Mantha akulu omwe anthu ambiri amakhala nawo akayamba kumwa mankhwala ochepetsa kuvutika maganizo ndi zotsatira zake zoyipa. Ndizachilendo kukhala ndi mafunso monga "Kodi izi zindipangitsa kumva bwino?", "Kodi zidzakhudza moyo wanga wogonana?", "Kodi padzakhala mavuto ena?". Lero tikambirana za mtundu watsopano wa mankhwala womwe uli ndi zotsatirapo zochepa kuposa zina. Umenewo ndi mankhwala oletsa kuvutika maganizo otchedwa NDRI. Ngati dokotala wanu wakupatsani mtundu uwu wa mankhwala, nkhaniyi idzakhala yofunika kwambiri kwa inu.
Kodi NDRI ndi chiyani? Imagwira ntchito bwanji?
Mwachidule, malingaliro athu a chisangalalo, chisoni, ndi zochita zathu zimayendetsedwa ndi mankhwala omwe ali muubongo otchedwa neurotransmitters. Muzochitika monga kuvutika maganizo, kulinganiza kwa mankhwala amenewa kumasokonezeka pang'ono. Mitundu yosiyanasiyana ya mankhwala oletsa kuvutika maganizo imasintha malingaliro athu mwa kukhudza mankhwala amenewa m'njira zosiyanasiyana.
NDRI ndi chidule cha Norepinephrine ndi Dopamine Reuptake Inhibitors . Mankhwalawa amagwira ntchito makamaka powonjezera kuchuluka kwa ma neurotransmitters awiri muubongo otchedwa Norepinephrine ndi Dopamine. Izi zimakhudza kwambiri kukhala maso ndi chimwemwe chathu.
Mankhwala okhawo a NDRI omwe alipo ku Sri Lanka ndi Bupropion . Dokotala wanu mwina adalemba mankhwalawo pansi pa dzina lodziwika bwino monga Wellbutrin . Nthawi zina amawonjezeredwa ku mankhwala ena oletsa kuvutika maganizo kwa anthu omwe sanayankhe mokwanira mankhwala ena oletsa kuvutika maganizo. Bupropion imaperekedwanso ndi madokotala pansi pa dzina lodziwika bwino la Zyban ngati chithandizo chosiya kusuta.
Ubwino umodzi waukulu wa NDRIs ndi wakuti sizingayambitse zotsatira zoyipa, monga kunenepa kwambiri kapena kuchepa kwa chilakolako chogonana, zomwe zimapezeka ndi mankhwala ena ambiri oletsa kuvutika maganizo.
Zotsatira zoyipa zofala (koma osati zoopsa)
Monga mankhwala ena aliwonse, ma NDRI amatha kukhala ndi zotsatirapo zazing'ono. Koma zambiri mwa izi zimakhala zakanthawi kochepa . Izi zikutanthauza kuti, nthawi zambiri zimatha pakatha milungu ingapo mutagwiritsa ntchito mankhwalawa thupi lanu likayamba kuzolowera.
| Zotsatira Zam'mbali | Zinthu zoti muchite ndi zinthu zoti mudziwe |
|---|---|
| Pakamwa pouma | Izi ndi zotsatira zoyipa kwambiri. Imwani madzi ambiri, yamwani ayezi, tsukani mano anu nthawi zonse. Kuchepetsa kumwa zinthu monga mowa, khofi, ndi kusuta fodya kumathandizanso. |
| Kusanza/Kusanza | Izi zitha kuchepetsedwa kwambiri ngati mankhwalawo atengedwa pamodzi ndi chakudya. |
| Kusowa tulo | Mankhwala a NDRI angayambitse vuto la kugona kwa anthu ena chifukwa amawalimbikitsa pang'ono. Ngati muli ndi vutoli, pewani kumwa mlingo wanu womaliza wa tsikulo pafupi kwambiri ndi nthawi yogona. |
| Mutu | Izi nthawi zambiri zimatha patangopita masiku ochepa kuchokera pamene mankhwalawo ayamba. |
| Kuchepetsa Thupi | Ngakhale kuti mankhwala ambiri oletsa kuvutika maganizo amadandaula za kunenepa kwambiri, NDRIs ingakuthandizeni kuchepetsa thupi pang'ono. |
| Nkhawa | Zinthu monga masewera olimbitsa thupi, yoga, ndi kusinkhasinkha zingathandize kukhazika mtima pansi. |
| Chizungulire | Izi zingachitike mukadzuka molawirira kwambiri. Dzukani pang'onopang'ono ndipo imwani madzi ambiri. |
| Kudzimbidwa | Kudya zakudya zokhala ndi ulusi wambiri (zipatso, ndiwo zamasamba, nyemba), kuchita masewera olimbitsa thupi, ndi kumwa madzi ambiri kungathandize. |
Kuwonjezera pa izi, zotsatirapo zina zomwe sizichitika kawirikawiri ndi monga kugunda kwa mtima mofulumira, kupweteka pakhosi, kugwedezeka kosalamulirika, kutupa pakhungu, thukuta, kulira m'makutu, kupweteka m'mimba, kupweteka kwa minofu, komanso kukodza pafupipafupi.
Zotsatirapo zoyipa zomwe muyenera kuzisamala nazo
Izi sizichitika kawirikawiri, koma tiyenera kuzidziwa bwino. Ngati mukukumana ndi vuto lotere, muyenera kuuza dokotala wanu nthawi yomweyo.
1. Kugwidwa ndi khunyu
Kwa anthu ambiri, chiopsezochi n'chochepa kwambiri. Komabe, chiopsezochi chikhoza kukhala chachikulu pang'ono kwa munthu amene ali ndi matenda awa:
- Ngati muli ndi vuto la kudya (Anorexia kapena Bulimia)
- Ngati mudadwalapo khunyu kale
- Ngati mwavulala mutu kwambiri
- Ngati muli ndi matenda a chiwindi
- Ngati muli ndi chizolowezi chomwa mowa kapena kugwiritsa ntchito mankhwala osokoneza bongo
2. Kuthamanga kwa Magazi Kwambiri
Dokotala wanu adzayang'ana kuthamanga kwa magazi anu nthawi zonse mukayamba kumwa mankhwalawo. Izi ndizofunikira kwambiri ngati mukugwiritsa ntchito zinthu monga nicotine patches kuti musiye kusuta.
3. Kupanikizika kwa maso (Angle-closure Glaucoma)
Uwu ndi vuto la maso lomwe lingabwere mwadzidzidzi. Lingayambitsenso kutayika kwa masomphenya. Ngati muli ndi ululu wa maso, kusintha kwa masomphenya, kutupa kapena kufiira m'maso mwanu kapena mozungulira maso anu , uzani dokotala wanu nthawi yomweyo.
4. Maganizo Odzipha
Izi ndizofunikira kwambiri. Pa nthawi yoyamba kugwiritsa ntchito mankhwala aliwonse oletsa kuvutika maganizo, kuphatikizapo NDRIs, pali mwayi wochepa kwambiri woti anthu ena (makamaka achinyamata) adzavutika ndi kuvutika maganizo kapena maganizo ofuna kudzipha.
Ngati inu kapena munthu amene mumamudziwa akumva mkwiyo waukulu, kusokonezeka maganizo, chisoni, mantha, kapena malingaliro ena achilendo komanso ovuta kwambiri pamene mukumwa mankhwalawa, ndikofunikira kuyimbira dokotala wanu nthawi yomweyo kapena kupita ku chipatala chapafupi cha Emergency Department (ETU).
Kuyanjana ndi mankhwala ena
Izi ndizofunikira kwambiri. Muyenera kuuza dokotala wanu za mankhwala onse omwe mumamwa, kuphatikizapo mavitamini, zowonjezera zitsamba, komanso mankhwala omwe simumagula ku ofesi ya dokotala. Mankhwala ena amatha kuwonjezera chiopsezo cha khunyu akaphatikizidwa ndi NDRIs. Mankhwala ena amathanso kuchepetsa mphamvu ya NDRIs.
Onetsetsani kuti mwafunsa dokotala wanu ngati kuli kotetezeka kumwa NDRIs, makamaka ngati mukumwa chilichonse mwa izi:
- Mankhwala oletsa kuvutika maganizo a MAOI (ngati atengedwa mkati mwa milungu iwiri)
- Mankhwala ena aliwonse oletsa kuvutika maganizo
- Mowa ndi mankhwala osokoneza bongo
- Mankhwala oletsa matenda amisala
- Mankhwala a khunyu
- Zolimbikitsa
- Mitundu ya Ma Steroid
- Mankhwala a insulin ndi mankhwala ena a shuga
- Maantibayotiki ena
- Beta-blockers
- Mankhwala a matenda a mtima
- Mankhwala opha ululu okhala ndi codeine
- Mapiritsi ogonetsa ndi otonthoza
Chofunika kwambiri: Musamwe mankhwala oposa limodzi okhala ndi Bupropion (monga kumwa Wellbutrin ndi Zyban pamodzi). Kumwa mankhwala ochulukirapo (kupitirira muyeso) kungayambitse zotsatirapo zoyipa, khunyu, kapena imfa.
Nthawi yoti muyimbire dokotala
Ngakhale mutakumana ndi zotsatirapo zazing'ono, uzani dokotala wanu za izi. Iye akhoza kusintha mlingo kapena kukupatsani mankhwala ena kuti athetse zotsatirapo zake. Komanso, onetsetsani kuti mwadziwitsa dokotala wanu ngati muli ndi pakati, mukufuna kutenga pakati, kapena ngati mukuyamwitsa.
Ngati muli ndi zizindikiro zotsatirazi, ndi zadzidzidzi . Imbani dokotala wanu nthawi yomweyo kapena pitani ku chipatala chapafupi cha Emergency Treatment Unit (ETU) . Ngati mukukayikira kuti mwamwa mankhwala opitirira muyeso, mutha kuyimbiranso National Poisons Information Centre ku Colombo National Hospital .
| Zadzidzidzi! Funsani upangiri wa dokotala nthawi yomweyo. | |
|---|---|
| Chizindikiro | Kufotokozera |
| Kugwidwa ndi khunyu | Ngati thupi likugwedezeka mosalamulirika. |
| Kuona zinthu molakwika | Ngati mukuona kapena kumva zinthu zomwe sizilipo kwenikweni. |
| Kukomoka | Ngati mwadzidzidzi mwataya chidziwitso ndikugwa. |
| Kusintha kwa kugunda kwa mtima | Ngati mukumva ngati mtima wanu ukugunda mofulumira kwambiri, mokweza kwambiri, pang'onopang'ono kwambiri, kapena mosakhazikika. |
Uthenga Wopita Nawo Kunyumba
- Ma NDRI ndi mtundu wotetezeka wa mankhwala oletsa kuvutika maganizo ndipo ali ndi zotsatirapo zochepa zofala, monga kunenepa kwambiri komanso kuchepa kwa chilakolako chogonana.
- Zotsatirapo zazing'ono monga kuuma pakamwa ndi kusowa tulo zingachitike, koma nthawi zambiri zimatha pakatha milungu ingapo.
- Ndikofunikira kudziwitsa dokotala wanu za mankhwala ena onse, mavitamini, ndi mankhwala azitsamba omwe mukumwa.
- Musasiye kumwa mankhwala kapena kusintha mlingo popanda upangiri wa dokotala.
- Ngati mukukumana ndi zizindikiro zazikulu monga khunyu, kutaya chidziwitso, kapena kusintha kwakukulu kwa maganizo, funani thandizo lachipatala nthawi yomweyo.
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