Kodi munayamba mwakhalapo ndi nthawi yoseka mosalekeza popanda chifukwa chomveka, kapena nthawi yolira mosalekeza, ngakhale simuli achisoni? Mwina winawake amene mumamudziwa adakumanapo ndi izi. Izi kwenikweni ndi vuto lomwe lingachitike ndi matenda ena amitsempha. M'mawu azachipatala, timatcha izi Pseudobulbar Affect (PBA) . Chifukwa chake lero tikambirana za mankhwala apadera omwe angathandize kuchepetsa kuseka ndi kulira kosazolowereka kumeneku.
Kodi mankhwala awa ndi chiyani?
Mwachidule, iyi ndi mankhwala ophatikizana awiri. Ndi Dextromethorphan ndi Quinidine . Mankhwala awiriwa amaphatikizidwa mu makapisozi ndipo amagwiritsidwa ntchito pochiza matenda otchedwa Pseudobulbar Affect (PBA). Mwina mwawonapo mankhwala awa pansi pa dzina lodziwika bwino la Nuedexta . Mankhwalawa amagwira ntchito polamulira zizindikiro zina muubongo, kuthandiza kulamulira kuseka ndi kulira kosalamulirika.
Dokotala wanu angakupatseninso mankhwala awa pa matenda ena, choncho ngati muli ndi mafunso, lankhulani ndi dokotala wanu za vutoli.
Zinthu zoti muuze dokotala wanu musanamwe mankhwalawa
Musanakupatseni mankhwala awa, dokotala wanu ayenera kudziwa mbiri yonse ya thanzi lanu. Onetsetsani kuti mwawauza za matenda aliwonse omwe ali pansipa, makamaka ngati muli nawo.
- Matenda a mtima: Ngati muli ndi matenda a mtima, monga kugunda kwa mtima kosakhazikika (arrhythmia).
- Matenda a chiwindi kapena impso: Ngati pali vuto lililonse ndi momwe chiwindi kapena impso zimagwirira ntchito.
- Myasthenia Gravis: Ngati muli ndi matenda a mitsempha monga Myasthenia Gravis.
- Kuchepa kwa potaziyamu kapena magnesium m'magazi: Ngati mayeso a magazi apeza chinthu choterocho.
- Matenda amisala: Ngati muli ndi vuto la kukumbukira kapena matenda amisala.
- Kumwa mankhwala osokoneza bongo kapena mowa: Ngati munayamba mwamwa mankhwala osokoneza bongo kapena mowa kapena ngati muli ndi vutoli panopa.
- Matenda a ziwengo: Ngati muli ndi ziwengo ndi mankhwala awa (Dextromethorphan, Quinidine), mankhwala ena, zakudya, kapena utoto.
- Mimba kapena kuyamwitsa: Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena mukuyamwitsa.
Mwa kudziwitsa dokotala wanu za zinthu izi, adzatha kukupatsani chithandizo chotetezeka.
Kodi mumagwiritsa ntchito bwanji mankhwalawa moyenera?
Dziwani mfundo izi mukamagwiritsa ntchito mankhwalawa.
- Mezani mankhwalawa ndi kapu ya madzi.
- Imwani monga momwe dokotala wanu wanenera, panthawi yoyenera.Musamwe mankhwala opitirira mlingo womwe walembedwa.
- Izi zitha kumwedwa musanadye kapena mutadya, koma ngati mukumva kupweteka m'mimba, ndi bwino kuzimwa pamodzi ndi chakudya.
- Musasiye kumwa mankhwala mwadzidzidzi popanda upangiri wa dokotala.
- Ngati mukupereka mankhwalawa kwa ana, lankhulani ndi dokotala wa ana za izi ndipo tsatirani malangizo awo.
Chenjezo: Mankhwalawa aperekedwa kwa inu nokha. Musagawane mankhwalawa ndi wina aliyense pazifukwa zilizonse.
Chochita ngati mwamwa mankhwala ochulukirapo? (Kupitirira muyeso)
Ngati mukuganiza kuti mwamwa mankhwala ambiri kuposa momwe mukuganizira, pitani ku chipatala chapafupi cha Emergency Treatment Unit (ETU) mwachangu. Kapena imbani National Poisons Information Centre ku Colombo National Hospital .
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 mlingo umodzi nthawi imodzi, kuphatikizapo womwe munaphonya.
Mankhwala ena omwe angagwirizane ndi mankhwalawa (Kuyanjana kwa Mankhwala)
Mankhwalawa angagwirizane ndi mankhwala ena omwe mukumwa, choncho uzani dokotala wanu za mankhwala onse omwe mukumwa (kuphatikizapo mavitamini ndi mankhwala azitsamba).
| Mankhwala omwe sayenera kumwedwa ndi mankhwalawa | |
|---|---|
| Gulu la mankhwala | Zitsanzo |
| Mankhwala oletsa matenda amisala (mankhwala a matenda ena amisala) | chlorpromazine, haloperidol, pimozide, risperidone, thioridazine |
| Mankhwala ochizira kugunda kwa mtima kosakhazikika | dofetilide, encainide, flecainide, mexiletine, propafenone, quinidine |
| Mankhwala oletsa kuvutika maganizo a MAOI | Carbex, Eldepryl, Marplan, Nardil, Parnate |
| Mankhwala ena | cisapride, dolasetron, dronedarone, mefloquine, quinine |
| Zinthu zina zomwe zingagwirizane ndi mankhwalawa | |
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Zinthu zoti muzisamala nazo mukamamwa mankhwala
- Ngati zizindikiro zanu sizikuchepa kapena zikuipiraipira, uzani dokotala wanu. Pitani kuzipatala nthawi yake ndipo mukayezetse matenda anu.
- Mungamve chizungulire. Ngati mukumva chizungulire kapena kufooka mutu mukumwa mankhwalawa, uzani dokotala wanu nthawi yomweyo.
- Pewani kuyendetsa galimoto, kugwiritsa ntchito makina, ndi kuchita chilichonse chomwe chimafuna kukhala maso mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
- Pewani kuyimirira mwadzidzidzi, makamaka ngati ndinu okalamba. Imirirani pang'onopang'ono. Izi zingathandize kuchepetsa chizungulire ndi kukomoka.
- Pewani kumwa mowa. Mowa ukhoza kuwonjezera chizungulire.
Zotsatirapo zomwe zingachitike chifukwa cha mankhwala
Monga mankhwala ena aliwonse, mankhwalawa angayambitse zotsatirapo zina.
| Ngati mukukumana ndi zizindikiro izi, funsani upangiri wa dokotala nthawi yomweyo. | |
|---|---|
| Ziwengo zoopsa | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo kapena lilime, komanso kuvutika kupuma. |
| Mavuto a mtima | Kupweteka pachifuwa, chizungulire, kugunda kwa mtima mofulumira kapena kosakhazikika, kukomoka, kutaya chidziwitso. |
| Zizindikiro za kuwonongeka kwa chiwindi | Mkodzo wachikasu kapena bulauni wakuda, maso kapena khungu lachikasu, kupweteka kumtunda kwa kumanja kwa m'mimba, nseru, kusowa chilakolako cha chakudya. |
| Matenda a Serotonin | Kusokonezeka, thukuta kwambiri, kutentha thupi, kuzizira, kuuma kwa minofu, kutsegula m'mimba. |
| Zizindikiro zina zazikulu | Kusintha kwa masomphenya, kumva kutayika, kuvulala kapena kutuluka magazi kosazolowereka, zizindikiro zofanana ndi za lupus (monga kukhudzidwa ndi kuwala kwa dzuwa, kupweteka kwa mafupa). |
| Zotsatirapo zomwe nthawi zambiri sizili zoopsa, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
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Kodi mumasunga bwanji mankhwala?
- Sungani pamalo omwe ana ndi ziweto sangafikire. Mankhwalawa akhoza kupha ngati munthu wamkulu, mwana, kapena chiweto chamwa mwangozi.
- Sungani kutentha kwa chipinda (pakati pa madigiri 15-30 Celsius).
- Musagwiritse ntchito mankhwala omwe atha ntchito.
- Sakanizani mankhwala aliwonse osagwiritsidwa ntchito ndi chinthu monga khofi wophikidwa kapena zinyalala za amphaka, ziyikeni mu chidebe chotsekedwa bwino, ndipo mutaya.
Uthenga Wopita Nawo Kunyumba
- Dextromethorphan; Quinidine ndi mankhwala apadera omwe amaperekedwa pochiza matenda otchedwa Pseudobulbar Affect (PBA), omwe amachititsa kuseka ndi kulira kosalamulirika.
- Musanamwe mankhwalawa, uzani dokotala wanu za mbiri yanu yonse ya thanzi komanso mankhwala ena onse omwe mukumwa.
- Tsatirani malangizo a dokotala wanu molondola. Musasinthe mlingo kapena kusiya kumwa mankhwala mwadzidzidzi.
- Fufuzani thandizo lachipatala mwamsanga ngati mukukumana ndi mavuto ena aakulu monga chizungulire, kukomoka, kugunda kwa mtima mofulumira, kapena vuto lalikulu la ziwengo.
- Kumwa mankhwala ochulukirapo n’koopsa kwambiri. Pitani ku Dipatimenti Yoona za Zadzidzidzi (ETU) nthawi yomweyo kapena imbani National Poisons Information Center.
- Mankhwalawa ndi a inu nokha. Musagawane ndi ena.
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