Nthawi zina dokotala wanu akakupatsani mankhwala okhudza thanzi la maganizo, ndi zachilendo kukhala ndi mafunso angapo, chidwi, komanso mantha pang'ono. "Kodi izi zidzachitika ndi chiyani?", "Kodi izi ndi zotetezeka?", "Ndiyenera kuda nkhawa ndi chiyani?" ndi mafunso ambiri omwe amabwera m'maganizo mwanga. Lero tikambirana za mankhwala ena otere , Cariprazine . Mutha kuwadziwa ndi dzina lodziwika bwino la VRAYLAR. Mankhwalawa amagwiritsidwa ntchito pochiza matenda monga schizophrenia ndi bipolar disorder. Tiyeni tikambirane za izi mosavuta komanso momveka bwino.
Kodi kwenikweni chimachitika ndi mankhwala awa ndi chiyani?
Tangoganizani kuti pali gulu la amithenga ang'onoang'ono mkati mwa ubongo wathu. Amithenga awa ndi omwe amalamulira malingaliro athu, machitidwe athu, ndi malingaliro athu. Dopamine ndi Serotonin ndi awiri mwa amithenga akuluakulu. Mu matenda amisala monga schizophrenia ndi bipolar disorder, magwiridwe antchito a amithenga awa nthawi zina amatha kukhala osakhazikika pang'ono, zomwe zikutanthauza kuti amatha kutaya bwino.
Mwachidule, Cariprazine imagwira ntchito poyesa kuchuluka kwa mankhwala awa muubongo otchedwa dopamine ndi serotonin, omwe amathandiza kukhazikika kwa malingaliro anu. Izi zimathandiza kuwongolera zizindikiro ndikukuthandizani kuti mugwire ntchito bwino. Mankhwalawa timawatcha gulu la 'Antipsychotics'.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwala
Ndikofunikira kwambiri kukambirana mbiri yanu yonse ya thanzi ndi dokotala musanayambe kumwa mankhwalawa. Ngati muli ndi vuto lililonse lomwe latchulidwa pansipa, onetsetsani kuti mwawauza. Musabise chilichonse, ngakhale chaching'ono kwambiri, chifukwa ndi chofunikira kwambiri pa chitetezo chanu.
- Matenda oiwala zinthu monga matenda a dementia.
- Matenda a shuga kapena kukhala ndi wachibale amene ali ndi matenda a shuga.
- Kuvuta kumeza chakudya kapena zakumwa.
- Kuvuta kulamulira minofu.
- Matenda a mtima kapena cholesterol yambiri.
- Ngati mudadwalapo sitiroko kale.
- Matenda a impso kapena chiwindi.
- Matenda omwe chiwerengero cha maselo oyera a magazi, maselo ofiira a magazi, kapena ma platelet m'magazi chimachepa.
- Kuthamanga kwa magazi pang'ono.
- Matenda a Parkinson.
- Kugwidwa ndi khunyu.
- Ngati munaganizapo zodzipha, kuyesa, kapena wachibale wanu anaganizapo zimenezo.
- Ngati mwakhalapo ndi vuto la chifuwa chifukwa cha mankhwala a Cariprazine awa kapena mankhwala ena aliwonse, chakudya, kapena utoto.
- Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena mukuyamwitsa.
Mukakhala omasuka kwa dokotala wanu za thanzi lanu, ndiye kuti angathe kukupatsani chithandizo choyenera komanso chotetezeka.
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
Chofunika kwambiri ndikumwa mankhwala monga momwe dokotala wanenera, mu mlingo wake weniweni.
- Mezani piritsi lonseli ndi kapu ya madzi.
- Izi zitha kumwedwa ndi chakudya kapena popanda chakudya.
- Khalani ndi chizolowezi chomwa mankhwala anu nthawi yomweyo tsiku lililonse. Mwanjira imeneyi, simudzayiwala.
- Musamwe mowa wambiri kapena wochepa kuposa womwe dokotala wanu wakuuzani.
- Chofunika kwambiri: Musasiye kumwa mankhwala anu mwadzidzidzi popanda upangiri wa dokotala. Kuchita zimenezi kungayambitse mavuto aakulu. Ngati musiya, pali njira yochitira zimenezo, ndipo dokotala wanu adzakuuzani momwe mungachitire.
Kodi mungachite chiyani ngati mwamwa mankhwala ochulukirapo?
Tangoganizani kuti mwamwa mankhwala ochulukirapo kuposa mlingo womwe mwapatsidwa. Ngati izi zitachitika, musachite mantha ndipo nthawi yomweyo imbani National Poisons Information Centre ku Colombo National Hospital. Kapena, pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.
Nanga bwanji ngati nditaiwala kumwa mankhwala anga?
Ngati mwaiwala kumwa mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yanu yotsatira yayandikira (mwachitsanzo, mkati mwa maola ochepa), dumphani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe mlingo iwiri nthawi imodzi.
Zinthu zina zomwe zingagwirizane ndi mankhwalawa (Kuyanjana)
Ndikofunikira kwambiri kuuza dokotala wanu za mankhwala onse omwe mumamwa (kuphatikizapo mavitamini, mankhwala achikhalidwe, ndi mankhwala azitsamba), mowa womwe mumamwa, komanso ngati mumasuta. Zinthu zina zimatha kusokonezana ndi mankhwalawa ndikuyambitsa zotsatira zosafunikira.
| Mtundu wa mankhwala | Kufotokozera ndi zitsanzo |
|---|---|
| Musatenge izi ndi chilichonse. | |
| Metoclopramide | Mankhwala ochizira kusanza ndi nseru. |
| Chonde dziwitsani dokotala wanu chifukwa izi zingakhudze. | |
| Mankhwala a ziwengo, chifuwa, ndi chimfine (Antihistamines) | Mankhwala monga Piriton. |
| Mankhwala ena ochepetsa nkhawa, nkhawa, kapena tulo | Mwachitsanzo: Amitriptyline, Fluoxetine, Sertraline |
| Mankhwala ena a matenda a bowa | Mwachitsanzo: Itraconazole, Ketoconazole |
| Mankhwala a khunyu | Mwachitsanzo: Carbamazepine |
| Mankhwala ochepetsa kuthamanga kwa magazi | Mankhwala aliwonse ochepetsa kuthamanga kwa magazi. |
| Mankhwala a matenda a Parkinson | Mankhwala monga Levodopa. |
| Mankhwala oletsa ululu | Mankhwala operekedwa kuti apangitse munthu kugona asanachite opaleshoni. |
Zotsatirapo zomwe zingakhalepo mukatenga mankhwala
Monga mankhwala ena aliwonse, izi zingayambitse zotsatirapo zake. Komabe, si aliyense amene amalandira mankhwalawa. Samalani ndi zizindikiro zomwe zili pansipa.
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala wanu nthawi yomweyo | |
|---|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Shuga wambiri m'magazi | Ludzu losazolowereka, kukodza pafupipafupi, kutopa kwambiri, kusawona bwino. |
| Matenda a Neuroleptic Malignant (NMS) | Malungo aakulu, kuuma kwa minofu, thukuta kwambiri, kugunda kwa mtima mofulumira kapena kosakhazikika, kusokonezeka maganizo. |
| Stroke | Kusanza mwadzidzidzi kapena kufooka pankhope, mkono, kapena mwendo, kuvutika kulankhula, kuvutika kuyenda, mutu waukulu. |
| Kutaya mphamvu yolamulira minofu (Zizindikiro za Extrapyramidal - EPS) | Kusuntha ziwalo za thupi mosalamulirika, kuuma kwa minofu, kunjenjemera, kusakhazikika, kukoka mapazi poyenda. |
| Maganizo odzipha | Kuwonjezeka kwa kuvutika maganizo, maganizo ofuna kudzipha. |
| Kawirikawiri si nkhani yaikulu, koma uzani dokotala ngati ikupitirira. | |
| Kugona tulo | Izi zitha kupitirira mpaka thupi litazolowera mankhwalawo. |
| Kudzimbidwa | Kumwa madzi ambiri ndi kudya zakudya zokhala ndi ulusi wambiri kungathandize. |
| Kusanza, kusanza, kuvutika m'mimba | Izi zitha kuchepetsedwa mwa kumwa mankhwala pamodzi ndi chakudya. |
Zinthu zina zofunika kusamala nazo mukamamwa mankhwala
Chizungulire ndi kugona
Mankhwalawa angakupangitseni kugona komanso kumva chizungulire. Choncho pewani kuyendetsa galimoto, kugwira ntchito pamalo okwera, komanso kugwiritsa ntchito makina omwe amafunika kukhala maso mpaka mutadziwa bwino momwe zimakukhudzirani. Imirirani pang'onopang'ono mukadzuka kuchokera pamalo okhala kapena pogona. Kumwa mowa kungapangitse kuti kugonako kukhale koipa kwambiri, choncho pewani kumwa mowa konse.
Kulamulira kutentha kwa thupi
Kumwa mankhwalawa kungachepetse mphamvu ya thupi yolekerera kutentha ndi kuzizira. Chifukwa chake, pewani kutuluka padzuwa kapena kuchita masewera olimbitsa thupi kwambiri masiku otentha. Imwani madzi ambiri ndipo valani zovala zopepuka. Izi zimagwiranso ntchito pa kuzizira kwambiri. Ngati mukupita kunja nthawi yozizira, valani zovala zofunda.
Kodi muyenera kusunga bwanji mankhwala anu?
- Sungani pamalo omwe ana sangafikire kapena kuwonekera.
- Sungani pamalo otentha (pakati pa 15-30 Celsius), kutali ndi dzuwa lachindunji ndi chinyezi. Sikoyenera ku bafa.
- Musagwiritse ntchito mankhwala omwe atha ntchito.
Uthenga Wopita Nawo Kunyumba
- Cariprazine ndi mankhwala omwe amachiritsa matenda monga schizophrenia ndi bipolar disorder ndipo ayenera kugwiritsidwa ntchito kokha monga momwe dokotala wanenera.
- Musayambe, kusiya, kapena kusintha mlingo wa mankhwala popanda upangiri wa dokotala.
- Uzani dokotala wanu za mankhwala ena onse, mavitamini, ndi mankhwala achikhalidwe omwe mukumwa.
- Mukamamwa mankhwalawa, dziwani kusintha kulikonse kwa maganizo anu, malingaliro ofuna kudzipha, kugona tulo topitirira muyeso, kapena zizindikiro zina zachilendo. Ngati muwona chilichonse mwa izi, uzani dokotala wanu nthawi yomweyo.
- Ngati muli ndi pakati, mukuyamwitsa, kapena mukukonzekera kutenga pakati, dziwitsani dokotala wanu musanayambe kumwa mankhwala.
- Pewani kumwa mowa kotheratu.
👩🏽⚕️ Mafunso ena (Mafunso Ofunsidwa Kawirikawiri)
💬 Makapisozi a Cariprazine (Vraylar) ndi mtundu watsopano wa mankhwala omwe amagwiritsidwa ntchito pochiza matenda ati?
Iyi si piritsi wamba la matenda amisala! Iyi ndi mankhwala atsopano komanso opambana kwambiri (Atypical Antipsychotic) okwera mtengo omwe apezeka ku America pochiza matenda a schizophrenia (delusions), matenda oopsa a bipolar I (mkwiyo waukulu ndi kuvutika maganizo komwe kumasinthasintha), ndi matenda oopsa amisala otchedwa Major Depression Disorder (Major Depression Disorder) omwe sangachiritsidwe ndi mankhwala ena aliwonse.
💬 Mukawona zinthu zachilendo/muli ndi matenda aakulu amisala, kodi kumwa mapiritsi awa (Vraylar) kumachiritsa bwanji ubongo wanu?
Matenda onse amisala amenewa amayamba chifukwa cha kusintha kwa mankhwala muubongo otchedwa 'Dopamine' ndi 'Serotonin'. Mankhwala ena amaletsa chilichonse, kotero wodwalayo amagwidwa ndi miyala. Koma mankhwalawa ali ndi luso lodabwitsa (Partial Agonist)! Ngati pali dopamine yochuluka muubongo, imapita ndikumangirira ku ma receptor (D3/D2 Receptors) ndikuchepetsa. Ndipo ngati palibe dopamine yokwanira, imalowa mkati ndikuwonjezera dopamine (kulinganiza ubongo)! Chifukwa chake, izi zimabwezeretsa wodwalayo wamisala nthawi yomweyo ku chidziwitso.
💬 Kodi ndi 'zoopsa zoopsa' ziti (Chenjezo la Black Box) zomwe anthu omwe akumwa mankhwala atsopanowa (Cariprazine) ayenera kudziwa?
Choopsa chachikulu ndichakuti chimayambitsa 'kusakhazikika kwa maganizo ndi malingaliro ofuna kudzipha', makamaka kwa achinyamata (osakwana zaka 24)! Choopsa china chachikulu ndichakuti ngati izi ziperekedwa kwa okalamba omwe ali ndi vuto la dementia (dementia-related psychosis), amatha kufa mwadzidzidzi (Kuwonjezeka kwa imfa)! Komanso, ngati mupitiliza kumwa izi, mutha kutenga matenda amanjenje omwe amachititsa kunjenjemera kwa miyendo/kulephera kukhala pamalo amodzi (Akathisia / EPS).
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