Kodi mukugwiritsa ntchito Mirtazapine kuti muchepetse kuvutika maganizo? Tiyeni tidziwe izi!

Kodi nthawi zina mumadzimva chisoni kwambiri, kusungulumwa, komanso osafuna kuchita chilichonse? Nthawi zina malingaliro amenewa amatha patatha masiku angapo, koma ngati apitirira, akhoza kukhala chizindikiro cha vuto lotchedwa kuvutika maganizo . Pankhaniyi, ndi bwino kufunsa upangiri kwa dokotala. Nthawi ngati zimenezi, dokotala wanu angakupatseni mankhwala otchedwa `Mirtazapine`. Chifukwa chake, lero tikambirana za tanthauzo la `Mirtazapine`, momwe mungagwiritsire ntchito, komanso zinthu zomwe muyenera kusamala nazo.

Kodi mankhwala awa otchedwa Mirtazapine ndi chiyani?

Mwachidule, Mirtazapine ndi mankhwala omwe amagwiritsidwa ntchito pochiza kuvutika maganizo. Ubongo wathu uli ndi mankhwala awiri otchedwa serotonin ndi norepinephrine . Mankhwalawa amathandiza kulamulira momwe timamvera mumtima mwathu komanso momwe timamvera chisoni. Amagwira ntchito ngati amithenga omwe amalamulira momwe timamvera mumtima mwathu. Chifukwa chake, tikakhala ndi kuvutika maganizo, kukhazikika kwa mankhwalawa kumatha kusokonezeka. Chomwe Mirtazapine imachita ndikuwonjezera kuchuluka kwa serotonin ndi norepinephrine muubongo, zomwe zimathandiza kuti musinthe momwe mumamvera mumtima.

Mutha kugula mankhwalawa m'ma pharmacies pansi pa dzina la kampani ya ``Remeron``` kapena pansi pa mayina ena. Nthawi zina madokotala angagwiritsenso ntchito mankhwalawa pa matenda ena. Chifukwa chake ngati muli ndi mafunso ena okhudza mankhwalawa, funsani dokotala wanu kapena wamankhwala.

Kodi ndiyenera kumuuza chiyani dokotala wanga ndisanayambe kugwiritsa ntchito mankhwalawa?

Izi ndizofunikira kwambiri. Musanayambe kugwiritsa ntchito Mirtazapine, muyenera kuuza dokotala wanu za thanzi lanu. Izi zili choncho chifukwa matenda ena sangagwirizane ndi mankhwalawa, kapena mungafunike kusamala kwambiri. Nazi zinthu zina zomwe muyenera kuuza dokotala wanu:

• Ngati muli ndi matenda amisala monga 'bipolar disorder': Apa ndi pamene mumavutika kusunga maganizo anu pamalo amodzi. Mwadzidzidzi mumamva kusangalala kwambiri (mania), kenako mwadzidzidzi mumamva chisoni kwambiri ( depression ).
• Ngati muli ndi glaucoma: Iyi ndi matenda omwe amayambitsa kupanikizika kwa maso.
• Ngati muli ndi matenda a impso .
• Ngati muli ndi matenda a chiwindi .
• Ngati mwakhalapo ndi maganizo ofuna kudzipha kapena muli ndi maganizo ofuna kudzipha panopa.
• Ngati muli ndi vuto la Mirtazapine, mankhwala ena, zakudya, utoto wa chakudya, kapena zotetezera.
• Ngati muli ndi pakati pa nthawi ino, kapena mukuyesera kutenga pakati posachedwa.
• Ngati ndinu mayi woyamwitsa.

Ngati mukunena zinthu izi molondola, dokotala wanu akhoza kukonza chithandizo chomwe chingakukomereni.

Kodi mumagwiritsa ntchito bwanji mankhwalawa molondola?

Chabwino, tsopano tiyeni tiwone momwe tingamwere mankhwalawa.

• Mankhwalawa amabwera ngati mapiritsi. Ayenera kumwedwa pakamwa ndi kapu ya madzi.
• Muyenera kumwa mankhwalawo monga momwe dokotala wanu wanenera, panthawi yake, komanso muyeso womwe dokotala wanu wakupatsani. Musamwe mankhwala ochulukirapo kuposa omwe dokotala wanu wakuuzani.
• Ndi bwino kumwa mankhwala nthawi yomweyo tsiku lililonse. Mwanjira imeneyi, simudzaiwala ndipo mankhwalawo adzagwira ntchito bwino.
• Chofunika kwambiri ndi ichi: Musasiye kumwa mankhwalawa mwadzidzidzi pazifukwa zilizonse popanda upangiri wa dokotala. Ngati mutero, mutha kukhala ndi zotsatirapo zoyipa kapena kuvutika maganizo kwanu kungakule kwambiri. Dokotala wanu adzakuuzaninso momwe mungasiyire kumwa mankhwalawa ngati pakufunika kutero.
• Mukalandira mankhwala awa kuchokera ku pharmacy, mudzapatsidwa kabuku kapadera kodziwitsa (`MedGuide`) . Werengani kabukuka mosamala nthawi iliyonse mukadzalandira mankhwala owonjezera. Kali ndi mfundo zofunika kwambiri zokhudza mankhwalawa.
• Ngati mukupereka mankhwalawa kwa ana: Muyenera kusamala kwambiri. Perekani mankhwalawa kwa ana pokhapokha mutalankhula ndi dokotala komanso motsatira malangizo ake.
• Kumwa Mopitirira Muyeso: Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, imbani malo owongolera poizoni kapena chipinda chadzidzidzi chapafupi nthawi yomweyo.

Chofunika: Mankhwalawa aperekedwa kwa inu nokha. Musagawane mankhwala anu ndi ena, ngakhale atakhala ndi zizindikiro zomwezo zomwe muli nazo.

Kodi mungachite chiyani ngati mwaphonya mlingo wa mankhwala?

Nthawi zina mumaiwala kumwa mankhwala anu. Ngati zimenezo zitachitika, musadandaule.

• Imwani mlingo womwe mwaphonya mwamsanga mukangokumbukira.
• Komabe, ngati nthawi yoti mutenge mlingo wotsatira yafika pafupi, thawani mlingo womwe munaphonya ndikumwa mlingo wotsatira panthawi yomwe mwakonza.
• Musamwe mankhwala owirikiza kawiri nthawi imodzi.Kuchita zimenezi kumawonjezera chiopsezo cha zotsatirapo zake.

Ndi zinthu zina ziti zomwe zingachitike ndi mankhwalawa?

"Kuyanjana" kumatanthauza kuti ntchito ya Mirtazapine ingakhudzidwe ndi mankhwala ena, zakudya, kapena zinthu zina zomwe mukumwa. Chifukwa chake, muyenera kuuza dokotala wanu za mankhwala onse omwe mukumwa (mankhwala olembedwa ndi dokotala, mankhwala ogulitsidwa kunja kwa chipatala, mankhwala azitsamba, mavitamini), komanso ngati mumasuta fodya, mumamwa mowa, kapena mumagwiritsa ntchito mankhwala ena.

Pali mankhwala angapo omwe sayenera kumwedwa ndi `Mirtazapine` :

• Linezolid (iyi ndi mankhwala opha tizilombo)
• Mankhwala oletsa kuvutika maganizo a MAOI (zitsanzo: Carbex, Eldepryl, Marplan, Nardil, ndi Parnate) - Awa ndi mtundu wa mankhwala omwe amagwiritsidwanso ntchito pochiza kuvutika maganizo . Kumwa mankhwalawa ndi Mirtazapine kungayambitse zotsatira zoopsa.
• `Methylene blue` (Uwu ndi mankhwala omwe amabayidwa mumtsempha)

Mirtazapine ikhoza kuyanjana ndi zotsatirazi:

• Mowa: Kumwa mankhwalawa pamodzi ndi mowa kungapangitse kuti munthu agone komanso azungulire. Chifukwa chake, ndi bwino kupewa kumwa mowa mukamamwa mankhwalawa.
• Mankhwala oletsa mavairasi omwe amachiritsa `HIV` kapena `AIDS`.
• Mankhwala ochepetsa magazi (monga mankhwala oletsa magazi kuundana monga Warfarin).
• Mankhwala ena omwe amagwiritsidwa ntchito pochiza kuvutika maganizo, nkhawa, kapena matenda ena amisala.
• Mankhwala ochizira matenda a bowa (monga Ketoconazole, Itraconazole).
• Mankhwala ena a mutu waching'alang'ala (monga Almotriptan, Eletriptan, Sumatriptan).
• Mankhwala a khunyu kapena khunyu (monga Carbamazepine, Phenytoin).
• Mankhwala ogonetsa.
• " Cimetidine" (mankhwala ochizira kutupa m'mimba).
• Erythromycin (mankhwala opha tizilombo).
• Fentanyl (mankhwala amphamvu ochepetsa ululu).
• Lithium (mankhwala omwe nthawi zambiri amaperekedwa kwa matenda a bipolar).
• Mankhwala oletsa kuthamanga kwa magazi.
• `Nefazodone` (mankhwala oletsa kupsinjika maganizo).
• Rasagiline (mankhwala a matenda a Parkinson).
• `Rifampin` (mankhwala ogwiritsidwa ntchito pochiza chifuwa chachikulu).
• Zina mwa zowonjezera za zitsamba ndi monga `St. John's wort`, `kava kava`, `valerian`.
• Tramadol (mankhwala ochepetsa ululu).
• Tryptophan (amino acid, nthawi zina imatengedwa ngati chowonjezera).

Mndandandawu sunathe. Chifukwa chake, ndikofunikira kuuza dokotala wanu za mankhwala onse omwe mukumwa komanso mankhwala aliwonse azitsamba omwe mukugwiritsa ntchito. Iye angakuthandizeni kugwiritsa ntchito Mirtazapine mosamala.

Ndi zinthu ziti zomwe muyenera kusamala nazo kwambiri mukamamwa mankhwalawa?

Muyeneranso kusamala pang'ono mukamagwiritsa ntchito `Mirtazapine`.

• Ngati zizindikiro zanu sizikusintha, kapena ngati zikuoneka kuti zikuipiraipira, uzani dokotala wanu nthawi yomweyo.
• Lumikizanani ndi dokotala wanu nthawi zonse ndipo pitani kukayezetsa monga momwe akulangizira.
• Zingatenge milungu ingapo kuti mankhwalawa agwire ntchito mokwanira. Choncho, musadandaule ndipo pitirizani kumwa mankhwalawo monga momwe dokotala wanu wanenera.
• Izi ndizofunikira kwambiri: Inu ndi banja lanu muyenera kudziwa kusintha kulikonse kwa khalidwe lanu kapena kaganizidwe kanu. Makamaka, ngati muli ndi maganizo atsopano kapena oipiraipira ofuna kudzipha, kapena ngati mukumva kupsinjika maganizo kwambiri, muyenera kuuza dokotala wanu nthawi yomweyo.
• Komanso, ngati mwadzidzidzi mukumva nkhawa, kukwiya, mantha, kukwiya, udani, nkhanza, kuchita zinthu mopupuluma, kusakhazikika maganizo, kusangalala kwambiri komanso kuchita zinthu mopitirira muyeso, kapena kusagona mokwanira, makamaka mukayamba kumwa mankhwala kapena mutasintha mlingo, lankhulani ndi dokotala nthawi yomweyo.
• Mankhwalawa angakupangitseni kugona kapena kumva chizungulire . Choncho, musayendetse galimoto, kugwiritsa ntchito makina, kapena kuchita chilichonse chomwe chimafuna kukhala maso mpaka mutadziwa bwino momwe mankhwalawa amakukhudzirani.
• Musadzuke mwadzidzidzi mutaimirira kapena kukhala pansi, makamaka ngati ndinu okalamba. Kuchita zimenezi kungayambitse chizungulire ndipo mungagwe.
• Pewani kumwa mowa. Mowa ungasokoneze mphamvu ya mankhwalawa ndikuwonjezera zotsatirapo zake.
• Mankhwalawa angayambitse maso ouma komanso kusawona bwino . Ngati muvala ma contact lens, mungakhale ndi vuto linalake. Madontho opaka mafuta angathandize. Komabe, ngati vutoli likupitirira kapena ndi lalikulu, onani dokotala wa maso anu.
• Pakamwa pouma pakhozanso kukhalapo. Kutafuna chingamu chopanda shuga, kuyamwa maswiti opanda shuga, ndi kumwa madzi ambiri kungathandize. Komabe, ngati izi zikupitirira kapena zikukula kwambiri, lankhulani ndi dokotala wanu.

Kodi zotsatirapo zake zingakhale zotani chifukwa cha mankhwalawa?

Monga mankhwala ena aliwonse, Mirtazapine ingayambitse mavuto ena mwa anthu ena. Si aliyense amene amalandira mankhwalawa, koma ena amalandira.

Zotsatirapo zoyipa zomwe muyenera kuuza dokotala wanu nthawi yomweyo ndi izi:

• Matenda a ziwengo: ziphuphu pakhungu, kuyabwa, ziphuphu, kutupa kwa nkhope, milomo, lilime, kapena pakhosi. Izi zingayambitse kupuma movutikira ndipo ziyenera kuchiritsidwa nthawi yomweyo.
• Kusintha kwa kayimbidwe ka mtima: Ngati mukumva ngati mtima wanu ukugunda mofulumira kapena mosakhazikika, ngati mukumva chizungulire, ngati mukumva kufooka kapena mutu wopepuka, ngati muli ndi kupweteka pachifuwa, kapena ngati mukuvutika kupuma.
• Zizindikiro za matenda: malungo, kuzizira, chifuwa, kapena kupweteka pakhosi.
• Zizindikiro za Serotonin Syndrome: Uwu ndi mkhalidwe woopsa pang'ono. Ukhoza kuchitika pamene kuchuluka kwa serotonin muubongo kukukwera kwambiri. Zizindikiro zake ndi izi: kukwiya, kusokonezeka, kugunda kwa mtima mofulumira kapena kosasinthasintha, kuuma kwa minofu kapena kugwedezeka, thukuta kwambiri, kutentha thupi kwambiri, khunyu, kuzizira, kusanza, ndi kutsegula m'mimba.
• Zizindikiro za kuchepa kwa sodium m'magazi (`Hyponatremia`): kufooka kwa minofu, kutopa, chizungulire, mutu, kusokonezeka.
• Kutupa pakhungu ndi malungo komanso kutupa kwa ma lymph nodes.
• Khungu limafiira, kutupa, kutsekeka kapena kumasuka kwa khungu, komanso ngakhale mkamwa mwake.
• Kukomoka/kugwedezeka.
• Kupweteka kwa maso mwadzidzidzi kapena kusintha kwa masomphenya: kuwona mopanda chiyembekezo, kuona kuwala kozungulira magetsi, kutayika kwa masomphenya.
• Maganizo odzipha kapena kudzivulaza, kuipiraipira kwa maganizo, komanso kuvutika maganizo kwambiri.

Zotsatirapo zomwe nthawi zambiri sizifuna chithandizo chamankhwala, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira kapena zikuvutitsa:

• Kudzimbidwa.
• Chizungulire.
• Kugona tulo.
• Pakamwa pouma.
• Kuwonjezeka kwa chilakolako.
• Kulemera.

Kumbukirani, mndandanda uwu suli ndi zotsatirapo zonse zomwe zingachitike. Ngati mukukumana ndi vuto linalake lachilendo kuwonjezera pa izi, lankhulani ndi dokotala wanu za izi. Musaope zotsatirapo zake, koma ndikofunikira kudziwa.

Kodi mumasunga bwanji mankhwala awa?

Ndikofunikanso kwambiri kusunga mankhwala anu moyenera.

• Sungani pamalo omwe ana sangafikire komanso omwe sangafikire.
• Iyenera kusungidwa kutentha kwa chipinda, kutanthauza pakati pa madigiri 15 ndi 30 Celsius (15 ndi 30 digiri Celsius kapena 59 ndi 86 digiri F).
• Tetezani ku dzuwa lachindunji ndi chinyezi. Choncho musaisunge m'malo onyowa monga m'bafa.
• Musagwiritse ntchito mankhwala otha ntchito. Tayani.

Chinthu chofunika kwambiri chomwe tiyenera kukumbukira (Uthenga Wopita Nawo Kunyumba)

Chabwino, takambirana zambiri za 'Mirtazapine.' Pomaliza, nazi zinthu zofunika kwambiri zomwe muyenera kukumbukira:

• Mirtazapine ndi mankhwala ochizira kuvutika maganizo. Imathandiza kukonza maganizo anu mwa kuyika mankhwala muubongo wanu.
• Musanagwiritse ntchito mankhwalawa, uzani dokotala wanu zonse zokhudza thanzi lanu.
• Imwani mankhwalawo monga momwe dokotala wanu wakuuzani, panthawi yoyenera, komanso muyeso woyenera. Musasiye kumwa mankhwalawo popanda upangiri wa dokotala wanu.
• Dziwani zotsatirapo zoyipa zomwe zingachitike mukamamwa mankhwala, ndipo ngati zitachitika, uzani dokotala wanu nthawi yomweyo.
• Uzani dokotala wanu za mankhwala ena aliwonse kapena mankhwala azitsamba omwe mukumwa, chifukwa angagwirizane ndi mankhwalawa.
• Samalani chifukwa zingayambitse kugona ndi chizungulire. Pewani kumwa mowa.

Matenda a kuvutika maganizo ndi vuto lomwe lingakhudze aliyense. Lingathe kuchiritsidwa ndi chithandizo choyenera. `Mirtazapine` ndi mankhwala amodzi okha omwe angathandize. Ngati muli ndi mafunso ena okhudza mankhwalawa, musazengereze kufunsa dokotala wanu. Iye ndiye munthu amene angakuthandizeni bwino kwambiri. Ndikukufunirani kuti muchire mwachangu!

Kuvutika maganizo, mirtazapine, Remeron, mankhwala oletsa kuvutika maganizo, thanzi la maganizo, zotsatirapo zake, mankhwala