Ngati inu kapena wina m'banja mwanu akuchitidwa opaleshoni yaying'ono, kapena nthawi zina mayeso ovuta azachipatala, ndi zachilendo kumva mantha pang'ono komanso nkhawa, sichoncho? Ana athu, makamaka, amamva motere. Nthawi zina ngati izi, mankhwala apadera otchedwa Midazolam amagwiritsidwa ntchito ndi madokotala kuti akuthandizeni kutonthoza inu kapena munthu amene ali ndi mantha, kupumula maganizo anu, ndikukonzekeretsani chithandizo chofunikira chamankhwala. Tiyeni tikambirane za izi mwatsatanetsatane lero, sichoncho?
Kodi madzi a Midazolam ndi chiyani?
Mwachidule, Midazolam ndi mankhwala omwe amatonthoza mitsempha yanu , amachepetsa mantha ndi nkhawa zosafunikira, komanso amakupangitsani kumva tulo pang'ono . Ndi m'gulu la mankhwala otchedwa Benzodiazepines. Mankhwala omwe ali m'gululi nthawi zambiri amagwiritsidwa ntchito kuchepetsa nkhawa ndikukutonthozani.
Mwina munamvapo za mankhwalawa pansi pa mayina a Versed kapena Versed Syrup. Awa ndi ena mwa mayina otchuka a mankhwala a Midazolam.
Cholinga chachikulu chopereka mankhwalawa ndikuchepetsa mantha anu ndikukonzekeretsani chithandizo chamankhwala, monga opaleshoni kapena mayeso. Nthawi zina simungakumbukire zomwe zinachitika pambuyo pake. Ichinso ndi chizindikiro cha mankhwalawa.
Kodi Midazolam imagwiritsidwa ntchito pazochitika ziti?
Monga ndanenera kale, madzi a (Midazolam) awa nthawi zambiri amagwiritsidwa ntchito kukutonthozani ndikukupangitsani kugona musanachite opaleshoni kapena mayeso ena azachipatala . Tangoganizirani mwana wamng'ono amene ayenera kuchotsedwa dzino, kapena ayenera kuyesedwa ngati (Endoscopy), ndipo mwanayo akhoza kuchita mantha, sichoncho? Madzi amtunduwu ndi othandiza kwambiri nthawi ngati izi.
Chofunika kwambiri ndichakuti madzi a (Midazolam) awa amaperekedwa kuchipatala kapena ku chipatala kokha moyang'aniridwa ndi dokotala. Madokotala samalimbikitsa kugwiritsa ntchito kunyumba.
Mankhwalawa angagwiritsidwenso ntchito pazifukwa zina zachipatala, kotero ngati muli ndi mafunso ena okhudza izi, ndi bwino kufunsa dokotala wanu kapena wamankhwala.
Zinthu zomwe muyenera kuuza dokotala wanu musanakupatseni mankhwala awa
Musanapatse inu kapena mwana wanu madzi a Midazolam, pali zinthu zingapo zomwe muyenera kuuza gulu lanu lachipatala. Mukawauza izi, akhoza kusankha ngati kuli kotetezeka kuti mupereke mankhwalawa kapena ayi.
Nazi mfundo zimenezo:
- Ngati muli ndi glaucoma ( matenda omwe kuthamanga kwa magazi m'maso kumawonjezeka).
- Ngati muli ndi matenda a mtima .
- Ngati muli ndi matenda a impso .
- Ngati muli ndi matenda a chiwindi .
- Ngati muli ndi matenda a m'mapapo kapena a m'mapapo , mwachitsanzo , mphumu .
- Zomwe zilipoNgati muli ndi vuto la maganizo (monga kuvutika maganizo kwambiri, schizophrenia, ndi zina zotero).
- Ngati muli ndi mbiri ya khunyu kapena khunyu kale.
- Ngati muli ndi vuto la kugwiritsa ntchito mankhwala osokoneza bongo .
- Ngati inu kapena wina m'banja mwanu munaganizapo zodzipha, kukonza mapulani, kapena kuyesa kudzipha .
- Ngati mudakumanapo ndi vuto lachilendo kapena la ziwengo ku Midazolam, ma Benzodiazepine ena, ma cherries, zakudya zina, utoto, kapena zosungira.
- Ngati muli ndi pakati kapena mukufuna kutenga mimba.
- Ngati ndinu mayi woyamwitsa.
Ngati chilichonse mwa izi chikukukhudzani, ndikofunikira kuuza dokotala wanu popanda kubisa. Kenako angakupatseni chithandizo choyenera komanso chotetezeka kwambiri.
Kodi mumapereka bwanji madzi a (Midazolam)?
Izi ndi zomwe zimachitika nthawi zambiri. Madzi a (Midazolam) amaperekedwa kwa inu ndi ogwira ntchito zachipatala kuchipatala kapena ku chipatala. Izi zikutanthauza kuti, simukuuzidwa kuti muwatenge ku pharmacy ndikupita nawo kunyumba.
Kusamala kwambiri kumaperekedwa popereka mankhwalawa, makamaka kwa ana. Ngakhale kuti amalimbikitsidwa kwa ana nthawi zina, pali njira zodzitetezera zomwe zingagwiritsidwe ntchito. Chifukwa chake, ngati mukupereka mankhwalawa kwa mwana wanu, lankhulani ndi dokotala wanu mosamala za izi ndipo fufuzani tsatanetsatane wake.
Kodi mungachite chiyani ngati mwamwa mwangozi mankhwala owonjezera pa mlingo woyenera?
Popeza mankhwalawa amaperekedwa kuchipatala, mwayi woti munthu agwiritse ntchito mankhwala mopitirira muyeso ndi wochepa. Komabe, ngati mukuganiza kuti mwapatsidwa mankhwala ochulukirapo, muyenera kulankhulana ndi Poison Control Center kapena Emergency Room nthawi yomweyo.
Kumbukirani, mankhwalawa ndi a inu nokha. Musagawire mankhwala awa ndi wina aliyense.
Ndi mankhwala ena ati omwe angagwirizane ndi Midazolam?
Iyi ndi mfundo yofunika kwambiri. Midazolam ikhoza kuyanjana kapena kusagwirizana ndi mankhwala ena omwe mukumwa. Ngati izi zitachitika, zotsatira za Midazolam zitha kukhala zazikulu kwambiri kapena zotsatirapo zina zoyipa zingachitike.
Midazolam sayenera kumwedwa ndi mankhwala awa:
- (Boceprevir) (mankhwala a chiwindi cha mtundu wa C)
- Mankhwala ena oletsa mavairasi omwe amagwiritsidwa ntchito pa HIV kapena Edzi
- Mankhwala ena a matenda a bowa, monga Ketoconazole ndi Itraconazole
- Madzi a mphesa
- (Idelalisib) (mankhwala a khansa)
- Mankhwala ena a opioid a chifuwa
- (Sodium Oxybate)
- (Telaprevir) (mankhwala a chiwindi cha mtundu wa C)
Kuphatikiza apo, pali mankhwala ena omwe angagwirizane ndi Midazolam:
- Mowa
- Mankhwala oletsa kuzizira, chifuwa, ndi chimfine
- Mankhwala oletsa calcium channel, monga Diltiazem ndi Verapamil (awa amagwiritsidwa ntchito pochiza kuthamanga kwa magazi ndi matenda a mtima)
- Maantibayotiki ena, mwachitsanzo (Clarithromycin), (Erythromycin), (Rifampin)
- Mankhwala ena oletsa nkhawa kapena tulo
- Mankhwala ena ochizira kuvutika maganizo, mwachitsanzo (Amitriptyline), (Fluoxetine), (Sertraline)
- Mankhwala ena omwe amagwiritsidwa ntchito pa khunyu, mwachitsanzo (Carbamazepine), (Phenobarbital), (Primidone)
- (Cimetidine) (mankhwala a gastritis)
- Mankhwala oletsa ululu omwe amagwiritsidwa ntchito panthawi ya opaleshoni, mwachitsanzo Lidocaine, Pramoxine, Tetracaine
- Mankhwala opumulira minofu omwe amagwiritsidwa ntchito panthawi ya opaleshoni
- Mankhwala opweteka a opioid
- Mankhwala omwe ali mgulu lotchedwa (Phenothiazines), mwachitsanzo (Chlorpromazine), (Mesoridazine), (Prochlorperazine), (Thioridazine) (awa amaperekedwa pa matenda amisala)
Mndandandawu si wokwanira. Pakhoza kukhala zinthu zina zomwe zingayambitse mavuto. Chifukwa chake, uzani dokotala wanu za mankhwala onse omwe mumamwa (kuphatikizapo mankhwala olembedwa ndi dokotala ndi omwe amagulitsidwa kunja kwa ofesi ya dokotala, zitsamba, mavitamini, ndi zowonjezera), komanso ngati mumasuta fodya, mumamwa mowa, kapena mumagwiritsa ntchito mankhwala osokoneza bongo. Akhoza kuyang'ana ngati pali kuyanjana kulikonse.
Zinthu zofunika kukumbukira mukamagwiritsa ntchito mankhwalawa
Mukapatsidwa mankhwala a Midazolam, gulu lanu lachipatala lidzayang'anira thanzi lanu nthawi zonse. Komabe, ndi bwino kuyang'anira zinthu izi:
- Mankhwalawa angasokoneze pang'ono kulinganiza bwino zinthu, nthawi yochitira zinthu, komanso luso lanu lopanga zisankho . Chifukwa chake, pewani kuyendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa bwino momwe mankhwalawa amakukhudzirani.
- Zotsatira za mankhwalawa zingayambitse chizungulire ndi kukomoka. Kuti muchepetse chiopsezochi, dzukani mwachangu, kaya mutakhala pansi kapena mukudzuka pabedi.
- Ngati mumwa mowa ndi mankhwalawa, chiopsezo cha zotsatirapo zake chimakhala chachikulu kwambiri. Choncho samalani ndi zimenezo.
- Ngati mukumwa mankhwala ena omwe amakupangitsani kugona (monga mankhwala ochepetsa ululu, mapiritsi ogonetsa), kumwa Midazolam pamodzi ndi mankhwala ena kungakupangitseni kugona kwambiri. Uzani gulu lanu lachipatala za mankhwala onse omwe mukumwa. Iwo adzakuuzani kuchuluka kwa mankhwala omwe muyenera kumwa. Musamwe mankhwala opitirira muyeso womwe dokotala wanu wakupatsani. Ngati mukuvutika kupuma kapena kugona tulo tosazolowereka, pitani kuchipatala nthawi yomweyo.
- Ngati muwona kusintha kulikonse mu khalidwe lanu kapena la banja lanu (monga kuvutika maganizo kwatsopano kapena koipiraipira, malingaliro odzivulaza, nkhawa, malingaliro ena achilendo kapena osokoneza, kuiwala), dziwitsani gulu lachipatala nthawi yomweyo.
- InuNgati mukukonzekera kutenga pakati, kapena mukuganiza kuti muli ndi pakati, lankhulani ndi gulu lanu la zaumoyo za izi. Mankhwalawa angayambitse zilema zazikulu zobereka. Ngati mukuyamwitsa, lankhulaninso ndi gulu lanu la zaumoyo za izi. Ndondomeko yanu ya chithandizo ingafunike kusinthidwa.
Kodi zotsatirapo zake zingakhale zotani?
Monga mankhwala ena aliwonse, Midazolam ingayambitse zotsatira zina. Komabe, si aliyense amene amalandira. Pali zotsatira zina zomwe muyenera kuuza dokotala nthawi yomweyo. Palinso zina zomwe nthawi zambiri sizimakhala zoopsa ndipo zimatha pakatha masiku ochepa.
Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa gulu lachipatala nthawi yomweyo:
- Matenda a ziwengo: Ziphuphu pakhungu, kuyabwa, ziphuphu, kutupa kwa nkhope, milomo, lilime, kapena pakhosi.
- Kuvutika maganizo kwa mitsempha yapakati (CNS depression): Kupuma pang'onopang'ono kapena pang'ono, kupuma movutikira, kukomoka, chizungulire, chisokonezo, kuvutika kukhala maso.
- Kugwedezeka kapena kugwedezeka.
Ngati mukuona chinthu chonga ichi, ndi bwino kuuza dokotala mwamsanga.
Zotsatirapo zomwe nthawi zambiri sizifuna upangiri wa dokotala (koma ziyenera kufotokozedwa kwa gulu lachipatala ngati zikupitirira kapena zikuvutitsa):
- Kusakhazikika, kukwiya, kapena kusokonezeka maganizo.
- Chizungulire.
- Kugona tulo.
- Kusanza.
- Kusanza.
Mndandandawu sungakhale ndi zotsatirapo zonse zoyipa. Ngati mukukumana ndi zotsatirapo zina zilizonse zoyipa, lankhulani ndi dokotala wanu. Mutha kunena za zotsatirapo zoyipa ku Food and Drug Administration (FDA) pa 1-800-FDA-1088.
Pomaliza, mfundo zofunika
Chabwino, takambirana zambiri za madzi a (Midazolam), sichoncho? Pomaliza, nazi zinthu zofunika kwambiri zomwe muyenera kukumbukira:
- Midazolam ndi mankhwala omwe amaperekedwa kuti achepetse nkhawa ndikukutonthozani musanachite opaleshoni kapena kuyezetsa kuchipatala.
- Izi zimaperekedwa kokha moyang'aniridwa ndi dokotala kuchipatala kapena ku chipatala. Sizogwiritsidwa ntchito kunyumba.
- Onetsetsani kuti mwauza dokotala wanu za matenda ena aliwonse omwe muli nawo, mankhwala omwe mumamwa, ndi ziwengo.
- Mukatha kumwa mankhwalawa , pewani kuyendetsa galimoto kapena kuchita chilichonse chomwe chimafuna kusamala kwa kanthawi.
- Ngati mukukumana ndi zotsatirapo zoyipa, funsani upangiri wa dokotala nthawi yomweyo.
Ngati mukufuna kudziwa zambiri za izi, musaope kufunsa dokotala wanu. Adzakuthandizani.
👩🏽⚕️ Mafunso ena (Mafunso Ofunsidwa Kawirikawiri)
💬 Kodi Midazolam ndi mankhwala ogonetsa/ochepetsa ululu?
Mankhwalawa ndi mankhwala othamanga kwambiri mu gulu la benzodiazepine. Ndi madzi kapena jakisoni omwe nthawi zambiri amaperekedwa kuchipatala (asanachite opaleshoni yayikulu kapena opaleshoni ya endoscopy/m'mimba) kuti 'achepetse mantha a wodwalayo, apumule thupi, ndikuchotsa kwakanthawi kukumbukira (Amnesia/Sedation).'
💬 N’chifukwa chiyani ana aang’ono amapatsidwa mankhwala a Midazolam Syrup asanachite opaleshoni?
Ana aang'ono akapita kuchipatala, madokotala/zovala zoyera, nthawi zambiri amaopa, amafuula ndi kulira, ndipo amakana kuyesedwa. Madzi awa amaperekedwa kuti achotseretu mantha awo okhudzana ndi anthu komanso azachipatala (nkhawa isanachitike opaleshoni). Akaperekedwa, mwanayo amakhala wosangalala kwambiri, amagona/amakhazikika mkati mwa mphindi 10-20. Nthawi zina mwanayo sakumbukira ngakhale opaleshoni yomwe adachitidwa pambuyo pake.
💬 Kodi izi zingayambitse kutsamwa/kufa ngati ziperekedwa kwa mwana?
Ndi yotetezeka ngati iperekedwa mu mlingo woyenera. Koma chinthu choopsa kwambiri pa mankhwalawa ndichakuti 'amachedwetsa kupuma mopitirira muyeso' (Respiratory depression). Chifukwa chake, sangagulidwe ku pharmacy ndipo sayenera kuperekedwa kunyumba! Izi zimaperekedwa kuchipatala/chipatala chokha motsogozedwa ndi namwino/dokotala wodziwa bwino ntchito yemwe ali ndi makina oyezera kugunda kwa mtima ndi mpweya (Monitors).
Midazolam , Midazolam, Madzi, Nkhawa, Kugona, Opaleshoni isanachitike, Benzodiazepine, Versed











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