Nthawi zina dokotala amalemba mankhwala okhala ndi dzina lachilendo lomwe sitinamvepo kale. Gabapentin ikhoza kukhala imodzi mwa mankhwala otere. Mwina mwapatsidwa mankhwala awa chifukwa cha matenda monga khunyu, kapena kupweteka kwambiri kwa mitsempha pambuyo pa shingles, kapena miyendo yosakhazikika usiku. Kaya chifukwa chake ndi chiyani, ndikofunikira kwambiri kuti thanzi lanu lidziwe bwino mankhwala omwe mukumwa. Chifukwa chake lero, tiyeni tikambirane za Gabapentin m'njira yosavuta yomwe mungamvetse.
Kodi Gabapentin ndi mankhwala otani?
Mwachidule, ubongo wathu umakhala ndi maselo amitsempha (ma neuron). Nthawi zina, pamene maselo amitsempha awa ayamba kulimbikira kwambiri, zinthu monga khunyu kapena kupweteka kwambiri zimachitika. Matupi athu mwachibadwa amapanga mankhwala otchedwa GABA (Gamma Aminobutyric Acid) . Izi zimagwira ntchito pochepetsa mitsempha yamitsempha yomwe yayamba kulimbikira kwambiri.
Gabapentin ndi mankhwala omwe amatsanzira ntchito ya GABA. Izi zikutanthauza kuti, amalamulira kukondoweza kosafunikira kwa mitsempha yathu, amatonthoza maselo a mitsempha, komanso amawongolera kupita kwa khunyu ndi zizindikiro za ululu kupita ku ubongo. Ichi ndichifukwa chake mankhwalawa ndi a gulu lachipatala la 'anticonvulsants'. Izi zikutanthauza kuti, ndi mtundu wa mankhwala omwe amaperekedwa kuti athetse matenda monga khunyu/kukomoka.
Kodi kugwiritsa ntchito Gabapentin ndi kotani?
Gabapentin nthawi zambiri amalembedwa ndi madokotala ngati mankhwala a matenda osiyanasiyana.
| Matenda | Kufotokozera kosavuta |
|---|---|
| Kulamulira kugwidwa ndi chimfine (Kugwidwa pang'ono) | Kuletsa ndi kupewa khunyu (kukomoka) komwe kumayambira mbali imodzi ya ubongo. Kumagwiritsidwa ntchito kwa ana opitirira zaka zitatu ndi akuluakulu. |
| Matenda a postherpetic neuralgia (PHN) | Pambuyo pa shingles, anthu ena amamva kupweteka kwambiri kwa mitsempha m'derali. Kumamveka ngati kugwedezeka kwamagetsi, ngati kutentha, ndipo sikungatheke. Ichi ndi chomwe timachitcha Postherpetic Neuralgia (PHN) . Gabapentin ndi yothandiza kwambiri poletsa ululuwu. |
| Matenda a Miyendo Yosakhazikika | Anthu ena, makamaka usiku akamapuma, amakumana ndi vuto lachilendo la miyendo yawo, chilakolako chosalamulirika chofuna kusuntha miyendo yawo. Izi zingasokonezenso tulo. Gabapentin imalimbikitsidwanso pa vutoli. |
Kodi ndimagwiritsa ntchito bwanji mankhwalawa molondola?
Ndikofunikira kwambiri kumwa mlingo woyenera, panthawi yoyenera, monga momwe dokotala wanu wanenera. Samalani ndi zinthu izi.
- Mitundu yambiri ya Gabapentin imatha kumwedwa ndi chakudya kapena ayi. Komabe, mitundu ina, monga Gralise®, imalimbikitsidwa kumwedwa ndi chakudya chamadzulo. Choncho funsani dokotala wanu za izi.
- Ngati mukumwa mapiritsi, mezani onse ndi kapu ya madzi. Musamatafune, kuswa, kapena kuphwanya mapiritsi otulutsa mankhwala kwa nthawi yayitali, makamaka ngati akugwira ntchito kwa nthawi yayitali. Kuchita zimenezi kungasinthe momwe mankhwala amagwirira ntchito.
- Ngati mukumwa mankhwala ochepetsa asidi okhala ndi aluminiyamu kapena magnesium, monga Maalox® kapena Mylanta®, chifukwa cha gastritis, muyenera kudikira osachepera maola awiri musanayambe kumwa Gabapentin. Kupanda kutero, Gabapentin sangalowe bwino m'thupi.
- Ngati mankhwalawo ndi amadzimadzi (omwe amamwa), gwiritsani ntchito chipangizo choyezera (syringe kapena chikho) chomwe chimabwera nawo. Musayese ndi supuni kapena supuni, chifukwa izi zingayambitse mlingo wolakwika.
- Chofunika kwambiri: Imwani mlingo wokhawo womwe mwapatsidwa, kwa nthawi yomwe mwapatsidwa. Musasinthe mlingo kapena kusiya kumwa mankhwala popanda kufunsa dokotala wanu.
Kodi Gabapentin ali ndi zotsatirapo zoyipa kwambiri?
Monga mankhwala ena aliwonse, Gabapentin ingayambitse mavuto ena mwa anthu ena. Ngakhale kuti zambiri mwa izi ndi zazing'ono, ndikofunikira kudziwa zizindikiro zina zazikulu. Ngati mukukumana ndi zizindikiro zotsatirazi, imbani dokotala nthawi yomweyo.
| Mtundu wa zotsatira zoyipa | Zinthu zofunika kuziganizira |
|---|---|
| Kusamvana kwa Thupi | Ziphuphu pakhungu, ziphuphu, kuyabwa, kutupa kwa khungu, kutuluka kwa khungu ndi malungo kapena ayi, kuvutika kupuma kapena kumeza, kutupa kwa nkhope, milomo, pakhosi, ndi lilime. |
| Kusintha kwa maganizo ndi khalidwe | Kuvutika maganizo kwatsopano kapena koipiraipira, malingaliro ofuna kudzipha, kusakhazikika maganizo, kusakhazikika maganizo, kusowa tulo, mkwiyo wadzidzidzi, khalidwe losakhazikika maganizo, chisokonezo, mavuto okumbukira zinthu. |
| Mavuto a chiwindi | Khungu kapena maso oyera achikasu, mkodzo wakuda, ndowe zowala, kusanza, ndi mabala osazolowereka kapena kutuluka magazi. |
| Mavuto a impso | Kuvuta kukodza, kusintha kwa kuchuluka kwa mkodzo womwe umatuluka, magazi mu mkodzo, kutupa kwa miyendo chifukwa cha kusunga madzi m'thupi, komanso kunenepa kwambiri. |
Ngati muwona zizindikiro zilizonse zoopsa ngati izi, musangodikira kuti muwone, koma dziwitsani dokotala wanu nthawi yomweyo. Nthawi zina mungafunike kupita ku ETU (Emergency Treatment Unit).
Zotsatira zoyipa zofala
Izi nthawi zambiri sizimakhala zoopsa ndipo zimatha pakatha masiku ochepa.
- Kugona, kutopa
- Chizungulire
- Mutu
- Kusanza ndi kusanza
- Malungo
- Kuvuta kulankhula
- Kutaya kukumbukira
- Kulemera
- Kuyenda kosalamulirika, kunjenjemera
- Mavuto a maso awiri
Ngati zotsatirapo zazing'onozi zikupitirira kapena zikukuvutitsani, lankhulani ndi dokotala wanu za izo.
Kodi Gabapentin imayambitsa mavuto ndi mankhwala ena?
Inde, mfundo yofunika kwambiri iyi. Ngati mutenga Gabapentin ndi mankhwala ena omwe amayambitsa kugona kapena kuchepetsa kusamala (monga mankhwala osokoneza bongo, mankhwala ochepetsa nkhawa, ndi mankhwala ena a ziwengo),Mavuto aakulu opuma angachitike.
Chiwopsezochi ndi chachikulu makamaka kwa anthu azaka zopitilira 65 komanso omwe ali ndi matenda a m'mapapo (monga COPD).
Funani upangiri wa dokotala nthawi yomweyo!
Ngati inu kapena munthu wina amene mukumwa Gabapentin mwadzidzidzi mukukumana ndi chisokonezo, chizungulire chachikulu, kupuma pang'onopang'ono kapena movutikira, kuvutika kudzuka, kapena milomo yabuluu kapena zala, pitani kuchipatala mwamsanga.
Komanso, pewani kumwa mowa konse . Kuphatikiza mowa ndi Gabapentin kungayambitse kugona kwambiri komanso chizungulire.
Mafunso ena omwe amafunsidwa kawirikawiri
Kodi Gabapentin ndi mankhwala oletsa khansa?
Ayi. Gabapentin si mankhwala osokoneza bongo. Komanso si opioid. Komabe, pakhala malipoti akuti anthu ena akumuchitira nkhanza.
Kodi chimachitika ndi chiyani ngati mwasiya kumwa mankhwala mwadzidzidzi?
Musasiye kumwa Gabapentin mwadzidzidzi popanda upangiri wa dokotala. Kuchita zimenezi kungapangitse kuti khunyu lanu likhale loipa kwambiri ngati mukumwa chifukwa cha khunyu. Ngati mukumwa chifukwa cha vuto lina, zizindikiro zanu zingabwererenso.
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.
Kodi chimachitika ndi chiyani ngati mumwa mopitirira muyeso?
Zizindikiro za kumwa mankhwala osokoneza bongo a Gabapentin ndi monga kuona zinthu ziwiri, kulankhula movutikira, komanso kugona tulo tofa nato. Ngati mukukayikira kuti wina wamwa mankhwala ochulukirapo, pitani naye ku ETU (Emergency Treatment Unit) nthawi yomweyo. Ngati pakufunika kutero, mutha kuyimbiranso National Poisons Information Center ku Colombo National Hospital kuti mupeze malangizo.
Uthenga Wopita Nawo Kunyumba
- Gabapentin ndi mankhwala omwe amagwiritsidwa ntchito kwambiri pochiza khunyu ndi ululu wa mitsempha.
- Imwani mlingo woyenera monga momwe dokotala wanu wanenera. Musasiye kumwa mankhwala kapena kusintha mlingo popanda upangiri wa dokotala.
- Fufuzani thandizo lachipatala mwamsanga ngati mukukumana ndi zotsatirapo zoyipa monga ziwengo, kusintha kwa maganizo, kapena kupuma movutikira.
- Pewani kumwa mowa kotheratu mukamamwa mankhwalawa. Samalani kwambiri mukamamwa mankhwala ena omwe amayambitsa tulo tofa nato.
- Uzani dokotala wanu za mankhwala ena onse omwe mukumwa, matenda ena aliwonse omwe muli nawo, komanso ngati muli ndi pakati kapena mukuyamwitsa.
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