Nthawi zina, vuto monga kuvutika maganizo silingathe kuchiritsidwa pogwiritsa ntchito mankhwala amodzi okha. Ngati mwakumanapo ndi izi, dokotala wanu angakulangizeni kapisozi wapadera wopangidwa pophatikiza mankhwala awiri otchedwa Olanzapine ndi Fluoxetine. Uwu ndi mankhwala amphamvu kwambiri. Choncho, tiyeni tikambirane zonse momveka bwino komanso mosavuta.
Kodi kwenikweni chimachitika ndi mankhwala awa ndi chiyani?
Mwachidule, iyi ndi mankhwala omwe amaperekedwa kuti athetse vuto lanu la kuvutika maganizo. Madokotala nthawi zambiri amalemba mankhwalawa ngati mankhwala ena oletsa kuvutika maganizo sanagwire ntchito. Amagwiritsidwanso ntchito pochiza matenda otchedwa bipolar depression.
Izi kwenikweni ndi kuphatikiza kwa mitundu iwiri ya mankhwala.
1. Olanzapine: Iyi ndi mankhwala omwe ali m'gulu la mankhwala oletsa matenda amisala.
2. Fluoxetine: Iyi ndi mankhwala oletsa kuvutika maganizo omwe ali m'gulu la SSRI (Selective Serotonin Reuptake Inhibitor).
Mankhwala awiriwa amagwira ntchito limodzi kuti azitha kuyendetsa bwino ntchito za ma neurotransmitter awiri muubongo wathu, dopamine ndi serotonin . Awa ndi mankhwala omwe amathandiza kuwongolera zinthu monga momwe timamvera, chisangalalo, ndi tulo. Choncho izi zikayenda bwino, maganizo anu amakhala bwino.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwalawa
Izi ndizofunikira kwambiri. Dokotala wanu ayenera kudziwa mbiri yonse ya matenda anu asanakupatseni mankhwala awa. Chifukwa chake, ngati muli ndi vuto lililonse lomwe latchulidwa pansipa, onetsetsani kuti mwauza dokotala wanu za vutoli.
| Matenda kapena vuto | Zambiri zomwe ziyenera kudziwitsidwa |
|---|---|
| Thanzi la maganizo | Ngati inu kapena wachibale wanu ali ndi matenda a bipolar. Ngati mukufuna kudzivulaza, mwakonzekera kutero, kapena mwayesa kutero. |
| Matenda a mtima ndi kuthamanga kwa magazi | Ngati muli ndi matenda a mtima, kugunda kwa mtima kosasinthasintha, sitiroko, cholesterol yokwera, kuthamanga kwa magazi kotsika, ndi zina zotero. |
| Mavuto okhudzana ndi magazi | Matenda otuluka magazi, matenda monga kuchepa kwa maselo oyera a m'magazi, maselo ofiira a m'magazi, kapena ma platelet ngati mukumwa mankhwala ochepetsa magazi. |
| Matenda ena | Matenda a shuga, matenda a chiwindi, khunyu, glaucoma, matenda a Parkinson, mavuto a prostate, matenda a dementia. |
| Ntchito ya thupi | Kuvuta kumeza, kudzimbidwa, kutsekeka kwa matumbo, kuvutika kukodza, komanso kuvutika kulamulira minofu. |
| Zizolowezi ndi ziwengo | Ngati ndinu wosuta fodya, mwina munakhalapo ndi vuto la Olanzapine, Fluoxetine, kapena mankhwala ena kapena zakudya zina m'mbuyomu. |
| Mimba ndi kuyamwitsa | Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena mukuyamwitsa. |
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
- Imwani kapisozi iyi ndi kapu ya madzi.
- Imwani mankhwalawo monga momwe dokotala wanu wanenera, mu mlingo woyenera, komanso panthawi yoyenera. Yesani kuwamwa nthawi yomweyo tsiku lililonse.
- Izi zitha kumwedwa ndi chakudya kapena ayi. Komabe, ngati mukumva kupweteka m'mimba, ndi bwino kuzimwa mutadya.
- Pitirizani kumwa mankhwalawa mpaka dokotala wanu atakuuzani kuti musiye. Musasiye kumwa mwadzidzidzi, ngakhale mutamva bwino. Kuchita zimenezi kungayambitse zotsatirapo zoyipa kwambiri.
- Mankhwalawa nthawi zina amaperekedwa kwa ana azaka zopitirira 10, koma dokotala yekha ndiye angasankhe.
Nanga bwanji ngati ndaphonya mlingo wa mankhwala?
Ngati mwaiwala kumwa mlingo, imwani mwamsanga mukangokumbukira. Koma ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndi kumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe mlingo umodzi nthawi imodzi kuti mubwezeretse mlingo womwe mwaiwala.
Nanga bwanji ngati nditamwa mankhwala ochulukirapo?
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, pitani ku chipinda chadzidzidzi cha chipatala (ETU) nthawi yomweyo. Kapena imbani National Poisons Information Centre ku Colombo National Hospital .
Chofunika kwambiri: Mankhwalawa ndi a inu nokha. Musagawane ndi wina aliyense pazifukwa zilizonse.
Mankhwala ena omwe angagwirizane ndi mankhwalawa
Mukamamwa mankhwalawa, muyenera kudziwitsa dokotala wanu za mankhwala ena onse omwe mukumwa. Mankhwala ena amatha kuyanjana ndi mankhwalawa ndikuyambitsa matenda oopsa.
| Musamwe mankhwala awa ndi izi! | |
|---|---|
| MAOIs (monga Carbex, Nardil) | Linezolid, Methylene buluu, Pimozide, Thioridazine |
| Mankhwala ena okhala ndi Fluoxetine kapena Olanzapine (monga Prozac, Zyprexa) | Dronedarone, Metoclopramide |
| Uzani dokotala wanu ngati mukugwiritsa ntchito izi. | |
| Mowa | Aspirin ndi mankhwala ochepetsa ululu a mtundu wa NSAID (monga Ibuprofen, Naproxen) |
| Mankhwala omwe amaletsa magazi kuundana (monga Warfarin) | Mapiritsi ogonetsa, mankhwala ena a matenda amisala |
| Mankhwala ena omwe amagwiritsidwa ntchito pa mutu waching'alang'ala | Mankhwala othamanga magazi |
| Zowonjezera zitsamba monga St. John's Wort | Mankhwala amphamvu ochepetsa ululu monga Tramadol ndi Fentanyl |
Mndandandawu sunathe, choncho uzani dokotala wanu za mankhwala onse, mavitamini, kapena mankhwala azitsamba omwe mukumwa.
Zinthu zofunika kuziganizira mukamamwa mankhwala
- Pitani kuchipatala nthawi zonse: Pitani kuchipatala masiku omwe mwakonza kuti mukaone momwe zinthu zilili. Ngati zizindikiro zanu sizikusintha kapena zikuipiraipira, tidziwitseni.
- Matenda aakulu pakhungu: Anthu ena akhoza kukhala ndi matenda aakulu pakhungu milungu ingapo mutayamba kumwa mankhwalawa. Pitani kuchipatala mwamsanga ngati mukupeza mawanga ofiira kapena ofiirira pakhungu lanu, limodzi ndi malungo ndi kupweteka kwa thupi, zomwe pambuyo pake zimatupa ndikuyamba kutuluka.
- Maganizo ofuna kudzipha: Izi ndizofunikira kwambiri. Anthu ena angavutike kwambiri maganizo ndi kuganiza zodzivulaza akangoyamba kumwa mankhwala kapena atasintha mlingo.
Wodwalayo ndi banja lake ayenera kukhala maso pa izi. Ngati muwona kusintha kwadzidzidzi kwa malingaliro, monga nkhawa, nkhawa, kukwiya msanga, kapena kuvutika kugona, lankhulani ndi dokotala nthawi yomweyo.
- Kuchuluka kwa shuga m'magazi: Mankhwalawa angapangitse kuti shuga m'magazi achuluke. Ngati muli ndi matenda a shuga, yang'anani kuchuluka kwa shuga m'magazi anu nthawi zonse.
- Kugona ndi chizungulire: Mungamve ngati mukugona kapena mukuzungulire. Choncho , musayendetse galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani. Samalani mukadzuka pamalo omwe mukukhala, makamaka ngati ndinu okalamba.
- Mowa: Pewani kumwa mowa kotheratu mukamamwa mankhwalawa. Zingasokoneze mphamvu ya mankhwalawo ndikupangitsa kuti tulo tiwonjezeke.
- Pakamwa pouma: Pakamwa pouma ndi pabwinobwino . Izi zitha kulamulidwa ndi zinthu monga kutafuna chingamu chopanda shuga komanso kumwa madzi ambiri.
- Kutentha kwa thupi:Mankhwalawa angakhudze mphamvu ya thupi yolamulira kutentha. Izi zikutanthauza kuti mphamvu ya thupi yopirira kuzizira kwambiri kapena kutentha kwambiri ingachepe. Chifukwa chake, pewani kuchita masewera olimbitsa thupi m'malo otentha komanso kukhala padzuwa. Ngati nyengo ikuzizira, valani zovala zofunda.
Zotsatirapo zomwe zingachitike chifukwa cha mankhwala
Monga mankhwala ena aliwonse, izi zingayambitse zotsatirapo zoyipa. Dziwani zizindikiro zomwe zili pansipa.
| Ngati muli ndi zizindikiro izi, uzani dokotala wanu nthawi yomweyo. | |
|---|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime, komanso kuvutika kupuma. |
| Kutuluka magazi | Chimbudzi chakuda kapena chamagazi, masanzi ooneka ngati khofi wophikidwa, ndi madontho a magazi pakhungu. |
| Kusintha kwa kugunda kwa mtima | Kugunda kwa mtima mofulumira, kupweteka pachifuwa, chizungulire, kumva kukomoka. |
| Matenda a Malignant a Neuroleptic | Malungo aakulu, kuuma kwa minofu, thukuta kwambiri, komanso kusokonezeka maganizo. |
| Matenda a Serotonin | Nkhawa, chisokonezo, kugunda kwa mtima mofulumira, kugwedezeka kwa minofu, kutentha thupi kwambiri, kusanza, kutsegula m'mimba. |
| Zizindikiro za sitiroko | Kusanza kapena kufooka mbali imodzi ya nkhope, mkono, kapena mwendo, kuvutika kulankhula, kuvutika kuyenda. |
| Zizindikiro za Extrapyramidal (EPS) | Kusuntha ziwalo za thupi mosalamulirika, kugwedezeka, ndi njira yosazolowereka yoyendera. |
| Izi nthawi zambiri sizimakhala zoopsa, koma ngati zikupitirira, uzani dokotala wanu. | |
| Kugona tulo | Pakamwa pouma |
| Kuwonjezeka kwa njala | Kulemera |
| Kusintha kwa chilakolako kapena ntchito yogonana | Kumva kutopa |
Kodi mungasunge ndi kutaya mankhwala bwanji?
- Sungani mankhwalawa pamalo omwe ana ndi ziweto sangafikire .
- Sungani pamalo otentha (pakati pa 15-30 Celsius), kutali ndi chinyezi ndi kuwala kwa dzuwa, ndipo sungani botololo litatsekedwa bwino.
- Mukataya mankhwala otha ntchito kapena omwe simukuwafunanso, sakanizani ndi zinthu monga zinyalala za amphaka kapena khofi musanaziike m'zinyalala, ziyikeni m'thumba, zitsekeni bwino, kenako zitayeni.
Uthenga Wopita Nawo Kunyumba
- Mankhwala awa ndi amphamvu, choncho nthawi zonse imwani mlingo wolembedwa monga momwe dokotala wanu wanenera.
- Ngakhale mutamva bwino, musasiye kumwa mankhwala mwadzidzidzi popanda upangiri wa dokotala.
- Uzani dokotala wanu za mankhwala ena onse, mavitamini, ndi mankhwala azitsamba omwe mukumwa.
- Yang'anirani zizindikiro monga matenda aakulu a pakhungu, maganizo ofuna kudzipha, komanso kugunda kwa mtima kosazolowereka. Ngati muwona chilichonse mwa izi, funsani upangiri wa dokotala nthawi yomweyo.
- Pewani kumwa mowa mukamamwa mankhwala. Samalani kwambiri mukamayendetsa galimoto komanso mukamagwira ntchito zomwe zimafuna chisamaliro.
- Mankhwalawa angathandize kwambiri thanzi lanu la maganizo. Chifukwa chake, ndikofunikira kwambiri kulankhula momasuka ndi dokotala wanu ndikutsatira malangizo ake.
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