Kodi dokotala wanu wakupatsani mankhwala otchedwa Carbamazepine a khunyu kapena ululu wina wa mitsempha? Ngati ndi choncho, ndikofunikira kudziwa bwino za mankhwalawa. Chifukwa, monga mankhwala ena aliwonse, kuti mugwiritse ntchito bwino, muyenera kuwagwiritsa ntchito moyenera. Tiyeni tikambirane za izi mosavuta komanso moona mtima lero.
Mwachidule, kodi Carbamazepine ndi chiyani?
Iyi ndi mankhwala omwe amatonthoza mitsempha m'thupi lathu. Tangoganizirani, zizindikiro zamagetsi zimadutsa m'mitsempha ya muubongo ndi m'thupi lathu. Mu mkhalidwe ngati khunyu, zizindikirozi zimakhala zosalamulirika komanso zogwira ntchito mopitirira muyeso. Carbamazepine imatonthoza mitsempha yogwira ntchito mopitirira muyeso ndikulamulira ntchito yamagetsi yosazolowereka. Izi zimawongolera kubuka kwa khunyu. Mankhwalawa amathandizanso kuchepetsa ululu waukulu (ululu wa mitsempha) womwe umayambitsidwa ndi mitsempha ina. Mutha kupeza mankhwalawa ku Sri Lanka pogwiritsa ntchito mayina monga `Tegretol-XR`.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwala
Izi ndizofunikira kwambiri. Dokotala wanu asanakupatseni mankhwala awa, ayenera kudziwa mbiri yanu yonse ya thanzi. Onetsetsani kuti mwauza dokotala wanu ngati muli ndi vuto lililonse mwa izi:
| Nkhani yomwe muyenera kuifotokoza | Kufotokozera |
|---|---|
| Matenda omwe analipo kale | Matenda monga matenda a m'mafupa, glaucoma, matenda a mtima kapena kugunda kwa mtima kosasinthasintha, matenda a impso, matenda a chiwindi, ndi porphyria. |
| Mavuto a magazi | Matenda monga kuchepa kwa chiwerengero cha maselo oyera a magazi, ma platelet, kapena maselo ofiira a magazi m'magazi. |
| Thanzi la maganizo | Matenda amisala kapena malingaliro ofuna kudzipha, mapulani, kapena zoyesayesa (mwa inuyo kapena wachibale wanu) |
| Chiyambi cha ku Asia | Ngati ndinu wochokera ku Asia, ndikofunika kuuza dokotala wanu za izi, chifukwa muli pachiwopsezo chotenga matenda enaake a pakhungu. |
| Matenda a ziwengo | Ngati muli ndi vuto la ziwengo ku mankhwala ena monga carbamazepine, tricyclic antidepressants, phenytoin, phenobarbital, kapena zakudya kapena zosungira. |
| Mimba ndi kuyamwitsa | Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena kuyamwitsa, onetsetsani kuti mwanena zimenezo. |
Kodi ndimagwiritsa ntchito bwanji mankhwalawa molondola?
Pankhaniyi, chinthu chofunika kwambiri ndikutsatira malangizo a dokotala wanu molondola.
- Mezani piritsi lonseli ndi kapu ya madzi.
- Musamathyole, kuphwanya, kapena kutafuna piritsi. Popeza awa ndi mapiritsi otulutsa mankhwala kwa nthawi yayitali, kutero kungapangitse kuti mankhwalawo alowe m'thupi mwachangu kwambiri ndikuyambitsa zotsatirapo zoyipa.
- Yang'anani mapiritsi. Musagwiritse ntchito ngati pali mapiritsi osweka kapena osweka.
- Nthawi zambiri ndi bwino kumwa mankhwalawa pamodzi ndi chakudya . Izi zingathandize kuchepetsa mavuto monga kuvutika m'mimba.
- Imwani mlingo wolembedwa monga momwe dokotala wanu wanenera. Musawonjezere kapena kuchepetsa mlingo momwe mukufunira, kapena mutenge mobwerezabwereza kuposa momwe mwalangizidwira.
- Chofunika kwambiri: Musasiye kumwa mankhwalawa mwadzidzidzi popanda upangiri wa dokotala. Kuchita zimenezi kungapangitse kuti munthu adwale khunyu.
Nthawi zina mungaone piritsi likutuluka ndi ndowe zanu. Musadandaule nazo. Izi ndi zachilendo. Chogwiritsidwa ntchito mu mankhwalawa chalowa m'thupi lanu.
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.
Nanga bwanji ngati nditamwa mankhwala ochulukirapo?
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, pitani ku Dipatimenti Yoona za Zadzidzidzi (ETU) nthawi yomweyo kapena imbani National Poisons Information Centre ku Colombo National Hospital . Musatenge izi mopepuka.
Zinthu zina zomwe zingagwirizane ndi mankhwalawa
Carbamazepine imatha kuyanjana ndi mankhwala ena, zakudya, ndi zakumwa, choncho ndikofunikira kuuza dokotala wanu za mankhwala onse omwe mukumwa (kuphatikizapo mavitamini ndi mankhwala azitsamba).
Musamwe izi pamodzi ndi carbamazepine:
- Mankhwala ena a HIV kapena Edzi (omwe amaperekedwa ndi cobicistat)
- Delavirdine
- Mankhwala oletsa kupsinjika maganizo a MAOI (monga Carbex, Eldepryl, Marplan, Nardil, Parnate)
- Nefazodone
- Oxcarbazepine
Izi zithanso kuchitapo kanthu:
Mndandanda uwu ndi wautali kwambiri, choncho lankhulani ndi dokotala wanu za mankhwala atsopano omwe mumamwa.
- Acetaminophen
- Maantibayotiki ena (monga clarithromycin, erythromycin)
- Mapiritsi oletsa kubereka (Mankhwalawa angachepetse mphamvu ya mapiritsi oletsa kubereka. Chifukwa chake, lankhulani ndi dokotala wanu za njira ina yolerera.)
- Madzi a mphesa
- Mankhwala a matenda amisala monga Lithium
- Mankhwala ochepetsa kuthamanga kwa magazi
- Mankhwala oletsa bowa (monga fluconazole, ketoconazole)
- Mitundu ya ma steroid
- Mankhwala ochepetsa magazi monga Warfarin
Iyi si mndandanda wathunthu. Choncho uzani dokotala wanu za mankhwala onse omwe mumamwa, ngati mumasuta fodya, kapena ngati mumamwa mowa .
Zinthu zofunika kusamala kwambiri mukamamwa mankhwala
- Matenda aakulu pakhungu: Izi ndizofunikira kwambiri. Anthu ena akhoza kukhala ndi matenda aakulu pakhungu patatha milungu ingapo kapena miyezi ingapo mutayamba kumwa mankhwalawa. Ngati muyamba kutupa ndi zizindikiro monga malungo kapena kuzizira, ngati kutupako kumasintha mtundu, matuza, kapena kuyamba kutuluka, kapena ngati muwona kutupa pankhope, milomo, kapena chotupa pakhosi kapena m'khwapa , pitani kwa dokotala nthawi yomweyo.
- Kugona ndi chizungulire: Mankhwalawa angakupangitseni kumva tulo, chizungulire, kapena kusawona bwino. Choncho , musayendetse galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani. Samalani mukadzuka kuchokera pamalo omwe mukukhala kapena kukhala pansi mwadzidzidzi, makamaka ngati ndinu munthu wokalamba. Kumwa mowa kungapangitse kuti kugonako kukhale kovuta kwambiri.
- Samalani ndi momwe maganizo anu alili:Ngakhale kuti mankhwalawa ndi osowa, akhoza kuwonjezera chiopsezo cha maganizo kapena zochita zodzipha. Ngati mutaya chisangalalo chanu, maganizo anu amaipiraipira, kapena mukumva ngati mumwalira, uzani dokotala wanu kapena wachibale wanu nthawi yomweyo. Musasunge chinsinsi.
- Kumva ku dzuwa: Khungu lanu likhoza kukhala losamva ku dzuwa kwambiri mukamamwa mankhwalawa. Choncho ngati mukufuna kukhala padzuwa, valani zovala zophimba khungu lanu ndipo gwiritsani ntchito mafuta oteteza ku dzuwa.
Zotsatirapo zomwe zingachitike chifukwa cha mankhwala
| Kugawa zotsatira zoyipa | |
|---|---|
| Ngati mukukumana ndi zizindikiro izi, uzani dokotala wanu nthawi yomweyo. | |
| Matenda oopsa a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Kuchepa kwa magazi m'thupi | Kutopa kosazolowereka, kufooka, chizungulire, kupuma movutikira, kutuluka magazi mosavuta kapena kuvulala. |
| Kuwonongeka kwa chiwindi | Kupweteka kumtunda kwa kumanja kwa m'mimba, kusowa chilakolako cha chakudya, nseru, ndowe zowala, mkodzo wakuda wachikasu kapena bulauni, komanso khungu kapena maso achikasu. |
| Sodium yochepa | Kufooka kwa minofu, kutopa, chizungulire, mutu, komanso kuiwala zinthu. |
| Zizindikiro zina zazikulu | Kusintha kwa masomphenya, kugunda kwa mtima mofulumira kapena kosasinthasintha, malungo, kuzizira, kupweteka pakhosi, kufiira, kutupa, kapena khungu lotupa, kuphatikizapo mkati mwa pakamwa. |
| Izi nthawi zambiri sizimakhala zoopsa, koma ngati zikupitirira, uzani dokotala wanu. | |
| Zotsatirapo zazing'ono | Chizungulire, kugona tulo, kulephera kukhazikika, nseru, kusanza. |
Uthenga Wopita Nawo Kunyumba
- Musaswe, kuphwanya, kapena kutafuna piritsi la carbamazepine. Mezani lonse.
- Musasiye kumwa mankhwala mwadzidzidzi popanda upangiri wa dokotala. Izi zitha kuwonjezera chiopsezo cha khunyu.
- Ngati malungo anu akubwera limodzi ndi zilonda zofiira komanso zotupa pakhungu, izi zitha kukhala chizindikiro cha matenda oopsa. Uzani dokotala nthawi yomweyo.
- Ngati mukumva kuti mulibe chiyembekezo, mukuvutika maganizo, kapena muli ndi maganizo ofuna kudzipha, onetsetsani kuti mwauza dokotala wanu kapena munthu amene mumamudalira.
- Uzani dokotala wanu za mankhwala ena onse omwe mukumwa, kuphatikizapo mavitamini. Pewani kumwa madzi a mphesa.
- Mankhwalawa angayambitse kugona, choncho samalani kwambiri mukamachita ntchito zomwe zimafuna chisamaliro, monga kuyendetsa galimoto.
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