Mlembi: Eugene Taylor
Tsiku La Chilengedwe: 13 Ogasiti 2021
Sinthani Tsiku: 1 Kulayi 2024
Anonim
Diclofenac, gel osakaniza - Thanzi
Diclofenac, gel osakaniza - Thanzi

Zamkati

Timaphatikizapo zinthu zomwe timaganiza kuti ndizothandiza kwa owerenga athu. Ngati mutagula maulalo omwe ali patsamba lino, titha kupeza ndalama zochepa. Nayi njira yathu.

Mfundo zazikulu za diclofenac

  1. Diclofenac gel osakaniza amapezeka ngati mankhwala odziwika bwino komanso mankhwala osokoneza bongo. Mayina a Brand: Solaraze, Voltaren.
  2. Diclofenac imabweranso m'njira zina, kuphatikiza mapiritsi am'kamwa ndi makapisozi, madontho a diso, mapaketi a ufa wothira mkamwa, chigamba cha transdermal, ndi yankho la m'mutu.
  3. Diclofenac topical gel amagwiritsidwa ntchito pochiza matenda a osteoarthritis m'malo ena. Amagwiritsidwanso ntchito pochizira actinic keratosis (AK).

Kodi diclofenac ndi chiyani?

Diclofenac ndi mankhwala omwe mumalandira. Imabwera ngati gel wosakaniza, kapisozi wamlomo, piritsi yamlomo, madontho a diso, chigamba cha transdermal, yankho la topical, ndi mapaketi a ufa wothira mkamwa.

Diclofenac gel osakaniza amapezeka ngati mankhwala odziwika bwino Solaraze ndi Voltaren. Ikupezekanso ngati mankhwala achibadwa. Mankhwala achibadwa nthawi zambiri amakhala otsika poyerekeza ndi mitundu yamaina. Nthawi zina, sangapezeke mwamphamvu iliyonse kapena mawonekedwe aliwonse ngati mankhwala omwe amadziwika ndi dzina.


Voltaren (diclofenac 1%) tsopano ikupezeka OTC ngati Voltaren Arthritis Pain ku US

Chifukwa chimagwiritsidwa ntchito

Diclofenac topical gel imagwiritsidwa ntchito kuthandizira kupweteka kwa mafupa m'mitsempha yomwe ingapindule ndi chithandizo kudzera pakhungu. Malowa akuphatikizira omwe ali m'manja ndi mawondo anu.

Diclofenac topical gel imagwiritsidwanso ntchito pochizira actinic keratosis (AK). Matendawa amachititsa mabala akhungu, achikhungu pakhungu la okalamba.

Momwe imagwirira ntchito

Diclofenac ndi mankhwala osakanikirana ndi kutupa (NSAID).

Mankhwalawa amagwira ntchito potseka ma enzyme ena m'thupi lanu. Enzyme ikatsekedwa, thupi lanu limachepetsa kuchuluka kwa mankhwala otupa omwe amapanga. Izi zimathandiza kuchepetsa kutupa ndi kupweteka.

Diclofenac topical gel ingayambitse kugona. Osayendetsa kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani.

Zotsatira za Diclofenac

Diclofenac imatha kuyambitsa zovuta kapena zoyipa. Mndandanda wotsatirawu muli zovuta zina zomwe zingachitike mukamamwa Diclofenac. Mndandandawu mulibe zovuta zonse zomwe zingachitike. Kuti mumve zambiri pazomwe zingachitike chifukwa cha Diclofenac, kapena maupangiri amomwe mungalimbane ndi zovuta zoyipa, lankhulani ndi dokotala kapena wamankhwala.


Diclofenac amathanso kuyambitsa zovuta zina.

Zotsatira zofala kwambiri

Zotsatira zoyipa zomwe zimatha kuchitika ndi diclofenac gel ndi monga:

  • kuyabwa kapena kuthamanga pa tsamba lofunsira
  • kupweteka m'mimba
  • kudzimbidwa
  • kutsegula m'mimba
  • mpweya
  • kutentha pa chifuwa
  • nseru
  • kusanza
  • kugona

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 zachipatala. Zotsatira zoyipa komanso zizindikilo zake zimatha kukhala izi:

  • Matupi awo sagwirizana. Zizindikiro zimatha kuphatikiza:
    • kuyabwa
    • zidzolo
    • mavuto opuma
    • ming'oma
  • Edema. Zizindikiro zimatha kuphatikiza:
    • kutupa kwa mapazi kapena akakolo
    • kuthamanga kwa magazi
    • kuchuluka kulemera
  • Zilonda zam'mimba kapena kutuluka m'mimba. Zizindikiro zimatha kuphatikiza:
    • mipando yakuda kwambiri
    • magazi mu mpando wanu
  • Kulalata mosavuta.

Momwe mungagwiritsire ntchito diclofenac

Mlingo wa Diclofenac yemwe dokotala amakupatsani umadalira pazinthu zingapo. Izi zikuphatikiza:


  • mtundu ndi kuuma kwa chikhalidwe chomwe mukugwiritsa ntchito Diclofenac kuchiza
  • zaka zanu
  • mawonekedwe a Diclofenac omwe mumatenga
  • matenda ena omwe mungakhale nawo

Nthawi zambiri, dokotala wanu amakupangitsani muyeso wochepa ndikusintha pakapita nthawi kuti mufike pamlingo woyenera kwa inu. Potsirizira pake adzapereka mankhwala ochepetsetsa omwe amapereka zomwe mukufuna.

Chidziwitso chotsatirachi chimalongosola miyezo yomwe amagwiritsidwa ntchito kwambiri kapena amalimbikitsidwa. Komabe, onetsetsani kuti mwatenga mlingo womwe dokotala akukulemberani. Dokotala wanu adzazindikira mlingo woyenera kuti ugwirizane ndi zosowa zanu.

Mlingo ndi mafomu onse omwe sangakhale nawo sangaphatikizidwe pano.

Mlingo wa actinic keratoses (AK)

Zowonjezera: Diclofenac

  • Mawonekedwe: apakhungu gel osakaniza
  • Mphamvu: 3%

Mtundu: Dzuwa

  • Mawonekedwe: apakhungu gel osakaniza
  • Mphamvu: 3%

Mlingo wachikulire (wazaka 18 kapena kupitirira)

Ikani gel osakaniza diclofenac ku zotupa za AK kawiri patsiku. Nthawi zambiri, 0,5 magalamu (gm) a gel amagwiritsidwa ntchito patsamba lililonse lomwe lili mainchesi awiri ndi mainchesi awiri (5 sentimita ndi 5 sentimita). Kutalika kwa chithandizo ndi masiku 60 mpaka 90.

Mlingo wa ana (zaka 0-17 zaka)

Mlingo wa anthu ochepera zaka 18 sunakhazikitsidwe.

Mlingo wa osteoarthritis

Zowonjezera: Diclofenac

  • Mawonekedwe: apakhungu gel osakaniza
  • Mphamvu: 1%

Mtundu: Zamgululi

  • Mawonekedwe: apakhungu gel osakaniza
  • Mphamvu: 1%

Mlingo wachikulire (wazaka 18 kapena kupitirira)

  • Gel ya diclofenac imagwiritsidwa ntchito kanayi patsiku kudera lomwe lakhudzidwa. Khadi la dosing lomwe limaphatikizidwa ndi phukusi la mankhwala liyenera kugwiritsidwa ntchito kuyeza kuchuluka kwa gel osakaniza ndi maupawa opweteka.
    • Osagwiritsa ntchito 8 gm patsiku pophatikizira dzanja limodzi, dzanja, chigongono.
    • Osagwiritsa ntchito 16 gm patsiku pophatikizira bondo, akakolo kapena phazi.
    • Mlingo wonse wa gel osakaniza wa diclofenac sayenera kukhala wopitilira 32 gm patsiku, pamalumikizidwe onse omwe akhudzidwa.

Mlingo wa ana (zaka 0-17 zaka)

Mlingo wa anthu ochepera zaka 18 sunakhazikitsidwe.

Maganizo apadera

Okalamba: Ngati muli ndi zaka 65 kapena kupitilira apo, thupi lanu limatha kugwiritsa ntchito mankhwalawa pang'onopang'ono. Dokotala wanu akhoza kukuyambitsani pamlingo wotsika kuti mankhwala ochulukirapo asakule mthupi lanu. Mankhwala ochuluka kwambiri m'thupi lanu akhoza kukhala owopsa.

Gwiritsani ntchito monga mwauzidwa

Diclofenac imagwiritsidwa ntchito pochizira kwakanthawi. Iyenera kugwiritsidwa ntchito kwakanthawi kochepa kwambiri kuthana ndi vutoli. Ngati dokotala akufuna kuti mugwiritse ntchito kwa nthawi yayitali, dokotala wanu ayenera kuyang'ana chiwindi chanu, magwiridwe antchito a impso, komanso kuthamanga kwa magazi nthawi ndi nthawi.

Mankhwalawa amabwera ndi zoopsa ngati simugwiritsa ntchito monga mwalembedwera.

Mukasiya kumwa mankhwalawa kapena osamwa konse: Mukasiya kugwiritsa ntchito diclofenac ndikukhalabe ndi kutupa ndi kupweteka, mutha kukhala ndi ziwalo zolumikizana kapena zolimba zomwe sizichira.

Ngati mwaphonya Mlingo kapena osamwa mankhwalawo panthawi yake: Mankhwala anu mwina sagwira ntchito kapena akhoza kusiya kugwira ntchito kwathunthu. Kuti mankhwalawa agwire bwino ntchito, kuchuluka kwake kumayenera kukhala mthupi lanu nthawi zonse.

Ngati mumagwiritsa ntchito kwambiri: Mutha kukhala ndimankhwala owopsa mthupi lanu. Zizindikiro za bongo za mankhwalawa zingaphatikizepo:

  • Zilonda zam'mimba
  • kutuluka m'mimba
  • mutu

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.

Zomwe muyenera kuchita mukaphonya mlingo: Ikani mlingo wanu mukangokumbukira. Koma ngati mukukumbukira kutangotsala maola ochepa kuti muyambe kumwa mankhwala, tengani mlingo umodzi wokha. Osayesa konse kutenga mwa kumwa miyezo iwiri nthawi imodzi. Izi zitha kubweretsa zovuta zoyipa.

Momwe mungadziwire ngati mankhwalawa akugwira ntchito: Zizindikiro zanu ziyenera kusintha.

Machenjezo a Diclofenac

Mankhwalawa amabwera ndi machenjezo angapo.

Chenjezo la FDA: Mankhwala osagwiritsa ntchito kutupa (NSAID)

  • 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.
  • Kutaya magazi m'mimba, zilonda zam'mimba, ndi mafuta: Ma NSAID amatha kuyambitsa chiwopsezo chambiri chotaya magazi, zilonda (zilonda zam'mimba), ndi mabowo (mafuta) m'mimba kapena m'matumbo, omwe amatha kupha. Izi zimatha kuchitika nthawi iliyonse mukamagwiritsa ntchito komanso popanda zidziwitso. Okalamba ndi anthu omwe ali ndi mbiri yakale yamatenda am'mimba kapena kutuluka magazi kwa GI ali pachiwopsezo chachikulu cha zochitika zazikulu za GI.
  • Kuopsa kwa matenda amtima: Diclofenac ndi mankhwala osakanikirana ndi kutupa (NSAID). Ma NSAID onse amatha kuwonjezera chiopsezo cha matenda a mtima, kulephera kwa mtima, kapena stroke. Vutoli limatha kupitilira nthawi yayitali mukamagwiritsa ntchito ma NSAID, ndipo ngati mumagwiritsa ntchito kwambiri. Chiwopsezo chanu chitha kukhala chachikulu ngati mungakhale pachiwopsezo cha matenda amtima, monga kuthamanga kwa magazi. Ngati muli ndi matenda amtima, lankhulani ndi dokotala musanagwiritse ntchito diclofenac.
  • Opaleshoni: Simuyenera kugwiritsa ntchito diclofenac musanachite opareshoni, makamaka opaleshoni yodutsa mtima. Lankhulani ndi dokotala ngati mutagwiritsa ntchito diclofenac ndipo mudzachitidwa opaleshoni posachedwa.

Chenjezo la ziwengo

Ngati muli ndi vuto la aspirin kapena ma NSAID ena ofanana, monga ibuprofen kapena naproxen, mutha kukhala ndi vuto la diclofenac. Itanani dokotala wanu nthawi yomweyo ngati muli ndi zizindikiro za:

  • kupuma
  • kuvuta kupuma
  • ming'oma
  • zotupa zotupa

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

Musagwiritsenso ntchito mankhwalawa ngati mwakhalapo ndi vuto linalake. Kuigwiritsanso ntchito kumatha kupha (kuyambitsa imfa).

Chenjezo logwirizana ndi zakumwa zoledzeretsa

Pewani kumwa mowa mukamagwiritsa ntchito mankhwalawa. Mowa umatha kuwonjezera chiopsezo chanu cha zilonda zam'mimba pogwiritsa ntchito diclofenac.

Lumikizanani ndi chenjezo la mankhwala

Diclofenac gel osakaniza akhoza kusamutsa ena. Onetsetsani kuti gelisi yauma pakhungu lanu musanakhudze wina aliyense.

Machenjezo kwa anthu omwe ali ndi matenda ena

Kwa anthu omwe ali ndi kuthamanga kwa magazi kapena kusungira madzi: Uzani dokotala wanu musanagwiritse ntchito diclofenac. Mtima wanu ukhoza kale kugwira ntchito mwakhama, ndipo kuwonjezera pa NSAID kungakulitse ntchitoyi.

Kwa anthu omwe ali ndi zilonda zam'mimba kapena m'mimba m'mimba: Ngati mwakhala ndi zilonda zam'mimba kapena kutuluka magazi m'thupi lanu, funsani dokotala musanagwiritse ntchito diclofenac. Muli pachiwopsezo chambiri magazi ena.

Kwa anthu omwe ali ndi matenda a impso kapena omwe amatenga okodzetsa: Ngati muli ndi matenda a impso kapena mumamwa ma diuretics (mapiritsi amadzi), pali chiopsezo kuti mankhwalawa atha kukhudza impso zanu kuti athe kuchotsa madzi ochuluka mthupi lanu. Funsani dokotala ngati diclofenac ndi mankhwala oyenera kwa inu.

Kwa anthu omwe ali ndi mphumu ndi aspirin reaction: Ngati muli ndi mphumu ndipo mumamva za aspirin, mutha kuyipidwa ndi diclofenac. Lankhulani ndi dokotala musanagwiritse ntchito mankhwalawa.

Machenjezo kwa magulu ena

Kwa amayi apakati: Asanathe milungu 30 ali ndi pakati, mankhwalawa ndi omwe ali mgulu laling'ono C. Pambuyo pa masabata makumi atatu ali ndi pakati, ndi gawo la mimba D gawo.

Mankhwala a m'gulu C amatanthauza kuti zikutanthauza kuti kafukufuku wasonyeza kuti mankhwalawa atha kukhala pachiwopsezo kwa ana a ziweto. Komabe, palibe maphunziro okwanira omwe adachitika kuti awonetse chiopsezo mwa anthu.

Gawo D limatanthauza zinthu ziwiri:

  1. Kafukufuku akuwonetsa chiopsezo chazovuta kwa mwana wosabadwa mayi akagwiritsa ntchito mankhwalawa.
  2. Ubwino wogwiritsa ntchito diclofenac panthawi yoyembekezera ukhoza kupitilira zovuta zomwe zingakhalepo nthawi zina.

Musagwiritse ntchito diclofenac ngati muli ndi pakati, pokhapokha ngati dokotala akukulangizani. Onetsetsani kuti mwapewa kugwiritsa ntchito diclofenac pamasabata 30 apakati komanso pambuyo pake.

Kwa amayi omwe akuyamwitsa: Mankhwalawa amatha kulowa mkaka wa m'mawere, zomwe zikutanthauza kuti amatha kupita kwa mwana yemwe akuyamwitsa. Izi zitha kubweretsa zovuta ku mwanayo.

Lankhulani ndi dokotala wanu ngati kuyamwitsa ndibwino kwa inu.

Kwa okalamba: Okalamba ali pachiwopsezo chachikulu cha mavuto am'mimba, kutuluka magazi, kusungira madzi, ndi zovuta zina kuchokera ku diclofenac. Okalamba amathanso kukhala ndi impso zomwe sizikugwira ntchito kwambiri, chifukwa chake mankhwalawa amatha kupanga ndikuwonjezera zovuta zina.

Diclofenac imatha kulumikizana ndi mankhwala ena

Diclofenac amatha kuyanjana ndi mankhwala ena angapo. Kuyanjana kosiyanasiyana kumatha kubweretsa zovuta zosiyanasiyana. Mwachitsanzo, ena amatha kusokoneza momwe mankhwala amagwirira ntchito, pomwe ena amatha kuyambitsa zovuta zina.

M'munsimu muli mndandanda wa mankhwala omwe angagwirizane ndi Diclofenac. Mndandandawu mulibe mankhwala onse omwe angagwirizane ndi Diclofenac.

Musanamwe Diclofenac, onetsetsani kuti muuze dokotala komanso wamankhwala zamankhwala anu onse, owonjezera pa counter, ndi mankhwala ena omwe mumamwa. Auzeni za mavitamini, zitsamba, ndi zowonjezera zilizonse zomwe mumagwiritsa ntchito. Kugawana izi kungakuthandizeni kupewa kuyanjana komwe kungachitike.

Ngati muli ndi mafunso okhudzana ndi mankhwala omwe angakukhudzeni, funsani dokotala kapena wamankhwala.

Mankhwala osokoneza bongo

Diclofenac imatha kuchepetsa kuthamanga kwa magazi komwe kumachepetsa zotsatira zamankhwala ena omwe amagwiritsidwa ntchito poletsa kuthamanga kwa magazi. Kugwiritsira ntchito diclofenac ndi mankhwala ena a magazi kumathanso kuwonjezera chiopsezo cha impso.

Zitsanzo za mankhwala a magaziwa ndi awa:

  • angiotensin-converting enzyme (ACE) inhibitors, monga benazepril, captopril, enalapril, ndi lisinopril
  • angiotensin II receptor blockers, monga candesartan, irbesartan, losartan, ndi olmesartan
  • beta-blockers, monga acebutolol, atenolol, metoprolol, ndi propranolol
  • diuretics (mapiritsi amadzi), monga furosemide ndi hydrochlorothiazide

Mankhwala a khansa

Kugwiritsa ntchito mankhwala a khansa pemetrex ndi diclofenac imatha kukulitsa zovuta za pemetrexed. Zizindikiro zake ndi monga kutentha thupi, kuzizira, kupweteka kwa thupi, zilonda mkamwa, ndi kutsegula m'mimba kwambiri.

Ma NSAID ena

Diclofenac ndi mankhwala osakanikirana ndi kutupa (NSAID). Osaziphatikiza ndi ma NSAID ena pokhapokha mutayang'aniridwa ndi dokotala wanu, chifukwa izi zitha kukulitsa chiopsezo chanu cham'mimba ndi magazi. Zitsanzo za ma NSAID ena ndi awa:

  • ketorolac
  • ibuprofen
  • naproxen
  • alireza
  • aspirin

Mankhwala omwe amakhudza kuyenda kwa magazi

Kutenga diclofenac ndi mankhwala ena omwe amakhudza kuyenda kwa magazi kudzera mthupi lanu kumatha kuwonjezera ngozi yakutuluka magazi. Zitsanzo za mankhwalawa ndi monga:

  • warfarin
  • aspirin
  • serotonin reuptake inhibitors (SSRIs), monga escitalopram, fluoxetine, paroxetine, ndi sertraline
  • serotonin-norepinephrine reuptake inhibitors (SNRIs), monga desvenlafaxine, duloxetine, venlafaxine, ndi levomilnacipran

Bipolar matenda osokoneza bongo

Ngati mutenga lifiyamu ndi diclofenac, itha kuwonjezera ma lithiamu mthupi lanu kukhala owopsa. Dokotala wanu amatha kuyang'anira ma lithiamu anu mwatcheru.

Mankhwala osokoneza bongo

Kutenga cyclosporine, mankhwala omwe amachepetsa chitetezo chamthupi, ndi diclofenac imakulitsa chiopsezo cha mavuto a impso.

Methotrexate

Kutenga methotrexate ndi diclofenac itha kubweretsa mulingo woyipa wa methotrexate mthupi lanu. Izi zitha kubweretsa chiopsezo chotenga matenda komanso impso.

Digoxin

Kutenga Chinthaka ndi diclofenac imatha kubweretsa kuchuluka kwa digoxin mthupi lanu ndikuwonjezera zovuta zina. Dokotala wanu amatha kuyang'anitsitsa kuchuluka kwanu kwa digoxin.

Zofunikira pakugwiritsa ntchito diclofenac

Kumbukirani izi ngati dokotala akukulemberani diclofenac.

Zowonjezeranso

Mankhwala a mankhwalawa amakonzanso. Simuyenera kusowa mankhwala atsopano kuti mankhwalawa adzazidwenso. 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

Ngati mumagwiritsa ntchito diclofenac kwa nthawi yayitali, dokotala wanu ayenera kuyesa magazi kuti aone ngati impso ndi chiwindi zikugwira ntchito kamodzi pachaka.

Muyenera kudziyesa nokha kuthamanga kwa magazi nthawi ndi nthawi. Oyang'anira kuthamanga kwa magazi kunyumba amapezeka kuma pharmacies ambiri komanso pa intaneti.

Gulani pa intaneti kuti muwone momwe magazi akuyendera.

Kuzindikira kwa dzuwa

Mutha kukhala ndi chidwi chochulukirapo padzuwa mukamagwiritsa ntchito diclofenac. Kuti muteteze khungu lanu, gwiritsani ntchito zoteteza ku dzuwa ndi SPF 30 kapena kupitilira apo.

Kupezeka

Osati mankhwala aliwonse omwe amakhala ndi mankhwalawa. Komabe, mutha kuyitanitsa. Mukamadzaza mankhwala anu, onetsetsani kuti mwayimbira kaye mankhwalawo kuti muwonetsetse kuti ali ndi mankhwalawa kapena akhoza kukuitanirani.

Chilolezo chisanachitike

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

Ngati kampani yanu ya inshuwaransi silingakwaniritse fomu iyi, mungaganizire zowunika ngati zingayende piritsi kapena kapisozi m'malo mwake.

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, zomveka bwino, 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.

Nthawi yoyimbira dotolo

Ngati kupweteka kwanu sikukuyenda bwino, kapena ngati kutupa, kufiira, ndi kuuma kwa ziwalo zanu sizikukula, itanani dokotala wanu. Mankhwalawa sangakhale akukuthandizani.

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