Kodi mumakhala ndi ululu, kuuma komanso kutopa kosalekeza thupi lanu lonse? Dokotala wanu mwina adatcha vutoli fibromyalgia . Ndi vuto losasangalatsa kwambiri. Chifukwa chake, mankhwala apadera omwe madokotala amalangiza kuti akuthandizeni nthawi ngati izi ndi Milnacipran. Lero, tikambirana za mankhwalawa, momwe amagwirira ntchito, zomwe angachite komanso zomwe muyenera kudziwa, mwachidule, ngati kuti mukulankhula ndi mnzanu.
Kodi mankhwala a Milnacipran ndi amtundu wanji?
Mwachidule, Milnacipran ndi mankhwala omwe amagwiritsidwa ntchito pochiza matenda anu a Fibromyalgia . Ndi a gulu la mankhwala otchedwa SNRI (Serotonin-Norepinephrine Reuptake Inhibitor). Musaganize kuti, "O, kodi mawu akuluakulu awa ndi ati?" Ndifotokoza mwachidule.
Tangoganizani kuti pali amithenga ang'onoang'ono mkati mwa ubongo wathu omwe amanyamula mauthenga mobwerezabwereza. Timawatcha kuti ma neurotransmitters. Serotonin ndi Norepinephrine ndi awiri mwa amithenga ofunikira kwambiri awa. Amathandiza kuti maganizo athu akhale osangalala komanso kuti athetse ululu. Anthu omwe ali ndi fibromyalgia angasinthe zina ndi zina pakugwira ntchito kwa amithengawa.
Choncho, zomwe Milnacipran amachita ndikuwonjezera kuchuluka kwa serotonin ndi norepinephrine muubongo, zomwe zimathandiza kuwongolera momwe mumamvera ululu ndi momwe mukumvera. Choncho ululu ndi kusasangalala kwina komwe mumamva pang'onopang'ono kumayamba kuchepa.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa
Izi ndizofunikira kwambiri. Musanayambe kumwa Milnacipran, muyenera kudziwitsa dokotala wanu za thanzi lanu lonse. Musabise chilichonse chifukwa ndi chinthu chaching'ono. Chifukwa ngakhale zinthu zazing'onozo zingakhudze chithandizo chanu.
Ngati muli ndi vuto lililonse lomwe latchulidwa patebulo ili m'munsimu, onetsetsani kuti mwauza dokotala wanu za vutoli.
| Mkhalidwe kapena chizolowezi | N’chifukwa chiyani zimenezo n’zofunika? |
|---|---|
| Matenda otuluka magazi | Mankhwalawa angawonjezere pang'ono chiopsezo cha kutuluka magazi. |
| Ngati mumamwa mowa pafupipafupi | Kuwonongeka kwa chiwindi ndi zotsatira zina zoyipa zitha kukulirakulira. |
| Matenda a glaucoma | Zingayambitse kupanikizika kwa maso. |
| Matenda a mtima, kuthamanga kwa magazi, matenda a mtima | Mankhwalawa amatha kukhudza kuthamanga kwa magazi ndi kugunda kwa mtima. |
| Matenda a impso kapena chiwindi | Mlingo ungafunike kusinthidwa chifukwa umakhudza kuchotsedwa kwa mankhwala m'thupi. |
| Mania kapena bipolar states | Zinthu zimenezi zingakule kwambiri. |
| Matenda a prostate | Kuvuta kukodza kungachitike. |
| Ngati muli ndi vuto la khunyu | Chiwopsezocho chingachuluke. |
| Ngati inu kapena wina m'banja mwanu munaganizapo zodzipha | Izi ndizofunikira kwambiri. Muyenera kusamala kwambiri ndi maganizo amenewa mukangoyamba kumwa mankhwala. |
| Ngati mwamwa mankhwala a MAOI m'masiku 14 apitawa | Izi zingayambitse vuto lalikulu. |
| Ngati mukuyesera kutenga mimba, muli ndi pakati, kapena ndinu mayi woyamwitsa | Onetsetsani kuti mwadziwitsa dokotala wanu za izi. |
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
Mankhwalawa ayenera kumwedwa pakamwa ndi kapu ya madzi. Mutha kumwa musanadye kapena mutatha kudya. Komabe, ngati mukumva kukhumudwa, ndi bwino kumwa ndi chakudya. Onetsetsani kuti mwamwa mlingo womwe mwapatsidwa panthawi yomwe mwapatsidwa, monga momwe dokotala wanenera . Musawonjezere kapena kuchepetsa mlingo momwe mukumvera, kapena kumwa mobwerezabwereza kuposa momwe mwalembedwera.
Chofunika kwambiri ndichakuti kusiya kumwa mankhwalawa mwadzidzidzi kungayambitse zotsatirapo zoyipa. Kapena vuto lanu la fibromyalgia lingaipireipire. Chifukwa chake, musasiye kumwa mankhwalawa mwadzidzidzi popanda upangiri wa dokotala.
Kodi mungachite chiyani ngati mwaphonya mlingo wa mankhwala?
Musadandaule. Dulani mlingo womwe mwaphonya ndipo imwani mankhwalawo mwachizolowezi mukafika nthawi yoti mugwiritse ntchito. Musamwe mankhwala awiri nthawi imodzi. Ngati izi zitachitika, funsani dokotala wanu.
Nanga bwanji ngati nditamwa mankhwala ochulukirapo?
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, pitani ku Dipatimenti Yoona za Zadzidzidzi (ETU) yapafupi nthawi yomweyo. Kapena imbani National Poisons Information Centre ku Colombo National Hospital kuti mupeze malangizo.
Kumbukiraninso kuti mankhwalawa aperekedwa kwa inu nokha. Musapatse wina mankhwala awa, ngakhale zizindikiro zake zili zofanana ndi zanu. Zingakhale zoopsa.
Mankhwala ena omwe angagwirizane ndi mankhwalawa (Kuyanjana)
Milnacipran ndi mankhwala omwe angagwirizane ndi mankhwala ena, choncho ndikofunikira kwambiri kuuza dokotala wanu za mankhwala onse omwe mukumwa (kuphatikizapo mavitamini, mankhwala azitsamba, ndi zowonjezera).
Musamwe Milnacipran pamodzi ndi mankhwalawa.
Simuyenera kugwiritsa ntchito Milnacipran ngati mukumwa mankhwala aliwonse mwa awa: Angayambitse zotsatirapo zoopsa, ngakhale zoopsa.
- Mankhwala a MAOI (monga Marplan, Nardil)
- Linezolid
- Methylene buluu (yomwe imalowa m'mitsempha)
- Mankhwala ena a SNRI monga Duloxetine, Desvenlafaxine, Venlafaxine, ndi Levomilnacipran
Mavuto angabwerenso ndi mankhwalawa.
Mankhwala otsatirawa angagwirizanenso ndi Milnacipran. Chifukwa chake, onetsetsani kuti mwadziwitsa dokotala wanu za izi.
- Aspirin ndi mankhwala ena ofanana ndi amenewa ochepetsa ululu
- Mankhwala ochepetsa ululu a mtundu wa NSAIDS (monga Ibuprofen, Naproxen)
- Mankhwala omwe amaletsa magazi kuundana (monga Warfarin, Enoxaparin)
- Mankhwala ena a mutu waching'alang'ala (Triptans)
- Mankhwala ena a matenda amisala
- Tramadol, Lithium, Tryptophan
- Chowonjezera cha zitsamba cha St. John's Wort
Mndandanda uwu sunathe, choncho uzani dokotala wanu zonse zomwe mumamwa.
Zinthu zoti muzisamala nazo mukamamwa mankhwala
Samalani kwambiri: Mukayamba kugwiritsa ntchito mankhwalawa kapena mukasintha mlingo, yang'anirani mosamala kusintha kwatsopano kapena koipa kwa maganizo, malingaliro ofuna kudzipha, kusokonezeka maganizo, kapena nkhawa mwa inu nokha kapena banja lanu. Ngati izi zitachitika , imbani dokotala wanu nthawi yomweyo. Izi ndizofunikira kwambiri.
- Kuthamanga kwa magazi: Mankhwalawa angawonjezere kuthamanga kwa magazi. Dokotala wanu angakupempheni kuti muyeze kuthamanga kwa magazi nthawi zonse.
- Chizungulire: Mankhwalawa angakhudze luso lanu lotha kuganizira zinthu mwachangu komanso kuchitapo kanthu mwachangu. Chifukwa chake, pewani kuyendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani. Kuti muchepetse chizungulire ndi kufooka mutu, dzukani pang'onopang'ono kuchokera pamalo omwe mukukhala kapena pabedi. Vutoli likhoza kukulirakulira mukamwa mowa.
- Pakamwa pouma: Pakamwa pouma ndi vuto lofala. Izi zitha kuthetsedwa potafuna chingamu chopanda shuga ndikumwa madzi ambiri.
Kodi zotsatirapo zake zingakhale zotani chifukwa cha mankhwalawa?
Monga mankhwala ena aliwonse, Milnacipran ingayambitse zotsatirapo zoyipa. Si aliyense amene amadwala. Zina zimakhala zoopsa, pomwe zina zimakhala zochepa.
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala nthawi yomweyo | |
|---|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime, komanso kuvutika kupuma. |
| Kutuluka magazi kosazolowereka | Chimbudzi chakuda chomwe chimaoneka ngati khofi wophikidwa kapena magazi, kusanza magazi, mkodzo wofiira/wofiirira wakuda, ndi madontho ang'onoang'ono ofiira/ofiirira pakhungu. |
| Kusintha kwa kugunda kwa mtima | Kumva ngati mtima wanu ukugunda mofulumira, chifuwa chanu chikulimba. |
| Matenda a Serotonin | Kusakhazikika, kusokonezeka, thukuta kwambiri, kutentha thupi, kuuma kwa minofu kapena kugwedezeka, kusanza, kutsegula m'mimba. |
| Zizindikiro za kuwonongeka kwa chiwindi | Kupweteka kumtunda kwa kumanja kwa m'mimba, kusowa chilakolako cha chakudya, maso kapena khungu kukhala lachikasu, mkodzo wakuda wachikasu/bulauni. |
| Zizindikiro za sodium yochepa m'thupi | Kufooka kwa minofu, kutopa kwambiri, mutu, komanso kusokonezeka. |
| Zizindikiro zina zazikulu | Kukomoka, kupweteka maso mwadzidzidzi, kusawona bwino, kuganiza zodzipha, kuvutika kukodza. |
Zotsatirapo zomwe nthawi zambiri sizimakhala zoopsa
Izi nthawi zambiri zimatha pakatha masiku ochepa. Koma ngati zikupitirira, kapena ngati zikukuvutitsani kwambiri, uzani dokotala wanu.
- Kusanza, kusanza
- Kudzimbidwa
- Pakamwa pouma
- Chizungulire
- Thukuta kwambiri
- Kusintha kwa chilakolako kapena ntchito yogonana
Uthenga Wopita Nawo Kunyumba
- Milnacipran ndi mankhwala apadera omwe amagwiritsidwa ntchito pochiza matenda a fibromyalgia .
- Musanayambe kumwa mankhwalawa, uzani dokotala wanu za mankhwala ena onse omwe mukumwa komanso matenda aliwonse omwe muli nawo .
- Musasiye kumwa mankhwala mwadzidzidzi popanda upangiri wa dokotala.
- Samalani kwambiri ndi kusintha kwa maganizo, kusokonezeka maganizo, kapena maganizo ofuna kudzipha poyamba kumwa mankhwala. Ngati mukukumana ndi chilichonse mwa izi, uzani dokotala wanu nthawi yomweyo.
- Mankhwalawa ndi a inu nokha. Musagawane ndi wina aliyense.
- Sungani mankhwalawo kutentha kwa chipinda , kutali ndi ana .
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