Bwenzi lomwe limalimbana ndi mutu waching'alang'ala: Tiyeni tiphunzire za mapiritsi a Ergotamine Sublingual.

Ukakhala ndi mutu wopweteka kwambiri wa mutu wa migraine, ukhoza kukhala ululu weniweni tsiku lonse, sichoncho? Nthawi zina mutu wako umapweteka kwambiri moti sungathe ngakhale kuyang'ana kuwala, umamva nseru, ndipo anthu ena amasanza. Nthawi zina sungathe kuchita chilichonse ndipo umangogona tsiku lonse. Lero, tikambirana za mankhwala apadera omwe angakupatseni mpumulo mukakhala ndi ululu waukulu wa mutu wa migraine.

Kodi mankhwala awa ndi amtundu wanji?

Mankhwalawa amatchedwa ergotamine . Nthawi zambiri amabwera ngati piritsi losagwiritsidwa ntchito ndi anthu ambiri lomwe mumayika pansi pa lilime lanu ndikusungunuka. Amapangidwa makamaka kuti akuthandizeni kuchepetsa mutu waukulu womwe umabwera chifukwa cha mutu waching'alang'ala.

Mwachidule, mankhwalawa, Ergotamine, amachita zinthu ziwiri muubongo mwanu. Choyamba ndikuletsa zizindikiro za ululu zomwe zimayambitsa mutu waching'alang'ala. Chinanso ndikupangitsa mitsempha ina yamagazi muubongo kutupa, zomwe zimapangitsa mitsempha yamagaziyo kufupika. Ndi ya gulu la mankhwala otchedwa ergot alkaloids .

Komabe, ndikofunikira kwambiri kukumbukira izi: Mankhwalawa si mankhwala oletsa mutu waching'alang'ala asanayambe. Izi zikutanthauza kuti muyenera kumwa mutu utangoyamba kupweteka, kutanthauza kuti, mutayamba zizindikiro za mutu waching'alang'ala. Si bwino kumwa poyembekezera kuti zichitike.

Nthawi zina dokotala wanu angakupatseni mankhwala awa pazifukwa zina. Choncho ngati muli ndi mafunso kapena simukudziwa bwino za mankhwalawa, ndi bwino kufunsa dokotala wanu kapena wamankhwala. Nthawi zambiri mupeza mankhwala awa pansi pa dzina la 'Ergomar' .

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

Chabwino, tsopano mfundo yofunika kwambiri. Musanayambe kugwiritsa ntchito mankhwala a Ergotamine awa, ngati muli ndi vuto lililonse lomwe latchulidwa pansipa, muyenera kuuza dokotala wanu popanda kubisa chilichonse. Chifukwa ndi pamenepa pomwe dokotala angasankhe ngati mankhwalawa ndi oyenera kwa inu kapena ayi, kapena momwe angawaperekere.

Tsopano onani ngati zinthu izi zikukukhudzaninso inu:

• Kodi muli ndi ululu pachifuwa kapena mukuvutika kupuma?
• Kodi muli ndi matenda a mtima kapena matenda ena aliwonse a mitsempha yamagazi?
• Kodi muli ndi matenda amagazi othamanga?
• Kodi muli ndi matenda aliwonse, monga chithupsa, m'thupi lanu?
• Kodi muli ndi matenda a impso?
• Kodi pali vuto lililonse ndi chiwindi, mwachitsanzo matenda a chiwindi?
• Kodi magazi anu sakuyenda bwino? Izi zikutanthauza zinthu monga kusayenda bwino kwa magazi m'miyendo, dzanzi, ndi zina zotero.
• Kodi ndinu wosuta fodya? Kusuta fodya ndi chinthu chomwe chimayambitsa matenda a mtima.
• Kodi munayamba mwakhalapo ndi vuto la ziwengo kapena vuto lina lililonse lachilendo chifukwa cha mankhwala a ergotamine awa, mankhwala ena aliwonse, chakudya, utoto, kapena zosungira?
• Kodi panopa muli ndi pakati? Kapena mukufuna kutenga mimba?
• Kodi ndinu mayi woyamwitsa?

Ngati chilichonse mwa izi chikukukhudzani, chonde uzani dokotala wanu.

Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?

Momwe mankhwalawa amagwiritsidwira ntchito ndi apadera kwambiri. Ndikofunikira kwambiri kudziwa ndikuchita bwino.

• Momwe mungamwere: Mankhwalawa ayenera kumwedwa pakamwa. Imwani piritsi, ikani pansi pa lilime lanu , ndipo dikirani mpaka litasungunuka kwathunthu.
• Chofunika kwambiri: Musamatafune kapena kumeza piritsi. Lolani kuti lisungunuke pansi pa lilime lanu. Izi zidzaonetsetsa kuti mankhwalawo alowetsedwa mokwanira m'thupi lanu.
• Tsatirani malangizo: Tsatirani malangizo omwe ali pa chizindikiro cha mankhwala chomwe dokotala wanu wakupatsani molondola.
• Nthawi Yabwino: Kuti mupeze zotsatira zabwino, imwani mankhwalawa mukangomva mutu wa mutu wa mutu wa migraine, kapena mukangoyamba kumva zizindikiro zomwe mutu wa mutu wa migraine usanayambe (monga aura). Musazengereze. Pamenepo ndi pomwe amakupatsani mpumulo wabwino kwambiri.
• Musamwe mankhwalawa nthawi zonse: Mankhwalawa sakuyenera kumwedwa tsiku lililonse. Komanso, musamwe mankhwala ochulukirapo kuposa mlingo womwe dokotala wanu wakuuzani kuti mumwe, komanso musamwe mankhwala ochulukirapo kuposa kuchuluka kwa nthawi zomwe dokotala wanu wakuuzani kuti mumwe patsiku.
• Ngati mupereka kwa ana: Onetsetsani kuti mwalankhula ndi gulu lanu lachipatala za kupereka mankhwalawa kwa ana aang'ono. Angafunike chisamaliro chapadera. Musapereke mankhwalawa kwa ana aang'ono popanda upangiri wa dokotala.
• Kumwa Mopitirira Muyeso: Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, imbani malo oletsa poizoni kapena chipinda chodzidzimutsa chapafupi nthawi yomweyo. Kapena pitani kumeneko nthawi yomweyo.
• Musagawire: Mankhwalawa ndi a inu nokha. Musapatse mnzanu kapena wachibale wanu, ngakhale atakhala ndi malungo. Si mankhwala onse omwe amagwira ntchito kwa aliyense.

Kodi mungachite chiyani ngati mwaphonya mlingo?

Funso ili silikugwirizana kwambiri ndi mankhwalawa. Chifukwa, monga tanenera kale, awa si mankhwala omwe amatengedwa nthawi yomweyo tsiku lililonse, nthawi zonse. Amatengedwa pokhapokha mutu ukabwera Lamlungu.

Ndi zinthu zina ziti zomwe zingagwirizane ndi mankhwalawa? (Kuyanjana)

Ichi ndi chinthu chomwe muyenera kusamala nacho kwambiri. Pali mankhwala ena omwe angayambitse zotsatirapo zoopsa akamwedwa ndi Ergotamine. Komanso, pali mankhwala ena ndi zakudya zomwe zingakhudze momwe Ergotamine imagwirira ntchito.

Ergotamine sayenera kumwedwa ndi mankhwala awa:

• Bromocriptine
• Ceritinib
• Maantibayotiki ena, monga clarithromycin ndi erythromycin
• Mankhwala ena oletsa mavairasi omwe amaperekedwa chifukwa cha HIV kapena chiwindi
• Mankhwala ena a kuthamanga kwa magazi, matenda a mtima, ndi kugunda kwa mtima kosasinthasintha
• Mankhwala ena a matenda a bowa, monga itraconazole, ketoconazole, posaconazole, ndi voriconazole
• Mankhwala ena omwe amaperekedwa pa mutu wa mutu waching'alang'ala ndi awa: almotriptan, eletriptan, frovatriptan, naratriptan, rizatriptan, sumatriptan, ndi zolmitriptan. Mankhwalawa amatchedwanso 'triptans'.
• Cocaine
• Idelalisib
• Imatinib
• Levoketoconazole
• Lonafarnib
• Mifepristone
• Pseudoephedrine (imapezeka m'mankhwala ena ozizira)
• Ribociclib
• Tucatinib

Komanso, mankhwalawa amatha kuyanjana ndi zinthu zotsatirazi. Izi zikutanthauza kuti zotsatira zake zitha kuchitika:

• Mankhwala ena ochizira kuvutika maganizo, nkhawa, kapena matenda amisala
• Clotrimazole (mankhwala opha mavairasi)
• Fluconazole (mankhwala opha mavairasi)
• Madzi a mphesa - Samalani kwambiri ndi izi. Kumwa madzi a mphesa mukumwa ergotamine kungapangitse zotsatirapo zake kukhala zoipa.
• Metronidazole (mankhwala ogwiritsidwa ntchito pochiza matenda ena)
• Nikotini - Izi zikutanthauza zinthu zokhudzana ndi fodya, monga ndudu.
• Propranolol (mankhwala ogwiritsidwa ntchito pochiza matenda a mtima ndi kuthamanga kwa magazi)
• Zileuton (mankhwala a mphumu)

Mndandandawu sukuphatikizapo mankhwala onse omwe angakhalepo. Chifukwa chake, perekani dokotala wanu mndandanda wathunthu wa mankhwala onse omwe mukumwa (kuphatikizapo omwe amayambitsa matenda ena, mavitamini, zitsamba, mankhwala osaperekedwa ndi dokotala, ndi zowonjezera zakudya).Komanso, onetsetsani kuti mwauza dokotala wanu ngati mukusuta fodya, kumwa mowa, kapena kugwiritsa ntchito mankhwala osokoneza bongo, chifukwa zinthu zina zingasokoneze mankhwala anu ndikuyambitsa mavuto.

Ndi zinthu ziti zomwe muyenera kusamala nazo mukamagwiritsa ntchito mankhwalawa?

Pali zinthu zina zomwe muyenera kusamala nazo mukamamwa ergotamine.

• Ngati palibe mpumulo: Ngati mankhwalawa sakuchepetsa kwambiri mutu wanu wa mutu waching'alang'ala, kapena ngati mutu wanu ukukulira mosiyana ndi masiku onse, lankhulani ndi gulu lanu lachipatala. Mungafunike kusintha mankhwala ena kapena kuyesa njira ina yothandizira kuti muchiritse mutu wanu.
• Kugona/Kuzunguzika: Mankhwalawa angakupangitseni kugona kapena kumva chizungulire. Choncho, musayendetse galimoto, kugwiritsa ntchito makina olemera, kapena kuchita china chilichonse chomwe chimafuna kukhala maso mpaka mutadziwa momwe mankhwalawa amakukhudzirani. Kuti muchepetse chiopsezo cha chizungulire kapena kukomoka, musadzuke mwadzidzidzi mutangokhala kapena kuyimirira. Chitani zinthu izi pang'onopang'ono. Izi ndizofunikira makamaka ngati ndinu okalamba. Kumwa mowa kungapangitse kuti kugona, chizungulire, ndi kutuluka magazi kukhale koipa. Chifukwa chake, pewani kumwa mowa kwathunthu mukamamwa mankhwalawa.
• Kuyenda kwa magazi: Mankhwalawa amachepetsa pang'ono kuyenda kwa magazi pakhungu lanu, zala zanu ndi zala zanu. Izi zingakuthandizeni kukhala omasuka ndi chimfine. Manja ndi mapazi anu angamve kuzizira komanso dzanzi. Anthu okalamba nthawi zambiri amamva izi. Chifukwa chake , valani bwino ndipo sungani kutentha nthawi yozizira. Pewani kukhala nthawi yozizira kwa nthawi yayitali.
• Mutu Wopweteka Kwambiri Pogwiritsa Ntchito Mankhwala: Iyi ndi nkhani yofunika kwambiri. Ngati mugwiritsa ntchito mankhwala a mutu waching'alang'ala (osati ergotamine yokha, komanso mankhwala ena ochepetsa ululu) kwa masiku 10 kapena kuposerapo pamwezi, mutu wanu waching'alang'ala ukhoza kuipiraipira m'malo mochira. Izi zimatchedwa 'mutu wopweteka kwambiri pogwiritsa ntchito mankhwala'. Chifukwa chake, ndikofunikira kwambiri kulemba tsiku lomwe mutu wanu umapweteka, kulemba masiku omwe mutu wanu umapweteka, mankhwala omwe mumamwa, ndi kuchuluka kwake. Ngati mutu wanu wa mutu waching'alang'ala ukuchulukirachulukira, kapena ngati mutu wanu wasintha, onetsetsani kuti mwalumikizana ndi gulu lanu lazaumoyo ndikuwadziwitsa.

Kodi zotsatirapo zake zingakhale zotani chifukwa cha mankhwalawa?

Monga mankhwala ena aliwonse, ergotamine ingayambitse mavuto mwa anthu ena. Komabe, si aliyense amene amawapeza. Zotsatirapo zina zimakhala zoopsa ndipo muyenera kufunafuna upangiri wa dokotala nthawi yomweyo ngati zitachitika. Zina sizili zoopsa ndipo zimatha patatha masiku angapo.

Ngati mukukumana ndi zotsatirapo zoyipa izi, muyenera kuuza gulu lanu lazachipatala mwachangu momwe mungathere. Kapena pitani kuchipatala chapafupi:

• Matenda a ziwengo: Matuza pakhungu, kuyabwa, ziphuphu, kutupa kwa nkhope, milomo, lilime, kapena pakhosi. Ngati pakhosi patupa, zimathanso kupangitsa kuti kupuma kukhale kovuta.
• Kusintha kwa ziwalo: Kupsa, kupweteka, kumva kuwawa, kapena kusintha kwa mtundu (monga kutembenuka kukhala wotumbululuka, wabuluu) m'miyendo kapena ziwalo.
• Zizindikiro za matenda a mtima: Kupweteka kapena kufinya pachifuwa, kupweteka kumafalikira mpaka pamapewa, m'manja, pakhosi, kapena m'nsagwada, nseru, kupuma movutikira, khungu lozizira kapena lotupa, kukomoka, kapena kumva mutu wopepuka mwadzidzidzi .
• Kusintha kwa kayimbidwe ka mtima: Kuwonjezeka mwadzidzidzi kwa liwiro la kugunda kwa mtima (kugunda kwa mtima mofulumira), kumva ngati kugunda kosazolowereka (kugunda kwa mtima kosazolowereka), chizungulire, kukomoka, kupweteka pachifuwa, kuvutika kupuma.
• Kuwonjezeka mwadzidzidzi kwa kuthamanga kwa magazi.
• Chochitika cha Raynaud: Zala kapena zala zimamva kuzizira, dzanzi, komanso kupweteka. Mtundu wa zala ukhoza kusintha kuchoka pa mtundu wotumbululuka kupita pa buluu, kenako n’kufiira.
• Zizindikiro za khunyu (Kugwidwa ndi khunyu): Izi zikutanthauza kuti zimabwera ngati khunyu.
• Zizindikiro za sitiroko: Kusanza mwadzidzidzi kapena kufooka kwa nkhope, mkono, kapena mwendo (nthawi zambiri mbali imodzi ya thupi), kuvutika kulankhula, kulankhula movutikira, kusokonezeka, kuvutika kuyenda, kulephera kulinganiza bwino kapena kugwirizana, chizungulire, mutu waukulu womwe umabwera popanda chifukwa, komanso kusintha kwadzidzidzi kwa masomphenya.
• Kupweteka kwambiri m'mimba: Kupweteka kwadzidzidzi, m'mimba kwambiri, kutsegula m'mimba kotuluka magazi, kutentha thupi, nseru, ndi kusanza.
• Kutaya masomphenya: Kutaya masomphenya mwadzidzidzi, kapena kutayika konse kwa masomphenya.

Zotsatirapo zomwe nthawi zambiri sizifuna chithandizo chamankhwala, koma muyenera kuuza gulu lanu lachipatala ngati zikupitirira kapena zikukuvutitsani:

• Chizungulire
• Kusasangalala kapena kutopa konse
• Kusanza
• Kusanza

Mndandandawu uli ndi zotsatirapo zochepa chabe zomwe zingachitike. Si zotsatirapo zonse zomwe zalembedwa pano. Ngati muwona china chake chachilendo, funsani upangiri wachipatala. Mutha kunena za zotsatirapo ku FDA (Food and Drug Administration) ku United States pa 1-800-FDA-1088. Ku Sri Lanka, ndi bwino kunena izi kwa dokotala wanu kapena kuchipatala.

Kodi ndiyenera kusunga bwanji mankhwala anga?

Ndikofunikanso kwambiri kusunga mankhwala anu moyenera.

• Sungani kutali ndi ana: Ikani pamalo omwe ana ang'onoang'ono sangafikire, monga pamwamba.
• Kutentha: Sungani kutentha kwa chipinda, komwe kuli pakati pa madigiri 15 ndi 30 Celsius (59 ndi 86 Fahrenheit).
• Kupaka: Sungani mu phukusi la zojambulazo mpaka litakonzeka kugwiritsidwa ntchito. Musachotse mapiritsi.
• Chitetezo: Tetezani ku kuwala ndi chinyezi. Musasunge m'malo onyowa monga m'bafa.
• Kutha Ntchito: Onani tsiku lotha ntchito la mankhwala pa phukusi. Musagwiritse ntchito mankhwala aliwonse omwe adutsa tsiku limenelo ndipo muwataye.

Izi ndi chidule chokha. Sizingakhale zonse. Ngati muli ndi mafunso kapena nkhawa zokhudzana ndi mankhwalawa, chonde lankhulani ndi dokotala wanu, wamankhwala, kapena wothandizira zaumoyo wina.

Zinthu zofunika kwambiri zomwe tiyenera kukumbukira (Uthenga Wopita Nawo Kunyumba)

Chabwino, tiyeni tikambirane mfundo zofunika kwambiri zokhudza Ergotamine zomwe takambirana lero, sichoncho?

• Ergotamine ndi mankhwala omwe amaperekedwa kuti achepetse ululu wa mutu wa mutu wa migraine ukangoyamba. Sagwiritsidwa ntchito poletsa mutu wa migraine.
• Piritsi ili liyenera kuyikidwa pansi pa lilime ndipo liloledwe kuti lisungunuke kwathunthu. Musatafune kapena kumeza.
• Onetsetsani kuti mwauza dokotala wanu za matenda ena aliwonse omwe muli nawo (makamaka matenda a mtima, kuthamanga kwa magazi, mavuto a kuyenda kwa magazi), mankhwala ena aliwonse omwe mukumwa panopa, ndi ziwengo zilizonse zomwe muli nazo.
• Mankhwalawa amatha kuyanjana ndi mankhwala ena ambiri. Choncho lankhulani ndi dokotala wanu za izi. Muyenera kusamala kwambiri ndi madzi a mphesa.
• Kumwa mankhwala kungayambitse kugona ndi chizungulire. Choncho, samalani mukayendetsa galimoto kapena mukugwira ntchito yomwe imafuna kusamala kwambiri.
• Kugwiritsa ntchito mankhwala awa mopitirira muyeso kungapangitse mutu wanu wa mutu kukhala wopweteka kwambiri. Choncho gwiritsani ntchito monga momwe dokotala wanu wanenera.
• Ngati mukukumana ndi zizindikiro zilizonse za zotsatirapo zoyipa (monga kupweteka pachifuwa, kupuma movutikira, ziwengo, kapena zizindikiro za sitiroko) , funsani upangiri wa dokotala nthawi yomweyo.
• Mankhwalawa ndi a inu nokha. Musapatse wina aliyense.

Choncho, mutu waching'alang'ala ndi vuto lomwe anthu ambiri amakumana nalo. Komabe, mukapeza matenda oyenera komanso chithandizo choyenera, mutha kuchepetsa ululu ndikukhala moyo wabwinobwino. Ngati mukuvutikanso ndi mutu waching'alang'ala, ndi bwino kupita kwa dokotala ndikupeza upangiri.

` ergotamine, mutu waching'alang'ala, mutu, mankhwala, zotsatirapo zake, sublingual