Anthu okhawo amene adakumanapo ndi vuto la kuvutika maganizo ndi omwe amadziwa momwe zimakhalira zovuta kukhala ndi vutoli. Nthawi zina dokotala wanu akhoza kukupatsani mankhwala otchedwa Levomilnacipran ngati mankhwala a vutoli. Mutha kupeza mankhwalawa pansi pa dzina lakuti Fetzima ku Sri Lanka. Chifukwa chake, monga wogwiritsa ntchito mankhwalawa, ndikofunikira kwambiri kudziwa zonse zokhudza vutoli momveka bwino. Lero, tiyeni tikambirane za mankhwalawa, momwe amagwirira ntchito, ndi zinthu zomwe tiyenera kusamala nazo.
Kodi mankhwalawa ndi chiyani? Kodi amagwira ntchito bwanji pa thupi?
Mwachidule, Levomilnacipran ndi mankhwala omwe amagwiritsidwa ntchito pochiza matenda otchedwa kuvutika maganizo . Maselo a mitsempha ya muubongo amalankhulana kuti alamulire momwe timamvera, momwe timamvera, komanso momwe timakhalira bwino. Mankhwala awiri apadera omwe amathandiza pa izi ndi serotonin ndi norepinephrine .
Munthu amene ali ndi vuto la kuvutika maganizo angasinthe momwe mankhwala amenewa amagwirira ntchito muubongo wake. Levomilnacipran imagwira ntchito powonjezera kuchuluka ndi ntchito ya mankhwala amenewa muubongo otchedwa serotonin ndi norepinephrine. Kunena zoona, mankhwalawa ndi a gulu la mankhwala otchedwa SNRI (Serotonin-Norepinephrine Reuptake Inhibitor) . Izi zikutanthauza kuti mankhwalawa amaletsa mankhwalawa kuti asalowenso mu maselo a mitsempha. Kenako, chifukwa amakhala m'maselo a mitsempha kwa nthawi yayitali komanso ali ndi mphamvu zambiri, maganizo amakhala bwino.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwala
Musanayambe kumwa mankhwalawa, ndikofunikira kwambiri kudziwitsa dokotala wanu za mbiri yanu yonse ya thanzi. Mankhwalawa akhoza kukhudzana ndi matenda ena. Onani tebulo ili m'munsimu. Ngati muli ndi vuto lililonse mwa izi, onetsetsani kuti mwadziwitsa dokotala wanu.
| Mkhalidwe kapena chizolowezi chomwe chikukugwirani ntchito | N’chifukwa chiyani muyenera kuuza dokotala? |
|---|---|
| Kumwa mowa pafupipafupi | Zotsatirapo zake (makamaka chizungulire) zitha kuchulukirachulukira. |
| Matenda ena amisala(monga Mania, Bipolar disorder) | Mankhwalawa amatha kusintha matenda amenewo. |
| Matenda a mtima , kuthamanga kwa magazi , kapena kugunda kwa mtima kosasinthasintha | Mankhwalawa angawonjezere kuthamanga kwa magazi ndi kugunda kwa mtima. |
| Matenda a impso | Mlingo wa mankhwala ungafunike kusinthidwa. |
| Glaucoma ndi matenda a maso. | Kupanikizika kwa maso kungachuluke. |
| Ngati mwakhala ndi khunyu | Chiwopsezo cha khunyu chingachuluke. |
| Matenda otuluka magazi kapena kumwa mankhwala omwe amaletsa magazi kuundana (monga Warfarin, Aspirin) | Zimawonjezera chiopsezo cha kutuluka magazi mosadziwika bwino. |
| Ngati inu kapena wina m'banja mwanu munaganizapo zodzipha | Nkhaniyi ndi yofunika kwambiri. Dokotala adzada nkhawa kwambiri ndi nkhaniyi. |
| Ngati muli ndi pakati , mukuyesera kutenga pakati , kapena mukuyamwitsa | Chisamaliro chapadera chikufunika chifukwa mankhwalawa angakhudze mwana. |
| Kumwa mankhwala a MAOI (monga Marplan, Nardil) | Kumwa mankhwala awiriwa pamodzi kungakhale koopsa kwambiri. |
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
Njira yogwiritsira ntchito mankhwalawa ndi yosavuta kwambiri, koma yofunika kwambiri.
- Imwani mankhwalawa ndi kapu ya madzi. Zilibe kanthu kaya mumwa musanadye kapena mutadya.
- Chofunika kwambiri: Musaswe, kuphwanya, kapena kutafuna kapisozi. Mezani yonse . Kupanda kutero, mankhwalawo adzatuluka mwadzidzidzi m'thupi ndipo angayambitse zotsatirapo zoopsa.
- Imwani mankhwalawo monga momwe dokotala wanu wanenera, panthawi yomwe mwapatsidwa. Musasinthe mlingo nokha.
- Musasiye kumwa mankhwala mwadzidzidzi pazifukwa zilizonse popanda upangiri wa dokotala. Ngati mutero, mutha kukumana ndi zizindikiro zosiya kumwa mankhwala, kapena vuto lanu lingaipireipire. Ngati musiya kumwa mankhwala, chitani zomwe dokotala wanu wakuuzani, pang'onopang'ono kuchepetsa mlingo.
Nanga bwanji ngati nditamwa mankhwala ochulukirapo?
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, imbani nthawi yomweyo ku National Poison Information Centre ku Colombo National Hospital . Kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi. Izi ndi zadzidzidzi.
Kodi mungachite chiyani ngati mwaphonya mlingo wa mankhwala?
Tonsefe timaiwala kumwa mankhwala athu. Ngati zimenezo zitachitika, imwani mlingo womwe mwaphonya mwamsanga mukangokumbukira. Komabe, ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe yakonzedwa. Musamwe milingo iwiri nthawi imodzi.
Zinthu zina zomwe zingagwirizane ndi mankhwalawa
Levomilnacipran ndi mankhwala omwe amatha kuyanjana ndi mankhwala ena, zakudya zina, ndi mowa.
Musatenge ndi izi konse:
Mukamamwa mankhwalawa, n'koletsedwa kwambiri kumwa mankhwala ena a SNRI monga Duloxetine, Venlafaxine, Milnacipran, ndi mankhwala a MAOI (monga Marplan, Nardil). Komanso, mankhwala opha tizilombo otchedwa Linezolid ndi katemera wa Methylene blue angagwirizane ndi mankhwalawa.
Samalani chifukwa izi zingasemphane ndi:
- Mowa: Umawonjezera kwambiri zotsatirapo zoyipa monga chizungulire ndi kugona.
- Mankhwala oletsa kutupa: Mankhwala oletsa kutupa omwe si a steroidal (NSAIDs) monga Aspirin, Ibuprofen, ndi Naproxen.
- Mankhwala ochepetsa magazi: Warfarin, Enoxaparin, ndi zina zotero.
- Mankhwala a mutu waching'alang'ala: Mankhwala amtundu wa triptan monga Sumatriptan.
- Mankhwala ndi mapiritsi ogonetsa matenda ena amisala.
- Zowonjezera za zitsamba: makamaka St. John's Wort .
- Mankhwala ena opha tizilombo toyambitsa matenda (Clarithromycin), mankhwala opha tizilombo toyambitsa matenda (Ketoconazole), ndi mankhwala monga Isoniazid, omwe amagwiritsidwa ntchito pochiza chifuwa chachikulu.
Choncho, mukapita kukaonana ndi dokotala wanu, bweretsani mndandanda wathunthu wa mankhwala onse, mavitamini, mankhwala azitsamba, ndi zowonjezera zomwe mumamwa. Musaiwale kuwauza ngati mumasuta kapena kumwa mowa.
Zinthu zofunika kuziganizira mukamamwa mankhwala
- Khalani oleza mtima: Simudzawona zotsatira nthawi yomweyo mutamwa mankhwalawa. Zingatenge milungu ingapo kuti mumve bwino. Choncho, pitirizani kumwa mankhwalawa bola ngati dokotala wanu wakuuzani.
- Samalani kusintha kwa maganizo (kofunika kwambiri): Ngati inu kapena wina m'banja mwanu akuyamba kuganiza zodzipha, kukwiya, kusakhazikika, kukwiya, kapena kuvutika kuganizira kwambiri , makamaka mukayamba kumwa mankhwala kapena mlingo ukasinthidwa, imbani dokotala nthawi yomweyo. Chenjezo ili ndi lofunika kwambiri.
- Kuthamanga kwa magazi: Mankhwalawa angawonjezere kuthamanga kwa magazi pang'ono. Chifukwa chake, yesani kuthamanga kwa magazi kunyumba monga momwe dokotala wanu wanenera.
- Chizungulire ndi kugona tulo: Mankhwalawa angakhudze luso lanu loganizira zinthu mwachangu komanso kuchitapo kanthu. Chifukwa chake, pewani kuyendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani. Kuti muchepetse chizungulire, imirirani pang'onopang'ono mukamadzuka pampando wokhala pansi kapena potuluka pabedi.
- Pakamwa pouma: Izi ndi zotsatira zoyipa zomwe zimachitika kawirikawiri. Izi zitha kuthetsedwa potafuna chingamu chopanda shuga ndikumwa madzi ambiri.
Kodi ndi zotsatirapo zotani zomwe ndingakumane nazo?
Monga mankhwala ena aliwonse, mankhwalawa akhoza kukhala ndi zotsatirapo zake. Zina mwa izo ndi zazikulu, zina mwa izo ndi zofala.
| Zotsatirapo zoyipa zomwe muyenera kuuza dokotala wanu nthawi yomweyo | |
|---|---|
| Zotsatira zoyipa | Kufotokozera |
| 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. |
| Matenda a Serotonin | Kusokonezeka, kusakhazikika, thukuta kwambiri, kutentha thupi kwambiri, kuuma kwa minofu, kugwedezeka. Ichi ndi vuto loopsa. |
| Kugunda kwa mtima mwachangu | Kumva ngati mtima wanu ukugunda mofulumira, kugunda molakwika, kapena molakwika. |
| Kuthamanga kwa magazi kowonjezeka | Uzani dokotala. |
| Kuchepa kwa sodium m'magazi | Kufooka kwa minofu, kutopa, chizungulire, kusokonezeka maganizo. |
| Kupweteka kwa maso kapena kusintha kwa masomphenya | Kupweteka kwa maso mwadzidzidzi, kusawona bwino, kuona mphete mozungulira magetsi. |
| Kuvuta kukodza | Palibe kapena kuchepetsa kukodza. |
| Zotsatirapo zomwe nthawi zambiri sizili zoopsa, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Kusanza ndi kusanza | Zimachitika kawirikawiri kumayambiriro kwa mankhwala. |
| Kudzimbidwa | Kawirikawiri amawoneka. |
| Thukuta kwambiri | - |
| Kusintha kwa chilakolako kapena ntchito yogonana | Musachite manyazi kulankhula ndi dokotala wanu za izi. |
Uthenga Wopita Nawo Kunyumba
- Levomilnacipran (Fetzima) ndi mankhwala omwe amachiza kuvutika maganizo komanso amakhudza mankhwala a muubongo.
- Musamaswe, kuphwanya, kapena kutafuna kapisozi. Mezani yonse.
- Pewani kusiya kumwa mankhwala mwadzidzidzi popanda malangizo a dokotala.
- Uzani dokotala wanu za mankhwala ena onse, mavitamini, ndi zowonjezera zitsamba zomwe mukumwa.
- Ngati mukumva kusintha kwa maganizo kapena maganizo ofuna kudzipha mutangoyamba kulandira chithandizo, funsani upangiri wa dokotala nthawi yomweyo.
- Kumwa mankhwala ochulukirapo ndi vuto ladzidzidzi. Pitani ku National Poisons Information Centre kapena ku chipatala chapafupi cha ETU nthawi yomweyo.
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