Zamgululi

Zamkati

• Asanatenge lesinurad,
• Lesinurad ikhoza kuyambitsa mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi zina mwazizindikirozi kapena zomwe zalembedwa m'zigawo ZOFUNIKA ZA CHENJEZO, itanani dokotala wanu mwachangu kapena pitani kuchipatala mwadzidzidzi:

Lesinurad ingayambitse mavuto aakulu a impso. Uzani dokotala wanu ngati mukukumana ndi dialysis (chithandizo chotsuka magazi impso sizikugwira ntchito bwino), mwalandilidwa impso, kapena mwakhalapo ndi matenda a impso. Ziwopsezo zakuti mudzakhala ndi vuto lalikulu la impso ndizochulukirapo ngati mukumwa lesinurad nokha. Lesinurad iyenera kutengedwa limodzi ndi xanthine oxidase inhibitor monga allopurinol (Lopurin, Zyloprim) kapena febuxostat (Uloric). Ngati mukukumana ndi izi, uzani dokotala nthawi yomweyo: nseru, kusanza, kapena kupweteka m'mimba chapamwamba.

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu amatha kuyitanitsa mayeso ena asanadye komanso panthawi yamankhwala kuti muwone momwe thupi lanu likuyankhira lesinurad.

Dokotala wanu kapena wamankhwala adzakupatsani pepala lazidziwitso za wopanga (Medication Guide) mukayamba mankhwala ndi lesinurad ndipo nthawi iliyonse mukamadzaza 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) kuti mupeze Chithandizo cha Mankhwala.

Lesinurad imagwiritsidwa ntchito limodzi ndi xanthine oxidase inhibitor yochizira hyperuricemia (kuchuluka kwa uric acid) mwa anthu omwe ali ndi gout (kuwukira kwadzidzidzi kwa kufiira, kutupa, kupweteka, ndi kutentha pamagulu amodzi kapena angapo) omwe matenda awo samalamulidwa ndi zomwe apano mankhwala. Lesinurad ali mgulu la mankhwala otchedwa uric acid reabsorption inhibitors. Zimagwira ntchito pothandiza impso kuchotsa uric acid m'thupi.

Lesinurad imabwera ngati piritsi kuti itenge pakamwa. Nthawi zambiri amatengedwa kamodzi tsiku lililonse m'mawa ndi chakudya ndi madzi. Tengani lesinurad mozungulira nthawi yomweyo tsiku lililonse komanso nthawi yomweyo kuti mutenge xanthine oxidase inhibitor monga allopurinol (Lopurin, Zyloprim) kapena febuxostat (Uloric). Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani lesinurad chimodzimodzi monga mwalamulo. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Lesinurad imayendetsa matenda a hyperuricemia mwa anthu omwe ali ndi gout koma sawachiritsa. Gout yanu ikhoza kutuluka (chopweteka kwambiri, chotupa chotupa) mukayamba kumwa lesinurad, koma osasiya kuyitenga. Dokotala wanu adzakupatsani mankhwala ena othandizira kupewa gout. Pitirizani kumwa lesinurad ngakhale mukumva bwino kapena mukudwala gout. Osasiya kumwa lesinurad osalankhula ndi dokotala.

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

Asanatenge lesinurad,

• uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la lesinurad, mankhwala ena aliwonse, kapena chilichonse mwazomwe zimaphatikizidwa ndi mapiritsi a lesinurad. Funsani wamankhwala wanu kapena onani Chithandizo cha Mankhwala kuti mupeze mndandanda wazosakaniza.
• 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: amiodarone (Cordarone, Nexterone, Pacerone), amlodipine (Norvasc), aspirin, carbamazepine (Epitol, Equetro, Teril, ena), fluconazole (Diflucan), rifampin (Rifadin, Rimactane, ku Rifamate, mu Rifater), sildenafil (Revatio, Viagra), kapena valproic acid (Depakene). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake. Mankhwala ena ambiri amathanso kulumikizana ndi lesinurad, chifukwa chake onetsetsani kuti muwauze adotolo za mankhwala omwe mukumwa, ngakhale omwe sapezeka pamndandandawu.
• uzani dokotala wanu ngati mwakhalapo kapena mwakhalapo ndi zina mwazomwe zatchulidwa mgawo LOFUNIKITSA CHENJEZO, chotupa cha tumor lysis (vuto lomwe limapangitsa kuti ma cell a khansa asweke mwachangu ndikutulutsa zopangira magazi), kapena matenda a Lesch-Nyhan (an matenda obadwa nawo omwe amachititsa kuchuluka kwa uric acid m'magazi). Dokotala wanu angakuuzeni kuti musatenge lesinurad.
• auzeni adotolo ngati mwadwalapo sitiroko, matenda a mtima, kuthamanga kwa magazi, matenda a mtima, cholesterol, kapena matenda a chiwindi.
• uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Njira zolerera za mahomoni (mapiritsi oletsa kubala, zigamba, mphete, kuwombera, zopangira, ndi zida za intrauterine) sizingagwire bwino ntchito mukamagwiritsa ntchito lesinurad ndipo sayenera kugwiritsidwa ntchito ngati njira yokhayo yolerera. Lankhulani ndi dokotala wanu za njira zolerera zomwe zingakuthandizeni. Mukakhala ndi pakati mukatenga lesinurad, itanani dokotala wanu.

Imwani madzi osachepera 2 malita (2 malita) kapena madzi ena maola 24 aliwonse mukamamwa lesinurad pokhapokha mutalangizidwa ndi dokotala wanu.

Ngati mwaphonya kutenga lesinurad m'mawa, osayiyika m'mawa. Pitirizani kukhala ndi dosing nthawi yotsatira m'mawa ndi chakudya ndi madzi. Musatenge mlingo wawiri kuti mupange omwe mwaphonya.

Lesinurad ikhoza kuyambitsa mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• zizindikiro ngati chimfine monga kupweteka mutu, kutentha thupi, thukuta, kupweteka kwa minofu, ndi kutopa
• kutentha pa chifuwa

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi zina mwazizindikirozi kapena zomwe zalembedwa m'zigawo ZOFUNIKA ZA CHENJEZO, itanani dokotala wanu mwachangu kapena pitani kuchipatala mwadzidzidzi:

• kupweteka pachifuwa, kupanikizika, kapena kusapeza bwino
• kupuma movutikira kapena kupuma movutikira
• kufooka kwa gawo limodzi kapena mbali imodzi ya thupi lawo
• mawu osalankhula

Lesinurad 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. Zisunge kutentha komanso kutali ndi kuwala, kutentha kwambiri ndi chinyezi (osati kubafa).

Mankhwala osafunikira ayenera kutayidwa munjira zapadera zowonetsetsa kuti ziweto, ana, ndi anthu ena sangamwe. Komabe, simuyenera kuthira mankhwalawa mchimbudzi. M'malo mwake, njira yabwino yoperekera mankhwala anu ndikadongosolo lobwezera mankhwala. Lankhulani ndi wamankhwala wanu kapena lemberani dipatimenti yakunyumba / yobwezeretsanso kwanuko kuti muphunzire zamapulogalamu obwezeretsanso mdera lanu. Onani tsamba la FDA's Disposal of Medicines webusayiti (http://goo.gl/c4Rm4p) kuti mumve zambiri ngati mulibe pulogalamu yobwezera.

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.

Musalole kuti aliyense azimwa mankhwala anu. Funsani wamankhwala wanu mafunso aliwonse omwe muli nawo okhudzana ndi kudzaza mankhwala anu.

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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