Nthawi zina zimakhala zovuta kwambiri kulimbana ndi vuto lotchedwa kuvutika maganizo. Ngati palibe kusintha kwa vuto lanu ngakhale mutamwa mankhwala ndikuchita zonse zomwe dokotala wanena, kukhumudwa ndi kusungulumwa komwe kumabwera m'maganizo sikungathe kufotokozedwa m'mawu. Ngati inunso muli munthu amene mukuvutika ndi vuto lofananalo, nkhaniyi idzakhala yofunika kwambiri kwa inu. Lero tikulankhula za chithandizo chapadera chomwe chimagwiritsidwa ntchito ngati mankhwala oletsa kuvutika maganizo omwe amaperekedwa nthawi zambiri sanapereke mpumulo, kutanthauza Esketamine Nasal Spray.
Mwachidule, kodi Esketamine ndi chiyani?
Esketamine (yomwe imadziwikanso ndi dzina loti Spravato) ndi mankhwala omwe amagwiritsidwa ntchito pochiza kuvutika maganizo. Koma si mankhwala amodzi okha. Dokotala wanu adzaganizira za chithandizochi pokhapokha ngati muli ndi kuvutika maganizo ndipo mwayesapo mankhwala ena awiri oletsa kuvutika maganizo koma sanakuthandizeni momwe mukufunira. Izi zikutanthauza kuti ndi mankhwala enieni a anthu omwe sanalandire chithandizo china .
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa
Musanayambe chithandizochi, ndikofunikira kwambiri kudziwitsa dokotala wanu za thanzi lanu lonse. Ngati muli ndi vuto lililonse mwa zotsatirazi, onetsetsani kuti mwawauza za vutoli.
| Mkhalidwe | Kufotokozera |
|---|---|
| Mtima ndi kuthamanga kwa magazi | Kukhala ndi mbiri ya kuthamanga kwa magazi, matenda a mtima, matenda a mtima, kapena kugunda kwa mtima kosasinthasintha. |
| Ubongo ndi mitsempha yamagazi | Kukhala ndi matenda a magazi muubongo, sitiroko, kuvulala mutu, kapena matenda a mitsempha yamagazi muubongo, pachifuwa, miyendo, kapena kwina kulikonse. |
| Thanzi la maganizo | Matenda ena amisala monga schizophrenia, dementia, maganizo ofuna kudzipha kapena kuyesa kudzipha (mwa inuyo kapena munthu wina m'banja mwanu). |
| Zochitika zina | Matenda a chiwindi, mbiri ya chizolowezi cha mankhwala osokoneza bongo kapena mowa, kusagwirizana ndi Esketamine, Ketamine kapena mankhwala ena, zakudya, kapena utoto. |
| Mimba | Ngati muli ndi pakati pa nthawi ino, mukuyesera kutenga pakati, kapena kuyamwitsa, onetsetsani kuti mwatidziwitsa. |
Kodi mumagwiritsa ntchito bwanji mankhwalawa? Izi ndi zapadera kwambiri!
Chofunika kwambiri chomwe muyenera kumvetsetsa apa ndichakuti iyi si mankhwala omwe mungapite nawo kunyumba . Mankhwalawa amagwiritsidwa ntchito pokhapokha ngati dokotala akuyang'anira, kuchipatala kapena ku chipatala.
- Motsogozedwa ndi dokotala: Muyenera kugwiritsa ntchito mankhwala otsukira m'mphuno awa motsogozedwa ndi dokotala kapena ogwira ntchito zachipatala ophunzitsidwa bwino. Adzakuphunzitsani momveka bwino momwe mungagwiritsire ntchito ndi kuchuluka kwa mankhwalawa.
- Nthawi yowonera odwala kwa maola awiri: Mukatha kumwa mankhwala, ogwira ntchito zachipatala adzakuyang'anirani kwa maola osachepera awiri . Adzayang'ana kuthamanga kwa magazi anu ndi matenda ena ndikusankha ngati muli bwino mokwanira kuti mupite kunyumba.
- Kuyendetsa galimoto n'koletsedwa kwambiri: Izi ndizofunikira kwambiri. Simungathe kuyendetsa galimoto pazifukwa zilizonse patsiku lomwe mwamwa mankhwala. Sikuti zokhazo, komanso simuyenera kugwiritsa ntchito makina kapena kuchita chilichonse chomwe chimafuna kusamala. Chifukwa chake, ndikofunikira kuti mubweretse wachibale wanu kapena mnzanu kuti akutengereni kunyumba. Mukagona tulo tabwino usiku, mudzatha kubwerera ku zochita zanu zachizolowezi tsiku lotsatira.
- Samalani ndi chakudya ndi zakumwa: Mankhwalawa angayambitse nseru ndi kusanza. Kuti mupewe izi, musadye chilichonse maola awiri musanamwe mankhwala. Komanso, siyani kumwa zakumwa, kuphatikizapo madzi , mphindi 30 musanamwe mankhwala.
- Ma spray ena a m'mphuno: Ngati mukugwiritsa ntchito ma steroids ena a m'mphuno (corticosteroids) kapena mankhwala ochepetsa kutsekeka kwa m'mphuno, gwiritsani ntchito osachepera ola limodzi musanagwiritse ntchito Esketamine spray.
Ngati mwaphonya mlingo, zomwe zikutanthauza kuti simungathe kufika pa nthawi yomwe mwakonza, chonde dziwitsani dokotala wanu nthawi yomweyo. Ndikofunikira kwambiri kupitiriza chithandizochi monga momwe mwalangizidwira.
Kodi mungachite chiyani ngati mwamwa mankhwala ochulukirapo?
Izi zimaperekedwa moyang'aniridwa ndi dokotala kotero mwayi woti izi zichitike ndi wochepa. Komabe, ngati chinthu chonga ichi chichitika, imbani nthawi yomweyo National Poisons Information Centre ku Colombo National Hospital . Kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.
Zinthu zina zomwe zingagwirizane ndi mankhwalawa
Ndikofunikira kwambiri kuuza dokotala wanu za mankhwala onse, mavitamini, zakudya zowonjezera, ndi mankhwala azitsamba omwe mukumwa. Zinthu zina zingagwirizane ndi mankhwalawa. Samalani kwambiri ndi izi:
- Mowa
- Mankhwala omwe amatonthoza maganizo ndi kubweretsa tulo
- Mankhwala ena a chimfine, chifuwa, ndi ziwengo (Antihistamines)
- Mankhwala ena oletsa kuvutika maganizo (monga Amitriptyline, Fluoxetine, Sertraline)
- Mankhwala ena a khunyu (monga Phenobarbital)
- Mankhwala oletsa ululu
- Mankhwala opumulira minofu omwe amagwiritsidwa ntchito panthawi ya opaleshoni
- Mankhwala osokoneza bongo ochepetsa ululu waukulu
- Mankhwala oletsa kuvutika maganizo otchedwa MAOIs
- Mankhwala olimbikitsa maganizo (monga Amphetamines, Methylphenidate)
Mndandanda uwu sunathe, choncho uzani dokotala wanu zonse zomwe mumamwa.
Kodi zotsatirapo zake zingakhale zotani?
Monga mankhwala ena aliwonse, zotsatirapo zake zimatha kuchitika. Zina zimakhala zoopsa, zina zimakhala zofala. Ndikofunikira kudziwa izi.
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa gulu lanu lachipatala nthawi yomweyo | |
|---|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Kupatukana | Kumva kutali ndi maganizo, malingaliro, thupi, ndi malo ozungulira, ngati kuti ukuyandama. Kumva kutali ndi zenizeni. |
| Kuthamanga kwa magazi kowonjezeka | Kuwonjezeka kwakukulu kwa kuthamanga kwa magazi mutatha kumwa mankhwala. |
| Kusintha kwa maganizo | Maganizo ofuna kudzipha, kuvutika maganizo kwambiri, kusokonezeka maganizo. |
| Zomwe muyenera kuuza dokotala wanu ngati zikupitirira kapena zikukuvutitsani | |
| Zinthu zomwe nthawi zambiri zimamveka | Chizungulire, kugona tulo, nseru, kusanza, nkhawa. |
| Zotsatira zina | Kuvutika kuganizira zinthu, mavuto okumbukira kapena kulankhula, dzanzi m'thupi, kumva chisangalalo chachikulu. |
Uthenga Wopita Nawo Kunyumba
- Esketamine ndi mankhwala apadera a kuvutika maganizo kwakukulu komwe sikunayankhe mankhwala ena, ndipo amaperekedwa kokha pansi pa kuyang'aniridwa ndi dokotala.
- Mankhwala awa si omwe mungapite nawo kunyumba ndikugwiritsa ntchito. Nthawi zonse amaperekedwa kuchipatala kapena ku chipatala.
- Pa tsiku lomwa mankhwala, ndikofunikira kuti wina akutengereni kunyumba. Pewani kuyendetsa galimoto kapena kuchita chilichonse chomwe chimafuna kusamala mpaka mutagona bwino usiku.
- Uzani dokotala wanu tsatanetsatane wa mankhwala ena onse omwe mukumwa, matenda omwe alipo, ndi ziwengo.
- Dziwani zotsatirapo zake zoopsa (makamaka kusintha kwa maganizo, kuthamanga kwa magazi, ziwengo) ndipo dziwitsani gulu lachipatala nthawi yomweyo ngati muwona zizindikiro zotere.
- Nthawi zonse tsatirani malangizo a dokotala wanu. Musasiye kulandira chithandizo pakati pa nthawi yopuma.
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