Zomwe muyenera kudziwa zokhudza mankhwala a Phenytoin amadzimadzi a chimfine

Kodi dokotala wanu wakupatsani mankhwala oletsa khunyu kapena munthu wina m'banja mwanu amene ali ndi vuto la khunyu/kugwidwa? Uwu ndi mankhwala ofunikira kwambiri komanso omwe akhalapo kwa nthawi yayitali omwe amagwiritsidwa ntchito poletsa khunyu ku Sri Lanka ndi padziko lonse lapansi. Chifukwa chake ndikofunikira kudziwa bwino za mankhwalawa mukamagwiritsa ntchito. Lero, tikambirana za mankhwalawa mosavuta komanso m'njira yomwe mungamvetse.

Kodi Phenytoin ndi chiyani kwenikweni?

Mwachidule, phenytoin ndi mankhwala omwe amalamulira kugwira ntchito mopitirira muyeso kwa maselo amitsempha muubongo wanu . Khunyu imayamba chifukwa cha kuwonjezeka kwadzidzidzi komanso kosalamulirika kwa ntchito ya mitsempha muubongo. Chifukwa chake mankhwalawa amagwira ntchito pochepetsa mitsemphayo ndikuletsa ndikulamulira khunyu. Nthawi zina angagwiritsidwe ntchito pazifukwa zina zamankhwala. Dokotala wanu adzakufotokozerani izi.

Ndi zinthu ziti zomwe ndiyenera kuuza dokotala ndisanayambe kumwa mankhwalawa?

Musanayambe kugwiritsa ntchito phenytoin, ndikofunikira kwambiri kuuza dokotala wanu za mbiri yanu yonse ya thanzi. Onetsetsani kuti mwadziwitsa dokotala wanu ngati muli ndi chimodzi mwa izi:

• Ngati muli ndi vuto la kumwa mowa mwauchidakwa .
• Ngati ndinu wochokera ku Asia (zina mwa zinthu zomwe zimayambitsa majini zingakhudze momwe mumayankhira mankhwala).
• Ngati muli ndi matenda a magazi kapena vuto la magazi kuundana.
• 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 losowa lotchedwa Porphyria .
• Ngati mukulandira chithandizo cha khansa pogwiritsa ntchito radiation .
• Ngati mukuganiza zodzipha , munayesapo kale, kapena muli ndi mbiri ya banja lanu.
• Ngati muli ndi matenda a chithokomiro .
• Ngati muli ndi vuto la phenytoin kapena mankhwala ena aliwonse, chakudya, kapena mankhwala osungira.
• Ngati muli ndi pakati kapena mukufuna kutenga mimba .
• Ngati mukuyamwitsa mwana wanu .

Kodi mungagwiritse ntchito bwanji mankhwalawa moyenera?

Popeza mankhwalawa ndi amadzimadzi, ndikofunikira kwambiri kuyeza mlingo weniweni.

• Gwedezani bwino: Musanagwiritse ntchito botolo la mankhwala.Gwedezani bwino nthawi zonse, chifukwa tinthu ta mankhwala tingathe kukhazikika pansi pa botolo.
• Muyeso wolondola: Gwiritsani ntchito chikho chapadera choyezera, sirinji, kapena sirinji/supuni/dropper yoperekedwa ndi dokotala wanu kapena wamankhwala kuti muyese mankhwala anu. Musayese ndi supuni za tiyi kapena supuni zapakhomo. Sizolondola.
• Pa nthawi yake: Yesetsani kumwa mankhwala anu nthawi yomweyo tsiku lililonse. Izi zithandiza kuti milingo ya mankhwala m'magazi mwanu ikhale yofanana.
• Ndi chakudya kapena ayi: Izi zitha kumwedwa musanadye kapena mutadya. Komabe, ngati mukumva kupweteka m'mimba, ndi bwino kuzimwa pamodzi ndi chakudya .
• Musasiye: Musasiye kumwa mankhwala mwadzidzidzi pokhapokha ngati dokotala wanu wakuuzani kuti mutero. Kuchita zimenezi kumawonjezera chiopsezo choti matenda abwererenso.

Ngati mukupereka mankhwalawa kwa ana, lankhulani ndi dokotala wanu za malangizo aliwonse apadera.

O! Nanga bwanji ngati nditamwa mankhwala ochulukirapo? (Kumwa mankhwala ochulukirapo)

Ngati mukuganiza kuti mwakhala ndi zambiri kuposa momwe mumaganizira, musazengereze .

Kodi mungachite chiyani ngati mwaphonya mlingo wa mankhwala?

Ngati mwaiwala kumwa mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe mwakonza . Musamwe mlingo wowirikiza kawiri .

Kodi pali mankhwala ena omwe sagwirizana ndi mankhwalawa? (Kuyanjana kwa Mankhwala)

Inde, ndithudi. Phenytoin ndi mankhwala omwe amatha kuyanjana ndi mankhwala ena ambiri. Izi zikutanthauza kuti akamwedwa limodzi ndi mankhwala ena, mphamvu ya phenytoin ingachepe, kukwera, kapena zotsatirapo zake zingachuluke.

Uzani dokotala wanu za mankhwala onse omwe mumamwa (kuphatikizapo mavitamini, mankhwala azitsamba, ndi zowonjezera) . Pansipa pali mankhwala ena omwe angayambitse mavuto ndi phenytoin.

• Mankhwala ena oletsa mavairasi (omwe amaperekedwa kwa kachilombo ka HIV kapena chiwindi)
• Mankhwala oletsa bowa (monga `(fluconazole)`, `(ketoconazole)`)
• Mankhwala ena a khunyu (monga carbamazepine, valproic acid)
• Mankhwala omwe amaletsa magazi kuundana (monga warfarin, aspirin)
• Mankhwala ochepetsa cholesterol (monga atorvastatin, simvastatin)
• Mankhwala ochizira kuvutika maganizo kapena nkhawa
• Maantibayotiki (monga `(doxycycline)`, `(chloramphenicol)`)
• Mankhwala ochizira matenda am'mimba/gastritis (monga mankhwala oletsa asidi, omeprazole)
• Mapiritsi oletsa kubereka okhala ndi mahomoni
• Mitundu ya ma steroid (monga `(prednisone)`)
• Mowa

Zinthu zofunika kusamala kwambiri mukamamwa mankhwala

• Kuyezetsa magazi pafupipafupi: Dokotala wanu adzakufunsani kuti muyeze magazi pafupipafupi. Izi zidzayang'ana kuchuluka kwa phenytoin m'magazi anu ndikuwona ngati mlingo uyenera kuwonjezeredwa kapena kuchepetsedwa. Musadumphe mayeso awa.
• Matenda aakulu pakhungu: Anthu ena akhoza kuyamba matenda aakulu pakhungu patatha milungu ingapo kapena miyezi ingapo mutayamba kumwa mankhwalawa. Uzani dokotala wanu nthawi yomweyo ngati muli ndi malungo, kupweteka kwa thupi, ziphuphu zofiira kapena zofiirira pakhungu, matuza, kapena zilonda mkamwa mwanu, kutupa kwa nkhope kapena milomo yanu, kapena ziphuphu pakhosi kapena m'khwapa mwanu .
• Kugona ndi chizungulire: Mankhwalawa angayambitse kugona ndi chizungulire. Choncho , musayendetse galimoto kapena kugwiritsa ntchito makina mpaka thupi lanu litazolowera mankhwalawo. Samalani mukadzuka mwadzidzidzi kuchokera pamalo omwe mumakhala, makamaka ngati ndinu okalamba.
• Mapiritsi oletsa kubereka: Kumwa phenytoin kungathandize kuchepetsa mphamvu ya mapiritsi oletsa kubereka. Choncho ngati simukukonzekera kukhala ndi mwana, lankhulani ndi dokotala wanu za kugwiritsa ntchito njira ina yolerera kubereka (monga makondomu).
• Kutupa kwa chingamu: Ichi ndi zotsatira zoyipa za phenytoin. Chingamu chimatha kukula molakwika. Choncho tsukani mano anu bwino tsiku lililonse ndipo pitani kwa dokotala nthawi zonse .
• Kusowa kwa mavitamini: Kugwiritsa ntchito mankhwalawa kwa nthawi yayitali kungayambitse kuchepa kwa vitamini D ndi folic acid. Chifukwa chake, lankhulani ndi dokotala wanu za kudya zakudya zopatsa thanzi komanso kumwa mavitamini owonjezera ngati pakufunika kutero.

Zotsatirapo zomwe zingachitike chifukwa cha mankhwala

Monga mankhwala ena aliwonse, phenytoin ingayambitse zotsatirapo zina. Zina mwa izo ndi zazikulu, pomwe zina ndizofala.