Mlembi: Janice Evans
Tsiku La Chilengedwe: 2 Kulayi 2021
Sinthani Tsiku: 19 Novembala 2024
Anonim
Benzhydrocodone ndi Acetaminophen - Mankhwala
Benzhydrocodone ndi Acetaminophen - Mankhwala

Zamkati

Benzhydrocodone ndi acetaminophen zimatha kukhala chizolowezi, makamaka zikagwiritsidwa ntchito kwa nthawi yayitali. Tengani benzhydrocodone ndi acetaminophen ndendende monga mwalamulira. Osamutenga wochulukirapo, uzimutenga pafupipafupi, kapena umutenge mosiyana ndi momwe dokotala akuuzira. Mukamamwa benzhydrocodone ndi acetaminophen, kambiranani ndi omwe akukuthandizani zaumoyo zolinga zanu zakuchiritsira, 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, amagwiritsa ntchito mankhwala osokoneza bongo, kapena amamwa mankhwala osokoneza bongo, kapena adakhalapo ndi nkhawa kapena zina matenda amisala. Pali chiopsezo chachikulu choti mugwiritse ntchito benzhydrocodone ndi acetaminophen ngati inu kapena wina aliyense m'banja mwanu adakhalapo kapena adakhalapo 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.


Benzhydrocodone ndi acetaminophen zingayambitse kupuma koopsa kapena koopsa, makamaka munthawi ya 24 mpaka 72 yoyambirira yamankhwala anu komanso nthawi iliyonse yomwe mlingo wanu ukuwonjezeka. Dokotala wanu adzakuyang'anirani mosamala mukamalandira chithandizo. Uzani dokotala wanu ngati mwakhala mukucheperapo kapena mphumu. Dokotala wanu angakuuzeni kuti musatenge benzhydrocodone ndi acetaminophen. 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 chaubongo, kapena vuto lililonse lomwe limakulitsa kuchuluka kwa kupanikizika mu ubongo 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 mukamamwa mankhwala a benzhydrocodone ndi acetaminophen kungapangitse kuti mukhale ndi vuto lakupuma kapena mavuto ena owopsa, kupuma, kupuma, kapena kukomoka. Uzani dokotala wanu ngati mukumwa, kukonzekera kumwa, kapena kukonzekera kusiya kumwa mankhwala aliwonse awa: benzodiazepines monga alprazolam (Xanax), diazepam (Diastat, Valium), estazolam, flurazepam, lorazepam (Ativan), ndi triazolam ( Halcion); carbamazepine (Carbatrol, Tegretol, ena); erythromycin (Eryc, E.E, S., ena); ketoconazole; mankhwala ena opweteka a mankhwalawa; mankhwala a matenda amisala; zotsitsimula minofu kuphatikiza cyclobenzaprine (Amrix) ndi metaxalone (Skelaxin); phenytoin (Dilantin, Phenytek); rifampin (Rimactane, ku Rifamate, Rifater); ritonavir (Norvir, ku Kaletra, Technivie, Viekira Pak); mankhwala ogonetsa; mapiritsi ogona; kapena opondereza. Dokotala wanu angafunike kusintha mlingo wa mankhwala anu ndipo adzakuyang'anirani mosamala. Ngati mutenga benzhydrocodone ndi acetaminophen ndi ina mwa mankhwalawa ndipo mukukhala ndi zizindikiro zotsatirazi, itanani dokotala wanu mwachangu kapena funani chithandizo chamankhwala mwadzidzidzi: chizungulire chosazolowereka, mutu wopepuka, kugona kwambiri, kupuma pang'ono kapena kovuta, 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.


Kutenga acetaminophen wambiri (komwe kumapezeka pokonzekera kuphatikiza) kumatha kuyambitsa kuwonongeka kwa chiwindi, nthawi zina kumakhala kokwanira kufuna kuziyika chiwindi kapena kupha. Dziwani kuti simuyenera kumwa zoposa 4,000 mg wa acetaminophen patsiku. Mutha kutenga acetaminophen mwangozi ngati simukutsatira mosamala malangizo omwe mwalandira kapena kusungitsa phukusi mosamala, kapena ngati mutenga mankhwala opitilira 1 omwe ali ndi acetaminophen. Ngati mukufuna kutenga zinthu zingapo zomwe zili ndi acetaminophen, zitha kukhala zovuta kuti muwerenge kuchuluka kwa acetaminophen omwe mukutenga. Funsani dokotala wanu kapena wamankhwala kuti akuthandizeni. Uzani dokotala wanu ngati mwakhalapo kapena mukudwala matenda a chiwindi. Dokotala wanu angakuuzeni kuti musatenge benzhydrocodone ndi acetaminophen.

Kumwa mowa, kumwa mankhwala akuchipatala kapena osapereka mankhwala omwe ali ndi mowa, kapena kugwiritsa ntchito mankhwala osokoneza bongo mukamamwa mankhwala a benzhydrocodone ndi acetaminophen 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 mankhwala a benzhydrocodone ndi acetaminophen.

Musalole kuti aliyense azimwa mankhwala anu. Benzhydrocodone ndi acetaminophen zitha kuvulaza kapena kupha anthu ena omwe amamwa mankhwala anu, makamaka ana. Sungani benzhydrocodone ndi acetaminophen pamalo otetezeka kuti pasakhale wina aliyense amene angazitengere mwangozi kapena mwadala. Samalani kwambiri kuti benzhydrocodone ndi acetaminophen zisapezeke kwa ana. Onetsetsani kuti ndi mapiritsi angati omwe atsala kuti mudziwe ngati pali mankhwala omwe akusowa. Tsukani mapiritsi aliwonse amene ali achikale kapena amene safunikiranso kuchimbudzi kuti ena asamwe.

Uzani dokotala wanu ngati muli ndi pakati kapena mukufuna kukhala ndi pakati. Ngati mumamwa benzhydrocodone ndi acetaminophen nthawi zonse 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.

Dokotala wanu kapena wamankhwala adzakupatsani pepala lazidziwitso za wopanga (Medication Guide) mukayamba mankhwala ndi benzhydrocodone ndi acetaminophen 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) (kapena tsamba laopanga) kuti mupeze Chithandizo cha Mankhwala.

Lankhulani ndi dokotala wanu za kuopsa kwakumwa benzhydrocodone ndi acetaminophen.

Kuphatikizana kwa benzhydrocodone ndi acetaminophen kumagwiritsidwa ntchito kuthana ndi ululu wowawa (ululu womwe umayamba mwadzidzidzi, umakhala ndi chifukwa china, ndipo ukuyembekezeka kutha pomwe zomwe zimapwetekazo zachiritsidwa) zomwe sizingathetsedwe ndi mankhwala ena opweteka a opioid. Benzhydrocodone ili m'kalasi la mankhwala otchedwa opiate (narcotic) analgesics. Zimagwira ntchito posintha momwe ubongo ndi dongosolo lamanjenje zimayankhira ndikumva kuwawa. Acetaminophen ali mgulu la mankhwala otchedwa analgesics (relievers pain) ndi antipyretics (ochepetsa malungo). Acetaminophen ikagwiritsidwa ntchito limodzi ndi benzhydrocodone pochiza ululu, imagwira ntchito posintha momwe thupi limamvera kupweteka.

Kuphatikiza kwa benzhydrocodone ndi acetaminophen kumabwera ngati piritsi kuti mutenge pakamwa. Nthawi zambiri amatengedwa wopanda chakudya chilichonse maola 4 kapena 6 pakufunika kupweteka kwa milungu iwiri kapena yocheperako. Simuyenera kumwa mapiritsi oposa 12 m'maola 24. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani benzhydrocodone ndi acetaminophen ndendende monga mwalamulira.

Osasiya kumwa benzhydrocodone ndi acetaminophen osalankhula ndi dokotala. Ngati mwasiya mwadzidzidzi kumwa benzhydrocodone ndi acetaminophen, mutha kukhala ndi zizindikilo monga kusakhazikika, maso akung'ambika, mphuno yothamanga, kuyasamula, kutuluka thukuta, kuzizira, tsitsi kuyimirira, kupweteka kwa minofu, kukulitsa ana (mabwalo akuda pakati pa maso) , kupsa mtima, kuda nkhawa, kupweteka msana kapena kulumikizana, kufooka, kukokana m'mimba, kuvuta kugona kapena kugona, kunyansidwa, kusowa njala, kusanza, kutsegula m'mimba, kupuma msanga, kapena kugunda kwamtima. Dokotala wanu mwina amachepetsa mlingo wanu pang'onopang'ono.

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

Musanatenge benzhydrocodone ndi acetaminophen,

  • uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la benzhydrocodone, hydrocodone, acetaminophen, mankhwala ena aliwonse, kapena chilichonse chomwe chingagwiritsidwe ntchito mu benzhydrocodone ndi mapiritsi a acetaminophen. Funsani wamankhwala wanu kapena onani Chithandizo cha Mankhwala kuti mupeze mndandanda wazosakaniza.
  • Uzani dokotala wanu komanso wamankhwala mankhwala ena omwe simukupatsidwa, mavitamini, ndi zowonjezera zakudya zomwe mukumwa kapena mukukonzekera. Onetsetsani kuti mwatchula mankhwala omwe atchulidwa mu gawo LOFUNIKITSA CHENJEZO ndi zina mwa izi: antihistamines (omwe amapezeka mumankhwala ozizira komanso opatsirana); okodzetsa ('mapiritsi amadzi'); buprenorphine (Butrans, ku Suboxone, ku Zubsolv, ena); kachilombo; mankhwala a matenda opweteka m'mimba, matenda a Parkinson, ndi mavuto amakodzo; mzere (Zyvox); mankhwala a matenda amisala ndi nseru monga chlorpromazine, fluphenazine, prochlorperazine (Compro, Procomp), thioridazine, ndi trifluoperazine; methylene buluu; mankhwala a mutu waching'alang'ala monga almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Imitrex, ku Treximet), ndi zolmitriptan (Zomig); mirtazapine (Remeron); nalbuphine; pentazocine (Talwin); Otsutsa 5-HT3 olandila monga alosetron (Lotronex), granisetron (Sancuso, Sustol), ondansetron (Zofran, Zuplenz), kapena palonosetron (Aloxi, ku Akynzeo); serotonin-reuptake inhibitors monga citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem, Selfemra, mu Symbyax), fluvoxamine (Luvox), paroxetine (Brisdelle, Paxil, Pexeva), ndi sertraline (Zoloft); serotonin ndi norepinephrine reuptake inhibitors monga duloxetine (Cymbalta), desvenlafaxine (Khedezla, Pristiq), levomilnacipran (Fetzima); milnacipran (Savella), ndi venlafaxine (Effexor); tramadol (Conzip, Ultram, mu Ultracet); trazodone; kapena tricyclic antidepressants ('mood elevator') monga amitriptyline, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Silenor), imipramine (Tofranil, Surmontil), nortriptyline (Pamelor), protriptyline (Vivactiline) . Komanso uzani dokotala wanu kapena wamankhwala ngati mukumwa kapena kulandira mankhwala otsatirawa a monoamine oxidase (MAO) kapena ngati mwasiya kuwamwa m'masabata awiri apitawa: isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar ), kapena tranylcypromine (Parnate). Mankhwala ena ambiri amathanso kulumikizana ndi benzhydrocodone ndi acetaminophen, chifukwa chake onetsetsani kuti muwauze adotolo zamankhwala onse omwe mukumwa, ngakhale omwe sapezeka pamndandandawu.
  • uzani dokotala wanu za mankhwala azitsamba omwe mukumwa, makamaka wort ya St.
  • auzeni adotolo ngati muli ndi zina mwazomwe zatchulidwa mgawo la CHENJEZO LOFUNIKA, kutsekeka kapena kuchepa kwa m'mimba kapena m'matumbo, kapena ileus yofa ziwalo (momwe chakudya chodetsedwa sichidutsa m'matumbo). Dokotala wanu angakuuzeni kuti musatenge benzhydrocodone ndi acetaminophen.
  • auzeni adotolo ngati mudakomoka kapena kudwalapo, kuvuta kukodza, kapamba, ndulu, chithokomiro, mtima, kapena matenda a impso.
  • Uzani dokotala wanu ngati mukuyamwitsa. Ngati mukuyamwitsa mukamamwa benzhydrocodone ndi acetaminophen, yang'anirani khanda loyamwitsa mosamala kuti muwonjezere kugona, kupuma movutikira, kapena kulumala. Mukaleka kumwa benzhydrocodone ndi acetaminophen, kapena mukaleka kuyamwitsa khandalo, yang'anirani khanda mosamala ngati ali ndi nkhawa, kusungulumwa, mphuno, kuthamanga, kutuluka thukuta, kuzizira, kapena ana otukuka.Itanani dokotala wanu nthawi yomweyo ngati mwana wakhanda woyamwitsa ali ndi izi.
  • Muyenera kudziwa kuti mankhwalawa amachepetsa kubereka kwa abambo ndi amai. Lankhulani ndi dokotala wanu za kuopsa kwakumwa benzhydrocodone ndi acetaminophen.
  • ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukumwa benzhydrocodone ndi acetaminophen.
  • muyenera kudziwa kuti benzhydrocodone ndi acetaminophen zimatha kukupangitsani kugona, chizungulire, kapena mutu wopepuka. Osayendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
  • muyenera kudziwa kuti benzhydrocodone ndi acetaminophen zimatha kuyambitsa chizungulire, mutu wopepuka, komanso kukomoka mukadzuka mwachangu pamalo abodza. Izi ndizofala kwambiri mukayamba kumwa benzhydrocodone ndi acetaminophen, kapena mutatha kuchuluka kwa mlingo. Pofuna kupewa vutoli, tulukani pabedi pang'onopang'ono, ndikupumitsa mapazi anu pansi kwa mphindi zingapo musanayimirire.
  • muyenera kudziwa kuti benzhydrocodone ndi acetaminophen zimatha kudzimbidwa. Lankhulani ndi dokotala wanu zakusintha zakudya kapena kugwiritsa ntchito mankhwala ena kuti muchepetse kapena kudzimbidwa mukamamwa benzhydrocodone ndi acetaminophen.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

Mankhwalawa nthawi zambiri amatengedwa pakufunika. Ngati dokotala wakuwuzani kuti mutenge benzhydrocodone ndi acetaminophen pafupipafupi, tengani mlingo womwe mwaphonya mukangokumbukira. Komabe, ngati ili pafupi nthawi ya mlingo wotsatira, dumpha mlingo womwe umasowa ndikupitiliza dongosolo lanu lokhazikika. Musatenge mlingo wawiri kuti mupange omwe mwaphonya.

Benzhydrocodone ndi acetaminophen zingayambitse zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

  • nseru
  • kusanza
  • kuyabwa
  • mutu
  • kutupa m'mimba kapena kupweteka
  • mpweya
  • kusowa mphamvu
  • kumva kukomoka
  • kumva kwadzidzidzi kwachikondi

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi kapena izi zomwe zalembedwa M'CHENJEZO CHOFUNIKA, itanani dokotala wanu mwachangu kapena pitani kuchipatala mwadzidzidzi:

  • zidzolo
  • ming'oma
  • khungu, khungu lotupa
  • zilonda mkamwa mwako
  • kutupa kwa nkhope, mmero, lilime, milomo, ndi maso
  • zovuta kumeza kapena kupuma
  • Kusinza kwambiri
  • mutu wopepuka mukasintha malo
  • kusokonezeka, kutentha thupi, kusokonezeka, kugunda kwamtima, kuuma kwambiri kwa minofu kapena kugwedezeka, kutayika kwa mgwirizano
  • kugwidwa
  • kukumana ndi chimodzi mwazizindikiro izi, makamaka ngati mutenga benzhydrocodone ndi acetaminophone kwa mwezi umodzi kapena kupitilira apo: nseru, kusanza, kusowa chilakolako, kutopa kwambiri, kufooka, chizungulire, kukomoka

Benzhydrocodone ndi acetaminophen zingayambitse 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 kuchimbudzi kuti ena asamwe. 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 benzhydrocodone ndi acetaminophen, 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:

  • kupuma pang'ono
  • kuvuta kupuma
  • kugona
  • osakhoza kuyankha kapena kudzuka
  • Minofu yofooka kapena yofooka
  • kozizira, khungu lamadzi
  • kuchepa kapena kukulira kwa ophunzira
  • kuchepa kwa mtima
  • nthawi zina
  • nseru
  • kusanza
  • thukuta
  • osamva bwino

Sungani maimidwe onse ndi dokotala wanu.

Musanayesedwe mu labotale (makamaka yomwe imakhudza methylene buluu), uzani adotolo ndi ogwira nawo ntchito kuti mukumwa benzhydrocodone ndi acetaminophen.

Mankhwalawa sangabwerenso. Ngati mupitiliza kumva kuwawa mukamaliza benzhydrocodone ndi acetaminophen, 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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Ukhondo Wam'mapapo Wosavuta Kupumira

Ukhondo Wam'mapapo Wosavuta Kupumira

Ukhondo wam'mapapo, womwe kale unkadziwika kuti chimbudzi cham'mapapo, umatanthawuza machitidwe ndi njira zomwe zimathandizira kuchot a mpweya wanu wa ntchofu ndi zot ekemera zina. Izi zimat i...