Katemera wa Dantrolene: Zimene muyenera kudziwa musanalandire!

Nthawi zina timafunika kupereka mankhwala apadera pakagwa ngozi kapena opaleshoni isanachitike, sichoncho? Lero tikambirana za mankhwala omwe amagwiritsidwa ntchito pazochitika zotere, koma omwe satchulidwa kawirikawiri. Dzina lake ndi Dantrolene. Ndikofunikira kwambiri kuti mudziwe za mankhwalawa, chifukwa si mankhwala omwe amaperekedwa nthawi zambiri.

Kodi mankhwala awa ndi chiyani, Dantrolene?

Mwachidule, Dantrolene ndi mankhwala omwe amamasula minofu m'thupi lanu. Makamaka, amagwiritsidwa ntchito popewa ndikuchiza matenda oopsa komanso osowa otchedwa malignant hyperthermia . Malignant hyperthermia ndi vuto lalikulu lomwe limabwera chifukwa cha mankhwala ena oletsa ululu. Izi zingayambitse kutentha kwa thupi lanu kukwera mofulumira kwambiri, minofu yanu kuuma, komanso mtima wanu kugunda mofulumira. Chifukwa chake, Dantrolene imagwiritsidwa ntchito poletsa izi.

Kupatula izi, nthawi zina madokotala angasankhe kugwiritsa ntchito mankhwalawa pa matenda ena. Chifukwa chake, ngati muli ndi mafunso kapena nkhawa zokhudzana ndi mankhwalawa, ndi bwino kufunsa dokotala wanu kapena wamankhwala amene amakupatsani mankhwalawo. Adzakufotokozerani zonse.

Mutha kupeza mankhwalawa pansi pa mayina a `Dantrium`, `Revonto`, kapena `RYANODEX`. Koma dzina lake lingakhale lotani, chinthu chogwira ntchito ndi chimodzimodzi, chomwe ndi Dantrolene.

Kodi ndi zinthu ziti zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa?

Tsopano, musanapatsidwe mankhwala a Dantrolene awa, pali zinthu zingapo zomwe gulu lanu lachipatala - kutanthauza madokotala ndi anamwino - ayenera kudziwa. Ndikofunikira kwambiri kuti chitetezo chanu chikhale chotetezeka kuwauza popanda kubisa chilichonse, eti? Chifukwa kutengera izi, zidzasankhidwa ngati kuli koyenera kukupatsani mankhwalawa kapena ayi, kapena njira zodzitetezera zomwe muyenera kutsatira.

Nazi zinthu zina zoti munene:

• Kodi muli ndi matenda a mtima , kutanthauza kuti, kodi muli ndi vuto lililonse ndi mtima wanu?
• Kodi muli ndi vuto lililonse la chiwindi (matenda a chiwindi) , kutanthauza chiwindi chofooka, kapena matenda ena?
• Kodi muli ndi matenda a m'mapapo , monga mphumu, kapena matenda ena a m'mapapo kapena kupuma ?
• Kodi munayamba mwakhalapo ndi vuto lachilendo la ziwengo (allergy) ku Dantrolene, mankhwala ena aliwonse, chakudya, utoto wa zovala, kapena zosungira zakudya?
• Kodi muli ndi pakati? Kapena mukuyembekezera kutenga mimba posachedwa?(woyembekezera kapena wofuna kutenga mimba)
• Kodi ndinu mayi woyamwitsa? (woyamwitsa)

Ndikofunikira kwambiri kunena zinthu izi molondola, chifukwa ndi pamenepa pomwe madokotala adzatha kusankha ngati kuli koyenera kukupatsani mankhwala awa kapena ayi, kapena zinthu zomwe muyenera kusamala nazo kwambiri.

Ndingakupatseni bwanji mankhwala awa?

Mankhwalawa amaperekedwa kwa inu ngati jakisoni mumtsempha . Si mapiritsi kapena madzi omwe mungamwe kunyumba. Amaperekedwa kwa inu ndi katswiri wazachipatala wodziwa bwino ntchito, nthawi zambiri kuchipatala kapena kuchipatala . Amadziwa bwino momwe angawaperekere komanso kuchuluka kwa momwe angawaperekere.

Ngati mukupereka mankhwala awa kwa ana aang'ono , lankhulani ndi dokotala wa ana ndipo tsatirani upangiri wake. Popeza matupi a ana aang'ono ndi osiyana ndi a akuluakulu, muyenera kusamala kwambiri powapatsa mankhwala.

Nanga bwanji ngati nditamwa mankhwala ochulukirapo? (Kumwa mankhwala ochulukirapo)

Popeza mankhwalawa amaperekedwa moyang'aniridwa ndi dokotala kapena ogwira ntchito zachipatala ophunzitsidwa bwino, mwayi woti mulandire mankhwala ochulukirapo ndi wochepa kwambiri. Komabe, ngati mukuganiza kuti izi zachitika, kutanthauza kuti, ngati mukukayikira kuti mwamwa mankhwala opitirira muyeso , kapena ngati mukumva bwino kwambiri, muyenera kuuza ogwira ntchito zachipatala nthawi yomweyo. Adzachitapo kanthu kofunikira.

Chofunika: Mankhwalawa aperekedwa kwa inu nokha . Musagawane ndi wina aliyense. Mankhwala oyenera komanso mlingo woyenera wa munthu aliyense ndi wosiyana.

Nanga bwanji ngati ndaphonya mlingo wa mankhwala?

Popeza mankhwalawa amaperekedwa kuchipatala, moyang'aniridwa ndi dokotala, palibe mwayi woti muphonye mlingo . Ogwira ntchito zachipatala adzasamalira. Choncho simuyenera kuda nkhawa ndi zimenezo.

Kodi kumwa mankhwalawa kungayambitse zotsatirapo zina ndi mankhwala ena?

Tsopano tiyeni tikambirane za chinthu chomwe muyenera kusamala nacho. Dantrolene imatha kuyanjana ndi mankhwala ena omwe mukumwa, zomwe zikutanthauza kuti ingakhudze wina ndi mnzake. Chifukwa chake, ndikofunikira kuuza dokotala wanu za mankhwala onse omwe mukumwa, osati omwe dokotala wanu wakupatsani okha, komanso omwe mumagula ku pharmacy, mankhwala achikhalidwe, mavitamini, ndi zina zotero.

Makamaka, ngati pali mankhwala aliwonse oletsa chifuwa , sikoyenera kuwamwa pamodzi ndi Dantrolene.

Komanso, mankhwala otsatirawa angagwirizane ndi Dantrolene. Choncho ngati mukumwa chilichonse mwa izi, onetsetsani kuti mwauza dokotala wanu :

• Mowa
• Mitundu ya mankhwala oletsa chifuwa, chifuwa, ndi chimfine
• Mankhwala ena omwe amathandiza kuchepetsa nkhawa ndi tulo
• Mankhwala ena a kuthamanga kwa magazi, matenda a mtima, ndi kugunda kwa mtima kosasinthasintha
• Mankhwala monga `amitriptyline`, `fluoxetine`, `sertraline`, omwe amagwiritsidwa ntchito pochiza matenda amisala monga kuvutika maganizo.
• Mankhwala monga `phenobarbital` ndi `primidone`, omwe amagwiritsidwa ntchito pochiza matenda monga khunyu.
• Mahomoni achikazi, mwachitsanzo, mapiritsi oletsa kubereka, ma patch, mphete, kapena jakisoni omwe ali ndi ma estrogens kapena ma progestin
• Mankhwala oletsa ululu monga halothane, isoflurane, methoxyflurane, ndi propofol, omwe amagwiritsidwa ntchito popangitsa munthu kusazindikira panthawi ya opaleshoni.
• Mankhwala oletsa ululu am'deralo monga `lidocaine`, `pramoxine`, `tetracaine`, omwe amachititsa kuti madera ena asagwire bwino ntchito
• Mankhwala ena omwe amagwiritsidwa ntchito kupumula minofu panthawi ya opaleshoni
• Mankhwala osokoneza bongo ochepetsa ululu
• Mankhwala omwe ali m'gulu la `phenothiazines`, mwachitsanzo `chlorpromazine`, `mesoridazine`, `prochlorperazine`, `thioridazine`

Mndandandawu sungakhale ndi zonse. Chifukwa chake, uzani dokotala wanu za mankhwala onse omwe mumamwa, kuphatikizapo zitsamba, mankhwala osaperekedwa ndi dokotala, zowonjezera zakudya, komanso ngati mumasuta fodya, mumamwa mowa, kapena mumagwiritsa ntchito mankhwala osokoneza bongo. Zina mwa zinthuzi zingakhudze mankhwala awa.

Zinthu zomwe muyenera kusamala nazo mukamamwa mankhwalawa

Mukapatsidwa mankhwala awa, ogwira ntchito zachipatala adzayang'anira thanzi lanu mosamala . Choncho palibe chodetsa nkhawa nacho. Komabe, pali zinthu zingapo zomwe muyenera kudziwa:

• Mankhwalawa angakupangitseni kugona kapena kumva chizungulire . Choncho, musayendetse galimoto, kugwiritsa ntchito makina olemera, kapena kuchita chilichonse chomwe chimafuna tcheru mpaka mutadziwa momwe mankhwalawa amakukhudzirani. Musaime kapena kukhala tsonga mwadzidzidzi, makamaka ngati ndinu wodwala wokalamba . Kuchita zimenezi kungachepetse chiopsezo cha chizungulire ndi kugwa.
• Kumwa mowa kungasokoneze mphamvu ya mankhwalawa ndikuwonjezera zotsatirapo zake. Chifukwa chake, pewani mowa kwathunthu mukamamwa mankhwalawa.
• Ngati mukumwa mankhwala ena omwe amakupangitsani kugona, mankhwalawa angakupangitseni kugona kwambiri ndipo angakuwonjezereni zotsatirapo zake. Ndicho chifukwa chake nthawi zonse timanena kuti muuzeni dokotala wanu za mankhwala onse omwe mumamwa. Dokotala wanu adzakuuzani kuchuluka kwa mankhwala omwe muyenera kumwa. Musamwe mankhwala ochulukirapo kuposa omwe dokotala wanu wakupatsani . Ngati mukuvutika kupuma kapena mukumva tulo tosazolowereka , imbani chipinda chodzidzimutsa nthawi yomweyo.
• Chinanso n'chakuti mankhwalawa angapangitse khungu lanu kukhala losavuta kukhudzidwa ndi dzuwa . Choncho pewani kutenthedwa ndi dzuwa momwe mungathere. Ngati mukuyenera kutuluka panja, valani zovala zophimba khungu lanu, valani chipewa, ndipo gwiritsani ntchito mafuta abwino oteteza khungu ku dzuwa . Musagwiritse ntchito zipangizo zopangira zotenthetsera khungu (monga nyali za dzuwa kapena mabedi/mahema otenthetsera khungu).

Kodi zotsatirapo zake zingakhale zotani chifukwa cha mankhwalawa?

Monga mankhwala ena onse, Dantrolene ingayambitse mavuto ena mwa anthu ena. Si aliyense amene amawapeza. Komabe, ndi bwino kudziwa zinthu zina.

Zotsatirapo zomwe muyenera kuuza dokotala wanu kapena katswiri wa zamankhwala nthawi yomweyo:

Ngati mukukumana ndi zizindikiro izi, muyenera kuuza dokotala kapena namwino nthawi yomweyo:

• Matenda a ziwengo : Izi zikuphatikizapo kutupa pakhungu, kuyabwa, ziphuphu, kutupa kwa nkhope, milomo, kapena lilime.
• Mavuto opuma .
• Zizindikiro za khunyu (kukomoka) , zomwe zikutanthauza kuti zimabwera ngati chizungulire.
• Zizindikiro za kuvulala kwa chiwindi : Izi zikuphatikizapo mkodzo wakuda wachikasu kapena bulauni; kumva kudwala kapena kutentha thupi; ndowe zotumbululuka; kusowa chilakolako; nseru; kupweteka kumtunda kwa mimba; kumva kutopa kwambiri kapena kutopa; ndi chikasu cha maso kapena khungu (jaundice).
• Wofooka kapena wotopa kwambiri .

Zotsatirapo zomwe simuyenera kuuza dokotala wanu nthawi zambiri, koma ziyenera kunenedwa ngati zikupitirira kapena zikukuvutitsani:

Izi nthawi zambiri sizimakhala zoopsa ndipo zimatha pakatha masiku ochepa. Koma ngati zipitirira, uzani dokotala wanu ngati zikukuvutitsani:

• Kudzimbidwa .
• Chizungulire .
• Kusanza, kusanza .
• Ululu, kufiira, kapena kuyabwa pamalo pomwe panabayidwa jekeseni .
• Kuvuta kulankhula , monga kusokoneza mawu.

Mndandandawu sungakhale ndi zotsatirapo zonse zoyipa. Chifukwa chake, ngati mukukumana ndi vuto lililonse lachilendo, funsani dokotala wanu. Ku United States, FDA (Food and Drug Administration) ili ndi nambala ya foni (1-800-FDA-1088) komwe munganene za zotsatirapo zotere. M'dziko lathu, dokotala wanu ndiye mlangizi wabwino kwambiri.

Kodi mumasunga bwanji mankhwala awa?

Popeza mankhwala awa amaperekedwa kwa inu kuchipatala kapena kuchipatala, simuyenera kupita nawo kunyumba kapena kuwasunga kunyumba . Amasungidwa ku pharmacy yachipatala pa kutentha koyenera, monga momwe zimafunikira. Choncho simuyenera kuda nkhawa nawo.

Pomaliza, zinthu zofunika kwambiri zomwe muyenera kukumbukira

Chabwino, takambirana zambiri za mankhwala otchedwa Dantrolene, sichoncho? Kumbukirani, ichi ndi mankhwala ofunikira opumulira minofu omwe amagwiritsidwa ntchito pazochitika zapadera, makamaka pazochitika zadzidzidzi monga malignant hyperthermia.

Chofunika kwambiri ndi kuuza dokotala wanu za matenda anu, mankhwala ena omwe mumamwa, ndi ziwengo zilizonse zomwe muli nazo. Izi ndi za chitetezo chanu.

Dziwani kuti mankhwalawa angakupangitseni kugona komanso kuzunguzika. Komanso, musaiwale kusamala mukapita padzuwa.

Ngati mukukumana ndi zizindikiro zachilendo kapena zotsatirapo zake, ngakhale zitakhala zazing'ono, musazengereze kuuza dokotala wanu. Chitetezo chanu ndicho chinthu chofunika kwambiri kwa iwo. Tikukhulupirira kuti izi zikuthandizani. Ngati muli ndi mafunso ena, musazengereze kufunsa dokotala wanu kapena wamankhwala, chabwino?

Dantrolene , chopumitsa minofu, malignant hyperthermia, zotsatirapo zake, mankhwala, katemera, thanzi, chithandizo