Kodi nthawi zina mumamva ngati mukugwidwa ndi khunyu kapena muli ndi vuto la kugwedezeka? Kapena mumamva nkhawa kwambiri, mantha, popanda chifukwa chomveka? Dokotala wanu mwina adakupatsani mankhwala otchedwa Phenobarbital a vutoli. Chifukwa chake, lero tikambirana za mankhwala awa, zomwe amachitadi, komanso zomwe tiyenera kusamala kwambiri tikamawagwiritsa ntchito.

Kodi mankhwala awa otchedwa Phenobarbital ndi chiyani?

Mwachidule, Phenobarbital ndi mankhwala omwe amathandiza kuwongolera ndikuletsa khunyu mwa anthu omwe ali ndi khunyu. Sikuti amangotero, komanso nthawi zina amaperekedwa kuti achepetse nkhawa komanso kutonthoza maganizo ndikukupangitsani kumva tulo pang'ono, monga momwe zimakhalira musanachite opaleshoni . Taganizirani izi, zinthu monga khunyu zimachitika pamene mitsempha mkati mwa ubongo wathu ikugwira ntchito kwambiri. Chomwe mankhwalawa amachita ndikuchepetsa mitsempha yogwira ntchito mopitirira muyeso.

Mankhwalawa angakupatseninso madokotala pa matenda ena, choncho ngati muli ndi mafunso ena okhudza izi, ndi bwino kufunsa dokotala wanu kapena wamankhwala.

Kodi mankhwalawa amagwira ntchito bwanji m'thupi lathu?

Chabwino, tsopano tiyeni tiwone momwe izi zimagwirira ntchito mkati mwa thupi. Kulimbikitsa kwambiri, kutanthauza kuchita zinthu mopitirira muyeso, kwa mitsempha ina m'thupi lathu, ndi komwe nthawi zambiri kumayambitsa khunyu ndi nkhawa kwambiri. Mankhwalawa otchedwa Phenobarbital amagwira ntchito pochepetsa mitsempha yogwira ntchito mopitirira muyeso. Izi zikutanthauza kuti, amalamulira zizindikiro zosafunikira zomwe zimadutsa m'mitsempha ndikuchepetsa ntchito ya ubongo pang'ono. Izi ndi zomwe zimachepetsa kuchitika kwa khunyu ndikutonthoza malingaliro.

Ndi zinthu ziti zomwe ndiyenera kuuza dokotala ndisanayambe kugwiritsa ntchito mankhwalawa?

Musanayambe kumwa Phenobarbital, ndikofunikira kuuza dokotala wanu za izi. Izi ndizofunikira kwambiri chifukwa izi zithandiza dokotala wanu kusankha ngati mankhwalawa ndi oyenera kwa inu komanso kuchuluka kwa mankhwala omwe angakupatseni.

• Ngati mumamwa mowa nthawi zonse: Mankhwalawa angayambitse mavuto ena akamwedwa ndi mowa.
• Ngati muli ndi matenda a impso.
• Ngati muli ndi matenda a chiwindi.
• Ngati muli ndi matenda a m'mapapo kapena mavuto opuma.
• Ngati muli ndi vuto lotchedwa porphyria: Ili ndi matenda obadwa nawo.
• Ngati mwakhala mukugwiritsa ntchito mankhwala osokoneza bongo kapena munakhala mukugwiritsa ntchito mankhwala osokoneza bongo kale (matenda ogwiritsira ntchito mankhwala osokoneza bongo).
• Ngati inu kapena wina m'banja mwanu munaganizapo zodzipha, mwakonzekera kutero, kapena mwayesa kutero.
• Ngati muli ndi vuto la ziwengo chifukwa cha phenobarbital, ma barbiturates ena, mankhwala ena aliwonse, lactose, chakudya, utoto, kapena zotetezera.
• Ngati muli ndi pakati kapena mukufuna kutenga mimba.
• Ngati ndinu mayi woyamwitsa.

Ndikofunikira kwambiri kuti mukhale otetezeka kuuza dokotala popanda kubisa zinthu izi, eti?

Kodi mumagwiritsa ntchito bwanji mankhwalawa molondola?

Mankhwalawa amabwera ngati mapiritsi. Muyenera kumeza piritsi ndi kapu ya madzi. Tsatirani malangizo omwe ali pa chizindikiro cha mankhwala chomwe dokotala wanu wakupatsani monga momwe alembedwera. Imwani mankhwalawo panthawi yoyenera komanso muyeso woyenera. Musamwe mopitirira muyeso kapena mopitirira muyeso kuposa momwe dokotala wanu wanenera.

Chofunika kwambiri ndichakuti ngati mupitiliza kugwiritsa ntchito mankhwalawa, musasiye mwadzidzidzi popanda upangiri wa dokotala. Ngati mutero, mungakhale pachiwopsezo chachikulu cha khunyu . Ngati pakufunika kutero, dokotala wanu adzachepetsa pang'onopang'ono mlingo wa mankhwalawa.

Ngati mupatsa ana mankhwalawa: Muyenera kusamala kwambiri. Dokotala wanu adzakuuzani za izi.

Anthu opitirira zaka 65: Mutha kukhala ndi zotsatirapo zoopsa kwambiri kuchokera ku mankhwalawa, kotero mutha kupatsidwa mlingo wocheperako.

Kodi mungachite chiyani ngati mwaphonya mlingo wa mankhwala?

Ngati izi zitachitika, imwani mlingo womwe mwaphonya mwamsanga mukangokumbukira. Komabe, ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe yakonzedwa. Musamwe kawiri kapena kuposerapo nthawi iliyonse.

Chimachitika ndi chiyani ngati mumwa mopitirira muyeso? (Kupitirira muyeso)

Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, pitani ku chipatala chapafupi kapena imbani malo owongolera poizoni nthawi yomweyo. Iyi si masewera, ndi chinthu chomwe chiyenera kuonedwa mozama.

Chinanso, mankhwalawa ndi a inu nokha. Musagawane ndi wina aliyense.

Kodi pali mankhwala ena omwe angagwirizane ndi mankhwalawa?

Inde, pali mankhwala ena omwe angayambitse mavuto akamwedwa ndi Phenobarbital. Choncho muyenera kuuza dokotala wanu za mankhwala onse omwe mukumwa (mavitamini, zitsamba, ngakhale mankhwala ogulitsidwa kunja kwa chipatala).

Musamwe Phenobarbital pamodzi ndi mankhwala awa:

• Mankhwala ena a HIV kapena Edzi omwe amaperekedwa pamodzi ndi cobicistat.
• Ma barbiturates ena.
• Mankhwala otchedwa Primidone (amaperekedwanso kwa khunyu).
• Voriconazole ndi mankhwala opha tizilombo toyambitsa matenda.

Phenobarbital ingathenso kuyanjana ndi:

• Mowa kapena mankhwala okhala ndi mowa.
• Mitundu ya mankhwala oletsa kutupa (mankhwala a chimfine ndi ziwengo).
• Mankhwala ochizira kuvutika maganizo, nkhawa, kapena matenda ena amisala.
• Mankhwala ena ochepetsa ululu, mwachitsanzo, ochepetsa ululu amphamvu monga Tramadol.
• Mankhwala ogonetsa.
• Zopumulitsa minofu.
• Mankhwala a steroid, mwachitsanzo prednisone kapena cortisone.

Mndandandawu suli wokwanira, choncho ngati mukusuta fodya, kumwa mowa, kapena kugwiritsa ntchito mankhwala osokoneza bongo, uzani dokotala wanu za vutoli.

Kodi ndi zinthu ziti zomwe tiyenera kusamala nazo makamaka tikamamwa Phenobarbital?

Pitani kwa dokotala nthawi zonse kuti mukayezedwe nthawi zonse kuti muwone ngati thanzi lanu lili bwino mukamamwa mankhwalawa.

• Matenda aakulu pakhungu: Matenda aakulu pakhungu angachitike milungu ingapo kapena miyezi mutayamba kumwa mankhwalawa. Uzani dokotala wanu nthawi yomweyo ngati mukuyamba kutupa ndi malungo komanso zizindikiro zofanana ndi chimfine. Matendawa amatha kukhala ofiira kapena ofiirira, kenako amatuluka matuza ndi khungu. Kapena ngati muli ndi kutupa pankhope, milomo, khosi, kapena m'khwapa, muyenera kuuza dokotala wanu nthawi yomweyo.

• Ngati mukumwa mankhwala a khunyu: Ndikofunikira kwambiri kunyamula khadi losonyeza kuti muli ndi khunyu ndipo limalemba mankhwala omwe mumamwa, komanso kuvala chibangili kapena mkanda wosonyeza kuti ndinu dokotala.

• Kugona kapena chizungulire: Mankhwalawa angakupangitseni kugona kapena kumva chizungulire. Choncho, musayendetse galimoto, kugwiritsa ntchito makina, kapena kuchita chilichonse chomwe chimafuna kusamala mpaka mutadziwa momwe mankhwalawa amakukhudzirani. Makamaka ngati ndinu okalamba, musayime kapena kukhala tsonga mwadzidzidzi. Izi zingachepetse mwayi woti mugone chizungulire ndi kugwa.

• Mowa: Kumwa mowa kungasokoneze mphamvu ya mankhwalawa. Choncho, pewani kumwa mowa.

• Kupewa mimba:Ngati mukumwa mapiritsi oletsa kubereka (estrogen ndi/kapena progestin), kumwa phenobarbital kungachepetse mphamvu yawo. Chifukwa chake, lankhulani ndi dokotala wanu za kugwiritsa ntchito njira ina yoletsa kubereka, monga kondomu.

• Maganizo ofuna kudzipha: Anthu ena angakhale ndi maganizo kapena zochita zambiri zokhudza kudzipha akamamwa mankhwalawa. Ngati mukukumana ndi kusintha kwa maganizo anu, kusowa chiyembekezo, kapena kuganiza zomwalira, muyenera kuuza dokotala wanu nthawi yomweyo. Izi ndizofunikira kwambiri.

• Pa nthawi ya mimba: Pali mapulogalamu apadera a amayi omwe amatenga mimba akumwa mankhwalawa (monga North American Antiepileptic Drug Pregnancy Registry). Mapulogalamuwa apangidwa kuti asonkhanitse zambiri zokhudza chitetezo cha mankhwala oletsa khunyu panthawi ya mimba. Dokotala wanu angakuuzeni zambiri za izi.

• Kusowa kwa mavitamini: Mankhwalawa angayambitse kuchepa kwa vitamini D ndi folic acid. Choncho, onetsetsani kuti mukupeza mavitamini okwanira mukamamwa mankhwalawa. Lankhulani ndi dokotala wanu za zakudya ndi mavitamini omwe mukumwa.

Kodi zotsatirapo zake zingakhale zotani chifukwa cha mankhwalawa?

Monga mankhwala ena aliwonse, Phenobarbital ingayambitse zotsatirapo zoyipa mwa anthu ena. Si aliyense amene amalandira, koma ndibwino kudziwa za izo.

Ngati chinthu chonga ichi chichitika, muyenera kuuza dokotala wanu mwamsanga.

• Matenda a ziwengo: Ziphuphu pakhungu, kuyabwa, ziphuphu, kutupa kwa nkhope, milomo, lilime, kapena pakhosi.
• Kuvutika maganizo kwa mitsempha yapakati (CNS depression): Kupuma pang'onopang'ono kapena pang'ono, kupuma movutikira, kukomoka, chizungulire, chisokonezo, kuvutika kukhala maso.
• Maganizo odzipha kapena kudzivulaza, kusintha kwa maganizo, komanso kuvutika maganizo.

Zotsatirapo zomwe nthawi zambiri sizimafuna chithandizo chamankhwala, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira kapena zikuvutitsa:

• Chizungulire
• Kugona tulo
• Mutu
• Kusanza

Mndandandawu suli ndi zotsatirapo zonse zoyipa. Ngati mukukumana ndi zizindikiro zina zachilendo, uzani dokotala wanu za izo.

Kodi mumasunga bwanji mankhwalawo kukhala otetezeka? Kodi mungachite chiyani ngati pali mankhwala otsala?

Sungani mankhwalawa pamalo omwe ana ndi ziweto sangafikire. Sungani mankhwalawa pamalo otetezeka kuti muwateteze ku kuba, chifukwa angagwiritsidwe ntchito molakwika. Musagawire mankhwala awa ndi wina aliyense. Kugulitsa kapena kupereka mankhwalawa kwa ena n'koopsa komanso kosaloledwa.

Ngati munthu wamkulu, mwana, kapena chiweto chamwa mwangozi mankhwala awa, akhoza kupha. Chifukwa chake, ngati mwatsala ndi mankhwala osagwiritsidwa ntchito, sakanizani ndi zina monga zinyalala za amphaka kapena khofi ndikuzitaya m'thumba lotsekedwa bwino kapena mu chidebe cha khofi chokhala ndi chivindikiro. Musagwiritse ntchito mankhwala omwe atha ntchito.

Sungani mankhwalawo kutentha kwa chipinda (pakati pa madigiri 20 ndi 25 Celsius, pakati pa madigiri 68 ndi 77 Fahrenheit). Sungani botolo/phukusi la mankhwalalo litatsekedwa bwino komanso lotetezedwa ku kuwala.

Pomaliza, zinthu zofunika kwambiri zomwe muyenera kukumbukira (Uthenga Wopita Nawo Kunyumba)

Chabwino, takambirana zambiri za Phenobarbital, sichoncho? Mwachidule:

• Iyi ndi mankhwala omwe amagwiritsidwa ntchito makamaka poletsa khunyu komanso kuchepetsa nkhawa.
• Imwani monga momwe dokotala wanenera, panthawi yoyenera, komanso muyeso woyenera.
• Musayime mwadzidzidzi.
• Uzani dokotala wanu za mankhwala ena onse omwe mukumwa, chifukwa izi zingakhudze mankhwala ena.
• Samalani chifukwa kugona ndi chizungulire zingachitike. Samalani kwambiri mukayendetsa galimoto kapena mukuchita ntchito zomwe zimafuna kusamala.
• Musamwe mankhwalawa pamodzi ndi mowa.
• Ngati mukukumana ndi mavuto aakulu pakhungu kapena mukuganiza zodzipha, uzani dokotala wanu nthawi yomweyo.
• Ngati muli ndi pakati, mukuyembekezera kutenga pakati, kapena ndinu mayi woyamwitsa, onetsetsani kuti mwauza dokotala wanu.
• Sungani mankhwala mosamala pamalo omwe ana sangafikire.

Ndikukhulupirira kuti izi zikuthandizani. Kumbukirani, ngati muli ndi mafunso ena, musazengereze kufunsa dokotala wanu. Iye ndiye munthu woyenera kukupatsani upangiri.

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