Wowerenga analemba kuti mwana wake wamatenda analimbikitsa "holide ya mankhwala" kuchokera kuchipatala chimene iye anali kutenga chifukwa cha khansa ya m'mapapo. Anadzifunsa kuti izi zikutanthauza chiyani, zomwe ayenera kuziganizira, ndi mafunso ati omwe ayenera kumufunsa dokotala.
Tchuthi la mankhwala silikumveka ngati chinachake chimene dokotala angapereke, koma nthawi zina lingakhale ndendende zomwe dokotala akulamula.
Amatchedwanso kuti "maulendo a tchuthi," maholide ogwiritsira ntchito mankhwala akhala akulamulidwa pafupifupi pafupifupi mankhwala onse ndi matenda. Kodi zifukwa zina zomwe dokotala angakuwonetseni zothandizira tchuthi, ndi chiyani?
Mwachidule
Tchuthi la mankhwala limatanthauzidwa kuti ndilo lingaliro lodziletsa kusiya kugwiritsa ntchito mankhwala operekedwa kawirikawiri kwa kanthawi. Kuiwala kugwiritsa ntchito mankhwala, kutha kwa mapiritsi, kapena kuimitsa mankhwala popanda kukambirana za kusintha ndi dokotala sikuli ngati holide ya mankhwala. Chigamulo ndi chophatikizana ndi inu ndi dokotala wanu kuti musiye mankhwala kwa nthawi, maola kapena miyezi pa chifukwa china. Malinga ndi chithandizo chamankhwala, tchuthi la mankhwala limatchulidwa kuti "kusokonezeka kwa mankhwala."
Zifukwa Zomwe Dokotala Akhoza Kuzilembera
Pali zifukwa zambiri zomwe adokotala angakulimbikitseni, kapena kuti mungawononge, kugwiritsa ntchito mankhwala osokonezeka.
Ena mwa awa ndi awa:
- Kuchepetsa zotsatira za mankhwala - Mankhwala ambiri amabwera ndi zotsatira zina zochepa. Kuimitsa mankhwala kwa kanthaŵi kungakupatseni mpata ku zotsatira zake, ndipo nthawi zina, iwo samabwerera pamene mankhwala ayambiranso. Zina mwa zotsatira zomwe zingakhale zolakalaka kuti mutenge chithandizo cha mankhwala ndi monga kutopa, kutaya kugonana kapena potency, kunyowa , kusokonezeka kugona, kapena kusowa kwa njala yanu.
- Kulolera kugwiritsa ntchito mankhwala ena - Zimadziwika bwino kuti mankhwala amodzi angathe kuthandizana ndi wina, ndipo mankhwala omwe mukuwagwiritsa ntchito, ndiwowonjezereka kuti izi zidzachitika. Chitsanzo cha izi zikanakhala ngati dokotala wanu akutsutsa kanthawi kusiya mankhwala omwe mukuwagwiritsa ntchito nthawi zonse pamene mukupatsidwa mankhwala ena, monga antibiotic kwa matenda.
- Kuti muwone ngati mukufunabe mankhwala - Ngati inu ndi dokotala simukudziwa ngati mukufunikira mankhwala, holide ya mankhwala ingakonzedwenso ngati mtundu wa mayesero.
- Kuchepetsa kulekerera kwa mankhwala - Kulekerera kwa mankhwala kungapangitse mankhwala osiyanasiyana, kufuna kuti mayeza apamwamba akwaniritse zotsatira zofanana. Kupyolera kumwa mankhwala kwa nthawi ndithu, thupi lanu likhoza kuganiziranso zotsatira zake (izo zikhoza kuchitanso kachiwiri), kapena mungafunike mlingo wochepa. Nthawi zina, holide ya mankhwala imalimbikitsidwa musanalekerere kumakhalabe okhudzidwa ndi mankhwalawa.
- Kulola mankhwalawo kuti agwire ntchito moyenera - Nthawi zina, ngati mankhwala sakugwiranso ntchito, kuzisiya kwa nthawi kungavomereze kuti ikhale yogwira ntchito. Mtundu umodzi wa mankhwala ogwiritsidwa ntchito ku khansa ya m'mapapo, mwachitsanzo, imatayika bwino pakapita nthawi pamene chotupacho chimakhala chosagonjetsa. Mu phunziro limodzi laling'ono, anapeza kuti chotupacho chinali kachilombo kachiwiri kwa mankhwala atatha kuyimitsidwa kwa nthawi.
- Mapeto a sabata ndi chilimwe - Zina mwa mankhwala monga ADHD mankhwala omwe amagwiritsidwa ntchito kuthandizira ophunzira kuika maganizo awo, sangathe kutero pamene sukulu ili kunja. Kusiyiratu mankhwala pa nthawi yotchulidwa ku chilimwe ndipo pamapeto a sabata kumatchulidwa kuti DHD Dzuwa.
- Zochitika zapadera - Kusonkhana kwanu kusukulu ya sekondale ikubwera, ndipo mukufunadi kukhala ndi galasi la vinyo pa chikondwerero, koma mankhwala anu amafuna kuti musamamwe mowa. Pali mankhwala ambiri oledzera. Nthaŵi zina, dokotala wanu amalangiza holide ya mankhwala kuti mutha kusangalala ndi nthawi yapadera musanabwerere panthawi yanu yothandizira.
- Kwa opaleshoni - Ngati mukudwala magazi, dokotala wanu angakulimbikitseni kusiya mankhwala anu kwa nthawi ndithu komanso pambuyo pa opaleshoni.
Zopindulitsa Zotheka
Phindu la holide ya mankhwala lidzadalira chifukwa cha tchuthi, koma izi ziphatikizapo:
- Kupititsa patsogolo mankhwalawa.
- Kuchepetsa kulekerera kwa mankhwala.
- Zotsatira zochepetsera za mankhwala.
- "Tchuthi" kuchokera ku zotsatira za mankhwala.
- Mphamvu yakusiya mankhwala ngati zikupezeka kuti si zofunikira.
- Kulimbikitsanso pakapita nthawi ngati tchuthi la mankhwala likuwona kuti mankhwala akufunikira kwenikweni.
Zoopsa Zotheka
Monga momwe pangakhalire phindu, pali nthawi zonse zoopsa zomwe mungaganizire ngati mutasiya mankhwala. Ena mwa awa ndi awa:
- Kutaya mphamvu kwa mankhwala. Nthaŵi zina, pamene mankhwala amaletsedwa ndi kuyambiranso, mphamvuyo imatayika.
- Kuwonjezereka kwa zizindikiro za momwe mankhwala akuchiritsira. Izi zingakhale zovuta, mwachitsanzo, ngati mankhwala akutsitsa kuvutika maganizo kapena vuto lalikulu la mtima.
- Kuopsa kwa Kubwereranso. Kusiya mankhwala omwe akuyambitsa vutoli kungayambitse matendawa, ndipo kubwezeretsedwa kungakhale kosasinthika.
- Kusintha kwa zizindikiro. Nthawi zina, mutasiya kumwa mankhwala, mungafunikire kumwa mankhwala owonjezera kuti mupeze mankhwala.
- Kugwiritsa ntchito mankhwala osokoneza bongo pamene mankhwalawa ayambiranso.
- Kuonjezera chiopsezo cha mankhwala osayenera. Kuyambira ndikusiya mankhwala kungachititse kukhala kovuta kumamatira ndi chizoloŵezi.
Mafunso Ofunsani
- Kodi ino ndiyo nthawi yoyenera kuyesa holide ya mankhwala?
- Kodi zoopsa ndi zopindulitsa ndi ziti?
- Ndi zotsatira zanji zomwe ndingakumane nazo?
- Kodi pali mwayi woti mankhwalawa sagwiranso ntchito ngati ndimasiya kwa nthawi?
- Kodi ndiitanitse ndani ngati ndikukumana ndi mavuto usiku kapena masabata?
- Kodi ndiyambiranso bwanji mankhwalawa?
- Ndidzatenga nthawi yayitali bwanji?
- Ndiyenera liti kukonzekera ulendo wotsatira?
Pansi
Pali zowonjezereka zowonjezera zomwe zingabwere chifukwa chokhala ndi tchuthi la mankhwala, koma palinso zoopsa. Ngati mukuganiza zokhala ndi tchuthi, kambilanani zonsezi ndi dokotala wanu mosamala, ndipo chitani ndi chitsogozo chake.
> Zotsatira:
> Becker, A. ndi al. Kutengeka ndi erlotinib: Kubwezeretsanso mphamvu za TKI pambuyo pa tchuthi la mankhwala kwa odwala omwe ali ndi NSCLC amene poyamba adayankha mankhwala omwe ali EGFR-TKI. European Journal ya Cancer . 2011. 47 (17): 2603-6.
> Howland, R. Mediation maholide. Journal of Nursing Psychosocial and Health Care Services . 2009. 47 (9): 15-8.
> US Department of Veteran Affairs. Webusaiti ya National HIV / AIDS ya VA. Kodi mumayenera kutenga 'tchuthi' kuchokera ku mankhwalawa? Kusinthidwa 10/03/11. http://www.hiv.va.gov/patient/treat/drug-holidays.asp