Kutanthauzidwa ndi kuwonetseredwa kwa zizindikiro zatsopano zosafunika pambuyo pa kumwa mankhwala, mankhwala atrogenism ndi vuto la thanzi la anthu, makamaka okalamba ndi ana. Zotsatira zilizonse zosayembekezereka ziyenera kunenedwa ndi wosamalira ku Pharmacovigilance Center. 

Matenda a Iatrogenic ndi zizindikiro zosafunikira zomwe zimachitika pamodzi ndi zizindikiro za matenda omwe akuchiritsidwa chifukwa cha mankhwala. Ndipotu, mankhwala amene ali othandiza polimbana ndi matenda ena angayambitse zotsatirapo zoipa, zimene zimasiyana munthu ndi munthu, ndiponso zimene zingawononge thanzi la wodwalayo. Atha kutenga mitundu yosiyanasiyana monga zotupa pakhungu chifukwa cha ziwengo za mankhwala, kuthamanga kwa magazi kapena ngozi yotaya magazi m'mimba.

Zotsatira zoyipazi zimachitika pafupipafupi ndipo zambiri zalembedwa pamalangizo amankhwala omwe amaperekedwa. Center pharmacovigilance Center imasonkhanitsa malipoti onse kuchokera kwa akatswiri azaumoyo ndipo amasinthidwa pafupipafupi. Cholinga cha nkhokweyi ndikupewa kuopsa kwa matenda a iatrogenic, omwe nthawi zambiri samalipiridwa, motero amatsogolera kusintha kwamankhwala kapena kusintha (kuchepetsa ndi kusiyanasiyana kwa Mlingo, kumwa mankhwalawa pakati pa chakudya. ndi mankhwala ena oteteza ...).

Okalamba ndi omwe amakhudzidwa kwambiri ndi matenda a iatrogenic, chifukwa nthawi zambiri amakhala opangidwa ndi polymedicated (mankhwala angapo omwe amatengedwa nthawi imodzi) komanso osatetezeka. Zotsatirazi zimakhala zowirikiza kawiri pambuyo pa zaka 65 ndipo 20% ya zotsatirazi zimayambitsa zipatala.

Zomwe zimayambitsa matenda a iatrogenic ndi zambiri:

• Kuchuluka kwa mankhwala: pali chiopsezo cha mankhwala osokoneza bongo pakachitika kumwa mopitirira muyeso chifukwa cha kusokonezeka kwa chidziwitso (kusokonezeka maganizo) kofala kwa okalamba.
• Kusagwirizana kapena kusalolera: mankhwala ena monga maantibayotiki, mankhwala oletsa kutupa, mankhwala ochepetsa ululu (analgesics), chemotherapy, kulera, mafuta odzola, ndi zina zambiri. Izi ziwengo ndi tsankho kumakhalabe kosiyana kwambiri kuchokera kwa munthu kupita kwa wina.
• Kuchepa kwapang'onopang'ono: palinso chiopsezo chochepetsera njira zochotsera mamolekyulu a mankhwala ndi chiwindi kapena impso, zomwe zimapangitsa kuti thupi lizitha kumwa mankhwala osokoneza bongo.
• Kuyanjana kwa mankhwala: Pakhoza kukhala kugwirizana kwa mankhwala pakati pa mankhwala awiri kapena kuposerapo omwe amatengedwa nthawi imodzi.
• Kusintha kwa metabolism: ndi mankhwala ena monga okodzetsa, mankhwala ofewetsa tuvi tolimba, chithandizo cha chithokomiro, etc.
• Kudzipangira mankhwala: zomwe zimasokoneza chithandizo chomwe wapatsidwa kapena kusatsatira bwino mankhwala.
• Osayenera Mlingo ana kapena okalamba, malinga ndi msinkhu ndi kulemera.

Zomwe zimayambitsa izi ndizomwe zimayambira mankhwala iatrogenism yomwe nthawi zambiri imatha kuwongoleredwa, komanso zomwe nthawi zina zimabweretsa ngozi zowopsa za iatrogenic.

Kuzindikira kwa matenda a iatrogenic kumachitika pamene zizindikiro zikuwonekera zomwe sizikugwirizana ndi matenda omwe akuchiritsidwa. Chizungulire, kugwa, kukomoka, kutopa kwambiri, kutsekula m'mimba, kudzimbidwa, nthawi zina magazi kusanza etc. Zizindikiro zambiri zimene ayenera kuchenjeza wodwalayo ndi dokotala. 

Kufunsa, kufufuza kwachipatala, mankhwala omwe amatengedwa, makamaka ngati aposachedwapa, adzatsogolera matenda ndi mayesero owonjezera omwe akuyenera kuchitika. Kuyimitsa mankhwala omwe akuganiziridwa ndi sitepe yoyamba.

Ngati kuthetsedwa uku kumatsatiridwa ndi kusintha kapena kuzimiririka kwa zizindikiro za matenda a iatrogenic, matendawa amapangidwa ndi mayeso achire (kusiya chithandizo). Pambuyo pake padzakhala kofunika kulemba mankhwala omwe amayambitsa izi ndikupewa kubwereza kachiwiri. Njira ina iyenera kupezeka.

• Kusokonezeka ndi kusokonezeka kwachidziwitso potsatira kulembedwa kwa okodzetsa komwe kudzalimbikitsa kuchitika kwa kutsika kwa sodium m'magazi (hyponatremia) ndi kutaya madzi m'thupi;
• Kutaya magazi m'mimba mutamwa mankhwala odana ndi kutupa omwe amasonyeza zilonda kapena chilonda cham'mimba;
• Zidzolo, kupuma movutikira komanso kutupa kwa nkhope mutamwa maantibayotiki omwe akuwonetsa kusamvana kwa mankhwalawa;
• Matenda akamatsatira katemera ndi edema pamalo opangira jakisoni chifukwa cha kusagwirizana ndi katemera;
• Oral kapena gynecological mycosis kutsatira maantibayotiki mankhwala, magwero amene ndi kusalinganizika kwa m`kamwa kapena gynecological zomera kutsatira mankhwala.

Kuchiza kwa zotsatirapo za mankhwala nthawi zambiri kumaphatikizapo kuyimitsa chithandizocho ndikuyang'ana njira ina yochiritsira. Koma zingakhalenso kuyembekezera zotsatira za mbaliyi mwa kupereka mankhwala ena monga anti-ulcer pamene mukupereka mankhwala oletsa kutupa kapena antimycotics panthawi ya mankhwala opha tizilombo.

Nthawi zina, zidzakhala zokwanira kukonza kusalinganika komwe kumachitika chifukwa cha mankhwalawa, monga kupereka sodium kapena potaziyamu pakachitika vuto la magazi (hyponatremia kapena hypokalemia). 

Mankhwala ofewetsa ofewa atha kuperekedwanso pamaso pa kudzimbidwa potsatira chithandizo chamankhwala kapena choletsa kuyenda ngati akutsekula m'mimba. 

Zakudya zimathanso kukhazikitsidwa (zakudya zopanda mchere wambiri, nthochi yopereka potaziyamu, zakudya zopanda mafuta odzaza ngati kuchuluka kwa cholesterol, etc.). 

Pomaliza, mankhwala ochepetsa kuthamanga kwa magazi atha kuperekedwa mowunika pafupipafupi.