekurwisa muvengi. Kana tikarega kurwa kwezuva rimwe chete, muvengi achava nesimba zvakare. Saizvozvowo, kana tikarasikirwa nemushonga, utachiona hweTB hunogona kusimba zvakare uye huve husingachadiwi nemushonga (Drug Resistance). Saka , usasiye mushonga chero upi zvawo nekuda kwechikonzero chipi zvacho.
- Usamira kunyangwe zvakanaka:Kunyangwe ukanzwa zviri nani mushure memazuva mashoma, usarega kutora mushonga kusvika chiremba wako akuudza kuti udaro. Zvakakosha kuti utore mushonga wacho kwenguva yese yekurapwa (mwedzi mitanhatu kana kupfuura).
Unoita sei kana ukarasikirwa nemushonga?
Kana ukarasikirwa nedosi, inwa nekukurumidza sezvaunoyeuka. Zvisinei, kana yava nguva yekutora dosi yako inotevera, svetuka dosi yawakarasikirwa wotora dosi yako inotevera panguva yakatarwa. Usambofa wakatora dosi mbiri kuti udzorere dosi yawakarasikirwa nayo.
Ko kana ndikatora mushonga wakawandisa?
Kana uchifunga kuti watora mushonga wakawandisa, enda kuEmergency Department (ETU) iri pedyo nekukasika . Kana, fonera National Poisons Information Centre kuColombo National Hospital.
Mimwe mishonga inogona kupindirana neIsoniazid
Iyi inyaya yakakoshawo zvikuru. Isoniazid mushonga unogona kushanda pamwe chete nemimwe mishonga.
Iva nechokwadi chekuudza chiremba wako nezvemishonga yese yaunotora (mishonga yemamwe matambudziko, mishonga inoderedza marwadzo, mavhitamini, mishonga yechivanhu, mishonga yekuwedzera). Udzawo chiremba wako kana uchisvuta kana kunwa doro.
Kutora mimwe mishonga neIsoniazid kunogona kukonzera matambudziko akakomba.
- Acetaminophen (yakadai sePanadol): Kana ikanwiwa kakawanda, inogona kuwedzera simba rechiropa.
- Mishonga inorwisa maasidhi (yakadai seDigene, Aludrox): Inoderedza kupinda kweIsoniazid mumuviri. Saka, dzivisa kutora mishonga inorwisa maasidhi maawa maviri usati watora Isoniazid kana kuti wapedza.
- Mishonga yechirwere cheshuga: Isoniazid inogona kuchinja mashandiro emishonga iyi.
- Mishonga yekurapa pfari (yakadai seCarbamazepine, Phenytoin)
- Theophylline (mushonga weasthma)
Rondedzero iyi haina kukwana, saka zvakakosha kuzivisa chiremba wako nezvemishonga yese yauri kutora.
Ndezvipi zvimwe zvandinofanira kuziva pandinenge ndichitora mushonga?
- Kuongororwa kwechiremba: Chiremba wako achakutarisa nguva nenguva. Achakuraira kuongororwa kweropa (Liver Function Tests - LFTs) kuti aongorore mashandiro echiropa chako. Usapotsa bvunzo idzi wodziita nguva nenguva.
- Dzivisa doro: Dzivisa kunwa doro zvachose paunenge uchitora Isoniazid. Kusanganiswa kwezviviri izvi kunogona kukonzera kukuvara kwechiropa zvakanyanya.
- Mavhitamini: Mushonga uyu unogona kukonzera kudzikira kwehuwandu hwevhitamini B6 nevhitamini D mumuviri. Kuti udzivise migumisiro inogona kuitika patsinga, chiremba wako anowanzo kukunyorera piritsi revhitamini B6 (Pyridoxine) . Usaregeredza izvozvowo. Zvakakoshawo kudya chikafu chinovaka muviri.
Ndezvipi zvimwe zvingakonzera matambudziko?
Kufanana nemushonga upi zvawo, Isoniazid inogona kukonzera migumisiro yakaipa kune vamwe vanhu. Zvisinei, havasi vese vanoiwana. Chinhu chakakosha kuziva kuti migumisiro yakaipa iyi ndeipi uye kuti yakakomba sei.
| Migumisiro yakakomba inoda kurapwa nekukurumidza | |
|---|---|
| Zviratidzo zvine chekuita nechiropa | Maziso kana ganda kuita yero, weti yakasviba, kuneta zvakanyanya, kurwadziwa kumusoro kwedumbu kurudyi, kuda kurutsa, kurutsa, kushaya chido chekudya. |
| Zviratidzo zvine chekuita netsinga | Kunzwa kusanzwa zvakanaka, kutsva, kurwadziwa, kana kunzwa kukwenya mumaoko kana tsoka. |
| Kusawirirana kwemuviri | Mapundu paganda, kuvaviwa, kuzvimba kwechiso, miromo kana rurimi, kuoma kufema. |
| Zvimwe zviratidzo zvakakomba | Kuchinja kwekuona, kurwadziwa kwemaziso, fivha, pfari, matambudziko ekurangarira. |
| Migumisiro isingawanzova yakakomba, asi inofanira kutaurwa kuna chiremba kana ikaramba iripo: | |
| Kusagadzikana kudiki kwemudumbu | Kuzvimba, manyoka. |
| Zvimwe | Musoro, kushaya hope, kukura kwemazamu kana kurwadziwa. |
Munochengetedza sei mishonga yenyu yakachengeteka?
- Chengeta kure nevana.
- Chengeta patembiricha yemumba (pakati pe15-30 Celsius), kure nechiedza nehunyoro, mumudziyo usingapindi mhepo.
- Rasa mushonga wapera.
Mharidzo Yekuenda Nayo Kumba
- Nguva dzose tora Isoniazid (INH) mudumbu musina chinhu (musati madya kana maawa maviri mushure mekudya).
- Inwa mushonga wacho kwenguva yese yawakarairwa nachiremba wako, usingadarike chero mushonga . Usamira kurapwa kunyangwe uchinzwa zviri nani.
- Dzivisa doro zvachose paunenge uchitora mushonga uyu.
- Kana ukaona chero migumisiro yakaipa yakaita seyero yemaziso/ganda, weti yakasviba, kana kusanzwa zvakanaka mumakumbo, taura nachiremba wako nekukasika.
- Udza chiremba wako nezvemimwe mishonga yose yauri kutora (kusanganisira mavhitamini nemishonga yemishonga).
- Iva nechokwadi chekunwa piritsi revhitamini B6 rawakanyorerwa nachiremba wako.
💬 Comments (0)
Hapana zvakataurwa parizvino. Isa mhinduro yako pano kekutanga.
Wedzera zvaunofunga