Tonsefe tikudziwa kuti kusiya kumwa mankhwala a opioid si ulendo wophweka. Pamene kusapeza bwino kwa thupi, komwe kumatchedwa "zizindikiro zosiya kumwa mankhwala", kwayamba, anthu ambiri amavutika kupirira. Zinthu monga kupweteka kwa thupi, kusakhazikika, komanso kusowa tulo zingakupangitseni kuti muyambenso kugwiritsa ntchito mankhwalawa. Chifukwa chake, lero tikulankhula za mankhwala apadera omwe madokotala amalangiza kuti akuthandizeni kudutsa bwino nthawi yovutayi. Ameneyo ndi Lofexidine.
Mwachidule, kodi Lofexidine ndi chiyani?
Lofexidine ndi mankhwala omwe amagwiritsidwa ntchito pochiza matenda obwera chifukwa cha kugwiritsa ntchito opioid. Nthawi zambiri amagwiritsidwa ntchito kwa kanthawi kochepa. Ntchito yake yayikulu ndikuchepetsa zizindikiro zosiya kugwiritsa ntchito opioid komanso chilakolako chofuna kusiya kugwiritsa ntchito opioid.
Koma kumbukirani izi. Iyi si piritsi yamatsenga. Kuti mupindule kwambiri, muyeneranso kutenga nawo mbali mu uphungu ndi chithandizo cha khalidwe chomwe dokotala wanu akukupatsani. Mankhwalawa ndi gawo limodzi lokha la njira yonse yothandizira.
Mankhwalawa nthawi zina angakupatseni dokotala wanu pa matenda ena. Chifukwa chake ngati muli ndi mafunso, funsani dokotala wanu za mankhwalawa. Ku Sri Lanka, mankhwalawa amapezeka pansi pa dzina la `LUCEMYRA`.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa
Musanakupatseni Lofexidine, ndikofunikira kwambiri kuti dokotala wanu adziwe mbiri yanu yonse ya matenda. Mankhwalawa angagwirizane ndi matenda ena. Chifukwa chake, ngati muli ndi matenda aliwonse omwe atchulidwa pansipa, onetsetsani kuti mwadziwitsa dokotala wanu.
| Matenda/chizolowezi | Zomwe muyenera kudziwa |
|---|---|
| Matenda a mtima | Mtundu uliwonse wa matenda a mtima, kugunda kwa mtima kosakhazikika, kapena mbiri ya kugunda kwa mtima. |
| Chizungulire/chizungulire | Mbiri ya kukomoka pafupipafupi, chizungulire, kapena maso abuluu. |
| Stroke | Ngati munakhalapo ndi vuto la ziwalo zopuwala kale. |
| Matenda a impso kapena chiwindi | Matenda aliwonse omwe amakhudza ntchito ya impso kapena chiwindi. |
| Kuthamanga kwa magazi | Ngati muli ndi kuthamanga kwa magazi kotsika. |
| Ma electrolyte | Ngati mwapezeka kuti muli ndi calcium, magnesium, kapena potassium yochepa m'magazi anu. |
| Matenda a QT aatali | Ngati inu kapena wina m'banja mwanu ali ndi vuto la kugunda kwa mtima lotchedwa ``Long QT syndrome``. |
| Matenda a ziwengo | Ngati muli ndi vuto la Lofexidine kapena mankhwala ena aliwonse, zakudya, kapena utoto. |
| Zina | Ngati mumamwa mowa, mukuyesera kutenga pakati, muli ndi pakati, kapena ndinu mayi woyamwitsa. |
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa molondola?
Dokotala wanu adzakupatsani malangizo omveka bwino a momwe mungagwiritsire ntchito mankhwalawa. Ndikofunikira kwambiri kutsatira malangizo amenewo molondola.
- Mezani piritsi ili ndi galasi la madzi.
- Gwiritsani ntchito mankhwalawo monga momwe zalembedwera pa chizindikiro cha mankhwala.
- Mungathe kumwa musanadye kapena mutadya, koma ngati mukumva kupweteka m'mimba, ndi bwino kumwa limodzi ndi chakudya.
- Imwani mankhwalawo panthawi yoyenera komanso nthawi yoyenera.
- Ngati muli ndi zaka zoposa 65, mungafunike kuchepetsa mlingo chifukwa momwe thupi lanu limayankhira mankhwala zimatha kusintha ndi ukalamba.
Chofunika kwambiri: Musasiye kumwa mankhwalawa mwadzidzidzi pazifukwa zilizonse . Kuchita zimenezi kungayambitse kukwera kwa kuthamanga kwa magazi anu moopsa. Ngati dokotala wanu akufuna kusiya kumwa mankhwala anu, adzachepetsa pang'onopang'ono mlingo kuti apewe zotsatirapo zoyipa.
Kodi mungachite chiyani ngati mwaphonya mlingo wa mankhwala?
Ngati mwaiwala kumwa mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe mlingo umodzi nthawi imodzi.
Nanga bwanji ngati nditamwa mankhwala ochulukirapo?
Ngati mukuganiza kuti mwamwa mankhwala ambiri kuposa momwe mukuganizira, imbani nthawi yomweyo ku National Poison Information Centre ku Colombo National Hospital, kapena pitani ku Emergency Treatment Unit (ETU) yapafupi. Musatenge izi mopepuka.
Zinthu zina zomwe zingagwirizane ndi mankhwalawa
Ndikofunikira kwambiri kuuza dokotala wanu za mankhwala onse, mavitamini, ndi mankhwala azitsamba omwe mukumwa, chifukwa Lofexidine imatha kuyanjana ndi mankhwala ena, zomwe zimayambitsa zotsatira zoyipa zosafunikira kapena kusintha momwe mankhwalawa amagwirira ntchito.
| Musamwe Lofexidine pamodzi ndi mankhwala awa. | |
|---|---|
| |
| Zinthu zina ndi mankhwala omwe angayambitse mavuto | |
| Mowa | Kumwa ndi mowa kungapangitse kuti munthu agone komanso azungulire. |
| Mitundu ina ya mankhwala oletsa antihistamine | Mankhwala ena omwe amatengedwa pa ziwengo, chifuwa, ndi chimfine. |
| Mankhwala a matenda amisala | Mankhwala oletsa nkhawa, kusowa tulo, ndi kuvutika maganizo (monga amitriptyline, fluoxetine, sertraline). |
| Mankhwala a kuthamanga kwa magazi ndi matenda a mtima | Mankhwala a kuthamanga kwa magazi, matenda a mtima, ndi matenda a mtima. |
| Zina | Mankhwala a khunyu , mankhwala oletsa ululu, mankhwala ochepetsa ululu a minofu panthawi ya opaleshoni, methadone, naltrexone, mankhwala ochepetsa ululu a opioid, ndi mankhwala ena omwe angayambitse kusintha kwa kagwiridwe ka mtima. |
Mndandanda uwu sunathe, choncho uzani dokotala wanu zonse zomwe mumamwa.
Zinthu zofunika kukumbukira mukamamwa mankhwala
- Pitani kwa dokotala wanu nthawi zonse: Pitani kwa dokotala wanu pa masiku omwe akonzedwa kuti muwone momwe chithandizo chanu chikuyendera. Onetsetsani kuti mwapitanso kukalandira uphungu.
- Samalani ndi kuthamanga kwa magazi kotsika komanso kugunda kwa mtima kotsika : Anthu ena akhoza kukhala ndi kuthamanga kwa magazi kotsika komanso kugunda kwa mtima kotsika akamamwa mankhwalawa. Ngati mukumva zizindikiro monga chizungulire, kukomoka, kapena kusawona bwino , musadzuke mwadzidzidzi kuchokera pamalo omwe mukukhala. Dzukani pang'onopang'ono. Musalole thupi lanu kufooka, ndipo musakhale m'malo otentha kwambiri. Ngati mukumva zizindikirozi, lankhulani ndi dokotala wanu musanamwe mlingo wanu wotsatira.
- Kuyendetsa ndi kugwiritsa ntchito makina: Mankhwalawa angakhudze chidwi chanu komanso liwiro la momwe mumachitira zinthu. Chifukwa chake , pewani kuyendetsa kapena kugwiritsa ntchito makina olemera mpaka mutadziwa bwino momwe mankhwalawa amakukhudzirani.
- Kuopsa kwa kubwereranso kwa opioid:
Ngati musiya kugwiritsa ntchito ma opioid kwa kanthawi kenako n’kuyambanso kuwagwiritsa ntchito, thupi lanu likhoza kukhala litayamba kuwamvera kwambiri. Chifukwa chake, ngakhale mlingo wochepa womwe mwamwa kale ungayambitse kumwa mopitirira muyeso, zomwe zingaphe. Samalani kwambiri ndi izi.
Kodi zotsatirapo zake zingakhale zotani?
Monga mankhwala ena aliwonse, Lofexidine ingayambitse mavuto ena mwa anthu ena, ngakhale kuti si aliyense amene amalandira.
| Ngati mukukumana ndi zizindikiro izi, dziwitsani dokotala wanu nthawi yomweyo. | |
|---|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Kusintha kwa kayimbidwe ka mtima | Kugunda kwa mtima mofulumira kapena kosasinthasintha, chizungulire, kukomoka, kupweteka pachifuwa, kuvutika kupuma. |
| Kuthamanga kwa magazi kotsika | Chizungulire, kukomoka, kusawona bwino. |
| Kugunda kwa mtima | Chizungulire, kukomoka, kusokonezeka, kupuma movutikira, kumva kutopa kwambiri. |
| Kuchepa kwa ntchito ya dongosolo la mitsempha (CNS depression) | Kupuma pang'ono kapena pang'ono, kupuma movutikira, kukomoka, kusokonezeka, kuvutika kukhala maso. |
| Zinthu zomwe nthawi zambiri sizili zazikulu, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Kugona tulo | Kumva tulo tosazolowereka masana. |
| Pakamwa pouma | Kumva malovu mkamwa ndi kuuma. |
| Kusowa tulo | Kuvuta kugona usiku. |
Mungathenso kukumana ndi zotsatirapo zina zomwe sizinatchulidwe pamndandandawu. Ngati mukukumana ndi vuto lililonse lachilendo, lankhulani ndi dokotala wanu kuti akupatseni upangiri.
Kodi muyenera kusunga bwanji mankhwala anu?
- Sungani kutali ndi ana ndi ziweto.
- Sungani pamalo otentha pakati pa madigiri 15 ndi 30 Celsius (77-86 Fahrenheit). Izi zikutanthauza kuti kutentha kwabwinobwino kwa chipinda ndi kwabwino.
- Sungani mankhwala awa mu botolo kapena paketi yoyambirira yomwe mudalandira.
- Sungani pamalo ouma, kutali ndi kutentha ndi chinyezi.
- Tayani mankhwala omwe atha ntchito popanda kuwagwiritsa ntchito.
Uthenga Wopita Nawo Kunyumba
- Lofexidine ndi mankhwala omwe amaperekedwa kuti achepetse zizindikiro zosiya kugwiritsa ntchito opioid. Iyi ndi gawo limodzi lokha la njira yonse yochizira.
- Nthawi zonse imwani mankhwalawa monga momwe dokotala wanu wanenera, mu mlingo woyenera.
- Musasiye kumwa mankhwalawa mwadzidzidzi, chifukwa kutero kungayambitse kuthamanga kwa magazi koopsa.
- Dziwani zizindikiro monga chizungulire ndi kukomoka. Pewani kudzuka mwadzidzidzi kuchokera pamene mutakhala kapena kugona.
- Uzani dokotala wanu za mankhwala ena onse, mavitamini, ndi mankhwala achikhalidwe omwe mukumwa.
- Mungapeze zotsatira zabwino kwambiri mwa kutenga nawo mbali mu upangiri woperekedwa ndi dokotala wanu pamodzi ndi mankhwala awa.
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