Mlembi: Louise Ward
Tsiku La Chilengedwe: 12 Febuluwale 2021
Sinthani Tsiku: 14 Novembala 2024
Anonim
Donepezil, Piritsi Yamlomo - Thanzi
Donepezil, Piritsi Yamlomo - Thanzi

Zamkati

Mfundo zazikulu za donepezil

  1. Pulogalamu yamlomo ya Donepezil imapezeka ngati mankhwala osokoneza bongo komanso mankhwala osokoneza bongo. Dzina la dzina: Aricept.
  2. Donepezil imabwera m'mitundu iwiri yamapiritsi am'kamwa: piritsi ndi piritsi losweka (ODT).
  3. Piritsi lamlomo la Donepezil limagwiritsidwa ntchito pochiza matenda amisala chifukwa chofatsa, pang'ono, komanso matenda a Alzheimer's. Mankhwalawa si mankhwala a matenda a Alzheimer's, koma atha kuthandiza kuchepetsa kuchepa kwa zizindikilo.

Kodi donepezil ndi chiyani?

Donepezil ndi mankhwala akuchipatala. Imabwera m'mitundu iwiri yamapiritsi am'kamwa: piritsi lakamwa ndi piritsi losweka pakamwa (ODT).

Donepezil piritsi yamlomo imapezeka ngati dzina lodziwika Aricept. Ikupezekanso ngati mankhwala achibadwa. Mankhwala achibadwa nthawi zambiri amakhala otsika poyerekeza ndi mtundu wamaina. Nthawi zina, sangapezeke mwamphamvu iliyonse kapena mawonekedwe aliwonse monga mankhwala omwe amadziwika ndi dzina.

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


Chifukwa chimagwiritsidwa ntchito

Donepezil imagwiritsidwa ntchito pochizira matenda amisala chifukwa chofatsa, pang'ono, komanso matenda a Alzheimer's. Mankhwalawa si mankhwala a matenda a Alzheimer's, koma atha kuthandiza kuchepetsa momwe zizindikilo zanu zimayendera msanga. Zizindikiro za matenda a Alzheimer zimaipiraipira pakapita nthawi, ngakhale mutamwa mankhwala monga donepezil.

Momwe imagwirira ntchito

Donepezil ndi gulu la mankhwala otchedwa acetylcholinesterase inhibitors. Gulu la mankhwala ndi gulu la mankhwala omwe amagwiranso ntchito chimodzimodzi. Mankhwalawa amagwiritsidwa ntchito pochiza zofananira.

Anthu omwe ali ndi matenda a Alzheimer ali ndi mankhwala ochepa muubongo otchedwa acetylcholine. Kuchepetsa kwa mankhwalawa kumatha kuyambitsa matenda amisala, kapena mavuto amisala kapena kuchita ntchito za tsiku ndi tsiku. Donepezil imagwira ntchito poletsa kuwonongeka kwa acetylcholine. Izi zitha kuthandiza kuchepa kwa matenda amisala.

Donepezil mavuto

Donepezil piritsi la pakamwa silimayambitsa kugona, koma limatha kuyambitsa zovuta zina.


Zotsatira zofala kwambiri

Zotsatira zoyipa zomwe zimatha kuchitika ndi donepezil ndi monga:

  • nseru
  • kutsegula m'mimba
  • osagona bwino
  • kusanza
  • kukokana kwa minofu
  • kutopa
  • osafuna kudya kapena kudya pang'ono
  • kuvulaza
  • kuonda

Ngati zotsatirazi ndizochepa, zimatha kutha masiku angapo kapena milungu ingapo. Ngati ali ovuta kwambiri kapena osapita, lankhulani ndi dokotala kapena wamankhwala.

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:

  • Kugunda kwa mtima ndikuchepa
  • Zilonda zam'mimba ndi magazi, zizindikiro zimatha kuphatikiza:
    • kutentha pa chifuwa
    • kupweteka m'mimba komwe sikudzatha
    • nseru kapena kusanza
    • magazi m'masanzi anu, kapena masanzi achikuda omwe amawoneka ngati malo a khofi
    • matumbo omwe amawoneka ngati phula lakuda
  • Kukula kwa mavuto m'mapapo mwa anthu omwe ali ndi mphumu kapena matenda ena am'mapapo
  • Kugwidwa
  • Kuvuta kukodza

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.


Donepezil angayambitse mavuto pamene anatengedwa ndi mankhwala ochititsa dzanzi. Uzani dokotala kapena dokotala kuti mukumwa mankhwalawa musanalandire chithandizo chilichonse chamankhwala kapena mano.

Donepezil amatha kulumikizana ndi mankhwala ena

Donepezil piritsi yamlomo 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 donepezil alembedwa pansipa.

Mankhwala ochititsa dzanzi

Mankhwalawa ndi donepezil amagwira ntchito mofananamo. Kuwatenga pamodzi kungapangitse chiopsezo chanu chotsatira. Uzani dokotala kapena dokotala kuti mukumwa mankhwalawa musanalandire chithandizo chilichonse chamankhwala kapena mano.

Zitsanzo za mankhwalawa ndi monga:

  • alireza

Mankhwala antifungal

Mukamwedwa ndi donepezil, mankhwalawa amatha kukulitsa muyeso wa pezil m'thupi lanu. Izi zitha kuyambitsa zovuta zina. Zitsanzo za mankhwalawa ndi monga:

  • ketoconazole

Antihistamines

Mankhwalawa ndi donepezil amagwira ntchito mosiyanasiyana. Mukazigwiritsa ntchito limodzi, mankhwalawa sangakhale othandiza kwenikweni. Kapena mutha kukhala ndi chiopsezo chachikulu chazovuta. Zitsanzo za mankhwalawa ndi monga:

  • dimenhydrinate
  • diphenhydramine
  • hydroxyzine

Mankhwala otetezera mankhwala

Mukamwedwa ndi donepezil, mankhwalawa amatha kutsitsa mlingo wa donepezil mthupi lanu. Izi zikutanthauza kuti mwina sizingagwire bwino ntchito pochotsa matenda anu amisala. Zitsanzo za mankhwalawa ndi monga:

  • muthoni
  • carbamazepine
  • anayankha

Mankhwala osokoneza bongo

Donepezil ndi ma anti-depressant ena amagwira ntchito mosiyanasiyana. Mukazigwiritsa ntchito limodzi, mankhwalawa sangakhale othandiza. Kapena mutha kukhala ndi chiopsezo chachikulu chazovuta. Zitsanzo za mankhwalawa ndi monga:

  • kutchfuneralhome
  • desipramine
  • alireza
  • kutchfuneralhome

Mankhwala amtima

Mukamwedwa ndi donepezil, mankhwalawa amatha kukulitsa muyeso wa pezil m'thupi lanu. Izi zitha kuyambitsa zovuta zina. Zitsanzo za mankhwalawa ndi monga:

  • quinidine

Mankhwala owonjezera a chikhodzodzo

Mankhwalawa ndi donepezil amagwira ntchito mosiyanasiyana. Mukazigwiritsa ntchito limodzi, mankhwalawa sangakhale othandiza. Kapena mutha kukhala ndi chiopsezo chachikulu chazovuta. Zitsanzo za mankhwalawa ndi monga:

  • alireza
  • oxybutynin
  • chopondera
  • trospium

Steroids

Mukamwedwa ndi donepezil, ma steroids ena amachepetsa mulingo wa donepezil mthupi lanu. Izi zikutanthauza kuti sizingagwire bwino ntchito pochotsa matenda anu amisala. Zitsanzo za mankhwalawa ndi monga:

  • dexamethasone

Mankhwala am'mimba

Mankhwala ena am'mimba ndi donepezil amagwira ntchito mosiyanasiyana. Mukazigwiritsa ntchito limodzi, mankhwalawa sangakhale othandiza kwenikweni. Kapena mutha kukhala ndi chiopsezo chachikulu chazovuta. Zitsanzo za mankhwalawa ndi monga:

  • alirezatalischi
  • hyoscyamine
  • loperamide

Mankhwala achifuwa

Mukamwedwa ndi donepezil, mankhwalawa amatha kutsitsa mlingo wa donepezil mthupi lanu. Izi zikutanthauza kuti sizingagwire bwino ntchito pochotsa matenda anu amisala. Zitsanzo za mankhwalawa ndi monga:

  • rifampin

Mankhwala osungira mkodzo

Mankhwalawa amagwiranso ntchito chimodzimodzi ndi pezil. Kuwatenga pamodzi kungapangitse chiopsezo chanu chotsatira. Zitsanzo za mankhwalawa ndi monga:

  • alireza

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 zaumoyo pazomwe mungachite ndi mankhwala onse, mavitamini, zitsamba ndi zowonjezera, komanso mankhwala owonjezera omwe mumamwa.

Momwe mungathere pezil

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

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

Mitundu ya mankhwala ndi mphamvu

Zowonjezera: Donepezil

  • Mawonekedwe: piritsi yamlomo
  • Mphamvu: 5 mg, 10 mg, ndi 23 mg
  • Mawonekedwe: piritsi losweka pakamwa (ODT)
  • Mphamvu: 5 mg ndi 10 mg

Mtundu: Aricept

  • Mawonekedwe: piritsi yamlomo
  • Mphamvu: 5 mg, 10 mg, ndi 23 mg

Mlingo wa matenda amisala chifukwa cha matenda a Alzheimer's

Mlingo wachikulire (wazaka 18 kapena kupitirira)

  • Matenda ofatsa a Alzheimer: Mlingo woyambira ndi 5 mg womwe umatengedwa madzulo aliwonse musanagone. Pambuyo pa masabata 4 mpaka 6, dokotala wanu akhoza kuwonjezera mlingo wanu kwa 10 mg patsiku ngati kuli kofunikira.
  • Matenda ochepa kwambiri a Alzheimer's: Mlingo woyambira ndi 5 mg womwe umatengedwa madzulo asanagone. Pambuyo pa masabata 4 mpaka 6, dokotala wanu akhoza kuwonjezera mlingo wanu kwa 10 mg patsiku ngati kuli kofunikira. Pambuyo pa miyezi itatu, dokotala wanu akhoza kuwonjezera mlingo wanu ku 23 mg patsiku.

Mlingo wa ana (zaka 0 mpaka 17 zaka)

Mankhwalawa sanaphunzire kwa ana. Sayenera kugwiritsidwa ntchito kwa ana ochepera zaka 18.

Mlingo ukuwonjezeka

Dokotala wanu adzawonjezera mlingo wanu pang'onopang'ono ngati pakufunika kutero. Izi zimapatsa mankhwalawa nthawi yogwira ntchito ndikuchepetsa chiopsezo chanu chazovuta.

Maganizo apadera

Kwa anthu omwe ali ndi vuto la chiwindi: Ngati chiwindi chanu sichikuyenda bwino, mankhwalawa amatha kukhala mthupi lanu nthawi yayitali ndikukuyikani pachiwopsezo chachikulu. Mungafunike mlingo wotsika kapena magawo ena osiyanasiyana.

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.

Machenjezo a Donepezil

Mankhwalawa amabwera ndi machenjezo angapo.

Chenjezo lakuchepa kwa mtima

Donepezil ikhoza kuyambitsa kugunda kwa mtima pang'ono ndikukomoka. Itanani dokotala wanu nthawi yomweyo ngati izi zichitika. Chiwopsezo chanu pankhaniyi chitha kukhala chachikulu ngati muli ndi mavuto amtima.

Kuchenjeza m'mimba / zilonda zam'mimba

Donepezil imatha kukulitsa asidi m'mimba mwako, zomwe zimakulitsa chiopsezo chakutuluka m'mimba kapena zilonda zam'mimba. Chiwopsezo chimakhala chachikulu kwa anthu omwe ali ndi mbiri ya zilonda zam'mimba, komanso anthu omwe ali ndi aspirin kapena mankhwala ena osagwiritsa ntchito zotupa (NSAIDs). Uzani dokotala wanu ngati muli ndi mbiri ya zilonda zam'mimba kapena zovuta zam'mimba, kapena ngati mukumwa aspirin kapena ma NSAID ena.

Chenjezo la ziwengo

Donepezil imatha kuyambitsa vuto lalikulu. Zizindikiro zake ndi izi:

  • kuvuta kupuma kapena kumeza
  • kutupa kwa nkhope yanu, milomo, mmero, kapena lilime
  • ming'oma

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

Musatengerenso mankhwalawa ngati munakhalapo ndi vuto linalake kapena mankhwala ena omwe ali ndi piperidines. Kutenganso kumatha kukhala koopsa (kuyambitsa imfa).

Machenjezo kwa anthu omwe ali ndi matenda ena

Kwa anthu omwe ali ndi mavuto amtima: Uzani dokotala wanu ngati muli ndi mavuto amtima, makamaka mavuto osakhazikika, osachedwa, kapena othamanga mtima. Muli ndi chiopsezo chachikulu chokumana ndi kugunda kwa mtima pang'ono ndi kukomoka mukamamwa donepezil.

Kwa anthu omwe ali ndi zilonda zam'mimba kapena kutuluka magazi: Lankhulani ndi dokotala wanu ngati muli ndi vuto la m'mimba, zilonda zam'mimba, kapena magazi. Donepezil imatha kuwonjezera kuchuluka kwa asidi m'mimba mwanu. Izi zitha kukuikani pachiwopsezo chotenga zilonda zam'mimba kapena kutuluka magazi.

Kwa anthu omwe ali ndi mavuto am'mapapo: Lankhulani ndi dokotala wanu ngati muli ndi mphumu kapena matenda ena am'mapapo. Donepezil imatha kukulitsa izi, chifukwa chake iyenera kugwiritsidwa ntchito mosamala.

Kwa anthu omwe ali ndi mavuto a chikhodzodzo: Donepezil imatha kulepheretsa chikhodzodzo chanu, zomwe zimapangitsa kuti kukhale kovuta kukodza. Lankhulani ndi dokotala ngati mwakhalapo ndi vuto lililonse la chikhodzodzo m'mbuyomu.

Kwa anthu omwe ali ndi khunyu kapena khunyu: Donepezil ikhoza kuyambitsa khunyu. Uzani dokotala wanu ngati mwakhala mukudwalapo kale. Matenda a Alzheimer amathanso kukweza chiopsezo chanu chogwidwa.

Kwa anthu omwe ali ndi vuto la chiwindi: Lankhulani ndi dokotala wanu ngati muli ndi vuto la chiwindi. Ngati chiwindi chanu sichikuyenda bwino, mankhwalawa amatha kukhala mthupi lanu nthawi yayitali. Izi zimakuyika pachiwopsezo chachikulu chazotsatira.

Machenjezo kwa magulu ena

Kwa amayi apakati: Donepezil ndi gulu C la mankhwala osokoneza bongo. Izi zikutanthauza zinthu ziwiri:

  1. Kafukufuku wazinyama awonetsa zovuta kwa mwana wosabadwa mayi atamwa mankhwalawo.
  2. Sipanakhale maphunziro okwanira omwe adachitika mwa anthu kuti atsimikizire momwe mankhwalawo angakhudzire mwana wosabadwayo.

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

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

Kwa amayi omwe akuyamwitsa: Sizikudziwika ngati donepezil imadutsa mkaka wa m'mawere. Ngati zitero, zimatha kuyambitsa mavuto kwa mwana yemwe akuyamwitsa. Lankhulani ndi dokotala ngati mukuyamwitsa mwana wanu. Muyenera kusankha kuti musiye kuyamwa kapena kusiya kumwa mankhwalawa.

Kwa okalamba: Mukamakula, ziwalo zanu (monga chiwindi ndi impso) sizingagwire bwino ntchito monga momwe zimakhalira mukadali achichepere. Zambiri mwa mankhwalawa zimatha kukhala mthupi lanu nthawi yayitali, zomwe zimayika pachiwopsezo chazovuta zina.

Kwa ana: Sizikudziwika kuti donepezil ndi yotetezeka kapena yothandiza kugwiritsidwa ntchito kwa ana ochepera zaka 18.

Tengani monga mwalamulidwa

Donepezil m`kamwa piritsi ntchito mankhwala yaitali. Zimabwera ndi zoopsa zazikulu ngati simukuzitenga monga mwalamulo.

Ngati simutenga konse kapena siyani kumwa: Ngati simumamwa pafupipafupi kapena kusiya kumwa, donepezil sangagwire ntchito yothana ndi matenda amisala ndipo zizindikilo zanu sizingasinthe.

Ngati mutenga zochuluka kwambiri: Ngati mutamwa kwambiri, mutha kukhala ndi zotsatirazi:

  • nseru kwambiri
  • kusanza
  • kutaya madzi (kuchuluka kwa malovu)
  • thukuta
  • kugunda kwa mtima pang'ono
  • kuthamanga kwa magazi
  • kuvuta kupuma
  • kugwidwa
  • kufooka kwa minofu

Ngati mukuganiza kuti mwamwa kwambiri mankhwalawa, itanani dokotala wanu kapena funsani malangizo kuchokera ku American Association of Poison Control Center ku 1-800-222-1222 kapena kudzera pa chida chawo pa intaneti.

Koma ngati matenda anu akukulira, itanani 911 kapena pitani kuchipatala chapafupi pomwepo. Mutha kupatsidwa mankhwala monga atropine kuti musinthe zotsatira zakumwa kwambiri pezil.

Zomwe muyenera kuchita mukaphonya mlingo: Ngati mwaphonya mlingo wa mankhwala a pezil, tulukani mlingowo. Dikirani kuti mutenge mlingo wanu wotsatira panthawi yake.

Musatenge mlingo waukulu umodzi panthawi imodzi kuti mupange mlingo wosowa. Ngati mwaphonya kumwa donepezil masiku asanu ndi awiri kapena kupitilira apo, lankhulani ndi dokotala musanayambirenso kumwa.

Momwe mungadziwire ngati mankhwalawa akugwira ntchito: Maganizo anu ndi kuthekera kwanu kuchita ntchito za tsiku ndi tsiku zikuyenera kusintha.

Ndikofunika kukumbukira kuti donepezil sachiza matenda a Alzheimer's. Zizindikiro za matenda a Alzheimer zimaipiraipira pakapita nthawi, ngakhale mutamwa mankhwalawa.

Zofunikira pakumwa kwa donepezil

Kumbukirani izi ngati dokotala akukulemberani pezil.

Zonse

  • Donepezil akhoza kumwedwa kapena wopanda chakudya.
  • Muyenera kumwa madzulo musanagone.
  • Osagawanika, kuphwanya, kapena kutafuna mapiritsi a 23-mg.

Yosungirako

  • Sungani mankhwalawa kutentha kwapakati pakati pa 59 ° F ndi 86 ° F (15 ° C ndi 30 ° C).
  • 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.

Kudziyang'anira pawokha

Ngati mukumwa mapiritsi omwe amawonongeka pakamwa, musameze mapiritsi athunthu. Aloleni iwo asungunuke pa lilime lanu. Kenako imwani madzi pambuyo pake kuti muwonetsetse kuti mwamwa mankhwala athunthu.

Kuwunika kuchipatala

Musanayambe komanso mukamamwa mankhwalawa, dokotala angawone zotsatirazi:

  • Zilonda zam'mimba kapena kutuluka magazi. Mankhwalawa amatha kuwonjezera asidi m'mimba, zomwe zimawonjezera zilonda zam'mimba ndikutuluka magazi. Inu ndi dokotala muyenera kuyang'anira zizindikiro izi:
    • kutentha pa chifuwa
    • kupweteka m'mimba komwe sikudzatha
    • nseru kapena kusanza
    • magazi m'masanzi anu kapena masanzi achikuda omwe amawoneka ngati malo a khofi
    • matumbo omwe amawoneka ngati phula lakuda
  • Kulemera. Anthu ena amataya chilakolako chawo ndikuchepetsa thupi akamamwa mankhwalawa.

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 champhamvu cha 23-mg ya 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.

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