Kodi dokotala wanu wakupatsani mankhwala otchedwa Paroxetine? Mwina mwapatsidwa mankhwala awa kuti akuthandizeni kuthana ndi kutentha thupi, zomwe ndi zizindikiro zofala za kusamba. Ndizachilendo kukhala ndi mafunso ndi nkhawa zina zokhudza mankhwala atsopanowa. Chifukwa chake musadandaule, tidzakufotokozerani zonse zomwe muyenera kudziwa zokhudza mankhwalawa, kuphatikizapo momwe amagwirira ntchito, zotsatira zake, ndi zinthu zomwe muyenera kusamala nazo.
Kodi mankhwala otchedwa Paroxetine ndi chiyani kwenikweni?
Mwachidule, Paroxetine ndi mankhwala omwe ali m'gulu la mankhwala otchedwa SSRI (Selective Serotonin Reuptake Inhibitor) . Chabwino, tsopano mwina mukudabwa kuti SSRI ndi chiyani. Ubongo wathu uli ndi mankhwala otchedwa 'Serotonin'. Ndi neurotransmitter yomwe imalamulira zinthu monga chisangalalo chathu ndi momwe timamvera.
Paroxetine imagwira ntchito poyesa kuchuluka kwa serotonin muubongo mpaka pamlingo winawake. Izi zingathandize kuwongolera zizindikiro zakuthupi za kusamba, monga thukuta kwambiri ndi kutentha thupi. Kuphatikiza apo, gulu lomweli la mankhwala limagwiritsidwanso ntchito pochiza matenda monga kupsinjika maganizo ndi nkhawa.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwalawa
Ndikofunikira kwambiri kuuza dokotala wanu za thanzi lanu musanayambe kumwa Paroxetine. Izi zili choncho chifukwa matenda ena sangagwirizane ndi mankhwalawa. Ngati pali vuto lililonse lomwe latchulidwa patebulo ili lomwe likukhudzanani, onetsetsani kuti mwadziwitsa dokotala wanu.
| Mkhalidwe umene ungakukhudzeni | N’chifukwa chiyani muyenera kuuza dokotala? |
|---|---|
| Ngati inu kapena wina m'banja mwanu ali ndi matenda a bipolar . | Mankhwalawa angayambitse kusintha kwachilendo kwa maganizo (manic episodes). |
| Ngati muli ndi matenda otsegula magazi. | Paroxetine ingawonjezere pang'ono chiopsezo cha kutuluka magazi. |
| Ngati muli ndi glaucoma , matenda a kuthamanga kwa magazi m'maso. | Mankhwalawa angawonjezere kuthamanga kwa maso. |
| Ngati muli ndi matenda a mtima, impso, kapena chiwindi. | Mlingo wa mankhwala ungafunike kusinthidwa kapena chisamaliro chapadera chingafunike. |
| Ngati mulingo wa sodium m'magazi ndi wotsika (Sodium yochepa). | Mankhwalawa angachepetse kwambiri kuchuluka kwa sodium m'thupi. |
| Ngati mudadwalapo khunyu kale. | Chifukwa chiopsezo cha khunyu chikhoza kuwonjezeka. |
| Ngati munakhalapo ndi maganizo, mapulani, kapena zoyesayesa zodzipha. | Mankhwalawa angawonjezere maganizo amenewa mwa anthu ena, makamaka achinyamata. |
| Ngati mukumwa mankhwala a MAOI (monga Carbex, Marplan). | Kumwa mankhwala amitundu iwiriyi pamodzi kungakhale koopsa kwambiri. |
| Ngati mukuyesera kutenga mimba, muli ndi pakati, kapena mukuyamwitsa. | Popeza mankhwalawa amatha kukhudza mwana wosabadwa, ndikofunikira kulankhula ndi dokotala wanu za vutoli. |
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
Izi n'zosavuta. Imwani mankhwalawo monga momwe dokotala wanu wanenera, panthawi yake yomwe mwapatsidwa.
- Nthawi: Mankhwalawa nthawi zambiri amatengedwa kamodzi patsiku, nthawi yogona .
- Chakudya: Mungathe kumwa ichi muli ndi chakudya kapena ayi. Chimwani m'njira yomwe ikuyenererani.
- Chofunika kwambiri: Musamwe mankhwala ochulukirapo kuposa momwe dokotala wanu wanenera.Komanso, khalani ndi chizolowezi chomwa mankhwala anu nthawi yoyenera.
Nanga bwanji ngati ndaphonya mlingo wa mankhwala?
Ngati mwadzidzidzi mwaiwala kumwa mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe mlingo wowirikiza kawiri pazifukwa zilizonse.
Kodi mungachite chiyani ngati mwamwa mankhwala ochulukirapo mwangozi?
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo molakwika, musachite mantha. Pitani ku Dipatimenti Yothandiza Anthu Odwala Mwadzidzidzi (ETU) ya chipatala chapafupi nanu nthawi yomweyo. Kapena, imbani National Poisons Information Centre ku Colombo National Hospital ndikupempha upangiri kwa dokotala.
Mankhwalawa aperekedwa kwa inu nokha. Musapatse wina aliyense, ngakhale atanena kuti zizindikiro zanu ndi zofanana.
Mankhwala ena ndi zinthu zina zomwe sizigwirizana ndi mankhwalawa
Paroxetine imatha kuyanjana ndi mankhwala ena, zakudya zina zowonjezera, ndi mowa. Chifukwa chake, muyenera kuuza dokotala wanu za mankhwala onse omwe mukumwa (kuphatikizapo mavitamini ndi mankhwala azitsamba).
| Mankhwala omwe sayenera kumwedwa ndi Paroxetine | |
|---|---|
| Linezolid | Thioridazine |
| Pimozide | Methylene buluu (monga jakisoni) |
| Mankhwala a MAOI (monga Carbex, Eldepryl, Marplan, Nardil, Parnate) | |
| Mankhwala ena ndi zinthu zina zomwe zingagwirizane (uzani dokotala ngati mukumwa izi) | |
| Mowa | Aspirin ndi mankhwala ena ofanana ndi amenewa ochepetsa ululu |
| Mankhwala omwe amaletsa magazi kuundana (monga Warfarin) | NSAIDs (monga Ibuprofen, Naproxen) |
| Mankhwala ena a matenda amisala | Mankhwala ena omwe amagwiritsidwa ntchito pa mutu waching'alang'ala (monga Sumatriptan) |
| Mankhwala ochizira kugunda kwa mtima kosakhazikika | Mankhwala amphamvu ochepetsa ululu monga Tramadol ndi Fentanyl |
| Zowonjezera za zitsamba monga wort ya St. John | Mankhwala ena monga Digoxin, Cimetidine, ndi Ritonavir |
Zinthu zofunika kusamala nazo mukamamwa mankhwala
- Yang'anirani momwe zinthu zikuyendera: Samalani ngati zizindikiro zanu zikuchepa kapena zikuipiraipira. Lankhulani ndi dokotala wanu za izi nthawi zonse.
- Samalani thanzi lanu la maganizo: Izi ndizofunikira kwambiri. Makamaka mukayamba kumwa mankhwala, yang'anirani kusintha kwadzidzidzi kwa malingaliro anu kapena khalidwe lanu. Mwachitsanzo, nkhawa, kukwiya, kuvutika kuganizira, kapena vuto la kugona. Ngati muli ndi maganizo ofuna kudzipha kapena mukumva kuti kuvutika maganizo kwanu kukukulirakulira, lankhulani ndi dokotala nthawi yomweyo.
- Kugona ndi chizungulire: Mankhwalawa angakupangitseni kugona kapena kuzungulire. Choncho, pewani kuyendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani. Samalani mukadzuka pampando wokhala pansi kapena podzuka pabedi, makamaka ngati ndinu okalamba.
- Mowa: Pewani kumwa mowa wonse mukamamwa Paroxetine. Mowa ukhoza kuwonjezera zotsatirapo zoyipa za mankhwalawa.
- Pakamwa pouma: Ngati mukumva ngati pakamwa panu pauma, mutha kupeza mpumulo mwa kutafuna chingamu chopanda shuga ndikumwa madzi pang'ono pafupipafupi.
Zotsatirapo zoyipa za mankhwalawa
Monga mankhwala ena onse, Paroxetine ingayambitse zotsatirapo zina, ngakhale kuti si aliyense amene amalandira.
| Zotsatirapo zoyipa zomwe zimafuna chithandizo chamankhwala mwachangu | |
|---|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime. |
| Kutuluka magazi kosazolowereka | Zakuda, ndowe zochedwa, masanzi omwe amaoneka ngati khofi wophikidwa, ndi madontho ofiira kapena ofiirira pakhungu. |
| Kusintha kwa kugunda kwa mtima | Kugunda kwa mtima mofulumira, chizungulire, kupweteka pachifuwa, kuvutika kupuma. |
| Matenda a Serotonin | Kusakhazikika, kupsinjika kwa minofu, kunjenjemera, thukuta kwambiri, kutentha thupi, kugwedezeka. |
| Kusintha kwa maso | Kupweteka kwa maso mwadzidzidzi, kusawona bwino, kuona mphete mozungulira magetsi. |
| Kusintha kwa maganizo | Maganizo ofuna kudzipha, kuvutika maganizo kwambiri. |
| Kawirikawiri si nkhani yaikulu (koma uzani dokotala ngati ikupitirira) | |
| Kusanza, kusasangalala m'mimba | Kutsegula m'mimba |
| Thukuta kwambiri | Kugwedezeka m'manja |
| Kusintha kwa chilakolako kapena ntchito yogonana | |
Uthenga Wopita Nawo Kunyumba
- Nthawi zonse imwani Paroxetine monga momwe dokotala wanu wanenera, mu mlingo woyenera komanso panthawi yoyenera.
- Musasiye kumwa mankhwala kapena kusintha mlingo mwakufuna kwanu. Ngati mwasiya, chitani pang'onopang'ono, motsogozedwa ndi dokotala wanu.
- Uzani dokotala wanu za mankhwala ena onse, mavitamini, ndi mankhwala azitsamba omwe mukumwa.
- Ngati muwona zotsatirapo zilizonse zoyipa (makamaka kusintha kwa maganizo, kutuluka magazi kosazolowereka), funsani upangiri wa dokotala nthawi yomweyo.
- Pewani kumwa mowa mukamamwa mankhwalawa.
- Mankhwalawa ndi a inu nokha. Musagawane ndi wina aliyense.
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