Kodi nthawi zambiri mumamva kuti muli ndi katundu wolemera m'maganizo mwanu, chisoni chachikulu, kapena kusowa chidwi ndi zinthu zomwe munkakonda kale? Dokotala wanu mwina adakupatsani Nortriptyline kuti akuthandizeni. Tiyeni tikambirane za mankhwalawa—zomwe amachita, momwe angagwiritsire ntchito bwino, ndi njira zofunika zodzitetezera zomwe muyenera kukumbukira.
Kodi Nortriptyline ndi mankhwala amtundu wanji?
Mwachidule, Nortriptyline ndi mankhwala omwe amagwiritsidwa ntchito pochiza kuvutika maganizo. Ubongo wanu umadalira mankhwala awiri ofunikira, serotonin ndi norepinephrine, kuti akuthandizeni kulamulira momwe mukumvera komanso kukhala bwino. Mankhwalawa amagwira ntchito powonjezera kuchuluka kwa mankhwala awa muubongo wanu, zomwe zimathandiza kukhazikika kwa malingaliro anu. Ndi a gulu la mankhwala otchedwa Tricyclic Antidepressants (TCAs). Nthawi zina, madokotala amathanso kukupatsani mankhwalawa pa matenda ena. Ngati muli ndi nkhawa, njira yabwino ndiyo kulankhula mwachindunji ndi dokotala wanu kapena wamankhwala ku Nirogi Lanka.
Mayina odziwika bwino a mankhwala awa ndi Aventyl ndi Pamelor, ngakhale mayina ena a mankhwala angakhalepo.
Kodi muyenera kukambirana chiyani ndi dokotala wanu musanayambe kumwa mankhwalawa?
Izi ndizofunikira kwambiri. Musanayambe kumwa Nortriptyline, pali zinthu zingapo zomwe dokotala wanu ayenera kudziwa kuti adziwe ngati mankhwalawa ndi otetezeka komanso oyenera kwa inu. Chonde onani ngati pali chilichonse mwa izi chomwe chikukukhudzani:
- Muli ndi vuto la maganizo monga matenda a Bipolar .
- Muli ndi vuto la mtima lotchedwa Brugada syndrome .
- Mumavutika kukodza.
- Muli ndi vuto la maso ( Glaucoma ).
- Muli ndi matenda ena aliwonse a mtima .
- Umamwa mowa .
- Muli ndi matenda a chiwindi .
- Muli ndi vuto la maganizo monga Schizophrenia .
- Muli ndi mbiri ya matenda a khunyu kapena khunyu.
- Muli ndi mbiri ya malingaliro, mapulani, kapena zoyesayesa zodzipha , kapena ngati wina m'banja mwanu ali ndi mbiri yotere.
- Muli ndi matenda a chithokomiro .
- Munakhalapo ndi vuto la Nortriptyline, mankhwala ena oletsa kuvutika maganizo a Tricyclic, kapena mankhwala ena aliwonse, zakudya, utoto, kapena zotetezera.
- Muli ndi pakati kapena mukukonzekera kutenga pakati.
- Mukuyamwitsa .
Ngati chilichonse mwa izi chikugwira ntchito, chonde khalani oona mtima ndipo muuzeni dokotala wanu izi.
Kodi muyenera kumwa bwanji mankhwalawa moyenera?
Imwani mankhwalawa monga momwe dokotala wanu wanenera. Ngati mukugwiritsa ntchito supuni kapena chikho chamadzimadzi, gwiritsani ntchito supuni yoyezera yapadera. Musagwiritse ntchito supuni za kukhitchini wamba, chifukwa sizipereka mlingo wolondola. Ngati mulibe chipangizo choyezera, funsani wamankhwala wanu kuti akupatseni chimodzi. Tsatirani mlingo ndi nthawi yomwe dokotala wanu wakupatsani. Musamwe mankhwala ochulukirapo kuposa omwe mwalangizidwa kapena kumwa mobwerezabwereza kuposa momwe mwalangizidwira.
Ndikofunikanso kuti musasiye kumwa mankhwalawa mwadzidzidzi popanda kufunsa dokotala wanu. Kuchita zimenezi kungayambitse zizindikiro zoopsa zosiya kumwa kapena kuipitsa thanzi lanu.
Katswiri wanu wa mankhwala adzakupatsani Buku Lotsogolera Mankhwala (MedGuide) pamodzi ndi mankhwala anu. Onetsetsani kuti mwawerenga izi mosamala nthawi iliyonse mukatenga mankhwala anu, kuphatikizapo kudzazanso mankhwala.
Ngati mwana akupatsidwa mankhwala awa, kambiranani bwino ndi dokotala wanu kuti muwonetsetse kuti akusamalidwa mwapadera.
Chofunika kwambiri: Mankhwalawa aperekedwa kwa inu. Musagawane ndi wina aliyense zivute zitani.
Chochita ngati munthu wamwa mopitirira muyeso?
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, kapena ngati wina wamwa mwangozi, imbani nthawi yomweyo chithandizo chadzidzidzi (911) kapena funsani dipatimenti yadzidzidzi yapafupi. Ichi ndi chithandizo chadzidzidzi chamankhwala.
Kodi mungachite chiyani ngati mwaphonya mlingo?
Ngati mwaphonya mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yoti mutenge mlingo wotsatira yayandikira, dumphani mlingo womwe mwaphonya ndikuyambiranso nthawi yanu yokhazikika. Musamwe mlingo wowirikiza kawiri kuti mubwezeretse womwe mwaphonya , chifukwa izi zingayambitse mavuto aakulu.
Ndi mankhwala ena ati omwe angagwirizane ndi mankhwalawa?
Izi zimafuna chisamaliro chosamala. Kumwa Nortriptyline ndi mankhwala ena kungayambitse mavuto. Muyenera kudziwitsa dokotala wanu za mankhwala aliwonse omwe mumamwa, kuphatikizapo zitsamba, mavitamini, ndi zowonjezera zakudya, komanso kugwiritsa ntchito fodya, mowa, kapena mankhwala osokoneza bongo.
Musamwe mankhwala awa ndi Nortriptyline:
Ngati mukugwiritsa ntchito zotsatirazi, nthawi zambiri sikotetezeka kumwa Nortriptyline; chonde kambiranani izi ndi dokotala wanu:
- Cisapride
- Dronedarone
- Linezolid
- MAOIs (monga Carbex, Eldepryl, Marplan, Nardil, ndi Parnate)
- Methylene blue (ikaperekedwa kudzera m'mitsempha)
- Pimozide
- Thioridazine
Mankhwala ena omwe angayambitse kuyanjana:
Mankhwala ena akhoza kusokoneza Nortriptyline. Chonde dziwitsani dokotala wanu ngati mukumwa chilichonse mwa izi:
- Mowa
- Mankhwala oletsa kugwidwa ndi matenda a chifuwa (antihistamines) (nthawi zambiri amagwiritsidwa ntchito pa matenda a chifuwa, chifuwa, kapena chimfine)
- Atropine
- Mankhwala ochizira mavuto a chikhodzodzo, monga oxybutynin kapena tolterodine
- Mankhwala ena oletsa kuvutika maganizo, monga amitriptyline, fluoxetine, kapena sertraline
- Mankhwala a matenda a Parkinson, monga benztropine kapena trihexyphenidyl
- Mankhwala am'mimba, monga dicyclomine kapena hyoscyamine
- Mankhwala oletsa kuyenda, monga scopolamine
- Chlorpropamide
- Cimetidine
- Ipratropium
- Mankhwala omwe angakhudze kugunda kwa mtima (omwe amatalikitsa nthawi ya QT), monga dofetilide
- Mankhwala omwe angayambitse matenda a Serotonin, monga St. John's Wort, fentanyl, lithium, tramadol, tryptophan, buspirone, ndi mankhwala a migraine monga sumatriptan kapena rizatriptan
- Quinidine
- Reserpine
- Mankhwala a chithokomiro
Mndandanda uwu si wokwanira. Nthawi zonse perekani dokotala wanu mndandanda wathunthu wa mankhwala onse, zowonjezera zitsamba, ndi zinthu zomwe mukumwa zomwe mukumwa pakadali pano.
Kodi muyenera kukumbukira chiyani mukamamwa mankhwalawa?
Pamene mukumwa mankhwalawa, inu ndi banja lanu muyenera kuyang'anira zotsatirazi:
- Yang'anirani zizindikiro zanu: Ngati zizindikiro zanu za kuvutika maganizo sizikuchepa kapena zikuoneka kuti zikuipiraipira, funsani dokotala nthawi yomweyo. Zingatenge milungu ingapo kuti muwone zotsatira zonse za mankhwalawa, choncho chonde pitirizani kumwa monga momwe mwalangizidwira.
- Maganizo ofuna kudzipha: Izi ndi nkhawa yaikulu. Ngati inu kapena banja lanu muwona malingaliro atsopano kapena oipiraipira ofuna kudzipha, kapena kusintha kwadzidzidzi kwa malingaliro—monga nkhawa yaikulu, kusokonezeka maganizo, mantha, kukwiya, udani, kusakhazikika maganizo, kusakhazikika maganizo, kapena kuvutika kugona—funsani dokotala nthawi yomweyo. Izi ndizofunikira kwambiri makamaka m'masabata oyamba a chithandizo kapena mutasintha mlingo.
- Kugona ndi chizungulire: Mankhwalawa angayambitse kugona kapena chizungulire. Mpaka mutadziwa momwe zimakukhudzirani, pewani kuyendetsa galimoto, kugwiritsa ntchito makina olemera, kapena kuchita ntchito zomwe zimafuna kuganizira kwambiri za thupi lanu. Ngati ndinu wamkulu, pewani kuyimirira kapena kukhala pansi mofulumira kwambiri kuti muchepetse chiopsezo cha chizungulire ndi kugwa.
- Mowa: Mowa ungasokoneze mphamvu ya mankhwalawa. Pewani kumwa mowa mukamamwa mankhwalawa.
- Mankhwala a chifuwa ndi chimfine: Musagule mankhwala a chifuwa, chimfine, kapena ziwengo kuchokera ku pharmacy popanda kufunsa dokotala wanu kaye, chifukwa zosakaniza zina zingayambitse kuyanjana koopsa ndi Nortriptyline.
- Pakamwa pouma: Izi ndi zotsatira zoyipa zomwe zimachitika kawirikawiri. Mutha kuzithetsa mwa kutafuna chingamu chopanda shuga, kuyamwa maswiti olimba opanda shuga, kapena kumwa madzi pafupipafupi. Ngati izi zikupitirira kapena zikukula kwambiri, lankhulani ndi dokotala wanu.
- Maso ouma ndi kusawona bwino: Mutha kukhala ndi maso ouma kapena osawona bwino. Ngati muvala ma contact lens, mungamve kusasangalala. Madontho a maso opaka mafuta angathandize. Ngati mavutowa akupitirira kapena ndi aakulu, funsani dokotala wa maso.
- Kudzimbidwa: Mankhwalawa angayambitse kudzimbidwa. Yesetsani kuchita chizolowezi chodzimbidwa nthawi zonse. Ngati simunachite chizolowezi chodzimbidwa kwa masiku atatu, funsani dokotala wanu.
- Kumva kukhudzidwa ndi dzuwa: Khungu lanu likhoza kukhala losakhudzidwa kwambiri ndi kuwala kwa dzuwa. Pewani kuwonetsedwa mwachindunji, valani zovala zodzitetezera, valani magalasi a dzuwa, ndipo pakani mafuta oteteza ku dzuwa. Musagwiritse ntchito nyali za dzuwa kapena mabedi opaka utoto.
Kodi zotsatirapo zake zingakhale zotani chifukwa cha mankhwalawa?
Monga mankhwala ena onse, Nortriptyline ingayambitse zotsatirapo zina. Zina zimakhala zoopsa ndipo zimafuna thandizo lachipatala mwamsanga, pomwe zina sizili zovuta kwambiri koma ziyenera kunenedwa ngati zikupitirira kapena zikuvutitsa.
Fufuzani chithandizo chamankhwala mwamsanga ngati mukukumana ndi izi:
Ngati mwakumana ndi chilichonse mwa zotsatirazi, pitani ku dipatimenti ya zadzidzidzi yapafupi kapena imbani ogwira ntchito zadzidzidzi nthawi yomweyo.
- Matenda a ziwengo: Kutupa pakhungu, kuyabwa, ziphuphu, kapena kutupa kwa nkhope, milomo, lilime, kapena pakhosi.
- Kusintha kwa kayimbidwe ka mtima: Kugunda kwa mtima mofulumira kapena kosakhazikika, chizungulire, kukomoka, kupweteka pachifuwa, kapena kupuma movutikira.
- Zizindikiro za matenda a Serotonin: Kukwiya, kusokonezeka, kugunda kwa mtima mofulumira kapena kosasinthasintha, kuuma kwa minofu kapena kugwedezeka, thukuta kwambiri, kutentha thupi kwambiri, khunyu, kunjenjemera, kusanza, kapena kutsegula m'mimba.
- Kugwidwa ndi khunyu.
- Kupweteka kwa maso mwadzidzidzi kapena kusintha kwa masomphenya: Monga kuwona molakwika, kuona kuwala kozungulira magetsi, kapena kutaya masomphenya.
- Maganizo ofuna kudzipha, maganizo odzivulaza, kusintha kwakukulu kwa maganizo, kapena kuvutika maganizo kwambiri.
- Kuvuta kukodza.
Zotsatira zoyipa zofala (nthawi zambiri sizifuna chisamaliro chadzidzidzi, koma dziwitsani dokotala wanu ngati zikupitirira):
Zotsatirapozi nthawi zambiri zimakhala bwino pakapita nthawi. Komabe, ngati zikupitiriza kukuvutitsani, chonde funsani dokotala wanu kuti akuthandizeni.
- Kusintha kwa chilakolako cha kugonana kapena magwiridwe antchito.
- Kudzimbidwa.
- Chizungulire.
- Kugona tulo.
- Pakamwa pouma.
- Kugwedezeka kapena kugwedezeka.
Mndandandawu sukuphatikizapo zotsatirapo zilizonse zomwe zingachitike. Ngati mukukumana ndi vuto lililonse lachilendo, chonde funsani dokotala wanu kuti akuthandizeni. Muthanso kuuza FDA za zotsatirapo zilizonse poyimbira 1-800-FDA-1088.
Kodi muyenera kusunga bwanji mankhwalawa?
Kusunga bwino mankhwalawa n'kofunika kwambiri kuti mankhwalawo akhalebe ogwira ntchito.
- Sungani pamalo omwe ana sangafikire. Izi ndizofunikira kwambiri, chifukwa kumwa mwangozi kungayambitse mavuto aakulu pa thanzi.
- Sungani kutentha kwa chipinda (pakati pa 15°C mpaka 30°C kapena 59°F mpaka 86°F).
- Sungani chidebecho motseka bwino.
- Tetezani ku kuwala. Pewani malo omwe ali ndi kuwala kwa dzuwa kapena kuwala kwamphamvu kwambiri.
- Musagwiritse ntchito mankhwala otha ntchito. Tayani mankhwala aliwonse otha ntchito mosamala.
Kumbukirani kuti kabuku aka ndi chidule chabe ndipo sikungakhale ndi tsatanetsatane uliwonse. Ngati muli ndi mafunso ena okhudza mankhwala anu, chonde lankhulani ndi dokotala wanu, wamankhwala, kapena wopereka chithandizo chamankhwala ku Nirogi Lanka.
Zikumbutso zofunika zomaliza
Nortriptyline ndi mankhwala othandiza kwambiri pa matenda monga kuvutika maganizo, koma amafunika kugwiritsidwa ntchito mosamala.
- Tsatirani malangizo a dokotala wanu molondola. Imwani pa mlingo ndi nthawi yomwe mwapatsidwa.
- Uzani dokotala wanu za mankhwala ena onse ndi zowonjezera zomwe mukumwa kuti mupewe kuyanjana ndi mankhwala.
- Yang'anirani zotsatirapo zake. Lumikizanani ndi dokotala nthawi yomweyo ngati muwona china chake chachilendo.
- Musasiye kumwa mankhwala mwadzidzidzi. Kuchita zimenezi popanda malangizo a dokotala kungayambitse mavuto.
- Ngati muli ndi nkhawa kapena nkhawa zilizonse, lankhulani ndi dokotala wanu. Musamasunge nkhawa zanu mumtima mwanu.
Tikukufunirani kuchira mwachangu!
👩🏽⚕️ Mafunso Ofunsidwa Kawirikawiri (Mafunso Ofunsidwa Kawirikawiri)
💬 Kodi Nortriptyline (Pamelor) imagwiritsidwa ntchito pa chiyani?
Poyamba adapangidwa kuti athetse kuvutika maganizo kwakukulu (tricyclic antidepressant kapena TCA), madokotala masiku ano nthawi zambiri amagwiritsa ntchito mankhwalawa pochiza ululu wosatha wa neuropathic (monga ululu wa mitsempha ya shuga) komanso ngati chithandizo chopewera mutu wobwerezabwereza.
💬 Kodi Nortriptyline imathandiza bwanji ndi ululu wa mitsempha ndi mutu waching'alang'ala?
Imakhudza mitsempha yanu mwa kuwonjezera kuchuluka kwa serotonin ndi norepinephrine muubongo. Mankhwalawa amathandiza kusintha njira zotsikira ululu mumsana, zomwe zimathandiza kuletsa zizindikiro za ululu zisanafike muubongo wanu.
💬 Kodi zotsatira zoyipa za Pamelor ndi ziti?
Monga TCA, zotsatira zofala za anticholinergic zimaphatikizapo pakamwa pouma, kudzimbidwa, kusawona bwino, komanso kuvutika kukodza (makamaka mwa amuna omwe ali ndi prostate yokulirapo). Zingayambitsenso hypotension ya orthostatic, yomwe ingayambitse chizungulire kapena kugwa munthu akaimirira mwadzidzidzi.
Mawu Ofunika: Nortriptyline, kuvutika maganizo, thanzi la maganizo, mankhwala, mankhwala oletsa kuvutika maganizo a tricyclic, zotsatira zake zoyipa, mankhwala osokoneza bongo
