Pali matenda ena omwe nthawi zina satha kulamuliridwa bwino ndi mankhwala wamba. Matenda a Tourette ndi amodzi mwa matenda otere. Chifukwa chake, m'matenda otere, pamene mankhwala ena sanapereke zotsatira zomwe amayembekezera, mankhwala apadera omwe madokotala amagwiritsa ntchito amatchedwa Pimozide. Amabweranso pansi pa dzina la Orap. Lero, tikambirana mwatsatanetsatane za mankhwalawa, zomwe amachita, komanso zinthu zomwe muyenera kusamala nazo.
Kodi Pimozide ndi mankhwala amtundu wanji?
Mwachidule, Pimozide ndi mankhwala omwe amagwiritsidwa ntchito pochiza zizindikiro za matenda otchedwa Tourette's disorder. Munthu amene ali ndi vutoli akhoza kukhala ndi vuto la mawu komanso kuyenda movutikira. Tangoganizirani momwe izi zingasokonezere zochita za tsiku ndi tsiku.
Kotero chomwe Pimozide iyi imachita ndichakuti imakhudza momwe ubongo umagwirira ntchito ndikuchepetsa mawu ndi mayendedwe osalamulirika. Ili m'gulu la mankhwala otchedwa antipsychotics. Musachite mantha ndi dzinali, gulu la mankhwala awa amagwiritsidwa ntchito pochiza matenda osiyanasiyana amisala.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwalawa
Dokotala wanu asanasankhe kukupatsani Pimozide, ndikofunikira kudziwa mbiri yonse ya thanzi lanu. Onetsetsani kuti mwauza dokotala wanu ngati muli ndi vuto lililonse mwa izi:
| Matenda anu | Kufotokozera |
|---|---|
| Matenda a mtima | Mtundu uliwonse wa matenda a mtima kapena mbiri ya kugunda kwa mtima kosasinthasintha. |
| Kuthamanga kwa magazi ndi kuchuluka kwa magazi | Ngati muli ndi kuthamanga kwa magazi kotsika, maselo oyera amagazi otsika, ma platelet, kapena maselo ofiira amagazi (kuchuluka kwa magazi komwe kulibe). |
| Mineral m'magazi | Ngati mulingo wa potaziyamu kapena magnesium m'magazi uli wochepa. |
| Matenda ena | Matenda a shuga, matenda a impso kapena chiwindi, matenda a Parkinson, khunyu, mavuto a prostate, kutsekeka kwa matumbo, kuvutika kumeza, mavuto olamulira minofu, kapena matenda a dementia. |
| Zizolowezi ndi ziwengo | Ngati mumakonda kumwa mowa pafupipafupi, khalani ndi vuto la ziwengo chifukwa cha Pimozide kapena mankhwala ena, zakudya, kapena utoto. |
| Mimba | Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena mukuyamwitsa. |
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
Mankhwalawa ayenera kumwedwa ndi kapu ya madzi. Imwani mlingo womwe dokotala wanu wakupatsani panthawi yomwe mwapatsidwa. Tsatirani malangizo omwe ali pa chizindikiro cha mankhwala molondola.
Chofunika kwambiri: Musamwe mankhwalawa pamodzi ndi madzi a mphesa pazifukwa zilizonse. Zingakhudze kwambiri mphamvu ya mankhwalawa.
Ndikofunikira kumwa mankhwala pa nthawi yake. Komanso, musasiye kumwa mankhwala mwadzidzidzi popanda kufunsa dokotala wanu. Kuchita zimenezi kungayambitse mavuto ena.
Nanga bwanji ngati ndaphonya mlingo wa mankhwala?
Ngati mwaphonya mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yatsala pang'ono yoti mutenge mlingo wotsatira, thawani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe milingo iwiri nthawi imodzi.
Kodi mungachite chiyani ngati mwamwa mankhwala ochulukirapo?
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, musazengereze. Imbani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital , kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.
Zinthu zina zomwe zingagwirizane ndi mankhwalawa (Kuyanjana kwa Mankhwala)
Pimozide ndi mankhwala omwe ali ndi kuthekera kwakukulu kogwirizana ndi mankhwala ena. Chifukwa chake, ndikofunikira kuuza dokotala wanu za mankhwala onse omwe mukumwa, kuphatikizapo mavitamini ndi mankhwala azitsamba.
| Musamwe Pimozide pamodzi ndi mankhwalawa. | |
|---|---|
| Maantibayotiki ena | Monga Azithromycin, Clarithromycin, ndi Erythromycin |
| Mankhwala ena ochepetsa kuvutika maganizo (Antidepressants) | Mankhwala a SSRI monga Citalopram, Fluoxetine, Sertraline, ndi Nefazodone |
| Mankhwala oletsa bowa | Monga Fluconazole, Ketoconazole, ndi Itraconazole |
| Mankhwala a matenda a mtima | Monga Amiodarone, Sotalol, ndi Quinidine |
| Mankhwala ena | Metoclopramide, Droperidol, Thioridazine, Ziprasidone, mankhwala ena a HIV/Hepatitis, ndi mankhwala ena omwe amawonjezera nthawi ya QT ya kugunda kwa mtima. |
| Zinthu izi zingayambitsenso mavuto (samalani) | |
| Mowa | Kumwa ndi mowa kungapangitse kuti munthu agone komanso azungulire. |
| Madzi a mphesa | Izi zimakhudza mwachindunji mphamvu ya mankhwala. |
| Magulu ena a mankhwala osokoneza bongo | Mankhwala monga chifuwa, chimfine, mankhwala a ziwengo (antihistamines), mankhwala ochepetsa ululu, mapiritsi ogonetsa, mankhwala othamanga magazi, mankhwala a khunyu, ndi Levodopa a matenda a Parkinson. |
Zinthu zoti muzisamala nazo mukamamwa mankhwala
- Kuyezetsa pafupipafupi: Mukamagwiritsa ntchito mankhwalawa, ndikofunikira kwambiri kukaonana ndi dokotala wanu pafupipafupi kuti muwone momwe zinthu zilili. Muuzeni ngati zizindikiro zanu zikukulirakulira kapena ngati sizikuchira.
- Kugona ndi chizungulire: Mankhwalawa angakupangitseni kugona ndi chizungulire. Choncho, musayendetse galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani. Samalani mukadzuka kuchokera pamalo omwe mukukhala kapena kukhala pansi mwadzidzidzi, makamaka ngati ndinu munthu wokalamba.
- Mowa: Kumwa mowa kungapangitse kuti kugona ndi chizungulire zikhale zovuta kwambiri. Chifukwa chake, ndi bwino kupewa kumwa mowa mukamamwa mankhwalawa.
- Shuga m'magazi: Ngati muli ndi matenda a shuga, mankhwalawa angawonjezere shuga m'magazi mwanu. Choncho, lankhulani ndi dokotala wanu ngati mukufunika kusintha zakudya zanu kapena mankhwala a shuga.
- Kutentha kwa thupi: Mankhwalawa angakhudze momwe thupi lanu limalamulira kutentha kwake. Izi zikutanthauza kuti thupi lanu silingathe kuyankha kuzizira kwambiri kapena kutentha kwambiri. Chifukwa chake, valani zovala zofunda pamene kuli kozizira kwambiri. Komanso, samalani ndi kutentha kwambiri ndi dzuwa. Imwani madzi ambiri. Ngati mukuona kuti mukuvutika kulamulira kutentha kwa thupi lanu, lankhulani ndi dokotala nthawi yomweyo.
Zotsatirapo zomwe zingatheke
Monga mankhwala ena aliwonse, Pimozide ingayambitse zotsatirapo zina. Zina zimakhala zoopsa, pomwe zina zimakhala zofala. Ndikofunikira kudziwa izi.
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala/chipatala nthawi yomweyo | |
|---|---|
| Kusamvana kwa Thupi | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Kusintha kwa kugunda kwa mtima | Kugunda kwa mtima mofulumira kapena kosasinthasintha, chizungulire, kukomoka, kupweteka pachifuwa, kuvutika kupuma. |
| Matenda a Neuroleptic Malignant (NMS) | Malungo amphamvu kwambiri, kuuma kwa minofu, thukuta kwambiri, komanso kusokonezeka. Uwu ndi vuto loopsa kwambiri. |
| Zizindikiro za Extrapyramidal (EPS) | Kusuntha kwa thupi kosalamulirika, kuuma kwa minofu kapena kugwedezeka, kunjenjemera, kusakhazikika, komanso kuvutika kuyenda. |
| Zizindikiro za matenda | Malungo, kuzizira, chifuwa, pakhosi, ndi zina zotero. |
| Zinthu zomwe nthawi zambiri sizili zazikulu, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Kudzimbidwa | Pakamwa pouma |
| Chizungulire | Kugona tulo |
Uthenga Wopita Nawo Kunyumba
- Pimozide ndi mankhwala enieni a matenda a Tourette. Amagwiritsidwa ntchito ngati mankhwala ena sanagwire ntchito.
- Musanayambe kumwa mankhwalawa, uzani dokotala wanu za matenda anu onse komanso mankhwala ena onse omwe mukumwa.
- Musamwe mankhwalawa pamodzi ndi madzi a mphesa.
- Ngati mukukumana ndi mavuto ena aakulu monga kutentha thupi kwambiri, kuuma kwa minofu, kapena kugunda kwa mtima kosakhazikika, funsani upangiri wa dokotala nthawi yomweyo kapena pitani ku Dipatimenti Yothandizira Zadzidzidzi (ETU) ya chipatala.
- Musasiye kumwa mankhwala popanda upangiri wa dokotala.
- Ndikofunikira kwambiri kulankhulana ndi dokotala nthawi zonse kuti muwone momwe zinthu zikuyendera.
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