Kusuta fodya mankhwala

Wothandizira zaumoyo wanu akhoza kukupatsani mankhwala oti akuthandizeni kusiya kusuta fodya. Mankhwalawa mulibe nikotini ndipo sakhala achizolowezi. Amagwira ntchito mosiyana ndi zigamba za chikonga, nkhama, opopera, kapena lozenges.

Mankhwala osuta fodya atha kuthandiza:

• Pewani chilakolako cha fodya.
• Kuchepetsa zizindikiro zakusiya.
• Kukulepheretsani kuyambanso kugwiritsa ntchito fodya.

Monga mankhwala ena, mankhwalawa amagwira ntchito bwino ngati ali mbali ya pulogalamu yomwe ikuphatikizapo:

• Kupanga chisankho chomveka bwino chosiya kusiya ndi kukhazikitsa tsiku losiya.
• Kupanga dongosolo lokuthandizani kuthana ndi zikhumbo zosuta.
• Kupeza chithandizo kuchokera kwa dokotala, mlangizi, kapena gulu lothandizira.

KULIMBIKITSA (Zyban)

Bupropion ndi piritsi lomwe lingachepetse kukhumba kwanu kusuta.

Bupropion imagwiritsidwanso ntchito kwa anthu omwe ali ndi nkhawa. Zimathandiza kusiya fodya ngakhale mutakhala kuti mulibe vuto la kukhumudwa. Sizikudziwika bwinobwino momwe bupropion imathandizira pakulakalaka fodya ndikusiya fodya.

Bupropion sayenera kugwiritsidwa ntchito kwa anthu omwe:

• Ali ndi zaka zosakwana 18
• Ali ndi pakati
• Khalani ndi mbiri yazovuta zamankhwala monga kugwidwa, impso kulephera, kumwa mowa mwauchidakwa, kusowa chakudya, matenda ochititsa munthu kusinthasintha zochitika kapena matenda ofooka aumunthu, kapena kuvulala kwambiri pamutu

Momwe mungatengere:

• Yambani bupropion 1 sabata musanakonzekere kusiya kusuta. Cholinga chanu ndikutenga kwa milungu 7 mpaka 12. Lankhulani ndi dokotala musanamwe nthawi yayitali. Kwa anthu ena, kutenga nthawi yayitali kumathandiza kupewa kuyambiranso kusuta.
• Mlingo wofala kwambiri ndi piritsi la 150 mg kamodzi kapena kawiri patsiku osachepera maola 8 pakati pa mlingo uliwonse. Kumeza piritsi lonse. MUSATENGANETSE, musang'ambe, kapena kuphwanya. Kuchita izi kungayambitse zovuta, kuphatikizapo kugwidwa.
• Ngati mukufuna thandizo pakukhumba mukangosiya kusuta, mutha kutenga bupropion pamodzi ndi zigamba za chikonga, chingamu, kapena lozenges. Funsani dokotala ngati izi zili bwino kwa inu.

Zotsatira zoyipa za mankhwalawa ndi monga:

• Pakamwa pouma.
• Mavuto akugona. Yesani kumwa mlingo wachiwiri masana ngati muli ndi vutoli (tengani osachepera maola 8 kuchokera pa mlingo woyamba).
• Lekani kumwa mankhwalawa nthawi yomweyo ngati zosintha zanu zasintha. Izi zikuphatikizapo kukwiya, kupsa mtima, kukhumudwa, malingaliro ofuna kudzipha, kapena kuyesa kudzipha.

Kufotokozera: VARENICLINE (CHANTIX)

Varenicline (Chantix) imathandizira pakulakalaka chikonga ndi zizindikiritso zakutha. Zimagwira muubongo kuchepetsa zovuta zakuthupi. Izi zikutanthauza kuti ngakhale mutayambiranso kusuta mutasiya, simudzakhala osangalala mukamamwa mankhwalawa.

Momwe mungatengere:

• Yambani kumwa mankhwalawa sabata 1 musanakonzekere kusiya ndudu. Kapena, mutha kuyamba kumwa mankhwalawo, kenako sankhani tsiku mkati mwa masabata 4 kuti musiye. Njira ina ndikuyamba kumwa mankhwalawa, kenako ndikusiya kusuta milungu 12 ikubwerayi.
• Imwani mukatha kudya ndi madzi okwanira.
• Wothandizira anu adzakuuzani momwe mungamwe mankhwalawa. Anthu ambiri amatenga mapiritsi a 0.5 mg patsiku poyamba. Pakutha sabata lachiwiri, mwina mutenga mapiritsi 1 mg kawiri patsiku.
• Osaphatikiza mankhwalawa ndi zigamba za chikonga, nkhama, opopera kapena lozenges.
• Ana ochepera zaka 18 sayenera kumwa mankhwalawa.

Anthu ambiri amalekerera varenicline bwino. Zotsatira zoyipa sizofala, koma zitha kuphatikizira izi ngati zingachitike:

• Mutu, mavuto ogona, tulo, ndi maloto achilendo.
• Kudzimbidwa, mpweya wam'mimba, nseru, komanso kusintha kwa kukoma.
• Kukhumudwa, malingaliro ofuna kudzipha ndikuyesera kudzipha. Itanani dokotala wanu nthawi yomweyo ngati muli ndi izi.

Dziwani: Kugwiritsa ntchito mankhwalawa kumalumikizidwa ndi chiopsezo chowonjezeka cha matenda amtima komanso kupwetekedwa mtima.

MANKHWALA ENA

Mankhwala otsatirawa atha kuthandiza ngati mankhwala ena sanagwire ntchito. Mapindu ake ndi osasinthasintha, chifukwa chake amawonedwa ngati chithandizo chachiwiri.

• Clonidine amagwiritsidwa ntchito pochiza kuthamanga kwa magazi. Zitha kuthandizira zikayambika musanasiye. Mankhwalawa amabwera ngati piritsi kapena chigamba.
• Nortriptyline ndi njira ina yothetsera nkhawa. Amayamba masiku 10 mpaka 28 asanasiye.

Kusuta fodya - mankhwala; Fodya wopanda utsi - mankhwala; Mankhwala oletsa kusuta fodya

George TP. Chikonga ndi fodya. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. Wolemba 25. Philadelphia, PA: Elsevier Saunders; 2016: chap 32.

Siu AL; Gulu Lankhondo Loteteza ku US. Njira zopewera kusuta fodya mwa akulu, kuphatikiza amayi apakati: Ndemanga ya US Preventive Services Task Force. Ann Intern Med. 2015; 163 (8): 622-634. (Adasankhidwa) PMID: 26389730 www.ncbi.nlm.nih.gov/pubmed/26389730. (Adasankhidwa)

Tsamba la US Food and Drug Administration. Mukufuna kusiya kusuta? Zinthu zovomerezeka ndi FDA zitha kuthandiza. www.fda.gov/ForConsumers/ConsumerUpdates/ucm198176.htm. Idasinthidwa pa Disembala 11, 2017. Idapezeka pa February 26, 2019.