Zamgululi

Zamkati

• Musanatenge tapentadol,
• Tapentadol angayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi chimodzi mwazizindikirozi kapena zomwe zalembedwa m'magulu a SPECIAL PRECAUTIONS kapena MAFUNSO OYENERA KUCHENJEZA, itanani dokotala wanu mwachangu kapena pitani kuchipatala mwadzidzidzi:
• Zizindikiro za bongo zingaphatikizepo izi:

Tapentadol ikhoza kukhala chizolowezi chopanga, makamaka pogwiritsa ntchito nthawi yayitali. Tengani tapentadol ndendende momwe mwalangizira. Osamutenga wochulukirapo, uzimutenga pafupipafupi, kapena umutenge mosiyana ndi momwe dokotala akuuzira. Mukamamwa tapentadol, kambiranani ndi omwe amakuthandizani pa zaumoyo zolinga zanu zakumva kupweteka, kutalika kwa chithandizo, ndi njira zina zothetsera ululu wanu. Uzani dokotala wanu ngati inu kapena wina aliyense m'banja mwanu amamwa mowa kapena amamwa mowa wambiri, amagwiritsa ntchito mankhwala osokoneza bongo, kapena amamwa mankhwala osokoneza bongo, kapena amamwa mankhwala osokoneza bongo, kapena ngati mwakhala mukudwala kapena matenda ena amisala. Pali chiopsezo chachikulu choti mugwiritse ntchito tapentadol ngati mwakhalapo kapena mwakhalapo ndi izi. Lankhulani ndi omwe amakuthandizani nthawi yomweyo ndikupemphani kuti akuwongolereni ngati mukuganiza kuti muli ndi vuto la opioid kapena pitani ku US Substance Abuse and Mental Health Services Administration (SAMHSA) National Helpline ku 1-800-662-HELP.

Tapentadol imatha kubweretsa mavuto opumira kapena owopsa, makamaka munthawi ya 24 mpaka 72 maola omwe mumalandira chithandizo komanso nthawi iliyonse yomwe mlingo wanu ukuwonjezeka. Dokotala wanu adzasintha mlingo wanu kuti athetse ululu wanu ndikuchepetsa chiopsezo choti mudzakhala ndi vuto lalikulu la kupuma.Uzani dokotala wanu ngati mwakhala mukucheperapo kapena mphumu. Dokotala wanu angakuuzeni kuti musatenge tapentadol. Komanso muuzeni dokotala ngati mwakhalapo kapena mudakhalapo ndi matenda am'mapapo monga matenda osokoneza bongo (COPD; gulu la matenda am'mapapo omwe amaphatikizapo bronchitis ndi emphysema), kuvulala pamutu, chotupa muubongo, kapena vuto lililonse lomwe limakulitsa kuchuluka kukakamizidwa muubongo wanu. Chiwopsezo chokhala ndi vuto lakupuma chingakhale chachikulu ngati ndinu wamkulu kapena mukufooka kapena kusowa zakudya m'thupi chifukwa cha matenda. Ngati mukumane ndi izi, itanani dokotala wanu nthawi yomweyo kapena mupeze chithandizo chamankhwala mwadzidzidzi: kupuma pang'ono, kupuma pang'ono pakati pa kupuma, kapena kupuma pang'ono.

Kumwa mankhwala ena panthawi ya chithandizo chanu ndi tapentadol kungapangitse kuti mukhale ndi vuto lakupuma kapena mavuto ena owopsa, kupuma, kupuma, kapena kukomoka. Uzani dokotala wanu ngati mukumwa kapena mukufuna kumwa mankhwala aliwonse awa: benzodiazepines monga alprazolam (Xanax), diazepam (Diastat, Valium), estazolam, flurazepam, lorazepam (Ativan), ndi triazolam (Halcion); mankhwala ena opweteka a mankhwalawa; mankhwala a matenda amisala kapena nseru; zotsegula minofu; mankhwala ogonetsa; mapiritsi ogona; kapena opondereza. Dokotala wanu angafunike kusintha mlingo wa mankhwala anu ndipo adzakuyang'anirani mosamala. Ngati mutenga tapentadol ndi iliyonse mwa mankhwalawa ndipo mukukhala ndi zizindikiro zotsatirazi, itanani dokotala wanu nthawi yomweyo kapena funani chithandizo chamankhwala mwadzidzidzi: chizungulire chosazolowereka, kupepuka mopepuka, kugona kwambiri, kupuma pang'ono kapena kuvuta, kapena kusayankha. Onetsetsani kuti amene akukusamalirani kapena abale anu akudziwa zomwe zingakhale zovuta kuti athe kuyimbira dokotala kapena chithandizo chamankhwala mwadzidzidzi ngati simungathe kupeza chithandizo chamankhwala panokha.

Kumwa mowa, kumwa mankhwala osokoneza bongo omwe mulibe mowa, kapena kugwiritsa ntchito mankhwala osokoneza bongo mumsewu mukamachiritsa ndi tapentadol kumawonjezera chiopsezo choti mudzakumana ndi zovuta zoyipa zomwe zingawopsyeze moyo wanu. Musamamwe mowa, kumwa mankhwala akuchipatala kapena osalemba omwe ali ndi mowa, kapena kugwiritsa ntchito mankhwala osokoneza bongo mukamamwa ndi tapentadol.

Musalole kuti aliyense azimwa mankhwala anu. Tapentadol itha kuvulaza kapena kupha anthu ena omwe amamwa mankhwala anu, makamaka ana. Sungani tapentadol pamalo otetezeka kuti pasapezeke wina amene angatenge mwangozi kapena mwadala. Samalani kwambiri kuti tapentadol isapezeke kwa ana. Onetsetsani kuti ndi mapiritsi angati kapena mapiritsi otulutsidwa omwe atsala kuti mudziwe ngati pali mankhwala omwe akusowa. Tsambani mapiritsi aliwonse kapena mapiritsi otalikitsa omwe atha ntchito kapena osafunikanso kuchimbudzi kuti ena asamwe.

Ngati mukumwa mapiritsi otalikirapo, amezeni onse; osazitafuna, kuziphwanya, kuzigawa, kuziphwanya, kapena kuzisungunula. Ngati mumeza mapiritsi otulutsidwa, otafuna, osweka, kapena osungunuka, mutha kulandira tapentadol yochulukirapo nthawi yomweyo m'malo mopitilira maola 12. Izi zitha kubweretsa mavuto akulu, kuphatikiza kuchuluka kwa bongo komanso kufa.

Uzani dokotala wanu ngati muli ndi pakati kapena mukufuna kukhala ndi pakati. Ngati mumamwa tapentadol pafupipafupi mukakhala ndi pakati, mwana wanu amatha kukhala ndi ziwopsezo zochoka pobereka. Uzani dokotala wa mwana wanu nthawi yomweyo ngati mwana wanu akukumana ndi izi: kukwiya, kusakhazikika, kugona mokwanira, kulira kwambiri, kugwedeza kosalamulirika kwa gawo lina la thupi, kusanza, kutsegula m'mimba, kapena kulephera kunenepa.

Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito tapentadol.

Dokotala wanu kapena wamankhwala adzakupatsani pepala lazidziwitso za wopanga (Medication Guide) mukayamba mankhwala anu ndi tapentadol ndipo nthawi iliyonse mukadzaza mankhwala anu. Werengani nkhaniyi mosamala ndikufunsani dokotala kapena wamankhwala ngati muli ndi mafunso. Muthanso kuyendera tsamba la Food and Drug Administration (FDA) (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) kapena tsamba laopanga kuti mupeze Medication Guide.

Mapiritsi a Tapentadol amagwiritsidwa ntchito pochiza ululu wopweteka kwambiri (ululu womwe umayamba mwadzidzidzi, umakhala ndi chifukwa china, ndipo ukuyembekezeka kutha pomwe chifukwa cha ululu wachiritsidwa). Mapiritsi otulutsidwa a Tapentadol amagwiritsidwa ntchito kuthana ndi ululu wa m'mitsempha (ululu womwe umayambitsidwa ndi kuwonongeka kwa mitsempha) mwa anthu omwe ali ndi matenda ashuga. Mapiritsi otulutsidwa a Tapentadol amangogwiritsidwa ntchito pochiza anthu omwe akuyembekezeka kusowa mankhwala mozungulira nthawi kuti athetse ululu womwe sungathe kuwongoleredwa ndi kugwiritsa ntchito mankhwala ena opweteka. Tapentadol ali mgulu la mankhwala otchedwa opiate (narcotic) analgesics. Zimagwira ntchito posintha momwe ubongo ndi dongosolo lamanjenje zimayankhira ndikumva kuwawa.

Tapentadol imabwera ngati piritsi komanso pulogalamu yotulutsa (yotenga nthawi yayitali) yomwe imatenga pakamwa. Mapiritsiwa amatengedwa kapena opanda chakudya maola 4 kapena 6 aliwonse pakufunika. Ngati mukumwa mapiritsi a tapentadol, dokotala wanu angakuuzeni kuti mutha kumwa kamodzi mukangotha ​​ola limodzi mutatha kumwa mankhwala oyamba tsiku lanu loyamba la chithandizo ngati mukufunika kuthana ndi ululu wanu. Musamamwe mankhwala owonjezera nthawi ina iliyonse mukamalandira chithandizo ndipo musamwe mankhwala owonjezera a mapiritsi otulutsidwa. Mapiritsi otulutsidwa amatengedwa kamodzi pa maola 12 aliwonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani tapentadol ndendende momwe mwalangizira.

Ngati mukumwa mapiritsi otulutsidwa, amezeni imodzi ndi madzi ambiri. Kumeza piritsi lililonse mukangoika pakamwa panu.

Dokotala wanu angayambe kukupatsani mlingo wochepa wa tapentadol ndipo pang'onopang'ono muwonjezere mlingo wanu mpaka kupweteka kwanu kutha. Dokotala wanu amatha kusintha mlingo wanu nthawi iliyonse mukamachiza ngati kupweteka kwanu sikukuyendetsedwa. Ngati mukumva kuti kupweteka kwanu sikukuyendetsedwa, pitani kuchipatala. Musasinthe kuchuluka kwa mankhwala anu osalankhula ndi dokotala.

Mukatenga tapentadol kwakanthawi, thupi lanu limatha kuzolowera mankhwala. Izi zikachitika, dokotala angafunike kuwonjezera mlingo wanu wa mankhwala kuti muchepetse ululu wanu. Lankhulani ndi dokotala wanu za momwe mukumvera mukamalandira chithandizo ndi tapentadol.

Osasiya kumwa tapentadol osalankhula ndi dokotala. Dokotala wanu mwina amachepetsa mlingo wanu pang'onopang'ono. Mukaleka kumwa tapentadol mwadzidzidzi, mutha kukumana ndi zizindikiritso zakutha monga kusakhazikika; nkhawa; kukwiya; maso misozi; kuyasamula; kuzizira; thukuta; zovuta kugona kapena kugona; kunjenjemera; kugwedeza kosalamulirika kwa gawo lina la thupi lanu; kupweteka kwa minofu, kumbuyo, kapena molumikizana; kufooka; nseru; kusanza; kutsegula m'mimba; kukokana m'mimba; kusowa chilakolako; kutuluka mphuno, kuyetsemula, kapena kutsokomola; Tsitsi pakhungu lako likuima kumapeto; kupuma mofulumira; kugunda kwamtima; kukulitsa kwa ana (mabwalo akuda pakati pa maso); kapena kuyerekezera zinthu m'maganizo (kuwona zinthu kapena kumva mawu omwe kulibe).

Mankhwalawa amatha kupatsidwa ntchito zina; funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.

Musanatenge tapentadol,

• uzani dokotala ndi wamankhwala ngati muli ndi matupi awo sagwirizana ndi tapentadol, kapena mankhwala aliwonse, kapena chilichonse cha mapiritsi a tapentadol kapena mapiritsi otulutsidwa. Funsani wamankhwala wanu kapena onani Chithandizo cha Mankhwala kuti mupeze mndandanda wazosakaniza.
• auzeni adotolo ngati mukumwa mankhwalawa kapena mwasiya kumwa milungu iwiri yapitayi: monoamine oxidase (MAO) inhibitors monga isocarboxazid (Marplan), linezolid (Zyvox), methylene blue, phenelzine (Nardil), rasagiline (Azilect ), selegiline (Emsam, Eldepryl, Zelapar), ndi tranylcypromine (Parnate). Muuzeni dokotala ngati mankhwala awa akupatsani mukamamwa ndi tapentadol. Dokotala wanu angakuuzeni kuti musatenge tapentadol ngati mukumwa mankhwala amodzi kapena angapo.
• auzeni adotolo komanso asayansi yanu mankhwala ena omwe mungalandire kapena omwe simukulembera, mavitamini, zowonjezera zakudya, komanso mankhwala azitsamba omwe mukumwa kapena omwe mukufuna kumwa. Onetsetsani kuti mwatchulapo izi: antihistamines (m'makhosomero, kuzizira, ndi mankhwala osokoneza bongo); buprenorphine (Buprenex, Butrans, ku Suboxone, ku Zubsolv); kachilombo; cyclobenzaprine (Amrix); dextromethorphan (yomwe imapezeka m'mankhwala ambiri a chifuwa; ku Nuedexta); mankhwala a matenda opunduka, matumbo, matenda a Parkinson, zilonda, kapena mavuto amikodzo; lifiyamu (Lithobid); mankhwala a migraines monga almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Imitrex, ku Treximet), ndi zolmitriptan (Zomig); mirtazapine (Remeron); nalbuphine; pentazocine (Talwin); serotonin reuptake inhibitors (SSRIs) monga citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem, Selfemra, mu Symbyax), fluvoxamine (Luvox), paroxetine (Brisdelle, Paxil, Pexeva), ndi seroftraline ( ; serotonin / norepinephrine reuptake inhibitors (SNRIs) monga desvenlafaxine (Khedezla, Pristiq), duloxetine (Cymbalta), milnacipran (Savella), ndi venlafaxine (Effexor); tramadol (Conzip, Ultram, mu Ultracet); trazodone; kapena tricyclic antidepressants ('mood elevator') monga amitriptyline, amoxapine, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Silenor, Zonalon), imipramine (Surmontil, Tofranil), nortriptyline (Pamelor), protripilipivit trimipramine (Surmontil). Mankhwala ena ambiri amathanso kulumikizana ndi tapentadol, chifukwa chake onetsetsani kuti muwauze adotolo za mankhwala omwe mukumwa, ngakhale omwe sapezeka pamndandandawu. Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• uzani dokotala wanu za mankhwala azitsamba omwe mukumwa, makamaka wort ya St. John's ndi tryptophan.
• uzani dokotala wanu ngati mwakhalapo kapena mwakhalapo ndi zina mwazomwe zatchulidwa mgawo LOFUNIKITSA CHENJEZO kapena leus wodwala (vuto lomwe chakudya chodetsedwa sichidutsa m'matumbo). Dokotala wanu angakuuzeni kuti musatenge tapentadol.
• uzani dokotala wanu ngati mwakhala ndi chotupa m'mimba kapena m'matumbo, vuto lililonse lomwe limayambitsa kukodza; kapena kapamba, ndulu, impso, chithokomiro, kapena matenda a chiwindi.
• Uzani dokotala wanu ngati mukuyamwitsa.
• Muyenera kudziwa kuti mankhwalawa amachepetsa kubereka kwa abambo ndi amai. Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito tapentadol.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukumwa tapentadol.
• muyenera kudziwa kuti tapentadol imatha kukupangitsani kugona. Osayendetsa galimoto, kugwiritsa ntchito makina, kapena kuchita nawo zoopsa zilizonse mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
• muyenera kudziwa kuti tapentadol imatha kuyambitsa chizungulire, mutu wopepuka, komanso kukomoka mukadzuka mwachangu pamalo abodza. Pofuna kupewa vutoli, tulukani pabedi pang'onopang'ono, ndikupumitsa mapazi anu pansi kwa mphindi zingapo musanayimirire.
• muyenera kudziwa kuti tapentadol imatha kudzimbidwa. Lankhulani ndi dokotala wanu zakusintha zakudya kapena kugwiritsa ntchito mankhwala ena kuti muchepetse kapena kudzimbidwa mukamamwa tapentadol.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

Ngati mukumwa mapiritsi a tapentadol, dokotala wanu angakuuzeni kuti mutenge mankhwalawa pakufunika kutero. Ngati dokotala wakuwuzani kuti muzimwa mapiritsiwo pafupipafupi, tengani mlingo womwe mwaphonya mukangokumbukira. Musatenge mlingo wawiri kuti mupange omwe mwaphonya.

Ngati mukumwa matepi aposachedwa a tapentadol, dumpha mlingo womwe umasowa ndikupitiliza dongosolo lanu lokhazikika. Musatenge mlingo wawiri kuti mupange omwe mwaphonya.

Tapentadol angayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• mutu
• kutentha pa chifuwa
• kupweteka m'mimba
• pakamwa pouma
• kutopa kwambiri
• nkhawa
• Kusinza
• kuvuta kugona kapena kugona
• maloto achilendo
• kupsa mtima
• kumva kwadzidzidzi kwachikondi

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi chimodzi mwazizindikirozi kapena zomwe zalembedwa m'magulu a SPECIAL PRECAUTIONS kapena MAFUNSO OYENERA KUCHENJEZA, itanani dokotala wanu mwachangu kapena pitani kuchipatala mwadzidzidzi:

• kugwidwa
• kusakhazikika, kuyerekezera zinthu m'maganizo (kuwona zinthu kapena kumva mawu omwe kulibe), malungo, thukuta, chisokonezo, kugunda kwamtima, kunjenjemera, kuuma minofu mwamphamvu kapena kugwedezeka, kutayika kwa mgwirizano, nseru, kusanza, kapena kutsekula m'mimba
• nseru, kusanza, kusowa kwa njala, kufooka, kapena chizungulire
• Kulephera kupeza kapena kusunga erection
• msambo wosasamba
• Kuchepetsa chilakolako chogonana
• zidzolo
• kuyabwa
• ming'oma
• kutupa kwa maso, nkhope, milomo, lilime, kapena mmero
• ukali
• kuvuta kupuma kapena kumeza
• kupweteka pachifuwa
• kumverera opanda mutu mukasintha malo
• kumva kukomoka
• kutaya chidziwitso
• kumva kutenthedwa
• thukuta lolemera

Tapentadol ikhoza kuyambitsa zovuta zina. Itanani dokotala wanu ngati muli ndi zovuta zina mukamamwa mankhwalawa.

Mukakumana ndi zovuta zina, inu kapena adokotala mutha kutumiza lipoti ku pulogalamu ya Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting pa intaneti (http://www.fda.gov/Safety/MedWatch) kapena pafoni ( 1-800-332-1088).

Sungani mankhwala awa mu chidebe chomwe chidabwera, chatsekedwa mwamphamvu, komanso chosafikira ana. Zisungeni kutentha ndi kutali ndi kutentha kwambiri ndi chinyezi (osati kubafa). Muyenera kutaya nthawi yomweyo mankhwala aliwonse omwe ndi achikale kapena osafunikanso kudzera pulogalamu yobwezeretsanso mankhwala. Ngati mulibe pulogalamu yobwezera pafupi kapena yomwe mungathe kupeza mwachangu, tsitsani mankhwala aliwonse omwe ndi achikale kapena osafunikanso mchimbudzi. Lankhulani ndi wamankhwala wanu za momwe mungagwiritsire ntchito mankhwala anu.

Ndikofunika kuti mankhwala onse asamawonekere komanso kuti ana asamafikire ngati muli zidebe zambiri (monga mapiritsi a mlungu ndi mlungu ndi omwe amatsikira m'maso, mafuta, zigamba, ndi opumira) sizolimbana ndi ana ndipo ana aang'ono amatha kuzitsegula mosavuta. Pofuna kuteteza ana ang'ono kuti asatenge poyizoni, nthawi zonse tsekani zipewa zachitetezo ndikuyika mankhwalawo pamalo otetezeka - omwe ali pamwamba ndi kutali komanso osawonekera ndi kufikira. http://www.upandaway.org

Mukadwala mopitirira muyeso, itanani foni yothandizira poyizoni pa 1-800-222-1222. Zambiri zimapezekanso pa intaneti pa https://www.poisonhelp.org/help. Ngati wozunzidwayo wagwa, watenga khunyu, akuvutika kupuma, kapena sangathe kudzutsidwa, nthawi yomweyo itanani anthu azadzidzidzi ku 911.

Mukamamwa tapentadol, muyenera kukambirana ndi adotolo za mankhwala opulumutsa omwe amatchedwa naloxone omwe amapezeka mosavuta (mwachitsanzo, kunyumba, ofesi). Naloxone imagwiritsidwa ntchito kusintha zomwe zimawopseza moyo chifukwa cha bongo. Zimagwira ntchito poletsa zotsatira za ma opiate kuti athetse zovuta zomwe zimayambitsidwa ndi ma opiate ambiri m'magazi. Dokotala wanu amathanso kukupatsirani naloxone ngati mukukhala m'nyumba momwe muli ana aang'ono kapena wina yemwe wagwiritsa ntchito mankhwala osokoneza bongo mumsewu. Muyenera kuwonetsetsa kuti inu ndi abale anu, osamalira odwala, kapena anthu omwe mumacheza nanu mukudziwa momwe mungadziwire kuchuluka kwa mankhwala osokoneza bongo, momwe mungagwiritsire ntchito naloxone, ndi zomwe muyenera kuchita mpaka chithandizo chadzidzidzi chidzafike. Dokotala wanu kapena wamankhwala akuwonetsani inu ndi abale anu momwe mungagwiritsire ntchito mankhwalawa. Funsani wamankhwala wanu kuti akupatseni malangizowo kapena pitani patsamba la wopanga kuti mupeze malangizowo. Ngati zizindikilo za bongo zikachitika, mnzanu kapena wachibale akuyenera kupereka mlingo woyamba wa naloxone, itanani 911 mwachangu, ndikukhala nanu ndikukuyang'anirani mpaka thandizo ladzidzidzi litafika. Zizindikiro zanu zimatha kubwerera mkati mwa mphindi zochepa mutalandira naloxone. Ngati zizindikiro zanu zibwerera, munthuyo akuyenera kukupatsaninso mankhwala a naloxone. Mlingo wowonjezerapo ungaperekedwe mphindi ziwiri kapena zitatu zilizonse, ngati zizindikiro zibwerera chithandizo chamankhwala chisanabwere.

Zizindikiro za bongo zingaphatikizepo izi:

• kuchepa kapena kukulira kwa ana (mdima mumaso)
• kugona
• osakhoza kuyankha kapena kudzuka
• kufooka kwa minofu
• kozizira, khungu lamadzi
• kupuma pang'ono kapena pang'ono
• kuvuta kupuma
• kuchepa kwa mtima

Sungani maimidwe onse ndi dokotala ndi labotale. Dokotala wanu akhoza kuyitanitsa mayeso ena a labu kuti muwone momwe thupi lanu likuyankhira pa tapentadol.

Musanayesedwe mu labotale (makamaka yomwe imakhudza methylene buluu), uzani adotolo ndi omwe akuwagwiritsa ntchito kuti mumamwa tapentadol.

Mankhwalawa sangabwerenso. Ngati mupitiliza kumva zowawa mukamaliza kumwa mankhwala, itanani dokotala wanu.

Ndikofunika kuti musunge mndandanda wamankhwala onse omwe mumalandira komanso osalembetsa (owerengera) omwe mukumwa, komanso zinthu zilizonse monga mavitamini, michere, kapena zakudya zina. Muyenera kubwera nawo pamndandandawu nthawi iliyonse mukapita kukaonana ndi dokotala kapena ngati mwalandiridwa kuchipatala. Ndikofunikanso kuthana nanu pakagwa mwadzidzidzi.

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