Mlembi: Judy Howell
Tsiku La Chilengedwe: 3 Kulayi 2021
Sinthani Tsiku: 17 Novembala 2024
Anonim
Alisto: ESTUDYANTE, PATAY MATAPOS DALAWANG BESES MASAGASAAN!
Kanema: Alisto: ESTUDYANTE, PATAY MATAPOS DALAWANG BESES MASAGASAAN!

Zamkati

Mfundo zazikulu za doxepin

  1. Doxepin kapiso kapisozi amapezeka kokha ngati mankhwala achibadwa. Sipezeka ngati mankhwala odziwika.
  2. Doxepin imabwera m'mitundu itatu yamlomo: kapisozi, piritsi, ndi yankho. Zimabweranso ngati zonona.
  3. Doxepin oral capsule amagwiritsidwa ntchito pochiza kukhumudwa ndi nkhawa.

Machenjezo ofunikira

Chenjezo la FDA: Kudzipha

  • 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.
  • Mankhwala osokoneza bongo, monga doxepin, atha kukupangitsani kukhala ndi malingaliro ofuna kudzipha kapena machitidwe. Izi zitha kukhala zowopsa kwambiri m'miyezi ingapo yoyambirira yamankhwala kapena mukamasintha mankhwala. Ana, achinyamata, ndi achinyamata ali pachiwopsezo chowonjezeka. Inu ndi abale anu, omwe amakusamalirani, komanso adotolo muyenera kulabadira kusintha kwa malingaliro anu, machitidwe anu, malingaliro anu, kapena momwe mumamvera mukamamwa mankhwalawa.

Machenjezo ena

  • Chenjezo: Simuyenera kuyendetsa galimoto, kugwiritsa ntchito makina, kapena kuchita zina zomwe zimafunikira kukhala tcheru mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
  • Chenjezo la dementia: wanena kuti mankhwala amtunduwu amatha kuyambitsa mavuto ofanana ndi omwe amayamba chifukwa cha mankhwala otchedwa anticholinergics. Izi zitha kukulitsa chiopsezo cha matenda amisala.

Doxepin ndi chiyani?

Doxepin ndi mankhwala akuchipatala. Zimabwera ngati piritsi lokamwa, kapisozi wamlomo, yankho lamlomo, ndi zonona zam'mutu.


Doxepin capsule wamlomo alibe dzina lamanambala. Amapezeka kokha ngati mankhwala achibadwa. Mankhwala achibadwa nthawi zambiri amakhala otsika poyerekeza ndi mankhwala omwe amadziwika nawo.

Chifukwa chimagwiritsidwa ntchito

Doxepin oral capsule amagwiritsidwa ntchito pochiza matenda amisala, monga kukhumudwa ndi nkhawa.

Momwe imagwirira ntchito

Doxepin ndi gulu la mankhwala otchedwa tricyclic antidepressants. Gulu la mankhwala ndi gulu la mankhwala omwe amagwiranso ntchito chimodzimodzi. Mankhwalawa amagwiritsidwa ntchito pochiza zofananira.

Sizikudziwika bwino momwe doxepin imagwirira ntchito kuthana ndi kukhumudwa kapena nkhawa. Itha kulepheretsa ubongo wanu kubweretsanso norepinephrine, mankhwala omwe amakukhudzani. Izi zimakulitsa kuchuluka kwa norepinephrine mthupi lanu, zomwe zimathandizira kusintha malingaliro anu.

Zotsatira za Doxepin

Doxepin kapisozi wapakamwa amatha kuyambitsa tulo. Simuyenera kuyendetsa galimoto, kugwiritsa ntchito makina, kapena kuchita zina zomwe zimafunikira kukhala tcheru mutamwa mankhwalawa mpaka mutadziwa momwe zimakukhudzirani.

Mankhwalawa amathanso kuyambitsa zovuta zina.


Zotsatira zofala kwambiri

Zina mwa zovuta zoyipa zomwe zimatha kuchitika pogwiritsa ntchito doxepin ndi monga:

  • Kusinza
  • chizungulire
  • pakamwa pouma
  • kusawona bwino
  • kudzimbidwa
  • kuvuta kukodza
  • nseru kapena kusanza
  • kukhumudwa m'mimba
  • kusintha kwa momwe zakudya zimamvekera
  • kunenepa

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:

  • Malingaliro odzipha ndi machitidwe ndikuwonjezeka kukhumudwa. Zizindikiro zimatha kuphatikiza:
    • malingaliro okhudza kudzipha kapena kufa
    • akufuna kudzipha
    • zizindikiro zatsopano kapena zowonjezereka za nkhawa
    • kumverera kukhala wokwiya kwambiri kapena wosakhazikika
    • mantha
    • kuvuta kugona (kusowa tulo)
    • kukwiya kwatsopano kapena kukulira
    • kuchita zinthu mwaukali, mokwiya, kapena mwankhanza
    • kuchita zofuna zawo zowopsa
    • kuwonjezeka kwakukulu kwa ntchito ndikuyankhula (mania)
    • kusintha kwina kwachilendo pamakhalidwe anu kapena momwe mumamvera
  • Kusunga kwamikodzo (mavuto pokodza). Zizindikiro zake ndi izi:
    • osakhoza kutulutsa chikhodzodzo chanu
    • zowawa kapena zofunikira pakukodza msanga
    • kupweteka kapena kuphulika m'mimba mwanu
    • kumverera ngati kuti simungathe kutulutsa chikhodzodzo chanu mukakodza

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.


Doxepin amatha kulumikizana ndi mankhwala ena

Doxepin oral capsule amatha 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 doxepin alembedwa pansipa.

Mankhwala osokoneza bongo am'mimba

Kutenga doxepin ndi mankhwala ena ogwiritsidwa ntchito kuthana ndi mavuto am'mimba kumatha kukulitsa doxepin mthupi lanu. Izi zitha kubweretsa chiopsezo chanu chazovuta. Mukamamwa mankhwalawa limodzi, dokotala wanu akhoza kutsitsa doxepin wanu kapena kukuwunikirani zotsatira zake.

Zitsanzo za mankhwala omwe amagwiritsidwa ntchito kuthana ndi mavuto am'mimba ndi awa:

  • cimetidine
  • omeprazole

Mankhwala osokoneza bongo

Kutenga doxepin ndi mankhwala otchedwa monoamine oxidase inhibitors (MAOIs) kumatha kubweretsa zovuta zoyipa ngakhale kufa. Simuyenera kutenga doxepin ngati mukugwiritsa ntchito MAOIs kapena ngati mwagwiritsa ntchito MAOIs m'masiku 14 apitawa.

Zitsanzo za MAOIs ndi awa:

  • isocarboxazid
  • alireza
  • chithuvj
  • alireza

Komanso, kumwa doxepin ndi mankhwala ena omwe amagwiritsidwa ntchito kuthana ndi kukhumudwa komanso nkhawa kumatha kukulitsa doxepin mthupi lanu. Izi zitha kubweretsa chiopsezo chanu chazovuta. Zitsanzo za mankhwalawa ndi monga:

  • bupropion
  • duloxetine
  • fluoxetine
  • fluvoxamine
  • paroxetine
  • alirezatalischi

Mankhwala osokoneza bongo

Kutenga doxepin ndi mankhwala ena omwe amagwiritsidwa ntchito pochiza matenda a mafangasi kumatha kukulitsa doxepin mthupi lanu. Izi zitha kubweretsa chiopsezo chanu chazovuta. Zitsanzo za mankhwalawa ndi monga:

  • fluconazole
  • alireza
  • alireza

Mankhwala osokoneza bongo

Kutenga doxepin ndi mankhwala ena omwe amagwiritsidwa ntchito kuthana ndi vuto la kugunda kwa mtima kumatha kuonjezera ngozi yanu yamavuto owopsa amtima. Zitsanzo za mankhwalawa ndi monga:

  • alireza
  • quinidine

Mankhwala a impso

Kutenga chinchira ndi doxepin imatha kuwonjezera kuchuluka kwa doxepin mthupi lanu. Izi zitha kubweretsa chiopsezo chanu chazovuta.

Mankhwala a shuga

Kutenga tolazamide ndi doxepin imatha kubweretsa shuga wowopsa wamagazi.

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.

Machenjezo a Doxepin

Mankhwalawa amabwera ndi machenjezo angapo.

Chenjezo la ziwengo

Doxepin angayambitse thupi lawo siligwirizana. Zizindikiro zimatha kuphatikiza:

  • kuvuta kupuma
  • kutupa pakhosi kapena lilime
  • kuyabwa
  • 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).

Chenjezo logwirizana ndi zakumwa zoledzeretsa

Kugwiritsa ntchito zakumwa zomwe zili ndi mowa kumatha kukulitsa tulo tomwe mumamva kuchokera ku doxepin. Mukamwa mowa, lankhulani ndi dokotala wanu.

Machenjezo kwa anthu omwe ali ndi matenda ena

Kwa anthu omwe ali ndi glaucoma: Simuyenera kumwa mankhwalawa ngati muli ndi glaucoma. Ikhoza kukulitsa vuto lanu.

Kwa anthu omwe ali ndi vuto lokodza: Simuyenera kumwa mankhwalawa ngati muli ndi vuto la kukodza, monga vuto kukodza. Ikhoza kukulitsa vuto lanu.

Machenjezo kwa magulu ena

Kwa amayi apakati: Sizikudziwika ngati doxepin ndiyabwino kugwiritsa ntchito amayi apakati.

Uzani dokotala wanu ngati muli ndi pakati kapena mukufuna kutenga pakati. Doxepin iyenera kugwiritsidwa ntchito panthawi yapakati pokhapokha phindu lomwe lingakhalepo likutsimikizira kuwopsa kwake.

Kwa amayi omwe akuyamwitsa: Doxepin imatha kulowa mkaka wa m'mawere ndipo imatha kuyambitsa zovuta zina kwa mwana yemwe akuyamwitsa. Izi zimaphatikizapo kusinza komanso kupuma movutikira.

Lankhulani ndi dokotala ngati mukuyamwitsa mwana wanu. Muyenera kusankha kuti musiye kuyamwa kapena kusiya kumwa mankhwalawa.

Kwa okalamba: Okalamba atha kukhala omvera kwambiri pa doxepin. Izi zitha kuwapangitsa kuti azimva kusokonezeka kapena kusinza akamamwa mankhwalawa.

Kwa ana: Doxepin sinakhazikitsidwe ngati yotetezeka kapena yothandiza kugwiritsidwa ntchito kwa ana ochepera zaka 18. Sayenera kugwiritsidwa ntchito mwa anthu am'badwo uno.

Momwe mungatengere doxepin

Mlingo uliwonse wotheka ndi mitundu ya mankhwala sizingaphatikizidwe pano. Mlingo wanu, mawonekedwe a mankhwala, komanso kuchuluka kwa momwe mumamwa mankhwalawo zimadalira:

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

Fomu ya mankhwala ndi mphamvu

Zowonjezera: Doxepin

  • Mawonekedwe: kapisozi wamlomo
  • Mphamvu: 10 mg, 25 mg, 50 mg, 75 mg, 100 mg, 150 mg

Mlingo wa kukhumudwa

Mlingo wa akulu (zaka 18 mpaka 64 zaka)

  • Mlingo woyambira: 75 mg patsiku. Dokotala wanu angakuuzeni kuti mutenge mlingo wonsewo nthawi imodzi, kapena mugawireko pang'ono pang'ono tsiku lonse.
  • Mlingo kusintha: Dokotala wanu amasintha kuchuluka kwanu kutengera momwe thupi lanu limayankhira ndi mankhwalawo. Mulingo wamba wamankhwala ndi 75 mpaka 150 mg patsiku. Chifukwa cha kukhumudwa kwakukulu, dokotala akhoza kukulitsa mlingo wanu ku 300 mg patsiku. Chifukwa cha kupsinjika pang'ono, milingo yochepera 25 mpaka 50 mg patsiku ingagwiritsidwe ntchito.
  • Zolemba malire mlingo: 300 mg patsiku. Mukapatsidwa kamodzi tsiku lililonse, mulingo woyenera ndi 150 mg patsiku, womwe ungaperekedwe pogona.

Mlingo wa ana (zaka 0 mpaka 17 zaka)

Sidziwika ngati doxepin ndi yotetezeka komanso yothandiza kwa ana ochepera zaka 18.

Mlingo waukulu (wazaka 65 kapena kupitirira)

Chiwindi ndi impso za okalamba sizigwira ntchito kale. Izi zitha kupangitsa kuti thupi lanu lizigwiritsa ntchito mankhwala pang'onopang'ono. Zotsatira zake, kuchuluka kwamankhwala kumakhalabe mthupi lanu nthawi yayitali. Izi zimawonjezera chiopsezo chanu chazovuta.

Dokotala wanu akhoza kukuyambitsani pamlingo wotsika kapena ndandanda ina yamankhwala. Izi zitha kuthandiza kuti mankhwalawa asakule kwambiri mthupi lanu.

Mlingo wa nkhawa

Mlingo wa akulu (zaka 18 mpaka 64 zaka)

  • Mlingo woyambira: 75 mg patsiku. Dokotala wanu angakuuzeni kuti mutenge mlingo wonsewo mwakamodzi, kapena mugawireko pang'ono pang'ono tsiku lonse.
  • Mlingo kusintha: Dokotala wanu amasintha kuchuluka kwanu kutengera momwe thupi lanu limayankhira ndi mankhwalawo. Mulingo wamba wamankhwala ndi 75 mpaka 150 mg patsiku. Chifukwa chodandaula kwambiri, dokotala akhoza kukulitsa mlingo wanu ku 300 mg patsiku. Chifukwa cha nkhawa pang'ono, kuchuluka kwa 25 mpaka 50 mg patsiku kungagwiritsidwe ntchito.
  • Zolemba malire mlingo: 300 mg patsiku. Mukapatsidwa kamodzi tsiku lililonse, mulingo woyenera ndi 150 mg patsiku, omwe angaperekedwe pogona.

Mlingo wa ana (zaka 0 mpaka 17 zaka)

Sidziwika ngati doxepin ndi yotetezeka komanso yothandiza kwa ana ochepera zaka 18.

Mlingo waukulu (wazaka 65 kapena kupitirira)

Chiwindi ndi impso za okalamba sizigwira ntchito kale. Izi zitha kupangitsa kuti thupi lanu lizigwiritsa ntchito mankhwala pang'onopang'ono. Zotsatira zake, kuchuluka kwamankhwala kumakhalabe mthupi lanu nthawi yayitali. Izi zimawonjezera chiopsezo chanu chazovuta.

Dokotala wanu akhoza kukuyambitsani pamlingo wotsika kapena ndandanda ina yamankhwala. Izi zitha kuthandiza kuti mankhwalawa asakule kwambiri mthupi lanu.

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.

Zizindikiro zanu zakusokonezeka ziyenera kuyamba kusintha mutakhala mukumwa doxepin kapisozi wamlomo kwa milungu iwiri kapena itatu. Zizindikiro zanu za nkhawa ziyenera kuyamba kusintha posachedwa kuposa pamenepo.

Tengani monga mwalamulidwa

Doxepin kapiso kapisozi amagwiritsidwa ntchito pochizira kwakanthawi kochepa kapena kwakanthawi. Zimabwera ndi zoopsa ngati simukuzitenga monga mwalamulo.

Mukasiya kumwa mankhwalawa kapena osamwa konse: Muthabe kuti muli ndi zizindikilo za kukhumudwa kapena kuda nkhawa.

Ngati mwakhala mukumwa mankhwalawa kwa nthawi yayitali, simuyenera kusiya kumwa mosayembekezereka. Kuyimitsa mwadzidzidzi kumatha kubweretsa zovuta. Izi zimaphatikizapo kunyoza, kupweteka mutu, komanso kutopa.

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 mutenga zochuluka kwambiri: Mutha kukhala ndimankhwala owopsa mthupi lanu. Mutha kukhala ndi zizindikiro zotsatirazi:

  • mikhalidwe yachilendo ya mtima
  • kuthamanga kwa magazi
  • kusuntha mwadzidzidzi kwa thupi
  • malingaliro opitilira muyeso
  • kuuma minofu
  • chisokonezo
  • zovuta kulingalira
  • chikomokere
  • Kusinza
  • kuyerekezera zinthu m'maganizo (kuwona zinthu zomwe sizili zenizeni)
  • ana otayirira
  • kubvutika
  • kusanza
  • kutentha thupi kwambiri kapena kutentha thupi kwambiri
  • kugwidwa
  • chikomokere

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.

Zomwe muyenera kuchita mukaphonya mlingo: Tengani 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: Muyenera kukhala ndi zizindikilo zochepa za kukhumudwa kapena kuda nkhawa. Mutha kukhala osangalala. Zitha kutenga milungu iwiri kapena itatu yothandizidwa ndi mankhwalawa kuti zizindikiritso zanu zikule bwino. Zizindikiro zanu za nkhawa ziyenera kusintha posachedwa kuposa pamenepo.

Zofunikira pakumwa doxepin

Kumbukirani izi ngati dokotala akukulemberani doxepin.

Zonse

  • Mutha kumwa doxepin kapena wopanda chakudya. Kutenga ndi chakudya kungathandize kuchepetsa chiopsezo cha kukhumudwa m'mimba.
  • Doxepin capsule wamlomo amatha kutsegulidwa, ndipo ufa ungasakanikidwe ndi madzi.

Yosungirako

  • Sungani doxepin kutentha kwapakati pakati pa 68 ° F ndi 77 ° F (20 ° C mpaka 25 ° C).
  • Tetezani mankhwalawa ku kuwala.
  • Sungani mankhwala awa mu chidebe chomwe chidalowa, chivindikirocho chitatsekedwa mwamphamvu.
  • 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

Inu ndi dokotala muyenera kuyang'anira zovuta zina zaumoyo. Izi zitha kuthandizira kuti mukhale otetezeka mukamamwa mankhwalawa. Izi zikuphatikiza:

  • Maganizo: Samalani kwambiri pakusintha kwadzidzidzi pamikhalidwe yanu, machitidwe anu, malingaliro anu, kapena momwe mumamvera. Ngati mukusintha kwachilendo, itanani dokotala nthawi yomweyo.
  • Masomphenya: Mankhwalawa amatha kuyambitsa masomphenya. Dokotala wanu akhoza kukupenyani m'maso mwanu.

Kupezeka

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

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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