Kodi mwatsala pang'ono kuyamba kulandira chithandizo cha chemotherapy cha khansa? Kapena mukulandira kale chithandizo? Chimodzi mwa zovuta zazikulu zomwe mungamve ndi nseru ndi kusanza. Izi ndi zokhumudwitsa kwambiri. Chifukwa chake, mankhwala apadera omwe madokotala amapereka kuti achepetse kusasangalala kumeneku amatchedwa Dolasetron. Lero, tikambirana za mankhwalawa, momwe angagwiritsire ntchito, zinthu zomwe muyenera kusamala nazo, ndi zotsatirapo zake m'njira yosavuta komanso yomveka bwino.
Kodi mankhwala awa ndi amtundu wanji?
Mwachidule, Dolasetron ndi mankhwala omwe amaletsa nseru ndi kusanza zomwe zimachitika mukapatsidwa mankhwala a chemotherapy. Pali mankhwala enaake m'thupi mwathu omwe amayambitsa nseru ndi kusanza. Mankhwalawa amagwira ntchito poletsa kugwira ntchito kwa mankhwala amenewo. M'mawu azachipatala, mtundu uwu wa mankhwala umatchedwa antiemetics. Ndiko kuti, ndi mankhwala omwe amagwira ntchito poletsa kusanza. Nthawi zina, dokotala angakupatseni mankhwalawa pazifukwa zina.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa
Musanapereke mankhwala awa, dokotala wanu ayenera kulemba mbiri yonse ya matenda anu. Onetsetsani kuti mwadziwitsa dokotala wanu ngati muli ndi vuto lililonse mwa izi:
| Kodi muli ndi mikhalidwe iyi? | N’chifukwa chiyani ndikofunikira kuuza dokotala ? |
|---|---|
| Matenda a mtima amtundu uliwonse. | Mankhwalawa nthawi zina amatha kusokoneza kayendedwe ka mtima. |
| Mbiri ya kugunda kwa mtima kosasinthasintha. | Chiwopsezocho chingakhale chachikulu ngati panali mavuto kale. |
| Matenda a impso. | Chifukwa impso zimachotsa mankhwala m'thupi, ntchito yawo ndi yofunika. |
| Kuchepa kwa magnesium kapena potaziyamu m'magazi. | Michere iyi ndi yofunika kwambiri pakugwira ntchito kwa mtima. |
| Kukhala ndi vuto la ziwengo chifukwa cha mankhwala monga dolasetron, granisetron, ondansetron, kapena mankhwala ena aliwonse, chakudya, kapena utoto. | Izi ndizofunikira kwambiri kuti tipewe vuto lalikulu la ziwengo. |
| Muli ndi pakati kapena mukufuna kutenga mimba. | Dokotala ayenera kuganizira momwe mwana wosabadwayo angakhudzire. |
| Ndiwe mayi amene akuyamwitsa mwana. | Muyenera kudziwa kuti mankhwalawa akhoza kupita kwa mwana kudzera mu mkaka wa m'mawere. |
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
Mankhwalawa amabwera ngati piritsi. Mezani ndi kapu ya madzi. Ndikofunikira kwambiri kumwa monga momwe dokotala wanu wakuuzani, kuchuluka kwa mankhwala omwe akukuuzani, komanso nthawi zonse zomwe wakuuzani . Musamwe mankhwala ochulukirapo kuposa momwe dokotala wanu wakuuzani. Mankhwalawa nthawi zambiri amaperekedwa pafupifupi ola limodzi chithandizo chanu cha khansa chisanayambe.
Ngati mupatsa izi ana aang'ono...
Madokotala amatha kupereka mankhwalawa kwa ana azaka zopitilira ziwiri nthawi zina zapadera. Koma amachita izi mosamala kwambiri. Chifukwa chake, ngati mankhwalawa aperekedwa kwa mwana, ayenera kuperekedwa kokha atalangizidwa ndi dokotala .
Chochita ngati mwamwa mankhwala ochulukirapo? (Kupitirira muyeso)
Ngati mukuganiza kuti mwamwa mankhwala ambiri kuposa momwe mukuganizira, chinthu choyamba chomwe muyenera kuchita ndikuyimbira National Poisons Information Centre ku Colombo National Hospital. Kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi mwachangu momwe mungathere. Izi ndi zadzidzidzi, choncho musazengereze.
Mankhwalawa aperekedwa kwa inu nokha. Musagawire wina aliyense pazifukwa zilizonse. Chomwe chingakuthandizeni sichingagwire ntchito kwa wina. Chingawavulaze.
Kodi izi zingayambitse mavuto ndi mankhwala ena?
Inde. Iyi ndi mfundo yofunika kwambiri. Dolasetron imatha kuyanjana ndi mankhwala ena. Izi zingayambitse zotsatira zoyipa kapena kusintha momwe mankhwala amagwirira ntchito.
| Musamwe Dolasetron pamodzi ndi mankhwalawa. | |
|---|---|
| Mankhwala ena ophera fungicide | Mwachitsanzo: fluconazole, itraconazole, ketoconazole, posaconazole, voriconazole |
| Cisapride | (Mankhwala operekedwa pa matenda a m'mimba) |
| Dronedarone, Pimozide, Thioridazine | (Mankhwala a matenda a mtima ndi matenda amisala) |
| Samalani kwambiri mukamamwa Dolasetron ndi mankhwala awa. | |
| Mankhwala oletsa mavairasi a HIV kapena Edzi | Mankhwala a matenda amisala monga kuvutika maganizo ndi nkhawa |
| Beta blockers | Mwachitsanzo: atenolol, metoprolol, propranolol |
| Zoletsa njira za calcium | Mwachitsanzo: diltiazem, verapamil |
| Mankhwala ena osiyanasiyana | Mankhwala monga Cimetidine, Digoxin, Diuretics, Rifampin, Tramadol, Fentanyl, Linezolid, MAOIs, Methylene blue. |
Chofunika kwambiri: Mndandandawu si wokwanira. Chifukwa chake, uzani dokotala wanu za mankhwala onse omwe mukumwa (omwe mwapatsidwa ndi dokotala kapena omwe mumagwiritsa ntchito pa mankhwala enaake), kuphatikizapo mankhwala azitsamba, mavitamini, ndi zowonjezera zina zomwe mukumwa. Komanso, uzani dokotala wanu ngati mumasuta kapena kumwa mowa.
Kodi ndi zotsatirapo ziti zomwe zingatheke?
Monga mankhwala ena aliwonse, Dolasetron ingayambitse zotsatirapo zoyipa mwa anthu ena. Zina zimakhala zoopsa, pomwe zina zimakhala zochepa. Chofunika kwambiri ndikudziwa izi ndikuchitapo kanthu mwachangu ngati pakufunika kutero.
| Zotsatira zoyipa | Kufotokozera |
|---|---|
| Zotsatirapo zoyipa zomwe muyenera kuuza dokotala wanu nthawi yomweyo | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi, komanso kuvutika kupuma. |
| Kusintha kwa kayendedwe ka kugunda kwa mtima | Kumva ngati mtima wanu ukugunda mofulumira kapena mosakhazikika, chizungulire, kukomoka, kupweteka pachifuwa. |
| Zizindikiro za Serotonin syndrome | Kusakhazikika, kusokonezeka, kuuma kwa minofu kapena kugwedezeka, thukuta kwambiri, kutentha thupi kwambiri, kuzizira, kusanza, kutsegula m'mimba. Ili ndi vuto lalikulu kwambiri. |
| Kawirikawiri si nkhani yaikulu, koma uzani dokotala ngati ikupitirira. | |
| Mutu | Mutu wochepa mpaka wochepa ungachitike. |
| Chizungulire ndi kutopa | Mungamve kutopa kapena chizungulire. |
| Kutsegula m'mimba kapena kuvutika m'mimba | Kutupa m'mimba kapena kusamva bwino m'mimba kungachitike. |
Ngati mukukumana ndi zizindikiro zina zachilendo zomwe sizinatchulidwe pamndandandawu, lankhulani ndi dokotala wanu za zizindikirozo.
Kodi ndiyenera kusunga bwanji mankhwalawo?
- Sungani pamalo omwe ana ndi ziweto sangafikire .
- Sungani kutentha kwa chipinda pakati pa madigiri 20 ndi 25 Celsius (68-77 °F). Tetezani ku kutentha kwambiri ndi kuwala.
- Musagwiritse ntchito mankhwala omwe atha ntchito . Tayani bwino.
Uthenga Wopita Nawo Kunyumba
- Dolasetron ndi mankhwala ofunikira omwe amagwiritsidwa ntchito poletsa nseru ndi kusanza komwe kumachitika chifukwa cha mankhwala a khansa.
- Musanamwe mankhwalawa, muyenera kuuza dokotala wanu za matenda anu onse komanso mankhwala ena onse omwe mukumwa.
- Imwani mlingo wokhawo womwe dokotala wanu wakupatsani. Musagawane mankhwalawa ndi wina aliyense pazifukwa zilizonse.
- Ngati mukukumana ndi mavuto aakulu monga kutupa pakhungu, kupuma movutikira, kapena kugunda kwa mtima mofulumira, funsani upangiri wa dokotala nthawi yomweyo.
- Ngati mukukayikira kuti mwamwa mankhwala opitirira muyeso, imbani National Poisons Information Center nthawi yomweyo kapena pitani ku chipatala chapafupi cha Emergency Department (ETU).
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