Dambudziko rine vanhu vazhinji munyika medu chirwere chegastritis, kana kuzvimba kwemudumbu nemaronda. Dzimwe nguva chikonzero chikuru cheizvi chirwere chebhakitiriya chinonzi `H. pylori` chinogara mudumbu medu. Saka kana chiremba wako akakunyorera mushonga wekubvisa chirwere ichi, ungangowana musanganiswa wemishonga yakati wandei. Nhasi tichataura nezvemusanganiswa wemishonga mitatu inowanzoshandiswa. Iyo inonzi Omeprazole, Amoxicillin neRifabutin.
Chii chinonyatsoitika nemusanganiswa uyu wemishonga?
Uyu musanganiswa wemishonga mitatu. Ngationei kuti chii chinoitika kune mumwe nemumwe.
- Omeprazole: Zvichitaurwa zviri nyore, izvi zvinoshanda nekuderedza huwandu hweasidhi inogadzirwa mudumbu mako. Iyi inonzi mishonga yeProton Pump Inhibitor (PPI). Kana acid yemudumbu yaderedzwa, nzvimbo iri nani inogadzirwa kuti ronda riripo ripore. Inoderedzawo kuzvimba.
- Amoxicillin neRifabutin: Zvese izvi mishonga inorwisa mabhakitiriya. Basa guru rezvose izvi nderekuparadza mabhakitiriya anonetsa e`H. pylori`. Rimwe ndererudzi rwe`(Penicillin)`, uye rimwe ndererudzi rwe`(Rifamycin)`. Kana bhakitiriya iri rikaparadzwa zvachose, ronda remudumbu rinopora zvachose risingadzokorori.
Saka, munonzwisisa here? Kunyange zvazvo mushonga mumwe uchibatsira kudzora acid yemudumbu uye kurapa ronda, mimwe mishonga miviri inouraya chikonzero chekutanga cheronda, iro riri bhakitiriya.
Zvinhu zvaunofanira kuudza chiremba wako usati watora mushonga uyu
Usati watanga mushonga uyu, zvakakosha kupa chiremba wako tsananguro yakazara yehutano hwako. Iva nechokwadi chekuvaudza nezvechero chezvirwere zvinotevera, kunyanya kana uine chimwe chazvo:
| Mamiriro ako ezvinhu | Sei uchifanira kuzivisa? |
|---|---|
| Chirwere cheitsvo | Nekuti mushonga unobviswa mumuviri kuburikidza neitsvo, chiyero chingada kugadziriswa. |
| Chirwere chechiropa | Migumisiro yemishonga pakushanda kwechiropa inogona kusiyana. |
| Lupus | Mushonga uyu dzimwe nguva unogona kuwedzera zviratidzo zve lupus. |
| Chirwere cheTibhii (TB) | Mushonga werifabutin unogona kukanganisa kurapwa kwechirwere cherurindi. |
| Kana ukapfeka ma contact lenses | Mushonga uyu unogona kukonzera kusviba kwemavara eganda uye kusviba zvachose kwemalenzi ekuonana. |
| Kurwara nemimwe mishonga, chikafu, kana zvimwe zvinhu | Izvi zvakakosha zvikuru kana uine allergy nemishonga iyi kana mimwe mishonga yerudzi rwepenicillin. |
| Kana uine pamuviri kana kuti uri kuedza kubata pamuviri | Unofanira kutaura nachiremba wako nezvekuchengetedzwa kwemushonga uyu panguva yekuzvitakura. |
| Kana uri amai vanoyamwisa | Sezvo mishonga ichigona kupfuudzwa kumwana kuburikidza nemukaka wemuzamu, zvakakosha kuzivisa chiremba nezvazvo. |
Nzira yekushandisa mushonga nemazvo sei?
Sezvakataurwa nachiremba, chinhu chakakosha kutora mushonga wakakodzera panguva chaiyo.
- Inwa mushonga uyu negirazi remvura .
- Zvakanakisisa kuitora pamwe nechikafu.
- Usapwanye, kupwanya, kana kutsenga kapisiyu. Medza yese.
- Chinhu chinonyanya kukosha ndechekutora mushonga wese wawakanyorerwa nachiremba wako. Usarega kutora mushonga wacho pakati, kunyangwe uchinzwa zviri nani. Kuita izvi kunogona kukonzera kuti mabhakitiriya adzoke, pane kuti apere zvachose.
Ko kana ndikarasikirwa nedosi remushonga?
Kana ukakanganwa kutora mushonga, tora mushonga nekukurumidza paunenge uchiyeuka. Zvisinei, kana yava nguva yekuti mushonga wako unotevera usvike, svetuka mushonga wausina kutora wotora mushonga wako unotevera panguva yakatarwa. Usambofa watora mishonga miviri panguva imwe chete.
Ko kana ndikatora mushonga wakawandisa?
Kana uchifunga kuti wakatora mushonga wakawandisa netsaona, enda kuchipatara chiri pedyo neEmergency Department (ETU) nekukasika. Kana kufonera National Poisons Information Centre kuColombo National Hospital kuti uwane mazano.
Mimwe mishonga inogona kupindirana nemushonga uyu (Kupindirana kweMishonga)
Paunotora mushonga uyu, mimwe mishonga inogona kukanganisana nawo, saka zvakakosha kuudza chiremba wako nezvemishonga yese yaunotora, kusanganisira mavhitamini nemishonga yemishonga.
- Mimwe mishonga inoshandiswa kurapa HIV (semuenzaniso Atazanavir, Rilpivirine) nemimwe mishonga haifanirwe kutorwa pamwe chete nemushonga uyu.
- Uyewo, mishonga yakawanda, yakadai semapiritsi ekudzivirira pamuviri, mishonga inobvisa ropa rakawanda (semuenzaniso, Warfarin), mishonga yezvirwere zvefungus, mapiritsi esimbi, uye mimwe mishonga yepfari (semuenzaniso, Phenytoin), inogona kushanda pamwe chete nemushonga uyu.
Iyi haisi rondedzero yakazara. Saka kuti uchengetedzeke, taura nachiremba wako nezvemishonga yaunotora. Iye ndiye achakutungamirira zvakanaka.
Zvinhu zvakakosha zvekuziva paunenge uchitora mushonga
- Manyoka: Vamwe vanhu vanogona kuita manyoka pavanenge vachitora mushonga uyu. Zvisinei, kana manyoka ako akakura uye akaramba kwenguva inopfuura mazuva maviri, usatore mushonga kubva kupharmacy wofonera chiremba wako nekukasika.
- Kurwara kwakanyanya kweganda: Kunyangwe zvisingawanzoitiki, mushonga uyu unogona kukonzera kurwara kwakanyanya kweganda. Kana uine fivha, kurwadziwa kwemuviri, mavanga matsvuku kana epepuru paganda rako anozobuda matumbu, uye uchinzwa sekunge ganda rako riri kubvunda, kusanganisira mumuromo mako, tsvaga rubatsiro rwechiremba nekukasika.
- Kudzivirira pamuviri: Zvakakosha zvikuru! Paunenge uchitora mushonga uyu, kushanda kwemapiritsi ako ekudzora pamuviri kunogona kudzikira. Saka, kana uchida kudzivirira pamuviri, taura nachiremba wako nezvekushandisa imwe nzira yekudzora pamuviri (semuenzaniso, makondomu) panguva iyi.
- Kuchinja ruvara rwemvura yemuviri: Rifabutin iri mumushonga uyu inogona kukonzera weti yako, ziya, misodzi, uye mate kuti zvive ruvara rwakatsvuka-orenji. Izvi zvakajairika uye hazvifanirwe kutyisa.Zvisinei, kuchinja kwemavara aya kunogona kukonzera mavara asingaperi pamalenzi akapfava ekuonana. Saka kana ukapfeka malenzi ekuonana, bvunza chiremba wako kana uchigona kuapfeka paunenge uchitora mushonga uyu. Pane mukana zvakare wekusvibisa mazino ako.
- Chirwere cheshuga: Kana uine chirwere cheshuga, kuongororwa kweshuga yemuweti paunenge uchitora mushonga uyu kunogona kukupa mhinduro yenhema. Taura nachiremba wako nezvazvo zvakare.
Ndezvipi migumisiro inogona kuonekwa?
Kufanana nemishonga yese, iyi inogona kukonzera mamwe matambudziko. Kunyangwe mimwe yacho isiri yakakomba, pane zvimwe zvinhu zvekuziva.
| Mhando dzemigumisiro yakaipa | |
|---|---|
| Migumisiro inoda kurapwa nekukurumidza | |
| Kusawirirana kwemuviri | Mapundu paganda, kuvaviwa, kuzvimba kwechiso, miromo, rurimi kana pahuro, kuoma kufema. |
| Kukanganiswa kwakanyanya kweganda | Kutsvuka kweganda, maronda, kusviba (kunyangwe mukati memuromo). |
| Kukuvara kweitsvo | Kudzikira kweweti, kuzvimba kwezvitsitsinho, maoko, kana tsoka. |
| Manyoka akanyanya | Manyoka akawanda, ane mvura yakawanda pamwe nefivha. |
| Migumisiro inofanira kutaurwa kuna chiremba kana ikaramba iripo | |
| Manyoka akajairika | Manyoka asina kunyanya kusimba asingapere mukati memazuva mashoma. |
| Zvimwe | Musoro, kuda kurutsa, kurutsa, kurwadziwa mudumbu. |
Mharidzo Yekuenda Nayo Kumba
- Iva nechokwadi chekuti wapedza mushonga wese wawakanyorerwa nachiremba wako. Usarega kuutora kunyangwe uchinzwa zviri nani.
- Inwa mushonga uyu pamwe chete nechikafu, negirazi remvura. Medza kapusule yese.
- Udza chiremba wako nezvemimwe mishonga yese, mavhitamini, uye zvimwe zvinovaka muviri zvauri kutora.
- Tsvaga rubatsiro rwechiremba nekukasika kana paine matambudziko eganda, manyoka akawandisa, kana zviratidzo zvekurwara nepfungwa.
- Taura nachiremba wako nezvekushandisa imwe nzira yekudzivirira pamuviri, sezvo mapiritsi ekudzivirira pamuviri angave asingashande zvakanaka paunenge uchitora mushonga uyu.
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