Nthawi zina, chisoni chathu, nkhawa, komanso kusowa chochita zimakhala zazikulu kwambiri moti sitingathe kuchita ntchito zathu za tsiku ndi tsiku. Nthawi zina, mukapita kwa dokotala, amatha kukuzindikirani kuti muli ndi vuto la kuvutika maganizo ndikukupatsani chithandizo. Desipramine ndi mankhwala omwe nthawi zambiri amagwiritsidwa ntchito pochiza kuvutika maganizo. Chifukwa chake ngati inu kapena munthu wapafupi nanu mwapatsidwa mankhwala awa, ndikofunikira kudziwa.
Kodi Desipramine ndi chiyani?
Mwachidule, Desipramine ndi mankhwala omwe amagwiritsidwa ntchito pochiza kuvutika maganizo. Ubongo wathu mwachibadwa umapanga mankhwala otumiza mauthenga. Timawatcha ma neurotransmitters. Serotonin ndi Norepinephrine ndi mankhwala awiri akuluakulu omwe amalamulira momwe timamvera, zomwe zikutanthauza chimwemwe chathu, bata, komanso kuchuluka kwa zochita zathu.
Kuvutika maganizo kumachitika chifukwa cha kusalingana kwa mankhwala amenewa. Desipramine imagwira ntchito powonjezera kuchuluka kwa serotonin ndi norepinephrine muubongo, zomwe zimathandiza kubwezeretsa ntchito yawo. Mankhwalawa ndi a gulu la mankhwala otchedwa tricyclic antidepressants (TCAs) .
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa
Musanayambe kugwiritsa ntchito Desipramine, ndikofunikira kudziwitsa dokotala wanu zonse zokhudza thanzi lanu. Mankhwalawa sangakhale ogwirizana ndi matenda ena. Ngati muli ndi vuto lililonse mwa zotsatirazi, onetsetsani kuti mwadziwitsa dokotala wanu.
| Mkhalidwe kapena chizolowezi | N’chifukwa chiyani muyenera kuuza dokotala? |
|---|---|
| Ngati muli ndi matenda a mtima kapena matenda a mtima omwe mudakumana nawo kale | Mankhwalawa nthawi zina amatha kukhudza kugunda kwa mtima. |
| Maganizo ofuna kudzipha, zoyesayesa zakale, kapena mbiri ya banja yodzipha | Mankhwala oletsa kuvutika maganizo, makamaka kumayambiriro, amatha kuwonjezera maganizo amenewa mwa anthu ena, kotero pamafunika chisamaliro chapadera. |
| Matenda ena amisala, monga bipolar disorder kapena schizophrenia | Mankhwalawa angasinthe kapena kukulitsa zizindikirozo. |
| Matenda a chiwindi | Mankhwalawa amachotsedwa m'thupi ndi chiwindi. Ngati ntchito ya chiwindi sikuyenda bwino, mankhwalawa amatha kusonkhana m'thupi. |
| Matenda a glaucoma | Mankhwalawa angawonjezere kuthamanga kwa magazi m'maso. |
| Kuvuta kukodza, mavuto a prostate | Mankhwala angapangitse vutoli kukhala loipa kwambiri. |
| Khunyu kapena khunyu (Kugwidwa ndi khunyu) | Mankhwalawa angawonjezere pang'ono chiopsezo cha khunyu. |
| Vuto la kumwa mowa | Kuphatikiza mowa ndi mankhwalawa kungapangitse kuti munthu agone komanso adwale matenda ena. |
| Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena mukuyamwitsa | Muyenera kukambirana ndi dokotala wanu ngati mankhwalawo angakhudze mwanayo. |
| Matenda a chifuwa cha mankhwala ena, zakudya, ndi utoto | Kuti mudziwe ngati muli ndi vuto la desipramine kapena chilichonse mwa zinthu zomwe zili mmenemo. |
Kodi ndimagwiritsa ntchito bwanji mankhwalawa molondola?
Ndikofunikira kwambiri kumwa mlingo woyenera panthawi yoyenera, monga momwe dokotala wanenera.
- Mezani piritsi ili ndi galasi la madzi.
- Khalani ndi chizolowezi chomwa mankhwala anu nthawi yomweyo tsiku lililonse, monga momwe dokotala wanu wanenera.
- Musamwe mankhwala ochulukirapo kuposa omwe mwauzidwa.
- Chofunika kwambiri ndichakuti musasiye kumwa mankhwalawa mwadzidzidzi popanda upangiri wa dokotala. Ngati mutero, mutha kukhala ndi zizindikiro zosiya kumwa monga chizungulire, nseru, ndi mutu. Kapena vuto lanu lingaipireipire. Ngati musiya, chitani zomwe dokotala wanu wakuuzani, pang'onopang'ono kuchepetsa mlingo.
Kodi mungachite chiyani ngati mwaphonya 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 milingo iwiri nthawi imodzi kuti mubwezeretse mlingo womwe mwaphonya.
Nanga bwanji ngati nditamwa mankhwala ochulukirapo?
Ngati mukuganiza kuti mwamwa mankhwala ambiri kuposa momwe mukuganizira, musawatenge mopepuka. Pitani ku Chipatala cha Emergency Treatment Unit (ETU) nthawi yomweyo. Kapena imbani National Poisons Information Centre ku Colombo National Hospital .
Mankhwala ena omwe angagwirizane ndi Desipramine
Desipramine imatha kuyanjana ndi mankhwala ena ambiri, choncho ndikofunikira kuuza dokotala wanu za mankhwala onse omwe mukumwa, kuphatikizapo mankhwala olembedwa ndi dokotala, mankhwala ogulitsidwa kunja kwa ofesi ya dokotala, mankhwala achikhalidwe, mavitamini, ndi zowonjezera.
Pansipa pali zitsanzo zochepa chabe.
- Ndikoopsa kwambiri kumwa Desipramine pamodzi ndi mankhwala ena oletsa kuvutika maganizo monga MAOIs (monga Carbex, Marplan).
- Mankhwala a matenda amisala monga phenothiazines (monga perphenazine, chlorpromazine).
- Mankhwala ena a matenda a mtima.
- Maantibayotiki ena, monga Linezolid.
- Ikhozanso kuyanjana ndi zosakaniza zomwe zili mu mankhwala ena omwe amagulitsidwa kunja kwa sitolo ya mankhwala a chimfine, chifuwa, ndi ziwengo.
Choncho, nthawi zonse funsani dokotala wanu musanayambe kumwa mankhwala atsopano.
Zinthu zoyenera kusamala nazo mukamagwiritsa ntchito mankhwalawa
- Dziwani maganizo anu: M'masabata oyamba oyamba kugwiritsa ntchito mankhwala oletsa kuvutika maganizo, kapena posintha mlingo, anthu ena akhoza kukhala ndi maganizo ofuna kudzipha, nkhawa, kusakhazikika, komanso kusakhazikika maganizo. Ngati inu kapena banja lanu muwona kusintha kulikonse mwa izi, lankhulani ndi dokotala nthawi yomweyo.Musachite mantha ndi izi, koma ndikofunikira kudziwa.
- Kugona ndi chizungulire: Mankhwalawa angakupangitseni kugona ndi chizungulire. Choncho, pewani kuyendetsa galimoto, kugwira ntchito pamalo okwera, kapena kugwiritsa ntchito makina omwe amafunika kukhala maso mpaka mutadziwa momwe mankhwalawa amakukhudzirani. Makamaka ngati ndinu munthu wokalamba, imirirani molunjika mukamadzuka pampando wokhala pansi kapena mukutuluka pabedi.
- Mowa: Pewani mowa kotheratu mukamamwa desipramine. Mowa ukhoza kuonjezera kwambiri zotsatirapo zoyipa za mankhwalawa, makamaka kugona.
- Pakamwa pouma: Izi ndi zotsatira zoyipa zomwe zimachitika kawirikawiri. Mutha kuthana ndi vutoli mwa kutafuna chingamu chopanda shuga, kuyamwa maswiti opanda shuga, ndikumwa madzi tsiku lonse.
- Kudzimbidwa: Mankhwalawa angayambitse kudzimbidwa. Ndikofunikira kudya zakudya zambiri zokhala ndi ulusi wambiri (zipatso, ndiwo zamasamba) ndikumwa madzi ambiri. Ngati simunachite chimbudzi kwa masiku opitilira awiri kapena atatu, uzani dokotala wanu.
- Kumva ku dzuwa: Khungu lanu likhoza kukhala losamva ku dzuwa kwambiri mukamamwa mankhwalawa. Choncho, valani zodzoladzola zoteteza ku dzuwa ndipo valani zovala zophimba thupi lanu mukapita ku dzuwa.
Kodi ndi zotsatirapo zotani zomwe ndingakumane nazo?
Monga mankhwala ena aliwonse, Desipramine ingayambitse zotsatirapo zoyipa, ngakhale kuti si aliyense amene amazilandira. Tebulo ili pansipa likufotokoza bwino izi.
| Zotsatira zoyipa | Kufotokozera |
|---|---|
| Zinthu zoti muuze dokotala wanu nthawi yomweyo | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime, komanso kuvutika kupuma. |
| Kusintha kwa kugunda kwa mtima | Kumva ngati mtima wanu ukugunda mofulumira, kugunda kwa mtima kosakhazikika, chizungulire, kupweteka pachifuwa. |
| Matenda a Serotonin | Kusakhazikika, kuuma kwa minofu kapena kunjenjemera, thukuta kwambiri, kutentha thupi kwambiri, kugwedezeka, kusanza, kutsegula m'mimba. Ichi ndi vuto loopsa kwambiri. |
| Kusintha kwakukulu kwa maganizo | Maganizo ofuna kudzipha, kuipiraipira kwa kuvutika maganizo, nkhanza. |
| Zizindikiro zina zazikulu | Kukomoka, kupweteka kwa maso mwadzidzidzi, kusawona bwino, kulephera kukodza. |
| Ngati zikupitirira kapena zikukuvutitsani, uzani dokotala wanu. | |
| Zotsatira zoyipa zofala | Pakamwa pouma, kugona tulo, chizungulire, kudzimbidwa, nseru, kunjenjemera. |
| Zina | Kusintha kwa chilakolako kapena ntchito yogonana. |
Uthenga Wopita Nawo Kunyumba
- Desipramine ndi mankhwala ochizira kuvutika maganizo. Zingatenge milungu ingapo kuti mupindule mokwanira ndi mankhwalawa. Chifukwa chake, khalani oleza mtima ndipo imwani mankhwalawo monga momwe dokotala wanu wanenera.
- Musasiye kumwa mankhwala kapena kusintha mlingo pazifukwa zilizonse popanda upangiri wa dokotala.
- Uzani dokotala wanu za mankhwala ena onse omwe mukumwa (kuphatikizapo mavitamini ndi mankhwala achikhalidwe).
- Dziwani bwino maganizo anu ndi momwe mukumvera mukayamba kumwa mankhwalawa. Ngati muwona kusintha kulikonse kwachilendo, makamaka maganizo ofuna kudzipha, uzani dokotala wanu nthawi yomweyo.
- Ngati mwamwa mankhwala ochulukirapo, pitani ku chipinda chadzidzidzi cha chipatala (ETU) nthawi yomweyo kapena imbani National Poisons Information Center .
👩🏽⚕️ Mafunso ena (Mafunso Ofunsidwa Kawirikawiri)
💬 Mapiritsi a Desipramine / Norpramin amalembedwa matenda ati?
Iyi ndi imodzi mwa mankhwala akale komanso amphamvu kwambiri (TCA - Tricyclic Antidepressant) omwe angagwiritsidwe ntchito pochiza 'Depression and Anxiety'! Izi ndizosiyana pang'ono ndi mankhwala ena a TCA (monga Amitriptyline). Ngakhale ena amapangitsa wodwalayo kugona/kugona, piritsi ili limapatsa wodwalayo 'Stimulating effect' ndikumupangitsa kukhala wotanganidwa tsiku lonse.
💬 Kodi mankhwala awa (Desipramine) amapatsa bwanji wodwalayo chimwemwe ndi mphamvu nthawi imodzi?
Kuvutika maganizo kumachitika chifukwa cha kuchepa kwa mankhwala a happy muubongo (Norepinephrine, Serotonin). Chomwe mankhwalawa amachita kwenikweni (m'malo mowonjezera Serotonin) ndikuwonjezera kuchuluka kwa mankhwala otchedwa 'Norepinephrine' muubongo ndi 100%, zomwe zimachotsa kusowa chochita komanso zimapatsa ubongo mphamvu komanso kuthekera koyang'ana pa chinthu chimodzi. Ichi ndichifukwa chake madokotala amalimbikitsa izi kwa odwala omwe ali aulesi kwambiri ndipo sangathe kudzuka pabedi.
💬 Kodi zotsatira zake zazikulu ndi zoopsa kwambiri ndi ziti?
Pali zoopsa zambiri! (Zotsatira za anti-cholinergic). Izi zimayambitsa pakamwa pouma, kuvutika kukodza, komanso chizungulire/mutu wopepuka akamadzuka pabedi. Choopsa china choopsa kwambiri ndichakuti chimakhudza kwambiri mtima! Pali chiopsezo chachikulu chosintha kayimbidwe ka mtima wa wodwalayo ndikuyambitsa matenda oopsa (Arrhythmia/Tachycardia).
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