Nthawi zina nkhawa, chisoni, kapena nkhawa zomwe timamva zimatha kukhala zolemetsa kwambiri. Nthawi zina ngati izi, dokotala wanu angakulembereni mankhwala oti akuthandizeni. Lero tikambirana za mankhwala amodzi otere. Ndi kuphatikiza kwa mankhwala awiri otchedwa Chlordiazepoxide ndi Amitriptyline. Amagwiritsidwa ntchito kwambiri pochiza kuvutika maganizo komanso matenda ena okhudzana ndi nkhawa.
Kodi kwenikweni chimachitika ndi mankhwala awa ndi chiyani?
Mwachidule, iyi ndi kuphatikiza kwa mankhwala awiri omwe amagwira ntchito ngati gulu kuti akuthandizeni kukhazika mtima pansi.
1. Amitriptyline: Iyi ndi ya gulu la mankhwala otchedwa tricyclic antidepressants (TCAs). Imagwira ntchito poyesa kuchuluka kwa mankhwala awiri olamulira maganizo mu ubongo wathu, serotonin ndi norepinephrine. Tangoganizani kuti izi zikuthandizani kuchepetsa chisoni chanu ndi kukhumudwa ndikukupatsani chisangalalo ndi mpumulo.
2. Chlordiazepoxide: Iyi ndi mankhwala omwe ali mu gulu la benzodiazepine. Imagwira ntchito pochepetsa nkhawa, kusakhazikika, komanso kusakhazikika, zomwe zimapangitsa kuti maganizo ndi thupi lanu likhale losangalala.
Zikaphatikizidwa zonsezi, zingathandize kwambiri kuthetsa kuvutika maganizo komanso nkhawa zomwe zimabwera chifukwa cha kuvutika maganizo nthawi imodzi.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwala
Ndikofunikira kwambiri kuti dokotala wanu adziwe bwino za thanzi lanu. Pokhapokha akakupatsani chithandizo choyenera komanso chotetezeka kwambiri. Chifukwa chake, musanayambe kumwa mankhwalawa, onetsetsani kuti mwadziwitsa dokotala wanu ngati muli ndi vuto lililonse lomwe lili pansipa.
| Nkhani yomwe muyenera kuifotokoza | N’chifukwa chiyani zimenezo n’zofunika? |
|---|---|
| Matenda amisala monga bipolar kapena schizophrenia | Mankhwalawa angapangitse kuti matenda ena amisala achuluke kwambiri. |
| Matenda a glaucoma | Pali kuthekera kowonjezera kuthamanga kwa magazi m'maso. |
| Ngati muli ndi matenda a mtima kapena matenda a mtima omwe mudakumana nawo kale | Zingakhudze kayendedwe ka kugunda kwa mtima. |
| Kuvuta kukodza kapena mavuto a prostate | Mavuto amenewa akhoza kuwonjezereka. |
| Matenda a impso kapena chiwindi | Mlingo ungafunike kusinthidwa chifukwa umakhudza kuchotsedwa kwa mankhwala m'thupi. |
| Chithokomiro chogwira ntchito mopitirira muyeso | Zizindikiro zimatha kusiyana. |
| Matenda omwe amayambitsa khunyu | Chiwopsezo chokhala ndi vuto la kukomoka chingasiyane. |
| Ngati inu kapena wina m'banja mwanu munaganizapo zodzipha | Izi ndizofunikira kwambiri. Chisamaliro chapadera chiyenera kuperekedwa pa momwe munthu akumvera mukamwa mankhwala. |
| Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena mukuyamwitsa | Mankhwalawa amatha kuvulaza mwana wosabadwa ndipo amatha kupita kwa mwana kudzera mu mkaka wa m'mawere. |
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
Imwani mankhwalawa ndi kapu ya madzi. Imwani mlingo wokhawo womwe dokotala wanu wakupatsani, panthawi yomwe mwapatsidwa. Musamwe mankhwala opitirira muyeso.
Chofunika kwambiri ndichakuti, musasiye kumwa mankhwalawa mwadzidzidzi popanda upangiri wa dokotala. Izi zili ngati kuyimitsa galimoto yothamanga mwadzidzidzi. Kuchita izi kungakulitse zizindikiro zanu ndikuyambitsa zotsatirapo zina zoopsa. Ngati musiya, chitani pang'onopang'ono, monga momwe dokotala wanu akukulangizirani, pochepetsa mlingo pang'onopang'ono.
Nanga bwanji ngati nditamwa mankhwala ochulukirapo?
Ngati mukuganiza kuti mwamwa mankhwala ambiri kuposa momwe mukuganizira, pitani ku Dipatimenti Yoona za Zadzidzidzi ya chipatala chapafupi (ETU) nthawi yomweyo. Kapena imbani National Poisons Information Centre ku Colombo National Hospital kuti mupeze malangizo. Izi si nthabwala.
Kodi izi zingagwirizane ndi mankhwala ena?
Inde, ndithudi. Mankhwalawa amatha kuyanjana ndi mankhwala ena ndikuyambitsa matenda oopsa.
Choncho, uzani dokotala wanu za mankhwala onse omwe mumamwa, osati omwe dokotala wanu wakupatsani okha, komanso Panadol yogulitsidwa popanda chilolezo, mankhwala ozizira, mapiritsi a mavitamini, mankhwala a Ayurvedic, chilichonse chomwe mumagwiritsa ntchito. Komanso, uzani dokotala wanu ngati mumasuta kapena kumwa mowa.
Nazi zitsanzo zochepa chabe. Mndandanda uwu si wokwanira.
| MUSAMWE ndi mankhwala awa. | |
|---|---|
| Mankhwala oletsa kupsinjika maganizo a MAOI (monga Marplan, Nardil) | Linezolid (mankhwala opha tizilombo) |
| Buluu wa Methylene | Mankhwala a matenda ena amisala, monga Pimozide ndi Thioridazine |
| Samalani kwambiri ndi izi. | |
| Mowa | Mapiritsi ogona, mankhwala ena oletsa nkhawa |
| Mankhwala ena a chimfine ndi ziwengo (Antihistamines) | Mankhwala ochepetsa ululu (makamaka opioids) |
| Mankhwala ochizira matenda a khunyu (monga Carbamazepine) | Mahomoni a chithokomiro |
Zinthu zoti muzisamala nazo mukamamwa mankhwala
Matenda a Serotonin
Imeneyi ikhoza kukhala vuto loopsa. Mwachidule, ndi vuto lomwe thupi lanu lili ndi mankhwala ambiri otchedwa serotonin. Izi zitha kuchitika ngati mutamwa mankhwala ena omwe amawonjezera serotonin pamodzi ndi mankhwalawa. Ngati mukumva zizindikiro monga kukwiya, kusafuna kuchitapo kanthu, kugunda kwa mtima mofulumira, kupweteka kwa minofu, thukuta, kutentha thupi, kusanza, ndi kutsegula m'mimba, pitani kuchipatala nthawi yomweyo.
Kusintha kwa maganizo
Anthu ena angakumane ndi kusintha kwa maganizo akangoyamba kumwa mankhwalawa, kapena akasintha mlingo. Ngati mukumva kuda nkhawa kwambiri, kukwiya, kapena chisoni, makamaka ngati mukufuna kudzivulaza, musanyalanyaze. Uzani wachibale wanu kapena mnzanu nthawi yomweyo ndipo pitani kwa dokotala wanu.
Kugona ndi kuyendetsa galimoto
Mankhwalawa angakupangitseni kugona kapena kuzunguzika . Choncho, musayendetse galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani. Kumwa mowa kungapangitse vutoli kukhala loipa kwambiri.
Zotsatira zina zofala
- Pakamwa pouma: Kutafuna chingamu chopanda shuga ndi kumwa madzi ambiri kungathandize.
- Kudzimbidwa: Ngati mukuvutika kutuluka chopondapo kwa masiku awiri kapena atatu, uzani dokotala wanu. Idyani zakudya zokhala ndi ulusi wambiri ndipo imwani madzi ambiri.
- Maso ouma ndi kusawona bwino: Madontho opaka mafuta m'maso angathandize. Ngati zikupitirira, pitani kwa dokotala wa maso.
- Kumva kukhudzidwa ndi dzuwa: Khungu lanu likhoza kukhala losamva ku dzuwa mukamamwa mankhwalawa. Choncho, gwiritsani ntchito mafuta oteteza ku dzuwa ndipo phimbani khungu lanu mukapita ku dzuwa.
Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala nthawi yomweyo
Ngati mukukumana ndi zizindikiro zotsatirazi, pitani kwa dokotala nthawi yomweyo.
| Zotsatira Zam'mbali | Kufotokozera |
|---|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Kuchepa kwa ntchito ya dongosolo la mitsempha (CNS depression) | Kupuma pang'onopang'ono kapena pang'ono, kugona tulo tochuluka, kumva kufooka, kusokonezeka. |
| Kusintha kwa kugunda kwa mtima | Kugunda kwa mtima mofulumira kapena kosasinthasintha, chizungulire, kupweteka pachifuwa, kuvutika kupuma. |
| Kupweteka kwa maso mwadzidzidzi kapena kusintha kwa masomphenya | Kuona molakwika, kuwona mphete mozungulira magetsi, kutayika kwa masomphenya. |
| Maganizo odzipha | Kusintha kwa maganizo, maganizo odzivulaza. |
Uthenga Wopita Nawo Kunyumba
- Mankhwala awa ndi a inu nokha. Musapatse wina aliyense mankhwala anu.
- Imwani mlingo monga momwe dokotala wanu wanenera, panthawi yake yeniyeni. Musamwe wochulukirapo kapena wochepa.
- Uzani dokotala wanu za mankhwala ena kapena mavitamini omwe mukumwa. Pewani mowa kotheratu.
- Musasiye kumwa mankhwala mwadzidzidzi popanda upangiri wa dokotala.
- Ngati mukukumana ndi kusintha kwakukulu mumtima kapena khalidwe lanu, makamaka ngati mukufuna kudzivulaza, funsani upangiri wa dokotala nthawi yomweyo.
- Pewani zinthu zoopsa monga kuyendetsa galimoto chifukwa kugona kungachitike mukumwa mankhwala.
- Sungani mankhwalawa pamalo otetezeka omwe ana ndi ziweto sangafikire.
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