Kodi mungathandize kuchepetsa chisoni chanu? (Imipramine) Tiyeni tiphunzire za mankhwala?

Nthawi zina zimakhala zachilendo kuti timve chisoni komanso nkhawa. Koma ngati vutoli likupitirira, ngati tikumva kulemedwa kwambiri moti sitingathe kuchita zinthu zathu za tsiku ndi tsiku, timatcha kuvutika maganizo. Chifukwa chake, pali mankhwala omwe angatithandize pazochitika zotere. Lero tikambirana za mankhwala amodzi otere, omwe ndi Imipramine.

Kodi mankhwala awa (Imipramine) ndi chiyani?

Mwachidule, Imipramine ndi mankhwala omwe amagwiritsidwa ntchito pochiza kuvutika maganizo. Kodi mukudziwa kuti pali mankhwala mu ubongo wathu omwe amathandiza kulamulira maganizo athu, monga amithenga? Timawatcha Serotonin ndi Norepinephrine. Chomwe Imipramine imachita ndikuwonjezera kuchuluka kwa amithenga awa mu ubongo, zomwe zimathandiza kuchepetsa chisoni chathu ndi nkhawa, ndikukweza malingaliro athu. Ndi m'gulu la mankhwala otchedwa Tricyclic Antidepressants (TCAs) .

Nthawi zina madokotala angakupatseni mankhwala awa pa matenda ena. Chifukwa chake, ndi bwino kufunsa dokotala wanu kapena wamankhwala chifukwa chomwe mwapatsidwa mankhwala awa, kapena ngati muli ndi mafunso ena okhudza mankhwalawa.

Kodi ndi zinthu ziti zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa?

Musanayambe kumwa mankhwalawa (Imipramine), pali zinthu zingapo zomwe muyenera kuuza dokotala wanu. Chifukwa zinthu izi zidzatsimikizira ngati mankhwalawa ndi oyenera kwa inu kapena ayi, komanso momwe ayenera kuperekedwera. Tiyeni tiwone zinthu izi:

• Kodi munayamba mwakhalapo ndi vuto la mankhwala awa (Imipramine), mankhwala ena aliwonse, chakudya, utoto wa chakudya, kapena zotetezera?
• Kodi mukuyembekezera mwana? Kapena mukuyembekezera kukhala ndi mwana?
• Kodi ndinu mayi woyamwitsa?
• Kodi muli ndi chizolowezi chomwa mowa?
• Kodi muli ndi vuto ngati 'bipolar disorder' - vuto lomwe mwadzidzidzi mumakhala osangalala kwambiri komanso mwadzidzidzi kukhala achisoni kwambiri (kusintha kwa malingaliro) - kapena 'schizophrenia' - matenda omwe mumataya chidziwitso chenicheni, mumawona zinthu zisanachitike, komanso mumakumana ndi mavuto osiyanasiyana amisala?
• Kodi mumavutika kukodza? Ngati ndinu mwamuna, kodi muli ndi vuto la prostate ?
• Kodi mtima wanu umagunda mofulumira kapena mosasinthasintha ?
• Kodi muli ndi glaucoma - matenda omwe kuthamanga kwa magazi mkati mwa diso kumawonjezeka?
• Kodi muli ndi matenda a mtima kapena mwakhala ndi vuto la mtima posachedwapa ?
• Kodi muli ndi matenda a impso ?
• Kodi muli ndi matenda a chiwindi ?
• Kodi muli ndi matenda aliwonse okhudzana ndi kupuma m'mapapo monga mphumu ?
• Kodi munakhalapo ndi khunyu kale?
• Kodi mwadwala sitiroko ?
• Chofunika kwambiri ndichakuti, kodi mukumva ngati mukufuna kudzivulaza? Kodi munayamba mwakhalapo ndi maganizo otere? Kodi pali aliyense m'banja mwanu amene wakhalapo ndi izi? Muyenera kuuza dokotala wanu za izi.
• Kodi muli ndi vuto la chithokomiro ?

Ngati muli ndi chilichonse mwa zinthuzi, ndikofunikira kwambiri kuti mukhale otetezeka kuuza dokotala wanu.

Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?

Chabwino, tiyeni tiwone momwe tingagwiritsire ntchito mankhwalawa (Imipramine).

• Mankhwala awa amapezeka m'ma capsules. Ayenera kumwedwa ndi kapu ya madzi.
• Muyenera kumwa mankhwalawo monga momwe dokotala wanenera, panthawi yoyenera, komanso mu mlingo woyenera. Musamwe mopitirira muyeso kapena mochepera kuposa momwe dokotala wanenera.
• Chofunika kwambiri ndi ichi: Musasiye kumwa mankhwalawa mwadzidzidzi popanda upangiri wa dokotala. Ngati musiya mwadzidzidzi, mutha kukumana ndi zizindikiro zosiya kumwa, kapena vuto lanu lingaipireipire. Chifukwa chake, ngati musiya, chitani pang'onopang'ono, kutsatira upangiri wa dokotala wanu.
• Mankhwala akakupatsani mankhwala awa, akhoza kubwera ndi kabuku ka malangizo apadera (MedGuide) . Onetsetsani kuti mwawerenga mosamala nthawi iliyonse mukamwa mankhwalawo. Ali ndi mfundo zofunika.
• Ngati mankhwalawa aperekedwa kwa ana, chisamaliro chapadera chikufunika. Lankhulani ndi dokotala wanu za mankhwalawa ndipo funsani upangiri.
• Ngati mwamwa mankhwala ochulukirapo mwangozi, kutanthauza kuti ngati mwamwa mopitirira muyeso, pitani kuchipatala chapafupi nthawi yomweyo, kapena imbani malo owongolera poizoni, mwamsanga.

Mankhwalawa ndi a inu nokha. Musapatse mnzanu kapena wachibale wanu mankhwala awa omwe ali ndi zizindikiro zomwezo monga inu.

Kodi mumatani ngati mwaphonya nthawi yokumana ndi dokotala?

Tangoganizani kuti mwayiwala kumwa mankhwala. Ngati izi zitachitika, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yatsala pang'ono kuti mutenge mlingo wotsatira (mwachitsanzo, mkati mwa maola ochepa), dumphani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe kawiri kapena kuonjezera. Kuchita izi kungapangitse kuti muwonjezere kuchuluka kwa mankhwala omwe mumamwa ndikuyambitsa zotsatirapo zoyipa.

Ndi zinthu zina ziti zomwe zingagwirizane ndi mankhwalawa?

Mankhwalawa (Imipramine) amatha kuyanjana ndi mankhwala ena, zitsamba, kapena zinthu zina zomwe mukumwa. Ngati atero, angayambitse mavuto. Chifukwa chake ndikofunikira kwambiri kudziwa izi.

Musamwe Imipramine pamodzi ndi mankhwala awa:

• (Amoxapine)
• (Arsenic trioxide)
• Mankhwala ena oletsa kugunda kwa mtima kosakhazikika kapena matenda ena a mtima
• (Cisapride)
• (Cocaine) (Ichi ndi mankhwala osokoneza bongo)
• (Grepafloxacin)
• (Halofantrine)
• (Levomethadyl)
• (Linezolid)
• Mankhwala omwe ali m'gulu lotchedwa 'MAOI' (Monoamine Oxidase Inhibitors) (zitsanzo: (Carbex), (Eldepryl), (Marplan), (Nardil), (Parnate)). Sikoyenera kuyamba (Imipramine) mpaka milungu iwiri mutasiya kumwa mankhwala a MAOI awa.
• (Methylene blue) (Uwu ndi mankhwala omwe amabayidwa mumtsempha)
• Mankhwala ena ochizira kuvutika maganizo (funsani dokotala wanu za izi)
• Mankhwala omwe ali mgulu lotchedwa 'Phenothiazines' (zitsanzo: (perphenazine), (thioridazine), (chlorpromazine))
• (Pimozide)
• (Procarbazine)
• (Sparfloxacin)
• (St. John's Wort) (Ngakhale kuti iyi ndi mankhwala ochokera ku zitsamba, ingathe kusokonezana ndi (Imipramine))

Komanso, zotsatirazi zingagwirizane ndi Imipramine:

Ngati mukumwa izi, muyenera kuuza dokotala.

• (Atropine) ndi mankhwala ena ofanana nawo (monga (hyoscyamine), (scopolamine), (tolterodine))
• Mankhwala a mtundu wa barbiturate (monga phenobarbital) omwe amakuthandizani kugona kapena kuchiza khunyu
• (Cimetidine)
• (Clonidine)
• Mankhwala oletsa ululu m'dera lanu (monga mankhwala oletsa ululu m'dera lanu musanachotse dzino)
• Mankhwala a kuthamanga kwa magazi
• Mankhwala ochepetsa ululu operekedwa ndi dokotala
• Mankhwala oletsa kupweteka kwa mutu (monga carbamazepine kapena phenytoin)
• Zolimbikitsa (monga dexmethylphenidate kapena methylphenidate)
• Mahomoni a chithokomiro
• (Ziprasidone)

Mndandanda uwu sungakhale wokwanira. Chifukwa chake, uzani dokotala wanu za mankhwala onse omwe mumamwa (kuphatikizapo mavitamini, mankhwala azitsamba, mankhwala osaperekedwa ndi dokotala, ndi zowonjezera zakudya), komanso ngati mumasuta fodya, mumamwa mowa, kapena mumagwiritsa ntchito mankhwala osaloledwa. Zinthu zina zingakhudze mankhwala awa, kotero ndi chitetezo chanu.

Ndi zinthu ziti zomwe muyenera kusamala nazo mukamamwa mankhwalawa?

Mukamamwa (imipramine), ndi bwino kudziwa bwino kusintha kwa thupi lanu komanso momwe mukumvera.

• Ngati zizindikiro zanu sizikuchepa kapena zikuoneka kuti zikuipiraipira, uzani dokotala wanu. Ndikofunikira kukaonana ndi dokotala nthawi ndi nthawi kuti muwone momwe zinthu zilili.
• Zingatenge milungu ingapo kuti mankhwala awa agwire ntchito mokwanira. Chifukwa chake,Monga momwe dokotala ananenera, ndikofunikira kwambiri kupitiriza kumwa mankhwalawo kwa nthawi yomwe mwapatsidwa. Musasiye mwadzidzidzi chifukwa mukuganiza kuti palibe zotsatira.
• Izi ndizofunikira kwambiri: Ngati inu kapena achibale anu mukuona kuti mukuyamba kuganiza zodzipha, kapena ngati kuvutika maganizo kwanu kukukulirakulira, kapena ngati mukusintha mwadzidzidzi maganizo anu (monga nkhawa, kukwiya, mantha, kukwiya, udani, kuchita zinthu mopupuluma, kusakhazikika maganizo, kusangalala kwambiri komanso kuchita zinthu mopitirira muyeso, kapena kukhala ndi vuto logona), imbani dokotala nthawi yomweyo, makamaka mukayamba kumwa mankhwalawa kapena mutasintha mlingo wanu.
• Mungamve ngati muli ndi tulo kapena chizungulire . Choncho, mpaka mutadziwa bwino momwe mankhwalawa amakukhudzirani, musayendetse galimoto, kugwiritsa ntchito makina, kapena kuchita chilichonse chomwe chimafuna kukhala maso. Musayime kapena kukhala tsonga mwadzidzidzi, makamaka ngati ndinu okalamba. Izi zichepetsa chiopsezo cha chizungulire ndi kugwa. Mowa ungasokoneze momwe mankhwalawa amagwirira ntchito ndipo ungakupangitseninso kugona. Choncho, pewani kumwa mowa.
• Ngati muli ndi chifuwa, chimfine, kapena ziwengo, musagule mankhwala ogulitsidwa kunja kwa chipatala musanafunse dokotala wanu kaye. Zina mwa zinthu zomwe zimapezeka mu mankhwala ogulitsidwa kunja kwa chipatala zimatha kuwonjezera zotsatirapo zoyipa za mankhwala awa (Imipramine).
• Pakamwa panu pakhoza kukhala pouma . Ngati izi zitachitika, mutha kuchepetsa vutoli mwa kutafuna chingamu chopanda shuga, kuyamwa maswiti olimba opanda shuga, ndi kumwa madzi ambiri. Ngati vutoli likupitirira kapena litakula kwambiri, uzani dokotala wanu.
• Mankhwalawa angayambitse maso ouma komanso kusawona bwino . Ngati muvala ma contact lens, mungakhale ndi vuto linalake. Kugwiritsa ntchito madontho opaka mafuta m'maso kungathandize. Ngati vutoli likupitirira kapena likukulirakulira, pitani kwa dokotala wa maso.
• Mankhwalawa angayambitse kudzimbidwa kwa anthu ena. Idyani ulusi wambiri momwe mungathere ndipo imwani madzi ambiri. Yesani kuchita chimbudzi kamodzi pa masiku awiri kapena atatu aliwonse. Ngati simukuchita chimbudzi patatha masiku atatu, imbani dokotala wanu.
• Khungu lanu likhoza kukhala losavuta kumva dzuwa mukamamwa mankhwalawa. Choncho khalani kutali ndi dzuwa momwe mungathere. Ngati muyenera kutuluka padzuwa, valani zovala zophimba khungu lanu, valani chipewa, ndipo gwiritsani ntchito mafuta abwino oteteza khungu ku dzuwa. Musagwiritse ntchito nyali za dzuwa kapena mabedi/mahema opaka utoto.

Kodi ndi zotsatirapo zotani zomwe ndingapeze kuchokera ku mankhwalawa?

Monga mankhwala ena aliwonse, Imipramine ikhoza kukhala ndi zotsatirapo zake. Koma si aliyense amene amalandira mankhwalawa. Ena ndi oopsa ndipo muyenera kuuza dokotala wanu nthawi yomweyo. Ena si oopsa kwambiri, koma ngati akukuvutitsani, muyenera kuwadziwitsa.

Ngati mukukumana ndi zotsatirapo zilizonsezi, muyenera kuuza dokotala wanu mwamsanga :

• Matenda a ziwengo - kutupa pakhungu, kuyabwa, kutupa (kutupa kwa nkhope, milomo, lilime, pakhosi, zomwe zingayambitse kupuma movutikira)
• Kusintha kwa kayimbidwe ka mtima - kumva ngati mtima wanu ukugunda mofulumira, kumva ngati ukugunda molakwika, chizungulire, kukomoka, kupweteka pachifuwa, kuvutika kupuma
• Zizindikiro za matenda - malungo, kuzizira, chifuwa, pakhosi
• Zizindikiro za serotonin syndrome zingaphatikizepo: kukwiya, kusokonezeka, kugunda kwa mtima mofulumira kapena kosasinthasintha, kuuma kwa minofu, kugwedezeka kwa minofu, thukuta kwambiri, kutentha thupi kwambiri, kugwedezeka, kuzizira, kusanza, kutsegula m'mimba.
• Kuthamanga kwa magazi kotsika - chizungulire, kukomoka, kusawona bwino
• Kugwidwa ndi khunyu
• Kuzindikira kuwala
• Kupweteka kwa maso mwadzidzidzi kapena kusintha kwa masomphenya (monga, kusawona bwino, mawonekedwe ozungulira magetsi, kutayika kwa masomphenya)
• Maganizo odzipha, maganizo odzivulaza, kuipiraipira kwa maganizo, kuvutika maganizo kwambiri
• Kuvuta kukodza (monga mkodzo umatuluka pang'onopang'ono, kumva ngati sutuluka ukayamba kukodza)

Zotsatirapo izi nthawi zambiri sizimakhala zodetsa nkhawa. Komabe, ngati zikupitirira kapena kukuvutitsani, uzani dokotala wanu:

• Kusintha kwa chilakolako cha kugonana kapena magwiridwe antchito
• Kudzimbidwa
• Chizungulire
• Kugona tulo
• Pakamwa pouma
• Kuona zinthu zomwe sizilipo (kuona zinthu zomwe sizilipo)
• Kutaya chilakolako
• Kugwedezeka kapena kugwedezeka

Mndandandawu sungakhale ndi zotsatirapo zonse zomwe zingachitike. Ngati muwona china chake chachilendo kuwonjezera pa izi, lankhulani ndi dokotala wanu za izi.

Kodi ndiyenera kusunga kuti mankhwalawa?

• Sungani mankhwalawa pamalo otetezeka omwe ana ndi ziweto zapakhomo sangafikire.
• Sungani kutentha kwa chipinda, pakati pa madigiri 20 ndi 25 Celsius (madigiri 68 ndi 77 Fahrenheit). Musayiike pamalo otentha kwambiri kapena chinyezi.
• Musagwiritse ntchito mankhwala otha ntchito. Ayenera kutayidwa bwino.

Kodi mumataya bwanji mankhwala osagwiritsidwa ntchito komanso omwe atha ntchito?

Si nthawi zonse bwino kungotaya mankhwala osagwiritsidwa ntchito, omwe atha ntchito m'zinyalala kapena kuwataya m'chimbudzi. Akhoza kuwononga chilengedwe kapena kuyambitsa mavuto ngati apezeka m'manja mwa wina. Choncho chitani izi:

• Ma pharmacy ndi zipatala zina zimakhala ndi mapulogalamu ochotsera mankhwala. Mutha kudziwa zambiri za malo otere mwa kufunsa ma pharmacy anu kapena akuluakulu azaumoyo am'deralo.
• Ngati palibe njira yobweza mankhwalawo, yang'anani phukusi la mankhwala kapena malangizo omwe ali mkati mwake kuti muwone ngati ayenera kutayidwa m'zinyalala kapena kutayidwa m'chimbudzi. Ngati simukudziwa, funsani dokotala wanu kapena wamankhwala.
• Ngati akunena kuti ndi bwino kuyika mu zinyalala, chitani izi: Ngati mankhwalawo ali mu mawonekedwe a kapisozi, atulutseni mu chidebecho ndikusakaniza bwino ndi chinthu chomwe palibe amene angaganize kuti angadye, monga zinyalala za amphaka, khofi wogwiritsidwa ntchito, kapena dothi. Kenako, ikani chosakanizacho mu thumba la pulasitiki kapena chidebe chotseka, chitsekereni, ndikuchiponya mu zinyalala. Izi ziteteza ana kapena ziweto kuti zisalowemo.

Pomaliza, zinthu zoti muzikumbukira

Ngakhale kuti Imipramine ndi mankhwala omwe angathandize pa matenda monga kuvutika maganizo, pali zinthu zina zomwe muyenera kusamala nazo mukamazigwiritsa ntchito.

• Nthawi zonse imwani mlingo wolembedwa pa nthawi yolembedwa, monga momwe dokotala wanenera.
• Musasiye kumwa mankhwala mwadzidzidzi popanda upangiri wa dokotala.
• Onetsetsani kuti mwauza dokotala wanu za mankhwala ena aliwonse omwe mukumwa komanso matenda ena aliwonse omwe muli nawo.
• Mukayamba kumwa mankhwala, makamaka m'masabata oyamba, samalani kwambiri ndi kusintha kulikonse kwa malingaliro anu (makamaka malingaliro ofuna kudzipha) kapena zotsatirapo zatsopano. Ngati muwona chilichonse mwa izi, uzani dokotala wanu nthawi yomweyo.
• Samalani ndi kugona ndi chizungulire, chifukwa izi zimatha kuchitika.
• Ngati muli ndi mafunso kapena nkhawa zokhudzana ndi mankhwalawa, chonde kambiranani ndi dokotala wanu kapena wamankhwala.

Thanzi lanu la maganizo ndi lofunika kwambiri. Choncho mukamalandira chithandizo chamtunduwu, kumbukirani kuti simuli nokha. Chofunika kwambiri ndikukhala ndi ubale wabwino ndi dokotala wanu ndikutsatira malangizo awo.

Imipramine , Kuvutika Maganizo, Mankhwala Ochepetsa Kupsinjika Maganizo a Tricyclic, TCA, Thanzi Lamaganizo, Zotsatirapo Zake