Dokotala wanu akakupatsani mankhwala otchedwa Nortriptyline, mungamve mantha pang'ono komanso kusokonezeka. Ndizachilendo kuti ambiri a ife timaganiza choncho tikamva "mankhwala a ubongo," "mankhwala a matenda amisala." Koma musadandaule. Izi zili ngati mankhwala ena onse a thupi lathu. Chabwino, tiyeni tifotokoze zonse zokhudza mankhwalawa mosavuta, ngati kuti tikulankhula ndi mnzanu.
Kodi mankhwala awa otchedwa Nortriptyline ndi chiyani?
Mwachidule, Nortriptyline ndi mankhwala omwe amagwiritsidwa ntchito pochiza kuvutika maganizo . Ndi m'gulu la mankhwala otchedwa tricyclic antidepressants (TCAs) .
Taganizirani izi motere: ubongo wathu uli ndi mankhwala omwe amagwira ntchito ngati amithenga ang'onoang'ono. Timatcha ma neurotransmitters awa. Amithenga awa amachita gawo lalikulu pakulamulira malingaliro athu, malingaliro monga chisangalalo ndi chisoni. Serotonin ndi norepinephrine ndi awiri mwa amithenga akuluakulu. Anthu omwe ali ndi vuto la kuvutika maganizo angakhale ndi kusalingana kwa mankhwala awa muubongo wawo. Nortriptyline imagwira ntchito pobwezeretsa kulinganiza kumeneko ndikuthandiza kukonza malingaliro anu.
Nthawi zina madokotala amagwiritsa ntchito mankhwalawa pa matenda ena, choncho ngati muli ndi mafunso, funsani dokotala wanu za vutoli.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwalawa
Izi ndizofunikira kwambiri. Kuti akuthandizeni bwino, dokotala wanu ayenera kudziwa mbiri yanu yonse ya thanzi. Ngati muli ndi vuto lililonse lomwe latchulidwa pansipa, onetsetsani kuti mwadziwitsa dokotala wanu musanayambe kumwa Nortriptyline.
| Matenda kapena vuto | N’chifukwa chiyani kuli kofunikira kuuza dokotala? |
|---|---|
| Zinthu monga matenda a mtima kapena Brugada syndrome | Mankhwalawa nthawi zina amatha kukhudza kugunda kwa mtima. |
| Matenda amisala monga bipolar disorder kapena schizophrenia | Zotsatira za mankhwala zimatha kusiyana, ndipo zizindikiro zimatha kukulirakulira. |
| Matenda a chiwindi | Kugwira ntchito kwa chiwindi n'kofunika chifukwa chiwindi chimathandiza kuchotsa mankhwala m'thupi. |
| Glaucoma kapena vuto pokodza | Mankhwalawa akhoza kuipitsa matendawo. |
| Kugwidwa ndi khunyu | Mankhwalawa angawonjezere pang'ono chiopsezo cha khunyu. |
| Matenda a chithokomiro | Pakhoza kukhala kuyanjana pakati pa mahomoni a chithokomiro ndi mankhwalawa. |
| Chizolowezi chomwa mowa | Kumwa mowa ndi mankhwala awa pamodzi kungapangitse kuti munthu agone komanso adwale matenda ena. |
| Maganizo ofuna kudzipha kapena kuyesa kale | Izi ndizofunikira kwambiri. Dokotala ayenera kudziwa izi. |
| Kukhala ndi pakati, kuyesa kutenga pakati, kapena kuyamwitsa | Muyenera kukambirana ndi dokotala wanu za zotsatira zomwe zingachitike pa mwana. |
| Kutupa kwa mankhwala ena, zakudya kapena zinthu zina | Muyenera kudziwitsa dokotala wanu ngati muli ndi vuto la nortriptyline kapena mankhwala ena a TCA. |
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
- Imwani mankhwalawa ndi kapu ya madzi. Imwani monga momwe dokotala wanu wanenera, panthawi yoyenera.
- Ndinakukumbutsani.Musamwe mlingo wowirikiza kawiri.
- Chofunika kwambiri: Musasiye kumwa mankhwalawa mwadzidzidzi popanda upangiri wa dokotala. Kuchita zimenezi kungakuike vuto lanu patsogolo ndikuyambitsa mavuto monga mutu ndi nseru. Ngati musiya kumwa mankhwalawo, chitani pang'onopang'ono komanso monga momwe dokotala wanu walangizira.
Chenjezo: Kuchuluka kwa mankhwala owonjezera
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, funsani National Poisons Information Centre ku National Hospital nthawi yomweyo. Kapena pitani ku Emergency Department (ETU) kuchipatala chapafupi. Mankhwalawa ndi anu okha. Musagawane ndi wina aliyense.
Kodi mungachite chiyani ngati mwaphonya mlingo wa mankhwala?
Ngati mwaphonya mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yatsala pang'ono yoti mutenge mlingo wotsatira, thawani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe milingo iwiri nthawi imodzi.
Zinthu zina zomwe zingayambitse mavuto ndi mankhwalawa (Kuyanjana)
Nortriptyline ndi mankhwala omwe angayambitse mavuto (kuyanjana) ndi mankhwala ena. Chifukwa chake, ndikofunikira kwambiri kuuza dokotala wanu za mankhwala onse omwe mukumwa, kuphatikiza mankhwala a ku Sinhala, mankhwala a Ayurvedic, mavitamini, ndi zowonjezera zomwe mumamwa kuchokera kwa dokotala wa banja lanu.
Musamwe mankhwala awa pamodzi ndi chilichonse!
Ngati mukumwa mankhwala otsatirawa, kumwa Nortriptyline n'koletsedwa kotheratu .
- Cisapride
- Dronedarone
- Linezolid
- Pimozide
- Thioridazine
- Mankhwala omwe ali mgulu la mankhwala otchedwa MAOIs (monga Carbex, Marplan)
- Methylene buluu (yomwe imalowa m'mitsempha)
Pakhoza kukhalanso mavuto ndi mankhwala awa.
Mankhwala otsatirawa angagwirizanenso ndi Nortriptyline. Choncho ngati mukumwa chilichonse mwa izi, uzani dokotala wanu.
- Mowa
- Mankhwala ena a ziwengo, chifuwa, ndi chimfine (Antihistamines)
- Mankhwala ena oletsa kuvutika maganizo (monga fluoxetine, sertraline)
- Mankhwala omwe amakhudza kugunda kwa mtima (mankhwala otalikitsa nthawi ya QT)
- Mankhwala ochepetsa ululu (monga tramadol)
- Mankhwala monga Cimetidine, Quinidine, Reserpine
- Mahomoni a chithokomiro
Zinthu zofunika kukumbukira mukamamwa mankhwala
Dziwani kusintha kwa maganizo.
Izi ndizofunikira kwambiri. Makamaka m'masabata oyamba oyamba kumwa mankhwala kapena mutasintha mlingo, ndikofunikira kuti inu ndi banja lanu mudziwe za nkhawa, kusakhazikika, kukwiya, kusowa tulo, kapena malingaliro ofuna kudzipha.Muyenera kusamala kwambiri. Ngati muwona kusintha kulikonse kotere, imbani dokotala wanu nthawi yomweyo.
Kugona ndi chizungulire
Mankhwalawa angakupangitseni kugona kapena kumva chizungulire. Choncho, musayendetse galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani. Makamaka ngati ndinu okalamba, musadzuke mwadzidzidzi kuchokera pamalo omwe mumakhala. Imirirani pang'onopang'ono pakapita kanthawi. Izi zichepetsa chiopsezo cha chizungulire ndi kugwa.
Mavuto ena ofala ndi mayankho awo
- Pakamwa pouma: Kutafuna chingamu chopanda shuga ndi kumwa madzi ambiri kungathandize.
- Maso ouma ndi kusawona bwino: Magalasi olumikizirana amatha kukhala osasangalatsa. Madontho opaka mafuta angagwiritsidwe ntchito. Ngati vutoli likupitirira, pitani kwa dokotala wa maso.
- Kudzimbidwa: Yesetsani kuchita chimbudzi kamodzi pa masiku awiri kapena atatu aliwonse. Idyani zakudya zambiri zokhala ndi ulusi wambiri, ndiwo zamasamba, ndi zipatso. Ngati simukuchita chimbudzi patatha masiku atatu, uzani dokotala wanu.
- Kumva kutentha kwa dzuwa: Khungu lanu likhoza kupsa kwambiri mukamwa mankhwalawa. Chifukwa chake, ngati mukufuna kukhala padzuwa, valani zovala zophimba thupi lanu ndipo gwiritsani ntchito mafuta oteteza ku dzuwa.
Zotsatirapo zoyipa za mankhwalawa
Monga mankhwala ena aliwonse, Nortriptyline ingayambitse zotsatirapo zina. Zina mwa izi ndi zoopsa, pomwe zina ndizofala.
| Zotsatira zoyipa | Kufotokozera |
|---|---|
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala wanu nthawi yomweyo | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Kusintha kwa kugunda kwa mtima | Kugunda kwa mtima mofulumira kapena kosasinthasintha, chizungulire, kupweteka pachifuwa, kuvutika kupuma. |
| Matenda a Serotonin | Kusakhazikika, kusokonezeka, thukuta kwambiri, kutentha thupi, kuuma kwa minofu kapena kunjenjemera, kusanza, kutsegula m'mimba. |
| Kugwidwa ndi khunyu | Kuyamba mwadzidzidzi kwa khunyu. |
| Kupweteka mwadzidzidzi kapena kusintha kwa mawonekedwe m'maso | Kuona molakwika, kuwona mphete mozungulira magetsi, kupweteka kwa maso. |
| Kuvuta kukodza | Kuvuta kukodza kapena kusatulutsa mkodzo. |
| Zotsatirapo zomwe nthawi zambiri sizili zoopsa, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Kugona kapena chizungulire | Izi zidzachepa thupi likayamba kuzolowera mankhwala. |
| Pakamwa pouma | Ikhoza kulamuliridwa mwa kumwa madzi ambiri. |
| Kudzimbidwa | Zingathe kulamuliridwa mwa kudya zakudya zambiri zokhala ndi ulusi wambiri komanso kumwa madzi ambiri. |
| Kusintha kwa chilakolako kapena ntchito yogonana | Lankhulani momasuka ndi dokotala wanu za izi. |
Kodi mumasunga bwanji mankhwala anu kukhala otetezeka?
Sungani mankhwalawa pamalo omwe ana sangafikire . Sungani kutentha kwa chipinda, kutali ndi dzuwa, mu chidebe chotsekedwa bwino. Tayani mankhwala otha ntchito.
Uthenga Wopita Nawo Kunyumba
- Nortriptyline ndi mankhwala omwe amagwiritsidwa ntchito pochiza kuvutika maganizo. Amathandiza kulimbitsa mphamvu za mankhwala muubongo komanso kusintha momwe munthu akumvera.
- Pewani kusiya kumwa mankhwala mwadzidzidzi popanda upangiri wa dokotala.
- Uzani dokotala wanu za mankhwala ena onse omwe mukumwa (kuphatikizapo mankhwala ogulitsidwa kunja kwa chipatala) komanso matenda aliwonse omwe muli nawo.
- Pa nthawi yoyamba ya chithandizo, inu ndi banja lanu muyenera kudziwa za momwe mukumvera (makamaka maganizo ofuna kudzipha). Ngati muwona kusintha kulikonse, dziwitsani dokotala wanu nthawi yomweyo.
- Zotsatira zoyipa zofala monga kugona tulo ndi pakamwa pouma zimatha kuchitika, ndipo ngati mukukumana ndi zotsatirapo zoyipa (kusintha kwa kugunda kwa mtima, ziwengo), funsani upangiri wa dokotala nthawi yomweyo.
- Ngati muli ndi nkhawa iliyonse yokhudza mankhwalawa, musaope kukambirana ndi dokotala wanu.
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