Wave uchirwara nechirwere chegastritis kwenguva yakareba here nekurwadziwa kwemudumbu uye kuzvimba? Chiremba wako akakuongorora here akakuudza kuti maronda emudumbu anokonzerwa nebhakitiriya rinonzi H. pylori? Kana zvakadaro, uye wakapihwa paki yemishonga mitatu panguva imwe chete, chinyorwa chino chichava chakakosha kwauri. Ngatikurukurei muchidimbu nezvemishonga iyi, mashandiro ayo, uye zvaunofanira kungwarira paunenge uchiitora.
Chii chinonzi Triple Therapy?
Zvichitaurwa zviri nyore, musanganiswa wemishonga mitatu. Zvakafanana nechikwata chevanovhiya. Nhengo nhatu huru dzechikwata ichi ndiLansoprazole , Amoxicillin , uye Clarithromycin . Pamwe chete, zvitatu izvi zvinoshanda kurwisa mabhakitiriya anonzi H. pylori mudumbu mako.
Funga nezveH. pylori sebhakitiriya risingadzoreki rinovanda mumadziro edumbu rako uye rinokonzera matambudziko.
1. Lansoprazole: Izvi zvinoshanda nekuderedza huwandu hweasidhi inogadzirwa mudumbu mako. Asidhi iyi inzvimbo yakachengeteka yebhakitiriya reH. pylori. Saka Lansoprazole inoshayisa simba chidziviriro cheasidhi ichocho, ichigadzira nzira yekuti mimwe mishonga miviri irwise mabhakitiriya. Tinodaidza mhando idzi dzemishonga kuti proton pump inhibitors (PPIs).
2. Amoxicillin neClarithromycin: Idzi ndidzo mhando mbiri dzemishonga inorwisa utachiona. Dzinorwisa mabhakitiriya eH. pylori zvakananga uye dzinoauraya, kana kumisa kukura kwawo. Amoxicillin mushonga unorwisa utachiona wepenicillin, ukuwo Clarithromycin mushonga unorwisa utachiona wemacrolide.
Kana mishonga iyi mitatu ikashanda pamwe chete, mabhakitiriya eH. pylori anogona kubviswa zvachose mumuviri wako uye maronda emudumbu anogona kuporeswa.
Zvinhu zvaunofanira kuudza chiremba wako usati watanga mushonga
Usati watanga kurapwa uku, zvakakosha zvikuru kuzivisa chiremba wako kana uine chimwe chezvirwere zvinotevera:
| Hutano hwako | Zvinhu zvekunyatsoteerera |
|---|---|
| Kurwara | Kana uine allergy nemishonga iyi mitatu (Lansoprazole, Amoxicillin, Clarithromycin) kana chero imwe mishonga inorwisa mabhakitiriya, mushonga, chikafu, kana dhayi. |
| Chirwere chemwoyo | Kana uine nhoroondo yechirwere chemwoyo kana kurova kwemoyo kusina kurongeka. |
| Chirwere chechiropa kana cheitsvo | Kana uine chirwere chechiropa kana cheitsvo. |
| Zvimwe zvirwere | Matambudziko akadai se lupus kana myasthenia gravis. |
| Kubata pamuviri nekuyamwisa | Kana uine pamuviri, uchiedza kubata pamuviri, kana kuti uchiyamwisa. |
Nzira yekushandisa mushonga nemazvo sei?
- Nguva dzose tora mushonga uyu negirazi remvura .
- Mushonga uyu unowanzo nyorerwa kuti unwe kaviri pazuva, usati wadya . Tevedzera mirairo yachiremba nemazvo.
- Usapwanye mapiritsi kana kuapwanya . Medza ese.
- Iva netsika yekutora mushonga wako panguva imwe chete zuva nezuva.
- Chinhu chinonyanya kukosha: Usarega kutora mushonga pakati penguva, uchifunga kuti uri kunzwa zviri nani. Kana ukadaro, mabhakitiriya haazoperi zvachose. Anogona kusimba zvakare uye otanga kuramba mushonga gare gare. Saka, zvakakosha kupedzisa mazuva akatarwa.
Chii chaunofanira kuita kana ukarasikirwa nedosi remushonga?
Kana ukarasikirwa nedosi, inwa nekukurumidza sezvaunoyeuka. Zvisinei, kana yava nguva yekutora dosi yako inotevera, svetuka dosi yawakarasikirwa nayo wotora dosi yako inotevera panguva yakatarwa. Usambofa watora dosi yakapetwa kaviri.
Ko kana ndikatora mushonga wakawandisa?
Kana uchifunga kuti watora mushonga uyu wakawandisa, usavhunduka uye fonera National Poisons Information Centre paColombo National Hospital nekukasika, kana kuenda kuEmergency Treatment Unit (ETU) yechipatara chiri pedyo.
Zvimwe zvinhu zvinogona kupindirana nemushonga uyu
Mimwe mishonga, mavhitamini, nemishonga yechivanhu zvinogona kukonzera matambudziko kana zvikatorwa pamwe chete neiyi mishonga mitatu. Saka zvakakosha kuudza chiremba wako nezvemishonga yese yauri kutora.
Kunyanya kana uchisvuta, uchinwa doro, kana kushandisa zvimwe zvinodhaka zvisiri pamutemo, zivisa chiremba wako nezvazvo zvakare.
Pazasi pane zvimwe zvinhu zvinogona kukanganisa mushonga uyu. Rangarira kuti runyorwa urwu haruna kukwana.
- Mimwe mishonga yekurapa cholesterol (semuenzaniso Simvastatin, Lovastatin)
- Mimwe mishonga yeHIV/AIDS
- Mishonga inodzivirira kuumbwa kweropa (semuenzaniso Warfarin)
- Mishonga yechirwere cheshuga
- Mishonga yekuzvidya mwoyo kana kurara
- Mimwe mishonga yekurapa BP yakakwira
- Mishonga yekurova kwemoyo kusina kurongeka
- Mishonga yezvirwere zvefungus
- Zvekuwedzera simbi
- Sucralfate (mumwe mushonga we gastritis)
Zvinhu zvekungwarira paunenge uchitora mushonga
- Kukanganiswa kwakanyanya kweganda: Dzimwe nguva, kukanganiswa kwakanyanya kweganda kunogona kuitika kunyangwe mavhiki mashoma mushure mekutanga mushonga. Tsvaga rubatsiro rwechiremba nekukasika kana ukaita mavanga matsvuku/pepuru paganda rako ane fivha, kurwadziwa kwemuviri, ayo anozotanga kusviba uye otanga kubvuruka, kana kana ukaita mapundu matsvuku nekuzvimba kwechiso kana miromo.
- Manyoka akanyanya: Zvakajairika kuti munhu awane manyoka asina kunyanya kurwadza paunenge uchitora mushonga uyu. Zvisinei , kana manyoka acho akanyanya uye achiperekedzwa nefivha, kurwadziwa mudumbu, uye kurutsa, zvinogona kuva chiratidzo chechirwere chakakomba. Usazvirape wega uye taura nachiremba wako.
- Kudzivirira pamuviri: Kana uri kutora mapiritsi ekudzivirira pamuviri (Estrogen/Progestin hormones), kushanda kwemapiritsi iwayo kunogona kudzikira paunenge uchitora mushonga uyu. Saka, zvakachengeteka kushandisa imwe nzira yekudzivirira pamuviri, senge makondomu, panguva iyi. Taura nachiremba wako nezveizvi.
- Vhitamini B12: Pane mukana mudiki wekuti huwandu hwevhitamini B12 mumuviri wako hunogona kudzikira kana uchitora mushonga uyu kwenguva yakareba. Taura nachiremba wako nezvekudya kwako uye mhando dzevhitamini dzauri kutora.
Migumisiro inogona kuitika yemushonga
Kufanana nemishonga yese, musanganiswa uyu wemishonga unogona kukonzera mimwe migumisiro yakaipa. Kunyange zvazvo yakawanda yacho isiri yakakomba, pane zvimwe zvinhu zvatinofanira kuziva.
| Migumisiro inofanira kuziviswa kuna chiremba nekukasika | |
|---|---|
| Kurwara kwakanyanya | Mapundu paganda, kuvaviwa, kuzvimba kwechiso, miromo, rurimi kana pahuro, kuoma kufema. |
| Kuchinja kwekurova kwemoyo | Kurova kwemoyo nekukurumidza kana kusina kurongeka, dzungu, kurwadziwa pachipfuva. |
| Mhedzisiro pachiropa kana itsvo | Kurwadziwa mudumbu rekumusoro kurudyi, kushaya chido chekudya, weti yakasviba, kutsvuka kweganda kana maziso, kudzikira kweweti, uye kuzvimba kwezvitsitsinho. |
| Zviratidzo zveganda zvakanyanya | Kutsvuka, matumbu, ganda riri kusvuuka (kunyangwe mukati memuromo). |
| Kazhinji hazvisi zvekurwara zvakanyanya (asi udza chiremba wako kana zvikaramba zviripo) | |
| Manyoka | Dumbu rakatetepa. (Kana paine zvirwere zvakakomba, ona pamusoro apa) |
| Kuchinja kwekuravira mumuromo | Kuravira kwesimbi mumuromo. |
| Musoro | Musoro unowanzoonekwa. |
Unofanira kuchengeta sei mushonga wako?
Chengeta mushonga uyu panzvimbo yakachengeteka kure nevana nezvipfuyo. Chengeta patembiricha yemukamuri (pakati pe20-25 degrees Celsius), kure nezuva rakananga uye hunyoro. Rasa mushonga wapera basa.
Mharidzo Yekuenda Nayo Kumba
- Kurapa uku kunosanganisira mishonga mitatu inorwisa mabhakitiriya eH. pylori.
- Tora mushonga sezvawakarairwa nachiremba, panguva yakatarwa, usati wadya.
- Kunyangwe uchinzwa zvakanaka, usarega kutora mushonga wawakanyorerwa nechikonzero chipi zvacho.
- Udza chiremba wako nezvemimwe mishonga yese yauri kutora.
- Tsvaga rubatsiro rwechiremba nekukasika kana ukaona mapundu eganda akakomba, manyoka akakomba pamwe nefivha, kana chimwe chinetso chakakomba.
- Kana uri kushandisa mapiritsi ekudzivirira pamuviri, zvakakosha kushandisa imwe nzira yekudzivirira, yakaita sekondomu, panguva iyi.
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