Ngati inu kapena wina m'banja mwanu ali ndi khunyu, lomwe ndi vuto lomwe limayambitsa khunyu, dokotala wanu mwina adakupatsani mankhwala otchedwa Phenytoin. Mankhwalawa nthawi zina amagwiritsidwanso ntchito popewa khunyu mutachitidwa opaleshoni ya ubongo. Mungakhale ndi mafunso ambiri okhudza mankhwalawa. Musadandaule, tidzakambirana zonsezi m'nkhaniyi m'njira yosavuta yomwe mungamvetse.
Kodi Phenytoin ndi chiyani?
Mwachidule, phenytoin ndi mankhwala omwe amaperekedwa kwa anthu omwe ali ndi khunyu kuti achepetse ndikuletsa khunyu. Mitsempha ya muubongo wathu nthawi zina imagwira ntchito mopitirira muyeso. Mankhwalawa amagwira ntchito pochepetsa kupanikizika koteroko ndikuletsa kuyambika kwa khunyu. Mankhwalawa amapezekanso pansi pa mayina a Dilantin ndi Phenytek.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwalawa
Dokotala wanu asanakupatseni mankhwala awa, ayenera kukhala ndi chithunzi chonse cha thanzi lanu. Chifukwa chake, ngati muli ndi vuto lililonse lomwe latchulidwa pansipa, onetsetsani kuti mwadziwitsa dokotala wanu za vutoli.
- Ngati muli ndi vuto la kumwa mowa.
- Ngati ndinu wochokera ku Asia (izi ndizofunikira chifukwa cha chiopsezo cha zotsatirapo zina).
- Ngati pali matenda kapena kusowa kwa magazi.
- Ngati muli ndi matenda a shuga.
- Ngati muli ndi matenda a mtima kapena mavuto a mtima.
- Ngati muli ndi matenda a impso.
- Ngati muli ndi matenda a chiwindi.
- Ngati muli ndi vuto lotchedwa porphyria.
- Ngati mukulandira chithandizo cha khansa pogwiritsa ntchito radiation.
- Ngati inu kapena wina m'banja mwanu munaganizapo zodzipha, kukonza mapulani, kapena kuyesa kudzipha.
- Ngati muli ndi matenda a chithokomiro.
- Ngati muli ndi vuto la ziwengo chifukwa cha phenytoin kapena mankhwala ena aliwonse, chakudya, kapena utoto.
- Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena mukuyamwitsa.
Kodi ndimagwiritsa ntchito bwanji mankhwalawa molondola?
Kuti mupindule kwambiri ndi mankhwalawa, ndikofunikira kwambiri kuwagwiritsa ntchito moyenera.
- Momwe mungamwere: Imwani kapisozi iyi ndi kapu ya madzi. Musamaswe, kuphwanya, kapena kutafuna kapisoziyo. Mezani kapisozi yonse.
- Nthawi yogwiritsira ntchito: Yesani kumwa mankhwala nthawi yomweyo tsiku lililonse , monga momwe dokotala wanu wanenera.
- Ndi chakudya: Mutha kumwa izi musanadye kapena mutadya. Koma chofunika kwambiri ndichakuti muzimwa mofanana tsiku lililonse . Mwachitsanzo, ngati mumwa mutadya chakudya cham'mawa tsiku lililonse, chitani chimodzimodzi tsiku lililonse.
- Kuyimitsa:Pitirizani kumwa mankhwalawa mpaka dokotala wanu atakuuzani kuti "siyani tsopano." Musasiye kumwa mankhwalawa mwadzidzidzi , chifukwa kuchita zimenezi kungapangitse kuti munthu adwale matenda a khunyu.
Kodi ndingatani ngati ndaphonya mlingo wa mankhwala?
Ngati mwaphonya mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yoti mutenge mlingo wotsatira yayandikira, dumphani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe yakonzedwa. Musamwe milingo iwiri nthawi imodzi pazifukwa zilizonse.
Nanga bwanji ngati nditamwa mankhwala ochulukirapo?
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, kutanthauza kuti mwamwa mopitirira muyeso, ndi vuto ladzidzidzi. Imbani nthawi yomweyo National Poisons Information Centre ku Colombo National Hospital , kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.
Mankhwala ena omwe angagwirizane ndi Phenytoin
Phenytoin ndi mankhwala omwe amatha kuyanjana ndi mankhwala ena ambiri. Chifukwa chake, ndikofunikira kwambiri kuuza dokotala wanu za mankhwala onse omwe mukumwa. Matebulo awiri omwe ali pansipa ali ndi zambiri zokhudza mankhwala otere.
| Musamwe ndi Phenytoin | |
|---|---|
| Artemether, Lumefantrine | Mankhwala ena oletsa mavairasi a HIV kapena Hepatitis |
| Idelalisib, Isavuconazonium | Lonafarnib, Lorlatinib, Lurasidone |
| Pacritinib, Praziquantel, Ranolazine | |
| Mankhwalawa angagwirizanenso ndi Phenytoin - uzani dokotala wanu | |
|---|---|
| Mowa | Mankhwala ochepetsa ululu monga aspirin |
| Mankhwala oletsa khansa (monga Bleomycin, Capecitabine) | Mankhwala a kuthamanga kwa magazi ndi matenda a mtima |
| Mankhwala a matenda amisala monga kuvutika maganizo ndi nkhawa | Mankhwala ochepetsa mafuta m'thupi (monga Atorvastatin) |
| Mankhwala a matenda a bowa | Mankhwala ena oletsa khunyu (monga Carbamazepine, Valproic acid) |
| Mankhwala oletsa asidi ndi mankhwala a gastritis (monga Omeprazole) | Mankhwala omwe amaletsa magazi kuundana (monga Warfarin, Apixaban) |
| Mahomoni achikazi, mwachitsanzo, mapiritsi oletsa kubereka | Folic acid ndi vitamini D |
| Mitundu ya ma steroid (monga Prednisone) | Mankhwala azitsamba monga St. John's Wort |
Mndandandawu sunathe. Chifukwa chake, ndikofunikira kwambiri kuti mukhale otetezeka kuuza dokotala wanu za mankhwala onse, mavitamini, ndi mankhwala achikhalidwe omwe mukumwa.
Zinthu zoti muzisamala nazo mukamamwa mankhwala
- Kuyezetsa magazi nthawi zonse: Pitani kwa dokotala nthawi zonse kuti akaone momwe mulili. Muyenera kukhala pansi pa utsogoleri wa dokotala nthawi zonse mukamamwa mankhwalawa. Mungafunikenso kuyezetsa magazi.
- Zoopsa pakhungu:
- Kugona ndi chizungulire: Mungamve ngati mukugona komanso mukuzungulire. Choncho, musayendetse galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani. Pewani kumwa mowa.
- Kuletsa kubereka: Ngati mumwa mapiritsi oletsa kubereka, mankhwalawa angapangitse kuti asagwire bwino ntchito. Choncho lankhulani ndi dokotala wanu za kugwiritsa ntchito njira ina yolerera kubereka.
- Kutupa kwa chingamu: Izi zingayambitse kuchuluka kwa shuga m'chiwindi. Choncho pitani kwa dokotala nthawi zonse. Samalani mukamatsuka ndi kupukuta ulusi.
- Mankhwala Oletsa Asidi: Musamwe mankhwala oletsa asidi chifukwa cha kutentha pamtima nthawi imodzi ndi mankhwala awa. Siyani mphindi 2-3.
- Thanzi la maganizo: Dziwani momwe maganizo anu alili mukamamwa mankhwalawa. Ngati mukumva nkhawa kwambiri kuposa nthawi zonse kapena mukuganiza zodzipha, uzani dokotala wanu nthawi yomweyo.
- Nthawi zonse imwani Phenytoin monga momwe dokotala wanu wanenera, panthawi yoyenera. Pewani kuisiya mwadzidzidzi.
- Uzani dokotala wanu za mankhwala ena onse, mavitamini, ndi mankhwala azitsamba omwe mukumwa.
- Ngati pakhungu patuluka zilonda zazikulu, matuza, kapena zizindikiro zina zachilendo pamodzi ndi malungo, funsani upangiri wa dokotala nthawi yomweyo.
- Musasinthe mtundu wa mankhwala popanda kufunsa dokotala wanu.
- Ndikofunikira kwambiri kukaonana ndi dokotala nthawi zonse komanso kuyezetsa magazi.
- Ngati mukukayikira kuti mwamwa mankhwala opitirira muyeso, pitani ku National Poison Information Centre kapena ku chipatala chapafupi cha Emergency Department (ETU).
Izi ndizofunikira kwambiri:Mankhwalawa nthawi zina angayambitse mavuto aakulu pakhungu. Uzani dokotala wanu nthawi yomweyo ngati muli ndi malungo, kupweteka kwa thupi, matuza ofiira/ofiirira, kapena zilonda pakhungu lanu, khungu likutuluka, zilonda mkamwa mwanu, kapena kutupa kwa nkhope yanu, milomo, khosi, kapena m'khwapa .
Kodi zotsatirapo zake zingakhale zotani?
Monga mankhwala ena aliwonse, Phenytoin ingayambitse zotsatirapo zina. Zina zimakhala zoopsa, zina zimakhala zofala.
| Mtundu wa zotsatira zoyipa | Makhalidwe |
|---|---|
| Zinthu zoti muuze dokotala wanu nthawi yomweyo | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, ndi lilime. |
| Matenda aakulu a khungu | Malungo, limodzi ndi matuza ofiira/ofiirira pakhungu, khungu lotuluka, ndi zilonda pakamwa. |
| Kuvulala kwa chiwindi | Kupweteka kumtunda kwa kumanja kwa m'mimba, kusowa chilakolako cha chakudya, khungu kapena maso kukhala achikasu (monga chikasu cha m'mimba), ndi mkodzo wakuda. |
| Kuopsa kwa phenytoin | Kusuntha kwa maso kosalamulirika, kulephera kuyenda bwino, kuvutika kulankhula, kutopa kwambiri, nseru, ndi kusanza. |
| Zizindikiro zina zazikulu | Kugunda pang'onopang'ono, chizungulire, kupuma movutikira, kutupa akakolo, kuvulala kapena kutuluka magazi pafupipafupi, komanso kuganiza zodzipha. |
| Ngati zikupitirira kapena zikukuvutitsani, uzani dokotala wanu. | |
| Zotsatira zoyipa zofala | Mutu, kugona tulo, chizungulire, kuvutika kuganizira kapena kukumbukira. |
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