Nthawi zina zimakhala zovuta kukhala ndi chisoni, nkhawa, kapena matenda okakamiza (OCD) omwe timamva. Pazochitika zotere, dokotala wanu angakulembereni mankhwala monga Fluoxetine kuti akuthandizeni kukhala ndi thanzi labwino la maganizo. Choncho lero, tiyeni tikambirane za mankhwalawa ndi zinthu zofunika kwambiri zomwe muyenera kudziwa zokhudza kugwiritsa ntchito mankhwalawa.
Kodi Fluoxetine ndi mankhwala otani?
Mwachidule, Fluoxetine ndi mankhwala omwe amagwiritsidwa ntchito pochiza matenda monga kupsinjika maganizo, nkhawa, OCD (Obsessive-Compulsive Disorder), ndi matenda ena okhudzana ndi kudya.
Ubongo wathu uli ndi mankhwala otchedwa serotonin . Izi zimathandiza kulamulira maganizo athu, chisangalalo, ndi tulo. Nthawi zina, pamene kuchuluka kwa serotonin m'thupi lathu kumatsika, timakumana ndi kuvutika maganizo. Fluoxetine imagwira ntchito powonjezera kuchuluka kwa serotonin muubongo, zomwe zimathandiza kuti maganizo athu akhale abwino. Mankhwalawa ndi a gulu la mankhwala otchedwa SSRI (Selective Serotonin Reuptake Inhibitors) .
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwala
Musanapereke mankhwala a Fluoxetine, dokotala wanu adzafuna kudziwa mbiri yonse ya thanzi lanu. Ndikofunikira kwambiri kuwauza ngati inu kapena wina aliyense m'banja mwanu ali ndi vuto lililonse mwa izi:
| Matenda kapena zinthu zina | Zinthu zoti muganizire |
|---|---|
| Matenda a Bipolar kapena mbiri ya banja | Mankhwalawa nthawi zina angayambitse matenda amisala. |
| Matenda otuluka magazi | Mankhwalawa angawonjezere pang'ono chiopsezo cha kutuluka magazi. |
| Glaucoma | Kupanikizika kwa maso kungakhudzidwe. |
| Matenda a mtima, matenda a chiwindi, matenda a chithokomiro | Mphamvu ya mankhwalawa ingasinthe malinga ndi matenda awa. |
| Kuchepa kwa sodium m'magazi | Mankhwalawa amatha kuchepetsa kwambiri kuchuluka kwa sodium m'thupi. |
| Kugwidwa ndi khunyu | Matenda a khunyu angakhudzidwe. |
| Maganizo, mapulani, kapena zoyesayesa zodzipha | Izi ndizofunikira kwambiri. Dokotala ayenera kudziwa za maganizo amenewa chifukwa angakule kwambiri akayamba kumwa mankhwala. |
| Kumwa mankhwala a MAOI | Kumwa mankhwala awiriwa pamodzi kungakhale koopsa kwambiri. |
| Kumwa mankhwala omwe amaletsa magazi kuundana (monga Warfarin) | Chiwopsezo cha kutuluka magazi chikhoza kukwera. |
| Kukhala ndi pakati, kuyesa kutenga pakati, kapena kuyamwitsa | Muzochitika izi, mankhwalawa amaperekedwa mosamala kwambiri. |
| Matenda a fluoxetine kapena mankhwala ena kapena zakudya zina | Izi ndizofunikira kuti tipewe ziwengo. |
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
- Iyi ndi kapisozi yomwe mumamwa kamodzi pa sabata. Ingokumbukirani kumwa piritsi ili tsiku lomwelo la sabata monga momwe dokotala wanu wakuuzani. Ndi bwino kuilemba pa kalendala.
- Mezani kapisozi yonseyi ndi kapu ya madzi. Musamaswe, kuphwanya, kapena kutafuna kapisozi iyi.
- Mungathe kumwa izi musanadye kapena mutadya. Sizingayambitse mavuto.
- Chofunika kwambiri: Musasiye kumwa mankhwalawa mwadzidzidzi popanda upangiri wa dokotala. Kuchita zimenezi kungayambitse matenda anu kukulirakulira kapena kuyambitsa mavuto ena.
Chenjezo: Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, pitani ku chipatala cha Emergency Unit (ETU) nthawi yomweyo. Kapena imbani National Poisons Information Centre ku Colombo National Hospital kuti mupeze malangizo.
Mankhwalawa aperekedwa kwa inu nokha. Choncho, musawagawire ena.
Kodi mungachite chiyani ngati mwaphonya mlingo wa mankhwala?
Ngati mukukumbukira kuti munaphonya mlingo wanu pa tsiku lomwe muyenera kumwa, imwani mwamsanga momwe mukufunira. Koma ngati wadutsa kale tsiku lanu lobadwa, imwani mwamsanga momwe mukufunira ndikuyamba kumwa mlingo wanu tsiku lotsatira la sabata. Musamwe mlingo umodzi nthawi imodzi. Payenera kukhala sabata imodzi pakati pa mlingo uliwonse.
Mankhwala ena omwe angagwirizane ndi mankhwalawa
Fluoxetine ndi mankhwala omwe amatha kuyanjana ndi mankhwala ena, choncho ndikofunikira kwambiri kuuza dokotala wanu za mankhwala onse omwe mukumwa.
Mankhwala omwe sayenera kumwedwa pamodzi: Kumwa mankhwala monga mankhwala a MAOI (monga Carbex, Parnate), Thioridazine, Pimozide, ndi Linezolid pamodzi kungayambitse zotsatirapo zoyipa kwambiri, zomwe zingawopseze moyo.
Kuphatikiza apo, mavuto angachitike ndi izi:
- Mowa
- Mankhwala ochepetsa ululu (NSAIDs monga Aspirin, Ibuprofen, Naproxen)
- Mankhwala ena omwe amaletsa magazi kuundana (Warfarin)
- Mankhwala ena ochizira kuvutika maganizo kapena nkhawa
- Mankhwala ena a mutu waching'alang'ala (Triptans)
- Zakudya zina zowonjezera - mwachitsanzo wort wa St. John's
- Mankhwala ogona
Mndandandawu sunathe. Choncho uzani dokotala wanu za mankhwala onse, mavitamini, mankhwala azitsamba, kapena zowonjezera zomwe mumamwa. Muuzeninso ngati mumasuta kapena kumwa mowa.
Zinthu zoti muzisamala nazo mukamamwa mankhwala
- Kusintha kwa maganizo: Yang'anirani zizindikiro za kuipiraipira kapena kuipiraipira kwa zizindikiro zanu mutangoyamba kumwa mankhwala. Makamaka, ngati muli ndi maganizo atsopano kapena ovuta ofuna kudzipha, kapena ngati mukumva chisoni, kukwiya, kapena kuda nkhawa kuposa kale, onani dokotala nthawi yomweyo. Izi zimachitika kawirikawiri kumayambiriro kwa chithandizo kapena pamene mlingo wa mankhwala wasinthidwa.
- Kugona/chizungulire: Mungamve ngati mukugona kapena mukuzungulire. Choncho , musayendetse galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani.Pewani ntchito zomwe zimafuna chisamaliro, monga: Samalani mukamayimirira kapena mutakhala mwadzidzidzi.
- Mowa: Pewani mowa kotheratu mukamamwa mankhwala.
- Pakamwa pouma: Kutafuna chingamu chopanda shuga ndi kumwa madzi kungathandize pakamwa pouma.
- Matenda a shuga: Ngati muli ndi matenda a shuga, mankhwalawa angakhudze kuchuluka kwa shuga m'magazi mwanu. Choncho lankhulani ndi dokotala wanu kuti akupatseni upangiri.
Ndi zotsatirapo ziti zomwe zingawonekere?
Monga mankhwala ena onse, mankhwalawa akhoza kukhala ndi zotsatirapo zake, koma si aliyense amene amalandira.
| Zotsatira zoyipa | Kufotokozera |
|---|---|
| Zotsatirapo zomwe muyenera kuuza dokotala wanu nthawi yomweyo | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Kutuluka magazi kosazolowereka | Chimbudzi chakuda kapena chochedwa, kusanza komwe kumaoneka ngati khofi wophikidwa, mkodzo wofiira/wofiirira wakuda, mawanga ofiira/ofiirira pakhungu. |
| Kusintha kwa kugunda kwa mtima | Kugunda kwa mtima mofulumira kapena kosasinthasintha, chizungulire, kupweteka pachifuwa, kuvutika kupuma. |
| Matenda a Serotonin | Nkhawa, chisokonezo, thukuta kwambiri, kutentha thupi, kupweteka kwa minofu, kusanza, kutsegula m'mimba. |
| Maganizo odzipha | Maganizo odzivulaza komanso kuvutika maganizo kukukulirakulira. |
| Ngati zikupitirira kapena zikukuvutitsani, uzani dokotala wanu. | |
| Kusakhazikika, nkhawa | Kutsegula m'mimba, mutu, nseru, pakamwa pouma |
| Kusowa tulo kapena kugona tulo topitirira muyeso | Kutuluka thukuta kwambiri, kunjenjemera, kusintha kwa chilakolako chogonana kapena magwiridwe antchito. |
Uthenga Wopita Nawo Kunyumba
- Fluoxetine ndi mankhwala omwe amaperekedwa ndi dokotala omwe amagwiritsidwa ntchito pochiza matenda monga kuvutika maganizo ndi nkhawa. Musasiye kumwa mwadzidzidzi popanda upangiri wa dokotala.
- Musanayambe kumwa mankhwalawa, uzani dokotala wanu za mankhwala onse omwe mukumwa komanso matenda aliwonse omwe muli nawo.
- Dziwani kusintha kulikonse kwa maganizo, makamaka maganizo ofuna kudzipha, poyamba kumwa mankhwala. Ngati izi zitachitika, uzani dokotala wanu nthawi yomweyo.
- Pewani kumwa mowa mukamamwa mankhwala. Samalani mukamachita ntchito zomwe zimafuna chisamaliro, chifukwa zingayambitse kugona.
- Ngati mukukumana ndi mavuto kapena zotsatirapo zake, onetsetsani kuti mwalankhula ndi dokotala wanu za vutoli. Funani upangiri wa dokotala m'malo mofunafuna njira zothetsera mavuto pa intaneti.
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