Kuyanjana kwa Mankhwala Osokoneza bongo: Upangiri Wogula

Zamkati

• Kodi kuyanjana kwa mankhwala ndi chiyani?
• Mitundu yolumikizirana ndi mankhwala
• Mankhwala osokoneza bongo
• Mankhwala osokoneza bongo
• Zakudya za mankhwala osokoneza bongo
• Mankhwala osokoneza bongo
• Mankhwala osokoneza bongo
• Mankhwala osokoneza bongo
• Zina mwazogwirizana ndi mankhwala
• Chibadwa
• Kulemera
• Zaka
• Kugonana (wamwamuna kapena wamkazi)
• Moyo (zakudya ndi zolimbitsa thupi)
• Kutalika kwa mankhwalawa kuli m'thupi lanu
• Mwakhala mukugwiritsa ntchito mankhwalawa kwa nthawi yayitali bwanji
• Mlingo
• Momwe mankhwala amatengedwa kapena kuperekedwera
• Kupanga
• Dongosolo lomwe mankhwala amatengedwa
• Kuwerenga zolemba zamankhwala osokoneza bongo
• Zolemba zamagetsi za OTC
• Zolemba zamankhwala
• Kuphunzira zambiri pokhudzana ndi mankhwala

Tikukhala m'dziko lomwe mankhwala osokoneza bongo alipo kuti athetse mikhalidwe yambiri yomwe imawoneka ngati yosakhudzidwa kale.

Mu lipoti lomwe limayang'ana kugwiritsa ntchito mankhwala osokoneza bongo ku US mchaka cha 2013 mpaka 2016, Centers for Disease Control and Prevention (CDC) idapeza kuti anthu aku America adagwiritsa ntchito mankhwala amodzi m'masiku 30 apitawa.

Ndizosangalatsa kudziwa kuti pali njira zothetsera mavuto athu ambiri. Komabe, kupezeka kochititsa chidwi kwa mankhwala kumawonjezeranso mwayi wothandizana ndi mankhwala.

Kodi kuyanjana kwa mankhwala ndi chiyani?

Kuyanjana kwa mankhwala kumaphatikizapo kuphatikiza kwa mankhwala ndi zinthu zina zomwe zimasintha zomwe mankhwalawo amakhudza thupi. Izi zitha kupangitsa kuti mankhwalawo akhale ochepa kapena amphamvu kuposa momwe amafunira kapena zotsatirapo zosayembekezereka.

Ngati mumagwiritsa ntchito mankhwala angapo, kukhala ndi thanzi linalake, kapena kuwona dokotala wopitilira m'modzi, muyenera kusamala kwambiri mankhwala anu. Muyeneranso kuwonetsetsa kuti madokotala anu amadziwa zamankhwala, zitsamba, zowonjezera, komanso mavitamini omwe mukugwiritsa ntchito.

Ngakhale mutatenga mankhwala amodzi okha, ndibwino kuti mulankhule ndi dokotala kapena wamankhwala pazomwe mukugwiritsa ntchito kuti muzindikire kuyanjana komwe kungachitike. Malangizowa amagwiranso ntchito kwa mankhwala ndi mankhwala osalembedwa.

Mitundu yolumikizirana ndi mankhwala

Pali mitundu ingapo yamagwirizano azamankhwala omwe muyenera kudziwa. Tiyeni tifufuze aliyense mopitirira pang'ono.

Mankhwala osokoneza bongo

Mankhwala osokoneza bongo ndi pamene pali kulumikizana pakati pa mankhwala awiri kapena kupitilira apo.

Chitsanzo chimodzi ndi kulumikizana pakati pa warfarin (Coumadin), anticoagulant (magazi ochepera), ndi fluconazole (Diflucan), mankhwala osagwiritsa ntchito mafungal. Kutenga mankhwala awiriwa palimodzi kungapangitse kuwonjezeka kowopsa kwa magazi.

Mankhwala osokoneza bongo

Izi ndizomwe zimachitika pakati pa mankhwala ndi mankhwala osalembedwa. Izi zimaphatikizapo mankhwala owonjezera pa-kauntala (OTC), zitsamba, mavitamini, kapena zowonjezera.

Chitsanzo cha kulumikizana kwamtunduwu kumatha kuchitika pakati pa diuretic - mankhwala omwe amayesa kuchotsa madzi owonjezera ndi mchere - ndi ibuprofen (Advil). Ibuprofen ikhoza kuchepetsa mphamvu ya diuretic chifukwa ibuprofen nthawi zambiri imapangitsa thupi kusunga mchere komanso madzi.

Zakudya za mankhwala osokoneza bongo

Izi zimachitika pamene kumwa kapena kumwa zakumwa kumasintha zomwe zimachitika chifukwa cha mankhwala.

Mwachitsanzo, ma statins ena (omwe amagwiritsidwa ntchito pochiza cholesterol) amatha kulumikizana ndi madzi amphesa. Ngati munthu amene atenga chimodzi mwazilondazi amamwa msuzi wamphesa wambiri, mankhwalawa amatha kukhala mthupi lake, zomwe zimawonjezera chiwopsezo cha kuwonongeka kwa chiwindi kapena impso.

Chotsatira china chotheka cha kulumikizana kwa madzi a zipatso za mphesa ndi rhabdomyolysis. Apa ndipamene minofu ya mafupa imatha, ndikutulutsa puloteni yotchedwa myoglobin m'magazi. Myoglobin amatha kuwononga impso.

Mankhwala osokoneza bongo

Mankhwala ena sayenera kumwa ndi mowa. Nthawi zambiri, kuphatikiza mankhwalawa ndi mowa kumatha kutopetsa ndikuchepetsa zochita. Ikhozanso kuwonjezera chiopsezo chanu pazotsatira zoyipa.

Mankhwala osokoneza bongo

Kuyanjana uku ndipamene kugwiritsa ntchito mankhwala osokoneza bongo kumasintha kapena kukulitsa vuto kapena matenda. Kuphatikiza apo, zina zamankhwala zimatha kuonjezera chiwopsezo cha zotsatirapo kuchokera ku mankhwala enaake.

Mwachitsanzo, mankhwala enaake opatsirana omwe anthu amatenga chimfine amatha kuwonjezera kuthamanga kwa magazi. Uku ndikulumikizana koopsa kwa anthu omwe ali ndi kuthamanga kwa magazi (kuthamanga kwa magazi).

Chitsanzo china ndi metformin (mankhwala a shuga) ndi matenda a impso. Anthu omwe ali ndi matenda a impso ayenera kugwiritsa ntchito mlingo wocheperako wa metformin kapena asamwe konse. Izi ndichifukwa choti metformin imatha kudziunjikira mu impso za anthu omwe ali ndi matendawa, ndikuwonjezera ngozi zakubwera

Mankhwala osokoneza bongo

Mankhwala ena amatha kusokoneza mayeso ena a labotale. Izi zitha kubweretsa zotsatira zolakwika.

Mwachitsanzo, mankhwala opatsirana pogonana a tricyclic awonetsedwa kuti akusokoneza kuyesedwa kwa khungu komwe kumagwiritsidwa ntchito kuti adziwe ngati wina ali ndi chifuwa.

Zina mwazogwirizana ndi mankhwala

Ngakhale ndikofunikira kuti mudziphunzitse nokha pazomwe mungachite pakulumikizana ndi mankhwala osokoneza bongo, mvetsetsani kuti izi sizikukuuzani zonse zomwe muyenera kudziwa. Chifukwa chakuti kulumikizana kwa mankhwala kumatha kuchitika sizitanthauza kuti kutero.

Makhalidwe anu atha kutenga nawo mbali ngati kulumikizana kwa mankhwala kungachitike komanso ngati kungakhale kovulaza. Zambiri za mankhwala anu, kuphatikiza kuchuluka kwa mankhwala, kapangidwe kake, ndi momwe mumamwa, zingathandizenso.

Zinthu zotsatirazi za mbiri ya zamankhwala zimakhudza kuyanjana kwa mankhwala:

Chibadwa

Kusiyanasiyana kwamapangidwe amtundu uliwonse kumatha kupanga mankhwala omwewo kugwira ntchito mosiyanasiyana m'matupi osiyanasiyana.

Chifukwa cha chibadwa chawo, anthu ena amakonza mankhwala ena mwachangu kapena pang'onopang'ono kuposa ena.

Izi zitha kupangitsa kuti mankhwala azitha kutsika kapena kukwera kuposa momwe amayembekezera. Dokotala wanu adziwa mankhwala omwe amafunika kuyesedwa kwa majini kuti akupatseni mlingo woyenera.

Kulemera

Mankhwala ena amathiridwa mankhwala molingana ndi momwe munthu amalemera.

Kusintha kwa kunenepa kumatha kukhudza kuchuluka kwa mankhwala komanso kumawonjezera kapena kuchepetsa mwayi wogwiritsa ntchito mankhwala osokoneza bongo. Kotero ngati mutasintha kwambiri kulemera kwanu, mungafunike mlingo wina wa mankhwala ena.

Zaka

Tikamakalamba, matupi athu amasintha m'njira zambiri, zina zomwe zimakhudza momwe timayankhira mankhwala. Impso, chiwindi, komanso kayendedwe kazinthu zimatha kuchepa ndi ukalamba. Izi zitha kuchepetsa kuwonongeka ndi kuchotsa kwa mankhwala m'thupi lathu.

Kugonana (wamwamuna kapena wamkazi)

Kusiyanitsa pakati pa amuna ndi akazi, monga anatomy ndi mahomoni, atha kutenga nawo gawo pamagulu azachipatala.

Mwachitsanzo, mlingo woyenera wa zolpidem (Ambien) woperekedwa kwa amayi udatsitsidwa mpaka theka la ndalama zomwe zimaperekedwa kwa amuna. Izi zidachitika kafukufuku atapeza kuti azimayi amakhala ndi mwayi wambiri wogwiritsa ntchito mankhwalawa m'mawa wawo, pomwe zitha kusokoneza zochitika monga kuyendetsa.

Moyo (zakudya ndi zolimbitsa thupi)

Zakudya zina zimakhala zovuta zikaphatikizidwa ndi mankhwala.

Mwachitsanzo, kafukufuku wasonyeza kuti kudya mafuta kwambiri kumachepetsa kuyankha kwa ma bronchodilators, omwe anthu omwe ali ndi mphumu amagwiritsa ntchito pochiza matenda.

Kuchita masewera olimbitsa thupi kumasinthanso momwe mankhwala amagwirira ntchito.

Mwachitsanzo, anthu omwe amagwiritsa ntchito insulin pochiza matenda ashuga amatha kukhala ndi hypoglycemia (shuga wotsika magazi) mukamachita masewera olimbitsa thupi. Chifukwa chake angafunikire kusintha nthawi yomwe amadya ndikumwa insulini kuti athetse kutsika kwa shuga m'magazi.

Kusuta ndudu kumakhudzanso kagayidwe ka mankhwala ena. Onetsetsani kuuza dokotala wanu kuti mumasuta ngati akukulangizani kuti muyambe mankhwala atsopano.

Ngati mukuganiza zosiya kusuta, dokotala wanu atha kugwira nanu ntchito kuti mupange dongosolo lanu loti musiye.

Kutalika kwa mankhwalawa kuli m'thupi lanu

Zinthu zambiri zimakhudza kuthamanga komwe thupi limayamwa ndikupanga mankhwala. Mlingo woyenera wa munthu aliyense ungadalire pazinthu izi, ndipo utha kukhala wapamwamba kapena wotsikirapo kuposa momwe zimakhalira. Ichi ndi chifukwa china chomwe dokotala akuyenera kudziwa mankhwala onse omwe mukumwa musanapereke mankhwala atsopano.

Mwakhala mukugwiritsa ntchito mankhwalawa kwa nthawi yayitali bwanji

Thupi limatha kulekerera mankhwala ena, kapena mankhwalawo atha kuthandiza thupi kuti liziwayesa mwachangu pakapita nthawi. Chifukwa chake mayendedwe amafunika kusintha ngati atamwa kwakanthawi. Zitsanzo ziwiri ndizopweteka mankhwala osokoneza bongo.

Mlingo

Mawu oti "mlingo" ndi kuchuluka kwa mankhwala omwe akuyenera kumwa kapena kupatsidwa. (Nthawi zina mumatha kumva mawu oti "mlingo," omwe amatanthauza kuchuluka kwa mankhwala omwe amaperekedwa munthawi inayake - mwachitsanzo, kamodzi patsiku.)

Anthu awiri omwe amamwa mankhwala omwewo amatha kupatsidwa mankhwala osiyanasiyana. Kuwerengera mlingo woyenera kumafunikira kulondola, chifukwa chake simuyenera kusintha kuchuluka kwa mankhwala omwe mumamwa popanda kufunsa dokotala.

Momwe mankhwala amatengedwa kapena kuperekedwera

Pali njira zambiri zomwe mankhwala angaperekedwe. Njira zina zodziwika bwino zomwe timamwa mankhwalawa ndi monga pakamwa (pakamwa), jakisoni, komanso mitu (yogwiritsidwa ntchito pakhungu). Momwe mankhwala amalowerera m'thupi amatha kusintha zomwe zimayambitsa.

Kupanga

Kapangidwe ka mankhwala ndiye chisakanizo chapadera cha mankhwala omwe ali nawo. Kupanga mankhwala ndikofunikira chifukwa kumatha kudziwa, mwa zina, momwe mankhwalawa amathandizira mthupi komanso momwe limathandizira.

Dongosolo lomwe mankhwala amatengedwa

Kuyanjana kwina kwa mankhwala kumatha kuchepetsedwa kapena kuthetsedwa ngati mankhwalawo atengedwa munthawi zosiyanasiyana.

Mankhwala ena amatha kukhudza kuyamwa kwa mankhwala ena akamamwa wina ndi mnzake. Ma antiacid monga mapiritsi a calcium amatha kuteteza kuyamwa kwa mankhwala ophera fungal ketoconazole, mwachitsanzo.

Kuwerenga zolemba zamankhwala osokoneza bongo

Kulankhula ndi dokotala kapena wamankhwala ndiyo njira yabwino kwambiri yodziwira zamankhwala anu.

Koma nthawi zonse muyenera kuwerenga zolemba zonse zamankhwala osokoneza bongo komanso zambiri zamankhwala omwe mumalandira, kaya mankhwalawo ndi akuchipatala kapena OTC. Izi zidzakuthandizani kumvetsetsa mankhwala anu, komanso zingateteze kuyanjana.

Zolemba zamagetsi za OTC

Zolemba zamankhwala a OTC ziphatikizira izi:

• Yogwira pophika ndi cholinga: Imatchula zosakaniza za mankhwala omwe amatithandizira. Gawo la "Cholinga" lidzanena zomwe chilichonse chimapanga (mwachitsanzo, mankhwala osokoneza bongo amphongo, antihistamine, ochepetsa ululu, ochepetsa malungo).
• Ntchito: Kufotokozera mwachidule pazizindikiro kapena zomwe mankhwala akuyenera kuchiza.
• Machenjezo: Gawo lomwe limapereka chidziwitso chofunikira chogwiritsa ntchito mankhwalawa mosamala. Idzanena kuti ndiyenera kusiya liti kapena osagwiritsa ntchito mankhwalawo komanso nthawi yokafunsira ndi dokotala za momwe angagwiritsire ntchito mankhwalawa. Zotsatira zoyipa ndi kulumikizana komwe kungatchulidwenso pano.
• Mayendedwe: Malangizo a kuchuluka kwa mankhwala omwe ayenera kumwa komanso kangati. Ngati pali malangizo apadera amomwe mungagwiritsire ntchito mankhwalawa, alembedwa pano.
• Zina: Gawoli nthawi zambiri limakhala ndi chidziwitso chokhudza momwe mungasungire mankhwalawa. Itha kupatsanso chidziwitso chazinthu zina zosakaniza ndi mankhwala, monga kuchuluka kwa calcium, potaziyamu, kapena sodium. Izi zitha kukhala zofunikira kwa anthu omwe ali ndi chifuwa kapena zoletsa pazakudya.
• Tsiku lothera ntchito: Tsiku lomwe wopanga amatsimikizira kuti mankhwalawa ali ndi chitetezo chokwanira.
• Zosakaniza zopanda ntchito: Mndandanda wazipangizo za mankhwala omwe sagwira ntchito yothandizira, monga mitundu ndi zonunkhira.
• Zambiri zamalumikizidwe: Mutha kuyimbira wopanga pamzere wopanda msonkho ngati muli ndi mafunso okhudzana ndi mankhwalawa. Makampani ambiri amakhala ndi mizereyi Lolemba mpaka Lachisanu.

Zolemba zamankhwala

Pali mitundu iwiri ya zilembo zamankhwala - zoyika phukusi ndi zolembera phukusi la odwala (PPI). Food and Drug Administration (FDA) imayang'anira mtundu ndi miyezo yamitundu yonse.

Muthanso kuwona phukusi lotchedwa chidziwitso cholozera. Ndi chikalata chatsatanetsatane chokhala ndi chidziwitso chokhudza mankhwalawa ndipo nthawi zambiri chimapezeka mkati kapena cholumikizidwa ndi botolo la mankhwala.

Kuti mudziwe zambiri zamankhwala omwe mumalandira, funsani phukusi. Phukusili likufotokoza:

• momwe mankhwalawa amagwirira ntchito komanso chidziwitso chazovuta zamankhwala
• momwe mungamwere mankhwalawa ndi njira zina zodzitetezera (monga zosayenera kumwa ndi chakudya)
• zomwe mankhwala amagwiritsidwa ntchito pochiza
• machenjezo okhudza zomwe zingachitike kapena zovuta
• kuyanjana kotheka ndi mankhwala ena, zowonjezera, zakudya, kapena zakumwa
• zambiri zamiyeso ndi malangizo pazomwe mungachite ngati mungamwe mankhwala osokoneza bongo
• zina, monga momwe mankhwala amawonekera komanso momwe angasungire

Botolo lazamasamba lingakhalenso ndi zilembo zochenjeza ngati zomata zokongola zomwe zimapezeka m'mabotolo. Izi zili ndi chidziwitso chazovuta zomwe zingachitike komanso momwe angachitire zinthu ndi ena.

PPI imadziwika kwambiri ndi anthu ambiri. Ndiwo chidziwitso chomwe chimaperekedwa ndi mankhwala omwe amaperekedwa mwachindunji kwa inu. PPI imaphatikizapo zambiri zokhudzana ndi kugwiritsa ntchito mankhwalawa, zomwe zalembedwa bwino kwambiri kuposa zomwe zimayika phukusi.

Kuphatikiza apo, cholembera chanu chimayenera kukhala ndi dzina lanu, dzina la dokotala wanu, ndi dzina la mankhwalawo, limodzi ndi mphamvu, mlingo, mayendedwe, tsiku lotha ntchito, ndi zidziwitso zina. Chidule chachidulechi chilipo chokukumbutsani za momwe mungamwe mankhwalawa.

Kuphunzira zambiri pokhudzana ndi mankhwala

Lankhulani ndi dokotala kapena wamankhwala kuti mumve zambiri zolondola komanso zatsopano za chiopsezo chanu chogwiritsa ntchito mankhwala osokoneza bongo. Onetsetsani kuti akudziwa mankhwala onse omwe mukumwa.

Kambiranani momveka bwino za zakudya zomwe zingatheke, mankhwala a OTC, ndi matenda omwe angayambitse mavuto mukaphatikiza ndi mankhwala anu.

Mafunso ena oti mufunse:

• Kodi mankhwalawa amagwira ntchito bwanji mthupi langa? Ndi zovuta ziti zomwe zingachitike?
• Kodi ndingamwe mankhwalawa ndikumwa mankhwala ena? Ngati ndi choncho, kodi ndiyenera kumwa nthawi ina kusiyana ndi mankhwala anga ena?
• Ndimatenganso mankhwala a OTC otsatirawa, zitsamba, mavitamini, kapena zowonjezera. Kodi mankhwalawa ndi otetezeka kunyamula nawo?
• Kodi pali zakudya kapena zakumwa zilizonse zomwe ndiyenera kupewa ndikamamwa mankhwalawa? Ngati ndi choncho, chifukwa chiyani?
• Kodi kumwa mowa kumatha kukhala ndi vuto liti mukamamwa mankhwalawa?
• Kodi mungathenso kufotokoza za kuyanjana kwa mankhwala omwe ndiyenera kuyang'anira?
• Kodi ndiyenera kuchita chiyani ndikakumana ndi zovuta zina kapena ndikamagwirizana ndi mankhwala?
• Ndikufuna kudziwa zambiri za mankhwalawa. Kodi mungandipatseko zolemba zake? Ngati sichoncho, ndingapeze kuti pa intaneti?
• (Ngati zingatheke) Kodi ndingamwe mankhwalawa ndili ndi pakati kapena ndikuyamwitsa?
• Kodi mankhwalawa akhoza kuphwanyidwa kapena kutafuna ndikapeza zovuta kumeza, kapena kusakanikirana ndi chakudya kapena chakumwa kuti aphimbe kukoma kwake?

Ngati muli ndi nkhawa kapena mafunso okhudza mankhwala omwe mukumwa kapena mukukonzekera kumwa, funsani dokotala wanu. Makamaka, amayi omwe ali ndi pakati kapena akuyamwitsa ayenera kukaonana ndi dokotala asanamwe mankhwala atsopano.