Kodi mtima wanu nthawi zina umagunda mofulumira kuposa masiku onse? Kapena umamva ngati ukugunda mopitirira muyeso? Mexiletine ndi mankhwala apadera omwe madokotala amakulemberani kuti athetse matenda otere a mtima, kapena, matenda a mtima . Ngati mankhwalawa adakulemberani, ndikofunikira kudziwa bwino lomwe kuti ndi otani. Lero, tiyeni tikambirane mwachidule za mankhwalawa, momwe amagwirira ntchito, zotsatira zake, ndi zinthu zomwe muyenera kusamala nazo mukamagwiritsa ntchito.
Kodi Mexiletine ndi mankhwala amtundu wanji?
Mwachidule, Mexiletine ndi mankhwala omwe ali m'gulu la mankhwala omwe amabwezeretsa kayimbidwe ka mtima, kutanthauza, mankhwala oletsa kupweteka kwa mtima . Mtima wathu ukugunda ndi dongosolo lofewa kwambiri la zizindikiro zamagetsi. Nthawi zina zizindikiro zamagetsi izi zimakhala zogwira ntchito kwambiri, mofulumira kwambiri, ndipo zimasokoneza kayimbidwe ka mtima.
Mexiletine imagwira ntchito polamulira zina mwa zizindikiro zamagetsi zomwe zimagwira ntchito mopitirira muyeso ndikuzichepetsa. Kayendedwe ka mtima kosasinthasintha kamakhala kokhazikika ndikubwezeretsedwanso kukhala kabwinobwino. Imeneyi ndi ntchito yofunika kwambiri.
Ndi zinthu ziti zomwe ndiyenera kuuza dokotala ndisanayambe kumwa mankhwalawa?
Dokotala wanu asanakupatseni mankhwala awa, adzakufunsani mafunso angapo. Komabe, pali zinthu zina zomwe muyenera kuuza dokotala wanu. Izi zidzatsimikizira mlingo womwe mudzapatsidwe, komanso momwe mudzayang'aniridwire.
Ngati muli ndi vuto lililonse mwa zotsatirazi, onetsetsani kuti mwauza dokotala wanu za izi:
- Matenda a chiwindi: Ngati muli ndi matenda aliwonse a chiwindi.
- Matenda ena a mtima: Ngati muli ndi matenda ena a mtima (monga, ngati muli ndi vuto la mtima, ngati muli ndi vuto la ma valve a mtima) kuwonjezera pa arrhythmia iyi ya mtima.
- Kudwala kwa Mexiletine kapena zinthu zina: Ngati munakhalapo ndi vuto la Mexiletine, mankhwala ena, chakudya, kapena utoto winawake.
- Ngati muli ndi pakati kapena mukufuna kutenga mimba: Izi ndizofunikira kwambiri.
- Ngati ndinu mayi woyamwitsa: Mankhwalawa amatha kupita kwa mwana wanu kudzera mu mkaka wa m'mawere, choncho muyenera kuuza dokotala wanu za izi.
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
Ndikofunikira kwambiri kutsatira malangizo a dokotala wanu nthawi yomweyo mukamagwiritsa ntchito mankhwalawa.
- Imwani mankhwalawa ndi kapu ya madzi.
- Kuti muchepetse kuvutika m'mimba, ndi bwino kumwa mankhwalawa pamodzi ndi chakudya kapena mankhwala oletsa asidi. Funsani dokotala wanu za izi.
- Imwani mlingo womwe mwapatsidwa panthawi yomwe dokotala wanu wakupatsani. Ngati mwauzidwa kuti mumwe katatu patsiku, yesani kumwa nthawi yomweyo maola 8 aliwonse.
- Musasiye kumwa mankhwala mwadzidzidzi pazifukwa zilizonse popanda kufunsa dokotala wanu. Kuchita zimenezi kungapangitse kuti vuto lanu likhale loipa kwambiri.
- Kusamala kwambiri kungafunike mukamagwiritsa ntchito mankhwalawa kwa ana, choncho lankhulani ndi dokotala wanu za izi.
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 ndi kumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe mlingo wowirikiza kawiri kuti mubwezeretse mlingo womwe mwaiwala.
Kodi mungachite chiyani ngati mwamwa mankhwala ochulukirapo?
Izi ndi zadzidzidzi. Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, imbani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital , kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi mwamsanga.
Mankhwalawa aperekedwa kwa inu nokha. Apangidwa mwapadera kuti agwirizane ndi vuto lanu. Chifukwa chake, musagawane mankhwalawa ndi wina aliyense.
Mankhwala ena omwe angagwirizane ndi Mexiletine
Mankhwala ena omwe mukumwa angakhudze momwe Mexiletine imagwirira ntchito. Mexiletine ingakhudzenso momwe mankhwala ena amagwirira ntchito. Chifukwa chake, ndikofunikira kwambiri kuuza dokotala wanu za mankhwala onse omwe mukumwa (kuphatikizapo mavitamini, mankhwala azitsamba, ndi zowonjezera).
| Zinthu zomwe zingagwirizane ndi Mexiletine | |
|---|---|
| Mankhwala omwe sayenera kumwedwa pamodzi: | |
| Dofetilide (mankhwala ena oletsa kusinthasintha kwa mtima) | |
| Mankhwala ena ndi zinthu zomwe zingagwirizane: | |
| Kafeini | Muli tiyi, khofi, ndi zakumwa zina zotsekemera |
| Cimetidine | Mankhwala ochizira kutupa m'mimba ndi gastritis |
| Mankhwala ochizira kuvutika maganizo ndi nkhawa | (Mankhwala ochizira kuvutika maganizo, nkhawa) |
| Phenobarbital, Phenytoin | Mankhwala a khunyu |
| Rifampin | Mankhwala opha tizilombo toyambitsa matenda a chifuwa chachikulu |
| Theophylline | Mankhwala a mphumu |
Mndandandawu sunathe. Choncho ngati mumasuta kapena kumwa mowa, uzani dokotala wanu za zimenezo.
Zinthu zofunika kukumbukira mukamagwiritsa ntchito mankhwalawa
- Chidziwitso Choyamba: Mankhwalawa nthawi zambiri amayamba kuchipatala kapena kuchipatala komwe mungayang'aniridwe bwino kuti muwone momwe thupi lanu limayankhira mankhwalawo.
- Chizungulire ndi kugona: Mankhwalawa angakupangitseni kugona pang'ono komanso chizungulire. Choncho, pewani kuyendetsa galimoto, kugwiritsa ntchito makina, kapena kuchita chilichonse chomwe chimafuna kukhala tcheru mpaka mutadziwa momwe mankhwalawa akukukhudzirani.
- Pewani kudzuka mofulumira kwambiri: Musadzuke mwadzidzidzi mutakhala pansi kapena mutagona. Makamaka ngati ndinu okalamba. Ngati mutero, mungamve chizungulire ndikugwa. Nyamukani pang'onopang'ono.
- Mowa: Kumwa mowa kungakupangitseni kumva chizungulire ndipo kugunda kwa mtima wanu kungakwere. Choncho, pewani kumwa mowa kotheratu mukamamwa mankhwalawa.
Chisamaliro chapadera: ziwengo zazikulu pakhungu
Matenda aakulu pakhungu angachitike milungu ingapo kapena miyezi ingapo mutayamba kugwiritsa ntchito mankhwalawa. Ngati muyamba kutupa kofiira kapena kofiirira komwe kumakhala ndi zizindikiro zofanana ndi malungo kapena chimfine, ndipo kutupako kumatuluka matuza ndi kuchotsedwa,Kapena ngati muyamba kutupa nkhope, milomo, kapena ma lymph nodes m'khosi kapena m'khwapa, imbani dokotala nthawi yomweyo. Imeneyi ikhoza kukhala vuto lalikulu.
Kodi zotsatirapo zake zingakhale zotani?
Monga mankhwala ena aliwonse, Mexiletine ingayambitse zotsatirapo zina. Zina zimakhala zoopsa, pomwe zina zimakhala zofala.
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala nthawi yomweyo |
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| Zotsatirapo zomwe nthawi zambiri sizili zoopsa, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira |
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Uthenga Wopita Nawo Kunyumba
- Mexiletine ndi mankhwala ofunikira kwambiri omwe amalamulira kayendedwe ka mtima. Choncho musanayambe izi, uzani dokotala wanu za matenda anu onse ndi mankhwala ena omwe mukumwa.
- Imwani mlingo wolembedwa, panthawi yolembedwa, monga momwe dokotala wanu wanenera. Musasiye kumwa mankhwala popanda upangiri wa dokotala wanu.
- Pewani kuchita zinthu zoopsa chifukwa chizungulire ndi kugona zimatha kuchitika mukumwa mankhwala. Pewani mowa kotheratu.
- Ngati mukuona zizindikiro monga kutupa, malungo, kapena kutupa kwa ma lymph nodes mukugwiritsa ntchito mankhwalawa, izi zitha kukhala chizindikiro cha matenda oopsa. Uzani dokotala wanu nthawi yomweyo.
- Ngati mukukayikira kuti mwamwa mankhwala opitirira muyeso, pitani ku Dipatimenti Yothandiza Pangozi (ETU) ya chipatala nthawi yomweyo.
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