Dzimwe nguva unonzwa kurwadziwa kwemajoini paunomuka mangwanani here? Kana kuti unonzwa kamwe kamwe kurwadziwa kwakatsvuka, kuzvimba, uye kusingatsungiririki munzvimbo yakaita sechigunwe chako chikuru? Tinowanzodaidza izvi kuti Gouty Arthritis . Saka, mumamiriro ezvinhu akadaro, vanachiremba vanokurudzira mimwe mishonga kwatiri. Probenecid neColchicine musanganiswa wemishonga miviri inodzora marwadzo akadaro nekuzvimba. Nhasi, tichataura nezveProbenecid; Colchicine Oral Tablet.
Mushonga uyu chii?
Zvichitaurwa zviri nyore, musanganiswa uyu weProbenecid neColchicine unonyanya kupihwa kudzora marwadzo nekuzvimba mumajoini ako, kunyanya marwadzo anokonzerwa nechirwere chinonzi Gouty Arthritis . Izvi zvinoderedza zviratidzo zvakaita sekurwadziwa, kutsvuka, uye kuzvimba mumajoini. Zvisinei, dzimwe nguva chiremba wako anogonawo kunyora mushonga uyu kune zvimwe zvirwere. Saka kana uine mibvunzo yekuti sei wakanyorerwa mushonga uyu, zvakanaka kubvunza chiremba wako kana wemishonga .
Chii chandinofanira kuudza chiremba ndisati ndatora mushonga?
Zvakanaka, ngationei kuti ndezvipi zvinhu zvamunofanira kuudza chiremba wenyu musati matanga kutora mushonga uyu. Izvi zvakakosha zvikuru, nekuti zvichibva paruzivo urwu chiremba ndiye achasarudza kana mushonga uyu wakakodzera kwamuri kana kuti kwete, uye kuti mungaupa sei. Funga nezvazvo, kunyangwe chinhu chidiki chamunacho chingapesana nemushonga uyu. Saka, zvakakosha kumuudza pasina kuvanza chero chinhu.
Kana uine chimwe chezvinotevera, unofanira kutiudza nezvazvo:
- Une anemia here?
- Zvirwere zvine chekuita neropa, kureva zvirwere zvakakomba zvakaita seleukemia nelymphoma .
- Watova nechirwere chegout here? Kureva kuti, pane chimwe chipfundo chave kurwadza, kuzvimba, uye kutsvuka here?
- Une chirwere chemwoyo here?
- Pane dambudziko here neimmune system yako?
- Une zvirwere zvemudumbu here?
- Une chirwere cheitsvo here kana kuti matombo eitsvo ?
- Une chirwere chechiropa here?
- Muropa mune maplatelet akaderera here? (Idzi imhando yemasero anobatsira kuumba ropa)
- Unowanzosangana nematambudziko emudumbu nemamiriro ezvinhu akadai segastritis here?
- Wakambova nechirwere cheProbenecid, Colchicine, kana mimwe mishonga, lactose iri mumukaka, muzvikafu, mudhayi dzechikafu, kana muzvinodzivirira here?
- Une mimba here kana kuti uri kutarisira kuva nemwana ?
- Muri amai vanoyamwisa here ?
Paunonzwa zvinhu izvi, ungafunga kuti, "Oh, ndinofanira kukuudza zvese izvi here?" Ehe, zvese izvi zvakakosha. Nekuti kana chiremba aine ruzivo rwakakwana nezvako, anogona kukurapa zvakachengeteka.
Mushonga uyu munoshandiswa sei?
Mushonga uyu unofanira kunwiwa negirazi remvura . Inwa mushonga sezvakarairwa papepa remushonga. Usatore zvinopfuura zvataurwa nachiremba kuti utore, kana kuutora kakawanda. Uyewo, usarega kutora mushonga kamwe kamwe usina kurairwa nachiremba wako . Kuita izvi kunogona kuwedzera zviratidzo zvako.
Kana uri kupa mushonga uyu kuvana vadiki , unofanira kutaura nachiremba wevana wotevedzera mirairo yake. Ungangoda kutarisirwa kwakakosha.
Chenjerera: Kana uchifunga kuti watora mushonga uyu wakawandisa, kureva kuti, wakawandisa , fonera chipatara chiri pedyo nechipatara kana nzvimbo yekudzivirira chepfu nekukasika. Usatambisa nguva.
Chimwezve ndechekuti mushonga uyu ndewako chete . Saka usape mumwe munhu, kunyangwe aine dambudziko rakafanana nerako. Muviri wemunhu wese wakasiyana, saka mushonga mumwe chete haushande kune wese munhu.
Chii chaunofanira kuita kana ukarasikirwa nedosi remushonga?
Kana ukangoerekana wakanganwa kutora mushonga, usazvidya moyo. Utore nekukurumidza paunenge wayeuka. Zvisinei, kana yava nguva yekuti mushonga wako unotevera uve pedyo (semuenzaniso, mukati memaawa mashoma), siya mushonga wausina kutora wotora mushonga wako unotevera panguva yakatarwa. Usambofa watora mushonga kaviri. Kuita izvi kunowedzera njodzi yemigumisiro yakaipa.
Mimwe mishonga inogona kushanda pamwe chete nemushonga uyu
Izvi zvakakosha zvikuru. Probenecid neColchicine zvinogona kushanda pamwe chete nemimwe mishonga. Izvi zvinoreva kuti kana zvikatorwa pamwe chete, matambudziko anogona kuitika, kungave kuderedza kushanda kwemushonga kana kuwedzera migumisiro yawo.
Mishonga isingafanirwe kutorwa nemushonga uyu:
Hazvikurudzirwi zvachose kuti utore mishonga inotevera pamwe chete neProbenecid neColchicine:
- Aspirin nemimwe mishonga inoshanda seaspirin.
- Mimwe mishonga inorwisa fungus, semuenzaniso , Itraconazole kana Ketoconazole .
- Clarithromycin (uyu mushonga unorwisa mabhakitiriya)
- Erythromycin (mushonga unorwisa mabhakitiriya zvakare)
- Ketorolac (mushonga unorwadza une simba)
- Methotrexate (mushonga unoshandiswa kurapa zvirwere zvakaita sekenza nearthritis)
- Topiramate ( uyu mushonga wepfari uye migraine)
Zvimwe zvinhu zvinogona kupindirana nemushonga uyu zvinosanganisira:
Kune mimwe mishonga nezvimwe zvinhu zvinogona kukonzera matambudziko kana ikatorwa neProbenecid neColchicine. Saka kana uri kushandisa chimwe chezvinhu izvi, udza chiremba wako nezvazvo zvakare:
- Acetaminophen (semuenzaniso Panadol)
- Doro
- Mishonga inorwisa mabhakitiriya, yakaita sepenicillins nesulfonamides .
- Mishonga inorwisa mavhairasi, semuenzaniso Acyclovir , Famciclovir , Ganciclovir .
- Cyclosporine (uyu mushonga unodzora masoja emuviri)
- Epinephrine
- Lorazepam (uyu mushonga wekuzvidya mwoyo nekushaya hope)
- Meclofenamate (iyi mushonga wekurwadziwa kwemoyo)
- Mishonga yechirwere cheshuga
- Mishonga yekukonzera hope panguva yekuvhiyiwa
- Methenamine (uyu mushonga unopihwa kurapa zvirwere zvemunzira yeweti)
- NSAIDs mishonga inoderedza marwadzo, zvichireva mishonga inoderedza kuzvimba, semuenzaniso , ibuprofen kana naproxen .
- Pyrazinamide (uyu mushonga unopihwa wechirwere cherurindi)
- Rifampin (mushonga unorwisa mabhakitiriya zvakare)
- Sodium bicarbonate
Yeuka izvi: Rondedzero iyi haina zvese zvinobatanidzwa. Saka udza chiremba wako nezvemishonga yese yaunotora, kusanganisira mavhitamini, mishonga yemishonga yemishonga, mishonga isingapihwe mushonga, uye zvekudya zvinovaka muviri. Zvakare, udza chiremba wako kana uchisvuta, uchinwa doro, kana kushandisa zvinodhaka zvisiri pamutemo . Zvimwe zvinhu zvinogona kukanganisa mishonga yako.
Zvinhu zvekungwarira paunenge uchitora mushonga
Pane zvinhu zvishoma zvaunofanira kungwarira paunenge uchitora mushonga uyu. Nekutevera izvi, unogona kuwana zvakawanda kubva mumushonga uyu uye kuderedza njodzi yemigumisiro isingadiwe.
- Endai kuna chiremba wenyu nguva nenguva kuti muone kuti muri sei. Chiremba wenyu anogona kuona kana mushonga wenyu uri kushanda zvakanaka uye kana paine shanduko dzinoda kuitwa. Angangodawo kuita zvinhu zvakaita sekuongororwa ropa.
- Mishonga inouraya marwadzo yakaita seaspirin neNSAIDs (semuenzaniso, ibuprofen) inogona kuderedza kushanda kwemushonga uyu. Saka, kana uine musoro kana mamwe marwadzo, usatore mushonga wega. Bvunza chiremba wako kana wemishonga kuti akupe mazano.
- Usanwa doro. Izvi zvakakosha zvikuru. Doro rinogona kuwedzera njodzi yekurwara nemudumbu uye gout. Saka, dzivisa doro zvachose paunenge uchitora mushonga uyu.
- Ungangoda kudya zvakasiyana paunenge uchinwa mushonga uyu. Taura nachiremba wako nezvenyaya iyi. Bvunzawo kuti unofanira kunwa mvura yakawanda sei pazuva. Usarega muviri wako uchishaya mvura mumuviri. Zvakanaka kunwa magirazi masere emvura pazuva.
- Mushonga uyu unogona kuderedza huwandu hwevhitamini B12 mumuviri wako. Saka, iva nechokwadi chekuti uri kuwana vhitamini B12 yakakwana paunenge uchitora mushonga uyu. Edza kudya chikafu chine vhitamini B12 yakawanda (semuenzaniso nyama, hove, mazai, mukaka). Taura nachiremba wako nezvekudya nemavhitamini auri kutora.
- Mushonga uyu unogona kukanganisa mhedzisiro yekuongororwa kweglucose yemuweti . Kana uine chirwere cheshuga uye uri kuyedza weti yako kumba, udza chiremba wako.
Ndezvipi zvingakonzera migumisiro yakaipa?
Kufanana nemushonga upi zvawo, mapiritsi eProbenecid neColchicine anogona kukonzera mimwe migumisiro yakaipa. Zvisinei, havasi vese vanoiwana. Vamwe vanhu vanogona kusangana nemigumisiro midiki inongopera yoga. Zvisinei, kune mimwe migumisiro yakaipa zvikuru.
Migumisiro yaunofanira kuudza chiremba wako nezvayo nekukasika:
Kana ukaona chimwe chezviratidzo zvinotevera, unofanira kuudza chiremba wako kana mupi wehutano nekukurumidza sezvinobvira :
- Kurwara kunosanganisira mapundu eganda, kuvaviwa kana mapundu, kuzvimba kwechiso, miromo, uye rurimi.
- Kurwadziwa kwemusana kana itsvo.
- Kutadza kufema zvakanaka.
- Weti ine ruvara rwakasviba (seruvara rwe cola).
- Fivha, dzihwa, pahuro panorwadza. (Izvi zvinogona kunge zviri zviratidzo zvehutachiona)
- Kunzwa kusanzwa kana kukwenya mumakumbo.
- Kuomerwa nekuita weti kana kuchinja huwandu hweweti yaunoburitsa (shoma kana kupfuura zvakajairika).
- Kubuda ropa kana mavanga asingawanzoitiki (semuenzaniso kubuda ropa mumhino, kubuda ropa mumazino, mavanga madiki anoshanduka kuita bhuruu).
- Kunzwa kuneta kana kushaya simba zvakanyanya.
Migumisiro isingawanzova nyaya huru, asi kana ikaramba iripo, unofanira kuudza chiremba wako kuti:
Migumisiro iyi inowanzova isina kuipa. Zvisinei, kana ikaramba iripo kana kukunetsa, udza chiremba wako:
- Manyoka.
- Kudonha kwebvudzi.
- Musoro.
- Chikafu hachina kunaka.
- Kusvotwa, kurutsa.
- Kurwadziwa mudumbu zvinoreva kunzwa sekunge une kurwadziwa mudumbu.
Yeuka: Rondedzero iyi haisanganisiri mimwe migumisiro yese inogona kuitika. Kana ukaona zviratidzo zvisingawanzoitiki, taura nachiremba wako nezvazvo. Usatya kubvunza kuti, "Izvi zvakajairika here, chiremba?"
Ndinofanira kuchengeta mushonga uyu sei?
Chengeta mushonga uyu kure nevana . Izvi zvakakosha zvikuru.
Chengeta patembiricha yemumba, pakati pe20 ne25 degrees Celsius (68 ne77 degrees Fahrenheit). Chengeta bhodhoro kana pakiti rakavharwa zvakanaka . Rasa mushonga wapera usina kuushandisa.
Rangarira chinhu chinonyanya kukosha.
Zvakanaka, saka, kubva pane zvatataura nezvemapiritsi eProbenecid neColchicine, zvakanaka kurangarira zvimwe zvezvinhu zvakakosha. Kana ukatevera izvi nemazvo, unogona kudzora mamiriro ako zvakanaka uye kurarama hupenyu hune hutano.
- Nguva dzose tora mushonga wako sezvawaudzwa nachiremba wako. Tevedzera mushonga wacho nenguva yawo chaiyo. Usachinje sezvaunoda.
- Kana ukasangana nemigumisiro ipi zvayo, udza chiremba wako nezvayo, kunyangwe iri midiki.
- Mushonga uyu wakapihwa iwe chete . Usaupe mumwe munhu.
- Udza chiremba wako nezvemimwe mishonga yose yaunotora uye maitiro ako ehutano (kudya, kurovedza muviri, doro, kusvuta).
- Kana muine mibvunzo kana kusava nechokwadi nezvemushonga uyu, bvunzai chiremba wenyu kana wemishonga kuti akutsanangurirei. Musatya, varipo kuti vakubatsirei.
- Chenjerera zvakanyanya nedoro nezvimwe zvinodhaka zvinoderedza marwadzo sezvo zvinogona kukanganisa mushonga uyu.
- Inwa mvura yakawanda uye tevera kudya kwako sezvakarairwa nachiremba wako.
Ndinokushuvirai hutano hwakanaka!
👩🏽⚕️ Mibvunzo yekuwedzera (Mibvunzo Inowanzo bvunzwa)
💬 Flucytosine (Flucytosine / Ancobon) inoshandiswa pachirwere cherudzii?
Uyu mushonga une simba guru wefungus unongopihwa muchipatara chete kana paine hutachiona hwakakomba uye hunouraya hwefungus! Unopihwa zuva nezuva neimwe jekiseni ine simba inonzi Amphotericin B yekurapa hutachiona hwakakomba hwefungus hunokonzerwa neCryptococcus, kunyanya kana fungus inonzi Cryptococcus ikapinda muuropi uye inokanganisa membrane yeuropi (Cryptococcal Meningitis) uye hutachiona hwakakomba hwefungus hunokonzerwa nenjiva dzakapararira mumuviri/muropa (Systemic Candidiasis).
💬 Mushonga uyu (Flucytosine) unouraya sei fungus iyoyo?
Izvi zvakafanana neTrojan Horse! Kana mushonga uyu wangopinda mufungus, unoshandurwa kuita kemikari ine chepfu (5-Fluorouracil - mushonga wekenza). Kemikari ine chepfu iyoyo inokanganisa zvachose fekitari yekugadzira DNA neRNA yefungus iyoyo. Kana DNA yakarasika, fungus iyoyo yakaipa haigone kurarama kwenguva refu uye inofa.
💬 Ndezvipi zvinogona kukonzera rufu kana munhu akatora mushonga uyu?
Mhedzisiro ine njodzi huru yeizvi ndeye (kudzvinyirirwa kwemapfupa)! Nekuti mushonga uyu unoshanda semushonga wegomarara mumuviri, pane njodzi huru yekuti mapfupa edu amire kushanda kamwe kamwe uye 'masero machena eropa nemaplatelet eropa' adzike kusvika pazero, zvichikonzera kubuda ropa nezvimwe hutachiona (ndicho chikonzero nei kuongororwa kweropa kwezuva nezuva kuchidikanwa). Zvakare, kukuvara kwakanyanya kwechiropa (kukuvadzwa kwechiropa) kunogona kuitika!
Probenecid , Colchicine, Gout arthritis, Marwadzo emajoini, Mushonga, Migumisiro, Mazano ekurapa
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