Une chirwere chinonzi `Ulcerative Colitis` chinokonzera kurwadziwa mudumbu, kuda kuenda kuchimbuzi nguva nenguva, uye dzimwe nguva ropa riri mutsvina yako here? Kana zvakadaro, chiremba wako anogona kunge akakunyorera mushonga unonzi `Mesalamine`. Unouya pasi pemazita akasiyana emhando dzakadai se`Delzicol`, `Asacol`, `Pentasa`. Saka, nhasi tichataura nezvemushonga uyu, zvaunoita, mashandisirwo awo, uye zvaunofanira kungwarira nenzira iri nyore yaunogona kunzwisisa.
Chii chaizvo chinoitika nemushonga uyu unonzi Mesalamine?
Zvichitaurwa zviri nyore, `Mesalamine` mushonga unorapa `Ulcerative Colitis`. Kana uine chirwere ichi, une kuzvimba, kana chirwere chakafanana nekuzvimba, kwemadziro emukati meura hwako hukuru (nzira yekugaya). Funga nezvazvo seronda reganda, uko nzvimbo yakakomberedza inotsvuka, kuzvimba, uye kunorwadza.
Saka, mushonga uyu we'Mesalamine' unoshanda kudzora nekuderedza kuzvimba . Uri weboka remishonga inonzi 'salicylates'. Haungodzori zviratidzo zvako chete, asiwo unobatsira kudzivirira kuputika kweganda mushure mekunge chirwere chapera.
Zvinhu zvaunofanira kuudza chiremba wako usati watora mushonga uyu
Usati watanga kutora Mesalamine, zvakakosha kupa chiremba wako tsananguro yakazara yehutano hwako. Iva nechokwadi chekumuudza kana uine chimwe chezvirwere zvakanyorwa pazasi.
| Dambudziko kana mamiriro ehutano | Sei izvozvo zvichikosha? |
|---|---|
| Chirwere cheitsvo | Nekuti mesalamine dzimwe nguva inogona kukanganisa itsvo. |
| Chirwere chechiropa | Mushonga uyu unogona kukanganisawo mashandiro echiropa. |
| Kuvharika kwematumbu kana kuti pyloric stenosis | Kana paine kuvharika mudumbu kana muura, mushonga unogona kuvharika. |
| Kurwara nemesalamine, aspirin, kana mimwe mishonga/chikafu | Kana uine allergy, zvinogona kuitika zviratidzo zvakakomba. |
| Kuva nepamuviri kana kuedza kubata pamuviri | Zvakakosha kutsvaga mazano echiremba usati watora chero mushonga panguva yekuzvitakura. |
| Kuyamwisa | Zvimwe zvikamu zvemushonga zvinogona kupfuudzwa kumwana kuburikidza nemukaka wemuzamu, saka zivisa chiremba wako nezveizvi. |
Ndinofanira kushandisa mushonga uyu sei?
Kushandisa mushonga uyu nemazvo kwakakosha zvikuru kuti uwane mhedzisiro.
- Medza kapusule yese: Usapwanye, usapwanye, kana kutsenga mushonga uyu. Medza wese negirazi remvura.
- Inwa mushonga panguva imwe chete: Edza kutora mushonga wako panguva imwe chete zuva nezuva zvakanyanya sezvinobvira. Izvi zvichabatsira kuchengetedza huwandu hwemushonga mumuviri wako hwakafanana.
- Usati wadya kana kuti wapedza?: Izvi zvinogona kunwiwa uine chikafu kana usina. Zvisinei, kana uchinzwa kusagadzikana mudumbu kana chirungurira, zvakanaka kunwa pamwe nechikafu.
- Usarega: Usarega kutora mushonga wako kusvika chiremba wako akuudza kuti udaro. Zvakakosha kuti upedze kurapwa kwawakapihwa, kunyangwe zviratidzo zvako zvikavandudzika.
- Kune vana vadiki: Mushonga uyu unogona kukurudzirwa kuvana vane makore anopfuura mashanu mune dzimwe nguva. Zvisinei, unofanira kutaura nachiremba wako nezvazvo.
Yambiro: Kana ukangoerekana wafunga kuti watora mushonga uyu unopfuura wakatarwa, fonera National Poisons Information Centre paColombo National Hospital nekukasika . Kana kuti enda kuEmergency Treatment Unit (ETU) yechipatara chiri pedyo. Mushonga uyu ndewekushandisa iwe pachako chete, usaugovane nevamwe.
Chii chaunofanira kuita kana ukarasikirwa nedosi remushonga?
Kana ukakanganwa kutora mushonga, tora mushonga nekukurumidza paunenge uchiyeuka. Asi kana yava nguva yekuti mushonga wako unotevera usvike, svetuka mushonga wausina kutora wotora mushonga wako unotevera panguva yakatarwa. Usambofa watora mushonga wakapetwa kaviri.
Zvinhu zvekurangarira kana uchishandisa mushonga
- Mimwe mishonga: Udza chiremba wako kana uri kutora mimwe mishonga yekurwadziwa, yakadai seNSAIDs (semuenzaniso, ibuprofen, naproxen), kana mimwe mishonga yakaita seazathioprine kana mercaptopurine. Iyi mishonga inogona kushanda pamwe chete nemesalamine. Zvakanaka kuudza chiremba wako nezvemishonga yese nemavhitamini auri kutora.
- Kuongororwa kwechiremba: Chiremba achakutarisa nguva dzose. Enda kwavari panguva dzakakodzera. Vaudze kana zviratidzo zvako zviri kuva nani kana kuti zvakanyanya kuipa. Vanogonawo kurayira kuti ropa rako riongororwe.
- Kuchinja Mhando dzeMishonga: Usachinje mhando yeMesalamine yauri kutora usina kubvunza chiremba wako, sezvo muyero wayo usingafanani kune mhando dzese dzemishonga.
- Zvidzivirire kubva kuzuva: Ganda rako rinogona kunge richinzwa kusviba kwezuva paunenge uchitora mushonga uyu. Saka, kana uri kubuda muzuva, pfeka mbatya dzine maoko marefu uye shandisa mafuta ekudzivirira zuva.
- Goko repiritsi rine tsvina: Mune mamwe marudzi eMesalamine, goko rekunze repiritsi rinogona kusanyunguduka robuda pamwe chete netsvina. Izvi hazvina kuipa kana zvikaitika kamwe chete kana kaviri. Asi kana izvi zvikaitika kakawanda , udza chiremba wako nezvazvo.
- Inwa mvura yakawanda: Bvunza chiremba wako kuti unofanira kunwa magirazi mangani emvura pazuva. Zvakakosha zvikuru kudzivirira kupera mvura mumuviri.
Migumisiro inogona kuitika yemesalamine
Kufanana nemushonga upi zvawo, `Mesalamine` inogona kukonzera mimwe migumisiro yakaipa. Asi musazvidya mwoyo, havasi vese vanoiwana. Chinhu chakakosha ndechekuziva izvi uye kuudza chiremba wako nekukasika kana mukaona chimwe chinhu chakakomba.
| Migumisiro inofanira kuziviswa kuna chiremba wako nekukasika | |
|---|---|
| Kusawirirana kwemuviri | Mapundu eganda, kuvaviwa, kuzvimba kwechiso, miromo, rurimi. |
| Kukuvara kweitsvo | Kudzikira kweweti, kuzvimba kwezvitsitsinho, maoko, netsoka. |
| Kukuvara kwechiropa | Kurwadziwa mudumbu rekumusoro kurudyi, kurasikirwa nechido chekudya, kutsvuka kwemaziso/ganda, weti yero/yero yakasviba. |
| Myocarditis | Kutadza kufema zvakanaka, kurwadziwa pachipfuva, kuneta kusingawanzoitiki, kurova kwemoyo nekukurumidza. |
| Mesalamine kusagadzikana syndrome | Kurwadziwa kwakanyanya mudumbu, manyoka ane ropa, musoro, fivha, kurwadziwa kwetsandanyama. |
| Matambudziko makuru eganda | Kutsvuka, matumbu, ganda rinobuda (zvinogonawo kuitika mukati memuromo). |
| Zvinhu zvisingawanzove zvakakomba, asi zvinofanira kutaurwa kuna chiremba kana zvikaramba zviripo | |
| Kurwadziwa kwedumbu | Manyoka |
| Musoro | Kusvotwa |
| Huro inorwadza | Zviratidzo zvakaita sechando |
Munodzivirira sei mushonga wenyu?
Chengeta mishonga kure nevana nezvipfuyo. Zvakanakisisa kuichengeta patembiricha yemumba (pakati pe20-25 degrees Celsius). Usashandise mishonga yapera basa. Rasa mishonga zvakanaka. Unogona kubvunza chiremba wako nezvenyaya iyi.
Mharidzo Yekuenda Nayo Kumba
- Mesalamine mushonga unoderedza kuzvimba muura muvanhu vane ulcerative colitis.
- Medza mushonga uyu wese nemvura usingapwanye, kupwanya, kana kutsenga .
- Kana uine chirwere cheitsvo, chiropa, kana zvimwe zvirwere zvinokonzerwa neallergies , iva nechokwadi chekuudza chiremba wako usati watanga mushonga.
- Kana ukasangana nematambudziko akakomba (akadai sekurwadziwa mudumbu, mapundu paganda, kudzikira kwekuita weti) , tsvaga rubatsiro rwechiremba nekukasika.
- Usarega kutora mushonga wako kusvika chiremba wako akuudza kuti udaro. Kana uine matambudziko, taura naye nezvazvo.
👩🏽⚕️ Mibvunzo yekuwedzera (Mibvunzo Inowanzo bvunzwa)
💬 Mapiritsi eMesalamine (Mesalamine / Asacol, Lialda) anoshandiswa pakurapa chirwere chipi?
Uyu mumwe wemishonga inoshanda zvakanyanya (5-Aminosalicylic acid / 5-ASA) pasi rose inogona kurapa marwadzo emudumbu asingatsungiririki, manyoka ane ropa, uye maronda akanyanya muura (Ulcerative Colitis)! Inobvisa kuzvimba kwakanyanya ipapo ipapo uye inodzosa murwere pakugara zvakanaka.
💬 Mapiritsi aya (Mesalamine) anorapa sei maronda/kusagadzikana kwakanyanya mudumbu?
Maronda/kuzvimba kwemudumbu kunokonzerwa nemakemikari anonzi 'Prostaglandins/Leukotrienes' anogadzirwa mudumbu. Chinhu chakakosha papiritsi iri ndechekuti harinyurwe nemuviri kunyangwe mushure mekunge rapinda mudumbu, rinopwanyika zvakananga mudumbu guru (colon) (Topical action). Parinopinda mudumbu, rinovhara/kuvhara zvachose mafekitori ese emakemikari (COX/LOX) anogadzira maronda. Ipapo kuzvimba nekubuda ropa zvinomira ipapo ipapo.
💬 Ndezvipi njodzi dzaunofanira kuziva kana uchitora mushonga uyu wemudumbu (Mesalamine)?
Izvi zvakachengeteka, asi vamwe vanhu vanogona kusangana ne'Mesalamine-induced Acute Intolerance Syndrome', iyo inogona kukonzera kurwadziwa mudumbu, kubuda ropa, uye manyoka akanyanya! Kana ukaona chimwe chezviratidzo izvi, unofanira kurega kutora mushonga nekukasika. Zvakare, sezvo wakagadzirwa neaspirin/salicylate, vanhu vane allergies kuaspirin havafanirwe kutora mushonga uyu!
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