Kodi dokotala wanu wakupatsani mankhwala otchedwa Fluphenazine? Kapena wachibale wanu kapena mnzanu akugwiritsa ntchito mankhwalawa? Kumva dzinali kungakupangitseni mantha pang'ono kapena kukhala ndi chidwi chofuna kudziwa zambiri. Koma musadandaule. Ndikofunikira kudziwa bwino za mankhwala aliwonse musanagwiritse ntchito. Chifukwa chake lero, tiyeni tikambirane mwachidule komanso mwaulemu za mankhwala otchedwa Fluphenazine, momwe amakhudzira ubongo, ndi zinthu zomwe muyenera kusamala nazo mukamazigwiritsa ntchito.
Mwachidule, kodi Fluphenazine ndi chiyani?
Fluphenazine ndi mankhwala omwe amagwiritsidwa ntchito pochiza matenda amisala monga schizophrenia . Ndi m'gulu la mankhwala otchedwa 'antipsychotics'.
Ubongo wathu uli ndi mankhwala otchedwa dopamine. Izi zimalamulira zinthu zambiri, kuphatikizapo momwe timamvera, khalidwe lathu, ndi maganizo athu. Mu matenda ena amisala, kuchuluka kwa dopamine kumeneku kumakhala kosakhazikika. Chifukwa chake, chomwe mankhwala a fluphenazine amachita ndikubwezeretsa kuchuluka kwa dopamine ndikuthandizira kuwongolera zizindikiro. Madokotala amathanso kupereka mankhwalawa pa matenda ena amisala kuwonjezera pa schizophrenia .
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa
Musanayambe kumwa fluphenazine, ndikofunikira kudziwitsa dokotala wanu za thanzi lanu lonse. Onetsetsani kuti mwawauza ngati muli ndi vuto lililonse mwa izi:
| Mkhalidwe/Matenda | Kufotokozera |
|---|---|
| Matenda omwe alipo | Matenda a shuga, matenda a Parkinson, khunyu, glaucoma, zotupa muubongo, matenda a mtima, matenda a chiwindi, matenda a prostate, ndi matenda a m'mapapo monga mphumu. |
| Kusasangalala ndi thupi | Kuvuta kumeza chakudya, kuvutika kukodza, kutsekeka kwa matumbo, kuvutika kulamulira minofu. |
| Mavuto okhudzana ndi magazi | Kuthamanga kwa magazi kotsika, mbiri ya kugunda kwa mtima kosasinthasintha, kuchuluka kwa maselo amagazi otsika (maselo oyera amagazi, maselo ofiira amagazi, ma platelet). |
| Mfundo zina zofunika | Ngati muli ndi vuto la kusokonezeka maganizo, kuvulala mutu, kapena mbiri ya kumwa mowa kwambiri. |
| Matenda a ziwengo | Ngati muli ndi vuto la fluphenazine kapena mankhwala ena aliwonse, chakudya, kapena utoto. |
| Zochitika zapadera | Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena mukuyamwitsa. |
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
Izi nthawi zambiri zimatengedwa pakamwa ngati piritsi. Imwani mankhwalawa ndi kapu ya madzi. Onetsetsani kuti mwamwa mlingo womwe dokotala wanu wakupatsani, panthawi yoyenera . Sungani nthawi pakati pa mlingo. Ngakhale mutamva bwino, musasiye kumwa mankhwala mwadzidzidzi popanda upangiri wa dokotala. Kuchita izi kungayambitse mavuto aakulu.
Chenjezo: Kuchuluka kwa mankhwala osokoneza bongo
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo kuposa mlingo womwe mwapatsidwa, musawanyalanyaze nthawi iliyonse . Pitani ku Dipatimenti Yoona za Zadzidzidzi (ETU) yapafupi nthawi yomweyo. Kapena, imbani National Poisons Information Centre ku Colombo National Hospital.
Kodi mungachite chiyani ngati mwaphonya mlingo wa mankhwala?
Ngati mwaphonya mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yatsala pang'ono yoti mutenge mlingo wotsatira, thawani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe milingo iwiri nthawi imodzi kuti mubwezeretse mlingo womwe mwaphonya.
Zinthu zina zomwe zingagwirizane ndi mankhwalawa
Mukamamwa fluphenazine, muyenera kuuza dokotala wanu za mankhwala ena aliwonse, mavitamini, ndi zowonjezera zomwe mukumwa. Mankhwala ena angagwirizane nazo.
| Mankhwala omwe sayenera kumwedwa ndi Fluphenazine | |
|---|---|
| Cisapride | Dronedarone |
| Metoclopramide | Pimozide |
| Saquinavir | Thioridazine |
| Zinthu zomwe zingachitike mukagwiritsa ntchito Fluphenazine, choncho samalani | |
|---|---|
| Mowa | Mankhwala a ziwengo, chifuwa, ndi chimfine (Antihistamines) |
| Mankhwala ena ochepetsa nkhawa, nkhawa, kapena tulo | Mankhwala ochepetsa kuthamanga kwa magazi |
| Mankhwala monga Levodopa a matenda a Parkinson | Anesthesia ya opaleshoni |
| Mankhwala osokoneza bongo, monga morphine, a ululu waukulu | Lithiamu |
Mndandandawu sunathe. Choncho, uzani dokotala wanu za mankhwala onse omwe mumamwa, komanso ngati mumasuta fodya, mumamwa mowa, kapena mumagwiritsa ntchito mankhwala ena .
Zinthu zoti muzisamala nazo mukamamwa mankhwala
Kugona ndi chizungulire
Mankhwalawa angakupangitseni kumva tulo, chizungulire, kapena kusawona bwino. Choncho, pewani kuyendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani. Mungamve chizungulire kapena kugwa mukayimirira mwadzidzidzi, makamaka ngati ndinu okalamba. Chifukwa chake, sinthani malo pang'onopang'ono. Kumwa mowa kungapangitse kuti kugonako kukhale kovuta.
Mavuto oletsa kutentha kwa thupi
Mankhwalawa angathandize kuchepetsa mphamvu ya thupi lanu yoyankhira kuzizira ndi kutentha. Izi zikutanthauza kuti mungamve kuzizira mwachangu munyengo yozizira kwambiri komanso kutentha kwambiri munyengo yotentha kwambiri.
- Khalani m'nyumba momwe mungathere nthawi yozizira . Ngati mutuluka, valani zovala zofunda.
- Nthawi yotentha , chepetsani kukhudzana ndi dzuwa komanso kuchita masewera olimbitsa thupi mopitirira muyeso. Valani zovala zopumira mpweya ndipo imwani madzi ambiri.
Kuzindikira kwa dzuwa
Mankhwalawa angapangitse khungu lanu kukhala losavuta kukhudzidwa ndi dzuwa. Choncho, ngati mukufuna kukhala padzuwa, valani zovala zophimba khungu lanu ndipo gwiritsani ntchito mafuta oteteza ku dzuwa.
Zotsatirapo zomwe zingatheke
Monga mankhwala ena aliwonse, Fluphenazine ingayambitse zotsatirapo zina. Zina zimakhala zoopsa, pomwe zina zimakhala zofala. Ndikofunikira kudziwa izi.
| Zotsatirapo zoyipa zomwe muyenera kuuza dokotala wanu nthawi yomweyo | |
|---|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Matenda a Malignant a Neuroleptic | Malungo aakulu, kuuma kwa minofu, thukuta kwambiri, kugunda kwa mtima mofulumira kapena kosakhazikika, kusokonezeka maganizo. |
| Zizindikiro za Extrapyramidal (EPS) | Kusuntha kosalamulirika kwa ziwalo za thupi (makamaka nkhope, lilime), kuuma kwa minofu kapena kunjenjemera, kusakhazikika, komanso kuvutika kuyenda. |
| Kuwonongeka kwa chiwindi | Kupweteka m'mimba yakumanja, kusowa chilakolako cha chakudya, nseru, khungu kapena maso kukhala achikasu, mkodzo wakuda. |
| Zina mwazinthu | Kusintha kwa masomphenya, zizindikiro za matenda (malungo, kuzizira, chifuwa), chizungulire chifukwa cha kuthamanga kwa magazi kochepa, kusintha kwa mahomoni (kutuluka magazi m'mawere, kusintha kwa chilakolako chogonana). |
| Zotsatirapo zomwe nthawi zambiri sizili zoopsa, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Pakamwa pouma | Kudzimbidwa |
| Kugona tulo | Mutu, nseru |
Ngati muwona chinthu chachilendo chomwe sichili pamndandandawu, lankhulani ndi dokotala wanu za icho.
Uthenga Wopita Nawo Kunyumba
- Fluphenazine ndi mankhwala ofunikira omwe amathandiza kuthetsa matenda amisala ndipo ayenera kugwiritsidwa ntchito pokhapokha ngati dokotala akuwalangiza.
- Musayambe, kusintha mlingo, kapena kusiya kumwa mankhwala popanda upangiri wa dokotala.
- Uzani dokotala wanu tsatanetsatane wa mankhwala ena onse omwe mukumwa komanso matenda anu onse.
- Dziwani zotsatirapo zake monga kugona tulo ndi chizungulire. Pewani kuyendetsa galimoto mpaka mutadziwa momwe mankhwalawo akukukhudzirani.
- Ngati mukukumana ndi mavuto aakulu monga kutentha thupi kwambiri, kuuma kwa minofu, kapena kuyenda kosalamulirika, funsani upangiri wa dokotala nthawi yomweyo.
- Mankhwalawa aperekedwa kwa inu nokha. Musagawane ndi ena.
👩🏽⚕️ Mafunso ena (Mafunso Ofunsidwa Kawirikawiri)
💬 Mapiritsi a Sotalol (Sotalol / Betapace) ndi mankhwala amphamvu kwambiri omwe amagwiritsidwa ntchito pa matenda ati?
Izi sizili ngati mapiritsi ena ofala a kuthamanga kwa magazi (Beta-blockers - mwachitsanzo Propranolol)! Iyi ndi mankhwala amphamvu (Class II ndi III Antiarrhythmic) omwe madokotala amagwiritsa ntchito kuti azitha kusintha kayendedwe ka mtima pamene zipinda zapamwamba kapena zapansi pa mtima zikugunda mwadzidzidzi modabwitsa/mwachangu (Atrial Fibrillation / Ventricular Arrhythmias), vuto lomwe limapha!
💬 Mtima ukakhala ukugunda mopanda nzeru, kodi piritsi ili (Sotalol) lingathandize bwanji kuti mtima uyambe kugwira ntchito bwino?
Izi zimagwira ntchito ziwiri mu piritsi limodzi! Choyamba (monga Beta-blocker), imatseka 100% ya uthenga wa 'adrenaline' wochokera muubongo womwe umapangitsa mtima kugunda mofulumira, zomwe zimapangitsa mtima kuchedwa. Kenako (monga Potassium channel blocker), imawonjezera nthawi yomwe maselo amagetsi a mtima amalipiritsa ndikuyambiranso/kupuma (QT interval)! Kenako mtima sungathe kugunda mofulumira mokwanira, ndipo kugundako kudzabwerera mwakale (pang'onopang'ono).
💬 N’chifukwa chiyani mawu akuti 'Muyenera kukhala m’chipatala kwa masiku atatu (Chenjezo la Black Box)' mukayamba kumwa mankhwalawa (Sotalol)?
Imeneyo ndiye ngozi yaikulu komanso imfa! Izi zili ngati kupanga kugunda kwa mtima, ndipo mukangomwa mapiritsi angapo, 'kugunda kwa mtima kwakupha (Torsades de pointes / Proarrhythmia)' kungachitike ndipo mtima wa wodwalayo ungasiye kugwira ntchito ndi kufa! Chifukwa chake, kwa masiku atatu oyamba, madokotala amaonetsetsa kuti wodwalayo ali pa ECG ndikuyang'ana impso asanasinthe mlingo.
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