Famotidine, piritsi lapakamwa

Zamkati

• Mfundo zazikulu za famotidine
• Kodi famotidine ndi chiyani?
• Chifukwa chimagwiritsidwa ntchito
• Momwe imagwirira ntchito
• Zotsatira zoyipa za Famotidine
• Zotsatira zofala kwambiri
• Zotsatira zoyipa
• Famotidine imatha kulumikizana ndi mankhwala ena
• Momwe mungatengere famotidine
• Mafomu ndi mphamvu
• Mlingo wa chilonda cha mmatumbo
• Mlingo wa zilonda zam'mimba
• Mlingo wa matenda a reflux am'mimba
• Mlingo wa zovuta zamatenda am'magazi
• Machenjezo a Famotidine
• Chenjezo la ziwengo
• Machenjezo kwa anthu omwe ali ndi matenda ena
• Machenjezo kwa magulu ena
• Tengani monga mwalamulidwa
• Zofunikira pakumwa famotidine
• Zonse
• Yosungirako
• Zowonjezeranso
• Kuyenda
• Zakudya zanu
• Inshuwalansi
• Kodi pali njira zina?

Mfundo zazikulu za famotidine

1. Pulogalamu yamankhwala yotchedwa famotidine m'kamwa imapezeka ngati mankhwala wamba komanso ngati dzina lodziwika. Dzina la dzina: Pepcid.
2. Mankhwala a famotidine amabweranso ngati kuyimitsidwa kwamadzi komwe mumamwa, komanso mawonekedwe ojambulidwa omwe amangoperekedwa ndi othandizira azaumoyo. Famotidine imabweranso muma fomu owerengera.
3. Pulogalamu yamlomo ya Famotidine imagwiritsidwa ntchito kuthana ndi zizindikiro za asidi Reflux ndi kutentha pa chifuwa. Imachita izi pochepetsa kuchuluka kwa asidi m'mimba mwanu.

Kodi famotidine ndi chiyani?

Pulogalamu yamankhwala yotchedwa famotidine m'kamwa imapezeka ngati mankhwala wamba komanso ngati dzina lodziwika. Dzinalo ndi Pepcid. Mankhwala achibadwa nthawi zambiri amakhala otsika poyerekeza ndi mtundu wamaina. Nthawi zina, sangapezeke mwamphamvu zonse kapena mitundu yonse monga dzina lodziwika bwino la mankhwalawa.

Mankhwala a famotidine amapezekanso ngati kuyimitsidwa pakamwa komanso mawonekedwe ojambulidwa, omwe amangoperekedwa ndi othandizira azaumoyo. Famotidine imabweranso ngati mankhwala osokoneza bongo (OTC). Imabwera ngati piritsi lamlomo la OTC ndi piritsi yamlomo yosavuta ya OTC. Nkhaniyi ikufotokoza za mapiritsi akumwa.

Chifukwa chimagwiritsidwa ntchito

Famotidine imagwiritsidwa ntchito kuthetsa zizindikiro za asidi reflux ndi kutentha pa chifuwa. Imachita izi pochepetsa kuchuluka kwa asidi m'mimba mwanu. Amachita izi:

• Matenda a reflux a Gastroesophageal (GERD). GERD imachitika pamene asidi m'mimba mwako amabwerera m'mimba mwako (chubu chomwe chimalumikiza pakamwa pako ndi m'mimba mwako). Izi zitha kuyambitsa kutentha pamtima panu kapena pakhosi, kulawa kowawasa mkamwa mwanu, kapena kubowola.
• Kuwonongeka kokhudzana ndi acid pakhungu lanu. Asidi wam'mimba akaphulika ndikumagwera m'mimba mwanu, amatha kuwononga maselo am'mimba mwanu.
• Zilonda zam'matumbo. Dera lam'matumbo ndi gawo la m'matumbo mwanu momwe chakudya chimadutsa chikachoka m'mimba.
• Zilonda zam'mimba. Amadziwikanso kuti zilonda zam'mimba, izi ndi zilonda zopweteka m'mimba.
• Zinthu momwe m'mimba mwanu mumapangira asidi wambiri. Izi zimaphatikizapo matenda a Zollinger-Ellison.

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

Momwe imagwirira ntchito

Famotidine ndi gulu la mankhwala otchedwa histamine-2 receptor blockers. Gulu la mankhwala ndi gulu la mankhwala omwe amagwiranso ntchito chimodzimodzi. Mankhwalawa amagwiritsidwa ntchito pochiza zofananira.

Famotidine imagwira ntchito poletsa cholandilira cha histamine 2 (H2) m'mimba mwanu. Chotengera ichi chimathandizira kutulutsa asidi m'mimba mwako. Poletsa cholandirachi, mankhwalawa amachepetsa kuchuluka kwa asidi omwe amatulutsidwa m'mimba mwanu.

Zotsatira zoyipa za Famotidine

Pulogalamu yamlomo ya Famotidine imatha kuyambitsa zovuta kapena zoyipa. Mndandanda wotsatira uli ndi zovuta zina zomwe zingachitike mukamamwa famotidine. Mndandandawu mulibe zovuta zonse zomwe zingachitike.

Kuti mumve zambiri pazomwe zingachitike chifukwa cha famotidine, kapena maupangiri amomwe mungachitire ndi zovuta zina, lankhulani ndi dokotala kapena wamankhwala.

Zotsatira zofala kwambiri

Zotsatira zoyipa zazikulu za mankhwalawa ndizosiyana pang'ono ndi zoyipa zomwe zimafala kwambiri kwa ana.

• Zotsatira zoyipa za akulu zingaphatikizepo:
  • mutu
  • chizungulire
  • kudzimbidwa
  • kutsegula m'mimba
• Ana ochepera chaka chimodzi amathanso kumva izi:
  • kusakhazikika, kupumula kwachilendo, kapena kulira popanda chifukwa chomveka

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 ndi mavuto amakulidwe. Zizindikiro zimatha kuphatikiza:
  • chizungulire
  • kukomoka
  • kupuma movutikira
  • kugunda kwa mtima kosasinthasintha komanso nyimbo
• Mavuto akulu a minofu. Zizindikiro zimatha kuphatikiza:
  • kupweteka kwachilendo kwamphamvu komwe sungathe kufotokoza
  • kufooka
  • malungo
• Mavuto amitsempha. Zizindikiro zimatha kuphatikiza:
  • kubvutika
  • nkhawa
  • kukhumudwa
  • kuvuta kugona
  • kugwidwa
  • mavuto azakugonana, monga kutsika pagalimoto
• Mavuto a chiwindi. Zizindikiro zimatha kuphatikiza:
  • kufooka kosadziwika kapena kwachilendo
  • kuchepa kwa njala
  • ululu m'mimba mwanu (m'mimba)
  • sintha mtundu wa mkodzo wanu
  • chikasu cha khungu lako kapena kuyera kwa maso ako
• Mavuto akhungu. Zizindikiro zimatha kuphatikiza:
  • matuza
  • zidzolo
  • zilonda mkamwa kapena zilonda

Famotidine imatha kulumikizana ndi mankhwala ena

Pulogalamu yamlomo ya Famotidine imatha kulumikizana ndi mankhwala ena angapo. Kuyanjana kosiyanasiyana kumatha kubweretsa zovuta zosiyanasiyana. Mwachitsanzo, ena amatha kusokoneza momwe mankhwala amagwirira ntchito, pomwe ena amatha kuyambitsa zovuta zina.

Musanatenge famotidine, onetsetsani kuti mukuwuza adotolo ndi asayansi wanu zamankhwala onse, 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.

Momwe mungatengere famotidine

Mlingo wa famotidine omwe dokotala wanu akukulemberani umadalira pazinthu zingapo. Izi zikuphatikiza:

• mtundu ndi kuuma kwa chikhalidwe chomwe mukugwiritsa ntchito famotidine kuchiza
• zaka zanu
• mawonekedwe a famotidine 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.

Mafomu ndi mphamvu

Zowonjezera: Famotidine

• Mawonekedwe: piritsi yamlomo
• Mphamvu: 20 mg, 40 mg

Mtundu: Pepcid

• Mawonekedwe: piritsi yamlomo
• Mphamvu: 20 mg, 40 mg

Mlingo wa chilonda cha mmatumbo

Mlingo wachikulire (wazaka 18 kapena kupitirira)

• Mlingo waifupi: 40 mg amatengedwa kamodzi patsiku nthawi yogona kwa milungu isanu ndi itatu. Dokotala wanu akhoza kugawa mlingo wanu mu 20 mg wotengedwa kawiri patsiku.
• Mlingo wa nthawi yayitali: 20 mg amatengedwa kamodzi patsiku asanagone.

Mlingo wa ana (zaka 0-17 zaka, 40 kg [88 lbs.] Kapena kupitilira apo)

• Mlingo waifupi: 40 mg amatengedwa kamodzi patsiku nthawi yogona kwa milungu isanu ndi itatu. Dokotala wanu akhoza kugawa mlingo wanu mu 20 mg wotengedwa kawiri patsiku.
• Mlingo wa nthawi yayitali: 20 mg amatengedwa kamodzi patsiku asanagone.
• Mlingo wosintha: Dokotala wanu amatha kusintha mlingo ndi kutalika kwa chithandizo kutengera momwe mumayankhira mankhwalawo.

Mlingo waukulu (wazaka 65 kapena kupitirira)

Impso za anthu okalamba mwina sizigwira ntchito kale. Izi zitha kupangitsa kuti thupi lanu lizigwiritsa ntchito mankhwala pang'onopang'ono. Zotsatira zake, mankhwala ambiri amakhala mthupi lanu kwa nthawi yayitali. Izi zimawonjezera chiopsezo chanu chazovuta. Dokotala wanu akhoza kukuyambitsani pamlingo wotsika kapena dongosolo lina la dosing. Izi zitha kuthandiza kuti mankhwalawa asakule kwambiri mthupi lanu.

Malingaliro apadera

Anthu omwe ali ndi matenda a impso ochepa kapena ovuta: Dokotala wanu akhoza kuchepetsa mlingo wanu wa mankhwalawa ndi theka kapena atha kuti mutenge mlingo umodzi maola 48 aliwonse m'malo mwa tsiku lililonse.

Mlingo wa zilonda zam'mimba

Mlingo wachikulire (wazaka 18 kapena kupitirira)

• Mlingo waifupi: 40 mg amatengedwa kamodzi patsiku nthawi yogona kwa milungu isanu ndi itatu.

Mlingo wa ana (zaka 0-17 zaka, 40 kg [88 lbs.] Kapena kupitilira apo)

• Mlingo waifupi: 40 mg amatengedwa kamodzi patsiku nthawi yogona kwa milungu isanu ndi itatu.
• Mlingo wosintha: Dokotala wanu amatha kusintha mlingo ndi kutalika kwa chithandizo kutengera momwe mumayankhira mankhwalawo.

Mlingo waukulu (wazaka 65 kapena kupitirira)

Impso za anthu okalamba mwina sizigwira ntchito kale. Izi zitha kupangitsa kuti thupi lanu lizigwiritsa ntchito mankhwala pang'onopang'ono. Zotsatira zake, mankhwala ambiri amakhala mthupi lanu kwa nthawi yayitali. Izi zimawonjezera chiopsezo chanu chazovuta. Dokotala wanu akhoza kukuyambitsani pamlingo wotsika kapena dongosolo lina la dosing. Izi zitha kuthandiza kuti mankhwalawa asakule kwambiri mthupi lanu.

Malingaliro apadera

Anthu omwe ali ndi matenda a impso ochepa kapena ovuta: Dokotala wanu akhoza kuchepetsa mlingo wanu wa mankhwalawa ndi theka. Kapenanso atha kumwa kamodzi 48 maola m'malo mwa tsiku lililonse.

Mlingo wa matenda a reflux am'mimba

Mlingo wachikulire (wazaka 18 kapena kupitirira)

• Matenda a Reflux a Gastroesophageal (GERD): 20 mg amatengedwa kawiri patsiku kwa milungu isanu ndi umodzi.
• Esophagitis (kukwiya kwam'mimba ndi zilonda) ndi zizindikiritso za GERD: 20 mpaka 40 mg amatengedwa kawiri patsiku kwa milungu 12.

Mlingo wa ana (zaka 0-17 zaka, 40 kg [88 lbs.] Kapena kupitilira apo)

• Matenda a reflux a Gastroesophageal (GERD): 20 mg amatengedwa kawiri patsiku kwa milungu isanu ndi umodzi.
• Esophagitis (kukwiya kwam'mimba ndi zilonda) ndi zizindikiritso za GERD: 20 mpaka 40 mg amatengedwa kawiri patsiku kwa milungu 12.
• Mlingo wosintha: Dokotala wanu amatha kusintha mlingo ndi kutalika kwa chithandizo kutengera momwe mumayankhira mankhwalawo.

Mlingo waukulu (wazaka 65 kapena kupitirira)

Impso za anthu okalamba mwina sizigwira ntchito kale. Izi zitha kupangitsa kuti thupi lanu lizigwiritsa ntchito mankhwala pang'onopang'ono. Zotsatira zake, mankhwala ambiri amakhala mthupi lanu kwa nthawi yayitali. Izi zimawonjezera chiopsezo chanu chazovuta. Dokotala wanu akhoza kukuyambitsani pamlingo wotsika kapena dongosolo lina la dosing. Izi zitha kuthandiza kuti mankhwalawa asakule kwambiri mthupi lanu.

Malingaliro apadera

Anthu omwe ali ndi matenda a impso ochepa kapena ovuta: Dokotala wanu akhoza kuchepetsa mlingo wanu wa mankhwalawa ndi theka. Kapenanso atha kumwa mankhwala amodzi maola 48 aliwonse m'malo mwa tsiku lililonse.

Mlingo wa zovuta zamatenda am'magazi

Mlingo wachikulire (wazaka 18 kapena kupitirira)

• Mlingo woyambira: 20 mg amatengedwa maola 6 aliwonse.
• Mlingo ukuwonjezeka: Dokotala wanu akhoza kukulitsa mlingo wanu kutengera zomwe muli nazo.
• Mlingo waukulu: Anthu omwe ali ndi matenda akulu angafunike 160 mg yotengedwa maola 6 aliwonse.

Mlingo wa ana (osakwana 0-17 zaka)

Mankhwalawa sanaphunzirepo kwa ana ochepera zaka 18 kuti athe kuchiza matendawa.

Mlingo waukulu (wazaka 65 kapena kupitirira)

Impso za anthu okalamba mwina sizigwira ntchito kale. Izi zitha kupangitsa kuti thupi lanu lizigwiritsa ntchito mankhwala pang'onopang'ono. Zotsatira zake, mankhwala ambiri amakhala mthupi lanu kwa nthawi yayitali. Izi zimawonjezera chiopsezo chanu chazovuta. Dokotala wanu akhoza kukuyambitsani pamlingo wotsika kapena dongosolo lina la dosing. Izi zitha kuthandiza kuti mankhwalawa asakule kwambiri mthupi lanu.

Malingaliro apadera

Anthu omwe ali ndi matenda a impso ochepa kapena ovuta: Pewani kugwiritsa ntchito mapiritsi a famotidine pochiza matenda amisala. Mlingo wofunikira kuchiza vutoli ukhoza kukhala wapamwamba kuposa kuchuluka kwakukulu komwe kumalimbikitsa anthu omwe ali ndi matenda a impso.

Machenjezo a Famotidine

Pulogalamu yamlomo ya Famotidine imabwera ndi machenjezo angapo.

Chenjezo la ziwengo

Famotidine imatha kuyambitsa vuto lalikulu. Zizindikiro zimatha kuphatikiza:

• kuvuta kupuma
• kutupa m'maso mwanu kapena pankhope panu
• kutupa pakhosi kapena lilime
• zidzolo
• ming'oma

Ngati simukugwirizana nazo, pitani kuchipatala nthawi yomweyo. Ngati matenda anu akukulira, itanani 911 kapena pitani kuchipinda chadzidzidzi chapafupi.

Musatengerenso mankhwalawa ngati munakhalapo ndi vuto linalake kapena mankhwala ena a histamine receptor blockers (monga cimetidine, ranitidine, kapena nizatidine). Kutenganso kumatha kukhala koopsa (kuyambitsa imfa).

Machenjezo kwa anthu omwe ali ndi matenda ena

Kwa anthu omwe ali ndi matenda a impso ochepa kapena ovuta: Ngati muli ndi vuto la impso, simungathe kuchotsa mankhwalawa m'thupi lanu. Izi zitha kukulitsa kuchuluka kwa mankhwalawa mthupi lanu. Kuchuluka kwa milingo kumatha kuyambitsa zovuta zina, monga kusokonezeka komanso kuthamanga kwamtima kosachedwa kutchedwa QT.

Machenjezo kwa magulu ena

Kwa amayi apakati: Sipanakhalepo maphunziro okwanira omwe adachitika mwa anthu kuti asonyeze ngati famotidine ili pachiwopsezo cha mwana wamwamuna. Kafukufuku wazinyama sanawonetse chiopsezo kwa mwana wosabadwa mayi atamwa mankhwalawo. Komabe, maphunziro a nyama samaneneratu nthawi zonse momwe anthu angayankhire.

Lankhulani ndi dokotala ngati muli ndi pakati kapena mukukonzekera kutenga pakati. Mankhwalawa ayenera kugwiritsidwa ntchito pokhapokha ngati pakufunika kutero.

Kwa amayi omwe akuyamwitsa: Famotidine imatha kulowa mkaka wa m'mawere ndipo imatha kuyambitsa zovuta kwa mwana yemwe akuyamwitsa. Lankhulani ndi dokotala ngati mukuyamwitsa mwana wanu. Muyenera kusankha kuti musiye kuyamwa kapena kusiya kumwa mankhwalawa.

Kwa okalamba: Impso za anthu okalamba mwina sizigwira ntchito kale. Izi zitha kupangitsa kuti thupi lanu lizigwiritsa ntchito mankhwala pang'onopang'ono. Zotsatira zake, mankhwala ambiri amakhala mthupi lanu kwa nthawi yayitali. Izi zimawonjezera chiopsezo chanu chazovuta.

Kwa ana:

• Famotidine itha kugwiritsidwa ntchito kwa ana omwe ali ndi matenda a zilonda zam'mimba (monga duodenal kapena chapamimba chilonda) ndi matenda a reflux a gastroesophageal (GERD).
• Mankhwalawa sanaphunzirepo kwa ana ochepera zaka 18 kuti athe kuchiza matenda amisala kapena kuchepetsa chiopsezo cha kubwereza zilonda zam'mimba.
• Mapiritsi a Famotidine sanavomerezedwe kuti agwiritsidwe ntchito kwa ana osakwana 40 kg (88 lbs.). Izi ndichifukwa choti mphamvu ya mapiritsiwa ndi yayikulu kuposa momwe ana awa amafunira. Kwa ana awa, lingalirani kugwiritsa ntchito mtundu wina wa famotidine (monga kuyimitsidwa pakamwa).

Tengani monga mwalamulidwa

Pulogalamu yamlomo ya Famotidine imagwiritsidwa ntchito pochiza matenda a Zollinger-Ellison kwa nthawi yayitali ndikukhalanso ndi zilonda zam'mimba. Pulogalamu yamlomo ya Famotidine imagwiritsidwa ntchito pochiza kwakanthawi kwa matenda a reflux am'mimba (GERD) ndi zilonda zam'mimba zam'mimba. Famotidine imabwera ndi zoopsa ngati simutenga monga mwalembedwera.

Mukasiya kumwa mankhwala mwadzidzidzi kapena osamwa konse: Acid reflux, kutentha pa chifuwa, kapena zilonda zam'mimba sizingakhale bwino kapena zitha kukulira.

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. Zizindikiro za bongo za mankhwalawa zingaphatikizepo:

• kubvutika
• chisokonezo
• kugwidwa
• kupweteka kwambiri kwa minofu

Ngati mukuganiza kuti mwamwa mankhwalawa mopitirira muyeso, itanani dokotala wanu kapena malo oletsa poyizoni kwanuko. 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 ululu wochepa ndipo zizindikilo zanu zikuyenera kusintha.

Zofunikira pakumwa famotidine

Kumbukirani izi ngati dokotala akukulemberani piritsi la famotidine.

Zonse

• Mutha kutenga famotidine kapena wopanda chakudya.
• Tengani mankhwalawa panthawi yomwe dokotala akukulangizani.
• Mutha kudula kapena kuphwanya phale.
• Osati mankhwala aliwonse omwe amakhala ndi mankhwalawa. Mukadzaza mankhwala anu, onetsetsani kuti mwayitanitsa patsogolo kuti mutsimikizire kuti mankhwala omwe muli nawo ali nawo.

Yosungirako

Sungani mapiritsi apakamwa pa 77 ° F (25 ° C). Zitha kusungidwa kwakanthawi kochepa kuchokera ku 59 ° F mpaka 86 ° F (15 ° C mpaka 30 ° C). Musasunge mankhwalawa m'malo onyowa kapena achinyezi, monga zimbudzi.

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 bokosi loyambirira lomwe muli nalo.
• Musayike mankhwalawa m'galimoto yamagolovu amgalimoto yanu kapena siyani m'galimoto. Onetsetsani kuti musachite izi nyengo ikatentha kapena kuzizira kwambiri.

Zakudya zanu

Zakudya ndi zakumwa zina zimatha kukwiyitsa m'mimba mwanu. Izi zimatha kukulitsa matenda anu. Dokotala wanu angakuuzeni kuti mupewe zakudya zonunkhira, acidic, ndi mafuta mukamamwa mankhwalawa. (Zakudya zopangira acid zimaphatikizapo tomato ndi zipatso za zipatso.) Angakufunseni kuti mupewe zakumwa ndi caffeine.

Inshuwalansi

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:Nkhani Zamankhwala Masiku Ano yachita khama kwambiri kuti zitsimikizire kuti zidziwitso zonse ndizolondola, zomveka bwino, komanso zatsopano. 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.