Watsopano mankhwala zochizira TB
Zamkati
Mankhwala atsopano ochizira TB ali ndi mankhwala anayi omwe amagwiritsidwa ntchito kuchiza matendawa, otchedwa Rifampicin, Isoniazid, Pyrazinamide ndi Etambutol.
Ngakhale idapangidwa ku Brazil kuyambira 2014 ndi bungwe la Farmanguinhos / Fiocruz, mu 2018 mankhwalawa adayamba kupezeka kwaulere ndi SUS. Chimodzi mwazipatala ndizotheka kumwa maantibayotiki 4 piritsi limodzi.
Chithandizochi chitha kugwiritsidwa ntchito pochiza TB yam'mapapo ndi extrapulmonary, yomwe imatha miyezi ingapo, ndipo iyenera kutsogozedwa ndi pulmonologist kapena matenda opatsirana, kutengera mulimonsemo. Dziwani zambiri za chithandizo cha TB.
Momwe imagwirira ntchito
Mankhwala ochiritsira chifuwa chachikulu ali ndi mgwirizano wazinthu izi:
- Rifampicin;
- Isoniazid;
- Pyrazinamide;
- Ethambutol.
Maantibayotiki awa amalimbana ndikuthana ndi mabakiteriya omwe amayambitsa chifuwa chachikulu, Mycobacterium chifuwa chachikulu.
Kuphatikiza kwa Rifampicin, Isoniazid, Pyrazinamide ndi Ethambutol, kumangofunikira pakangopita miyezi iwiri yothandizidwa. Komabe, chithandizo chimatha kusiyanasiyana kutengera kukula kwa matendawa, ngati mankhwala adachitikapo kale, komanso malingana ndi msinkhu wa munthu komanso thanzi lake.
Onaninso chisamaliro chomwe chiyenera kutengedwa mukalandira chithandizo, kuti mupewe kubwereza.
Momwe mungatenge
Mankhwala a chifuwa chachikulu ayenera kumwa tsiku lililonse, muyezo umodzi, ndi madzi pang'ono, makamaka mphindi 30 isanakwane kapena maola awiri mutadya, malinga ndi malangizo a dokotala.
Kuchuluka kwa mapiritsi omwe amagwiritsidwa ntchito pamlingo uliwonse kudzasiyana malinga ndi kulemera kwa wodwalayo, ndipo akuwonetsedwanso ndi dokotala:
Kulemera kwa thupi | Mlingo |
---|---|
20 - 35 makilogalamu | Mapiritsi awiri tsiku lililonse |
36 - 50 makilogalamu | Mapiritsi atatu patsiku |
Oposa 50 kg | Mapiritsi 4 tsiku lililonse |
Kwa ana olemera makilogalamu 21 mpaka 30, mlingo woyenera wa tsiku ndi tsiku ndi mapiritsi awiri muyezo umodzi. Ana ndi achinyamata olemera makilogalamu 20 sayenera kumwa mankhwalawa.
Mlingo wake utasowa, munthuyo ayenera kumwa mapiritsi omwe aiwalika akangokumbukira, pokhapokha atatsala pang'ono kumwa mankhwalawo. Zikatero, mlingo womwe umasowa uyenera kudumpha. Ndikofunika kumwa mankhwalawa pafupipafupi ndipo osayimitsa chithandizo chanokha, chifukwa kukana mankhwala kungachitike.
Zotsatira zoyipa
Zina mwazovuta zomwe zimachitika mukamamwa mankhwalawa ndi zotumphukira za m'mitsempha, kutsegula m'mimba, kupweteka m'mimba, nseru, anorexia, kusanza, kukwera kwakanthawi kwa ma seramu transaminases, kuchuluka kwa uric acid, makamaka kwa odwala omwe ali ndi gout, madzi ofiira ofiira amthupi ndi katulutsidwe, kupweteka kwa mafupa, kufiira, kuyabwa ndi kutupa kwa khungu, kusintha kwa mawonekedwe ndi zovuta za msambo.
Yemwe sayenera kugwiritsa ntchito
Mankhwalawa sayenera kugwiritsidwa ntchito ndi anthu omwe ali ndi vuto losazindikira chilichonse mwazomwe zimapangidwazo, anthu omwe ali ndi matenda a chiwindi kapena mbiri ya jaundice komanso kusintha kwamagazi a michere ya chiwindi yoyambitsidwa ndi mankhwala osokoneza bongo m'mbuyomu.
Kuphatikiza apo, sayeneranso kugwiritsidwa ntchito kwa anthu omwe ali ndi vuto la kuwona chifukwa cha vuto la mitsempha yamawonedwe. Ngati dokotala akufuna, mankhwalawa atha kugwiritsidwa ntchito kwa amayi apakati.
Dokotala ayenera kudziwitsidwa za mankhwala aliwonse omwe munthuyo akumwa. Mankhwalawa amatha kuchepetsa mphamvu ya mapiritsi oletsa kubereka