Kodi mupatsidwa jakisoni wa Phenytoin? Ndiye dziwani izi motsimikiza!

Ngati mwagwidwa ndi khunyu mwadzidzidzi, kapena mwina muli ndi khunyu, kapena mwachitidwa opaleshoni ya ubongo, dokotala wanu mwina anakupatsani mankhwala awa kuti muchepetse khunyu. Amatchedwa jakisoni wa phenytoin. Mwachidule, amagwira ntchito pochepetsa ndikulamulira ziwalo za mitsempha ya thupi lanu zomwe nthawi zina zimakhala zogwira ntchito mopitirira muyeso. Ndiye tiyeni tikambirane za izi mwatsatanetsatane, sichoncho?

Kodi Phenytoin ndi chiyani? Tiyeni timvetse bwino!

Phenytoin ndi mankhwala ofunikira kwambiri omwe amagwiritsidwa ntchito poletsa khunyu . Nthawi zambiri amagwiritsidwa ntchito kwa anthu omwe ali ndi khunyu . Amaperekedwanso kuti achepetse chiopsezo cha khunyu panthawi ya opaleshoni ya ubongo komanso pambuyo pake.

Taganizirani za mitsempha muubongo mwathu ngati mawaya ang'onoang'ono omwe amanyamula mauthenga amagetsi. Nthawi zina "mawaya" amenewa amatha kukhala ndi "mabwalo ang'onoang'ono afupiafupi." Pamenepo ndi pomwe khunyu limayamba. Chifukwa chake, chomwe Phenytoin imachita ndikuchepetsa mitsempha yogwira ntchito mopitirira muyeso ndikuchepetsa "mabwalo afupiafupi" amenewo. Ndiko kuti, imalamulira mitsempha yogwira ntchito mopitirira muyeso.

Madokotala nthawi zina angagwiritse ntchito mankhwalawa pazinthu zina, kotero ngati muli ndi mafunso, ndi bwino kufunsa dokotala wanu kapena wamankhwala.

Ndi zinthu ziti zomwe muyenera kuuza dokotala musanakupatseni mankhwala awa?

Izi ndizofunikira kwambiri. Musanapatsidwe Phenytoin, ndikofunikira kuti gulu lanu losamalira odwala lidziwe izi:

• Kodi muli ndi vuto la kumwa mowa? Mowa ungakhudze mphamvu ya mankhwalawa.
• Kodi ndinu ochokera ku Asia? Anthu ena omwe ali ndi majini aku Asia akhoza kukhala ndi njira yosiyana yogwiritsira ntchito mankhwalawa m'thupi lawo, choncho ndikofunikira kudziwa izi.
• Kodi muli ndi matenda a shuga (Diabetes Mellitus)? Mankhwalawa angakhudze kuchuluka kwa shuga m'magazi.
• Kodi muli ndi mavuto a mtima?
• Kodi muli ndi matenda a chiwindi? Mankhwalawa amachotsedwa m'thupi ndi chiwindi. Choncho ngati muli ndi vuto la chiwindi, likhoza kukhudza chiwindi chanu.
• Kodi magazi anu amayenda mochedwerako?
• Kodi munayamba mwaganizapo zodzipha, kukonza mapulani, kapena kuyesa kudzipha? Kapena pali wina aliyense m'banja mwanu amene anadzipha? Izi ndizofunikira kuzitchula chifukwa mankhwalawa amatha kukhudza maganizo a anthu ena.
• Kodi muli ndi vuto la phenytoin, hydantoin, mankhwala ena, zakudya, utoto, kapena zosungira?Nenani kanthu, ngakhale katakhala kakang'ono chabe.
• Kodi muli ndi pakati kapena mukufuna kutenga mimba?
• Kodi ndinu mayi woyamwitsa?

Ndikofunikira kwambiri kuti mukhale otetezeka kuuza dokotala zinthu izi popanda kuzibisa.

Kodi mumagwiritsa ntchito bwanji mankhwalawa?

Iyi ndi jakisoni mumtsempha . Izi zikutanthauza kuti si chinthu chomwe mungagwiritse ntchito kunyumba. Chimaperekedwa kwa inu ndi akatswiri azachipatala kuchipatala kapena ku chipatala .**

Mankhwalawa ndi a inu nokha. Musapatse wina aliyense mankhwala omwe dokotala wakupatsani, ngakhale atakhala ndi zizindikiro zomwezo monga inu.

Ngati mankhwalawa aperekedwa kwa ana: Nthawi zina, mankhwalawa angaperekedwenso kwa ana. Komabe, pali zinthu zina zofunika kuziganizira. Lankhulani ndi gulu lanu lachipatala za izi.

Kumwa mankhwala ochulukirapo: Izi sizingachitike chifukwa zimaperekedwa kuchipatala. Komabe, ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, imbani malo owongolera poizoni kapena chipinda chodzidzimutsa nthawi yomweyo.

Nanga bwanji ngati ndaphonya mlingo?: Popeza izi zimaperekedwa kuchipatala, sizikukhudza ngati mwaphonya mlingo. Ogwira ntchito zachipatala adzasamalira.

Kodi muyenera kusamala kwambiri ndi chiyani mukamagwiritsa ntchito mankhwalawa?

Mukalandira katemerayu, ogwira ntchito zachipatala adzayang'anira vuto lanu mosamala kwambiri. Koma ndi bwino kuti mudziwe zinthu izi:

• Matenda aakulu pakhungu: Izi ndizofunikira kwambiri. Izi zitha kuchitika milungu ingapo kapena miyezi mutayamba kumwa mankhwalawa. Uzani dokotala wanu nthawi yomweyo ngati mukumva kutupa pakhungu ndi zizindikiro monga malungo ndi kupweteka kwa thupi. Matendawa amatha kukhala ofiira kapena ofiirira kenako n’kutuluka matuza. Kapena, ngati muli ndi kutupa kofiira pankhope, milomo, kapena kutupa kwa ma lymph nodes pakhosi kapena m’khwapa, uzani dokotala wanu nthawi yomweyo. Izi zitha kukhala zadzidzidzi.
• Kugona, chizungulire: Mungamve ngati mukugona komanso mukuzungulire. Choncho, pewani kuyendetsa galimoto, kugwiritsa ntchito makina, kapena kuchita chilichonse chomwe chimafuna kusamala mpaka mutadziwa momwe mankhwalawa amakukhudzirani. Pewani kudzuka kapena kukhala pansi mofulumira kwambiri, makamaka ngati ndinu okalamba. Izi zingakupangitseni kuti muyambe kuzungulire ndi kugwa.
• Mowa: Mowa ukhoza kusintha zotsatira za mankhwalawa, choncho pewani kumwa mowa konse.
• Maganizo odzipha:Mankhwalawa angakulitse pang'ono chiopsezo chanu chodzipha kapena kuchita zinthu zina. Choncho samalani kwambiri za momwe mukumvera komanso momwe mukumvera. Ngati maganizo anu akuipiraipira, mukumva ngati mumwalira, kapena mukumva chisoni kapena kuda nkhawa kwambiri kuposa masiku onse , uzani gulu lanu lazaumoyo nthawi yomweyo. Musabise.
• Kusowa kwa Vitamini D ndi folic acid: Mankhwalawa angayambitse kuchepa kwa vitamini D ndi folic acid m'thupi. Chifukwa chake, lankhulani ndi gulu lanu lazaumoyo za zakudya zomwe mumadya, mavitamini omwe mumamwa, ndi kumwa zowonjezera ngati pakufunika.

Kodi zotsatirapo zake zingakhale zotani?

Monga mankhwala ena aliwonse, Phenytoin ingayambitse zotsatira zina zoyipa. Si aliyense amene amalandira, koma ndibwino kudziwa za izo.

Zotsatirapo zomwe muyenera kuuza dokotala wanu nthawi yomweyo:

Ngati muli ndi zizindikiro izi, uzani dokotala wanu nthawi yomweyo:

• Matenda a ziwengo: Ziphuphu pakhungu, kuyabwa, ziphuphu, kutupa kwa nkhope, milomo, lilime, kapena pakhosi.
• Kuchuluka kwa shuga m'magazi (Hyperglycemia): Kumva ludzu kwambiri, kufuna kukodza pafupipafupi, kumva kutopa kwambiri, kuona zinthu mosasamala.
• Zizindikiro za matenda: malungo, kuzizira, chifuwa, pakhosi.
• Kuvulala kwa chiwindi: Kupweteka kumtunda kwa kumanja kwa mimba, kusowa chilakolako cha chakudya, nseru, ndowe zowala, mkodzo wakuda wachikasu kapena bulauni, maso kapena khungu kukhala lachikasu, kutopa kosazolowereka.
• Ululu, kutupa, kusintha kwa mtundu wa buluu/wofiirira, komanso kufalikira pamalo omwe jakisoni amaperekedwa.
• Kuopsa kwa phenytoin: Kusuntha kwa maso kosalamulirika, kulephera kuyenda bwino kapena kuvutika kuyenda, kuvutika kulankhula, kutopa kwambiri, nseru, kusanza.
• Ziphuphu, malungo, ndi kutupa kwa ma lymph nodes.
• Kufiira, kutupa, kutsekeka, ndipo nthawi zina ngakhale mkati mwa mkamwa kumatha kuchitika.
• Kugunda pang'onopang'ono: Kumva chizungulire, kukomoka, kusokonezeka, kupuma movutikira, kutopa kwambiri.
• Kutupa kwa ma lymph nodes m'khosi, m'mimba, pachifuwa, kapena m'khwapa.
• Maganizo monga kudzipha, kuipiraipira kwa maganizo, komanso kuvutika maganizo.
• Kutupa kapena kutuluka magazi kosazolowereka.

Zotsatirapo zomwe nthawi zambiri sizili zoopsa, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira:

Izi nthawi zambiri zimatha patatha masiku ochepa. Koma ngati zikupitirira, uzani dokotala wanu ngati zikukuvutitsani:

• Kuvuta kuganizira, kukumbukira, kapena kulankhula.
• Chizungulire.
• Kugona tulo.
• Mutu .

Mndandandawu suli ndi zotsatirapo zonse zomwe zingachitike. Ngati muwona china chilichonse chomwe sichinatchulidwe, lankhulani ndi dokotala wanu za izi.

Kodi izi zingagwirizane ndi mankhwala ena? (Kuyanjana kwa mankhwala)

Izi ndizofunikira kwambiri. Phenytoin imatha kuyanjana ndi mankhwala ena ambiri, zitsamba, ndi mavitamini. Choncho uzani dokotala wanu za mankhwala onse omwe mumamwa (omwe amalembedwa ndi dokotala, omwe amagulitsidwa pamtengo wotsika, zitsamba, mavitamini, ndi zowonjezera zakudya). Komanso, uzani dokotala wanu ngati mumasuta fodya, mumamwa mowa, kapena mumagwiritsa ntchito mankhwala osokoneza bongo.

Musamwe Phenytoin pamodzi ndi mankhwala awa:

Ngati mukugwiritsa ntchito mankhwalawa, sikoyenera kumwa Phenytoin. Chifukwa chake, muyenera kulankhula ndi dokotala wanu za izi.

• Artemether
• Mankhwala ena oletsa mavairasi a HIV kapena chiwindi
• Idelalisib
• Isavuconazonium
• Lonafarnib
• Lorlatinib
• Lumefantrine
• Lurasidone
• Pacritinib
• Praziquantel
• Ranolazine

Phenytoin ingathenso kuyanjana ndi mankhwala otsatirawa:

Mndandanda uwu ndi wautali pang'ono, koma ngati mukugwiritsa ntchito chilichonse mwa izi, musaiwale kuuza dokotala wanu.

• Albendazole
• Mowa
• Mankhwala ofanana ndi a aspirin ndi aspirin
• Bleomycin
• Capecitabine
• Carboplatin
• Mankhwala ena a kuthamanga kwa magazi, matenda a mtima, ndi kugunda kwa mtima kosasinthasintha
• Mankhwala ena ochizira kuvutika maganizo, nkhawa, kapena matenda ena amisala
• Mankhwala ochepetsa cholesterol monga Atorvastatin, Fluvastatin, ndi Simvastatin
• Mankhwala ochizira matenda a bowa monga Fluconazole, Itraconazole, Ketoconazole, Miconazole, Posaconazole, Voriconazole
• Mankhwala ena omwe amagwiritsidwa ntchito pa khunyu: Carbamazepine, Ethosuximide, Felbamate, Lacosamide, Lamotrigine, Methsuximide, Oxcarbazepine, Phenobarbital, Topiramate, Valproic acid, Vigabatrin
• Mankhwala a matenda am'mimba monga mankhwala oletsa asidi, cimetidine , omeprazole, ndi sucralfate
• Mankhwala oletsa kapena kuchiza magazi kuundana, monga Warfarin, Apixaban, Dabigatran, Edoxaban, ndi Rivaroxaban
• Chloramphenicol
• Chlorpropamide
• Cisplatin
• Cyclosporine
• Disulfiram
• Doxorubicin
• Doxycycline ( Doxycycline )
• Mahomoni achikazi, mwachitsanzo estrogen ndi mapiritsi oletsa kubereka
• Fluorouracil
• Folic acid
• Irinotecan
• Isoniazid
• Mankhwala opumulira minofu panthawi ya opaleshoni
• Methadone
• Methotrexate
• Methylphenidate
• Paclitaxel
• Phenothiazines (monga chlorpromazine, mesoridazine, prochlorperazine, thioridazine)
• Rifampin
• Wort wa St. John (uyu ndi chomera)
• Mankhwala a steroid (monga prednisone, cortisone)
• Sulfadiazine
• Sulfamethoxazole
• Teniposide
• Theophylline
• Ticagrelor
• Ticlopidine
• Tolbutamide
• Vitamini D

Mndandanda uwu si wokwanira, choncho ndi bwino kuuza dokotala wanu za mankhwala onse omwe mumamwa.

Kodi mungasunge bwanji? (Izi sizingakhale zofunikira kwa inu)

Popeza katemerayu amaperekedwa kuchipatala kapena ku chipatala, nthawi zambiri simuyenera kuda nkhawa ndi kusunga katemerayu. Koma kungodziwa izi:

• Mankhwalawa ayenera kusungidwa pamalo omwe ana sangawafikire.
• Iyenera kusungidwa kutentha kwa chipinda (pakati pa madigiri 15 ndi 30 Celsius).
• Musagwiritse ntchito mankhwala omwe atha ntchito.

Chidziwitsochi n'chofunika kwa ogwira ntchito kuchipatala.

Pomaliza, chinthu chofunikira kwambiri (Uthenga Wopita Nawo Kunyumba)

Chabwino, ndicho chinthu chachikulu chomwe muyenera kudziwa chokhudza jakisoni wa Phenytoin. Kumbukirani, iyi ndi mankhwala ofunikira kwambiri poletsa khunyu.

Chofunika kwambiri ndichakuti ngati muli ndi mafunso, nkhawa, kapena zizindikiro zatsopano, lankhulani ndi dokotala wanu, namwino, kapena wamankhwala. Musabise chilichonse kwa inu nokha. Iwo alipo kuti akuthandizeni.

Ndikukufunirani kuchira mwachangu!

Phenytoin , Phenytoin, khunyu, katemera, zotsatirapo zake, opaleshoni ya ubongo