Azathioprine, Piritsi Yamlomo

Zamkati

• Mfundo zazikulu za azathioprine
• Machenjezo ofunikira
• Chenjezo la FDA: Kuopsa kwa khansa
  
• Machenjezo ena
• Kodi azathioprine ndi chiyani?
• Chifukwa chimagwiritsidwa ntchito
• Momwe imagwirira ntchito
• Zotsatira za Azathioprine
• Zotsatira zofala kwambiri
• Zotsatira zoyipa
• Azathioprine amatha kulumikizana ndi mankhwala ena
• Gout mankhwala
• Mankhwala otupa matenda opatsirana
• Mankhwala otupa
• Mankhwala omwe amakhudza chitetezo cha mthupi lanu
• Mankhwala osokoneza bongo
• Mankhwala ochepetsa magazi
• Mankhwala a hepatitis C.
• Katemera
• Machenjezo a Azathioprine
• Chenjezo la ziwengo
• Machenjezo kwa anthu omwe ali ndi matenda ena
• Machenjezo kwa magulu ena
• Momwe mungatengere azathioprine
• Mitundu ya mankhwala ndi mphamvu
• Mlingo wokhala ndi impso
• Mlingo wa nyamakazi ya nyamakazi
• Maganizo apadera
• Tengani monga mwalamulidwa
• Zofunikira pakumwa azathioprine
• Zonse
• Yosungirako
• Zowonjezeranso
• Kuyenda
• Kuwunika kuchipatala
• Kuzindikira kwa dzuwa
• Kupezeka
• Chilolezo chisanachitike
• Kodi pali njira zina?

Mfundo zazikulu za azathioprine

1. Pulogalamu yamlomo ya Azathioprine imapezeka ngati mankhwala osokoneza bongo komanso ngati mankhwala achibadwa. Mayina a mayina: Imuran, Azasan.
2. Azathioprine amabwera m'njira ziwiri: piritsi lokamwa ndi yankho la jakisoni.
3. Piritsi lamlomo la Azathioprine limagwiritsidwa ntchito pochiza nyamakazi komanso kuteteza chitetezo cha mthupi lanu kuti lisawononge impso zatsopano mukamudula.

Machenjezo ofunikira

Chenjezo la FDA: Kuopsa kwa khansa

• Mankhwalawa ali ndi chenjezo lakuda lakuda. Ili ndiye chenjezo lalikulu kwambiri kuchokera ku Food and Drug Administration (FDA). Chenjezo la bokosi lakuda limachenjeza madokotala ndi odwala za zovuta zamankhwala zomwe zitha kukhala zowopsa.
• Kugwiritsa ntchito azathioprine kwakanthawi kumachulukitsa chiopsezo chanu chokhala ndi mitundu ina ya khansa, monga lymphoma, leukemia, ndi khansa yapakhungu.

Machenjezo ena

• Kuchuluka kwa chiopsezo cha matenda: Mankhwalawa amachepetsa ntchito za chitetezo chanu cha mthupi. Izi zitha kukulitsa chiopsezo chotenga matenda.
• Chithandizo choyambirira chimachenjeza: Azathioprine imatha kubweretsa zovuta zomwe zingayambitse kusanza ndi kusanza, komanso:
  • kutsegula m'mimba
  • zidzolo
  • malungo
  • kutopa
  • kupweteka kwa minofu
  • kuwonongeka kwa chiwindi
  • chizungulire
  • kuthamanga kwa magazi

Zotsatirazi nthawi zambiri zimachitika m'masabata angapo oyamba atayamba mankhwalawa. Ngati dokotala atasiya mankhwala anu ndi mankhwalawa, zizindikiro zanu ziyenera kutha.

• Selo yamagazi ochepa amawerengera chenjezo: Azathioprine amachulukitsa chiopsezo chokhala ndi kuchuluka kwama cell, monga kuchuluka kwama cell oyera. Kukhala ndi mavuto ena amtundu wamtundu kumathanso kuwonjezera chiopsezo chanu chodwala magazi. Dokotala wanu akupatsani mayeso a magazi kuti muwone zovuta zamwazi izi. Amatha kuchepetsa kuchuluka kwa mankhwalawa kapena kusiya mankhwala anu ndi mankhwala.

Kodi azathioprine ndi chiyani?

Azathioprine ndi mankhwala akuchipatala. Zimabwera m'njira ziwiri: piritsi lokamwa ndi njira yothetsera jakisoni.

Pulogalamu yamlomo ya Azathioprine imapezeka ngati mankhwala omwe amadziwika kuti ndi mankhwala Zolemba ndipo Azasan. Ikupezekanso mumtundu wa generic. Mankhwala achibadwa nthawi zambiri amakhala otsika poyerekeza ndi mitundu yamaina. Nthawi zina, sangapezeke mwamphamvu iliyonse kapena mawonekedwe aliwonse monga mankhwala osokoneza bongo.

Mankhwalawa atha kugwiritsidwa ntchito ngati njira imodzi yophatikizira. Izi zikutanthauza kuti mungafunike kumwa mankhwala ena.

Chifukwa chimagwiritsidwa ntchito

Azathioprine amagwiritsidwa ntchito pochiza nyamakazi (RA). Amagwiritsidwanso ntchito kuteteza chitetezo cha mthupi lanu kuti lisawononge impso zomwe zangoikidwa kumene.

Mukalandira kumuika impso, chitetezo chanu chamthupi chimawona impso ngati chinthu chomwe sichili mthupi lanu. Izi zitha kupangitsa kuti thupi lanu liukire impso, zomwe zingayambitse mavuto akulu azaumoyo kapena kufa. Azathioprine amagwiritsidwa ntchito kuyimitsa chitetezo chamthupi chanu kuti chisayambire impso zanu zatsopano.

Mu RA, thupi lanu limagunda malumikizidwe anu, omwe amatha kuyambitsa kutupa, kupweteka, komanso kutayika kwa ntchito. Azathioprine amagwiritsidwa ntchito kuyimitsa chitetezo chanu chamthupi kuti chisalimbane ndi zimfundo zanu.

Momwe imagwirira ntchito

Azathioprine ndi gulu la mankhwala otchedwa immunosuppressants. Gulu la mankhwala ndi gulu la mankhwala omwe amagwiranso ntchito chimodzimodzi. Mankhwalawa amagwiritsidwa ntchito pochiza zofananira.

Azathioprine imagwira ntchito pochepetsa chitetezo chamthupi lanu. Kwa RA, izi zimapangitsa kuti chitetezo cha mthupi chanu chisasokoneze kapena kuwononga ziwalo zanu. Pofuna kumuika impso, mankhwalawa amateteza chitetezo cha mthupi lanu kuti lisawononge impso zomwe zangobzalidwa kumene.

Zotsatira za Azathioprine

Piritsi lamlomo la Azathioprine silimayambitsa kugona, koma limatha kuyambitsa zovuta zina.

Zotsatira zofala kwambiri

Zotsatira zoyipa zomwe zimachitika ndi azathioprine ndi monga:

• maselo oyera oyera amawerengeredwa
• matenda
• mavuto am'mimba, kuphatikiza nseru, kutsegula m'mimba, ndi kusanza

Zotsatira zoyipa

Itanani dokotala wanu nthawi yomweyo ngati muli ndi zovuta zina. Itanani 911 ngati zizindikiro zanu zikuwopseza moyo kapena ngati mukuganiza kuti mukukumana ndi vuto lachipatala. Zotsatira zoyipa komanso zizindikilo zake zimatha kukhala izi:

• M`mimba mankhwala hypersensitivity. Zizindikiro zimaphatikizapo:
  • nseru ndi kusanza
  • kutsegula m'mimba
  • zotupa pakhungu
  • malungo
  • kupweteka kwa minofu
  • kuchuluka kwa ma enzyme a chiwindi
  • kuwonongeka kwa chiwindi
  • chizungulire
  • kuthamanga kwa magazi

Mavutowa nthawi zambiri amachitika m'masabata angapo oyamba atayamba mankhwalawa. Ngati dokotala atasiya mankhwala anu ndi mankhwalawa, zizindikiro zanu ziyenera kutha.

• Pancreatitis. Zizindikiro zimaphatikizapo:
  • kupweteka kwambiri m'mimba
  • chopondapo mafuta
• Kutopa kwambiri
• Kuchepetsa kwambiri kunenepa
• Kwambiri matupi awo sagwirizana anachita. Zizindikiro zimaphatikizapo:
  • kupuma
  • kufinya pachifuwa
  • kuyabwa
  • kutupa kwa nkhope yanu, milomo, lilime, kapena mmero

Chodzikanira: Cholinga chathu ndikukupatsani chidziwitso chofunikira kwambiri komanso chaposachedwa. Komabe, chifukwa mankhwala amakhudza munthu aliyense mosiyanasiyana, sitingatsimikizire kuti izi zimaphatikizaponso zovuta zonse zomwe zingachitike. Izi sizilowa m'malo mwa upangiri wa zamankhwala. Nthawi zonse muzikambirana mavuto omwe angakhalepo ndi othandizira azaumoyo omwe amadziwa mbiri yanu yazachipatala.

Azathioprine amatha kulumikizana ndi mankhwala ena

Pulogalamu yamlomo ya Azathioprine imatha kulumikizana ndi mankhwala ena, mavitamini, kapena zitsamba zomwe mwina mukumwa. Kulumikizana ndi pamene chinthu chimasintha momwe mankhwala amagwirira ntchito. Izi zitha kukhala zowononga kapena kuletsa mankhwalawa kuti asagwire ntchito bwino.

Pofuna kupewa kuyanjana, dokotala ayenera kuyang'anira mankhwala anu onse mosamala. Onetsetsani kuuza dokotala wanu za mankhwala onse, mavitamini, kapena zitsamba zomwe mukumwa. Kuti mudziwe momwe mankhwalawa angagwirizane ndi china chake chomwe mumatenga, lankhulani ndi dokotala kapena wamankhwala.

Zitsanzo za mankhwala omwe angayambitse kuyanjana ndi azathioprine alembedwa pansipa.

Gout mankhwala

Kutenga alirakhalid ndi azathioprine imatha kukulitsa azathioprine m'thupi lanu ndikuwonjezera ngozi yanu. Dokotala wanu akhoza kuchepetsa mlingo wanu wa azathioprine ngati mutenga allopurinol.

Kutenga febuxostat ndi azathioprine imatha kukulitsa azathioprine m'thupi lanu ndikuwonjezera ngozi yanu. Mankhwalawa sayenera kugwiritsidwa ntchito limodzi.

Mankhwala otupa matenda opatsirana

Kumwa mankhwala otchedwa aminosalicylates ndi azathioprine imatha kukulitsa azathioprine mthupi lanu ndikuwonjezera chiopsezo chazotaya magazi.

Mankhwala otupa

Awa ndi mankhwala osinthira TNF. Amagwira ntchito kuti achepetse kutupa komanso kuyankha kwamthupi. Kumwa mankhwalawa ndi azathioprine kumawonjezera chiopsezo chotenga kachilombo. Zitsanzo za mankhwalawa ndi monga:

• adalimumab
• chithu
• infiximab
• golimumabu

Mankhwala omwe amakhudza chitetezo cha mthupi lanu

Kugwiritsa ntchito cotrimoxazole ndi azathioprine imatha kuchepetsa kuchuluka kwa maselo oyera amwazi mthupi lanu ofunikira kulimbana ndi matenda. Izi zimawonjezera chiopsezo chanu chotenga matenda.

Kugwiritsa ntchito mankhwalawa ndi azathioprine kungakulitsenso chiopsezo chanu chazovuta za mankhwala onsewa.

Mankhwala osokoneza bongo

Kugwiritsa ntchito mankhwala osokoneza bongo otchedwa angiotensin-converting enzyme (ACE) zoletsa ndi azathioprine imatha kukulitsa chiwopsezo cha matenda amwazi.

Mankhwala ochepetsa magazi

Kugwiritsa ntchito warfarin ndi azathioprine ikhoza kupanga warfarin kukhala yosagwira ntchito kwa inu. Dokotala wanu amatha kuyang'anitsitsa kuchuluka kwanu kwa warfarin poyambira ndikusiya chithandizo ndi azathioprine.

Mankhwala a hepatitis C.

Kugwiritsa ntchito alireza ndi azathioprine imatha kukulitsa azathioprine m'thupi lanu ndikuwonjezera ngozi yanu.

Katemera

Kulandira katemera wamoyo mukamamwa azathioprine kumawonjezera chiopsezo chanu chazovuta za katemerayu. Zitsanzo za katemera wamoyo ndi awa:

• Katemera wa chimfine
• chikuku, chikuku, katemera wa rubella
• Katemera wa nkhuku (varicella)

Kulandira katemera wosagwira pamene mukumwa azathioprine kumapangitsa kuti katemerayu asamagwire ntchito bwino.

Chodzikanira: Cholinga chathu ndikukupatsani chidziwitso chofunikira kwambiri komanso chaposachedwa. Komabe, chifukwa mankhwala amagwirira ntchito mosiyanasiyana mwa munthu aliyense, sitingatsimikizire kuti izi zikuphatikizira kulumikizana kulikonse kotheka. Izi sizilowa m'malo mwa upangiri wa zamankhwala.Nthawi zonse lankhulani ndi omwe amakuthandizani pa zaumoyo momwe mungachitire ndi mankhwala, mavitamini, zitsamba ndi zowonjezera, komanso mankhwala omwe mumamwa.

Machenjezo a Azathioprine

Mankhwalawa amabwera ndi machenjezo angapo.

Chenjezo la ziwengo

Azathioprine amatha kuyambitsa vuto lalikulu. Zizindikiro zimaphatikizapo:

• kuvuta kupuma
• kutupa pakhosi kapena lilime
• ming'oma

Mukakhala ndi zizindikilozi, itanani 911 kapena pitani kuchipinda chadzidzidzi chapafupi.

Musatengerenso mankhwalawa ngati munakhalapo ndi vuto linalake. Kutenganso kumatha kukhala koopsa (kuyambitsa imfa).

Machenjezo kwa anthu omwe ali ndi matenda ena

Kwa anthu omwe ali ndi vuto la thiopurine S-methyltransferase (TPMT): TPMT ndi michere m'thupi lanu yomwe imawononga azathioprine. Mukakhala kuti mulibe TPMT yokwanira, mumakhala pachiwopsezo chowopsa cha zovuta zoyipa komanso zovuta zamagazi kuchokera ku azathioprine. Dokotala wanu akhoza kuyesa kuti muwone kuchuluka kwa TPMT mthupi lanu.

Kwa anthu omwe ali ndi ma cell ochepa magazi: Azathioprine imakweza chiopsezo chotsitsa kuchuluka kwama cell. Kukhala ndi mavuto ena amtundu wamtundu kumathanso kuwonjezera chiopsezo chanu. Dokotala wanu akhoza kuyesa magazi, kutsitsa azathioprine wanu, kapena kuyimitsa chithandizo chanu ndi mankhwala.

Kwa anthu omwe ali ndi matenda: Mankhwalawa amachepetsa ntchito za chitetezo chanu cha mthupi. Izi zitha kupangitsa matenda omwe mukukula kwambiri.

Kwa anthu omwe ali ndi vuto la chiwindi: Azathioprine akhoza kuonjezera chiopsezo cha matenda a chiwindi, nthawi zambiri mwa anthu omwe ali ndi impso. Dokotala wanu amatenga mayeso a magazi kuti muwone momwe chiwindi chanu chikugwirira ntchito. Mavuto a chiwindi nthawi zambiri amachitika mkati mwa miyezi isanu ndi umodzi yakubwezeretsa impso ndipo nthawi zambiri amachoka azathioprine ikaimitsidwa.

Machenjezo kwa magulu ena

Kwa amayi apakati: Azathioprine ndi gulu la mankhwala oyembekezera. Izi zikutanthauza zinthu ziwiri:

1. Kafukufuku akuwonetsa chiopsezo chotsatirapo cha mwana wosabadwa pamene mayi amamwa mankhwalawo.
2. Mankhwalawa ayenera kugwiritsidwa ntchito pokhapokha ali ndi pakati pakafunika kuthana ndi vuto la mayiyo.

Uzani dokotala wanu ngati muli ndi pakati kapena mukufuna kutenga pakati. Azathioprine iyenera kugwiritsidwa ntchito panthawi yapakati pokhapokha phindu lomwe lingakhalepo lingabweretse chiopsezo.

Mukakhala ndi pakati mukamamwa mankhwalawa, itanani dokotala wanu nthawi yomweyo.

Kwa amayi omwe akuyamwitsa: Azathioprine imadutsa mkaka wa m'mawere ndipo imatha kuyambitsa zovuta zina kwa mwana yemwe akuyamwitsa. Kuyamwitsa mwana sikulimbikitsidwa mukamamwa mankhwalawa.

Kwa okalamba: Chitetezo ndi mphamvu ya azathioprine sizinakhazikitsidwe mwa anthu azaka 65 kapena kupitilira apo.

Kwa ana: Chitetezo ndi mphamvu ya azathioprine sizinakhazikitsidwe mwa anthu ochepera zaka 18.

Momwe mungatengere azathioprine

Mlingo ndi mafomu onse omwe sangakhale nawo sangaphatikizidwe pano. Mlingo wanu, mawonekedwe anu, komanso kuti mumatenga kangati zimadalira:

• zaka zanu
• matenda omwe akuchiritsidwa
• momwe matenda anu alili
• Matenda ena omwe muli nawo
• momwe mumachitira ndi mankhwala oyamba

Mitundu ya mankhwala ndi mphamvu

Zowonjezera: Azathioprine

• Mawonekedwe: piritsi yamlomo
• Mphamvu: 25 mg, 50 mg, 75 mg, 100 mg

Mtundu: Zolemba

• Mawonekedwe: piritsi yamlomo
• Mphamvu: 50 mg

Mtundu: Azasan

• Mawonekedwe: piritsi yamlomo
• Mphamvu: 25 mg, 50 mg, 75 mg, 100 mg

Mlingo wokhala ndi impso

Mlingo wachikulire (wazaka 18 kapena kupitirira)

Mlingo umatengera kulemera kwa munthu mu kilogalamu (kg).

• Mlingo woyambira: 3-5 mg pa kilogalamu ya kulemera kwa thupi tsiku lililonse, kuyambira nthawi yoika. Nthawi zina, mankhwalawa amatha kupatsidwa masiku 1-3 isanafike impso.
• Mlingo wa kukonza: 1-3 mg / kg ya kulemera kwa thupi patsiku.

Mlingo wa ana (zaka 0-17 zaka)

Mlingo wotetezeka komanso wogwira mtima sunakhazikitsidwe m'badwo uno.

Mlingo wa nyamakazi ya nyamakazi

Mlingo wachikulire (wazaka 18 kapena kupitirira)

Mlingo umatengera kulemera kwa munthu mu kilogalamu (kg).

• Mlingo woyambira: 50-100 mg, amatengedwa kamodzi patsiku kapena amagawika magawo awiri tsiku lililonse.
• Mlingo ukuwonjezeka: Pambuyo pa masabata 6-8 akukhala pamlingo woyambirira, dokotala wanu akhoza kukulitsa mlingo wanu ndi 0.5 mg / kg ya kulemera kwa thupi patsiku. Pambuyo pake, adotolo amatha kupanga kusintha kwamasabata milungu inayi iliyonse ngati kuli kofunikira.
• Zolemba malire mlingo: Mlingo wambiri tsiku lililonse ndi 2.5 mg / kg ya kulemera kwa thupi patsiku.
• Mlingo wa kukonza: Mlingo ukhoza kutsitsidwa ndi 0,5 mg / kg ya kulemera kwa thupi patsiku milungu inayi iliyonse.

Mlingo wa ana (zaka 0-17 zaka)

Mlingo wotetezeka komanso wogwira mtima sunakhazikitsidwe m'badwo uno.

Maganizo apadera

Kwa anthu omwe ali ndi vuto la impso: Mlingo wanu wa azathioprine ungafunike kutsitsidwa ngati muli ndi mavuto a impso omwe amakulepheretsani kukodza pafupipafupi.

Kwa anthu omwe ali ndi vuto la TPMT: Mlingo wanu wa azathioprine ungafunike kutsitsidwa ngati mayeso akuwonetsa kuti muli ndi vuto la TPMT. Enzyme iyi imathandizira kuwononga mankhwalawa. Kusakhala ndi mavitamini okwanira kumatha kubweretsa chiopsezo chowonjezereka cha mankhwalawa, kuphatikiza mavuto amwazi.

Chodzikanira: Cholinga chathu ndikukupatsani chidziwitso chofunikira kwambiri komanso chaposachedwa. Komabe, chifukwa mankhwala osokoneza bongo amakhudza munthu aliyense mosiyanasiyana, sitingatsimikizire kuti mndandandawu umaphatikizira miyezo yonse yotheka. Izi sizilowa m'malo mwa upangiri wa zamankhwala. Nthawi zonse lankhulani ndi dokotala kapena wamankhwala za mlingo woyenera kwa inu.

Tengani monga mwalamulidwa

Piritsi la Azathioprine limagwiritsidwa ntchito pochiza matendawa kwa nthawi yayitali. Zimabwera ndi zoopsa zazikulu ngati simukuzitenga monga mwalamulo.

Ngati simutenga konse: Ngati mukumutenga kuti mukapatse impso, muli pachiwopsezo chachikulu chokhala ndi zoyipa, mwina zoyipa zomwe zimadza chifukwa chakuikani kwanu, kapena kukumana ndi impso ina.

Ngati mukumwa nyamakazi ya nyamakazi, zizindikiro zanu sizingasinthe kapena mwina zimawonjezeka pakapita nthawi.

Mukaleka kuzitenga mwadzidzidzi: Ngati mukumwa mankhwalawa kuti muike impso ndikusiya kumwa mosayembekezereka, mutha kukanidwa ndikukumana ndi impso.

Ngati mukumwa mankhwalawa chifukwa cha nyamakazi ndipo muleka kumwa mosayembekezereka, zizindikiro zanu za nyamakazi zimatha kubwereranso.

Ngati simutenga nthawi yake: Simungathe kuwona phindu lonse la mankhwalawa. Mukachulukitsa mlingo wanu kapena mutenge pafupi kwambiri ndi nthawi yanu yotsatira, mutha kukhala pachiwopsezo chachikulu chokhala ndi zovuta zina.

Zomwe muyenera kuchita mukaphonya mlingo: Ngati mwaphonya mlingo, tengani msanga momwe mungathere. Komabe, ngati kwangotsala maola ochepa kuti muyambe kumwa mankhwala, tsatirani mlingo womwe mwaphonyedwayo ndi kutenga wina wotsatirawo.

Osayesa konse kutenga mwa kumwa miyezo iwiri nthawi imodzi. Izi zitha kubweretsa zovuta zoyipa.

Ngati mutenga zochuluka kwambiri: Mutha kukhala ndimankhwala owopsa mthupi lanu. Zizindikiro za bongo za mankhwalawa zingaphatikizepo:

• nseru
• kusanza
• kutsegula m'mimba
• zilonda zapakhosi, malungo, kuzizira, ndi zizindikiro zina za matenda

Ngati mukuganiza kuti mwamwa kwambiri mankhwalawa, itanani dokotala wanu kapena funsani malangizo kuchokera ku American Association of Poison Control Center ku 800-222-1222 kapena kudzera pa chida chawo pa intaneti. Koma ngati matenda anu akukulira, itanani 911 kapena pitani kuchipatala chapafupi pomwepo.

Momwe mungadziwire ngati mankhwalawa akugwira ntchito: Ngati mukumwa mankhwalawa kuti muike impso, impso zanu ziyenera kukhala zikugwira ntchito ndipo simuyenera kukhala ndi zizindikilo zakukanidwa kwa ziwalo. Zizindikirozi zimatha kuphatikizira kusapeza bwino kapena kudwala, kutentha thupi, zizindikilo ngati chimfine, komanso kupweteka kapena kutupa mozungulira limba. Dokotala wanu adzayesanso magazi kuti aone kuwonongeka kwa impso.

Ngati mukumwa mankhwalawa pamatenda a nyamakazi, muyenera kukhala ndi zotupa zochepa komanso zopweteka m'malumikizidwe anu. Muyeneranso kuti muziyenda bwino. Zotsatirazi zikuyenera kuchitika patatha pafupifupi milungu 12 yakumwa mankhwala.

Zofunikira pakumwa azathioprine

Kumbukirani izi ngati dokotala akukulemberani azathioprine.

Zonse

• Tengani mankhwalawa mukatha kudya. Izi zitha kuthandiza kuchepetsa mavuto am'mimba.

Yosungirako

• Sungani mankhwalawa kutentha pakati pa 59 ° F mpaka 77 ° F (15 ° C ndi 25 ° C).
• Tetezani mankhwalawa ku kuwala.
• Osazizira azathioprine.
• Musasunge mankhwalawa m'malo onyowa kapena onyowa, monga mabafa.

Zowonjezeranso

Mankhwala a mankhwalawa amakonzanso. Simuyenera kusowa mankhwala atsopano kuti mudzazidwenso. Dokotala wanu adzalemba kuchuluka kwa mafuta obwezerezedwanso pamankhwala anu.

Kuyenda

Mukamayenda ndi mankhwala anu:

• Nthawi zonse muzinyamula mankhwala anu. Mukamauluka, musayikenso m'thumba lofufuzidwa. Sungani m'thumba lanu.
• Osadandaula za makina a X-ray pabwalo la ndege. Sangathe kuvulaza mankhwala anu.
• Mungafunike kuwonetsa ogwira ntchito ku eyapoti chizindikiro cha mankhwala anu. Nthawi zonse muzinyamula chidebe choyambirira cholembedwa ndi mankhwala.
• Musayike mankhwalawa m'galimoto yamagolovu amgalimoto yanu kapena siyani m'galimoto. Onetsetsani kuti musachite izi nyengo ikatentha kapena kuzizira kwambiri.

Kuwunika kuchipatala

Dokotala wanu akhoza kuyesa zina ndi zina mukamalandira mankhwalawa. Zitha kuphatikiza:

• Mayeso amwazi: Dokotala wanu amatha kuyesa magazi kuti aone ngati ali ndi vuto lakutuluka magazi kamodzi pa sabata m'mwezi woyamba wamankhwalawa. Pambuyo pake, akayezetsa magazi kawiri pamwezi kwa miyezi iwiri ikubwerayi. Ngati dokotala atasintha mlingo wa azathioprine, amayesa magazi kamodzi pamwezi kapena pafupipafupi.
• Kuyesedwa kwa chiwindi ndi impso: Dokotala wanu amatha kuyesa magazi nthawi ndi nthawi kuti aone momwe chiwindi ndi impso zanu zikugwirira ntchito.
• Yesani kusowa kwa TPMT: Dokotala wanu akhoza kuyesa magazi kuti awone ngati muli ndi vuto la TPMT, chifukwa vutoli limatha kuyambitsa matenda otaya magazi ngati mutamwa mankhwalawa.

Kuzindikira kwa dzuwa

Anthu omwe amamwa mankhwalawa akhoza kukhala ndi chiopsezo chachikulu cha khansa yapakhungu chifukwa chokhala padzuwa kwambiri. Valani zoteteza ku dzuwa ndi zoteteza kwambiri. Komanso valani zovala zoteteza, monga chipewa ndi manja atali.

Kupezeka

Osati mankhwala aliwonse omwe amakhala ndi mankhwalawa. Mukadzaza mankhwala anu, onetsetsani kuti mwayitanitsa patsogolo kuti mutsimikizire kuti mankhwala omwe muli nawo ali nawo.

Chilolezo chisanachitike

Makampani ambiri a inshuwaransi amafuna chilolezo choyambirira cha mankhwalawa. Izi zikutanthauza kuti dokotala wanu adzafunika kuvomerezedwa ndi kampani yanu ya inshuwaransi kampani yanu ya inshuwaransi isanakulipireni mankhwalawo.

Kodi pali njira zina?

Palinso mankhwala ena omwe amapezeka kuti athetse vuto lanu. Ena akhoza kukuyenererani kuposa ena. Lankhulani ndi dokotala wanu za mankhwala ena omwe angakuthandizeni.

Chodzikanira: Healthaline yayesetsa kwambiri kuti zidziwitso zonse zikhale zolondola, zokwanira, komanso zaposachedwa. Komabe, nkhaniyi sikuyenera kugwiritsidwa ntchito m'malo mwa chidziwitso ndi ukadaulo wa akatswiri pazachipatala. Muyenera kufunsa adotolo kapena akatswiri azaumoyo musanamwe mankhwala aliwonse. Zambiri zamankhwala zomwe zili pano zitha kusintha ndipo sizingapangidwe kuti zigwiritse ntchito, mayendedwe, zodzitetezera, machenjezo, kulumikizana ndi mankhwala, kusokonezeka, kapena zovuta zina. Kusapezeka kwa machenjezo kapena zidziwitso za mankhwala omwe apatsidwa sikuwonetsa kuti kuphatikiza mankhwala kapena mankhwalawa ndiwotetezeka, ogwira ntchito, komanso oyenera kwa odwala onse kapena ntchito zina zilizonse.