Kodi inuyo kapena wina m'banja mwanu mwapatsidwa mankhwala otchedwa Clomipramine ndi dokotala wanu? Ngati ndi choncho, mwina muli ndi mafunso ambiri okhudza mankhwalawa. Mwina mumadzifunsa zinthu monga, "Kodi izi zimagwira ntchito bwanji?", "Kodi zotsatira zake ndi ziti?", "Kodi ndi zinthu ziti zomwe muyenera kusamala nazo mukamazigwiritsa ntchito?" Musadandaule, tikambirana zonsezi m'njira yosavuta komanso yochezeka lero.
Kodi Clomipramine ndi mankhwala otani?
Mwachidule, clomipramine ndi mankhwala ofunikira kwambiri omwe amagwiritsidwa ntchito pochiza matenda a Obsessive-Compulsive Disorder (OCD) , matenda amisala omwe amadziwika ndi kuganiza mobwerezabwereza komanso kulakalaka kuchita zomwezo. Nthawi zina, madokotala amathanso kukupatsani mankhwalawo pa matenda ena amisala.
Mankhwalawa ndi a gulu la mankhwala otchedwa tricyclic antidepressants (TCAs) . Mankhwala ena (neurotransmitters) omwe amapezeka mwachibadwa muubongo wathu amathandiza kulamulira maganizo athu. Mankhwalawa amagwira ntchito poyesa kuchuluka kwa mankhwala awa, otchedwa serotonin ndi norepinephrine, ndipo amathandiza kuwongolera zizindikiro za OCD. Ku Sri Lanka, nthawi zina mungapeze mankhwalawa pansi pa dzina lodziwika bwino lakuti Anafranil.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwala
Musanayambe kugwiritsa ntchito clomipramine, ndikofunikira kwambiri kudziwitsa dokotala wanu za thanzi lanu lonse. Onetsetsani kuti mwawauza ngati muli ndi vuto lililonse mwa zotsatirazi.
- Ngati muli ndi vuto la kumwa mowa mopitirira muyeso .
- Mphumu kapena mavuto ena opuma .
- Matenda ena amisala, monga bipolar disorder kapena schizophrenia .
- Kuvuta kukodza kapena mavuto a prostate.
- Glaucoma ndi matenda a maso.
- Ngati muli ndi matenda a mtima kapena matenda a mtima omwe mudakumana nawo kale.
- Matenda a chiwindi .
- Ngati muli ndi vuto la chithokomiro chogwira ntchito mopitirira muyeso.
- Ngati muli ndi matenda omwe amayambitsa khunyu .
- Ngati muli ndi maganizo odzivulaza, maganizo ofuna kudzipha, kapena mbiri ya banja lanu ya maganizo otere.
- Ngati muli ndi vuto la clomipramine kapena mankhwala ena, zakudya, kapena utoto.
- Ngati muli ndi pakati kapena mukufuna kutenga mimba.
- Ngati ndinu mayi woyamwitsa .
Kupereka chidziwitsochi kwa dokotala wanu kudzamuthandiza kukuthandizani m'njira yotetezeka kwambiri.
Kodi ndimagwiritsa ntchito bwanji mankhwalawa molondola?
- Imwani mankhwalawa ndi kapu ya madzi.
- Ndi bwino kutenga limodzi ndi chakudya kapena nthawi yomweyo mutadya kuti mupewe kuvutika m'mimba.
- Imwani mlingo wolembedwa ndi dokotala wanu panthawi yomwe mwapatsidwa. Musamwe mankhwala opitirira muyeso wolembedwa ndi dokotala.
- Chofunika kwambiri: Musasiye kumwa mankhwalawa mwadzidzidzi popanda upangiri wa dokotala. Kuchita zimenezi kungayambitse zizindikiro zosiya kumwa kapena kukulitsa vuto lanu.
Kodi mankhwalawa amaperekedwa kwa ana?
Inde, nthawi zina zapadera, mankhwalawa amatha kuperekedwa kwa ana azaka zopitilira 10 omwe ali ndi OCD. Koma ayenera kuchitidwa mosamala kwambiri komanso moyang'aniridwa ndi dokotala.
Kodi mungachite chiyani ngati mwamwa mankhwala ochulukirapo?
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo kuposa omwe mwapatsidwa, pitani ku Dipatimenti Yoona za Zadzidzidzi ya chipatala chapafupi (ETU) nthawi yomweyo . Kapena, imbani National Poisons Information Centre ku Colombo National Hospital. Ichi ndi chinthu chomwe sichiyenera kuchedwa.
Nanga bwanji ngati ndaphonya mlingo wa mankhwala?
Imwani mlingo womwe mwaphonya nthawi yomweyo mukakumbukira. Komabe, ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe kawiri pa chifukwa chilichonse.
Mankhwala ena omwe angagwirizane ndi clomipramine (Kuyanjana kwa Mankhwala)
Ichi ndi gawo lofunika kwambiri. Clomipramine ndi mankhwala omwe amatha kuyanjana ndi mankhwala ena ambiri. Chifukwa chake, ndikofunikira kuuza dokotala wanu za mankhwala onse omwe mukumwa, kuphatikizapo mavitamini ndi mankhwala azitsamba.
| Musamwe clomipramine pamodzi ndi mankhwala awa! | |
|---|---|
| Cisapride | Dronedarone |
| Linezolid | Pimozide |
| Thioridazine | Methylene buluu (yomwe imalowa m'mitsempha) |
| Mankhwala a MAOI: monga Carbex, Eldepryl, Marplan, Nardil, Parnate. | |
| Mankhwalawa angagwirizanenso ndi clomipramine (dziwitsani dokotala wanu). | |
|---|---|
| Mankhwala a ziwengo, chifuwa, ndi chimfine | Mankhwala ena a kuthamanga kwa magazi ndi matenda a mtima |
| Mankhwala ena omwe amagwiritsidwa ntchito pa mutu waching'alang'ala | Mankhwala oletsa tulo ndi nkhawa |
| Mankhwala ochepetsa ululu (makamaka mankhwala osokoneza bongo) | Mankhwala ena oletsa kuvutika maganizo kapena mankhwala a matenda amisala |
| Mankhwala operekedwa kwa odwala matenda a khunyu (monga Phenobarbital, Phenytoin) | Mankhwala ochepetsa magazi monga Warfarin |
| Mankhwala monga Lithium, Digoxin, Cimetidine, Haloperidol | Mankhwala ena omwe amagwiritsidwa ntchito pochiza ululu panthawi ya opaleshoni |
Zinthu zofunika kuziganizira mukamamwa mankhwala
- Kusintha kwa maganizo: Anthu ena angakumane ndi kusintha kwa maganizo akangoyamba kumwa mankhwalawa kapena mlingo ukasinthidwa. Ngati muli ndi zizindikiro zatsopano kapena zoipiraipira monga kuvutika maganizo, kusokonezeka maganizo, kusakhazikika maganizo, vuto la kugona, kapena kuganiza zodzipha , uzani dokotala wanu kapena abale anu nthawi yomweyo.
- Kugona ndi chizungulire: Mankhwalawa angakupangitseni kugona ndi chizungulire. Choncho , pewani zinthu zomwe zimafuna kukhala maso, monga kuyendetsa galimoto kapena kugwiritsa ntchito makina, mpaka mutadziwa momwe mankhwalawa amakukhudzirani.Kuti muchepetse chiopsezo cha chizungulire ndi kugwa, makamaka ngati ndinu munthu wokalamba, chitani pang'onopang'ono mukakhala pansi mutaimirira komanso mukamadzuka mutakhala.
- Mowa: Pewani kumwa mowa wonse mukamamwa clomipramine. Mowa ukhoza kuwonjezera zotsatirapo zoyipa za mankhwalawa.
- Pakamwa pouma: Pakamwa pouma ndi vuto lofala. Izi zitha kuthetsedwa potafuna chingamu chopanda shuga, kumeta tsitsi, ndi kumwa madzi ambiri.
- Zotsatirapo pa maso: Maso ouma, kusawona bwino, ndi zina zotero zingachitike. Ovala ma contact lens angavutike. Madontho opaka mafuta angagwiritsidwe ntchito. Ngati vutoli likupitirira, pitani kwa dokotala wa maso.
- Kudzimbidwa: Mankhwalawa angayambitse kudzimbidwa. Yesani kuchita chimbudzi kamodzi pa masiku awiri kapena atatu aliwonse. Ngati simukuchita chimbudzi patatha masiku atatu, imbani dokotala wanu.
- Kumva ku dzuwa: Mankhwalawa angapangitse khungu lanu kukhala losamva ku dzuwa. Choncho, ngati mukufuna kukhala padzuwa, valani zovala zophimba khungu lanu ndipo gwiritsani ntchito mafuta oteteza ku dzuwa.
Kodi zotsatirapo zake zingakhale zotani?
Monga mankhwala ena aliwonse, clomipramine ingayambitse zotsatirapo zoyipa, ngakhale kuti si aliyense amene amazilandira.
| Mtundu wa zotsatira zoyipa | Zizindikiro |
|---|---|
| Zotsatirapo zoyipa zomwe zimafuna chithandizo chamankhwala mwachangu | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Matenda a Serotonin | Kusokonezeka, kugunda kwa mtima mofulumira, kuuma kwa minofu kapena kugwedezeka, thukuta kwambiri, kutentha thupi kwambiri, kukomoka, kusanza, kutsegula m'mimba. |
| Kusintha kwa kayimbidwe ka mtima | Kugunda kwa mtima mofulumira kapena kosasinthasintha, chizungulire, kupweteka pachifuwa, kuvutika kupuma. |
| Zizindikiro zina zazikulu | Kugwidwa ndi khunyu, kupweteka kwa maso mwadzidzidzi kapena kusintha kwa masomphenya, kuvutika kukodza, ndi maganizo ofuna kudzipha. |
| Zotsatirapo zazing'ono zomwe ziyenera kuuzidwa kwa dokotala ngati zikupitirira kapena zikuvutitsa | |
| Mavuto ofala | Pakamwa pouma, kugona tulo, chizungulire, kudzimbidwa, kunjenjemera, kunenepa, kusintha kwa chilakolako chogonana kapena ntchito. |
Uthenga Wopita Nawo Kunyumba
- Imwani mankhwalawo monga momwe dokotala wanu wanenera, mu mlingo woyenera komanso panthawi yoyenera.
- Musasiye kumwa mankhwala mwadzidzidzi popanda upangiri wa dokotala.
- Uzani dokotala wanu za mankhwala ena onse, mavitamini, komanso mankhwala achikhalidwe omwe mukumwa.
- Samalani ndi zotsatirapo zoyipa (makamaka kusintha kwa maganizo, ziwengo, kusintha kwa kugunda kwa mtima). Ngati muwona chilichonse mwa izi, funsani upangiri wa dokotala nthawi yomweyo.
- Mankhwalawa aperekedwa kwa inu nokha. Musagawane ndi ena.
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