Nthawi zina, pamakhala matenda omwe sitingathe kulamulira miyendo kapena minofu yathu ya nkhope, ndipo zinthu ngati zimenezo zimasuntha mosadzifunira. Tangoganizirani, maso anu amanjenjemera, pakamwa panu pamagwedezeka, kapena miyendo yanu imagwedezeka popanda inu kudziwa. Matenda awiri otere ndi `Tardive Dyskinesia` ndi `Huntington's` matenda. Chifukwa chake, mankhwala apadera omwe madokotala amapereka kuti athetse mayendedwe osalamulirika otere ndi `Deutetrabenazine`. Lero, tikambirana za mankhwalawa mwatsatanetsatane.
Kodi Deutetrabenazine ndi chiyani?
Mwachidule, iyi ndi mankhwala omwe amathandiza kulamulira mayendedwe osadzifunira m'thupi lanu. Mankhwalawa amagwiritsidwa ntchito makamaka pa matenda awiri:
1. Tardive Dyskinesia: Iyi ndi matenda omwe nthawi zambiri amapezeka mwa anthu omwe akhala akumwa mankhwala a matenda ena amisala kwa nthawi yayitali. Pa vutoli, ziwalo zina za thupi monga nkhope, lilime, milomo, ndi miyendo zimasuntha mosalamulirika.
2. Matenda a Huntington : Amadziwikanso kuti `Huntington's chorea`, uwu ndi matenda a majini omwe amakhudza ubongo. Amayambitsanso kugwedezeka kosalamulirika kwa thupi.
Deutetrabenazine imagwira ntchito posintha momwe mankhwala ena amagwirira ntchito (ma neurotransmitters) muubongo, zomwe zimathandiza kuchepetsa mayendedwe osafunikira awa. Ku Sri Lanka, mutha kupeza mankhwalawa pansi pa dzina la Austedo.
Kodi ndiyenera kumuuza chiyani dokotala ndisanayambe kumwa mankhwalawa?
Ndikofunikira kwambiri kukambirana mbiri yanu yonse ya thanzi ndi dokotala musanayambe kumwa mankhwalawa. Muyenera kutchula makamaka chilichonse mwa izi:
| Mkhalidwe wanu | N’chifukwa chiyani muyenera kuuza dokotala? |
|---|---|
| Kukhala ndi matenda a mtima kapena kugunda kwa mtima kosazolowereka | Mankhwalawa nthawi zina amatha kusokoneza kayendedwe ka mtima, kotero akhoza kukhala oopsa ngati muli kale ndi matenda a mtima. |
| Matenda a chiwindi | Popeza chiwindi ndi chofunikira pakuchotsa mankhwala m'thupi, mlingo wa mankhwala ungafunike kusinthidwa ngati muli ndi matenda a chiwindi. |
| Kukhala ndi matenda amisala, kuvutika maganizo, kapena maganizo ofuna kudzipha | Izi ndizofunikira kwambiri. Mankhwalawa angasinthe maganizo a anthu ena kapena kuyambitsa maganizo ofuna kudzipha. |
| Kukhala ndi mbiri ya khansa ya m'mawere | Ndikofunikira kudziwa izi, chifukwa zingakhudze kuchuluka kwa mahomoni ena. |
| Kuyesa kutenga mimba, kukhala ndi pakati, kapena kuyamwitsa | Popeza palibe deta yonse yokhudza ngati mankhwalawa angakhudze mwana, ndikofunikira kukambirana ndi dokotala wanu. |
| Kutupa kwa mankhwala ena, zakudya, kapena zinthu zina | Ngati muli ndi vuto la Deutetrabenazine, Tetrabenazine, kapena china chilichonse, ndikofunikira kuuza dokotala wanu. |
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
Chofunika kwambiri ndikutsatira malangizo a dokotala wanu molondola.
- Imwani ndi chakudya: Mankhwalawa amalowa bwino m'thupi akamwedwa ndi chakudya.
- Mezani piritsi lonse: Mezani piritsi lonse ndi kapu ya madzi. Musaswe, kuphwanya, kapena kutafuna piritsi. Kuchita zimenezi kungasinthe momwe mankhwala amagwirira ntchito.
- Imwani pa nthawi yake: Khalani ndi chizolowezi chomwa mankhwala anu nthawi yomweyo tsiku lililonse. Musamwe mankhwala ochulukirapo kuposa momwe dokotala wanu wanenera.
- Musasiye mwadzidzidzi: Pewani kusiya kumwa mankhwalawa mwadzidzidzi popanda upangiri wa dokotala.
Zofunika:Mungalandire kabuku kapadera kodziwitsa (`MedGuide`) kuchokera ku pharmacy mukapatsidwa mankhwala awa. Werengani mosamala nthawi iliyonse. Kali ndi mfundo zofunika zokhudza mankhwalawa.
Kodi mungachite chiyani ngati mwamwa mankhwala ochulukirapo?
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, chitanipo kanthu mwachangu. Imbani National Poisons Information Centre ku Colombo National Hospital . Kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.
Mankhwala ena omwe angagwirizane ndi mankhwala (Kuyanjana kwa Mankhwala)
Iyi ndi gawo lofunika kwambiri. Deutetrabenazine imatha kuyanjana ndi mankhwala ena. Choncho uzani dokotala wanu za mankhwala onse omwe mukumwa (kuphatikizapo mavitamini ndi mankhwala azitsamba).
| Mankhwala omwe sayenera kumwedwa ndi Deutetrabenazine | |
|---|---|
| |
| Mtundu wa mankhwala / mankhwala | Zoyenera kusamala nazo kwambiri |
| Mowa | Kugona ndi chizungulire zingawonjezeke. |
| Mankhwala a kuvutika maganizo, nkhawa, kapena matenda ena amisala | Kugona ndi kusintha kwa maganizo kungawonjezeke. |
| Mankhwala oletsa kusowa tulo | Zingayambitse kugona kwambiri. |
| Mankhwala ena a ziwengo, chifuwa, ndi chimfine (Antihistamines) | Izi zingawonjezerenso kugona. |
| Mankhwala ena omwe amakhudza kugunda kwa mtima (mankhwala otalikitsa nthawi ya QT) | Zimawonjezera chiopsezo cha kusintha koopsa kwa kayimbidwe ka mtima. |
Mndandanda uwu sunathe, choncho ndikofunikira kwambiri kuuza dokotala wanu zonse zomwe mukumwa.
Kodi zotsatirapo zake zingakhale zotani chifukwa chomwa mankhwalawo?
Monga mankhwala ena aliwonse, Deutetrabenazine ingayambitse zotsatirapo zina . Zina zimakhala zazing'ono, pomwe zina zimafunika chisamaliro chadzidzidzi.
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala wanu nthawi yomweyo | |
|---|---|
| Kusintha kwa maganizo | Kuwonjezeka kwa kuvutika maganizo, kukhumudwa ndi moyo, kapena maganizo ofuna kudzipha . |
| Kusintha kwa kayimbidwe ka mtima | Kupweteka pachifuwa, chizungulire, kupuma movutikira, kumva ngati mtima wanu ukugunda mofulumira. |
| Matenda a Neuroleptic Malignant (NMS) | Malungo okwera kwambiri, thukuta kwambiri, kuuma kwa minofu, kusokonezeka, komanso kugunda kwa mtima kosakhazikika. Ichi ndi vuto loopsa kwambiri. |
| Kusamvana kwa Thupi | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo kapena lilime. |
| Zina | Kutaya mphamvu ya thupi, kuvutika kuyenda, kusakhazikika, kunjenjemera. |
| Zotsatirapo zomwe nthawi zambiri sizili zoopsa, koma ziyenera kufotokozedwa kwa dokotala ngati zikukuvutitsani | |
| Zinthu zofala zomwe zingachitike | Kugona, chizungulire, pakamwa pouma, kutopa, kusowa tulo, chopondapo kapena kudzimbidwa. |
Zinthu zina zofunika kuziganizira mukamamwa mankhwala
- Kugona ndi chizungulire: Mankhwalawa angakupangitseni kugona kapena chizungulire. Choncho, pewani zinthu zomwe zimafuna kukhala maso, monga kuyendetsa galimoto kapena kugwiritsa ntchito makina, mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
- Kusintha malo: Kuyimirira kapena kukhala mwadzidzidzi kungayambitse chizungulire ndi kugwa. Choncho sinthani malo pang'onopang'ono.
- Pakamwa pouma: Ngati pakamwa panu pali pouma, kutafuna chingamu chopanda shuga ndi kumwa madzi ambiri kungathandize.
Uthenga Wopita Nawo Kunyumba
- `Deutetrabenazine` ndi mankhwala omwe ayenera kumwedwa motsogozedwa ndi dokotala. Imwani mlingo wolembedwa komanso panthawi yolembedwa monga momwe dokotala wanenera.
- Onetsetsani kuti mwauza dokotala wanu za mankhwala ena onse, mavitamini, ndi zowonjezera zomwe mukumwa.
- Ngati mukukumana ndi kusintha kulikonse kwa malingaliro, zizindikiro za kuvutika maganizo, kapena maganizo ofuna kudzipha mukumwa mankhwalawa, uzani dokotala wanu kapena wachibale wanu nthawi yomweyo.
- Popeza mankhwalawa angayambitse kugona, pewani kuyendetsa galimoto ndi zinthu zina zomwe zimafuna kukhala maso mpaka mutadziwa momwe zimakukhudzirani.
- Musasiye kumwa mankhwala kapena kusintha mlingo pazifukwa zilizonse popanda kufunsa dokotala wanu.
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