Kodi mumamvanso kutopa ndi dziko lonse kwa sabata imodzi kapena ziwiri musanayambe msambo? Kodi mumakwiya ngakhale ndi zinthu zazing'ono, mumagwetsa misozi popanda chifukwa, mumamva chisoni komanso kukhumudwa kwambiri? Kodi nthawi zina malingaliro amenewa amakhala ovuta kwambiri moti simungathe kudziletsa? Uwu ndi vuto lalikulu kwambiri kuposa 'Premenstrual Syndrome - PMS' wamba. Mu zamankhwala, timatcha 'Premenstrual Dysphoric Disorder' kapena '(PMDD)'. Chifukwa chake ngati vuto la '(PMDD)' ili likusokoneza ntchito yanu yatsiku ndi tsiku, ntchito, ndi moyo wabanja, dokotala angakulembereni mankhwala otchedwa 'Fluoxetine' ngati yankho. Tiyeni tikambirane za mankhwalawa mwatsatanetsatane lero.
Mwachidule, kodi Fluoxetine ndi chiyani?
`Fluoxetine` ndi mankhwala omwe amagwiritsidwa ntchito pochiza `PMDD`. Ndi a gulu la mankhwala otchedwa `SSRI` (Selective Serotonin Reuptake Inhibitors). Chabwino, tsopano mwina mukudabwa kuti mawu awa amatanthauza chiyani.
Tangoganizirani motere. Mu ubongo mwathu muli mankhwala omwe amatithandiza kulankhulana pakati pa maselo a mitsempha. Timawatcha "Neurotransmitters". "Serotonin" ndi imodzi mwa mankhwala amenewa. "Serotonin" iyi imathandiza kwambiri kulamulira maganizo athu, kutanthauza kuti, timakhala osangalala, achisoni, komanso odekha. Ichi ndichifukwa chake anthu ena amaitchanso "hormone yachimwemwe."
Amakhulupirira kuti akazi omwe ali ndi PMDD amakhala ndi serotonin yochepa asanayambe kusamba. Ndicho chifukwa chake amamva kupsinjika maganizo kwambiri masiku amenewo. Chifukwa chake, mankhwala a Fluoxetine amagwira ntchito powonjezera kuchuluka kwa serotonin muubongo ndikuthandiza kuti kuchulukako kukhale koyenera. Kenako, zizindikiro zazikulu monga kupsinjika maganizo, mkwiyo, ndi chisoni zimawongoleredwa.
Madokotala amalimbikitsa mankhwalawa osati a PMDD okha, komanso matenda ena amisala monga kuvutika maganizo ndi nkhawa.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa
Fluoxetine si mankhwala omwe mungagule ku pharmacy. Musanagwiritse ntchito, dokotala wanu ayenera kudziwa mbiri yanu yonse ya thanzi. Onetsetsani kuti mwauza dokotala wanu ngati inu kapena wina aliyense m'banja mwanu ali ndi vuto lililonse mwa izi:
Kubisa izi ndikuika moyo wanu pachiwopsezo. Choncho lankhulani ndi dokotala wanu momveka bwino.
- Matenda amisala: Ngati inu kapena wina m'banja mwanu ali ndi matenda a bipolar, kapena ngati munayamba mwaganizapo zodzipha, kukonza, kapena kuyesa kudzipha, muyeneranso kutchula izi.
- Mitundu ina ya mankhwala:Uzani dokotala wanu ngati mukumwa mankhwala otchedwa MAOI (monga Carbex, Eldepryl, Marplan, Nardil, Parnate). Kumwa mankhwala awiriwa pamodzi n’koopsa kwambiri.
- Mavuto a magazi: Ngati mukumwa mankhwala ochepetsa magazi (monga Warfarin) kapena ngati muli ndi vuto la magazi.
- Matenda ena: Matenda a mtima, matenda a chiwindi, khunyu, glaucoma, matenda a chithokomiro, kapena kuchuluka kwa sodium m'thupi.
- Matenda a ziwengo: Ngati muli ndi vuto la ziwengo ku Fluoxetine kapena mankhwala ena aliwonse, chakudya, kapena utoto.
- Mimba ndi kuyamwitsa: Ngati muli ndi pakati, mukufuna kutenga pakati, kapena kuyamwitsa, muyenera kulankhula ndi dokotala wanu musanayambe kumwa mankhwalawa.
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
Njira yogwiritsira ntchito mankhwalawa ndi yosavuta kwambiri, koma ndikofunikira kwambiri kutsatira malangizo molondola.
1. Momwe mungamwere: Mankhwalawa amabwera ngati kapisozi kapena piritsi. Mezani ndi kapu yamadzi. Mutha kumwa ndi chakudya kapena ayi. Komabe, ngati mukumva kupweteka m'mimba, ndi bwino kumwa ndi chakudya.
2. Nthawi yoyenera: Imwani mlingo wolembedwa tsiku lililonse, panthawi yomwe dokotala wanu wakuuzani. Musadumphe nthawiyo.
3. Pewani kusiya mwadzidzidzi: Ichi ndiye chinthu chofunikira kwambiri. Musasiye kumwa mankhwalawa mwadzidzidzi popanda upangiri wa dokotala. Ngati mutasiya, mutha kumva kusasangalala monga chizungulire, mutu, komanso nseru. Zingawonjezerenso zizindikiro za PMDD. Ngati mutasiya, muyenera kutero pochepetsa pang'onopang'ono mlingo monga momwe dokotala wanu walangizira.
Kodi mumatani 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 monga mwachizolowezi. Musamwe mlingo umodzi nthawi imodzi kuti mubwezeretse mlingo womwe mwaphonya.
Nanga bwanji ngati nditamwa mankhwala ochulukirapo?
Ngati mukuganiza kuti mwamwa mankhwala ambiri kuposa momwe mukuganizira, pitani ku Emergency Treatment Unit (ETU) ya chipatala nthawi yomweyo kapena imbani National Poisons Information Centre ku Colombo National Hospital . Musatenge izi mopepuka.
Mankhwala ena omwe angagwirizane ndi Fluoxetine (Kuyanjana kwa Mankhwala)
Ndikofunikira kwambiri kuuza dokotala wanu za mankhwala onse, mavitamini, ndi mankhwala azitsamba omwe mukumwa, chifukwa fluoxetine imatha kuyanjana ndi mankhwala ena ndikuyambitsa zotsatirapo zoopsa.
| Mtundu wa mayankho | Zitsanzo ndi mafotokozedwe |
|---|---|
| Mankhwala omwe sayenera kumwedwa pamodzi | Kumwa mankhwala awa pamodzi ndi Fluoxetine kungakhale koopsa.
|
| Zinthu zofunika kusamala kwambiri mukamamwa mankhwalawa komanso zomwe muyenera kuuza dokotala wanu za izi | Uphungu wa dokotala ndi wofunikira chifukwa izi zimatha kusokonezana ndi Fluoxetine.
Mndandanda uwu sunathe, choncho uzani dokotala wanu zonse zomwe mumamwa. |
Zinthu zofunika kusamala nazo mukamamwa mankhwala
Dziwani kusintha kwa maganizo.
Izi ndizofunikira kwambiri. Pali chiopsezo chochepa cha maganizo ofuna kudzipha kapena khalidwe lodzipha mukayamba kumwa mankhwala monga Fluoxetine, makamaka mwa achinyamata. Chifukwa chake ngati inu kapena munthu amene mumamudziwa azindikira izi, lankhulani ndi dokotala wanu nthawi yomweyo.
- Ngati mukumva ngati chisoni chanu ndi kuvutika maganizo kwanu zikuwonjezeka.
- Ngati mukumva nkhawa, kusakhazikika, kapena kukwiya.
- Ngati muwona kusintha kwadzidzidzi komanso kwakukulu kwa khalidwe kapena momwe mukumvera.
Zingatenge milungu ingapo kuti mankhwalawa agwire ntchito mokwanira. Choncho, musadandaule ngati zizindikiro zanu sizinasinthe pang'ono. Pitirizani kumwa mankhwalawo monga momwe dokotala wanu wanenera.
Zotsatira zina zofala
- Kugona ndi chizungulire: Mankhwalawa angakupangitseni kumva tulo, kukhala ndi vuto lokhazikika, kapena kumva chizungulire. Choncho, pewani kuyendetsa galimoto kapena kugwiritsa ntchito makina oopsa mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
- Pakamwa pouma: Mungamve ngati pakamwa panu pauma. Kutafuna chingamu chopanda shuga ndi kumwa madzi ambiri kungathandize.
- Matenda a shuga: Ngati muli ndi matenda a shuga, mankhwalawa angakhudze kuchuluka kwa shuga m'magazi mwanu, choncho lankhulani ndi dokotala wanu za vutoli.
Zotsatirapo zoyipa za mankhwalawa
Monga mankhwala ena aliwonse, Fluoxetine ingayambitse mavuto ena. Komabe, si aliyense amene amakumana nawo. Anthu ena amangomva kupweteka pang'ono. Chofunika ndikudziwa mavuto aakulu omwe amakumana nawo komanso mavuto omwe amakumana nawo nthawi zambiri.
| Zotsatirapo zoyipa zomwe zimafuna chithandizo chamankhwala mwachangu | |
|---|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi, komanso kuvutika kupuma. |
| Matenda a Serotonin | Kusakhazikika, kusokonezeka, kugunda kwa mtima mofulumira, kuuma kwa minofu kapena kugwedezeka, thukuta kwambiri, kutentha thupi, kugwedezeka, kusanza, kutsegula m'mimba. Imeneyi ndi vuto loopsa kwambiri. |
| Kutuluka magazi kosazolowereka | Chimbudzi chakuda kapena magazi, mkodzo wofiira/wofiirira, kusanza magazi, mawanga ofiira/ofiirira pakhungu, ndi mabala osamveka bwino. |
| Kusintha kwa kugunda kwa mtima | Kugunda kwa mtima mofulumira kapena kosasinthasintha, chizungulire, kumva kukomoka, kupweteka pachifuwa. |
| Mavuto a maso | Kupweteka kwa maso mwadzidzidzi, kusawona bwino, ndi kuona kuwala kozungulira magetsi. |
| Kuchepa kwa sodium m'thupi | Kufooka kwa minofu, kutopa kwambiri, mutu, komanso kusokonezeka. |
| Kawirikawiri si nkhani yaikulu (koma uzani dokotala ngati ikupitirira) | |
| Mavuto a m'mimba | Kusanza, kutsegula m'mimba, kuvutika m'mimba. |
| Mavuto ena ofala | Pakamwa pouma, mutu, thukuta kwambiri, kusowa tulo kapena kugona, kunjenjemera, nkhawa, kusintha kwa chilakolako chogonana kapena kuchita bwino. |
Uthenga Wopita Nawo Kunyumba
- Fluoxetine ndi mankhwala othandiza kwambiri pa vuto lalikulu la kuvutika maganizo lotchedwa PMDD. Liyenera kugwiritsidwa ntchito pokhapokha ngati dokotala walangiza.
- Uzani dokotala wanu za mankhwala ena onse, mavitamini, ndi matenda aliwonse omwe mukumwa musanayambe kumwa mankhwalawo.
- Pewani kusiya kumwa mankhwalawa mwadzidzidzi. Kuchita zimenezi kungayambitse kusasangalala. Ngati mwasiya, chitani zimenezo monga momwe dokotala wanu wanenera.
- Mu nthawi yoyamba kumwa mankhwala, samalani kwambiri ndi kusintha kwa maganizo anu, makamaka maganizo ofuna kudzipha. Ngati muwona kusintha kulikonse, uzani dokotala wanu nthawi yomweyo.
- Ngati pali zotsatirapo zoyipa (monga ziwengo, serotonin syndrome, kutuluka magazi kosazolowereka), funsani upangiri wa dokotala nthawi yomweyo.
- PMDD si vuto lanu. Ndi matenda ochiritsika. Choncho musaope kupempha thandizo.
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