Kodi dokotala wanu wakupatsani inu kapena munthu wina m'banja mwanu mankhwala otchedwa Phenobarbital? Ngati ndi choncho, ndikofunikira kudziwa bwino lomwe kuti mankhwalawa ndi otani. Mungamve mantha pang'ono mukamva dzinalo, koma musadandaule. Tiyeni tikambirane za mankhwalawa mwachidule, zomwe amachita, momwe angagwiritsire ntchito, komanso zomwe muyenera kusamala nazo.
Kodi Phenobarbital ndi chiyani kwenikweni?
Mwachidule, ndi mankhwala omwe amatonthoza dongosolo lathu la mitsempha. Ganizirani za mitsempha muubongo wanu ngati kutumiza mauthenga ang'onoang'ono amagetsi. Mu vuto monga khunyu, lomwe limachitika pamene khunyu imachitika, mauthenga amagetsi amenewa amayamba kuyenda mofulumira kwambiri komanso mosakhazikika popanda kulamulira. Pamenepo ndi pamene khunyu imachitika.
Phenobarbital imagwira ntchito pochepetsa mitsempha yogwira ntchito mopitirira muyeso komanso kuletsa mauthenga amagetsi osokonezeka. Ichi ndichifukwa chake imagwiritsidwa ntchito kwambiri poletsa ndikuletsa khunyu .
Si zokhazo, madokotala amagwiritsa ntchito mankhwalawa pazifukwa zina zingapo:
- Pa nkhawa yaikulu: Chepetsani nkhawa zomwe zimakupangitsani kukhala chete.
- Kupangitsa wodwalayo kugona: Kumupatsa mpumulo wodwalayo ndikumupatsa tulo asanayambe opaleshoni.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwala
Izi ndizofunikira kwambiri. Kuti mukhale otetezeka, dokotala wanu ayenera kudziwa za matenda ena aliwonse omwe mungakhale nawo. Ngati muli ndi vuto lililonse lomwe latchulidwa pansipa, onetsetsani kuti mwadziwitsa dokotala wanu musanayambe kumwa mankhwalawa.
| Matenda kapena vuto | N’chifukwa chiyani muyenera kudziwitsa? |
|---|---|
| Ngati mumamwa mowa nthawi zonse | Kuphatikiza mowa ndi mankhwalawa kungayambitse kugona kwambiri komanso zotsatirapo zoopsa. |
| Matenda a impso | Popeza mankhwalawa amachotsedwa m'thupi kudzera mu impso, mlingo wake ungafunike kusinthidwa. |
| Matenda a chiwindi | Mankhwalawa amakonzedwa ndi chiwindi. Ngati chiwindi chili chofooka, mphamvu ya mankhwalawa ikhoza kuwonjezeka. |
| Matenda a m'mapapo monga mphumu | Mankhwalawa nthawi zina angapangitse kupuma kukhala kovuta pang'ono. |
| Matenda osowa otchedwa Porphyria | Mankhwalawa angapangitse kuti porphyria ikule kwambiri. |
| Ngati panali chizolowezi cha mankhwala osokoneza bongo | Popeza mankhwalawa amathanso kukhala osokoneza bongo, dokotala ayenera kudziwa zimenezo. |
| Ngati inu kapena wachibale wanu munaganizapo zodzipha | Mankhwalawa amatha kukhudza maganizo a anthu ena, choncho izi ndizofunikira kwambiri. |
| Ngati muli ndi pakati kapena mukufuna kutenga mimba | Mankhwalawa angakhudze mwana amene ali m'mimba. |
| Ngati mwana akuyamwitsa | Mankhwalawa amatha kupita kwa mwana kudzera mu mkaka wa m'mawere. |
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
- Mlingo woyenera: Imwani mlingo monga momwe dokotala wanu wanenera. Musawonjezere kapena kuchepetsa.
- Chipangizo choyezera: Popeza ichi ndi madzi, gwiritsani ntchito chikho kapena supuni yolembedwa mwapadera kuti muyese mankhwala. Musayese ndi supuni zapakhomo , chifukwa sizolondola. Ngati mulibe chipangizo choyezera chotere, mutha kufunsa dokotala wanu kapena wamankhwala kuti akupatseni chimodzi.
- Ndi chakudya: Ngati mukumva ngati muli ndi vuto la m'mimba, imwani mankhwalawo pamodzi ndi chakudya kapena kapu ya mkaka.
- Pa nthawi yake: Yesetsani kumwa mankhwala anu nthawi yomweyo tsiku lililonse. Izi zithandiza kuti milingo ya mankhwala m'thupi lanu ikhale yofanana.
- Musasiye mwadzidzidzi: Ichi ndiye chinthu chofunikira kwambiri. Ngati mumwa mankhwalawa kwa nthawi yayitali kenako n’kusiya mwadzidzidzi popanda upangiri wa dokotala, muli pachiwopsezo chachikulu chakuti khunyu lanu lizikula kwambiri . Ngati musiya, dokotala wanu adzachepetsa pang’onopang’ono mlingo.
Nanga bwanji ngati nditamwa mankhwala opitirira muyeso?
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, pitani ku Dipatimenti Yoona za Zadzidzidzi ya chipatala chapafupi (ETU) nthawi yomweyo . Ndicho chinthu chotetezeka kwambiri kuchita. Kapena, mutha kuyimbira National Poisons Information Centre ku Colombo National Hospital kuti mupeze upangiri.
Zinthu zina zomwe zingagwirizane ndi mankhwalawa
Phenobarbital ingagwirizane ndi mankhwala ena, choncho muyenera kuuza dokotala wanu za mankhwala ena onse omwe mukumwa (kuphatikizapo mavitamini ndi mankhwala azitsamba).
| Mankhwala omwe sayenera kumwedwa ndi mankhwalawa | |
|---|---|
| Mankhwala ena a HIV kapena Edzi (operekedwa pamodzi ndi cobicistat) | Primidone (iyi ndi mankhwala a khunyu) |
| Mitundu ina ya barbiturates | Voriconazole (mankhwala opha mavairasi) |
| Mankhwala ndi zinthu zina zomwe zingayambitse mavuto | |
| Mankhwala oledzeretsa kapena mowa | Mankhwala a matenda amisala ndi nkhawa |
| Mankhwala oletsa kuzizira (omwe ali ndi chimfine, ziwengo) | Mankhwala opha ululu (makamaka mankhwala amphamvu opha ululu) |
| Mapiritsi ogonetsa | Zopumulitsa minofu |
| Mitundu ya ma steroid (monga Prednisone) | |
Zinthu zofunika kukumbukira mukamamwa mankhwala
- Kugona ndi chizungulire: Mankhwalawa angakupangitseni kugona ndi chizungulire . Choncho , musayendetse galimoto (galimoto, njinga, njinga ya mawilo atatu) kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani. Ngati ndinu wokalamba, samalani mukadzuka kuchokera pamalo oyimirira kapena kuchokera pamalo okhala. Kupanda kutero, mungamve chizungulire ndikugwa.
- Matenda a pakhungu: Nthawi zina, ngakhale milungu ingapo mutayamba kumwa mankhwala, matenda aakulu a pakhungu amatha kuchitika. Ngati mumakhala ndi mawanga ofiira kapena ofiirira pakhungu lanu okhala ndi malungo, kupweteka kwa thupi, kenako matuza ndipo khungu limayamba kutseguka, pitani kwa dokotala nthawi yomweyo .
- Kuletsa kubereka: Mankhwalawa angapangitse kuti mapiritsi oletsa kubereka asagwire bwino ntchito . Choncho, ngati mukugwiritsa ntchito mapiritsi oletsa kubereka, lankhulani ndi dokotala wanu za kugwiritsa ntchito njira ina yolepheretsa kubereka (monga kondomu).
- Thanzi la maganizo: Anthu ena omwe akumwa mankhwalawa akhoza kukhala ndi maganizo odzipha kapena kuvutika maganizo. Ngati mukumva chisoni, mukumva kuti mulibe chiyembekezo, kapena mukuganiza zodzipha nokha, chonde musavutike nokha. Uzani dokotala wanu nthawi yomweyo .
Zotsatirapo zomwe zingakhalepo chifukwa cha mankhwalawa
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala nthawi yomweyo | |
|---|---|
| Ziwengo zoopsa | Kutupa pakhungu, kuyabwa, kutupa kwa milomo/lilime/nkhope, kuvutika kupuma. |
| Kusokonezeka kwa mitsempha yapakati (CNS depression) | Kupuma pang'onopang'ono kapena pang'ono, kugona tulo tochuluka, kusokonezeka, komanso kuvutika kudzuka. |
| Kusintha kwa maganizo | Maganizo ofuna kudzipha, kuvutika maganizo, kusokonezeka maganizo. |
| Zotsatirapo zomwe ziyenera kufotokozedwa kwa dokotala ngati zikupitirira kapena zikuvutitsa | |
| Chizungulire | Kugona tulo |
| Mutu | Kusanza |
Uthenga Wopita Nawo Kunyumba
- Phenobarbital ndi mankhwala ofunikira kwambiri polimbana ndi khunyu omwe ayenera kugwiritsidwa ntchito pokhapokha ngati dokotala walangiza.
- Imwani mlingo woyenera panthawi yoyenera. Musayese ndi supuni za tiyi kunyumba.
- Musasiye kumwa mankhwala mwadzidzidzi popanda kufunsa dokotala wanu. Kuchita zimenezi kungapangitse kuti khunyu liwonjezeke kwambiri.
- Pewani kumwa mowa kotheratu mukamamwa mankhwala.
- Pewani kuyendetsa galimoto ndi kuchita zinthu zoopsa chifukwa kugona kungabwere chifukwa cha tulo.
- Uzani dokotala wanu za mankhwala ena onse omwe mukumwa.
- Ngati muwona chilichonse monga ziphuphu pakhungu kapena kusintha kwa maganizo, funsani upangiri wa dokotala nthawi yomweyo.
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