Kodi dokotala wanu wakupatsani mankhwala a chlorpromazine? Kapena mwina wachibale wanu kapena mnzanu akugwiritsa ntchito mankhwalawa. Ndi mankhwala amphamvu omwe nthawi zambiri amaperekedwa pa matenda osiyanasiyana amisala. Ichi ndichifukwa chake ndikofunikira kwambiri kudziwa bwino lomwe kuti mankhwalawa ndi otani komanso momwe angagwiritsire ntchito mosamala komanso moyenera. Chifukwa chake lero, tiyeni tikambirane za mankhwalawa m'njira yosavuta yomwe mungamvetse.
N’chifukwa chiyani tikupatsidwa mankhwala a Chlorpromazine awa?
Mwachidule, iyi ndi mankhwala omwe amagwiritsidwa ntchito mu matenda amisala. Ndiko kuti, mankhwala omwe amaperekedwa kuti athetse matenda amisala. Kunena zoona, iyi ndi ya gulu la mankhwala otchedwa ``Antipsychotics``.
Izi zimagwira ntchito pogwirizanitsa dopamine ya neurotransmitter muubongo wathu. Taganizirani izi motere, dopamine ndi mthenga wa mankhwala womwe umathandiza kulamulira zinthu monga momwe timamvera, momwe timamvera, ndi malingaliro athu. Mu matenda ena amisala, mulingo wa dopamine uwu umakhala wosalinganika. Pamenepo ndi pomwe mankhwalawa amaperekedwa kuti athandize kubwezeretsa mlingo woyenera.
Zinthu zazikulu zomwe mankhwalawa amaperekedwa ndi izi:
- Schizophrenia
- Matenda a bipolar
Koma osati pa izi zokha, madokotala amagwiritsa ntchito mankhwalawa pazifukwa zina zingapo.
- Lamulirani nseru ndi kusanza.
- Siyani kuvutika kosalekeza.
- Pankhani ya matenda otchedwa Porphyria.
- Ngati muli ndi matenda a tetanasi.
- Nthawi zina amagwiritsidwa ntchito kutonthoza wodwalayo asanachite opaleshoni.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwala
Iyi ndi gawo lofunika kwambiri. Musanayambe kumwa mankhwalawa, ndikofunikira kudziwitsa dokotala wanu za matenda ena aliwonse omwe muli nawo. Chifukwa mankhwalawa amatha kusokoneza matenda ena.
| Ngati muli ndi vuto lililonse mwa izi, onetsetsani kuti mwadziwitsa dokotala wanu. | |
|---|---|
| Mbiri ya matenda a mtima kapena kugunda kwa mtima kosasinthasintha | Kuthamanga kwa magazi kotsika |
| Matenda a chiwindi | Matenda a impso |
| Matenda a shuga | Matenda a Parkinson |
| Kugwidwa ndi khunyu | Chotupa cha muubongo |
| Glaucoma | Matenda amisala |
| Kuvuta kupuma kapena mphumu | Kuchepa kwa maselo a m'magazi (monga maselo oyera a m'magazi) |
| Kutsekeka kwa matumbo | Mavuto a prostate |
| Kuvuta kumeza | Kuvuta kukodza |
| Ngati mumakonda kumwa mowa pafupipafupi | Ngati muli ndi pakati kapena mukufuna kutenga mimba |
| Ngati ndinu mayi woyamwitsa | Ngati muli ndi vuto la ziwengo ndi mankhwalawa kapena mankhwala ena aliwonse kapena chakudya |
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
Mankhwalawa amatengedwa pakamwa ngati piritsi. Imwani ndi kapu ya madzi. Ndikofunikira kwambiri kumwa mlingo woyenera, panthawi yoyenera, monga momwe dokotala wanu wanenera. Musawonjezere kapena kuchepetsa mlingo pamene mukumva bwino, kapena kumwa mobwerezabwereza kuposa momwe mwalangizidwira.
Chinthu chofunika kwambiri:Musasiye kumwa mankhwalawa mwadzidzidzi popanda kufunsa dokotala wanu. Izi zingayambitse zizindikiro zosiya kumwa monga nseru, kusanza, ndi chizungulire. Ngati mukufuna kusiya kumwa mankhwala, dokotala wanu adzakulangizani momwe mungachitire.
Kodi mungachite chiyani ngati mwamwa mankhwala ochulukirapo? (Kumwa mankhwala ochulukirapo)
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, 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. Musazengereze.
Nanga bwanji ngati ndaphonya mlingo wa mankhwala?
Ngati mwaiwala kumwa mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndi kumwa mlingo wanu wotsatira panthawi yomwe mwakonza. Musamwe mlingo umodzi nthawi imodzi, kuphatikizapo mlingo womwe mwaphonya.
Mankhwala ena omwe angagwirizane ndi mankhwalawa
Ndikofunikira kwambiri kuuza dokotala wanu za mankhwala onse omwe mukumwa (mankhwala a matenda ena, mavitamini, mankhwala achikhalidwe), chifukwa mankhwala ena amatha kusokonezana ndi Chlorpromazine.
| Musamwe Chlorpromazine pamodzi ndi mankhwalawa. | |
|---|---|
| Cisapride | Pimozide |
| Dronedarone | Saquinavir |
| Metoclopramide | Thioridazine |
| Izi zingagwirizanenso ndi Chlorpromazine - uzani dokotala wanu. | |
| Mowa | Mankhwala a ziwengo, chifuwa, ndi chimfine (Antihistamines) |
| Mankhwala ochizira kuvutika maganizo, nkhawa, kapena tulo | Mankhwala ochepetsa ululu (makamaka omwe amayambitsa kuledzera) |
| Mankhwala a kuthamanga kwa magazi | Mankhwala monga Levodopa a matenda a Parkinson |
| Mankhwala ochepetsa magazi monga Warfarin | Mankhwala oletsa ululu mwadzidzidzi |
Zinthu zoti muzisamala nazo mukamamwa mankhwala
- Kugona ndi chizungulire: Mankhwalawa angakupangitseni kumva tulo, chizungulire, kapena kuona zinthu molakwika. Choncho , musayendetse galimoto, kugwiritsa ntchito makina, kapena kuchita chilichonse chomwe chimafuna kukhala maso mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
- Kudzuka mwadzidzidzi: Musadzuke mwadzidzidzi mutakhala pansi kapena mutagona. Kuchita zimenezi kungayambitse chizungulire ndi kugwa. Okalamba ayenera kusamala kwambiri pa izi.
- Mowa: Pewani kumwa mowa. Mowa ungakupangitseni kumva tulo komanso chizungulire kwambiri.
- Kutentha kwa thupi: Mankhwalawa angakhudze mphamvu ya thupi yolamulira kutentha. Izi zikutanthauza kuti mphamvu ya thupi yolekerera kuzizira kwambiri ndi kutentha kwambiri ingachepe. Chifukwa chake, dzitetezeni ku kutentha kwambiri ndi kuzizira kwambiri. Imwani madzi ambiri.
- Kumva ku dzuwa: Mankhwalawa angapangitse khungu lanu kukhala losakhudzidwa ndi dzuwa. Choncho, dzitetezeni ku dzuwa. Ngati mukufuna kukhala padzuwa, valani zovala zophimba thupi lanu ndipo gwiritsani ntchito mafuta oteteza ku dzuwa.
- Shuga m'magazi: Ngati muli ndi matenda a shuga, mankhwalawa angawonjezere shuga m'magazi mwanu. Choncho yang'anani shuga m'magazi mwanu nthawi zonse. Ngati kuli kofunikira, lankhulani ndi dokotala wanu za kusintha zakudya zanu kapena mankhwala a shuga.
- Pakamwa pouma: Pakamwa pouma ndi zotsatira zoyipa zomwe zimachitika kawirikawiri chifukwa cha mankhwalawa. Izi zitha kuthetsedwa potafuna chingamu chopanda shuga, kuyamwa maswiti opanda shuga, komanso kumwa madzi ambiri.
Kodi zotsatirapo zake zingakhale zotani?
Monga mankhwala ena onse, mankhwalawa akhoza kukhala ndi zotsatirapo zake. Si aliyense amene amawapeza. Komabe, ndikofunikira kuwadziwa bwino.
| Ngati mukukumana ndi zizindikiro izi, uzani dokotala wanu nthawi yomweyo. | |
|---|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Matenda a Neuroleptic Malignant (NMS) | Malungo aakulu, kuuma kwa minofu, thukuta kwambiri, kugunda kwa mtima mofulumira kapena kosakhazikika, kusokonezeka maganizo. |
| Zizindikiro za Extrapyramidal (EPS) | Kusuntha kwa thupi kosalamulirika, kuuma kwa minofu kapena kugwedezeka, kunjenjemera, kusakhazikika, komanso kuvutika kuyenda. |
| Kuwonongeka kwa chiwindi | Kupweteka m'mimba kumtunda kumanja, kusowa chilakolako cha chakudya, nseru, ndowe zowala, mkodzo wachikasu wakuda, khungu kapena maso kukhala achikasu. |
| Kuthamanga kwa magazi kotsika | Chizungulire, kukomoka, kusawona bwino. |
| Zizindikiro za matenda | Malungo, kuzizira, chifuwa, pakhosi. |
| Zotsatirapo zomwe nthawi zambiri sizili zoopsa, koma ziyenera kufotokozedwa kwa dokotala ngati zikuvutitsa | |
| Kudzimbidwa | Pakamwa pouma |
| Kugona tulo | Kulemera |
Uthenga Wopita Nawo Kunyumba
- Chlorpromazine ndi mankhwala amphamvu omwe ayenera kumwedwa pokhapokha ngati dokotala walangiza.
- Uzani dokotala wanu za mankhwala ena onse omwe mumamwa komanso matenda ena aliwonse omwe muli nawo.
- Musasiye kumwa mankhwala mwadzidzidzi popanda upangiri wa dokotala.
- Pewani kuyendetsa galimoto ndi kuchita ntchito zomwe zimafuna kusamala mukamamwa mankhwala, chifukwa kugona ndi chizungulire zimatha kuchitika.
- Pewani mowa kotheratu.
- Ngati mukukumana ndi mavuto ena aakulu monga kutentha thupi kwambiri, kuuma kwa minofu, kapena kuyenda kosalamulirika kwa thupi, pitani kwa dokotala nthawi yomweyo.
- Ngati mwamwa mankhwala ochulukirapo, pitani ku chipinda chadzidzidzi cha chipatala (ETU) nthawi yomweyo kapena funsani National Poisons Information Center.
👩🏽⚕️ Mafunso ena (Mafunso Ofunsidwa Kawirikawiri)
💬 Mapiritsi a Chlorpromazine (Chlorpromazine / Thorazine) ndi njira yomaliza yochizira matenda ati?
Uwu ndi mankhwala amphamvu kwambiri ochokera ku mibadwo yakale (mankhwala oletsa matenda amisala / Phenothiazine) opangidwa kuti athetse matenda oopsa amisala otchedwa 'Schizophrenia'! Si aliyense amene amapatsidwa mankhwalawa, nthawi zambiri amagwiritsidwa ntchito kwa odwala ovuta kwambiri (osalandira chithandizo) omwe malingaliro awo samatha kwathunthu ngakhale mankhwala ena onse. Amaperekedwanso kuti athetse kugwedezeka kwakukulu ndi khunyu.
💬 Kodi piritsi ili (Chlorpromazine) limafika bwanji ku ubongo ndikuchotsa malingaliro olakwika ndi kupupuluma kwa wodwalayo?
Chifukwa chachikulu chomwe chimayambitsa matenda aakulu amisala ndi kuchuluka kwa mankhwala otchedwa 'Dopamine' muubongo! Mankhwalawa amatseka/kutseka 100% ya ma dopamine receptors (ma D2 receptors) akangolowa muubongo. Amachotsa malingaliro openga m'maganizo ndikutonthoza wodwalayo mpaka kufika poti sangathe ngakhale kusuntha mwendo/mkono wake (kugona).
💬 Kodi ndi zotsatirapo ziti zazikulu zomwe anthu omwe akumwa mankhwala akale awa (Chlorpromazine) ayenera kusamala nazo?
Pali zotsatirapo zambiri! Choopsa chachikulu ndi 'kugwedezeka kwa mitsempha ndi minofu (EPS/Tardive Dyskinesia)'. Izi zikutanthauza kuti mukamwa izi, mudzamva kugwedezeka kosalamulirika kwa miyendo/manja, lilime likutuluka ndikupotoka, ndipo mudzauma ngati loboti. Komanso, (Anticholinergic) pakamwa pamakhala pouma kwambiri, masomphenya sawoneka bwino, ndipo ngati mutuluka padzuwa, pali mwayi waukulu wopsezedwa ndi dzuwa (Photosensitivity).
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