Mankhwala osokoneza bongo amachititsa chiwindi

Kuvulala kwa chiwindi komwe kumayambitsa mankhwala ndi kuvulala kwa chiwindi komwe kumatha kuchitika mukamamwa mankhwala ena.

Mitundu ina yovulala chiwindi ndi iyi:

• Matenda a chiwindi
• Mowa wa chiwindi
• Matenda a hepatitis
• Iron yodzaza
• Chiwindi chamafuta

Chiwindi chimathandiza thupi kuwononga mankhwala enaake. Izi zikuphatikiza mankhwala omwe mumagula pamsika kapena omwe amakupatsani omwe akukuthandizani. Komabe, njirayi imachedwa pang'onopang'ono mwa anthu ena. Izi zitha kukupangitsani kuti chiwindi chizitha kuwonongeka.

Mankhwala ena amatha kuyambitsa matenda a chiwindi ndi mankhwala ochepa, ngakhale kuwonongeka kwa chiwindi kuli koyenera. Mankhwala ambiri amatha kuwononga chiwindi.

Mankhwala osiyanasiyana amatha kuyambitsa matenda a chiwindi.

Mankhwala opha ululu komanso ochepetsa malungo omwe ali ndi acetaminophen ndizomwe zimayambitsa kuvulala kwa chiwindi, makamaka mukamamwa muyezo waukulu kuposa womwe umalangizidwa. Anthu omwe amamwa mowa mopitirira muyeso amakhala ndi vutoli.

Mankhwala osagwiritsidwa ntchito poletsa kutupa (NSAIDs), monga ibuprofen, diclofenac, ndi naproxen, amathanso kuyambitsa matenda a chiwindi.

Mankhwala ena omwe angayambitse chiwindi ndi awa:

• Amiodarone
• Anabolic steroids
• Mapiritsi oletsa kubereka
• Chlorpromazine
• Mankhwalawa
• Halothane (mtundu wa anesthesia)
• Methyldopa
• Isoniazid
• Methotrexate
• Zolemba
• Mankhwala a Sulfa
• Makhalidwe
• Amoxicillin-clavulanate
• Mankhwala ena oletsa kulanda

Zizindikiro zingaphatikizepo

• Kupweteka m'mimba
• Mkodzo wakuda
• Kutsekula m'mimba
• Kutopa
• Malungo
• Mutu
• Jaundice
• Kutaya njala
• Nseru ndi kusanza
• Kutupa
• Zojambula zoyera kapena zadongo

Muyesedwa magazi kuti muwone momwe chiwindi chimagwirira ntchito. Mavitamini a chiwindi adzakhala apamwamba ngati muli ndi vutoli.

Wothandizira anu amayesa thupi kuti aone ngati chiwindi ndi kukulira kwa m'mimba kuli bwino kumtunda kwakumimba. Kutupa kapena kutentha thupi kumatha kukhala gawo la zina zomwe zimakhudza chiwindi.

Njira yokhayo yothandizira milandu yambiri yowonongeka kwa chiwindi chifukwa chogwiritsa ntchito mankhwala ndikuletsa mankhwala omwe adayambitsa vutoli.

Komabe, ngati mutamwa kwambiri acetaminophen, muyenera kulandira chithandizo chovulala pachiwindi ku dipatimenti yadzidzidzi kapena njira zina zamankhwala posachedwa.

Ngati zizindikiro ndizovuta, muyenera kupumula ndikupewa masewera olimbitsa thupi, mowa, acetaminophen, ndi zinthu zina zilizonse zomwe zingawononge chiwindi. Mungafunike kupeza madzi kudzera mumtsempha ngati nseru ndi kusanza ndizoyipa kwambiri.

Kuvulala kwa chiwindi komwe kumayambitsa mankhwala osokoneza bongo nthawi zambiri kumatha m'masiku ochepa kapena milungu ingapo mutasiya kumwa mankhwala omwe amayambitsa.

Kawirikawiri, kuvulala kwa chiwindi komwe kumayambitsa mankhwala kumatha kubweretsa chiwindi.

Itanani omwe akukuthandizani ngati:

• Mumakhala ndi zizindikilo zovulala pachiwindi mukayamba kumwa mankhwala atsopano.
• Mwapezeka kuti mukuvulala pachiwindi chifukwa cha mankhwala osokoneza bongo ndipo zizindikilo zanu sizikhala bwino mukasiya kumwa mankhwala.
• Mumakhala ndi zizindikilo zatsopano.

Musagwiritse ntchito mopitilira muyeso wa mankhwala owonjezera omwe ali ndi acetaminophen (Tylenol).

Musamamwe mankhwalawa ngati mumamwa kwambiri kapena pafupipafupi; lankhulani ndi omwe amakupatsirani zamtundu woyenera.

Nthawi zonse muuzeni omwe akukuthandizani za mankhwala onse omwe mumamwa, kuphatikizapo mankhwala owonjezera pa mankhwala ndi zitsamba kapena mankhwala owonjezera. Izi ndizofunikira kwambiri ngati muli ndi matenda a chiwindi.

Lankhulani ndi omwe akukuthandizani za mankhwala ena omwe mungafunike kupewa. Wothandizira anu akhoza kukuwuzani mankhwala omwe ali otetezeka kwa inu.

Matenda a chiwindi; Matenda a chiwindi

• Dongosolo m'mimba
• Matenda a hepatomegaly

Chalasani NP, Hayashi PH, Bonkovsky HL, et al. Maupangiri Achipatala a ACG: kuzindikira ndi kuwongolera kuwonongeka kwa chiwindi komwe kumayambitsa matenda osokoneza bongo. Ndine J Gastroenterol. 2014; 109 (7): 950-966. PMID: 24935270 www.ncbi.nlm.nih.gov/pubmed/24935270. (Adasankhidwa)

Chitturi S, Teoh NC, Farrell GC. Hepatic mankhwala kagayidwe ndi chiwindi matenda oyamba ndi mankhwala. Mu: Feldman M, Friedman LS, Brandt LJ, olemba. Sleisenger ndi Matenda a Mimba ndi a Fordtran Amatenda a Chiwindi. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 88.

Devarbhavi H, Bonkovsky HL, Russo M, Chalasani N. Wovulala chifukwa cha chiwindi. Mu: Sanyal AJ, Boyer TD, Lindor KD, Terrault NA, olemba. Zakim ndi Boyer's Hepatology. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2018: mutu 56.

Nkhani ND. Chiwindi ndi ndulu. Mu: Kumar V, Abbas AK, Aster JC, olemba, eds. Ma Robbins ndi Matenda a Cotran Pathologic. 9th ed. Philadelphia, PA: Elsevier Saunders; 2015: chap.