Mankhwala oti muchepetse nkhawa: Tiyeni tikambirane za Perphenazine; mapiritsi a Amitriptyline!

Mwina ndinu munthu amene akuvutika ndi chisoni, kapena nkhawa chabe. Nthawi zina zinthuzi zimakhala zovuta pang'ono, ndipo zimakhala zovuta kuchita ntchito zanu za tsiku ndi tsiku, sichoncho? Lero tikambirana za mankhwala omwe madokotala nthawi zambiri amalangiza omwe angakuthandizeni. Uwu ndi kuphatikiza kwa mankhwala awiri otchedwa perphenazine ndi amitriptyline.

Kodi mankhwalawa ndi chiyani? (Perphenazine; Amitriptyline) Kodi amagwira ntchito yanji?

Mwachidule, piritsi la mtundu uwu lotchedwa Perphenazine; Amitriptyline imagwiritsidwa ntchito pochiza matenda amisala monga kupsinjika maganizo ndi nkhawa . Nthawi zina, ingagwiritsidwenso ntchito pa matenda monga schizophrenia .

Taganizirani izi, ubongo wathu uli ndi mankhwala omwe amathandiza kulamulira maganizo athu, khalidwe lathu, ndi maganizo athu. Zili ngati injini ya galimoto. Mankhwalawa amatchedwa Dopamine, Norepinephrine, ndi Serotonin . Chomwe mankhwalawa amachita ndikuthandiza kubwezeretsa kuchuluka kwa mankhwala amenewo muubongo mpaka pamlingo wina, kuthandiza kukonza maganizo anu. Ndi kuphatikiza kwa mankhwala awiri: limodzi ndi mankhwala oletsa matenda amisala , ndipo linalo ndi mankhwala oletsa kupsinjika maganizo otchedwa tricyclic antidepressant (TCA) . Mankhwala oletsa matenda amisalawa amagwiritsidwa ntchito pochiza matenda osiyanasiyana amisala.

Mankhwalawa angakupatseninso dokotala wanu pa matenda ena. Choncho ngati muli ndi mafunso, ndi bwino kufunsa dokotala wanu kapena wamankhwala.

Mankhwalawa amapezeka pamsika pansi pa mayina monga Etrafon, Etrafon-A, ndi Triavil .

Kodi ndiyenera kumuuza chiyani dokotala wanga ndisanayambe kugwiritsa ntchito mankhwalawa?

Iyi ndi mfundo yofunika kwambiri. Musanayambe kumwa mankhwalawa, pali zinthu zingapo zomwe muyenera kuuza dokotala wanu kapena gulu la opereka chithandizo. Izi ziwathandiza kusankha ngati mankhwalawa ndi oyenera kwa inu kapena ngati muyenera kusamala kwambiri.

Nazi zinthu zimenezo:

• Kodi muli ndi vuto la maganizo monga matenda a bipolar ?
• Kodi munayamba mwakhalapo ndi vuto la matumbo anu, kapena panopa, lomwe latsekeka?
• Kodi muli ndi matenda a dementia , matenda oiwalaiwala?
• Kodi muli ndi matenda a shuga ? Ngati ndi choncho, kodi mukuwaletsa?
• Kodi muli ndi vuto lililonse pomeza chakudya?
• Kodi muli ndi glaucoma ?
• Kodi mukuvutika kulamulira minofu yanu?
• Kodi munayamba mwavulalapo mutu kwambiri kale?
• Kodi muli ndi matenda a mtima? (Izi ndizofunikira kwambiri, chifukwa mankhwalawa amatha kukhudza kugunda kwa mtima)
• Kodi mumamwa mowa nthawi zonse?
• Kodi muli ndi matenda a impso?
• Kodi muli ndi matenda a chiwindi?
• Kodi muli ndi kuchuluka kochepa kwa maselo a m'magazi, mwachitsanzo, maselo oyera a m'magazi, ma platelet, kapena maselo ofiira a m'magazi?
• Kodi magazi anu amayenda mochedwerako?
• Kodi muli ndi matenda a m'mapapo kapena vuto la kupuma, monga mphumu ?
• Kodi muli ndi matenda a Parkinson ?
• Kodi pali vuto lotchedwa pheochromocytoma ?
• Kodi munakhalapo ndi khunyu kale?
• Kodi inuyo kapena wina aliyense m'banja mwanu adaganizapo zodzipha, mapulani kapena kuyesa kudzipha?
• Kodi muli ndi matenda a chithokomiro?
• Kodi mukuvutika kukodza?
• Kodi muli ndi vuto la amitriptyline, perphenazine, mankhwala ena, zakudya, utoto, kapena zosungira?
• Kodi muli ndi pakati kapena mukufuna kutenga mimba?
• Kodi ndinu mayi woyamwitsa?

Ngati chilichonse mwa zinthuzi chikukukhudzani, uzani dokotala wanu popanda kubisa chilichonse .

Kodi mumagwiritsa ntchito bwanji mankhwalawa molondola?

Mankhwalawa ayenera kumwedwa pakamwa, ndi kapu ya madzi. Imwani monga momwe zalembedwera pa chizindikiro cha mankhwala, panthawi yake komanso kuchuluka kwa mankhwala omwe mwapatsidwa. Mutha kumwa musanadye kapena mutatha kudya. Ndikofunikira kwambiri kumwa mlingo woyenera panthawi yoyenera. Musamwe mankhwala ochulukirapo kuposa momwe dokotala wanenera, kapena kumwa pafupipafupi.

Chofunika kwambiri: Musasiye kumwa mankhwalawa mwadzidzidzi popanda upangiri wa dokotala. Kuchita zimenezi kungayambitse zotsatirapo zoyipa kapena kukulitsa vuto lanu.

Mukalandira mankhwala awa kuchokera ku pharmacy, mudzalandira kabuku ka malangizo apadera (MedGuide) . Muyenera kuwerenga izi mosamala nthawi iliyonse mukalandira mankhwalawo kapena mukadzadzazanso, chabwino? Ali ndi zambiri zofunika kwa inu.

Muyenera kusamala kwambiri popereka mankhwalawa kwa ana, choncho lankhulani ndi gulu lanu lachipatala za izi.

Kumwa Mopitirira Muyeso: Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, imbani malo owongolera poizoni kapena chipinda chodzidzimutsa kuchipatala nthawi yomweyo.

Chinthu china: Mankhwalawa ndi a inu nokha. Musawagawire ndi wina aliyense.

Kodi mumatani ngati mwaphonya mlingo wa mankhwala?

Ngati mwaphonya mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yoti mutenge mlingo wotsatira yayandikira, thawani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe milingo iwiri nthawi imodzi kuti mubwezeretse mlingo womwe mwaphonya. Kuchita izi kungayambitse zotsatirapo zoyipa.

Ndi mankhwala ena ati omwe angagwirizane ndi mankhwalawa?

Iyi ndi mfundo yofunika kwambiri. Mankhwala ena, monga perphenazine, angayambitse mavuto akamwedwa pamodzi ndi amitriptyline.

Musamwe mankhwalawa pamodzi ndi mankhwala awa:

• Linezolid
• Mankhwala a MAOI (monga Carbex, Marplan, Nardil, Parnate, ndi Xadago)
• Buluu wa Methylene
• Metoclopramide

Mankhwalawa angagwirizanenso ndi zotsatirazi:

• Mowa
• Mankhwala ena a ziwengo, chifuwa, ndi chimfine (Antihistamines)
• Atropine
• Mankhwala ena a matenda a chikhodzodzo (monga oxybutynin, tolterodine)
• Mankhwala ena ochizira kuvutika maganizo, nkhawa, kapena matenda amisala
• Mankhwala ena omwe amagwiritsidwa ntchito pochiza kugunda kwa mtima kosakhazikika (monga amiodarone, dofetilide, encainide, flecainide, propafenone, quinidine)
• Mapiritsi ena ogonetsa
• Mankhwala ena a matenda am'mimba (monga dicyclomine, hyoscyamine)
• Mankhwala ena ochizira matenda oyenda (monga scopolamine)
• Cimetidine
• Epinephrine
• Ethchlorvynol
• Mankhwala oletsa ululu (monga halothane, isoflurane, methoxyflurane, propofol)
• Ipratropium
• Levodopa kapena mankhwala ena a matenda a Parkinson
• Lithiamu
• Mankhwala ochepetsa kuthamanga kwa magazi
• Mankhwala oletsa kupweteka kwa mutu (monga phenobarbital, primidone, phenytoin)
• Mankhwala opumulira minofu ochitidwa opaleshoni
• Mankhwala osokoneza bongo ochepetsa ululu
• Topiramate

Mndandandawu sunathe. Chifukwa chake, uzani dokotala wanu za mankhwala onse, zitsamba, mankhwala osaperekedwa ndi dokotala, ndi zowonjezera zakudya zomwe mukumwa. Uzaninso dokotala wanu ngati mumasuta fodya, mumamwa mowa, kapena mumagwiritsa ntchito mankhwala osokoneza bongo. Zinthu zina zingakhudze mankhwala anu.

Kodi muyenera kusamala ndi chiyani mukamamwa mankhwalawa?

Pitani kwa dokotala wanu nthawi zonse kuti mukayezedwe nthawi zonse pamene mukumwa mankhwala awa. Uzani dokotala wanu ngati zizindikiro zanu sizikusintha kapena ngati zikuipiraipira. Monga tanenera kale, musasiye kumwa mankhwala popanda upangiri wa dokotala wanu. Kuchita zimenezi kungayambitse vuto lalikulu. Dokotala wanu adzakuuzani kuchuluka kwa mankhwala oyenera kumwa.

Chisamaliro chapadera: Odwala ndi mabanja awo ayenera kukhala tcheru ndi maganizo atsopano kapena oipiraipira ofuna kudzipha kapena kuvutika maganizo. Komanso, khalani tcheru ndi kusintha kwadzidzidzi kwa malingaliro, monga kusokonezeka maganizo, kusakhazikika, mantha, kukwiya, udani, nkhanza, kusakhazikika maganizo, kusangalala kwambiri, kusangalala kwambiri komanso kuchita zinthu mopitirira muyeso, kapena kusowa tulo. Ngati izi zitachitika, lankhulani ndi gulu lanu lazachipatala nthawi yomweyo, makamaka kumayambiriro kwa chithandizo kapena mutasintha mlingo wanu.

• Kugona/Kuzunguzika: Mankhwalawa angakupangitseni kugona kapena kuzunguzika. Choncho, musayendetse galimoto, kugwiritsa ntchito makina, kapena kuchita china chilichonse chomwe chimafuna kuganizira bwino mpaka mutadziwa bwino momwe mankhwalawa amakukhudzirani. Musaime kapena kukhala tsonga mwadzidzidzi, makamaka ngati ndinu okalamba. Izi zingachepetse mwayi wokhala ndi chizungulire kapena kukomoka.
• Mowa: Mowa ungasokoneze mphamvu ya mankhwalawa. Choncho, pewani kumwa mowa.
• Mankhwala ena: Musamwe mankhwala a chifuwa, chimfine, kapena ziwengo popanda kufunsa dokotala wanu kaye. Zina mwa zosakaniza zomwe zili mu mankhwalawa zimatha kuwonjezera zotsatirapo zake.
• Kuchuluka kwa shuga m'magazi: Mankhwalawa angawonjezere kuchuluka kwa shuga m'magazi. Ngati muli ndi matenda a shuga, funsani gulu lanu la zaumoyo ngati mukufuna kusintha zakudya kapena mankhwala anu.
• Pakamwa pouma: Pakamwa panu pakhoza kukhala pouma. Kutafuna chingamu chopanda shuga, kuyamwa maswiti olimba opanda shuga, ndi kumwa madzi ambiri kungathandize kuthetsa vutoli. Uzani gulu lanu lazaumoyo ngati vutoli likupitirira kapena lakula kwambiri.
• Maso ouma ndi kusawona bwino: Mankhwalawa angayambitse maso ouma ndi kusawona bwino. Ngati muvala ma contact lens, mungakhale ndi vuto linalake. Mafuta odzola m'maso angathandize. Ngati vutoli likupitirira kapena ndi lalikulu, onani dokotala wa maso anu.
• Kudzimbidwa: Mankhwalawa angayambitse kudzimbidwa. Yesani kuchita chimbudzi kamodzi pa masiku awiri kapena atatu aliwonse. Ngati simukuchita chimbudzi patatha masiku atatu, imbani gulu lanu la zaumoyo.
• Kuzindikira kwa dzuwa:Mankhwalawa angakuthandizeni kukhala omasuka kwambiri ndi kuwala kwa dzuwa. Choncho, pewani kuwala kwa dzuwa. Ngati muyenera kutuluka padzuwa, valani zovala zodzitetezera ndipo pakani mafuta oteteza ku dzuwa. Musagwiritse ntchito nyali za dzuwa kapena mabedi/mahema opaka utoto.
• Mavuto oletsa kutentha kwa thupi: Mankhwalawa angayambitse mavuto ndi kulamulira kutentha kwa thupi lanu. Angachepetse momwe thupi lanu limayankhira kuzizira. Pewani kutuluka nthawi yozizira momwe mungathere. Ngati muyenera kutuluka, valani zovala zofunda. Angachepetsenso momwe thupi lanu limayankhira kutentha. Choncho pewani kutentha kwambiri. Musamachite masewera olimbitsa thupi mopitirira muyeso. Pewani kuwala kwa dzuwa momwe mungathere. Ngati muyenera kutuluka padzuwa, valani zovala zopepuka, zozizira. Imwani madzi ambiri. Ngati mukuvutika kulamulira kutentha kwa thupi lanu, lankhulani ndi gulu lanu lazaumoyo nthawi yomweyo.
• Opaleshoni: Ngati mukufuna opaleshoni iliyonse, uzani gulu lanu lachipatala kuti mukumwa mankhwala awa.

Kodi zotsatirapo zake zingakhale zotani chifukwa cha mankhwalawa?

Monga mankhwala ena aliwonse, mankhwalawa angayambitse zotsatira zina zoyipa. Zina sizowopsa, koma zina ziyenera kufotokozedwa kwa dokotala nthawi yomweyo.

Zotsatirapo zomwe ziyenera kufotokozedwa kwa dokotala/gulu la mankhwala nthawi yomweyo:

• Matenda a ziwengo: kutupa pakhungu, kuyabwa, ziphuphu, kutupa kwa nkhope, milomo, lilime, kapena pakhosi.
• Kusintha kwa kayimbidwe ka mtima: kugunda kwa mtima mofulumira kapena kosakhazikika, chizungulire, kukomoka, kupweteka pachifuwa, kuvutika kupuma.
• Matenda a Neuroleptic Malignant Syndrome (NMS) angaphatikizepo: kutentha thupi kwambiri, kuuma kwa minofu, thukuta lowonjezeka, kugunda kwa mtima mofulumira kapena kosakhazikika, komanso kusokonezeka maganizo.
• Kuchuluka kwa prolactin: Kukula kosayembekezereka kwa bere, kutuluka kwa mabele m'mabere, kusintha kwa chilakolako chogonana kapena ntchito yake, kusakhazikika kwa msambo.
• Matenda: Malungo, kuzizira, chifuwa, kapena kupweteka pakhosi.
• Kuthamanga kwa magazi kotsika: chizungulire, kukomoka, kusawona bwino.
• Kupweteka kwa maso mwadzidzidzi kapena kusintha kwa masomphenya: mwachitsanzo, kusawona bwino, kuona kuwala kozungulira magetsi, kapena kutaya masomphenya.
• Maganizo odzipha kapena kudzivulaza, kuipiraipira kwa maganizo, kuvutika maganizo.
• Zizindikiro za Extrapyramidal (EPS) zingaphatikizepo: kuyenda kosalamulirika komanso kobwerezabwereza kwa thupi, kuuma kwa minofu kapena kugwedezeka, kunjenjemera, kulephera kulinganiza bwino kapena mavuto ogwirizana, kusakhazikika, kuyenda mosinthasintha.

Zotsatirapo zomwe nthawi zambiri sizifuna chithandizo chamankhwala (koma ngati zikupitirira kapena zikukuvutitsani, dziwitsani dokotala/gulu lanu la mankhwala):

• Kusintha kwa chilakolako kapena ntchito yogonana
• Kudzimbidwa
• Chizungulire
• Kugona tulo
• Pakamwa pouma
• Kulemera

Mndandandawu suli ndi zotsatirapo zonse zomwe zingachitike. Lankhulani ndi dokotala wanu kuti akupatseni upangiri wa zamankhwala wokhudza zotsatirapo zake.

Kodi mumasunga bwanji mankhwalawa kukhala otetezeka?

Sungani mankhwalawa pamalo omwe ana sangawafikire .

Sungani kutentha kwa chipinda (20 mpaka 25 digiri Celsius, 68 mpaka 77 digiri Fahrenheit). Tetezani ku kuwala. Sungani botolo/paketi yotsekedwa bwino. Tayani mankhwala aliwonse omwe atha ntchito.

Kumbukirani chinthu chofunika kwambiri! (Uthenga Wopita Nawo Kunyumba)

Chabwino, takambirana zambiri za mankhwala otchedwa Perphenazine; Amitriptyline, sichoncho? Kumbukirani, awa ndi mankhwala ofunikira omwe angathandize thanzi lanu la maganizo. Koma, chofunika kwambiri ndikumwa monga momwe dokotala wanu wanenera, kuchuluka komwe mwakuuzani, komanso nthawi yomwe mwakuuzani.

Ngati muli ndi mafunso kapena nkhawa, onetsetsani kuti mwafunsa dokotala wanu, wamankhwala, kapena wothandizira zaumoyo. Musaganize chilichonse.

Kabuku aka ndi chidule chabe. Sikangathe kufotokoza zonse. Chifukwa chake, lankhulani ndi dokotala wanu ndipo tsatirani chithandizochi momwe mungathere. Ndikukufunirani kuti muchire mwachangu!

Perphenazine , amitriptyline, kuvutika maganizo, nkhawa, thanzi la maganizo, zotsatirapo zoyipa za mankhwala, matenda amisala