Kodi mwakhala mukuvutika ndi kuvutika maganizo kwa nthawi yayitali? Mwina mwayesa mankhwala angapo omwe dokotala wanu wakupatsani, koma simunamve kusintha komwe mukufuna. Lero tikulankhula za chithandizo chapadera chomwe chingathandize anthu omwe akuvutika ndi kuvutika maganizo kwambiri ndipo sakuyankha bwino ndi mankhwala ena. Ichi ndi Esketamine Nasal Spray.
Kodi Esketamine ndi chiyani?
Mwachidule, Esketamine ndi mankhwala omwe amagwiritsidwa ntchito pochiza kuvutika maganizo. Koma si mankhwala wamba omwe amaperekedwa kwa aliyense. Madokotala nthawi zambiri amapereka mankhwalawa pamene mankhwala ena oletsa kuvutika maganizo sanathandize . Ndi mankhwala opopera m'mphuno . Limodzi mwa mayina otchuka pamsika ndi Spravato.
Mankhwalawa angagwiritsidwenso ntchito pa matenda ena kupatula kuvutika maganizo. Mutha kulankhula ndi dokotala wanu za izi kuti mudziwe zambiri.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa
Ndikofunikira kwambiri kuuza dokotala wanu za mbiri yonse ya thanzi lanu musanayambe chithandizochi. Musabise ngakhale matenda ang'onoang'ono omwe muli nawo. Mankhwalawa si oyenera aliyense. Ngati muli ndi vuto lililonse mwa awa, onetsetsani kuti mwauza dokotala wanu za vutoli.
| Matenda/mtundu wa chidziwitso | Kufotokozera |
|---|---|
| Matenda a mitsempha yamagazi | Ngati muli ndi matenda a mitsempha yamagazi kulikonse m'thupi, monga ubongo, chifuwa, manja, kapena miyendo. |
| Matenda a mtima ndi kuthamanga kwa magazi | Kuthamanga kwa magazi, matenda a mtima, kugunda kwa mtima kosasinthasintha, kapena matenda a mtima omwe adachitikapo kale. |
| Mbiri yokhudzana ndi ubongo | Ngati mudadwalapo sitiroko kale, munali ndi mbiri yotuluka magazi muubongo, kapena munavulala mutu kwambiri. |
| Thanzi la maganizo | Matenda amisala monga schizophrenia, dementia (kuiwala), kapena ngati inu kapena munthu wina m'banja mwanu munali ndi maganizo kapena mapulani odzipha. |
| Matenda ena | Matenda a chiwindi, mbiri ya kugwiritsa ntchito mankhwala osokoneza bongo kapena mowa (vuto la kugwiritsa ntchito mankhwala osokoneza bongo). |
| Matenda a ziwengo | Ngati muli ndi vuto la Esketamine, Ketamine, kapena mankhwala ena aliwonse, chakudya, kapena utoto. |
| Mimba ndi kuyamwitsa | Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena mukuyamwitsa. |
Kodi mumagwiritsa ntchito bwanji mankhwalawa?
Ichi ndi chinthu chofunikira kwambiri chomwe muyenera kudziwa. Ichi si mankhwala omwe mungatenge kunyumba ndikugwiritsa ntchito.
Mankhwalawa ayenera kugwiritsidwa ntchito kuchipatala kapena kuchipatala chokha, moyang'aniridwa mwachindunji ndi dokotala kapena katswiri wodziwa bwino ntchito zachipatala.
- Muzipopera nokha: Dokotala wanu kapena namwino adzakuwonetsani momveka bwino momwe mungagwiritsire ntchito chipangizochi chopopera m'mphuno, kuchuluka kwake, komanso nthawi yoti mugwiritse ntchito. Muzipopera m'mphuno mwanu nokha pansi pa kuyang'aniridwa ndi iwo.
- Yesetsani kwa maola angapo: Mukatha kumwa mankhwala, mudzayang'aniridwa kwa maola osachepera awiri.Gulu la azachipatala lidzakuyang'anirani. Adzayang'ana zinthu monga kuthamanga kwa magazi ndi kugunda kwa mtima wanu ndikusankha ngati muli oyenera kupita kunyumba.
- Kuyendetsa galimoto n'koletsedwa: Izi ndizofunikira kwambiri. Simungathe kuyendetsa galimoto pazifukwa zilizonse patsiku lomwe mwamwa mankhwala. Simungachitenso chilichonse chomwe chimafuna chisamaliro chathunthu chamaganizo. Ndikofunikira kuti wachibale kapena mnzanu abwere kudzakutengani kunyumba. Mudzatha kuyendetsanso bwino tsiku lotsatira mukagona tulo tabwino usiku.
- Samalani ndi chakudya ndi zakumwa: Mankhwalawa angayambitse nseru ndi kusanza. Chifukwa chake, muyenera kusiya kudya osachepera maola awiri musanayambe kumwa mankhwala. Muyeneranso kusiya kumwa madzi, monga madzi, osachepera mphindi 30 musanayambe kumwa .
- Ma spray ena a m'mphuno: Ngati mukugwiritsa ntchito mankhwala ena a m'mphuno otchedwa corticosteroids kapena mankhwala oletsa kutsekeka kwa m'mphuno, muyenera kuwagwiritsa ntchito osachepera ola limodzi musanayambe kumwa mankhwala a Esketamine awa.
Kodi mungachite chiyani ngati mwamwa mankhwala ochulukirapo?
Izi zimaperekedwa kuchipatala, kotero mwayi woti izi zichitike ndi wochepa kwambiri. Komabe, ngati mukuona kuti mwamwa mankhwala mopitirira muyeso mwanjira ina iliyonse, dziwitsani gulu lachipatala nthawi yomweyo. Ngati wina kunyumba wamwa mankhwala awa ndipo izi zitachitika, pitani nawo ku Dipatimenti Yoona za Zadzidzidzi (ETU) yapafupi nthawi yomweyo. Kapena imbani National Poisons Information Centre ku Colombo National Hospital kuti mupeze upangiri.
Zinthu zina zomwe zingagwirizane ndi mankhwalawa (Kuyanjana)
Muyenera kuuza dokotala wanu za mankhwala onse omwe mukumwa, kuphatikizapo mavitamini ndi mankhwala achikhalidwe, chifukwa zinthu zina zimatha kuyanjana ndi Esketamine ndikuyambitsa matenda oopsa.
| Mitundu ya zinthu zomwe zingagonjetse | Zitsanzo |
|---|---|
| Mowa | Pewani kugwiritsa ntchito mtundu uliwonse wa mowa. |
| Mankhwala oletsa tulo ndi nkhawa | Mankhwala a Benzodiazepine, monga Alprazolam, Diazepam, ndi mapiritsi ogonetsa. |
| Mankhwala ena oletsa kuvutika maganizo | Mankhwala monga Amitriptyline, Trazodone, makamaka mankhwala a MAOI monga Marplan, Nardil, ndi Parnate. |
| Mankhwala ochepetsa ululu ndi chifuwa | Mankhwala opha ululu ochokera ku gulu la opioid. |
| Zina | Ketamine, mankhwala a khunyu (monga Phenobarbital), mankhwala opumulira minofu, ndi mankhwala olimbikitsa matenda a ADHD. |
Zinthu zoti muzisamala nazo mukamamwa mankhwala
- Kuwunika pafupipafupi: Dokotala wanu nthawi zonse amawunika pafupipafupi kuti awone ngati vuto lanu likuyenda bwino kapena likuipiraipira. Auzeni ngati pali kusintha kwa zizindikiro zanu.
- Kugona ndi chizungulire: Mutha kumva tulo tofa nato, chizungulire, kapena kukomoka kwa maola angapo mutamwa mankhwalawo. Ichi ndichifukwa chake mumayang'aniridwa kuchipatala. Ichi ndichifukwa chake mumalangizidwa kuti musayendetse galimoto kapena kugwiritsa ntchito makina.
- Kuopsa kwa chizolowezi: Pali chiopsezo chogwiritsa ntchito molakwika komanso kudalira mankhwala awa. Chifukwa chake, dokotala wanu adzakuyang'aniraninso pa izi.
- Mimba: Simuyenera kumwa mankhwalawa ngati muli ndi pakati. Mankhwalawa angayambitse mavuto aakulu obadwa nawo mwa mwana.
- Kuyamwitsa: Musayamwitse mwana wanu pamene mukumwa mankhwalawa.
Zotsatirapo zomwe zingachitike chifukwa cha mankhwala
Monga mankhwala ena aliwonse, mankhwalawa akhoza kukhala ndi zotsatirapo zake. Ena ndi oopsa, ena ndi ofala. Chofunika kwambiri ndikudziwitsa gulu lanu lachipatala nthawi yomweyo ngati muwona china chake chachilendo.
| Kugawa zotsatira zoyipa | |
|---|---|
| 🚨 Zotsatirapo zoyipa ziyenera kufotokozedwa kwa dokotala kapena namwino nthawi yomweyo. | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Kusokonezeka kwa mitsempha yapakati (CNS depression) | Kupuma pang'onopang'ono kapena pang'ono, kupuma movutikira, kugona tulo tochuluka, kumva kukomoka, kusokonezeka. |
| Kumva kulekana (Kupatukana) | Kudzimva kutali ndi maganizo, malingaliro, ndi malo ozungulira munthu, ngati kuti uli m'maloto. |
| Kuthamanga kwa magazi kowonjezeka | Kuwonjezeka kwadzidzidzi komanso kwakukulu kwa kuthamanga kwa magazi. |
| Kuwonongeka kwa maganizo | Maganizo ofuna kudzipha, kuvutika maganizo kwambiri. |
| 🙂 Nthawi zambiri palibe chodetsa nkhawa, koma ngati zotsatirapo zake zikupitirira, muyenera kuuza dokotala wanu. | |
| Nkhawa, kusakhazikika | Chizungulire ndi kugona |
| Kusanza ndi kusanza | Kumva chisangalalo chachilendo, chisangalalo |
| Kusamva bwino, kuchepa kwa mphamvu yogwira | |
Uthenga Wopita Nawo Kunyumba
- Esketamine ndi mankhwala apadera omwe amaperekedwa kuchipatala chokhacho pansi pa kuyang'aniridwa ndi dokotala pa vuto la kuvutika maganizo kwakukulu komwe sikunachiritsidwe ndi mankhwala ena.
- Musamayendetse galimoto kapena kuchita chilichonse chomwe chimafuna chisamaliro tsiku lomwe mwamwa mankhwala awa. Muyenera kukhala ndi munthu woti akutengereni kunyumba.
- Uzani dokotala wanu za matenda anu onse komanso mankhwala onse omwe mumamwa popanda kubisa chilichonse .
- Mudzayang'aniridwa ndi gulu lachipatala kwa maola angapo mutamwa mankhwalawo, chifukwa zotsatirapo zake zoyipa zingachitike.
- Mankhwalawa si oyenera amayi apakati kapena oyamwitsa. Komanso saloledwa kwa ana.
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