Kodi dokotala wanu wakupatsani mankhwala otchedwa Carbamazepine kuti muchepetse khunyu (khunyu) kapena kuti akuthandizeni ndi ululu wanu wa mitsempha womwe nthawi zina sungathe kupirira? Mwina mukuchita mantha pang'ono kapena kukhala ndi chidwi chofuna kudziwa za mankhwalawa. Zimenezo ndi zachilendo. Lero, tiyeni tikambirane za mankhwala awa, momwe amagwirira ntchito, komanso zomwe muyenera kusamala nazo mukamawagwiritsa ntchito.
Mwachidule, Carbamazepine ndi mankhwala omwe amachepetsa mitsempha yogwira ntchito kwambiri m'thupi lathu ndikubwezeretsa ntchito yake yachibadwa. Umu ndi momwe kuyambika kwa mphuno kumawongolera ndipo ululu wokhudzana ndi mitsempha umachepa. Mankhwalawa ndi otchuka kwambiri ku Sri Lanka pansi pa dzina la Tegretol.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwalawa
Ngakhale kuti carbamazepine ndi mankhwala othandiza kwambiri, si oyenera aliyense. Chifukwa chake, ndikofunikira kwambiri kuti dokotala wanu akuuzeni mbiri yanu yonse ya thanzi musanapereke mankhwalawa. Makamaka ngati muli ndi vuto lililonse lomwe latchulidwa pansipa.
- Kukhala ndi makolo aku Asia: Izi zingawoneke zachilendo, koma anthu ena omwe ali ndi majini aku Asia ali pachiwopsezo chachikulu cha zotsatirapo zoyipa pakhungu chifukwa cha mankhwalawa. Chifukwa chake ndikofunikira kuuza dokotala wanu za makolo anu.
- Matenda a m'mafupa:
- Matenda a Glaucoma: (Glaucoma)
- Matenda a mtima kapena kugunda kwa mtima kosasinthasintha:
- Matenda a impso:
- Matenda a chiwindi:
- Kuchepa kwa chiwerengero cha maselo m'magazi: Mwachitsanzo, kuchepa kwa maselo oyera m'magazi, ma platelet, kapena maselo ofiira amagazi.
- Matenda otchedwa Porphyria:
- Matenda amisala: (Matenda amisala)
- Maganizo, mapulani, kapena zoyesayesa zodzipha: Tiuzeni ngati izi zidakuchitikiranipo kapena wina m'banja mwanu kale.
- Matenda a ziwengo ku mankhwala ena: Makamaka ngati muli ndi vuto la ziwengo ku mankhwala monga carbamazepine, tricyclic antidepressants, phenytoin, phenobarbital, kapena zakudya zina kapena utoto.
- Ngati mukuyesera kutenga mimba kapena muli ndi pakati:
- Ngati mwana akuyamwitsa:
Kugawana izi ndi dokotala wanu n'kofunika kwambiri kuti mukhale otetezeka. Choncho musabise chilichonse, fotokozani chilichonse momveka bwino.
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
Iyi ndi piritsi lotafuna. Mutha kulitafuna kapena kulimeza lonse ndi madzi.Imwani mankhwala panthawi yomwe mwapatsidwa, monga momwe dokotala wanenera. Ndi bwino kumwa mankhwalawa pamodzi ndi chakudya . Izi zithandiza kuchepetsa kupweteka m'mimba.
Chofunika kwambiri: Ngati mukumwa mankhwalawa kuti muchepetse vuto la kuluma, musasiye kumwa mwadzidzidzi popanda upangiri wa dokotala . Kuchita izi kumawonjezera chiopsezo choti vuto la kuluma libwererenso, mwina kuposa kale.
Kodi mungachite chiyani ngati mwamwa mopitirira muyeso?
Ngati mwadzidzidzi mukuganiza kuti mwamwa mankhwala ochulukirapo, musachite mantha. Imbani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital . Kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi mwachangu momwe mungathere.
Nanga bwanji ngati nditaiwala kumwa mankhwala anga?
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.
Zinthu zina zomwe zingagwirizane ndi carbamazepine
Mankhwalawa angagwirizane ndi mankhwala ena, zakudya, ndi zakumwa. Chifukwa chake, muyenera kuuza dokotala wanu za mankhwala onse omwe mukumwa (kuphatikizapo mavitamini ndi mankhwala achikhalidwe).
| Musamwe Carbamazepine ndi izi! | |
|---|---|
| Mankhwala ena a HIV/AIDS (operekedwa pamodzi ndi cobicistat) | Delavirdine |
| MAOIs (mtundu wa mankhwala ochizira kuvutika maganizo) | Nefazodone, Oxcarbazepine |
| Izi zitha kusintha zotsatira za Carbamazepine (uzani dokotala wanu ). | |
| Acetaminophen (Paracetamol) | Maantibayotiki ena (monga Clarithromycin, Erythromycin) |
| Mitundu ya mahomoni, kuphatikizapo mapiritsi oletsa kubereka | Madzi a mphesa |
| Mankhwala ochizira matenda a bowa (monga Fluconazole, Ketoconazole) | Mankhwala a kuthamanga kwa magazi |
| Mankhwala a matenda amisala | Warfarin (mankhwala omwe amachepetsa magazi kuundana) |
| Mankhwala ena operekedwa kuti athetse vuto la kusowa mphamvu | Theophylline (mankhwala a mphumu) |
*Iyi si mndandanda wathunthu. Chonde dziwitsani dokotala wanu zonse zomwe mukumwa.*
Dziwani izi mukamamwa mankhwala.
Muyenera kusamala thupi lanu pang'ono mukamamwa mankhwalawa.
- Kugona ndi chizungulire: Mungakhale ndi tulo, chizungulire, mutu wopepuka, kapena kusawona bwino. Choncho , musayendetse galimoto kapena kugwiritsa ntchito makina mpaka thupi lanu litazolowera mankhwala awa. Ngati ndinu okalamba, musayime kapena kukhala tsonga mwadzidzidzi, chifukwa chizungulire chingakupangitseni kugwa.
- Mowa: Kumwa mowa kungapangitse kuti munthu agone komanso azungulire. Choncho, pewani kumwa mowa kotheratu mukamamwa mankhwalawa.
- Matenda a pakhungu: Izi ndizofunikira kwambiri. Anthu ena akhoza kukhala ndi matenda a pakhungu patatha milungu ingapo mutayamba kumwa mankhwalawa. Ngati muyamba kutupa kofiira komwe kumabweretsa zizindikiro monga malungo kapena kuzizira, komwe kumatuluka matuza ndi kutsekeka, kapena ngati muyamba kutupa kwa ma lymph nodes pankhope, milomo, khosi, kapena m'khwapa, pitani kwa dokotala nthawi yomweyo.
- Mapiritsi oletsa kubereka: Ngati mukugwiritsa ntchito mapiritsi oletsa kubereka, kumwa carbamazepine kungachepetse mphamvu yawo. Chifukwa chake, lankhulani ndi dokotala wanu za kugwiritsa ntchito njira ina yolerera kubereka.
- Kuwala kwa Dzuwa: Mankhwalawa angapangitse khungu lanu kukhala losavuta kukhudzidwa ndi kuwala kwa dzuwa. Choncho ngati mukufuna kukhala padzuwa, valani zovala zophimba khungu lanu ndipo gwiritsani ntchito mafuta oteteza ku dzuwa.
- Thanzi la maganizo:Mankhwalawa angawonjezere pang'ono chiopsezo cha maganizo kapena zochita zodzipha. Choncho, samalani kwambiri za momwe mukumvera komanso momwe mukumvera. Ngati mukumva kupsinjika maganizo, chisoni, kapena mukuganiza zodzipha, uzani dokotala wanu nthawi yomweyo.
- Kusowa kwa mavitamini: Kugwiritsa ntchito mankhwalawa kwa nthawi yayitali kungayambitse kuchepa kwa vitamini D ndi folic acid. Choncho lankhulani ndi dokotala wanu za zakudya zopatsa thanzi komanso kumwa mavitamini owonjezera ngati pakufunika kutero.
Zotsatirapo zoyipa za mankhwalawa
Monga mankhwala ena aliwonse, Carbamazepine ikhoza kukhala ndi zotsatirapo zake. Zina mwa izi ndi zoopsa, pomwe zina ndizofala.
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala wanu nthawi yomweyo | |
|---|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Mavuto okhudzana ndi magazi | Kutopa kosazolowereka, chizungulire, mutu, kupuma movutikira, kutuluka magazi mosavuta kapena kuvulala (Aplastic anemia). |
| Kuwonongeka kwa chiwindi | Kupweteka kumtunda kwa kumanja kwa m'mimba, kusowa chilakolako cha chakudya, khungu kapena maso kukhala achikasu, ndi mkodzo wakuda. |
| Matenda a pakhungu kwambiri | Kufiira, kutupa, khungu lotupa (ngakhale mkati mwa pakamwa). |
| Zina | Kusintha kwa masomphenya, kugunda kwa mtima kosakhazikika, kutentha thupi, kutupa kwa ziphuphu m'khosi kapena m'khwapa, komanso kuipiraipira kwa maganizo. |
| Zotsatirapo zomwe nthawi zambiri sizifuna chithandizo chamankhwala (koma uzani dokotala ngati zikupitirira) | |
| Chizungulire | Kugona tulo |
| Kutaya mphamvu m'thupi | Kusanza kapena kusanza |
Uthenga Wopita Nawo Kunyumba
- Musanayambe kumwa carbamazepine, uzani dokotala wanu za thanzi lanu lonse komanso mankhwala ena omwe mukumwa.
- Ngati mukumwa mankhwala ochizira matenda a chimfine, musasiye kumwa mankhwalawo mwadzidzidzi popanda upangiri wa dokotala.
- Ngati mukukumana ndi zizindikiro zoopsa za ziwengo monga kutentha thupi, ziphuphu pakhungu, matuza, ndi kutupa pankhope, funsani dokotala nthawi yomweyo.
- Pewani kuyendetsa galimoto kapena kuchita zinthu zomwe zimafuna kusamala mukamamwa mankhwalawa chifukwa zingayambitse kugona ndi chizungulire. Pewani kumwa mowa kwathunthu.
- Ngati mukukumana ndi kusintha kulikonse mu maganizo anu, chisoni, kukhumudwa, kapena maganizo okhudza imfa, uzani dokotala wanu nthawi yomweyo.
- Sungani mankhwalawo pamalo ouma komanso ozizira omwe ana sangawafikire.
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