Kodi mwana wanu akuvutika kukhala woganizira bwino? Kapena munamvapo kuti akuvutika kukhala woganizira bwino pamene akuphunzira kapena akugwira ntchito? Atomoxetine ndi mankhwala omwe madokotala amapereka kwa ADHD (Attention-Deficit Hyperactivity Disorder). Amadziwika kwambiri ndi dzina lodziwika bwino la Strattera. Chifukwa chake lero, tiyeni tiphunzire zambiri za mankhwalawa, zomwe amagwira ntchito, momwe angagwiritsire ntchito, komanso zomwe muyenera kusamala nazo kwambiri.
Kodi kwenikweni chimachitika ndi mankhwala awa ndi chiyani?
Mwachidule, Atomoxetine ndi mankhwala omwe amagwiritsidwa ntchito pochiza ADHD. Amathandiza inu ndi mwana wanu kukhala ndi luso loganizira zinthu mozama komanso amathandiza kulamulira khalidwe lopupuluma.
Mankhwalawa ndi a gulu la mankhwala otchedwa SNRI (Serotonin-Norepinephrine Reuptake Inhibitor). Mwachidule, mankhwalawa amagwira ntchito poyendetsa bwino ntchito za mankhwala enaake (neurotransmitters) omwe amanyamula mauthenga pakati pa mitsempha muubongo wathu. Izi zimathandiza kwambiri kulamulira chidwi ndi khalidwe. Nthawi zina, dokotala wanu angakupatseni mankhwala awa pazinthu zina. Chifukwa chake ngati muli ndi mafunso, musazengereze kufunsa dokotala wanu.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwala
Musanayambe kugwiritsa ntchito atomoxetine, muyenera kuuza dokotala wanu ngati muli ndi vuto lililonse la matenda awa, chifukwa izi zingakhudze mlingo kapena ngati mankhwalawo ndi oyenera kwa inu.
| Matenda anu kapena vuto lanu | N’chifukwa chiyani muyenera kuuza dokotala? |
|---|---|
| Glaucoma | Mankhwalawa amatha kuwonjezera kuthamanga kwa magazi m'maso. |
| Kuthamanga kwa magazi kwambiri kapena kotsika, matenda a mtima, kugunda kwa mtima kosasinthasintha, kapena mbiri ya sitiroko | Mankhwalawa angakhudze kuthamanga kwa magazi ndi kugunda kwa mtima. |
| Matenda a chiwindi | Ngati chiwindi chalephera kugwira ntchito, mankhwalawa amachotsedwa m'thupi pang'onopang'ono. |
| Matenda amisala monga kusokonezeka maganizo kapena matenda a bipolar | Mankhwalawa angapangitse kuti zinthu ngati zimenezi ziipireipire. |
| Mtundu wa chotupa chotchedwa pheochromocytoma | Ichi ndi chotupa chomwe chimakula m'matenda a adrenal, ndipo mankhwalawo angayambitse kuthamanga kwa magazi kukwera moopsa. |
| Maganizo odzipha kapena mbiri yawo | Kawirikawiri, mankhwalawa angawonjezere malingaliro otere. |
| Kuyesa kutenga mimba, kukhala ndi pakati, kapena kuyamwitsa | Pazochitikazi, upangiri wa dokotala ndi wofunikira kuti mankhwalawo akhale otetezeka. |
| Matenda a atomoxetine kapena mankhwala ena, zakudya, kapena utoto | Ndikofunikira kudziwa izi kuti mupewe zotsatira za ziwengo. |
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
Njira yogwiritsira ntchito mankhwalawa ndi yosavuta kwambiri.
- Imwani pakamwa ndi kapu ya madzi.
- Tsatirani malangizo a dokotala molondola.
- Mungathe kumwa musanadye kapena mutadya, koma ngati mukumva kupweteka m'mimba, ndi bwino kumwa limodzi ndi chakudya.
- Izi zingapangitse kuti anthu ena azigona usiku. Ngati muyenera kumwa mankhwala opitilira kamodzi patsiku, yesani kumwa mankhwala omaliza asanafike 6 koloko madzulo.
- Chofunika kwambiri ndichakuti, musasiye kumwa mankhwala mwadzidzidzi popanda upangiri wa dokotala.
- Ngati mwamwa mankhwala ochulukirapo mwangozi, pitani ku chipatala chapafupi cha Emergency Unit (ETU) kapena imbani National Poisons Information Centre ku Colombo National Hospital nthawi yomweyo.
Mankhwalawa aperekedwa kwa inu nokha. Choncho musagawane mankhwala anu ndi wina aliyense. Akhoza kukhala oopsa.
Kodi mungachite chiyani ngati mwaphonya mlingo wa mankhwala?
Ngati mwaiwala kumwa mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndi kumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe milingo iwiri nthawi imodzi kuti mubwezeretse mlingo womwe mwaiwala.
Mankhwala ena omwe angagwirizane ndi mankhwalawa
Atomoxetine ndi mankhwala omwe amatha kuyanjana ndi mankhwala ena, choncho ndikofunikira kwambiri kuuza dokotala wanu za mankhwala onse omwe mukumwa.
| Musamwe Atomoxetine pamodzi ndi mankhwalawa! | |
|---|---|
| MAOIs (monga Carbex, Eldepryl, Marplan, Nardil, Parnate) | Cisapride |
| Dronedarone | Pimozide |
| Reboxetine | Thioridazine |
| Samalani kwambiri ngati mutenga Atomoxetine pamodzi ndi mankhwalawa. | |
| |
Mndandandawu sunathe. Choncho uzani dokotala wanu za mankhwala onse, mavitamini, ndi mankhwala azitsamba omwe mumamwa. Musaiwale kuuza dokotala wanu ngati mumasuta kapena kumwa mowa.
Zinthu zoti muzisamala nazo mukamamwa mankhwala
- Kuleza mtima n'kofunika: Zingatenge sabata imodzi kapena kuposerapo kuti mankhwalawa agwire ntchito mokwanira. Choncho, musasiye kumwa mankhwalawa chifukwa "simukumva bwino." Pitirizani kumwa monga momwe dokotala wanu wanenera.
- Samalani thanzi la maganizo: Nthawi zambiri, ana ndi achinyamata omwe akumwa mankhwalawa angaganize zodzipha kapena kusintha khalidwe lawo (monga kukwiya kwambiri, kukwiya, kapena kuvutika maganizo). Ngati muwona kusintha kwadzidzidzi kwa khalidwe la mwana wanu, imbani dokotala nthawi yomweyo.
- Chidziwitso chapadera kwa amuna: Ngati mwamuna akumva kupweteka kapena kutopa kwa nthawi yayitali kwa maola opitilira 4, kungakhale vuto lalikulu. Ngati izi zitachitika , muyenera kufunsa upangiri wa dokotala nthawi yomweyo musanawonongeke kwathunthu.
- Kugona ndi chizungulire: Mankhwalawa angakupangitseni kugona kapena kumva chizungulire. Choncho musayendetse galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe izi zimakukhudzirani. Samalani mukadzuka kapena kukhala pansi mwachangu, makamaka ngati ndinu okalamba.
- Pakamwa pouma: Ngati mukumva ngati pakamwa panu pauma, tafunani chingamu chopanda shuga ndipo imwani madzi ambiri.
Zotsatirapo zomwe zingatheke
Monga mankhwala ena aliwonse, Atomoxetine ingayambitse zotsatirapo zina. Zina mwa izo ndi zazikulu, pomwe zina ndizofala.
| Mtundu wa zotsatira zoyipa | Makhalidwe |
|---|---|
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala nthawi yomweyo | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime. |
| Kusintha kwa kugunda kwa mtima | Kugunda kwa mtima mofulumira kapena kosasinthasintha, chizungulire, kupweteka pachifuwa. |
| Kuvulala kwa chiwindi | Kupweteka m'mimba yakumanja, kusowa chilakolako cha chakudya, khungu kapena maso kukhala achikasu, mkodzo wachikasu wakuda, ndowe zotumbululuka. |
| Kusintha kwa maganizo ndi khalidwe | Nkhawa, kukwiya msanga, maganizo ofuna kudzipha, kuvutika maganizo. |
| Zizindikiro za Stroke | Kufooka kwadzidzidzi kwa nkhope, mkono, kapena mwendo, kuvutika kulankhula, mutu waukulu. |
| Kuvuta kukodza | Kuvuta kukodza kapena kusakodza konse. |
| Kawirikawiri si nkhani yaikulu (koma uzani dokotala ngati ikupitirira) | |
| |
Mndandandawu sukuphatikizapo zotsatirapo zonse zomwe zingachitike. Ngati mukukumana ndi vuto lililonse lachilendo, lankhulani ndi dokotala wanu za vutoli.
Uthenga Wopita Nawo Kunyumba
- Atomoxetine ndi mankhwala omwe amathandiza ndi ADHD. Komabe, zimatenga nthawi kuti muwone zotsatira zonse, choncho khalani oleza mtima ndipo mugwiritse ntchito nthawi zonse monga momwe dokotala wanu wanenera.
- Musasiye kumwa mankhwala anu mwadzidzidzi popanda kufunsa dokotala wanu.
- Onetsetsani kuti mwadziwitsa dokotala wanu za mankhwala ena onse, mavitamini, ndi matenda omwe mukumwa.
- Samalani kwambiri ndi zotsatirapo zoyipa monga kusintha kwa khalidwe la mwana wanu kapena malingaliro ofuna kudzipha. Ngati muwona chilichonse chonga ichi, funsani upangiri wa dokotala nthawi yomweyo.
- Mankhwalawa ndi a inu nokha. Musagawane ndi wina aliyense.
👩🏽⚕️ Mafunso ena (Mafunso Ofunsidwa Kawirikawiri)
💬 Kodi mapiritsi a Aliskiren / Tekturna amagwiritsidwa ntchito pa chiyani?
Iyi ndi mankhwala opambana kwambiri a mbadwo waposachedwa komanso wosiyana (Direct Renin Inhibitor) omwe apezeka padziko lonse lapansi kuti achepetse 'High Blood Pressure'! Ngakhale mapiritsi ena onse opanikizika amaletsa mtsinje wa asidi ukatsika, piritsi ili limatseka gwero la mtsinje (Renin) 100% ndikutseka, ndikuletsa kuthamanga kwa magazi kuti kusakunjikane poyamba.
💬 Kodi mungachepetse bwanji kuthamanga kwa magazi ndi piritsi latsopanoli la kuthamanga kwa magazi (Aliskiren)?
Mtsinje wa mankhwala womwe umakweza kuthamanga kwa magazi umayamba ndi enzyme yotchedwa 'Renin' yomwe imatulutsidwa ndi impso zathu! Mapiritsi ena (ACE/ARB) amagwira ntchito pa mankhwala a Angiotensin omwe amapangidwa ndi impso. Koma piritsi ili likalowa m'thupi, limapita molunjika ku impso ndikutseka makina akuluakulu otchedwa 'Renin' 100%. Kenako mtsinjewo sumayambanso, mitsempha yamagazi imamasuka ndipo kuthamanga kwa magazi kumatsika nthawi yomweyo.
💬 Kodi ndi chiopsezo chachikulu chotani chomwe chingaphe munthu (Chenjezo la Black Box) chomwe muyenera kudziwa mukamagwiritsa ntchito mankhwalawa (Aliskiren)?
Piritsi ili, monga mapiritsi ena othamanga magazi, ndi loletsedwa kwa amayi apakati! Ngati mayi wapakati amene wamwa izi atenga pakati, impso za mwana zitha kuwonongeka/kutuluka magazi ndipo mwanayo akhoza kufa (Fetal morbidity). Komanso, ngati muli ndi matenda a shuga ndipo mumwa mapiritsi awa pamodzi ndi mapiritsi ena othamanga magazi (ACE/ARB - mwachitsanzo Losartan), pali chiopsezo cha kuwonongeka kwa impso 100%/kuchuluka kwa potaziyamu ndi imfa.
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